Acapella Vibratory PEP Mucus Clearance Device, 15 Liters by Smiths Medical

Originally manufactured by Smiths Medical, Acapella Vibratory PEP Devices provide positive expiratory pressure (PEP) therapy to patients with cystic fibrosis, COPD, asthma, atelectasis, or lung secretion issues. As a single-patient PEP therapy device with multiple uses, the Acapella valve assists with managing and dislodging respiratory secretions, including mucus, enhances the performance of a bronchodilator, and can be used in conjunction with nebulized aerosol drug systems. Long-term use helps manage or reverse atelectasis.

For managing multiple respiratory issues, Acapella DH and DM PEP Therapy Systems:

• Therapy can be completed in roughly half the time as traditional chest physiotherapy (15 to 20 minutes versus the typical 20 to 40 minutes)
• Let the patient conveniently inhale and exhale without removing the valve from the mouth
• Provides force-enhancing vibrations that allow for longer expiratory airflow
• Enhance aerosolized medication delivery, distributing particles over a larger area and into peripheral airways
• Can be used with a mask or mouthpiece attachment or with an inline nebulizer fitted with a tee adapter
• Are sized for adults and children ages five and up
• Magnetic Rocking Resistor allows PEP therapy to be possible in multiple positions, including standing, sitting, and lying down
• Devices are easy to clean, rinse, and flush without disassembly

There are two color-coded options when using the Acapella mucus clearance apparatus: blue and green. The blue model is low-flow, working less than 15 liters per minute (LPM) for three seconds, and the green model is high-flow, working more than 15 LPM for three seconds. If you are unsure which model, you are best suited for, we suggest consulting your doctor. Each therapy model is designed based on clinical needs. You can, however, adjust the Acapella valve frequency and flow resistance by adjusting a dial.

In terms of performance:

• Acapella DH system (Green) provides 15 L/min expiratory flow.
• DM System (Blue) delivers < 15 L/min expiratory flow.
  Both are ideal for short-term hospital use.

Customers who prefer to disassemble the unit for cleaning may check out the Acapella Choice.

• Set the frequency-adjusting dial to its minimal setting (turning counterclockwise)
• Relax and then breathe from your diaphragm
• Take in a large amount of air do not fill your lungs to capacity
• Blow out through the device without forcing your air
• Make sure your breath lasts for three to four seconds
• If you cannot blow for that long, turn the resistance up by rotating the dial clockwise
• Your outward breath should last three to four times longer than an inward breath
• You may need to use the device several times before you find the proper setting

• Do not use a lot of pressure when using this device
• Users with heightened lung pressure sensitivity may experience adverse reactions
• A knowledgeable healthcare provider needs to set the level of resistance to avoid complications

• Verify that the dial is set to where it should be
• Place your elbows on a table, making sure that you are sitting comfortably
• Put the end of the mouthpiece into your mouth
• Close your lips to form a tight seal
• You may need to use a nose clip to achieve the seal
• If you are using a mask, make sure that the mask fits firmly over your nose and mouth (the mask should be comfortable)
• Draw a large breath in with your diaphragm (do not fill your lungs)
• Hold your air for a couple of seconds
• Breathe out, pushing air through the device without forcing your air (this should take three to four times longer than breathing in did)
• Take 10-20 breaths through your device (the number your healthcare provider prescribed)
• Take the mouthpiece out
• Draw in a deep breath of air and force it out in two or three quick "huffs" as if you were blowing a candle out with your mouth wide open
• Repeat the entire procedure according to your provider's directions

• Soak your device in one of the following three solutions
• 70% isopropyl alcohol. Soaking time - five minutes, two times per day. Rinse thoroughly in sterile water
• 3% hydrogen peroxide. Soaking time - 30 minutes. Rinse thoroughly in sterile water
• Glutaraldehyde. Use this solution cold.

• Bleach can damage interior parts
• Microwave ovens may cause the device to catch fire
• Sterilize frequently
• Look for damage, dirt, and outside objects
• Make sure all connections are tight

• COPD
• Asthma
• Atelectasis
• Chronic Bronchitis
• Emphysema
• Bronchiectasis
• CNS/Neuromuscular Disease
• Cystic Fibrosis
• Mucociliary Clearance Disorders

• Manufacturer: ICU Medical, Formerly Smiths Medical
• Product Numbers: 21-1015, 21-1530
• Blue model: <15 LPM for three seconds
• Green model: >15 LPM for three seconds
• Patented rocker mechanism
• 22 mm OD ambient end
• 22 mm OD patient end
• HCPCS Code: E0484

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- Items must be unopened

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