The present application does not claim priority to any other pending patent application national or foreign.
The present invention in an embodiment relates surgical masks and respirators having both a reusable, easily decontaminated, mask body and filter assembly. Such surgical masks and respirators may be used to protect against infection with SARS-CoV-2, causative agent of COVID-19. There is also provided in an embodiment, a filter assembly designed to sealedly coact with an adapter on a polymeric mask and/or respirator, said filter assembly comprising a housing surrounding a through void, the void providing space for filter material in said housing. Such filter assembly allows for extemporaneous production of filter combinations that may be directed to the infectious agent which is to be protected against. In an embodiment the filter assembly allows for magnetic coupling between the filter assembly and the polymeric mask and/or respirator body. In an embodiment there is also provided masks and respirators having both a reusable, easily decontaminated, mask body and filter assembly wherein the mask body and filter assembly may be decontaminated by different methods. In one embodiment, the mask body is manufactured from one or more substantially translucent polymeric layer(s) comprising SiO2 microspheres of about 1 um-10 um in diameter, more preferably about 3 um-9 um in diameter, 5 um-8 um in diameter, and yet more preferably about 8 um in diameter, with a metallic backing, e.g. silver, adjacent one face of a layer or multiple layer. Such body provides a cooling effect when impinged by infrared wavelengths, particularly those between 8 and 13 um, to which they wearer may be exposed, such as in the external environment or in regard to certain surgical lights.
A new coronavirus, designated SARS-CoV-2, has ravaged the world since 2019. This virus first jumped into humans in Wahun, Hubei Province, China, and then quickly spread across the world. COVID-19 represents a global public health concern and WHO has declared it a public health emergency. SARS-CoV-2 rapidly increased in spread in an epidemic scale since its first appearance in Wuhan, China, around December 2019. On Jan. 31, 2020, the Secretary of HHS issued a declaration of public health emergency related to COVID-19.
The FDA has recognized that decontamination systems play an important role in the ongoing efforts to help address the shortages of surgical masks/respirators during COVID-19 (See, May 2020 Guidance for Industry and Food and Drug Administration Staff in “Recommendations for Sponsors Requesting EUAs for Decontamination and Bioburden Reduction Systems for Surgical Masks/Respirators During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency). In particular the FDA has recognized that the need for surgical masks/respirators may outpace the supply available to healthcare organizations during the COVID-19 public health emergency. It has also recognized that multiuse of surgical masks/respirators will dramatically decrease the bioburden associated with single-use masks. Therefore, the FDA has expressed interest in interacting with others about systems that may be effective at decontaminating or reducing the bioburden of otherwise single-use, disposable surgical masks/respirators.
The FDA regulates the distribution of face masks and respirators for medical purposes. Typically there are two primary avenues for manufacturers of such devices to receive FDA approval—approval through the premarket approval (PMA) process or via the FDA 510k process. To advance through the 510K process one must demonstrate that the new device is substantially equivalent to an existing legally market device in terms of technological characteristics such that it does not raise different questions of safety and effectiveness of the predicate device. The FDA processes 510K submissions in 30-90 days. A PMA requires that one prove a new device is safe and effective for the end user and typically requires clinical trials with human participants along with laboratory testing. The FDA has 180 days to accept or reject such a PMA application.
In its Guidance, the FDA provides an Emergency Use Authorization (“EUA”) process to allow for use of new surgical masks and respirators intended for a medical purpose during COVID-19. The FDA is interested in interacting with sponsors about systems that may reduce the bioburden of otherwise single-use, disposable surgical masks and respirators, and has stated that it will issue an EUA when certain criteria for issuance are met. The reduction of bioburden of N95 respirators for single use users in conjunction with existing CDC Reuse recommendations is one such tier available for an EUA.
Coronavirus particles are spherical in nature and have a diameter of approximately 0.125 microns, with the smallest particles being about 0.06 microns and the largest about 0.14 microns. From a filtration point of view, it is the droplet that must be removed from the air, and these range from 0.5 microns to approximately 15 microns, with most in the lower range. Coronaviruses are enveloped positive-sense RNA viruses. Enveloped viruses have lipid membranes.
