Sharks are oriented vertically, not horizontally (not as shown in the picture) and they don't have buttons to hold the mask, so I checked as some added i got it. That being said, I've been using it for a little over two months and as long as it does its job with no signs of damage, and since I spray it with sanitizer every day and wash it thoroughly every week, I'd say it's good quality for the hospital environment.
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