National Personal Protective Technology Laboratory Science Webinar Part 2: Variability of Respirator Fit Test Panels NIOSH Study Results Christopher Coffey, PhD James T. Wassell, PhD Ziqing Zhuang, PhD Colleen Miller, AAS, BS August 20, 2013 NIOSH PPT / NPPTL Vision & Mission The VISION is to be the leading provider of quality, relevant, and timely PPT research, training, and evaluation. The MISSION of the PPT program is to prevent work-related injury, illness and death by advancing the state of knowledge and application of personal protective technologies (PPT). PPT in this context is defined as the technical methods, processes, techniques, tools, and materials that support the development and use of personal protective equipment worn by individuals to reduce the effects of their exposure to a hazard. Purpose Scientific meeting Discuss additional analyses and new preliminary results Discuss possible panel implementation strategies Continue and encourage dialog Webinar Summary Overview of Last Webinar – Chris Coffey Pass Rate Data Analyses – Terry Wassell Alternate Analyses – Ziqing Zhuang Panel Implementation – Colleen Miller July Webinar Summary Purpose - Discuss objectives and preliminary results Methodology Ten N95 respirators (five elastomeric/five FFR) Measured ambient inward leakage Panels Evenly distributed Population based CV analysis Results Smaller the panel size, the larger CV For n=30, population-based smaller CV than evenly dist. July Webinar Summary (Cont’d) Stakeholder input solicited Is CV an appropriate approach for this analysis? If not, what do you suggest? What other ways can the data be used? What further research and data analysis is needed to answer the question of inter-panel variability? No comments received QUESTIONS? Pass Rate Data Analyses James T. Wassell, Ph.D. Pass Rate Data Analysis Methodology Nonparametric Bootstrapping data-based resampling of subjects 10,000 panels generated If first test value is below the pass criteria, then test a second time and use the second value 2880 data points used in this analysis 144 subjects x 2 test measurements (or replicates) x 10 respirator models = 2880 Outcome for each subject is pass / fail Outcome for each panel is pass / fail Subject Pass Rate Subject Pass definitions Inward leakage values < 0.01 or Fit factor > 100 (most conservative) < 0.02 or Fit factor > 50 < 0.05 or Fit factor > 20 (least conservative) “Second Chance” If the IL measurement on the first try is above the pass criterion (i.e. it fails), then take a second measurement to give a second chance to pass. Panel Pass Rate The number of subjects in the panel must meet the subject pass criteria (> 74%) For panels of size n=20, 15 (75%) or more subjects must meet pass criterion For panels of size n=25, 19 (76%) or more subjects must meet pass criterion For panels of size n=30, 23 (76.7%) or more subjects must meet pass criterion For panels of size n=35, 26 (74.3%) or more subjects must meet pass criterion For panels of size n=40, 30 (75%) or more subjects must meet pass criterion Bootstrap – Data-Based Resampling 35-member population-based Bivariate Panel Cell # Subj sample 1 12 2 12 3 12 4 27 5 12 6 12 7 21 8 12 9 12 10 12 total 144 2 2 4 9 2 2 7 3 2 2 35 Panel Observations n=35 Keep test 2 value. NO YES Is test 1 value a pass? Sample subjects with replacement. Keep test 1 value. Bootstrap – Data-Based Resampling 40-member Equal Distribution Panel Cell # Subj sample 1 12 2 12 3 12 4 27 5 12 6 12 7 21 8 12 9 12 10 12 total 144 4 4 4 4 4 4 4 4 