In a recent study by Byrne J D, et al, Injection Molded Autoclavable, Scalable, Conformable (iMASC) System of Aerosol-based protection: A Prospective Singe-Arm Feasibility Study, BMJ Open 2020, 10:e039129 (Jul. 25, 2020) a new reusable, sterilizable N95 filtering facepiece respirator (“FFR”) developed in a joint project between MIT and Harvard University researchers. The mask is described as being constructed of liquid silicone rubber (“LSR”) “said to be used due its conformable capacity, sterilisability through multiple methods, and compatibility with injection mounding for fabrication scalability.” The filters are described as “dual, replaceable filters” of N95 material “that can be inserted and replaced as needed.” It is said that “[a] single regular N95 generated up to five filters for the iMASC system, thus extending the N95 material use.
The concept of a reusable respirators is said in the Byrne article to be set forth in a 2018 consensus report by the National Academies of Engineering, Science and Medicine that such are desirable for stockpiling for emergencies (National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Sciences Policy, Committee on the Use of Elastomeric Respirators in Health Care. Reusable elastomeric respirators in health care: Considerations for routine and surge use, Washington (DC), National Academies Press (US), 2018).
The present inventor has noted several deficiencies in the iMASC configuration. First, it is noted that the filters are removed after use evidently by pushing them out from the front exterior side of the masks (as shown in figures the filters are installed through the face side of the mask). Such manipulation would require considerable dexterity in removing the filters with mask being held along surfaces where contamination could exist (particularly the front of the mask). Second the placement of the filters must be done exactingly as there is the possibility of leakage if the filters are not put in correctly. Third the filters are designed to be discarded with each use. The discarding of the filters leads to more bioburden than would be desired, and would require safety procedures in the disposal of the same. The indication in the article that only five filters could be generated from “a single regular N95 FFR for the IMASC mask also suggests that the bioburden would still be high. Fourth, the polymer used to make the body of the mask is not ideal in being affected by autoclaving and isopropanol alcohol soak: “We found that 10 autoclave cycles make the mask slightly stiffer . . . and the isopropanol alcohol, soak makes the material less stiff.” Further the IMASC mask was not found to be preferable over a N95 FFR by 75% of the participants surveyed.
The present inventor sets forth in embodiments a reusable surgical mask and respirator that can be used to treat COVID-19 patients, that allows for easy coupling and decoupling of the filter from the polymeric body, that allows the filter material as well as the mask/respirator body to be decontaminated and reused multiple times, with different decontamination techniques being able to be applied to mask and filter milter, that employs a polymeric body that allows for easy decontamination without effect on the body integrity, and that optionally provides a polymeric body that provides cooling to the wearer when the wearer is exposed to wavelengths of 0.3 um to 25 um, and particularly to 8 to 13 um.
Accordingly, the invention herein provides in an embodiment surgical masks and respirators having both a reusable, easily decontaminated, mask body and filter assembly. Such surgical masks and respirators may be used to protect against infection with SARS-CoV-2, causative agent of COVID-19. There is also provided in an embodiment, a filter assembly designed to sealedly coact with an adapter on a polymeric mask and/or respirator, said filter assembly comprising a housing encompassing a void for placing one or more filter material into said housing. Such filter assembly allows for extemporaneous production of filter combinations that may be directed to the infectious agent which is to be protected against when filters of different fabrication dimensioned to sealedly fit within the void are provided. In an embodiment the filter assembly allows for magnetic coupling between the filter assembly and the polymeric mask and/or respirator body. In an embodiment there is also provides masks and respirators having both a reusable, easily decontaminated, mask body and filter assembly, the mask body being manufactured from one or more substantially translucent polymeric layer(s) comprising SiO2 microspheres of about 1 um-10 um in diameter, more preferably about 3 um-8 um in diameter or 5 um-8 um in diameter, and yet more preferably about 8 um in diameter, with a metallic backing, particularly silver, adjacent the face. Such body provides a cooling effect when impinged by infrared wavelengths, particularly those between 8 and 13 um, to which they wearer may be exposed, such as in the external environment or in regard to certain surgical lights. The polymer layer(s) may preferably be at least one of polyethylene, poly(methyl methacrylate) or polymethylpentene. There is also provided in an embodiment, a polymeric mask and/or respirator allowing for magnetic coupling between the filter assembly and the polymeric mask and/or respirator body.
