Smiths Medical Acapella Vibratory PEP Therapy System
Smiths Medical Acapella Vibratory PEP Therapy System

Smiths Medical Acapella Vibratory PEP Therapy System

Brand/Manufacturer: SMITHS MEDICAL

Smiths Medical Acapella Vibratory PEP Therapy System combines the benefits of both PEP therapy and airway vibrations to mobilize pulmonary secretions. It can be used in virtually any position allowing patients to move freely and sit, stand or recline. Acapella device improves clearance of secretions, is easier to tolerate than Chest Physical Therapy (CPT), takes less than half the time of conventional CPT sessions. Acapella respiratory facilitates opening of airways in patients with lung diseases with secretory problems such as COPD, asthma and Cystic Fibrosis.

Acapella Breathing Device Highlights:

  • Color-coded 
  • Blue-DM <15 lpm for 3 seconds 
  • Green-DH =15 lpm for 3 seconds 
  • Inspiratory Valve 
  • 22mm OD ambient end 
  • 22mm OD patient end 
  • Expiratory resistance dial 
  • Patented rocker mechanism

Item #DescPkgRewardPrice 
21-1015 DM with Mouthpiece, Low Flow, Blue Each $0.30
21-1530 DH with Mouthpiece, High Flow, Green Each $0.33

Acapella Vibratory PEP Therapy System Features

  • Acapella PEP Therapy System is color-coded
  • User can adjust the acapella frequency and flow resistance simply by turning an adjustment dial
  • Provides Positive Expiratory Pressure (PEP) Therapy for patients who have Cystic Fibrosis, COPD, asthma, and lung diseases with secretory problems, and patients with atelectasis
  • Acapella respiratory allows inhalation and exhalation without removing from mouth
  • Prolongs expiratory airflow to increase removal of secretions
  • Allows use with inline nebulizer when fitted with tee adapter (not included)
  • Acapella Flutter valve allows use with mask or mouthpiece attachment
  • Accommodates virtually any patients lung capacity
  • Acapella device can be used in any position, patient is free to sit, stand or recline
  • Single patient use device

Indications for using Acapella Vibratory PEP Therapy System:

  • The Smiths Medical acapella is intended for use as a Positive Expiratory Pressure (PEP) device. 
  • It may also be used simultaneously with nebulized aerosol drug delivery.

Instructions For Using Acapella Device

Initial Settings:
  • If this is the first use of the Smiths Medical acapella device, ensure that the frequency adjustment dial is turned counterclockwise to its lowest frequency-resistance setting.
  • Instruct the patient to relax while performing diaphragmatic breathing and inspiring a volume of air larger than normal tidal volume (but not to total lung capacity).
  • Direct the patient to exhale to Functional Residual Capacity (FRC) actively, but not forcefully, through the flutter valvedevice.
  • The patient should be able to exhale for 3-4 seconds while the device vibrates.
  • If the patient cannot maintain an exhalation for this length of time, adjust the dial clockwise.
  • Clockwise adjustment increases the resistance of the vibrating orifice, which will allow the patient to exhale at a lower flow-rate.
  • Selection of the proper resistance range produces the desired inspiratory to expiratory ratio of 1:3 to 1:4.
  • Note: If the desired resistance and I:E ratio cannot be achieved, consider using an acapella device designed for alternate flow ranges.
  • Once the proper range has been identified, the patient may be instructed to exhale harder or softer, or dial adjustments may be made to optimize the response the user feels from the vibratory pressure.
  • Several uses may be needed to ensure that individual patient needs are being met.

Procedure for the User:
  • Ensure the adjustment dial is set to the correct range as identified by your clinician.
  • Sit with elbows resting comfortably on table
  • Place mouthpiece lightly in mouth.
  • Be sure to maintain a tight seal on the mouthpiece during exhalation.
  • Your clinician may recommend the use of a nose clip, if necessary.
  • If using a mask, apply mask tightly but comfortably over nose and mouth.
  • Breathe from the diaphragm, as directed by your clinician, taking in a larger than normal breath, but not filling your lungs to capacity.
  • Hold your breath for 2-3 seconds.
  • Exhale actively, but not forcefully, through the device.
  • Exhalation should last approximately 3 to 4 times longer than inhalation.
  • Perform 10-20 PEP breaths as recommended by clinician.
  • Remove mouthpiece (mask) and perform 2-3 "huff" coughs to raise secretions as needed.
  • Your clinician may direct you on proper cough technique.
  • Repeat steps as prescribed.

Set up pressure gauge/indicator:
  • Place the pressure gauge/indicator between the mouthpiece and the device.
  • Verify all connections are secure.