4 4 40 Panel Observations n=40 Keep test 2 value. NO YES Is test 1 value a pass? Sample subjects with replacement. Keep test 1 value. Panels Investigated key to table abbreviations equ 40: Equal cell distribution of 4, n=40 equ 30: Equal cell distribution of 3, n=30 equ 20: Equal cell distribution of 2, n=20 pop 35: Population Based Panel of n=35 pop 30: Population Based Panel of n=30 pop 25: Population Based Panel of n=25 Panel pass rate tables The next four slides present the panel pass rates tables to compare the 6 panels Tables 1 and 2 are for the equal distribution panels (n=40, n=30, n=20) Table 1 shows five FFR models’ rates. Table 2 shows five Elastomeric models’ rates. Tables 3 and 4 are for the population based panels (n=35, n=30, n=25) Table 3 shows five FFR models’ rates. Table 4 shows five Elastomeric models’ rates Table 1. Panel Pass Rates Equal Distribution Panels FFR Respirator Models for N=40 > 30, for N=30 > 23, for N=20 > 15 based on 10,000 bootstrap samples Model Subject Pass Level* N=40 N=30 N=20 B IL< 0.05 0.4% 0.8% 4.5% E IL< 0.05 0.6% 1.0% 5.3% C IL< 0.05 15.2% 14.8% 28.2% D IL< 0.02 22.5% 21.8% 35.5% A IL< 0.02 67.5% 59.6% 67.8% *IL= Inward Leakage Table 2. Panel Pass Rates Equal Distribution Panels Elastomeric Respirator Models for N=40 > 30, for N=30 > 23, for N=20 > 15 based on 10,000 bootstrap samples Model Subject Pass Level* N=40 N=30 N=20 H IL< 0.02 23.4% 21.8% 36.2% G IL< 0.02 48.9% 43.1% 55.3% I IL< 0.02 72.0% 63.2% 71.8% J IL< 0.02 91.8% 85.6% 87.8% F IL< 0.01 99.5% 98.0% 97.9% *IL= Inward Leakage Table 3. Panel Pass Rates Population Based Panels FFR Respirator Models for N=35 > 26, for N=30 > 23, for N=25 > 19 based on 10,000 bootstrap samples Model Subject Pass Level* N=35 N=30 N=25 B IL< 0.05 0.7% 0.4% 1.6% E IL< 0.05 3.8% 2.1% 5.4% C IL< 0.05 16.7% 12.7% 16.8% D IL< 0.02 15.8% 12.0% 19.2% A IL< 0.02 52.0% 41.1% 44.2% *IL= Inward Leakage Table 4. Panel Pass Rates Population Based Panels Elastomeric Respirator Models for N=35 > 26, for N=30 > 23, for N=25 > 19 based on 10,000 bootstrap samples Model Subject Pass Level* N=35 N=30 N=25 H IL< 0.02 16.1% 13.0% 17.3% G IL< 0.02 39.1% 33.0% 43.9% I IL< 0.02 79.2% 69.0% 72.3% J IL< 0.02 93.4% 88.5% 87.6% F IL< 0.01 98.0% 94.3% 94.7% *IL= Inward Leakage Summary of Panel Pass Rates In the equal distribution panels: the highest pass rates are in the n=20 panels for all of the FFR models and 2 of the elastomeric models. the highest pass rates are in the n=40 panels for 3 of the 5 elastomeric models. In the population based panels: the highest pass rates are in the n=25 panels for 4 of the 5 FFR models and 2 of the elastomeric models. the highest pass rates are in the n=35 panels for 1 FFR model and for 3 of the 5 elastomeric models. QUESTIONS? Analysis of the number of subjects in a panel who pass Another way to compare the 6 different panels is to look at how many subjects in a panel meet the subject pass criterion. For each panel the number of subjects that meet the subject pass criterion was determined. The number of subjects that pass for a selected respirator models was plotted as histograms to compare panels. Histograms of the number of subjects who pass The next four graphics show how the six different panels compare. Graph 1 shows the six panels for the FFR with the lowest pass rates Graph 2 shows the six panels for the FFR with the highest pass rates Graph 3 shows the six panels for the elastomeric with the lowest pass rates Graph 4 shows the six panels for the elastomeric with the highest pass