In one embodiment there is provided a respirator for use in the treatment of medical patients comprising: (a) a mask body having a void therein and a coupling surrounding the oid; (b) a harness comprising one or more straps that are joined to the mask body on opposing sides thereof; (c) a detachable filter assembly comprising a sidewall housing encompassing a void dimensioned for receipt of one or more filters, the detachable filter assembly having a coacter to coact with said coupling of the mask body; such that when the coacter of said filter assembly coasts with said mask body coupling the void in the mask body is sealed. The void is optimally positioned and dimensioned to permit breath from the wearer of said respirator, and air outside of said respirator, to be exchanged. The coupling on the mask body may be selected, for example, from the group comprising: magnetic material, magnetically attractable material, threads, deformable flange(s). In the case that the coupling of the mask body is magnetic material, the coacter of the detachable filter preferably is a magnetically attractable material or a magnetic material. When the coupling of said mask body is a magnetically attractable material, preferably the coacter of the detachable filter is magnetic material When the coupling of the mask body is thread, the coacter of the filter assembly preferably is counter thread. When the mask body coupling is deformable flange(s), preferably the coacter of the detachable filter assembly is dimensioned to be sealedly held by the flanges of said mask body. Preferably the filter assembly can be easily inserted into the flange(s) and then easily released by the flanges by adding pressure to the outside of the filter assembly. Filters that may be used in the filter assembly include lipophilic filters, electrostatic non-woven polypropylene fiber, hydrophilic filters, antimicrobial filters etc. The filter assembly may comprise filters directed to SARS-CoV-2. The harness straps are preferably elastic. The respirator may further comprise on the on the side designed for facing the face opposing grasping straps to permit one grab such straps to allow for easier removal when said filter assembly is positioned on the front of said mask.
In another embodiment, there is disclosed a mask comprising: (a) a polymeric mask body encompassing therein breathe-through filter material; (b) a harness joined to the mask body on opposing sides thereof; wherein the polymeric mask body is composed of a metamaterial comprising randomly distributed silicon dioxide microspheres mixed in a transparent polymer layer which is affixed to a metal layer on one surface of the polymer layer; and wherein the breathe-through filter material is positioned and configured in the polymeric mask to allow for air from the mouth and nose of the wearer of such mask to be filtered through such material. The mask transparent polymer layer is preferably selected from at least one of the group: poly(methyl methacrylate), polyethylene and polymethylpentene. Particularly polymethylpentene is 3D printable, allowing for masks to be made that conform to individual faces. The metal layer is preferably silver. The breathe-through filter material may be selected from at least one of cloth, electrostatic non-woven polypropylene fiber, polypropylene, polybenzimidazole nanofiber, cellulose, activated carbon, and thin glass fibers, as well as other known filter materials.
Also disclosed in an embodiment is a respirator filter assembly configured for coupling to a respirator about a void in the respirator body to seal said void, the assembly comprising: (a) a sidewall housing encompassing a through void; (b) a first filter comprising copper foam sealedly positioned in said side wall housing; (c) a second filter comprising electrostatic non-woven polypropylene fiber positioned tandem to said first filter. Preferably the first filter has higher average porosity than the second filter. The respirator filter assembly of sidewall housing may be fabricated from copper. In one embodiment, the respirator filter assembly magnetically couples to structure about said void of said respirator body. The respirator filter assembly may further comprising a third filter comprising lipophilic material. Multiple filters may be positioned in the filter assembly depending on size of filter assembly and the corresponding width of the filters.
The filter assemblies of the present invention proffer advantages over the filter systems of prior art masks/respirators. First, they allow for easy decoupling between the mask/respirator and the filter assembly. Removal of the filter assembly may be from the exterior side of the mask/respirator. The assembly may include a protrusion, such as a handle, a knob, a push button, coupled to the filter assembly that allows one to grasp the assembly from the front of the mask/respirator (not shown) or may be removed by way of use of a glove to grasp the assembly and remove it from the mask/respirator. The mask/respirator itself in an embodiment having grabbing structure 24 and 24′ on the face directed surface of the mask allows one to grasp the mask from the face side (presumably the non-contaminated side) le the filter assembly 27 is removed.
Filter assembly 27 need not be disposed of as suggested in the prior art. Instead, such assembly may be disinfected and used again using appropriate procedures, such as cleaning with alcohol based liquids, autoclaving, or preferably by treatment with UV radiation.
