FAQs

The AEROBIKA* Oscillating PEP device is an airway clearance therapy device used to mobilize excess lung secretions and improve breathing¹. It can be used to manage respiratory conditions such as COPD, bronchiectasis and Cystic Fibrosis. You should consult your healthcare professional to see if it is a good fit for you. 

1. Jean Bourbeau, R. Andrew McIvor, Hollie M. Devlin & Alan Kaplan (2019): Oscillating positive expiratory pressure (OPEP) device therapy in Canadian respiratory disease management: Review, care gaps and suggestion for use, Canadian Journal of Respiratory, Critical Care, and Sleep Medicine, DOI: 10.1080/24745332.2018.1558426

The AEROBIKA* Oscillating PEP device is not recommended for the following conditions:

• Patients unable to tolerate the increased work of breathing
• Intracranial pressure (ICP) > 20 mm Hg
• Hemodynamic instability (blood pressure instability)
• Recent facial, oral, or skull surgery or trauma
• Acute sinusitis
• Epistaxis (bleeding nose)
• Esophageal surgery
• Nausea
• Active hemoptysis (bleeding from lungs)
• Untreated pneumothorax (untreated collapsed lung)
• Known or suspected tympanic membrane rupture or other middle ear pathology

You should consult your healthcare professional to see if it is a good fit for you.

The AEROBIKA* OPEP device is drug-free and can be an add-on therapy to your existing medications. You should continue to take your prescribed medications as directed by your healthcare professional and consult your healthcare professional to see if it is a good fit for you.

It is recommended to use the device at least twice daily, once in the morning and once at night or as directed by your healthcare professional. Start with a few minutes, slowly moving up to 10 minutes at a time, as you are comfortable. The AEROBIKA* OPEP device is compact and portable and can easily go with you on your travels.

The device should be replaced after 12 months of use, or immediately if damaged.

The AEROBIKA* OPEP device may be used with a small volume nebulizer with a 22 mm adapter.  The AEROECLIPSE* XL BAN is the most efficient option due to the breath actuated function.  Combined therapy should be used only if advised by a healthcare provider.

If you need to rest, that is not a problem.  The resistance setting can be reduced, or you can reduce the time of the treatment if you cannot complete 10 minutes of therapy. Take a break until you are ready to continue. If you have additional questions, please consult a healthcare professional.

Most prefer to complete their treatment at a specific time in their morning and evening routine. For example, while watching a favourite TV show, or listening to the radio. 

Yes, you can use the AEROBIKA* OPEP device.

It is recommended to use AEROBIKA* OPEP device before taking medication but after the completion of other airway clearance therapy, as this may result in clearer airways and better drug deposition. You should consult your healthcare professional regarding the use of the device if you are taking medication.

The AEROBIKA* OPEP 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* OPEP 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.

The AEROBIKA* OPEP device resistance setting should be set up by a healthcare professional. It is recommended to start at the middle of the resistance indicator.  The goal of using the device is to do so continuously for up to 10 minutes.  If this is comfortable and easy to do, then you have the correct resistance. If the exhalation is too easy or doesn’t seem to be loosening up any mucus, then adjust to the higher resistance.

The resistance indicator slides to point to point to the numeric symbol on the device. The numeric symbol “1” is the lowest setting, the numeric symbol “5” is the highest resistance setting. 

The Aerobika* OPEP device has 5 resistance settings that adjusts to each user’s capacity. Sliding to the left, towards 5, you experience greater resistances. Moving right, towards 1, lessens than resistance. It is recommended to set the Aerobika* device to resistance level 3, the middle resistance.

An important note with the resistance is that higher does not mean better. Treatment is maximized when the device is used with the resistance set to an appropriate level for the respective user.

When you have excess mucus that builds-up in the lungs, it can result in symptoms. As you exhale through the device, the airways are opened. As the airways open, vibrations help thin and loosen mucus which can then be expelled.

1. Although the AEROBIKA* Oscillating PEP device, a type of PEP device, is orientation independent, it is recommended that treatments be done in a comfortably seated position.
2. Put the mouthpiece in mouth and close lips around it to ensure an effective seal. Make sure your hand does not block the exhalation path on the back of the device.
3. 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.
4. 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 your treatment.
5. 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 your treatment.
6. Repeat steps 3–5 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.