rates equ20 0.20 0.15 0.10 0.05 0.00 4.5% passing rate (%>15) pop25 0.20 0.15 0.10 0.05 0.00 1.7% passing rate (%>19) pop30 0.20 0.15 0.10 0.05 0.00 0.4% passing rate (%>23) Density equ30 0.20 0.15 0.10 0.05 0.00 0.7% passing rate (%>23) pop35 0.20 0.15 0.10 0.05 0.00 0.7% passing rate (%>26) equ40 0.20 0.15 0.10 0.05 0.00 0.4% passing rate (%>30) 5 10 15 20 25 No. of Subjects who Pass in the Panel (IL<0.02) 30 equ20 36.2% passing rate (% >15) pop25 0.20 0.15 0.10 0.05 0.00 43.9% passing rate (% >19) pop30 13.0% passing rate (%>23) Density equ30 0.20 0.15 0.10 0.05 0.00 0.20 0.15 0.10 0.05 0.00 21.8% passing rate (%>23) pop35 16.1% passing rate (%>26) 0.20 0.15 0.10 0.05 0.00 0.20 0.15 0.10 0.05 0.00 equ40 23.4% passing rate (%>30) 10 20 30 No. of Subjects who Pass in the Panel (IL<0.02)) 0.20 0.15 0.10 0.05 0.00 Summary This comparison of histograms reveals more information than the tables of pass rates. Histograms give a visual display of the mode and the number of subjects that meet the pass criterion for each of the six panels. Pass rates do not appear to give a definitive determination of which of the six panels is “best”. Other considerations may be more important in determining which panel might be “best”. QUESTIONS? Inward Leakage Variability between Respirator Fit Test Panels - Alternate Analyses Ziqing Zhuang, Ph.D. Definition of the Problem • • • • Inter- and Intra-subject variability Inter-respirator variability Inter-respirator sample variability (Zhuang et al., 2011) Inter-panel variability ‒ Variability between two geographical locations ‒ Variability at the same location Objectives • • To determine if passing rates are significantly different among different respirator fit test panels To determine if passing/failing a respirator (one size fits all or more than one size system or family) in inward leakage test is consistent among different respirator fit test panels Methods • From the 144 subjects, assign subjects randomly to one of three panels (35 subjects) Table 1. Randomized Assignment of Three 35-Member Panels Bivariate Panel Cell No. of Subjects No. of Subjects for Each Panel A B C 1 12 2 2 2 2 12 2 2 2 3 12 4 4 4 4 27 9 9 9 5 12 2 2 2 6 12 2 2 2 7 21 7 7 7 8 12 3 3 3 9 12 2 2 2 10 12 2 2 2 All 144 35 35 35 Methods (Continued) • • • • A subject is considered to pass the inward leakage (IL) test if one of the two IL values is less than or equal to the pass/fail level Calculate passing rate for all 144 subjects and 10 respirators combined using three passing levels (IL ≤ 0.01, 0.02 or 0.05) Calculate passing rate for each panel and each respirator for the three passing levels (IL ≤ 0.01, 0.02 or 0.05) Test if passing rates are significantly different among the three respirator fit test panels Methods (Continued) • • A respirator is considered to pass the IL test if 26 or more subjects pass the IL test Determine if passing/failing a respirator in inward leakage test is consistent among different respirator fit test panels Results Figure 1. Probability of Inward Leakage for all Respirators by Panel 1.00 0.90 0.80 Probability 0.70 0.60 Panel A 0.50 Panel B 0.40 Panel C 0.30 0.20 0.10 0.00 0.00 0.10 0.20 0.30 Inward Leakage 0.40 0.50 Figure 2. Probability of Inward Leakage by Panel for the Respirator with the Lowest Mean IL Respirator F 1.00 0.90 0.80 Probability 0.70 0.60 0.50 Panel A 0.40 Panel B Panel C 0.30 0.20 0.10 0.00 0.00 0.10 0.20 0.30 Inward Leakage 0.40 0.50 Figure 3. Probability of Inward Leakage by Panel for the Respirator with the Highest Mean