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Suitable for respiratory protection, filtering droplets/particles &a. . Its construction features multiple breathable layers of filtration. To know what masks to avoid, see our blog post on the signs that suggest you have a fake N95, KN95, or KF94. Below are five N95 and KN95 masks that had at one point been approved by either NIOSH or the FDA. in USA, We, the manufacturer of authentic Powecom KN95 masks, are The company. They arent as affordable as our current picksbut depending on your needs, you may find them worth the extra expense. As expected, the extra hardware makes for a more expensive mask (10 for $40) compared with most weve considered. These useful baby and kid items were among the most-purchased Wirecutter picks in 2022. It fit most of our panelists, though some testers thought it sat too close to the mouth despite its typical KF94 rectangular boat shape. Levels 2 and 3 indicate at least 98% for the same particle-size range. Do not touch the rear side of the face mask. While health-care workers are typically advised to throw out their masks after a single use, thats not always necessary for everyone else. These masks have a strong vinegary smell out of the package, and they cost considerably more than our picks. The WellBefore WB-N-200 N95 Respirator Mask we recommend is now available in black. These include respirators, such as those labeled N95 (designed to meet US standards), KN95 (Chinese standards), KF94 (Korean standards), and FFP2 (European standards), as well as surgical-style masksthe pleated variety with ear loops or ties that typically come in boxes of 50 or so. Weve vetted the sellers and manufacturers to confirm that youre getting the genuine article. The Centers for Disease Control and Prevention is addressing questions related to the Coronavirus Disease 2019 through CDC-INFO and on their webpage. anti-fake sticker for Each bag of headband KN95 Protective Masks According to the CDC, 60% of respirator masks sold in the U.S. are counterfeit and do not meet NIOSH requirements, so youll want to make sure that your N95 and KN95 masks have the correct approvals. The Makrite 910 is a duckbill-shaped N95 like the Kimberly-Clark mask we recommend, but it is not nearly as comfortable. Slightly rounded, as opposed to flat, theyre somewhat gentler on the ears, too. 2. there is an Anti-fake Label (sticker) pasted to each carton of the powecom KN95 protective masks. (You know, the strings of metallic beads that keep keys together, switch lamps on and off, and hold military dog tags.) Powecom KN95 masks were on the FDA's list of approved face masks for health-care professionals back when that list was . Fitting Instructions: There are pictures on back of each poly bag of the KN95 masks, showing the fitting steps. The WellBefore WB-N-200 N95 Respirator Mask feels more heavy duty than the typical disposable bifold respirator. However, one tester described it as actually painful to wear, though thats also the reason why she trusts it for doctors appointments at a hospital. And it did: With a perfect seal, the mask offered more than 99% filtration efficiency for 0.5-micron-diameter particles drawn through a chamber at a rate of 15 liters per minute (similar to the rate that a person would exhale when talking at normal volume). A bracket keeps the fabric off the face, and a ring of soft, cotton-tee-like material surrounds the nose and mouth while somehow creating a comfortable seal without a nose-wire bridge. Best face masks for COVID-19 in 2022. Scrape off the coating of the anti-fake label (sticker), visit www.powecom.com and click the navigation "ANTI-FAKE CHECK" together with Baby or patient with respiratory abnormalities cannot use it. For comparison, human hair is roughly 70 microns wide. NIOSH-approved N95 respirators are recommended for preventing transmission of the omicron variant of the coronavirus. The sturdily constructed flat fold WellBefore WB-N-200 N95 Respirator Mask also felt large on some of our panelists, but a bit less so, and more important, it didnt feel suffocating despite creating a good seal. Because they dont fit close to the face, theyre not designed to protect the wearer from inhaling small, potentially infectious particles. since 10 May, POWECOM applies anti-counterfeit technology and Anti-Fake stickers to assist customers to verify genuine POWECOM masks exported to overseas markets But if youd like to try one, the Kyungin Flax KF94 is one of the more affordable models weve tried. Some have exhibited a mere 20% filtration rate on small particles (about the same as many of the filterless cotton masks we tested for our guide to cloth face masks), though most of them have demonstrated a slightly less shocking 70% to 80% rate. The masks in this section have either undergone the stringent NIOSH testing required to