See our full instructions

When you have COPD or Chronic Bronchitis, Cystic Fibrosis or Bronchiectasis excess mucus can build-up in the lungs resulting in symptoms. The Aerobika* Oscillating PEP device is an airway clearance therapy device used to mobilize excess lung secretions and improve breathing.

The AEROBIKA* OPEP device is DRUG-FREE and can be an add-on therapy to your existing medications. You should continue to take your prescribed medications as directed by your healthcare professional. You should consult your healthcare professional to see if it is a good fit for you.

We recommend using the device twice daily, once in the morning and once at night. Start a session lasting a couple of minutes. As your comfort level with the device improves, slowly increase the treatment duration to 10-20 minutes at a time.

The AEROBIKA* OPEP device is easy to clean and maintain.

1. Disassemble the device in four parts: the mouthpiece, top case, bottom case and valve cartridge.
2. Soak 15 minutes in soapy water and agitate gently.
3. Rinse with clean water to remove soapy water and contaminants.
4. Shake out the water and dry vertically.

The AEROBIKA* OPEP device can also be cleaned with a dishwasher. Place the device in a basket on the top rack of the dishwasher after disassembly. Full instructions can be found with the included instructions package.

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.

A Peak Flow Meter (PFM) is a tool you can use to check how your lungs are doing – to help determine whether you should take your medication or perhaps call your doctor. Just as a thermometer can measure body temperature and give you an indication of a fever, a TRUZONE* peak flow meter measures Peak Expiratory Flow – the fastest speed you can force air from your lungs after taking a deep breath which is a measurement of your lung health. Peak Expiratory Flow readings are higher when you are well and lower when airways are constricted. 

Normal Peak Flow Rates vary based on sex, age and height.

These numbers are for reference only since individuals could have a personal best peak flow rate number that may be higher or lower than the average.

Many people underestimate the severity of their asthma. Some may even accept daily symptoms as a ‘normal’ part of asthma. The fact is that daily symptoms are not normal and can be potentially life threatening. Variations in peak flow trends can signal the patient to implement his or her asthma management plan and can alert physicians to adjust treatments to prevent emergency room visits or hospitalizations. Conversely, use of a peak flow meter is also helpful when trying to reduce medications for patients whose asthma is under control.

Anyone 5 and older with asthma could benefit from using a TRUZONE* peak flow meter, as the daily readings can help you and your healthcare professional understand how well your asthma program is working. Your doctor may even make changes to your medications and therapy program based on your peak flow readings, as it may identify changes, trends or patterns in your respiratory symptoms. 

Peak flow meters can be helpful for: 

• People who have trouble sensing the onset of symptoms
• Parents who want to monitor the lung health of their children
• Anyone who is newly diagnosed with asthma

The TRUZONE* Peak Flow Meter differs from other peak flow meters in several significant ways: the TRUZONE* Peak Flow Meter ColorZone™ zone management system does not require the patient to make mathematical calculations to establish patient zones, and its logarithmic rather than linear scale simplifies the reading and recording of peak expiratory flow rates at critical low flow areas. In addition, the TRUZONE* Peak Flow Meter features a protected internal flow indicator to prevent tampering and any inadvertent changes to peak flow readings.

TRUZONE* Peak Flow Meter is available at many pharmacy counter in pharmacies across Canada or can be purchased on this website. See "add to cart" above. 

You can print another daily record at any time. 

Download now

The TRUZONE* Peak Flow Meter can be cleaned using the normal cycle of a dishwasher or by hand. To wash by hand, soak the device in warm soapy water, agitating gently. Do not use a brush or other object to clean the inside. Rinse with clean water. Gently shake out excess water and allow to air dry thoroughly in a vertical position.  

The device should be cleaned weekly.

Yes, the device should be replaced every 12 months.

No, but we recommend the device be replaced every 12 months.

Yes, the device can be returned to the pharmacy where you purchased the device so that the pharmacist can examine the device. If the device is not working properly, the pharmacist should give you a replacement device and return it to the respective distribution centre.