IL Respirator B 1.00 0.90 0.80 Probability 0.70 0.60 0.50 Panel A 0.40 Panel B Panel C 0.30 0.20 0.10 0.00 0.00 0.10 0.20 0.30 Inward Leakage 0.40 0.50 Table 2. Passing Rate for All 144 subjects for Three Different Pass/Fail Levels IL ≤ 0.01 Pass/Fail Level IL ≤ 0.02 IL ≤ 0.05 A (FFR) 66 (46) 109 (76) 130 (90) B (FFR) 8 (6) 39 (27) 79 (55) C (FFR) 19 (13) 49 (34) 100 (69) D (FFR) 45 (31) 97 (67) 127 (88) E (FFR) 17 (12) 43 (30) 86 (60) F (Elastomeric) 125 (87) 140 (97) 142 (99) G (Elastomeric) 50 (34) 106 (74) 137 (95) H (Elastomeric) 61 (42) 96 (67) 136 (94) I (Elastomeric) 53 (37) 112 (78) 140 (97) J (Elastomeric) 88 (61) 121 (84) 136 (94) All 532 (37) 912 (63) 1213 (84) Respirator Data were expressed as frequency (%). Table 3. Comparison of Passing Rates (Inward Leakage ≤ 0.01) among the Three 35-Member Panels A Panel B C A (FFR) B (FFR) 17 (49) 2 (6) 15 (43) 1 (3) 13 (37) 1 (3) 0.63 0.77 C (FFR) 2 (6) 5 (14) 4 (11) 0.49 D (FFR) E (FFR) F (Elastomeric) G (Elastomeric) 10 (29) 2 (6) 29 (83) 11 (31) 7 (20) 5 (14) 30 (86) 11 (31) 14 (40) 5 (14) 29 (83) 12 (34) 0.18 0.43 0.93 0.96 H (Elastomeric) 13 (37) 16 (46) 17 (49) 0.60 I (Elastomeric) 13 (37) 14 (40) 12 (34) 0.88 J (Elastomeric) 20 (57) 20 (57) 24 (69) 0.53 All 119 (34) 124 (35) 131 (37) 0.64 Respirator P value Data were expressed as frequency (%). P value was estimated by ChiSquare test. Table 4. Comparison of Passing Rates (Inward Leakage ≤ 0.02) among the Three 35-Member Panels A Panel B C A (FFR) B (FFR) 28 (80) 13 (37) 26 (74) 5 (14) 20 (57) 8 (23) 0.09 0.09 C (FFR) 9 (26) 12 (34) 13 (37) 0.57 D (FFR) E (FFR) F (Elastomeric) G (Elastomeric) 23 (66) 12 (34) 33 (94) 23 (66) 21 (60) 9 (26) 33 (94) 24 (69) 22 (63) 8 (23) 35 (100) 26 (74) 0.88 0.54 0.35 0.73 H (Elastomeric) 21 (60) 20 (57) 28 (80) 0.09 I (Elastomeric) 27 (77) 24 (69) 29 (83) 0.37 J (Elastomeric) 31 (89) 29 (83) 29 (83) 0.74 All 220 (63) 203 (58) 218 (62) 0.35 Respirator P value Data were expressed as frequency (%). P value was estimated by ChiSquare test. Table 5. Comparison of Passing Rates (Inward Leakage ≤ 0.05) among the Three 35-Member Panels A Panel B C A (FFR) B (FFR) 32 (91) 22 (63) 32 (91) 21 (60) 29 (83) 14 (40) 0.58 0.11 C (FFR) 23 (66) 26 (74) 24 (69) 0.73 D (FFR) E (FFR) F (Elastomeric) G (Elastomeric) 30 (86) 20 (57) 35 (100) 35 (100) 31 (89) 23 (66) 33 (94) 33 (94) 30 (86) 21 (60) 35 (100) 33 (94) 0.92 0.76 0.33 0.54 H (Elastomeric) 31 (89) 32 (91) 34 (97) 0.53 I (Elastomeric) 34 (97) 33 (94) 35 (100) 0.77 J (Elastomeric) 34 (97) 33 (94) 35 (100) 0.77 All 296 (85) 297 (85) 290 (83) 0.74 Respirator P value Data were expressed as frequency (%). P value was estimated by Chi-Square test. Summary of Findings • • • • • Passing rate was not significantly different among the three panels for all respirators combined or by each model This was true for all pass/fail levels of 0.01, 0.02 and 0.05 Using 26 or more subjects to pass the IL test, all three panels had consistent passing/failing results for pass/fail levels of 0.01 and 0.05 Some disagreement was observed for 0.02 level Pass/fail level is an important factor affecting inter-panel variability Discussion • • Results in these studies are consistent with the findings by Landsittel et al. (2013 In press) and Zhuang (2012 presentation at ISRP conference in Boston) Further simulation analyses can be conducted to estimate the probability that two panels will both pass or fail a respirator and to investigate the effect of pass/fail level and sample size on the probability Rejection Probabilities for 25 