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Positive Expiratory Pressure (PEP) therapy is used to mobilize secretions. PEP devices have been found to give 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® combines the benefits of both PEP therapy and airway vibrations to mobilize pulmonary secretions and can be used in virtually any position allowing patients to move freely and sit, stand or recline.

It improves clearance of secretions, is easier to tolerate than Chest Physical Therapy (CPT), takes less than half the time of conventional CPT sessions* and facilitates opening of airways in patients with lung diseases with secretory problems  such as COPD, asthma and Cystic Fibrosis. Color-coded units (green for high-flow, blue for low) help customize treatment for each patient based on their clinical needs. You can adjust the acapella® frequency and flow resistance simply by turning an adjustment dial.

acapella® DM & DH Vibratory PEP Therapy System features:

  • 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

* Mahimeister MJ et al. “Positive-expiratory pressure mask therapy: Theoretical and Practical Considerations and a Review of the Literature”, Respiratory Care, 1991


Use of acapella® DM & DH Vibratory PEP Therapy System has many benefits, including:

  • 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.


Respiratory Care

The Respiratory Group has a breadth of products to help improve the outcome of the respiratory patient both in the hospital and alternative care environments. The scope of products include tracheostomy tubes and accessories, arterial blood gas systems, bronchial hygiene, lung expansion products, active humidification and nebulization systems, open and closed suction catheters, manual resuscitators, passive humidification and filtration products; and oxygen/aerosol masks, cannulas, tubing, and small volume nebulizers with unit dose solutions.

The humidification and nebulization products address both passive humidification and filtration needs through the use of Portex® and Thermovent® HME’s and Filters. Pre-filled humidifiers and nebulizers offer aseptic systems for the active humidification of patients via our Ster-O2™, Universal Bottle, Thera-Mist® systems and the new AquinOx™ high flow, high oxygen concentration humidification system. Together, this range of active and

passive humidification products meets the needs of virtually all ventilated and oxygen therapy patients.

The acapella® and acapella® choice products are vibratory positive expiratory pressure systems that help clear the lower respiratory tract; while the Coach2® and CliniFLO® lung exerciser products help the prevention of atelectasis.

The Pro-Vent® Plus, Pulsator® Plus, and Portex® Line Draw Plus arterial blood sampling kits offer needlestick safety and specially formulated heparin to meet the needs of arterial blood sampling.Smiths Medical also has a range of oxygen/aerosol therapy masks, cannulas, and oxygen tubing.


Medina Healthcare is proud to supply affordable and quality healthcare solutions to our clients. We choose to work with market-leaders from around the world and have built a strong portfolio of products to serve both the public and private healthcare sectors in Malta.

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