Online since 2002 |   866-316-0162

Smiths Medical Acapella Vibratory PEP Therapy System

Acapella Flutter Valve - 21-1015 Acapella Breathing Device Secure Checkout Badges
  • Hpfy Non-returnable Non


Item# Description Pkg reward$ Price Blank
Item #: 21-1015
DM with Mouthpiece, Low Flow, Blue
Item #: 21-1530
DH with Mouthpiece, High Flow, Green
Item #: 21-1530
DH with Mouthpiece, High Flow, Green
Item #: 21-1015
DM with Mouthpiece, Low Flow, Blue

Smiths Medical Acapella Vibratory PEP Therapy System is designed as a breathing and respiratory therapy device. It is ideal for people with lung disease and those with asthma and COPD. This PEP Therapy Device opens up the airway for effective treatment. It combines the benefits of both PEP therapy and airway vibrations to mobilize pulmonary secretions. This device is very easy to use by simply placing it in the mouth, inhaling deeply, and then exhaling. It determines the lung capacity of the users and clears the mucus in the throat.

Acapella Vibratory PEP Therapy System Features

  • Reduce air trapping, common with asthma and COPD
  • Aid in the mobilization of retained secretions, as are found in cystic fibrosis and chronic bronchitis
  • Prevent or reverse atelectasis
  • Optimize the delivery of bronchodilators
  • Color-coded units help customize treatment for each patient based on their clinical needs
  • Frequency and flow resistance of Acapella breathing device can be adjusted by turning an adjustment dial
  • Can be used in any position - patient is free to sit, stand or recline
  • Easier to tolerate than Chest Physical Therapy (CPT)
  • Takes less than half the time of conventional CPT sessions
  • Acapella Blue-DM <15 lpm for 3 seconds
  • Acapella Green-DH >15 lpm for 3 seconds
  • 22mm OD ambient end
  • 22mm OD patient end
  • Patented rocker mechanism
  • Single patient use device

Benefits of PEP Therapy

  • Allows inhalation and exhalation without removing from mouth 
  • Prolongs expiratory airflow to increase removal of secretions 
  • Allows use with mask or mouthpiece attachment 
  • Allows use with inline nebulizer when fitted with tee adapter
  • Accommodates virtually any patient’s lung capacity
  • Can be used in any position - patient is free to sit, stand or recline

With vibrations added
  • Reduces mucus viscoelasticity
  • Loosens, shears & disengages secretions from airways
  • Mobilizes secretions from distal to central airways
Pressure Therapy Curve

Smiths Medical Acapella Vibratory Pep Device - Brochure
Smiths Medical Acapella Pep Device - User Guide

Acapella PEP Therapy System Includes:

  1. Removable mouthpiece
  2. Acapella Vibratory PEP Device with 22 mm male fittings including:
    A. Expiratory resistance/frequency adjustment dial
    B. One-way inspiratory valve
    C. Patient end which adapts to a mouthpiece, or mask
    D. Mouthpiece (detachable)

How does the Acapella Breathing Device work?

Acapella Breathing Device by Smiths Medical directs exhaled air through an opening which is periodically closed by a pivoting cone. As air passes through the opening, the cone alternately closes and opens the air flow path. The result is a vibrating pressure waveform. For most users, frequencies between 0-30 Hz are obtained while maintaining positive pressure throughout the exhalation process. This is referred to as vibratory PEP therapy.
Through adjusting the dial, the frequency of the vibrating pressure-waves and the resistance of the opening changes.

Acapella Respiratory Device indications:

  • Acapella is intended for use as a single patient use device that provides Positive Expiratory Pressure (PEP) Therapy for patients who have Cystic Fibrosis, COPD, asthma, and lung diseases with secretory problems, and patients with atelectasis.
  • It may also be used simultaneously with nebulized aerosol drug delivery.
  • Green: Acapella DH is recommended for patients able to maintain an expiratory flow of 15 liters per minute or greater for 3 seconds.
  • Blue: Acapella DM is recommended for patients capable of less than 15 liters per minute for 3 seconds.