Subjects 100% Percentage of Time a Given Respirator Will Fail 90% Beta Error 80% 70% 50% 60% 60% 50% 70% 40% 80% 30% 90% Alpha Error 20% 10% 0% 13 14 15 16 17 18 19 20 21 22 Number of Subjects Required to Pass 23 24 25 Effect of Sample Size on Error Rates Alpha Error (20%) Beta Error (5%) Number of Sample Subjects Size Required 90% 80% 60% 50% to Pass Effective Effective Effective Effective 10 8 (80%) 7.0% 32.2% 16.3% 5.5% 16 12 (75%) 1.7% 20.2% 16.7% 3.8% 25 19 (76%) 0.9% 22.0% 7.4% 0.7% 35 26 (74%) 0.2% 14.6% 5.8% 0.3% 40 30 (75%) 0.1% 16.1% 3.5% 0.1% 50 37 (74%) <0.1% 11.1% 2.8% <0.1% Conclusions • • Inter-panel variability exists, but it is small The concern about inter-panel variability and other types of variability can be alleviated by properly selecting: ‒ Pass/fail level (IL 0.01 to 0.05) ‒ Panel size (e.g., 25 or 35) ‒ Minimum number of subjects required to pass (e.g., 26 of 35 or 23 of 35) QUESTIONS? Panel Implementation Colleen Miller, AAS, BS NIOSH Implementation Options - Panels NIOSH bivariate panel Principal Component Analysis (PCA) Panel Continue to use LANL Panels Develop a NIOSH Bivariate half-facepiece panel using face length and lip length Use of NIOSH Bivariate Panel Stakeholders have expressed concern about arbitrarily assigning sizing to specific boxes or cells within a panel May be design restrictive No correlation between panel cell designations and respirator fit Use of panels to “fit to size” or “size to fit”? Panel ISO 17420-1 Respiratory Protective Devices – Supplied Breathable Gas RPD 25 test subjects (for RPD designed to fit whole population) shall be tested. Subjects will be distributed at a minimum of 3 per cell in 8 cell of the Principle Component Analysis (PCA) with the remaining subject randomly distributed. Note: The PCA-distribution is specified in ISO 16900-1. For RPD designated by the manufacturer to fit a select population, identified by specific PCA cells the following test panels apply: (minimum of 3 subjects per cell) a. up to 3 PCA cells - 10 subjects b. up to 4 cells - 13 subjects c. up to 5 cells - 16 subjects d. up to 6 cells - 19 subjects e. up to 7 cells - 22 subjects Panel ISO 17420-1 Respiratory Protective Devices – Filtering RPD 25 test subjects (for RPD designed to fit whole population) shall be tested. Subjects will be distributed at a minimum of 3 per cell in 8 cell of the Principle Component Analysis (PCA) with the remaining subject randomly distributed. Note: The PCA-distribution is specified in ISO 16900-1. For RPD designated by the manufacturer to fit a select population, identified by specific PCA cells the following test panels apply: (minimum of 3 subjects per cell) a. up to 3 PCA cells - 10 subjects b. up to 4 cells - 13 subjects c. up to 5 cells - 16 subjects d. up to 6 cells - 19 subjects e. up to 7 cells - 22 subjects Principal Component Analysis Panel Long/Narrow Nose Long Face Shape Short Face Short/Wide Nose Small Overall Size Large Overview – NIOSH Standard Testing Procedure (STP) Panel Structure Determination of Qualitative Isoamyl Acetate (IAA) Facepiece Fit, Air-Purifying Respirators Standard Testing Procedure (STP) Purpose This test establishes the procedure for ensuring that the level of protection provided by the isoamyl acetate facepiece fit test requirements on airpurifying respirators for Approval, Extension of Approval, or examined during Certified Product Audits, meet the minimum certification standards set forth in 42 CFR Part 84, Subpart G, Section 84.63(a)(c)(d), Subpart I, Section 84.124, Subpart