DOI QR코드

DOI QR Code

Development of Antibacterial Hood and Filter for Medical Powered Air Purifying Respirators (PAPR)

의료용 전동공기청정호흡기(PAPR)용 항균성 후드 및 필터 개발

  • Eunjoo Koh (Department of Chemical Engineering, Kyung Hee University) ;
  • Nahyun Cho (Department of Chemical Engineering, Kyung Hee University) ;
  • Yong Taek Lee (Department of Chemical Engineering, Kyung Hee University)
  • Received : 2023.12.05
  • Accepted : 2023.12.11
  • Published : 2023.12.31

Abstract

This work developed a hood and filter for antibacterial protective clothing for medical powered air purifying respirators (PAPR) that can be used in medical settings and quarantine against infectious diseases such as Zika virus, Middle East respiratory syndrome (MERS), and coronavirus disease-19 (COVID-19). The hood material of the protective clothing was made of polypropylene spunlace nonwoven fabric (SFS) was used for withstand wind pressure and external physcial pressure. Forthermore, in order to reduce the user's risk of infection, phytoncide-based materials were used on the outer-surface of the hood to achieve a 99.9% antibacterial effect, and the inner-surface were treated with hydro-philic materials to improve absorbency by 25%. In addition to evaluating the artificial blood penetration resistance, dry mi-croorganism penetration resistance, wet bacteria penetration resistance, and bacteriophage penetration resistance required for medical protective clothing hoods, it received a passing evaluation of levels 2-6. Meanwhile, as a result of evaluating the performance of the antibacterial treated spunlace high efficiency particulate air (HEPA) filter, excellent antibacterial properties, dust removal rate, and differential pressure effect were confirmed. All performance evaluations were conducted by an accredited certification body in accordance with the medical PAPR certification standards.

본 연구는 지카바이러스, 메르스, coronavirus disease-19 (COVID-19) 등의 감염병 방역 및 의료현장에서 사용할 수 있는 의료용 공기정화호흡기(powered air purifying respirators, PAPR)의 항균성 보호복의 후드와 필터를 개발하였다. PAPR은 전동팬 본체 및 필터, 배터리팩, 후드로 구성되며 보호복의 후드 소재는 뛰어난 흡습성, 풍압, 외부충격을 견딜 수 있는 폴리프로필렌 슐폰레이스(spunlace) 부직포 직물(SFS)을 사용하였다. 사용자의 감염위험을 낮추기 위해 후드의 외피에는 피톤치드계 물질을 사용하여 99.9%의 안티-박테리얼(antibacterial) 효과를 얻었으며 내피에는 친수가공을 하여 흡수성을 25% 향상시켰다. 의료용 보호복 후드에 필요한 인공혈액 침투저항성, 건조미생물 침투저항성, 습식세균 침투저항성, 그리고 박테리오파아지 침투저항성을 평가한 결과 2~6 단계의 합격평가를 받았다. 한편, 항균 처리된 슐폰레이스(spunlace filter, SF) 헤파 필터(high efficiency particulate air, HEPA)의 성능을 평가한 결과 우수한 항균성, 분진제거율, 차압 효과를 확인하였다.

Keywords

Acknowledgement

This research was supported by a grant of the Korea Health Technology R&D Project through Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number : HW21C0025010021).