UVC light is known to possess a very powerful germicidal effect not only on bacteria, but also viruses. It is believed that such radiation leads to pyrimidine dimers interfering with DNA and RNA replication and transcription. Typically such UVC irradiation has been performed using low-pressure mercury UV lamps which emit about a 254 nm peak wavelength (86 percent of light at around 254 nm.)
Before COVID-19, studies had shown that ultraviolet germicidal irradiation was able to reduce virus load by greater than 4 log median a tissue culture infective dose placed on a N95 filtering face piece respirator (“FFR”). Such reduction was also seen in regard to microwave-generated steam, and moist heat. See. Lore et al., Effectiveness of three decontamination treatments against virus applied to filtering facepiece respirators, Ann. Occup. Hyg. 2012: Jan: 56(1)92-101. Lindsley et al., Effects of Ulrtiviolet Germicidal Irradiation (UVGI) on N95 Respirator Filtration Performance and Structural Integrity, J. Occup Environ Hyg. 2015; 12(8): 509-17 also found in testing 4 N95 masks/respirators that UV sterilization might be used on such masks/respirators to allow for reuse. Studies conducted by Fischer et al., Assessment of N95 respirator decontamination and re-use for SARS-CoV-2, medRxiv preprint, Apr. 24, 2020, https://doi.org/10.1101/2020.04.11.20062018, demonstrate that UV radiation of 260-285 nm for about 50 minutes could be used to decontaminate surgical respirators of SARS-CoV-2 for re-use up to three times. Recent research has shown that far-UVC light in the range of 207 to 222 nm can control the spread of airborne-mediated microbial disease without the need for more penetrating UVC wavelengths outside this range. See, Buanno et al., Far-UVC light (222 nm) efficiently and safely inactivates airborne human coronaviruses, Scientific Reports, Nature Research, 2020:10:10285. Far-UVC light can also effectively be generated by filtered excimer lamps which are known to emit UV-C light from 172 nm to 310 nm. Buoanno et al. found in respect of the air alone it took approximately 25 minutes to inactivate 99.9 percent of human coronaviruses alpha HCV-229 E and beta HCoV-OC43, shorter than the time noted by Fischer et al. using higher wavelengths. The present inventor has understood that such lower UVC wavelengths of 207 to 222 nm can work as well on filter assemblies of masks/respirators that might be infected with SARS-CoV-2.
Thus the filter assembly can be cleaned in a manner different than the mask/respirator body. For example, a polymeric body can be cleaned using alcohol, a bleach solution or autoclaving as set forth by Byrne et al. On the other hand, the filter assembly may be cleaned effectively by UV radiation such that it structure is not adversely affected. The filter assemblies may be marked in a manner to match the filter assembly with the particular mask/respirator body, so both at returned to the same prior user. Reuse of the filter assembly greatly reduces the bioburden associated with use of surgical masks/respirators.
The polymer of said mask/respirator body may preferably be at least one of polyethylene, poly(methyl methacrylate) and polymethylpentene. No reduction in tensile strength may be noted when cleaned with alcohols as reported by Byrne et al. to be associated with the cleaning with isopropanol in respect of liquid silicone rubber. These polymers are known to work well when mixed with silicon dioxide microspheres and backed by a metal film, such as silver, to allow for reflection of solar irradiation (spectroscopic response spanning two orders of magnitude in wavelength form 0.3 um to 25 um with extreme emissive affect at 8 to 13 um (thermal IR)) (See, Zhai et al., Scalable-manufactured randomized glass polymer hybrid metamaterial for daytime radiative cooling, Science 10 Mar. 2017, 377(6329) 1062-1066)). Such glass-polymer metamaterial containing micrometer-sized SiO2 spheres randomly may comprise polymethylene pentene which is transparent The present inventor has recognized that such material has not been used in masks/respirators but has the advantage of cooling surfaces that are exposed to solar irradiation when the metal surface is opposite the face. Furthermore the hybrid metamaterial can be made as thin as 50 um and still provide uniform and sufficiently strong absorbance across the entire atmospheric window resulting in broadband infrared emission for radiative cooling. Such material may also find use in certain surgery rooms where non-LED surgical lights are still used, and certainly in warm outside environments, in both cases enabling longer wear of the masks.
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