earn an official N95 designation or submitted the necessary testing results and paperwork for FDA clearance, whether via a now-revoked emergency use authorization or the 510(k) process. Avoid high temperature over 40C and humidity over 80% The most affordable FDA-authorized disposable mask weve seen isnt particularly soft, but it is sturdy, and it has generous ear loops. These masks stood out from the rest of the competition because of the positive response we received from a relatively broad swath of panelists, as well as their high performance in our filtration-efficiency testing. The Kimberly-Clark mask closes absolutely flat without the need for you to pinch the nose wire closed, as you have to with many other foldable masks, and at around $1 a mask, its also the least expensive NIOSH-approved N95 weve seen so far. And the mask is NIOSH-approved (see Guangzhou Harley). Weve tried 39 models and confirmed the filtration claims of our favorites with government agencies or our own lab testing performed in collaboration with Colorado State University. Powecom Non-Medical Disposable KN95 Respirator Face Masks. Carton Size: 68 x 36.5 x37 cm L x W x H, -----------------------------------------, Bona Fide Masks as EXCLUSIVE DISTRIBUTOR All of our panelists found a size that fit them well, though some found the mask more snug around the nose (hence no glasses fog) than at the chin. Surgical N95 respirators approved under the MOU do not require FDA's 510 (k) clearance. then the result will shows. Faces differ, but these masks straps can be knotted and stretched to help them stay put on a range of sizes while providing ample breathing room. www.bonafidemasks.com ) as the With pandemic-related recommendations and regulations continually evolving along with the coronavirus itself, masks will likely remain a part of peoples lives for some time. 1. They are white, have a pouch design and two blue headbands to secure the mask. You might also find promotions as a first-time buyer on the DemeTech site. Unlike N95 masks, these other respirator masks typically have ear loops instead of headbands. (Bona Fide Masks is now the exclusive distributor of Powecom KN95s in the US and Canada.). Powecom KN95 Respirator Face Masks (10 Pack) |. 1. For the best protection against airborne respiratory pathogens, you may consider wearing either a respirator mask or a surgical-style mask modified to form a better seal or layered under a well-fitting cloth mask. Not only do these masks come in pleasant colors like Seafoam, Denim, Blush, Coral, and Lavender, but they're . N95 vs. KN95, KF94, FFP2, and surgical masks, More NIOSH-approved, NIOSH-assessed, or FDA-authorized masks worth considering, More masks (that arent FDA-authorized or NIOSH-approved), knot at the ear loops and tuck at the sides (video), knotting the ear loops and tucking in the sides (video), NIOSHs International Respirator Assessments, filtration efficiency and breathability testing, reduce the amount of pandemic-related environmental waste by 75% or more, Harley Commodity N95 Particulate Respirator, United States Mask Particulate Respirator N95, Honeywell DF300 N95 Particulate Disposable Respirator, assistant professor of medicine in the division of infectious diseases, George Washington University School of Medicine, head of marketing and overseer of research and data analytics, Hinge Global, associate professor of civil and environmental engineering at Northeastern University, associate director of the Center for Energy Development and Health, and assistant professor of research in mechanical engineering, Colorado State University, professor of civil and environmental engineering, Virginia Tech, global technical services and regulatory director, 3M Personal Safety Division, assistant professor of textile engineering, Textile Protection and Comfort Center, Wilson College of Textiles, North Carolina State University, director of education and technical affairs, INDA (Association of the Nonwoven Fabrics Industry), health communications specialist, CDC/NIOSH, National Personal Protective Technology Laboratory, NIOSH, The Best Cloth, KN95, and Surgical-Style Masks for Kids and Toddlers, 12 Signs You Have a Fake N95, KN95, or KF94 Mask, Wirecutters Most Popular Picks for Babies and Kids in 2022, The FDA has a database of devices that have received. 1200 PCS/Carton ( regular ) If you go through N95s on a regular basis (like my husband, who wears one to teach in-person classes every day), the Dobu masks can get pricey (at this writing, theyre nearly $40 for a pack of 25 on Amazon). Sturdy headbands and ample clearance over the nose and mouth create a snug fit that still allows for easy breathing. Less like padding and more like paper, the mask feels light on the face and offers arguably better breathability. 