User’s Guide

AirPhysio works in three distinct ways: 

Stage I Mucus Loosening and Mobilization

  1. Gather a glass of water and box of tissues, relax and assume proper posture and position.
  2. Slowly inhale beyond a normal breath, but do not fill lungs completely.
  3. Hold breath for 2 to 3 seconds.
  4. Place AirPhysio in mouth, exhale through AirPhysio at a reasonably fast but not too forceful speed, using abdominal breathing. Do not empty lungs completely.
  5. Adjust tilt to feel maximum vibrations within chest and keep cheeks stiff.
  6. Repeat steps 2 through 4 for 5 to 10 breaths.

Stage II – Mucus Elimination

  1. Slowly inhale, filling lungs completely.
  2. Hold breath for 2 to 3 seconds.
  3. Place AirPhysio in mouth and exhale forcefully through AirPhysio as completely as possible.
  4. Adjust tilt to feel maximum vibrations within chest and keep cheeks stiff.
  5. Repeat steps 7 through 9 for 1 to 2 breaths.
  6. Initiate cough (or “huff” manoeuvre). Return to Stage 1 and repeat full sequence (Stages 1 and 2) until lungs are clear or therapy is over.
  7. Additional sessions may be added if necessary.

Breathing Exercise for Healthy Individuals

Do the following steps prior to initiation of exercise or training.

  1. Relax and assume proper posture and position.
  2. Slowly inhale beyond a normal breath, but do not fill lungs completely.
  3. Hold breath for 2 to 3 seconds.
  4. Place AirPhysio in mouth, exhale through AirPhysio at a reasonably fast but not too forceful speed, using abdominal breathing. Do not empty lungs completely.
  5. Adjust tilt to feel maximum vibrations within chest and keep cheeks stiff.
  6. Repeat steps 2 through 4 for 5 to 10 breaths.

Caution: This exercise may make you feel lightheaded.  This is normal due to the amount of carbon dioxide being exhaled.  When you feel lightheaded, take a break and breathe normally until the lightheaded feeling passes.  If you try to overexert and push yourself too far, there is a chance that you may pass out and lose consciousness.

Note: Clean AirPhysio after each therapy session and store in clean, dry location.

Parts of AirPhysio Oscillating Positive Expiratory OPEP mucus clearance and lung expansion device for Asthma COPD Emphysema Bronchitis Cystic Fibrosis CF

AirPhysio consists of the following parts and accessories:

  • Circular cone,
  • Stainless steel ball,
  • Child-resistant protective cover,
  • Mouthpiece and base,
  • Mouthpiece cap.

To unlock the child-resistant protective cover, use something with a small point, such as a pen, to press the button that is located in the base. While pressing and holding the button in, twist the cover to open.

Opening AirPhysio Oscillating Positive Expiratory OPEP mucus clearance and lung expansion device for Asthma COPD Emphysema Bronchitis Cystic Fibrosis CF
AirPhysio Oscillating Positive Expiratory OPEP mucus clearance and lung expansion device for Asthma COPD Emphysema Bronchitis Cystic Fibrosis CF
Unlocking AirPhysio Oscillating Positive Expiratory OPEP mucus clearance and lung expansion device for Asthma COPD Emphysema Bronchitis Cystic Fibrosis CFAirPhysio Oscillating Positive Expiratory Pressure OPEP device
Releasing the cap of AirPhysio Oscillating Positive Expiratory OPEP mucus clearance and lung expansion device for Asthma COPD Emphysema Bronchitis Cystic Fibrosis CF
Cap removed for AirPhysio Oscillating Positive Expiratory OPEP mucus clearance and lung expansion device for Asthma COPD Emphysema Bronchitis Cystic Fibrosis CF

For Single-Patient Use of AirPhysio

It is necessary to clean the AirPhysio® device after each session to remove moisture and/or mucus from the internal components.

  1. Disassemble your AirPhysio® device.  Please refer to Parts and Accessories andHow to Unlock the Child-resistant Protective Cover prior to disassembling the device.
  2. Wash in a solution of tap water and mild soap or detergent.
  3. Rinse all components with tap water.
  4. Wipe with a clean towel.
  5. Reassemble and store in a clean, dry location.

A more vigorous cleaning is recommended at least once a day.  Do the following to accomplish this:

  1. Wipe or rinse the already-cleaned components in an alcohol solution (ethyl or isopropyl alcohol) with a 60-90% concentration.
  2. Wipe with a clean towel.
  3. Allow the components to dry further in the open at room temperature.
  4. Once completely dry, reassemble and store in a clean, dry location. 

Warnings:  Chlorine bleach or other products containing chlorine (e.g. dishwashing detergent) should not be used for cleaning AirPhysio device. 

Alcohol is flammable at concentrations recommended for disinfection. Precautions are required to prevent accidental ignition. 

For Multiple-Patient Use of AirPhysio

After each session, clean, disassemble and rinse all components in a solution of mild soap or detergent. Disassemble the AirPhysio device apart by clicking the child-resistant protective cover open (this will be an unlatching of the device), allowing all parts to become separated and individually cleaned. Do not use chlorine bleach or other chlorine-containing products (e.g. dishwashing detergent). After cleaning, all items should be rinsed thoroughly in distilled water before autoclaving. Once cleaned, autoclave the AirPhysio device by using the instructions below.

Autoclaving of the AirPhysio Device

You may use using any of the following cycles below to ensure sterilisation of correctly loaded autoclaves:

  • 15 minutes holding time at 121°C,
  • 25 minutes holding time at 115°C.

Please use the appropriate cycle (with appropriate temperature and holding time) above, which meets the specified holding temperate that has been specified by your local state health authority for autoclaving of the AirPhysio medical device.

Autoclave Warning and Cautions

Autoclaves use high pressure and high temperature steam for sterilization. The potential safety risks for the operators include:

  1. Heat burns from hot materials and autoclave chamber walls and door;
  2. Steam burns from residual steam coming out from autoclave and materials on completion of cycle;
  3. Hot fluid scalds from boiling liquids and spillage in autoclave;
  4. Hand and arm injuries when closing the door;
  5. Body injury if there is an explosion.

Recommendations for the care and use of autoclaves

  • The steam should be saturated and free from corrosion inhibitors or other chemicals, which could contaminate the items being sterilised.
  • All materials to be autoclaved should be in containers that allow ready removal of air and permit good heat penetration; the chamber should not be tightly packed or steam will not reach the load evenly. Bags should allow the steam to reach their contents.
  • Operators should wear heat-insulating gloves and visors for protection when opening the autoclave, even when the temperature has fallen below 80ºC.
  • All instructions and guidelines of the autoclave machine must be followed according the manual.
  • Responsibility for operation and routine care should be assigned to trained individuals and a preventive maintenance programme should include regular inspection of the chamber, door seals and all gauges and controls by qualified personnel.
  • Standard operating procedures (SOPs) should be available for training personnel in the use and maintenance of autoclaves.