Contraindications of Acapella Medical Device

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
  • Known or suspected tympanic membrane rupture or other middle ear pathology
  • 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

What to buy with Acapella Vibratory PEP Therapy System

How to use Acapella Device?

Initial Settings -

  1. If this is the first use of Acapella DM & DH Vibratory PEP Therapy System, ensure that frequency adjustment dial is turned counterclockwise to lowest frequency-resistance setting.
  2. 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).
  3. Direct the patient to exhale to functional residual capacity (FRC) actively, but not forcefully through the device.
  4. 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.
  5. Selection of the proper resistance range produces the desired inspiratory to expiratory (I:E) ratio of 1:3 to 1:4.
  6. Note: If the desired resistance and I:E ratio cannot be achieved, consider use of an Acapella device designed for alternate flow ranges.
  7. 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 feel from the vibratory pressure.
  8. Several uses may be needed to ensure that the individual patient needs are being met.

Procedure for the User -

  1. Ensure the adjustment dial is set to correct range as identified by your clinician.
  2. Sit with elbows resting comfortably on table.
  3. Place mouthpiece lightly in mouth.
  4. Be sure to maintain a tight seal on the mouthpiece during exhalation.
  5. Your clinician may recommend the use of a nose clip if necessary.
  6. If using a mask, apply mask tightly but comfortably over nose and mouth.
  7. Breathe from the diaphragm, as directed by your clinician, taking in a larger than normal breath, but not filling your lungs to capacity.
  8. Hold your breath for 2-3 seconds.
  9. Exhale actively, but not forcefully, through the device. Exhalation should last approximately 3 to 4 times longer than inhalation.
  10. Perform 10-20 PEP breaths as recommended by clinician. Remove mouthpiece and perform 2-3 huff coughs to raise secretions as needed. Your clinician may direct you on proper cough technique.
  11. Repeat steps 2 to 7 as prescribed.

How to clean Acapella PEP System

As needed, detach mouthpiece then soak the parts in warm soapy water, rinse and dry. Drain the device by placing the unit with the mouthpiece end downward, or by resting the unit on its side.

Estimated Device Lifetime -
Assuming the manufacturer recommended cleaning protocol is followed, the Acapella Medical 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.

Acapella Vibratory PEP Therapy System User Guide

Acapella Vibratory PEP Therapy System FAQs

1. What is the difference between Blue and Green Acapella?

Acapella Green Acapella Blue
  • =15 L/min expiratory flow
  • Ideal for most patients
  • Can tee-in a small volume nebulizer
  • Easy to clean, rinse & flush with warm soapy water
  • Best for short-term, hospital use
  • < 15 L/min expiratory flow
  • Geriatric and pediatric patients
  • Can tee-in a small volume nebulizer
  • Easy to clean, rinse & flush with warm soapy water
  • Best for short-term, hospital use

2. How often should I use my Acapella?

Use it 2 to 4 times a day for 15 minutes (or as prescribed by your health care provider). You'll be told by your health care provider how many times a day you can use Acapella. Use Acapella 15 minutes after you inhale the drug if you are using a short-acting inhaled bronchodilator.

3. What is PEP therapy?

Positive expiratory pressure (PEP) therapy involves breathing with a slightly active expiration against an expiratory resistance. It is used for the clearance of excess lung secretions, reduction of gas trapping and improvement of lung ventilation.

4. How long does an Acapella Device last?

Acapella choice is a single patient-use device and reusable. Replaced it every six months.

5. What is the difference between low and high flow units?

Low-flow unit means the unit works at less than 15 LPM (liters per minute) for 3 seconds, and the high-flow unit means that it works at more than 15 LPM for 3 seconds.

6. How to clean an acapella pep device?

Take the mouthpiece off the Acapella body. The mouthpiece and body need to be washed. Clean the mouthpiece and body of the Acapella daily with Liquid Dish Detergent – Rinse with water.

Acapella PEP Therapy Reviews


{{x.ShortDescription}} ...


Please enter your and your friends email address below.

Fields marked with * are compulsory

Your Name*
Your Email Address
Friend's Name*
Friend's Email Address
The selected product information along with Reward Dollar coupon code has been successfully emailed to you and your friend.

Thank you for using