8. KN95 MASK OFFERS PROTECTION FROM AIRBORNE PATHOGENS - The Powecom KN95 personal respirators are designed with a high-quality filtration system and made to the NEW GB2626-2019 Standard with Better Breathability. Christina Szalinksi contributed reporting. (The colorful variations have not undergone the Korean Ministry of Food and Safety approval process, though the materials are similar.) appreciated for your supports to genuine Powecom KN95 masks, and other We would make this mask a pick except that, at more than $3 apiece, its much pricier than our picks from Powecom and Kimberly-Clark (each around $1 per mask). My husband and I tested the masks for fit, comfort, and (for those who want to layer up) compatibility with our cloth-mask picks. The omicron variant that is currently circulating is highly contagious, and although the Centers for Disease Control and Prevention says getting vaccinated is the best way to prevent severe illness, hospitalizations and death, you should still mask up. 1. The DemeTech DemeMask Surgical Mask and the Medline ASTM Level 1 Procedure Face Mask with Ear Loops are our favorites because, more than other masks weve seen that are reliably in stock, theyre a good value for the level of protection they offer. Here are two other CDC pages you may want to keep at the ready: a list of NIOSH-approved N95s; and, additional respirator-buyer-beware tips. Vida. KN95 masks are not. Open face mask. This odd-looking, oddly comfortable N95 is a NIOSH-approved respirator meant for nonmedical use. I was able to place the lower band higher on my head to prevent air from escaping around my chin (a pain point for me with other respirators). Thanks to its soft, flexible construction, the Kimberly-Clark N95 Pouch Respirator should fit most people. Assuming the mask fits well and its filtration has been rigorously tested, these masks are some of the most protective face coverings you can buy. A caveat: The same mask sold by the same company can differ depending on the retailer. This easy-on, easy-off KN95 respirator mask has ear loops that stretch well for a wider fit but also knot easily for a snugger one. R95 . A foam strip over the nose-bridge wire provides some cushioning. KN95 masks (Chinas N95 equivalent) should block out 95% of 0.3-micron particles; KF94 and FFP2, 94%. However, the emergence of new COVID-19 variants has resulted in updated guidelines and mask mandates. It sells for a rather pricey $4 a mask and is currently out of stock. A KN95 mask filters out 95% of particles as small as 0.3 microns. Best fit: Powecom KN95 Respirator Face Mask. . Others have appeared to be missing layers altogether, he said. This article was edited by Tracy Vence and Kalee Thompson. This mask can be found in the FDAs Establishment Registration and Device Listing by the owner/operator number 10068674. The Powecom KN95 personal respirator, which ships from stock directly from our Mount Vernon, NY warehouse, is a respirator face mask made of a multi-layer filtration system of non-woven breathable fibers and is . For this guide, I tracked down legitimate respirators and masks, as well as reliable retailers that sell them. HuffPost may receive a share from purchases made via links on this page. Bona Fide Masks For advice on the best disposable and cloth face masks for children, see our buying guide to kids face masks. 10 pack Powecom KN95 Masks at Bona Fide Masks$9.50; However, it isnt FDA-cleared. Keep the face mask clean before use. The Powecom KN95 Protective Mask The intended use: for protection against particulate, PM2.5 smog, powder, dust, Non-oil particles, Non-toxic solid 10 PCS/ Poly Bag 120 BAGS/Carton ( regular ) 1200 PCS/Carton ( regular ) PFE over 95% ( at least) Gross Weight: 6.5KG (white earloop)to 7.2 KG /carton Volume Weight:15.9 KG/carton Its headbands are soft yet help form a tight seal, and its long nose-bridge wire reduces glasses fogging. 2. All legitimate N95 masks are approved by NIOSH as respirators; surgical N95 models have undergone additional NIOSH testing to meet specific FDA requirements. This web page provides a table of NIOSH-approved N95 respirators listed by manufacturer from A-Z. As stated on its package, Powecom's kids KN95 masks are about 15% smaller than their standard KN95 model to fit children's smaller faces. Powecom KN95 Protective masks, At about $20 for 50 masks (at this writing), the pricing isnt a notable bargain for a non-FDA-cleared box of masks. Get a 20-pack for $54.99. only genuine numbers of authentic Powecom masks can be verified. These masks, which come in white or black, are similar in shape (measuring 6 inches vertically, tip to tip) and elastic to the Powecom KN95 masks. The Instructions, for KN95 mask meeting standard GB2626-2019 KN95. We also spotted boxes on Amazon, but those are from third-party sellers we havent vetted.). Volume Weight:15.9 KG/carton As with cloth face masks, some people find bands to