The chamber can be used with many of the commonly prescribed metered dose inhalers. It does not fit the round style of inhalers such as Airomir, Alvesco or Qvar. 

The chamber can be used with many of the commonly prescribed metered dose inhalers. It does not fit the round style of inhalers such as Airomir, Alvesco or Qvar. 

We recommend cleaning on a weekly basis.

The chamber can be used directly out of the package and should be cleaned weekly.

1. Lift the cap and open the chamber to remove the inhaler.
2. Wash the chamber in warm, clean water with liquid dish detergent, agitating gently. Rinse in clean water.

OR

1. Place on top rack of dishwasher. Run the dishwasher on a normal or light cycle. Do not heat dry.
2. Shake out excess water and allow to air dry. If you require the chamber immediately, dry gently with a clean dish towel.

1. Shake inhaler immediately before use (remove inhaler cap, if attached).
2. Insert inhaler into back of the chamber. Press inhaler as you start to breathe in slowly and deeply.

Download our full instructions

The AEROCHAMBER2GO* chamber should be replaced after 12 months of use.

The majority of adults do not use their inhalers properly. In fact, a large study showed that 9 out of 10 adults don’t use their inhaler properly.

Chambers help by making it easier to inhale your medication and helping to ensure the puffer medication is delivered to your lungs, where it is needed.

The chamber was designed for use by adolescents and adults. It is important that you are comfortable with opening and closing the chamber before storing your inhaler inside of it.

We have received confirmation of coverage in Quebec via both provincial and private insurance plans. 

Anticipate private payer coverage will be available in August for plans outside Quebec (which already has coverage). Medical plan coverage is dependent on what level of plan the employer has in place for the employee. Devices are often covered on extended health benefits via a manual submissions process. This means that you have to pay up front at the pharmacy and submit the prescription receipt to your insurance carrier.

We have received confirmation of coverage in Quebec via both provincial and private insurance plans. 

Anticipate private payer coverage will be available in August for plans outside Quebec (which already has coverage). Medical plan coverage is dependent on what level of plan the employer has in place for the employee. Devices are often covered on extended health benefits via a manual submissions process. This means that you have to pay up front at the pharmacy and submit the prescription receipt to your insurance carrier.

No. It is an integrated dose counter that is supplied as part of the MDI drug product development by the pharmaceutical company and approved with the drug.

Working with pharma partners, Trudell Medical International customizes the AEROCOUNT* Dose Indicator, including the starting count and forces, to suit the inhaler. Trudell can also customize the display printing on the indicator and exterior colours.

Yes, the AEROCOUNT Smart Dose Counter has bluetooth connectivity. Contact us for further information on our connected solutions for extending patient care.

Due to the operational design, no additional force is required to use the MDI when integrated with the AeroCount* Dose Indicator.

The small size mask is recommended for up to 18 months of age. The medium size mask is recommended for 1 to 5 years of age. The large size mask is recommended for over 5 years of age.

Masks are essential for infants and younger children. Masks are also ideal for increased ease of use.

The mask is silicone. It’s not made or manufactured with bisphenol A (BPA), phthalates, latex or lead.

The COMFORTSEAL* Mask should be replaced after 6 months of use.

The mask can be cleaned after each use.

1. Remove the Elbow Adapter from the mask. Soak both parts for 15 minutes in a mild solution of liquid dish detergent and lukewarm clean water. Agitate gently.
2. Rinse parts in clean water.
3. Shake out excess water and allow to air dry. Ensure parts are dry before reassembly.
4. To reassemble, insert the Elbow Adapter into the opening on the mask. Hold the mask in an upright position. Rotate the Elbow Connector so it is horizontal.

The mask can be disinfected each day.

1. First, clean the mask. Do not dry or reassemble the device.
2.  
   • 2A - Bleach: Soak the parts in a 1:50 bleach to water solution (1 tablespoon (15 mL) bleach in 3¼ cups (800 mL) water) for 3 minutes. 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.
   • 2B - Isopropyl Alcohol: Soak the parts in 70% isopropyl alcohol for 1 minute.
3. Rinse parts thoroughly in clean water.
4. Shake out excess water and allow to air dry. Ensure parts are dry before reassembly.
5. To reassemble, insert the Elbow Adapter into the opening on the mask. Hold the mask in an upright position. Rotate the elbow connector so it is horizontal.

