Hi Paul, delighted to read you have taken onboard the potential safety offered by a Mouthpiece Retaining Strap (MRS). As I repeatedly state, there is no guarantee, however with consideration to the fact that in over 90% of cases studied by DAN, the actual cause of death in CCR fatalities is drowning. Therefore the use of a MRS is about delaying the onset of asphyxiation from fluid aspiration for as long as possible, thus increasing the probability of surviving loss of consciousness underwater when using a rebreather.
I'm presently trying to put together a paper on the subject drawing on a number of sources, one of which is a study into French Military rebreather accidents. The military report concludes that gas toxicities are frequently encountered by French military divers using rebreathers, but the very low incidence of fatalities in over 30 years can be explained by the strict application of the following diving safety protocols:
(1) Systematic linking of divers in pairs, so that a diver can find his buddy regardless of diving conditions (particularly if visibility is poor) and can lend assistance in the event of rescue.
(2) Using a strap to hold the mouthpiece in position, along with a lip guard, so that an unconscious diver can still breathe without risk of drowning. The rescuer can then concentrate on the quality of assistance and respecting the diving parameters for regaining the surface.
The report gives no weighting to either of these factors and it is unclear which played the larger role in the survival of the 51 out of 54 divers who experienced gas toxicity and loss of consciousness. However protecting the airway from water aspiration following LoC and effecting rescue at the earliest opportunity are cited as key factors to a survival outcome and therefore in my opinion have relevance to the sport rebreather industry / community and its efforts to reduce rebreather fatalities.
Safe diving.
Paul