References

  1. A. Licina and A. Silvers, "Use of powered air-purifying respirator (PAPR) as part of protective equipment against SARS-CoV-2-a narrative review and critical appraisal of evidence", Am. J. Infect. Control., 49, 492-499 (2021). https://doi.org/10.1016/j.ajic.2020.11.009
  2. J. B. Powell, J. H. Kim, and R. J. Roberge, "Powered air-purifying respirator use in healthcare: effects on thermal sensations and comfort", J. Occup. Environ. Hyg., 14, 947-954 (2017). https://doi.org/10.1080/15459624.2017.1358817
  3. C. Bharatendu, J. J. Ong, Y. Goh, B. Y. Tan, A. C. Chan, J. Z. Tang, and V. K. Sharma, "Powered Air Purifying Respirator (PAPR) restores the N95 face mask induced cerebral hemodynamic alterations among Healthcare Workers during COVID-19 Outbreak", J. Neurol. Sci., 417, 117078 (2020).
  4. M. Wyer, R. Barratt, S. Y. Hor, P. E. Ferguson, and G. L. Gilbert, "Exploring healthcare workers' perspectives of video feedback for training in the use of powered air purifying respirators (PAPR) at the onset of the COVID-19 pandemic", BMC Med. Educ., 22, 688 (2022).
  5. W. R. Myers and M. J. Peach III, "Performance measurements on a powered air-purifying respirator made during actual field use in a silica bagging operation", Ann. Occup. Hyg., 27, 251-259 (1983).
  6. B. R. Hubbard and J. M. Pearce, "Conversion of self-contained breathing apparatus mask to open source powered air-purifying particulate respirator for fire fighter COVID-19 response", HardwareX, 8, e00129 (2020).
  7. M. R. Roberge, M. R. Vojtko, R. J. Roberge, R. J. Vojtko, and D. P. Landsittel, "Wearing an N95 respirator concurrently with a powered air-purifying respirator: effect on protection factor", Respir. care, 53, 1685-1690 (2008).
  8. K. L. Khoo, P. H. LENG, I. B. Ibrahim, and T. K. Lim, "The changing face of healthcare worker perceptions on powered air-purifying respirators during the SARS outbreak", Respirology, 10, 107-110 (2005). https://doi.org/10.1111/j.1440-1843.2005.00634.x
  9. B. M. Tompkins and J. P. Kerchberger, "Personal protective equipment for care of pandemic influenza patients: A training workshop for the powered air purifying respirator", Anesth. Analg., 111, 933-945 (2010). https://doi.org/10.1213/ANE.0b013e3181e780f8
  10. J. M. Maza-Ortega, E. Acha, S. Garcia, and A. Gomez-Exposito, "Overview of power electronics technology and applications in power generation transmission and distribution", J. Moder. Pow. Syst. Clean Ener., 5, 499-514 (2017). https://doi.org/10.1007/s40565-017-0308-x
  11. D. Khoo, C. C. Yen, W. T. Chow, P. Jain, N. H. W. Loh, W. W. Teo, and C. Koh, "Ultra-portable low-cost improvised powered air-purifying respirator: Feasibility study", Br. J. Anaesth., 125, e264-e266 (2020). https://doi.org/10.1016/j.bja.2020.04.082
  12. Y. Kim and M. Hale, "Pilot study to examine the use of a powered air purifying respirator (PAPR) in the operating room", Am. J. Infect. Control., 45, S84 (2017).
  13. J. S. Kempfle, A. Panda, M. Hottin, K. Vinik, E. D. Kozin, C. J. Ito, and A. K. Remenschneider, "Effect of powered air-purifying respirators on speech recognition among health care workers", Otolaryngol. Head Neck Surg., 164, 87-90 (2021). https://doi.org/10.1177/0194599820945685
  14. V. Jayan, A. Ajan, H. Mohan, G. Manikutty, D. Sasi, M. Kappanayil, and R. B. Rao, "Design and development of a low-cost powered air-purifying respirator for frontline medical workers for COVID-19 response", In 2020 IEEE 8th R10 Humanitarian Technology Conference (R10-HTC), pp. 1-6, Kuching, Malaysia (2020).
  15. S. A. Grinshpun, J. Corey, M. Yermakov, B. Wu, K. T. Strickland, M. Bergman, and Z. Zhuang, "New respirator performance monitor (RePM) for powered air-purifying respirators", J. Occup. Environ. Hyg., 17, 538-545 (2020). https://doi.org/10.1080/15459624.2020.1814491
  16. K. Shaw, S. Butcher, J. Ko, G. A. Zello, and P. D. Chilibeck, "Wearing of cloth or disposable surgical face masks has no effect on vigorous exercise performance in healthy individuals", Int. J. Environ. Res. Health Publ., 17, 8110 (2020).
  17. Q. Chen, B. Lim, S. Ong, W. Y. Wong, and Y. C. Kong, "Rapid ramp-up of powered air-purifying respirator (PAPR) training for infection prevention and control during the COVID-19 pandemic", Br. J. Anaesth., 125, e171-e176 (2020). https://doi.org/10.1016/j.bja.2020.04.006
