Strap Performance of N95 Filtering Facepiece Respirators After Multiple Decontamination Cycles.

The Battelle Critical Care Decontamination System™ (CCDS™) decontaminates N95 filtering facepiece respirators (FFRs) using vapor phase hydrogen peroxide (VPHP) for reuse when there is a critical supply shortage. The Battelle CCDS received an Emergency Use Authorization (EUA) from the US Food and Drug Administration (FDA) in March 2020. This research focused on evaluating the mechanical properties of the straps as an indicator of respirator fit. The objective was to characterize the load generated by the straps following up to 20 don/doff and decontamination cycles in Battelle's CCDS. In general, the measured loads at 50 and 100% strains after 20 cycles were similar (±15%) to the as-received controls. Qualitatively, reductions in the load may be associated with loss of elasticity in the straps, potentially reducing the ability to obtain a proper fit. However, small changes in strap elasticity may not affect the ability to obtain a proper fit given the potential for variation in strap length and positioning on the head. Regardless, prior to reusing a N95 respirator, it is important to complete a visual inspection to ensure it is not damaged, malformed, or soiled. If so, it is recommended to discard the respirator and use a different one. Similarly, the respirator should be discarded if the wearer cannot obtain a proper fit during the user seal check.