Disinfection of N95 Respirators with Ozone

  1. Edward P Manning
  2. Matthew D Stephens
  3. Sannel Patel
  4. Sylvie Dufresne
  5. Bruce Silver
  6. Patricia Gerbarg
  7. Zach Gerbarg
  8. Charles Dela Cruz
  9. Lokesh Sharma

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Abstract

The coronavirus disease 2019 crisis is creating a shortage of personal protective equipment (PPE), most critically, N95 respirators for healthcare personnel. Our group was interested in the feasibility of ozone disinfection of N95 respirators as an alternative for healthcare professionals and organizations that might not have access to other disinfection devices. We tested the effectiveness of ozone on killing Pseudomonas aeruginosa (PsA) on three different N95 respirators: 3M 1860, 3M 1870, and 3M 8000. We used an ozone chamber that consisted of: an airtight chamber, an ozone generator, an ozone destruct unit, and an ozone UV analyzer. The chamber was capable of concentrating ozone up to 500 parts per million (ppm) from ambient air, creating an airtight seal, and precisely measuring ozone levels within the chamber. Exposure to ozone at 400 ppm with 80% humidity for two hours effectively killed bacteria on N95 respirators, types 1860, 1870, and 8000. There were no significant changes in filtration efficiency of the 1860 and 1870 type respirators for up to ten cycles of ozone exposure at similar conditions. There was no change in fit observed in the 1870 type respirator after ozone exposure. There was no significant change in the strap integrity of the 1870 type respirator after ozone exposure. Tests for filtration efficiency were not performed on the 8000 type respirator. Tests for fit or strap integrity were not performed on the 8000 or 1860 type respirators. This study demonstrates that an ozone application achieves a high level of disinfection against PsA, a vegetative bacteria that the CDC identifies as more difficult to kill than medium sized viruses such as SARS-CoV-2 (Covid-19). Furthermore, conditions shown to kill these bacteria did not damage or degrade respirator filtration. This is the first report of successful disinfection of N95 PPE with ozone of which the authors are aware. It is also the first report, to the authors' knowledge, to identify necessary conditions for ozone to kill organisms on N95 masks without degrading the function of N95 filters.

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  1. ScreenIT

    SciScore for 10.1101/2020.05.28.20097402: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board Statementnot detected.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.

    Table 2: Resources

    Software and Algorithms
    SentencesResources
    (Lore, Sambol, Japuntich, Franklin, & Hinrichs, 2011) The effects of ozone treatment were tested on 15 1870 respirators by the CDC as shown in Supplemental Section D. (U.S. National Personal Protective Technology Laboratory, 2020) Five samples were tested using a modified version of the NIOSH Standard Test Procedure (STP) TEB-APR-STP-0059 to determine particulate filtration efficiency.
    National Personal Protective Technology Laboratory
    suggested: None

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).

    Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:
    Limitations of these studies include the small number of samples tested, the limited number of ozone concentrations tested, and the use of only one infectious agent, PsA. Further investigations will test the lower limits of conditions, including ozone concentration (ppm), humidity, and time needed to effectively kill microorganisms. Larger samples and additional infectious agents should be tested. Additional strap testing and face fit are also needed. Further testing and confirmation of our results is necessary before widespread implementation.

    Results from TrialIdentifier: No clinical trial numbers were referenced.

    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.

    Results from JetFighter: We did not find any issues relating to colormaps.

    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

    About SciScore

    SciScore is an automated tool that is designed to assist expert reviewers by finding and presenting formulaic information scattered throughout a paper in a standard, easy to digest format. SciScore checks for the presence and correctness of RRIDs (research resource identifiers), and for rigor criteria such as sex and investigator blinding. For details on the theoretical underpinning of rigor criteria and the tools shown here, including references cited, please follow this link.

  2. Version published to 10.1101/2020.05.28.20097402v1 on medRxiv