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Preparing for an Influenza Pandemic: Personal Protective Equipment for Healthcare Workers (2008)
Board on Health Sciences Policy (HSP)

Page
181
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Preparing for an Influenza Pandemic: Personal Protective Equipment for Healthcare Workers

C
PPE-Related Standards and Regulations

TABLE C-1 Overview of PPE-Related Standards and Regulations

Surgical respirators

FDA guidance:a

 

  • NIOSH certification—tested to meet criteria outlined in 42 CFR 84

  • Fluid resistance: ASTM F1862:2000a

  • Material performance: ASTM F2100-04

  • Bacterial filtration efficiency: ASTM F2101-01

  • Flammability: 16 CFR 1610, UL 2154

 

OSHA compliance:

 

  • NIOSH certification—tested to meet criteria outlined in 42 CFR 84

  • Comprehensive respirator program that includes annual fit testing

Other respirators

OSHA compliance:

 

  • NIOSH certification—tested to meet criteria outlined in 42 CFR 84

  • Comprehensive respirator program that includes annual fit testing

Surgical masks

FDA guidance:

 

  • Particulate filtration: ASTM F1215:1989

  • Bacterial filtration: ASTM F2101:2001

  • Fluid resistance: ASTM F1862:2000a

  • Material performance: ASTM F2100-04

  • Differential pressure: MilM36945C

  • Flammability: 16 CFR 1610, UL2154

Page
181

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OCR for page 181
Preparing for an Influenza Pandemic: Personal Protective Equipment for Healthcare Workers C PPE-Related Standards and Regulations TABLE C-1 Overview of PPE-Related Standards and Regulations Surgical respirators FDA guidance:a   NIOSH certification—tested to meet criteria outlined in 42 CFR 84 Fluid resistance: ASTM F1862:2000a Material performance: ASTM F2100-04 Bacterial filtration efficiency: ASTM F2101-01 Flammability: 16 CFR 1610, UL 2154   OSHA compliance:   NIOSH certification—tested to meet criteria outlined in 42 CFR 84 Comprehensive respirator program that includes annual fit testing Other respirators OSHA compliance:   NIOSH certification—tested to meet criteria outlined in 42 CFR 84 Comprehensive respirator program that includes annual fit testing Surgical masks FDA guidance:   Particulate filtration: ASTM F1215:1989 Bacterial filtration: ASTM F2101:2001 Fluid resistance: ASTM F1862:2000a Material performance: ASTM F2100-04 Differential pressure: MilM36945C Flammability: 16 CFR 1610, UL2154

OCR for page 182
Preparing for an Influenza Pandemic: Personal Protective Equipment for Healthcare Workers Surgical gowns FDA guidance:   Barrier performance: ANSI-AAMI PB70:2003 4 levels of performance based on AATCC 42:2000 and ASTM F1671:2003 Fluid resistance: ASTM F1670-03 Bloodborne pathogens resistance: ASTM F1671-03 Non-barrier properties Snag resistance: ASTM D5587:1996 and ASTM D2582:2000 Grab tensile strength: ASTM D5034:1995 Linting: IST 160.1:1995 Heat loss: ASTM F1868:1998, Part C Water vapor transmission: ASTM E96:2000 Flammability: 16 CFR 10, UL 2154 Sterilization method and validation Biocompatibility testing: ISO 10993 Part 10 (skin irritation and sensitization) Medical gloves FDA guidance:   Latex gloves: ASTM D3578:2005 Vinyl gloves: ASTM D5250:2000e4 Surgeons’ gloves: ASTM D3577:2001ae2 Biocompatibility testing: ISO 10993 Part 10 Powder-free: ASTM D6124:2001 Reduced protein level: ASTM D5712:2005e1; ASTM D6499: 2003; ASTM D 3578:2005 Eye protection OSHA compliance (29 CFR 1910.133):   ANSI standard Z87.1-1989 (for devices purchased after 7/5/94) NOTE: AAMI = Association for the Advancement of Medical Instrumentation; AATCC = American Association of Textile Chemists and Colorists; ANSI = American National Standards Institute; ASTM = ASTM International; FDA = Food and Drug Administration; ISO = International Organization for Standardization; NIOSH = National Institute for Occupational Safety and Health; OSHA = Occupational Safety and Health Administration; PPE = personal protective equipment. aFor all PPE subject to FDA regulations, requirements include establishment registration and adherence to manufacturing quality and labeling regulations.