† trade-marks of the respective companies

The tubing should be replaced with the nebulizer. The AEROECLIPSE* XL BAN* Nebulizer should be replaced after 6 months of use. The AEROECLIPSE* II BAN* Nebulizer should be replaced after 7 days of use.

You may notice condensation on the inside of the EZ TWIST Tubing. This is normal. To remove the condensation, simply connect one end of the tubing to the compressed air supply, and allow the air to run without the nebulizer attached. This will force air through the tubing, drying the inside. To clean the exterior, wipe with a damp cloth. Allow to air dry thoroughly.

EZ TWIST Tubing cannot be disinfected or sterilized.

With breath actuated delivery, aerosol is only produced during the inspiratory cycle. This means medication is not wasted between breaths or during breaks in treatment (for example to cough or have a conversation). This puts the patient in control of their aerosol treatment. Other nebulizers continuously produce aerosol regardless of whether the patient is inhaling, exhaling or resting, resulting in medication being lost to the air instead of delivered to the lungs. 

Learn more about the difference breath actuated delivery can make!

The AEROECLIPSE* II BAN* Nebulizer only produces aerosol during inhalation, so treatment time is dependent on breathing pattern and also breaks taken during the treatment. The dose (or amount of medication) and the gas source used (for example, hospital wall air) are other factors that affect treatment time.

Nebulizer design and the dose or amount of medication it’s delivering affect treatment time. To keep treatment time consistent, it’s important to properly care for the nebulizer according to the device’s instructions for use.

The frequency of nebulizer treatments depends on the type and severity of the patient’s condition. A health care provider can determine what’s right for the patient.

Nebulizers are often selected for patients such as infants and small children. A health care provider can determine what’s right for the patient.

The number of nebulizer treatments depends on the type and severity of the patient’s condition. Treatments may be recommended once or twice to several times daily. A health care provider can determine what’s right for the patient.

The AEROECLIPSE* II BAN* Nebulizer is an innovative device that produces aerosol only during inhalation. Most other nebulizers continuously produce aerosol regardless of whether the patient is inhaling, exhaling or resting. As a result, a large portion of the prescribed medication in a continuous nebulizer is released to the environment and is not inhaled. Care providers and others in the immediate surroundings have the risk of inhaling potentially harmful aerosolized emissions. 

Learn more about the difference breath actuated delivery can make!

The AEROECLIPSE* II BAN* Nebulizer allows the healthcare provider many treatment options that may include fewer or shorter treatment times, less medication put into the nebulizer, or running the AEROECLIPSE* II BAN* Nebulizer continuously. 

The green feedback button on the top of the AEROECLIPSE* II BAN* Nebulizer lowers during inhalation indicating that aerosol is being produced. When the patient stops inhaling, the button returns back to its original position indicating aerosol production has stopped. This movement can help encourage the patient to take long, slow breaths.

Down Position: Lowers upon inhalation.

Up Position: Rises back to the original ‘up’ position at the end of inhalation or between breaths.

Yes, the mouthpiece on the AEROECLIPSE* II BAN* Nebulizer can be removed and replaced with a COMFORTSEAL* Mask. The silicone mask contours gently to the face, providing a secure and comfortable fit. COMFORTSEAL* Masks are available in small, medium and large sizes.