  18. C. Bharatendu, J. J. Ong, Y. Goh, B. Y. Tan, A. C. Chan, J. Z. Tang, and V. K. Sharma, "Powered Air Purifying respirator (PAPR) restores the N95 face mask induced cerebral hemodynamic alterations among healthcare workers during COVID-19 outbreake", J. Neurol. Sci., 417, 117078 (2020).
  19. L. F. Miles, J. Chuen, L. Edwards, J. D. Hohmann, R. Williams, P. Peyton, and D. B. Grayden, "The design and manufacture of 3D-printed adjuncts for powered air-purifying respirators", Anaesth. Rep., 8, 84-86 (2020). https://doi.org/10.1002/anr3.12055
  20. R. A. Howard, G. W. Lathrop, and N. Powell, "Sterile field contamination from powered air-purifying respirators (PAPRs) versus contamination from surgical masks", Am. J. Infect. Control., 48, 153-156 (2020). https://doi.org/10.1016/j.ajic.2019.08.009
  21. A. T. Johnson, K. R. Mackey, W. H. Scott, F. C. Koh, K. Y. Chiou, and S. J. Phelps, "Exercise performance while wearing a tight-fitting powered air purifying respirator with limited flow", J. Occup. Environ. Hyg., 2, 368-373 (2005). https://doi.org/10.1080/15459620591005044
  22. S. Martin, E. Moyer, and P. Jensen, "Powered, air-purifying particulate respirator filter penetration by a DOP aerosol", J. Occup. Environ. Hyg., 3, 620-630 (2006). https://doi.org/10.1080/15459620600953995
  23. R. J. Roberge, "Evaluation of the rationale for concurrent use of N95 filtering facepiece respirators with loose-fitting powered air-purifying respirators during aerosol-generating medical procedures", Am. J. Infect. Control., 36, 135-141 (2008). https://doi.org/10.1016/j.ajic.2007.04.284
  24. C. Lawrence, D. A. Harnish, M. Sandoval-Powers, D. Mills, M. Bergman, and B. K. Heimbuch, "Assessment of half-mask elastomeric respirator and powered air-purifying respirator reprocessing for an influenza pandemic", Am. J. Infect. Control., 45, 1324-1330 (2017). https://doi.org/10.1016/j.ajic.2017.06.034
  25. W. R. Myers and M. J. Peach III, "Performance measurements on a powered air-purifying respirator made during actual field use in a silica bagging operation", Ann. Occup. Hyg., 27, 251-259 (1983).
  26. L. Cai, L. Xu, Y. Si, J. Yu, and B. Ding, "Autoclavable, breathable, and waterproof membranes tailored by ternary nanofibers for reusable medical protective applications", ACS Appl. Polym. Mater., 4, 556-564 (2021).
  27. S. Mukherjee, S. Kumar, R. K. Sahu, and S. Nayar, "PVA-graphene-hydroxyapatite electrospun fibres as air-filters", Mater. Res. Express., 6, 125366 (2020).
  28. M. Ignatova, I. Rashkov, and N. Manolova, "Drugloaded electrospun materials in wound-dressing applications and in local cancer treatment", Expert Opin. Drug Deliv., 10, 469-483 (2013). https://doi.org/10.1517/17425247.2013.758103
  29. E. J. Moldoff, M. K. Eubank, A. Y. Feng, C. E. Corrales, and J. J. Shin, "Impact of powered air-purifying respirator devices on word recognition in health care providers", Otolaryngol. Head Neck Surg., 167, 469-471 (2022). https://doi.org/10.1177/01945998211058350
  30. M. Ulbrich, J. Muhlsteff, A. Sipila, M. Kamppi, A. Koskela, M. Myry, and M. Walter, "The IMPACT shirt: textile integrated and portable impedance cardiography", Physiol. Meas., 35, 1181 (2014).
  31. M. Sahih, A. Schultz, A. Wilson, R. Alakeson, E. Taylor, B. Mullins, and A. C. Martin, "Paediatric headbox as aerosol and droplet barrier", Arch. Dis. Child., 107, 65-67 (2022).
  32. X. Liu, F. Tian, X. Zhao, R. Du, S. Xu, and Y. Z. Wang, "Multiple functional materials from crushing waste thermosetting resins", Mater. Horiz., 8, 234- 243 (2021). https://doi.org/10.1039/D0MH01053G
  33. Y. A. Jawhar, L. Audah, M. A. Taher, K. N. Ramli, N. S. Shah, M. Musa, and M. S. Ahmed, "A review of partial transmit sequence for PAPR reduction in the OFDM systems", IEEE Access, 7, 18021-18041 (2019). https://doi.org/10.1109/ACCESS.2019.2894527
  34. S. J. Heo, H. S. Noh, J. S. No, and D. J. Shin, "A modified SLM scheme with low complexity for PAPR reduction of OFDM systems", In 2007 IEEE 18th International Symposium on Personal, Indoor and Mobile Radio Communications, pp. 1-5, Athens, Greece (2007).