Aerobika* Oscillating Positive Expiratory Pressure Therapy System
Moves Mucus Out to Make Breathing Easier
Some illnesses such as COPD, cystic fibrosis, chronic bronchitis and bronchiectasis produce excess mucus that is difficult to cough out. When this mucus is stuck in the lungs it can make breathing very difficult and cause other infections. The Aerobika* Oscillating Positive Expiratory Pressure Therapy System (OPEP) is designed to aid in the loosening and removal of mucus build-up in the lungs.
Benefits of the Aerobika* OPEP Device
Easier mucus clearance
Decreased cough frequency
Increased exercise tolerance
Improved quality of life
How to Use Your Aerobika* OPEP Device
1. Before use carefully examine the device. Replace immediately if any defect is noticed. Always ensure the Resistance Indicator is positioned as prescribed by your healthcare professional. Gently press the two halves together to make sure the Attachment Tabs are engaged.
2. Although the Aerobika* OPEP device is orientation independent, it is recommended that treatments be done in a comfortably seated position.
3. Put the mouthpiece in mouth and close lips around it to ensure an effective seal. Make sure your hand does not block the exhalation path on the back of the device.
4. Inhale through the device taking a deeper breath than normal, but do not totally fill your lungs. Hold your breath for 2-3 seconds before exhaling.
5. Exhale actively, but not forcefully, through the device. Ideally, exhalation should last 3-4 times longer than it took you to breathe in. Keep your cheeks flat and firm to maximize treatment effectiveness. Ensure you maintain a good seal on the mouthpiece for the duration of your treatment.
6. Continue taking deep breaths and long exhalations for 10-20 breaths, or as instructed by your healthcare professional. After at least 10 breaths, perform 2-3 'huff' coughs to clear your airways. For maximum efficacy, try to suppress coughing until the end of your treatment.
7. Repeat steps 3-6 for 10-20 minutes or as prescribed by your healthcare professional. The entire procedure should be performed at least twice a day on a regular basis, and increased to 3-4 times per day if you are producing a lot of mucus.
Use Active Exhalation
Active exhalation can best be described as the type of effort required to start blowing up a balloon - but is not as forceful as blowing out candles. Keep your cheeks flat as you exhale.
Try a 'Huff Cough'
A 'huff cough' will help move mucus up and out of your lungs. Just like when you use your breath to create fog on a mirror, you would take a short, shallow breath and exhale forcefully with your mouth in an 'O' shape. Contact your healthcare professional if you need help with the proper technique.
Download Full Instructions (PDF)
Watch Video - Instructions for Use
Watch Video - Cleaning Instructions
Watch Video - How to Use with Nebulizer Treatments
The Importance of Distilled Water in Cleaning the Device
Distilled water is purified water that has gone through a rigorous process to strip it of contaminants and naturally occurring minerals. Distillation involves boiling the water and then condensing the steam into a clean container. Distilled water is not the same as purified, filtered or bottled water. It is sold at most major retailers at a cost comparable to other bottled waters. Distilled water is recommended for cleaning because other types of water can contain minerals and calcium. Over time, these minerals can deposit on components within the device causing an adverse effect on device performance.
Meeting an unmet need
The Aerobika* OPEP device helps COPD and Bronchiectasis patients
breathe easier and live better by addressing the unmet need of mucus clearance.
Impact of mucus
Go to our Aerobika* Oscillating PEP Device Playlist on YouTube for all of our latest instructional videos.
Download Counselling Tools
1 Prescott, E., P. Lange, and J. Vestbo. “Chronic mucus hypersecretion in COPD and death from pulmonary infection.” European Respiratory Journal 8.8 (1995): 1333-1338. 2 Burgel, P. R., and C. Martin. “Mucus hypersecretion in COPD: should we only rely on symptoms?.” European Respiratory Review 19.116 (2010): 94-96. 3 Tesfaigzi, Yohannes, Paula Meek, and Suzanne Lareau. “Exacerbations of chronic obstructive pulmonary disease and chronic mucus hypersecretion.” Clinical and Applied Immunology Reviews 6.1 (2006): 21-36. 4 Groenewegen, Karin H., and Emiel FM Wouters. “Bacterial infections in patients requiring admission for an acute exacerbation of COPD; a 1-year prospective study.” Respiratory medicine 97.7 (2003): 770-777. 5 Svenningsen S, Paulin G, Sheikh K, Pike D, Etemad-Rezai R, Suggett J, McCormack DG and Parraga G. Oscillating Positive Expiratory Pressure Therapy in Chronic Obstructive Pulmonary Disease and Bronchiectasis. Presentation at ERS 2014.
Aerobika* Oscillating PEP Device - Clinical Evidence
Oscillating Positive Expiratory Pressure for Effective Airway Clearance
Oscillations create short bursts of increased expiratory resistance to thin, dislodge and move mucus to the upper airways where it can be coughed out.
- Aids in lung hygiene and helps prevent infections1
- Improves gas transfer and lowers air trapping2
- Oscillations start at the beginning of each exhalation and continue through the end for maximum effect (see graph at right)
Clinical White Paper
Studies supporting use of PEP
and oscillatory PEP within clinical
and in vitro environments
Clinical Study of the Aerobika* Oscillating PEP Therapy System
A study conducted at Robarts Imaging at Western University using the Aerobika* Oscillating PEP device with Stage II and III COPD patients.
Effective Aerosol Delivery when Combined with Nebulizer Treatments
Aerobika* OPEP may be used in combination with a small volume nebulizer with a standard 22mm adapter, and has been purposely designed to ensure the aerosol flow path delivers a respirable dose comparable to that of the nebulizer alone.
Source: 1 McCool FD, Rosen MJ. Nonpharmacologic Airway Clearance Therapies: ACCP Evidence-Based Clinical Practice Guidelines. Chest 2006;129(1):250S-259S. 2 Marks HJ. Airway Clearance Devices in Cystic Fibrosis. Paediatric Respiratory Reviews 2007;8:17-23. 3 TMI Aerosol Lab, Data on File: 4.0 mL Ipratropium bromide @ 15 L/min ± 5%; continuous delivery with an AEROECLIPSE* II Breath Actuated Nebulizer (BAN).
Where to Buy
The Aerobika* OPEP device is available at the pharmacy counter across Canada.
>> Click here to see the list of participating Canadian pharmacies.