1. Ensure the exhalation valve on the mouthpiece faces down. Warning: It is important to prevent exhaled breath from blowing near the eyes. Refer to the drug product monograph for more information. Note: For patients unable to use the mouthpiece, the nebulizer can be used with a COMFORTSEAL* Mask.
2. Inhale and exhale through the nebulizer mouthpiece to verify the movement of the green feedback button on the top of the nebulizer. The button should move up and down freely.
3. Unscrew and remove the top of the nebulizer. Place prescribed drug into the nebulizer cup. Reattach the top and gently hand tighten. Note: Keep the nebulizer in an upright position so the drug does not spill.
4. Attach one end of the tubing to the fitting in the bottom of the nebulizer and the other end to the flowmeter or compressed air source. Ensure both ends are securely attached.
5. Set the flowmeter to 7 to 8 L/min with a compressed air source capable of delivering 345 kPa (50 psi).
6. Place the mouthpiece in mouth, and inhale slowly and deeply. As you inhale, the green feedback button will move into the down position. This indicates the nebulizer is producing aerosol. Exhale normally. As you exhale, the green feedback button will move into the up position. This indicates the nebulizer is not producing aerosol. Note: Do not place the lips over the exhalation valve on the bottom of the mouthpiece. Doing so will prevent the valve from functioning properly. Note: Ensure the nebulizer remains upright for proper nebulization.
7. Continue to inhale from the nebulizer until it starts to sputter, or as instructed by your health care provider.
8. Turn off the compressed air source. Note: Disconnect the tubing from the compressed air supply after use.

Refer to the instructions for use for additional information.

To use the AEROECLIPSE* II BAN* Nebulizer in breath actuated mode, move the mode selector on the top of the nebulizer to the breath actuated position (*). If there is a time when you would rather have a continuous mist, simply move the mode selector clockwise to the continuous mode position (**).

* Breath actuated position:

 ** Continuous mode position:

Yes, simply use the device in the continuous mode position. Simply move the mode selector clockwise to the continuous mode position (**). 

** Continuous mode position: 

The AEROECLIPSE* II BAN* Nebulizer should be replaced after 7 days of use.

We recommend cleaning the nebulizer (excluding tubing) after each use.

The nebulizer (excluding tubing) can be cleaned after each use.

1. The mode selector should be in the breath actuated position (*).
2. Remove the EZ TWIST Tubing from the bottom of the nebulizer.
3. Unscrew and remove the nebulizer top.
4. Shake out excess drug.
5. Use any of the following methods to clean the nebulizer.
   • Hand Washing: Soak the three parts in a mild solution of liquid dish detergent and lukewarm clean water for about 5 minutes. Agitate gently. Rinse thoroughly with clean water. Shake out excess water.
   • Sterile Water: Thoroughly rinse the three parts in sterile water. Shake out excess water.
6. Briefly connect the tubing to the bottom of the nebulizer cup and the compressed air supply to clear the air pathway.
7. Allow the parts to air dry thoroughly before reassembling.
8. Reattach the nebulizer top, making sure to line up the white cylinder with the stem of the nebulizer cup. Gently hand tighten until a stop is detected.
9. Reattach the mouthpiece to the nebulizer with the exhalation valve facing down.
10. After the nebulizer is fully dry and assembled, store in a clean plastic bag or container.

Refer to the instructions for use for additional information.

* Breath actuated position:

The nebulizer (excluding tubing) can be disinfected each day. First, follow the cleaning instructions. Do not reassemble the nebulizer. Soak the mouthpiece, nebulizer top and nebulizer cup in 70 % isopropyl alcohol for 5 minutes. Rinse the parts thoroughly with sterile water. Allow the parts to air dry thoroughly before reassembling. After the nebulizer is fully dry and assembled, store in a clean plastic bag or container.

Refer to the instructions for use for additional information.

No, the AEROECLIPSE* II BAN* Nebulizer cannot be sterilized. Do not autoclave.

You may notice condensation on the inside of the EZ TWIST Tubing. This is normal. To remove the condensation, simply connect one end of the tubing to the compressed air supply, and allow the air to run without the nebulizer attached. This will force air through the tubing, drying the inside. To clean the exterior, wipe with a damp cloth. Allow to air dry thoroughly.

Refer to the instructions for use for additional information.

Yes, a filter kit is available for use with AEROECLIPSE* BAN* Nebulizers. The filter kit filters fugitive emissions (aerosolized medication)¹, viruses² and bacteria² from the patient's exhaled breath. It reduces exposure of healthcare providers to potentially harmful emissions. The filter kit is a single patient, single use accessory (use only once).

