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Ensuring the safety and efficacy of breathing system filters (BSFs) is paramount in anaesthesia and respiratory care. CSA Z23328-1-04 (R2019), an identical adoption of ISO 23328-1:2003, provides the definitive laboratory test method for assessing the particulate filtration performance of these critical medical devices. This article provides a technical breakdown of the standard’s scope, rigorous testing requirements, and the compliance landscape for manufacturers.
The primary scope of CSA Z23328-1-04 (R2019) is to define a standardized salt test method using a sodium chloride (NaCl) aerosol. This method is specifically designed to evaluate the particle removal efficiency of filters used in breathing systems for anaesthesia and respiratory applications, including mechanical filters and combined filter/heat and moisture exchangers (HMEs).
The standard applies to filters that are intended to be placed in the breathing circuit. The test method itself is independent of the filter’s specific construction material or design, allowing for objective comparison across different products.
The standard mandates a rigorous and carefully controlled laboratory setup to ensure repeatability and comparability of results across different testing laboratories.
The test generates a polydisperse NaCl aerosol using a nebulizer (often a Collison type). The target Mass Median Aerodynamic Diameter (MMAD) is 0.6 µm (± 0.2 µm). This specific size is chosen because it represents the Most Penetrating Particle Size (MPPS) for mechanical filter media, making it the most challenging particle size to capture. The geometric standard deviation (GSD) of the aerosol must be kept below 1.8 to ensure an appropriate particle size distribution.
Particle concentrations upstream and downstream of the filter are measured using condensation particle counters (CPCs) or equivalent calibrated instruments. The filtration efficiency is calculated as a percentage:
The test must be conducted at a specific flow rate declared by the manufacturer (e.g., 30 L/min for adult applications, 15 L/min for paediatric). Leak testing of the entire test circuit is mandatory prior to sample insertion. A minimum of three filter samples are typically tested to validate performance consistency.
| Parameter | Requirement |
|---|---|
| Challenge Aerosol | Sodium Chloride (NaCl) |
| Particle Size (MMAD) | 0.6 µm ± 0.2 µm |
| Geometric Standard Deviation | < 1.8 |
| Test Flow Rate | As declared by manufacturer (e.g., 30 L/min) |
| Flow Rate Tolerance | ± 5% of declared flow |
| Required Instruments | Condensation Particle Counter (CPC) or equivalent |
| Reported Result | Filtration Efficiency (%) / Penetration (%) |
For manufacturers looking to certify their breathing system filters under CSA Z23328-1-04 (R2019), several compliance pathways and technical hurdles exist.
Testing should be conducted in a laboratory recognized for medical device testing (e.g., ISO/IEC 17025 accredited). The test report must clearly state the test conditions, flow rate, measured particle size distribution (including GSD), and the resulting filtration efficiency. Integrating this test into a Quality Management System (QMS) per ISO 13485 requires rigorous documentation of the setup, calibration of CPCs, and validation of the aerosol generation system.
While Health Canada does not explicitly mandate a specific single standard for licensing, demonstrating conformity to recognized standards like CSA Z23328-1 is a standard regulatory expectation for establishing safety and effectiveness of medical devices in Canada. The CSA mark provides a strong foundation for a regulatory submission. Acceptance criteria (e.g., minimum efficiency threshold) are generally defined by the manufacturer based on the intended clinical use, but a 99.9% efficiency at the MPPS is a common industry benchmark for high-level mechanical filtration.
CSA Z23328-1-04 (R2019) remains a cornerstone standard for the objective assessment of breathing system filter performance. By adhering to the precise technical requirements of the salt test method—including strict control of the aerosol MMAD, flow rates, and particle counting—manufacturers can ensure their devices meet rigorous quality and safety benchmarks. This standard continues to support better patient outcomes in anaesthesia and respiratory care by providing a reliable, quantifiable measure of filter efficacy.
Technical Article — Published 2026. Based on CSA Z23328-1-04 (R2019).