4
5
5
Inhale through the device taking a deeper breath
than normal, but do not totally fill your lungs Hold
your breath for 2–3 seconds before exhaling
6
Exhale actively, but not forcefully, through the
device Ideally, exhalation should last 3–4 times
longer than inhalation Keep your cheeks flat and
firm to maximize treatment effectiveness Ensure
you maintain a good seal on the mouthpiece for the
duration of the treatment
Note: If you are unable to exhale through the device,
check the resistance setting or try cleaning the device
thoroughly
7
Continue taking deep breaths and long exhalations
for 10–20 breaths, or as instructed by your healthcare
professional After at least 10 breaths, perform 2–3
‘huff’ coughs to clear your airways Your healthcare
professional will instruct you on the proper technique
For maximum efficacy, try to suppress coughing until
the end of the treatment
8
Repeat steps 5–7 for 10–20 minutes or as prescribed
by your healthcare professional The entire procedure
should be performed at least twice a day on a regular
basis, and increased to 3–4 times per day if you are
producing a lot of mucus
9
The goal is to keep your lungs clear and ventilatory
capacity up Continue with treatments on a regular
basis even if you are bringing up just a little mucus
USE WITH A NEBULIZER
The Aerobika* device may also be used with a
small volume nebulizer with a 22 mm fitting Your
healthcare professional will advise which medication
to use for combined treatments
Medications which open the airways (eg albuterol)
or help to thin mucus (eg hypertonic saline) would
be good choices to use with the Aerobika* device
because they help to remove or thin the mucus in
your lungs
Caution: Medications to stay in the lungs, like
antibiotics, should be taken with the nebulizer alone
after completing a treatment with the Aerobika*
device
1
Ensure you have read and understood the
instructions provided with the nebulizer prior to
starting the treatment
2
Ensure the nebulizer is set-up correctly and
medication has been added to the nebulizer cup
Remove the mouthpiece (or mask) from the nebulizer
3
Attach the nebulizer to the Nebulizer Port of the
Aerobika* device, as shown in figure
2
(page 1)
4
Switch on the compressed air source, and complete
the combined treatment using the breathing
technique outlined above
Notes:
• No adapter is required if used with the
AEROECLIPSE* brand of breath actuated
nebulizers
• Ensure the nebulizer remains upright for proper
nebulization
• Always ensure the Aerobika* device mouthpiece is
used, otherwise the device will not work properly
(page 1, figure
2
)
• If used in combination with a nebulizer, the
Aerobika* device should be cleaned after each use
to remove any residue that may have deposited on
exhalation
CLEANING AND DISINFECTING
INSTRUCTIONS
Healthcare professionals should always use clinical
judgment to select the appropriate cleaning and
disinfecting method and frequency, based on patient
needs
If necessary, clean the Aerobika* device once daily
Note: Proper and regular cleaning of the device is
important for it to work correctly
1 DISASSEMBLY
i.
Press the Attachment Tabs on either side of the
device Holding the tabs in, gently pull up on the top
case until the two parts separate
ii.
Remove the valve cartridge Do not disassemble
any part of the cartridge
iii.
To remove the mouthpiece, grip firmly and rotate
while pulling away from the device
2 CLEANING
Clean the Aerobika* device using one of the two
following methods
A
Soap and Water
i.
Wash the four parts in a solution of tap water and
liquid dish detergent, allowing the parts to soak for
15 minutes Agitate gently several times
ii.
Rinse with tap water
iii.
Shake the parts to remove any excess water
Note: Tap water can be high in minerals which may
result in scale build-up in the device If the local tap
water supply is high in minerals, then every month
soak the disassembled device in a solution of 1 cup
vinegar and 1 cup water for 1 hour followed by a
wash as normal
B
Dishwasher
i.
Secure the four parts in a basket on the top rack
ii.
Wash in a normal wash cycle with dishwasher
detergent and a rinse aid if available
iii.
Shake the parts to remove any excess water
Note: Dishwashing with overly dirty dishes is not
recommended
3 REASSEMBLY
i.
Ensure parts have air dried thoroughly
ii.
Insert the valve cartridge into the bottom case If
it does not slip easily into place, rotate 180° and try
again
iii.
