If simultaneous aerosol therapy is required, obtain and aYach the Circulaire II
Hybrid
aerosol delivery system as shown
below. Remove the Standard Y-‐adapter (E), replace with the Aerosol Y-‐adapter (F), and transfer the mouthpiece to the
Aerosol Y-‐adapter. Insert the Circulaire II
Hybrid
aerosol delivery system on to the tail of the Aerosol Y-‐adapter as
shown. The outlet port of the cone should be at the 3 o’clock posiEon as you are facing it, and the assembly should be
aligned as shown in the ‘Bird’s Eye View’ below:
Operate the nebulizer with oxygen or compressed air. Adjust the opening of the Variable Expiratory Resistor to apply
PEP. See the Circulaire II or Circulaire II
Hybrid
package insert for further instrucEons for use.
Bird’s Eye View
HHT ASSEMBLY
WITH
AEROSOL
Page 4
HHT ASSEMBLY
WITHOUT
AEROSOL
The assembled Vibralung AcousEcal Percussor Hand-‐held Transducer (HHT) is shown below. This assembly uses the
Standard Y-‐adapter (E). Connect the long end of the Standard Y-‐adapter to the cone. The mouthpiece should be at the
other end and the Variable Expiratory Resistor should be on the tail of the Y. The outlet port of the cone should be at
the 3 o’clock posiEon as you are facing it, and the assembly should be aligned as shown in the “user’s view” below:
User’s View,
“3 o’clock” alignment