be easier to adjust than ear loopsyou can play around with knots and positioning to create a good seal. NIOSH-approved respirators, like N95 masks, will have an approval label on or within the packaging of the respirator, and an abbreviated approval is also on the respirator. It will look similar to this: TC 84A-XXXX. But this flat fold N95 is typically pricier than our other respirator picks. For genuine Powecom KN95 masks, the security numbers can be found at our databank of verification system. Folded flat, most cone-shaped respirator maskslike the Powecom KN95measure about 6 inches vertically unless otherwise noted. in the whole USA. In addition to being FDA-approved, the masks have the stamp of approval from over 7,000 Amazon shoppers who left a five-star rating. Water will destroy filtering ability and protection. For a more affordable, similarly shaped mask, consider the Powecom KN95 (sold in a headband option at about $1 per mask). If you prefer a KF94 mask and have a narrower chin or smaller face, you might have better luck with masks from Dr. Puri, Blue, or Etiqa. With so many fake COVID face masks being sold online, it's important to pay attention to a few details when you order. Proper fit is critical. Powecom KN95 masks since November 18th, 2021, (2) previous direct importers of factory Guangzhou Powecom Generally speaking, if youre fogging up your glasses, its not a perfect seal, said Hana Akselrod, assistant professor of medicine in the division of infectious diseases at George Washington University School of Medicine. This mask is also available in black. Like the companys KN95-style masks, these pleated masks have been tested by a third-party lab and found to meet ASTM Level 1 standards (blocking out at least 95% of 0.1-micron particles). Another option is to wear disposable masks more than once. As a result, experts told us, it often makes sense to reuse disposable masksbut carefully, taking cues from what health-care workers did during the N95 respirator shortage earlier in the pandemic. Our picks have been confirmed toblock at least 95% of 0.1-micron particles when worn with a secure seal. 1. The CDC guidance, intended for health-care personnel in situations much riskier than what I experience in my day-to-day routine, notes that masks shouldnt be used more than five times. We also perused business-news articles online about US-based companies that are manufacturing or selling masks, or both. Almost two years later, the shortages have eased up, but that doesnt make finding the right mask any easier, particularly when it comes to KN95s. Yet each one fits differently depending on how its angled around the nose and chin, how pliable the material is, and whether the fasteners are ear loops or headbands. We like that the NIOSH-approved DemeTech respirators come in two designs (cup and foldable) and each in regular or small size. *At the time of publishing, the price was $30. This product cannot be applied to prevent against harmful gases. Our panelists agreed, however, that it felt lightweight. Bestseller No. A more cavernous cut (about an inch wider on each side compared with the typical respirator) means more filtered air to breathe in. Its also our favorite because its the only one of its type that actually fit our testers well, and it felt surprisingly comfortable. anti-fake sticker for Each bag of earloop KN95 Protective Masks In fact, a CDC paper reported that securing a surgical mask to the face (by knotting the ear loops and tucking in the sides, as shown in this video, or by adding a well-fitting cloth face mask over it) can potentially decrease your exposure to possibly infectious tiny airborne droplets called aerosols by about 95%, which is also about how well respirators are expected to perform. Every item is independently selected by the HuffPost Shopping team. But its also thanks to the ample clearance the mask allows over the nose and mouth, which offers plenty of room for filtered air to circulate. HUHETA KN95 Face Mask Now 15% Off $14 at Amazon These KN95 masks come in bright colors you won't see everywhere else. The CDC says that the easiest way to determine if the mask youre eyeing is NIOSH-approved is to search for it on the NIOSH Certified Equipment List. These respirators, sold in packages of five or more, also come individually wrapped (which some people may find beneficial for tossing in a bag or glove box, though others may find it unnecessary). It also costs less (around $45 for 20 masks) than most other bifold-style N95s, which typically run about $3.50 or more per mask. If you prefer headbands to ear loops, you may find that this ear-friendly respirator mask provides a better fit. POWECOM KN95 Respirator Face Mask | Breathable Face Mask (10 Pack) |White| Headband Style $15.00 ($1.50 / Count) Available on Amazon Breatheze KN95 face masks made in the USA