Connect the top and bottom cases until
both Attachment Tabs “click” (this may occur
simultaneously) Ensure the tabs are engaged by
firmly pressing the two halves together
iv.
Reattach the mouthpiece
4 DISINFECTION
If considered clinically necessary for the patient,
healthcare professionals can instruct the patient
to clean and disinfect the device following specific
methods and frequencies (after each use)
Prior to disinfection follow the disassembly and
cleaning instructions but do not reassemble the
device
Disinfect the Aerobika* device using any one of the
following methods
A
Electronic Steam Sterilizer
i.
Place the four parts in an electronic steam sterilizer
and follow the manufacturer’s instructions for use
ii.
Remove from the unit and allow the parts to air dry
thoroughly before reassembly
B
Boiling
i.
Place the four parts in a pot with boiling water and
boil for 5 minutes
Note: Place a small rack on the bottom of the pot to
prevent plastic parts from coming in contact with the
hot bottom
ii.
Remove from the water without touching the
water and allow parts to air dry thoroughly before
reassembly
C
Microwave Steam Bag
i.
Place the four parts in a microwave steam bag
(ie Quick-Clean
†
MicroSteam
†
bag) and follow the
manufacturer’s instructions for use
Note: Position parts in bag as shown in Figure
5
(page 2)
ii.
Remove from bag and allow parts to air dry
thoroughly before reassembly
D
Isopropyl Alcohol
i.
Soak the four parts in 70% isopropyl alcohol for
5 minutes
ii.
Rinse thoroughly with sterile water
iii.
Allow to air dry thoroughly before reassembly
E
Hydrogen Peroxide
i.
Soak the four parts in 3% hydrogen peroxide for
30 minutes
ii.
Rinse thoroughly with sterile water
iii.
Allow to air dry thoroughly before reassembly
F
Bleach
i.
Soaked the four parts in a 1:50 bleach to water
solution (approximately 1 tablespoon bleach in 3¼
cups water) for 3 minutes
Note: You may substitute a respiratory equipment
disinfectant (such as Milton
†
, Dodie
†
, Control III
†
or
Cidex
†
) for the bleach solution Follow the disinfectant
instructions for use
ii.
Rinse thoroughly with sterile water
iii.
Allow to air dry thoroughly before reassembly
NOTE
Any serious incident that has occurred in relation to
the device should be reported to the manufacturer
and the competent authority of the Member State
STORAGE
After the Aerobika* device is fully dry and assembled,
store in a clean plastic bag or container
DISPOSAL
The device can be disposed of with domestic waste
unless this is prohibited by the disposal regulations
prevailing in the respective member countries
ADDITIONAL INFORMATION
Use Temperature Range
+15 °C to +40 °C
Storage Temperature Range
-40 °C to +60 °C
• Product is free of Bisphenol A, Phthalates, Latex,
Lead and PVC
FR
UTILISATION PRÉVUE
Le dispositif de pression expiratoire positive par
oscillations Aerobika* est destiné à être utilisé
comme dispositif de pression expiratoire positive
(PEP) Le dispositif Aerobika* peut également être
utilisé en même temps qu’un médicament en aérosol
administré à l’aide d’un nébuliseur Le dispositif est
destiné à être utilisé par des patients capables de
générer un débit d’expiration de 10 L/min pendant
3 à 4 secondes
INDICATION(S)
Le dispositif de PEP par oscillations Aerobika*
est un dispositif thérapeutique de dégagement
des voies respiratoires utilisé pour mobiliser les
sécrétions pulmonaires excédentaires et améliorer
la respiration Il peut être utilisé pour la prise en
charge des affections respiratoires comme la MPOC,
la bronchectasie et la fibrose kystique
Utilisation chez un seul patient
CONTRE-INDICATIONS
L’utilisation du dispositif n’est pas recommandée
dans les cas suivants :
• L’utilisation du dispositif n’est pas recommandée
dans les cas suivants :
• Patients incapables de tolérer tout effort
respiratoire accru
• Pression intracrânienne (PIC) > 20 mm Hg
• Instabilité hémodynamique (instabilité de la
tension artérielle)
• Chirurgie ou traumatisme récent du visage, de la
bouche ou du crâne
• Sinusite aiguë
• Épistaxis (saignement de nez)
• Chirurgie œsophagienne
