The AEROBIKA Oscillating Positive Expiratory Pressure Therapy System is a Mucus Clearance Device made by Monaghan Medical. This PEP Therapy System is a convenient respiratory therapy device that creates pressure in the lungs to keep the airway open and help move mucus into the larger airway passages where it may be coughed out.
This therapy system can be life-changing for people with a chronic cough and shortness of breath or who have breathing-related disorders, such as chronic obstructive pulmonary disease (COPD), pneumonia, emphysema, chronic bronchitis, bronchiectasis, and cystic fibrosis. The AEROBIKA OPEP device naturally opens weak or collapsed airways, allowing more oxygen intake without using medication. Mucus movement has been clinically proven to decrease cough frequency and breathlessness.
A clinical study on COPD patients showed a 28 percent reduction in readmission. COPD patients who use this device have reported an increased exercise tolerance, enabling a more active lifestyle and improved quality of life.
What Does the AEROBIKA Oscillating PEP System Device Do?
The small ergonomic design of this Breathing Therapy device helps users exhale through the AEROBIKA flutter valve to encourage forceful "huff" coughs. The short exhale pulses loosen mucus. The valve provides oscillating positive pressure and offers five resistance settings. Users can switch between higher and lower positive-pressure settings to find the preferred pressure needed.
Choose between two models: with or without a manometer adapter.
What Does the Manometer Adapter Do?
The manometer adapter provides visible pressure measurements. The instrument offers feedback for precise monitoring. With each exhalation, the gauge rises. The user checks if their breathing falls within the ideal range (10-20 cm H20).
Features and Benefits:
- Provides Drug-Free Airway Clearance
- User-Friendly Device
- Opens Weak/Collapsed Airways
- Breaks Up Mucus
- Decreases Coughing
- Decreases Breathlessness
- Five Resistance Settings
- Increases User's Ability to Exercise
- Ergonomic Handle Design
- Shorter Treatment
- Inexpensive Device
- Lightweight
- Easy to Clean and Reassemble
- Dishwasher Safe
- Clinically Proven
- Supports Hospital COPD Management Protocols


Who Would Benefit from Using This Product?
Users with the following breathing-related issues may find this product beneficial:
- Chronic coughing
- A cough with mucus
- A cough that does not clear out mucus
- Easily becoming winded
- A lung infection
- Shortness of breath
- Trouble walking for long intervals
- Difficulty accomplishing tasks
Indications
When used with compressed oxygen, this item provides supplementary oxygen and is intended for use as the following:
- Positive Expiratory Device (PEP)
- Positive Airway Pressure (PAP) (when used in combination with the Monaghan VersaPAP).
PEP devices are indicated for the following conditions:
- Asthma
- Bronchial Hygiene Therapy
- Chronic Bronchitis
- Chronic Pulmonary Conditions
- COPD
- Cystic Fibrosis
Contraindications
No absolute contraindications exist. However, relative contraindications exist. Users should always let their healthcare practitioner know if they have or have had any of the following conditions before using the Aerobika Oscillating PEP Device:
- Acute asthma
- Acute sinusitis
- COPD (when unable to tolerate increased work of breathing)
- Epistaxis
- Esophageal surgery
- Facial surgery (if recent)
- Head trauma (if recent)
- Hemodynamic instability
- Hemoptysis (if active)
- Inner ear pathology
- Intracranial Pressure (ICP) >20 mm Hg
- Nausea
- Pneumothorax (if untreated)
- Skull Surgery (if recent)
- Tympanic Membrane rupture
How to Use the AEROBIKA OPEP
- Treatments should be performed in a comfortable seated position.
- Begin by placing the mouthpiece into the mouth and keeping lips down to form a seal. Hold the device on the bottom so as not to block the exhalation path at the top.
- Inhale deeply through the Aerobika, but don't fill the lungs. The user holds their breath for at least three seconds before releasing it.
- Exhale very slowly through the Monaghan Aerobika inhaler while keeping cheeks flat and firm. Always maintain a seal. The exhalation should be at least three to four times the length of the initial inhalation. Keep the cheeks flat and firm to maximize treatment effectiveness.
- Continue this process for 10 to 20 breaths, or as many as are instructed by a doctor. Hold off on coughing until after the 10th breath. Next, transition to a "huff" cough to actively get the mucus moving.
- Repeat as directed by a doctor. This process should be performed at least twice a day and regularly.
- Caution: If the treatment causes dizziness, lightheadedness, or discomfort, discontinue therapy and consult a doctor.
The Aerobika OPEP valve is designed for easy disassembly and cleaning. It is recommended that users clean their devices daily. The materials are dishwasher-safe.


Frequently Asked Questions
What is the Aerobika device used for?
The Aerobika is an OPEP breathing therapy device.
What is OPEP therapy?
OPEP stands for "oscillating positive expiratory pressure." An OPEP, like the Aerobika oscillating positive expiratory pressure device, creates small palpitations that keep airways open as it is used. This helps break up and expel mucus from the lungs. To use an OPEP device, inhale and exhale through the device several times, and then huff and cough to dislodge settled mucus.
What is a huff cough?
A huff cough is a type of cough that helps push mucus out of the lungs. To huff or cough, follow these instructions:
- Take a brief, shallow breath.
- Shape the mouth into an 'O'.
- Vigorously exhale.
How often should I use the AEROBIKA mucus clearance device?
The manufacturer suggests using the device in 15- to 20-minute cycles two to four times each day.
Specifications:
- Manufacturer: Monaghan Medical
- Models:
- Without Manometer (Monaghan Medical 62510)
- With Manometer (Monaghan Medical 62610)
- HCPCS: E0484
- Latex-Free
- Phthalates-Free
- Lead-Free
- PVC-Free
- Standard 22 mm Nebulizer Fitting
- Five Resistance Settings
Manuals and Documents
Sources
-
Food and Drug Administration. FDA Aerobika OPEP Approval and Indications for Use. 2001.
-
National Jewish Health. Using the Aerobika. 2019.
-
University of Texas Medical Branch. PEP Expiratory Pressure (PEP Therapy). 2018.
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