L, Section 84.205, and Subpart KK, Section 84.1141 and 84.1142; Volume 69, Number 110, June 8, 1995. Determination of Laboratory Respirator Protection Level (LRPL) Values for CBRN Self-Contained Breathing Apparatus (SCBA) Facepieces or CBRN Air-Purifying Respirator (APR), Standard Testing Procedure Respiratory Protection factors provided by SCBA facepiece converted to a SCBA facepiece negative pressure configuration or APR, full facepiece configurations submitted for new approval, extension of approval or examined during certified product audits, meet the minimum certification standards prescribed in 42 CFR Part 84, Subpart G, Sections 84.63(a)(c)(d), the Statement of Standard for Chemical, Biological, Radiological, and Nuclear CBRN OpenCircuit SCBA and APR Air-Purifying Escape Respirators (APER) Laboratory Respirator Protection Level (LRPL) and Human Subject Breathing Gas Concentration (HSBG) Requirements Uses LANL full facepiece panel Head circumference Neck circumference Current NIOSH Certification Panel for Elastomeric Half-Facepiece Respirators (LANL 10-member Panel number of subjects evaluated per cell) LANL Full Facepiece Panel Face Width (mm) 117.5 126.5 133.5 135.5 2 subjects Cell 9 Medium/Large 123.5 2 subjects cell 6 Small/Medium 5 subjects Cell 7 Medium/Large 2 subjects Cell 3 Small/Medium 4 subjects Cell 4 Small/Medium 2 subjects Cell 5 Medium/Large 2 subjects Cell 1 Small/Medium 2 subjects Cell 2 Small/Medium 113.5 103.5 93.5 144.5 153.5 2 subjects Cell 10 Medium/Large 2 subjects Cell 8 Medium/Large LANL Full Facepiece Panel – Two sizes Face Width (mm) 117.5 126.5 133.5 135.5 2 subjects Cell 9 Medium/Large 123.5 4 subjects Cell 6 Small/Medium 5 subjects Cell 7 Medium/Large 2 subjects Cell 3 Small/Medium 4 subjects Cell 4 Small/Medium 4 subjects Cell 5 Medium/Large 2 subjects Cell 1 Small/Medium 2 subjects Cell 2 Small/Medium 113.5 103.5 93.5 144.5 153.5 2 subjects Cell 10 Medium/Large 2 subjects Cell 8 Medium/Large LANL Full Facepiece Panel – Three sizes or more Face Width (mm) 117.5 126.5 135.5 144.5 153.5 133.5 3 subjects Cell 9 Large 3 subjects Cell 10 Large 123.5 3 subjects Cell 6 Medium 6 subjects Cell 7 3Medium 3Large 113.5 103.5 93.5 4 subjects Cell 3 Small or Medium 6 subjects Cell 4 Small or Medium 2 subjects Cell 1 Small 3 subjects Cell 2 Small 3 subjects Cell 5 Medium or Large 5 subjects Cell 8 2Medium 3Large Facepiece Size Panel Cells included Total Subjects LANL HALF Total Subjects LANL FULL Small 1,2,3,4 6–1or 2 each cell 10-2 or 3 each cell Medium 3,4,5,6,7,8 6–1 each cell 17-2 or 3 each cell Large 7,8,9,10 6–1or 2 each cell 11-2 or 3 each cell Small/Medium 1,2,3,4,5,6 6–1 each cell 14-2 or 3 each cell Medium/Large 5,6,7,8,9,10 6–1 each cell 15-2 or 3 each cell XSmall or XLarge 1 or 10 Varies/review One size fits all 1 through 10 10–1 each cell Hoods/Helmets 25-2 or 3 each cell Non CBRN same as above, CBRN includes neck/head Determination of Man Test for Gases and Vapors-Gas Tightness Test-Isoamyl Acetate, Type C and CE, Supplied Air Respirators–Standard Testing Procedure This test establishes the procedure for ensuring that the level of protection provided by the man test for vapors and gases requirement on type C and CE Supplied-Air Respirators for Approval, Extension of Approval, or examined during Certified Product Audits, meet the minimum certification standards set forth in 42 CFR Part 84, Subpart G, Section 84.63(a)(c)(d), Subpart J, Sections 84.159, 84.162 and 84.163; Volume 69, Number 110, June 8, 1995. Requires only 2 test subjects