Cleaning And Disinfecting Instructions:
Bleach is not recommended for use on the acapella. It may deteriorate the nickel plated mechanism located in the interior of the device.
  • Cleaning:
    • This should be done prior to Disinfecting
    • As per the Cystic Fibrosis Foundations cleaning and disinfecting guidelines entitled, Respiratory, Stopping the Spread of Germs 2008
  • Cleaning with Liquid Dish Detergent:
    • As needed, detach mouthpiece (mask) then soak the device and mouthpiece in warm, soapy water as required to remove visible contaminants. 
    • Use a liquid dish detergent (Dawn or equivalent), mixing two (2) tablespoons of detergent per one (1) gallon water. 
    • Rinse thoroughly with sterile water, and allow parts to air dry. Drain the device by placing it in a normal resting position.
  • Disinfecting:
    • Alcohol –Soak five (5) minutes, twice daily. Acapella is compatible with 70% isopropyl alcohol. Rinse with sterile water. You can make water sterile by boiling for five (5) minutes. 
    • Hydrogen Peroxide – Soak in 3% hydrogen peroxide for 30 minutes. Rinse with sterile water. You can make water sterile by boiling for five (5) minutes. 
    • Glutaraldehydes (Cidex or equivalent) – acapella will maintain its integrity using cold sterilizing solutions such as glutaraldehydes.

  • Dispose of acapella in a safe manner according to Federal/State/Local regulations and guidelines for disposal of contaminated medical waste.

Estimated Device Lifetime:
  • Assuming the manufacturer recommended cleaning protocol is followed, the acapella device should have a useful life of six (6) months under normal and customary usage. 
  • The six (6) month usage duration is measured from the date of initial use.

  • Although no absolute contraindications to the use of PEP Therapy have been reported, the following should be carefully evaluated before a decision is made to initiate therapy:
    • Inability to tolerate increased work of breathing 
    • Hemodynamic instability 
    • Intracranial pressure (ICP) > 20 mm Hg 
    • Acute sinusitis 
    • Recent facial, oral or skull surgery or trauma 
    • Epistaxis 
    • Esophageal surgery 
    • Active hemoptysis 
    • Untreated pneumothorax 
    • Nausea 
    • Known or suspected tympanic membrane rupture or other middle ear pathology

  • Use of this device at excessive pressures may have adverse effects. - Expiratory pressures above 20 cm H2O in patients sensitive to increased transpulmonary pressure may develop one or more of the adverse side effects listed below. 
  • Expert clinical judgment should be exercised in the selection of the appropriate setting for each individual patient - Failure to match the appropriate resistance setting on the +/- dial indicator with the patients expiratory flow may result in failure to achieve therapeutic objectives of vibratory PEP therapy or adverse side effects below.
  • Adverse reactions may include:
    • Increased work of breathing that may lead to hypoventilation and hypercarbia 
    • Increased cranial pressure 
    • Cardiovascular compromise
      - Myocardial ischemia
      - Decreased venous return 
    • Air swallowing with increased likelihood of vomiting and aspiration - 
    • Claustrophobia 
    • Skin break down and discomfort from mask 
    • Pulmonary barotraumas

  • Bleach is not recommended for use on the acapella. It may deteriorate the nickel plated mechanism located in the interior of the device.
  • Do not microwave. The metal and magnet might ignite. 
  • It is the responsibility of the user to ensure all sterility verification(s). 
  • Visually inspect the device to ensure that the unit is free of contamination and foreign objects. 
  • Verify all connections are secure

Customer Reviews

Questions & Answers

question image
just wondering high flow an low flow i am buying this for a friend that has copd so whats the difference between these two
jay - 11/28/2016 11:11:11 AM
answer image
The Blue one (i.e. Low Flow) is for Kids or adults with mild issues of mucus and getting a productive cough. The Green(i.e. High Flow) is a bit stronger vibration for the harder to get up congestion, sometimes feels impossible
Customer Care - 12/1/2016 4:55:31 AM
question image
Just needing clarification on how this product is to be used. A family member has CF, would they use this after their regular breathing treatments to help loosen more mucus by blowing into it ? Thanks!
H - 5/21/2016 11:42:29 AM
answer image
Acapella choice is so easy to use, which means there is less training time required in hospital, increasing patient confidence in using the product. It facilitates opening of airways in patients with Cystic Fibrosis. They can use this after their regular breathing treatments.
Customer Care - 5/23/2016 12:47:13 AM
Please enter your and your friends email address below.
Fields marked with * are compulsory

The selected product information has been successfully emailed to your friend.

Thank you for using