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

Smiths Medical Acapella Vibratory PEP Therapy System

Brand/Manufacturer: SMITHS MEDICAL
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4.5 56 reviews 23 questions
  • HyGiene Products

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 inhaler facilitates opening of airways in patients having lung diseases with secretory problems such as COPD, asthma and Cystic Fibrosis. It gives independence to patients with chronic respiratory diseases as the therapy can be done when convenient for the patient and without the need for an assistant.

Acapella PEP Therapy System Highlights

  • Clears airways of secretions
  • Improves bronchial hygiene
  • Accommodates virtually any lung capacity
  • Comes in color-coded units
    - Green for high flow
    - Blue for low flow

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Item # Desc Pkg Price
21-1015 DM with Mouthpiece, Low Flow, Blue Each
$97.19
$67.99
21-1015 DM with Mouthpiece, Low Flow, Blue 10/Case
$875.69
$612.99
21-1530 DH with Mouthpiece, High Flow, Green Each
$97.19
$67.99
21-1530 DH with Mouthpiece, High Flow, Green 10/Case
$857.19
$599.99
21-1015 + 21-1530 Acapella Blue (1) + Acapella Green (1) Therapy System Each
$175.69
$122.99

Acapella Vibratory PEP Therapy System Features

  • 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
  • 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 Smiths Medical Acapella Vibratory PEP Therapy System

  • 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

Acapella Therapy System consists of:

  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 Device work?

Acapella 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 Vibratory PEP Therapy System User Guide

When to use Acapella Respiratory Device?

  • 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 -

 

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

How to use Acapella Vibratory PEP 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.


Cleaning instructions -
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 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.

 

 

 

 

 

Customer Reviews & Questions

4.5
Based on 56 reviews
  • 30 from verified purchases
  1. Leslie C. Verified Purchase

    It works and that’s why

    It works and that’s why I bought it and why I use it and love it.
    Helpful?
  2. Adria L. Verified Purchase

    Great tool for Breathing therapy

    The trick is getting the patient to use the tool!! Once started, it is gets easier to get the patient to use it, and the do more time. Really a nice item and it is super easy to use.
    Helpful?
  3. Harrington C. Verified Purchase

    Good service

    Good service
    Helpful?
  4. Accounts P. Verified Purchase

    Great product, great price, on

    Great product, great price, on time!
    Helpful?
  5. Lisa N. Verified Purchase

    Actually kind of fun to

    Actually kind of fun to use and it does help you clear your lungs
    Helpful?
  6. Angelo C. Verified Purchase

    ACUPELLA

    my PULMANARY doctor suggested I use it for my condition.helps loads
    Helpful?
  7. Shirley O. Verified Purchase

    Acapella Vibratory

    My doctor recommended this to me to help get rid of mucus in my lungs. I ordered it and I am still waiting for it.
    Helpful?
  8. Tracy E. Verified Purchase

    good product, don't boil it to disinfect.

    The product was very effective at removal stagnant mucus in the lungs. I would give 5 stars for that. However, Smith Medical's cleaning video indicates it can be boiled to disinfect, which is not the case. I did so and it warped so I was only able to use it once. HPFY replaced it at no charge, so they did a very good job with customer service.
    Helpful?
  9. James S. Verified Purchase

    Lasted 1 day

    I used the unit one day and used boiling water to sterilize which rendered it useless. The product is of inferior quality.
    Helpful?
  10. Verleen P. Verified Purchase

    This is my second purchase

    This is my second purchase of this same device and I am pleased with it.
    Helpful?
23 questions, 23 answers

  1. Question: Buenos dias, y esto se puede usar para nios con traqueostomia?.....podran enviarme un video porfavor como es el uso?, les agradecer mucho.

    Asked by A customer on Oct 6, 2023
    • Answer: Hola Milagros,

      Gracias por escribirnos. Voy a enviar esto a nuestro equipo de producto y nos comunicaremos con usted.

      Gracias,
      Equipo HPFY
      Medical Supplies Club Customer Care Store answer
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  2. Question: Is this product FSA approved?

    Asked by Dave on Jan 28, 2023
    • Answer: No, the PEP Therapy system is not FSA Approved.
      Medical Supplies Club Customer Care Store answer
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  3. Question: How do you clean thevacapella

    Asked by Pat H. on Mar 27, 2022

  4. Question: Are the costs for these covered by medicare or supplemental insurance?

    Asked by Phil J. on May 13, 2021
    • Answer: Unfortunately, we do not deal with insurance companies or Medicare directly. Our customers purchase products then submit the paid invoice to their insurance company for reimbursement. We strongly advise checking with your insurance company first to make sure they will reimburse your purchase.
      Medical Supplies Club Customer Care Store answer
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  5. Question: How do I cancel an order?

    Asked by DougDezotell on May 21, 2020
    • Answer: Dear customer, we would like to inform you that we have cancelled your order, kindly expect to see the refund reflected in your account within 3-7 business days.
      Medical Supplies Club Customer Care Store answer
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  6. Question: How long does this product last? How often do you replace it?