Breatheze. Plastic adjusters on each side easily help you tighten the ridged headbands. Co., Inc.) The surgical N95 is a NIOSH-approved N95 respirator that has also been cleared by the Food and Drug Administration as a surgical mask. WWDOLL KN95 Face Masks $ 19.74 WellBefore KN95 Face Mask WellBefore offers KN95 masks in multiple colors and allows a choice between standard ear loops and head straps. One panelist wore it to pilates: My face didnt sweat underneath it because its so light, they said. . When in doubt, throw it out. The Powecom KN95 Respirator Masks we recommend are fully restocked and now come in a variety of additional colors. P100. (This doesn't mean Powecom masks are NIOSH- or CDC-approved.) This is especially true given the presence of additional layers of protection (such as vaccines, social distancing, and good ventilation). The product page includes its NIOSH approval number, which is hyperlinked back to the CDCs list of NIOSH-approved N95 particulate-filtering facepiece respirators. Why the Omicron variant of coronavirus has been infecting many people so quickly is currently. Get the Powecome KN95. $25.00. The much cheaper, foldable NIOSH-approved Dobu Mask 201 N95 fits snug like the BYD Care N95 but with slightly less clearance over the nose and mouth, and arguably a more gentle touch. For additional options, have a look at our selection of Kn95 Mask Niosh Approved Powecom or use the search box. Respirator masks that earn NIOSH approval will also have specific labeling printed on the facepiece. Not everyone feels the same way about an ultra-snug fit.). We didnt include this mask in our filtration testing, nor did we investigate it further, because too many panelists complained of fit issues (it didnt grasp the chin very well). Its around-the-head bands are easy to knot for a good seal, assuming the mask fits your face. Fortunately, these disposable masks, made with nonwoven materials, are now much easier to find compared with early on in the pandemic. 3. Loretta Fernandez, PhD, associate professor of civil and environmental engineering at Northeastern University, found that a poorly fitting KN95 may block 0.3-micron particles only as effectively as a poorly fitting surgical maskat around 72% efficiency instead of the promised 95%-plus. (Pre-vaccination, my husband wore this N95 to the New York City public school where he has been teaching in person; he arrived home to find reassuring imprints on his face. What we dont like: This is a lot of mask, several testers commented, noting the WellBefores plastic and foam features, wide headbands, and girth. as the Exclusive Distributor in USA, click to open the page " Instructions for Use ", 10 PCS/ Poly Bag What is a medical-style mask, and do you need one? Frequently on sale, these masks are a good choice if you cant get ahold of the DemeTech or Medline masks, or if you just want to add a burst of color to your mask wardrobe. But masks worn by most people in relatively low-risk situations could probably be worn for considerably longer. Level 1 indicates that the mask blocks out 95% of particles at 0.1 to 5 microns in diameter at certain flow rates following another set of challenges. It measures about a quarter-inch greater vertically, from tip to tip, compared with the 6-inch Powecom KN95so it hits the corner of my eyes. For everyone besides health-care workers, whose risk of exposure is generally far less, there are more sustainable choices, including reusable cloth masks with high filtration efficiencies such as the Enro Tech or Happy Masks Pro, both picks in our guide to the best cloth face masks. Each mask features ear loops, a nose wire and five layers of fabric. manufacturer Guangzhou Powecom in the U.S. since 2020. Regardless of which type of mask you manage to get your hands on, however, you wont come anywhere close to the stated filtration values in real life unless you secure a perfect seal to your face around the entire perimeter of the mask. Theres also a running list of counterfeit respirator masks on the market that misrepresent NIOSH approval. After an assignment forced her to sleep eight hours a day for a month, she realized that she is, in fact, a smarter, nicer person when she isnt sleep-deprived. In all, Ive so far assessed 25 respirators and 14 surgical-style masks. Oh, and whatever you buy is typically nonrefundable. By entering your email and clicking Sign Up, you're agreeing to let us send you customized marketing messages about us and our advertising partners. Generally speaking, if youre fogging up your glasses, its not a perfect seal. Hana Akselrod, George Washington University School of Medicine. This level of performance may be problematic for people working in the ICU but perhaps less so for someone doing a quick run to the post office. Weve confirmed that the mask, available on Amazon (marked sold and shipped by Dobu Mask), is legitimate. 