Panel Variability Study Data Provide data to facilitate comparisons of cell placement and current derived “sizes” of the 144 subjects included in the study using the NIOSH Bivariate, the LANL half-facepiece panel and the LANL full-facepiece panel. Bivariate Panel - Three Facepiece Sizes Small Medium Large Bivariate Panel - Two Facepiece Sizes Smaller size Larger size Scatter Plot against NIOSH & LANL Full Facepiece Panels (2003 Survey US Workers) NIOSH Panel LANL Panel “Size” LANL FullFacepiece Cell “Size” Subject Bivariate Cell LANL HalfFacepiece Cell 4 1 4 S/M 4 S/M 14 1 2 S 1 S 15 1 2 S 1 S 16 1 4 S/M 4 S/M 57 1 2 or 4 S/M 2 or 4 S/M 59 1 1 or 3 S/M 2 or 4 S/M 85 1 3 S/M 4 S/M 88 1 4 S/M 4 S/M 96 1 3 S/M 129 1 4 S/M 4 S/M 143 1 3 S/M 3 S/M 147 1 3 S/M 4 S/M NIOSH Bivariate Cell 1 Implementation The subjects included in Bivariate Cell 1, all female, are considered S/M by the current sizing designations we use for certification testing today. Are manufacturers designing for XSmall faces? What classes of respirators? How can NIOSH address the certification fit testing of facepieces designed to fit XSmall faces? Subject Bivariate Cell LANL Halffacepiece Cell “Size” LANL Fullfacepiece Cell “Size” 8 2 4 S/M 5 M 17 2 4 S/M 4 S/M 34 2 4 S/M 4 S/M 39 2 5 M 69 2 4 S/M 4 S/M 76 2 4 S/M 5 M 79 2 2 S out 80 2 3 S/M 4 81 2 2 S out 82 2 91 2 2 95 2 4 S/M 5 M S 2 S S/M 4 S/M NIOSH Bivariate Cell 2 Implementation The subjects included in Bivariate Cell 2, 11 female and 1 male, are designated by the LANL half-facepiece panel as more small to medium The LANL full-facepiece panel designates the same subjects as relatively medium Subject Bivariate Cell LANL Halffacepiece Cell 7 3 4 S/M 4 S/M 18 3 4 S/M 4 S/M 19 3 4 S/M 4 S/M 21 3 4 S/M 40 3 4 or 6 S/M 47 3 6 M 64 3 4 S/M 73 3 4 S/M 87 3 4 S/M 89 3 97 3 3 S/M 4 105 3 7 M/L out 4 or 7 4 4 “Size” LANL Fullfacepiece Cell “Size” S/M/L S/M S/M out S/M Subject Bivariate Cell LANL Halffacepiece Cell “Size” LANL Fullfacepiece Cell “Size” 2 4 3 S/M 4 S/M 10 4 4 S/M 5 M 13 4 7 M/L 7 M/L 23 4 7 M/L 7 M/L 24 4 4 S/M 5 M 25 4 4 S/M 5 M 33 4 6 M/L 7 M/L 46 4 4 S/M 4 S/M 54 4 7 M/L 6 M 55 4 4 S/M 5 M 65 4 4 S/M 5 M 75 4 7 M/L 7 M/L 115 4 4 or 7 S/M/L 5 or 7 M/L Subject Bivariate Cell LANL Halffacepiece Cell 125 4 3 S/M 5 M 135 4 4 S/M 4 S/M 136 4 4 S/M 5 M 144 4 6 M/L 7 M/L 157 4 7 M/L 7 M/L 162 4 3 S/M 5 M 165 4 4 S/M 5 M 170 4 3 S/M 5 M 171 4 4 S/M 5 M 172 4 6 M/L 7 M/L 175 4 7 M/L 7 M/L 131 4 7 M/L 7 M/L 148 4 4 or 7 S/M/L 5,7 or 8 M/L 153 4 5 S/M out “Size” LANL Fullfacepiece Cell “Size” Subject Bivariate Cell LANL Halffacepiece Cell 1 5 3 or 6 S/M 8 M/L 9 5 4 or 7 S/M/L 8 M/L 12 5 5 M out 44 5 8 M/L 8 M/L 53 5 8 M/L 8 M/L 61 5 8 M/L 8 M/L 72 5 out 74 5 out 100 5 8 M/L 103 5 8 M/L 104 5 out 124 5 7 “Size” LANL Fullfacepiece Cell “Size” M/L 8 M/L NIOSH Bivariate Cell 5 Implementation The subjects included in the Bivariate panel cell 5 tend to be considered larger by the current size designations. Subjects currently testing as Cell 8 LANL Full fit into Cell 5 Bivariate Cell 5 no longer “small/medium” Subject Bivariate Cell LANL Halffacepiece Cell “Size” LANL Fullfacepiece Cell 28 6 9 L out 31 6 7 M/L 6 32 6 9 L out 66 6 7 M/L 6 90 6 out 92 6 6 94 6 out 117 6 9 or 10 L out 133 6 6 M 6 M 150 6 7 M/L 6 M 158 6 9 L out 159 6 7 M/L 6 “Size” M M M M Bivariate Cell 6 Implementation The subjects included in Bivariate panel cell 6 are considered medium to large by the current size designations of the LANL half-facepiece panel and medium by the LANL full-facepiece panel – reality? Cell 6 subject measurements could vary from small to large Subject Bivariate Cell LANL Halffacepiece Cell “Size” LANL Fullfacepiece Cell “Size” 3 7 7 M/L 7 M/L 22 7 9 L 9 L 36 7 7 M/L 7 M/L 41 7 7 M/L 8 M/L 48 7 7 M/L 7 M/L 50 7 9 L 9 L 51 7 7 M/L 6 M 52 7 8 M/L 6 M 56 7 7 or 8 M/L 7 M/L 62 7 7 M/L 7 or 8 M/L 71 7 7 M/L 7 M/L 93 7 6 M 7 M/L LANL Halffacepiece Cell LANL Fullfacepiece Cell “Size” 7 M/L Subject Bivariate Cell 106 7 110 7 8 M/L 8 M/L 111 7 7 M/L 7 M/L 112 7 7 M/L 6 or 7 M/L 123 7 7 M/L 6 or 7 M/L 126 7 8 M/L 8 M/L 140 7 7 M/L 9 L 146 7 7 M/L 7 M/L 169 7 9 L 9 OR 10 L “Size” Subject Bivariate Cell LANL Halffacepiece Cell “Size” LANL Fullfacepiece Cell 11 8 9 L out 20 8 9 L 10 L 29 8 9 L 10 L 35 8 7 M/L 8 L 45 8 9 L 10 L 60 8 7 M/L out 63 8 9 L out 83 8 8 L 8 L 86 8 8 L 8 L 98 8 out 99 8 8 L 102 8 8 L “Size” Subject Bivariate Cell LANL Halffacepiece Cell 6 9 out 26 9 10 L 9 27 9 9 L out 30 9 out 38 9 10 43 9 out 58 9 9 L 9 L 67 9 9 L 9 L 70 9 out 114 9 10 L 10 L 122 9 9 L 9 L 164 9 out “Size” LANL Fullfacepiece Cell “Size” 10 L L out L 9 L out out out Subject Bivariate Cell LANL Halffacepiece Cell “Size” LANL Fullfacepiece Cell 5 10 10 L out 37 10 9 L 10 L 49 10 9 L 10 L 68 10 9 L 10 L 77 10 L out 78 10 out 84 10 10 101 10 out out 108 10 out out 120 10 9 or 10 L 10 L 132 10 9 or 10 L 10 L 138 10 10 L out “Size” out L 10 L NIOSH Bivariate Cells 7-10 Implementation Cell 7 subjects are “medium/large” Cell 8, 9, and 10 subjects are “large” Must there be limits to face width? Creating Standard Testing Procedures using the New NIOSH Bivariate Panel and panel variability data analysis For respirators available in 3 sizes, what “clouds” or groups of cells should be used to further evaluate the panel variability data or for standard testing procedures? “Small” includes cells 1,2,3 or 1,2,3,4 or 1,2,3,4 and 6 “Medium” includes cells 3,4,6,7 or 4,5,6,7 “Large” includes cells 5,7,8,9,10 or 5,8,9,10 or 7,8,9,10 or only 8,9,10 Same clouds for OSFA respirators and facepieces available in 3 or more sizes? *Zhuang Z, Bradtmiller B, and Shaffer, RE. New Respirator Fit Test Panels Representing the Current U.S. Cilivian Work Force. JOEH 4:647-659, 2007 3-Size Bivariate LANL Creating Standard Testing Procedures using the New NIOSH Bivariate Panel and panel variability data continued For respirators available in 2 sizes, what “clouds” or groups of cells should be used for certification testing? 1,2,3,4 or 1,2,3,6, or 1,2,3,4,6 or cells 1-6 4,5,7,8,9,10 or cells 5-10 *Zhuang Include cell 5 in the “small/medium” Include cell 6 in the “medium/large” Z, Bradtmiller B, and Shaffer, RE. New Respirator Fit Test Panels Representing the Current U.S. Cilivian Work Force. JOEH 4:647-659, 2007. 2-Size Bivariate LANL 25-member NPPTL Lip Length Panel Summary – Panel Discussion NIOSH is seeking stakeholder feedback concerning today’s presentation and discussion NIOSH is aware of the complexity of the panel decision given our current procedures, ISO proposed standards and a changing workforce Posting of Materials Materials from both webinars will be available at: http://www.cdc.gov/niosh/docket Docket 250 will be opened and webinar materials will be posted Quality Partnerships Enhance Worker Safety & Health Visit Us at: http//www.cdc.gov/niosh/npptl Disclaimer: The findings and conclusions in this presentation have not been formally disseminated by the National Institute for Occupational Safety and Health and should not be construed to represent any agency determination or policy. Thank you