    Asked by SamanthaWertheimer on May 1, 2020
    • Answer: Dear customer, 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.
      Medical Supplies Club Customer Care Store answer
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  7. Question: can a kid with a lot of stubborn mucous use the green one?

    Asked by Cecilia on Apr 3, 2020
    • Answer: We would strongly suggest you to first consult your physician/doctor regarding compatibility of Smiths Medical Acapella Vibratory PEP Therapy System under you kid's condition.
      Medical Supplies Club Customer Care Store answer
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  8. Question: Do you blow into it or blow out

    Asked by Barbara M. on Apr 1, 2020
    • Answer: Initially, the patient is require to exhale in the product. For more clear information on how to use the product, please view the usage instructions provided on the product page.
      Medical Supplies Club Customer Care Store answer
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  9. Question: How do you clean the flutter calve?

    Asked by William on Mar 17, 2020
    • Answer: Cleaning instructions - 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.
      Medical Supplies Club Customer Care Store answer
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  10. Question: How do you sterlise this unit. can it be boiled in water or steam sterlised in a baby bottle sterliser?

    Asked by DrDinakanthaKumararatne on Feb 24, 2020
    • Answer: 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.
      Medical Supplies Club Customer Care Store answer
      Helpful?

  11. Question: Only the mouthpiece of the Acapella Green is removable for cleaning. The shell does not open; the item cannot be properly cleaned as required by every online instruction and by my doctor. I want a refund....or exchange for an item that does permit cleaning. So?

    Asked by RochelleF on Jan 18, 2020
    • Answer: Have you purchased this item from us? Can you please provide us the order number and the email that you used to place the order? Once you provide this information we would be glad to assist you further.
      Medical Supplies Club Customer Care Store answer
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  12. Question: Do you deliver to Australia?

    Asked by JyparaIsmailova on Dec 25, 2019
    • Answer: Yes we can ship this item to Australia.
      Medical Supplies Club Customer Care Store answer
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  13. Question: can we use this with trachea?

    Asked by Bita on Dec 13, 2019
    • Answer: We would strongly suggest you to first consult your physician/doctor regarding compatibility of this product with refrence to your medical condition.
      Medical Supplies Club Customer Care Store answer
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  14. Question: Can one container be used more then once

    Asked by Albert S. on Dec 2, 2019
    • Answer: We are sorry but we didn't understand what are you trying to ask? Could you please reframe your question.
      Medical Supplies Club Customer Care Store answer
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  15. Question: What is the difference between high and low flow?

    Asked by HyonYoo on Sep 16, 2019
    • Answer: 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.
      Medical Supplies Club Customer Care Store answer
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  16. Question: How do you take it apart.. I tried doing it like the u-tube directions and it will not come apart.

    Asked by ValorieG on Sep 1, 2019
    • Answer: The Acapella DH is intended for hospital use and does not come apart. The pressure dial is set by the hospital doctor, and as intended, it cannot be turned and adjusted by the patient. The Acapella Choice, also green but with slightly clearer plastic, is for hospital and home use. It easily comes apart as online videos demonstrate and the pressure dial can be turned to let you adjust it. Both units are green, most online Acapella resources don't distinguish between these two different models, and there are very few online resources specifically about the Acapella DH.
      Medical Supplies Club Customer Care Store answer
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  17. Question: How do I take apart foe cleaning?

    Asked by June H. on Aug 15, 2019

  18. Question: Is it possible to place a acapella in line with a vent circuit?

    Asked by James on Feb 1, 2019
    • Answer: We would suggest you to first consult your physician/doctor regarding compatibility of this product with placing a acapella in line with a vent circuit.
      Medical Supplies Club Customer Care Store answer
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  19. Question: Can I disassemble my device for a thorough cleaning?

    Asked by Toad on Dec 23, 2018
    • Answer: Yes, you can disassemble device for cleaning. Please follow the cleaning instructions as below: 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.
      Medical Supplies Club Customer Care Store answer
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  20. Question: Do you have to take the acapella apart to clean it?

    Asked by ScottyeeFranklin on Oct 6, 2017
    • Answer: Yes you will have to take acapella apart in order to clean it. The cleaning instruction for Acapella Vibratory PEP Therapy System are as below: 1. Take apart the acapella:registered: choice PEP device 2. DAILY CLEAN: soak the parts in warm, soapy water for 15-20 minutes 3. DISINFECT: Place the acapella:registered: choice PEP device in the dishwasher (top rack)
      Medical Supplies Club Customer Care Store answer
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  21. Question: just wondering high flow an low flow i am buying this for a friend that has copd so whats the difference between these two

    Asked by Jay on Nov 28, 2016
    • Answer: 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
      Medical Supplies Club Customer Care Store answer
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  22. Question: 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!

    Asked by Hpr on May 21, 2016
    • Answer: 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.
      Medical Supplies Club Customer Care Store answer
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  23. Question: I lost the mouthpiece of my green acapella. Can I just buy the mouthpiece alone? How much does it cost? Please let me know. Thank you very much.

    Asked by JanetKwan on May 17, 2015
    • Answer: Unfortunately we do not sell the requested accessory separately.
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