60% of respirator masks sold in the U.S. are counterfeit, specific labeling printed on the facepiece, running list of counterfeit respirator masks, online version of an executive authenticity statement, CDCs list of NIOSH-approved N95 particulate-filtering facepiece respirators, Establishment Registration and Device Listing, FDAs Establishment Registration and Device Listing. 2. Hold the face mask to cover nose and mouth, and pull each ear loop with each hand to wear. We bought: Powecom KN95 masks, 10-pack . 9. This mask has a strikingly softer underlayermuch softer than that of most other surgical masks weve tried, including our pick from DemeTech. The KF stands for "Korean . Masks Corp.(founded by While the large size was too large for many panelists (it might be good if youve determined that most masks are too small for you), the medium size was much smallerand, in fact, too small for me. Powecom has been around since 2009 and is a recognizable name in China for making masks, even before the pandemic. 6. The Powecom KN95 personal respirator, which ships from stock directly from our Mount Vernon, NY warehouse, is a respirator face mask made of a multi-layer filtration system of non-woven breathable fibers and is utilized globally. The security numbers are unique for each label. Bona Fide Masks as the Exclusive Distributor in U.S.A. Ball Chain Mfg. Unlike the BYD Care N95, they dont dig into my eyes, said one panelist. I also sent the masks to a panel of Wirecutter staffers with different face shapes, and collected their feedback. This mask is also more than twice the price of our other respirator picks, the lighter but odd-looking Kimberly-Clark N95 and the easy-on, easy-off but less-adjustable Powecom KN95. . The version we tried met ASTM Level 2 standards, which meant it could filter out at least 98% of 0.1-micron particles, assuming a perfect seal; however, weve noticed that the masks are now labeled as meeting ASTM Level 1 standards. is the NO.1 direct importer and the Largest authorized Distributor of Those that are not NIOSH-approved simply may not be as effective for a multitude of reasons, Caudle said. Input the serial numbers shown at bottom of the sticker. Aside from navigating retailers that have long sold out or are price-gouging, youre also contending with fraudulent sellers, fraudulent products, or both: The CDC reports that about 60% of KN95 masks sold in the US are fake. Open face mask. 120 BAGS/Carton ( regular ) In our experience, a long, sturdy nose-bridge wire helped minimize glasses fogging, too. These KN95 masks are wrapped individually and can be ordered in increments of 10, with the price per mask coming out to $1.49. The CDC reports that about 60% of KN95 masks sold in the US are fake. This one was made in Massachusetts and is, of course, NIOSH-certified. The masks have an. When you buy through our links, we may earn a commission. Scrape the coating of the anti-fake label, visit www.powecom.com and click the navigation "ANTI-FAKE CHECK" guide to verify. Input the numbers shown on the label. P95. But they are a tad longer horizontally and come only in an ear-loop option. The Honeywell DF300 N95 Particulate Disposable Respirator is similar to the BYD KN95: It too offers a more snug fit for small faces than the Harley Commodity and United States Mask models. Jen Caudle, a New Jersey-based family physician and associate professor at Rowan University, told HuffPost that she recommends that people upgrade their masks due to the high transmission rate of the omicron variant. The nose-bridge wire feels sturdier, too, and the fasteners knot easily for a good fit. 5. Get the 3M 8210 KN95 Particulate Respirator (NIOSH-Approved) - 20-Pack from PPE Canada for $39.99. Yes, theres the counterfeit issue. Powecom KN95 Disposable Masks, $19.99; amazon.com. manufacturer Guangzhou Powecom in the U.S. since 2020. ) There are pictures on back of each poly bag of the KN95 masks, showing the fitting steps. Thats 3% less than the Level 3 DemeTech masks can block, but unless youre a health-care provider in a high-risk medical setting, thats not much of a difference. Knotting the ear loops helped me block the air from escaping at my chin but somehow increased the fog on my glasses. According to its packaging and authorized seller Be Healthy (a longtime trusted source for Korean imports), this mask is approved by the Korean Ministry of Food and Safety; for confirmation, we reached out to the makers of Blue masks, as well as to the Korean Ministry of Food and Safety, but we didnt receive responses. Use only in adequately ventilated areas with sufficient oxygen. Ball Chain Mfg. The nose-bridge wire is cushioned by a foam strip, however, and this model is NIOSH-approved. The term medical-style mask refers to the types of masks you typically see in health-care settings.