1. TMI, Data on file 30 August 2020.

2. Breathing Filter Product Report, 24 October 2020, on file TMI.

The AEROECLIPSE* II BAN* Nebulizer can be connected directly to the AEROBIKA* OPEP device for nebulizer therapy during inhalation with secretion mobilization during exhalation. To use, first remove the mouthpiece from the AEROECLIPSE* II BAN* Nebulizer. Then, attach the device to the nebulizer port of the AEROBIKA* OPEP device. No adaptor is required. A healthcare provider can advise which medication to use for combined treatments. 

A nebulizer is a medical device designed to work with a compressed air source to convert liquid medication into a fine mist so it can be inhaled directly into the lungs. You may need nebulizer treatments if you have lung disease such as cystic fibrosis, bronchiectasis or COPD (chronic obstructive pulmonary disease). If you have questions about the prescribed medication inside the nebulizer, please talk to your healthcare provider. 

A nebulizer compressor (also called a nebulizer machine) is a medical device intended to deliver compressed air to a jet or pneumatic nebulizer. Compressors can be electrically, or battery powered. 

Your physician may order your inhaled medication to be given with a nebulizer instead of by an inhaler (puffer). Elderly or those unable to operate or coordinate the use of an inhaler may find a nebulizer easier to use. Please talk to your healthcare provider about which drug delivery type is right for you. 

With breath actuated delivery, aerosol is only produced when you breathe in. This means medication is not wasted between breaths or if you need to take a break (for example if you need to cough or have a conversation). This puts you in control of your aerosol treatment. Other nebulizers continuously produce aerosol regardless of whether you are inhaling, exhaling or resting, resulting in medication being lost to the air instead of delivered to your lungs. 

Learn more about the difference breath actuated delivery can make!

The AEROECLIPSE* XL BAN* Nebulizer only produces aerosol when you inhale, so treatment time is dependent on your breathing pattern and breaks you might take during your treatment. The dose (or amount of medication) and the gas source you use (for example, compressor) are other factors that affect treatment time.

Nebulizer design and the dose or amount of medication it’s delivering affect treatment time. To keep treatment time consistent, it’s important to properly care for your nebulizer according to the device’s instructions for use.

The frequency of your nebulizer treatments depends on the type and severity of your condition. Please speak with your health care provider to understand what’s right for you.

Nebulizers are often selected for patients such as infants and small children. Please speak with your health care provider to understand what’s right for your child.

Nebulizers convert medication into an aerosol or mist that can be inhaled into your lungs. Nebulizers are used in the treatment of cystic fibrosis (CF), bronchiectasis, chronic obstructive pulmonary disease (COPD), asthma, nontuberculous mycobacterial (NTM) lung disease and other respiratory conditions.

The number of nebulizer treatments depends on the type and severity of your condition. Treatments may be recommended once or twice to several times daily. Please speak with your health care provider to understand what’s right for you.

The AEROECLIPSE* XL BAN* Nebulizer is an innovative device that produces aerosol only when you breathe in. Most other nebulizers continuously produce aerosol regardless of whether you are inhaling, exhaling or resting. As a result, a large portion of the prescribed medication in a continuous nebulizer is released to the environment and is not inhaled. Care providers and others in your immediate surroundings have the risk of inhaling potentially harmful aerosolized emissions. 

Learn more about the difference breath actuated delivery can make!

The green feedback button on the top of the AEROECLIPSE* XL BAN* Nebulizer lowers when you inhale indicating that aerosol is being produced. When you stop inhaling, the button returns back to its original position indicating aerosol production has stopped. This movement can help encourage you to take long, slow breaths. 

Down Position: Lowers upon inhalation.

Up Position: Rises back to the original ‘up’ position at the end of inhalation or between breaths.

Yes, the mouthpiece on the AEROECLIPSE* XL BAN* Nebulizer can be removed and replaced with a COMFORTSEAL* Mask. The silicon mask contours gently to your face, providing a secure and comfortable fit. The COMFORTSEAL* Mask is available in small, medium and large sizes.

1. Ensure the exhalation valve on the mouthpiece faces down.
   • Warning: It is important to prevent exhaled breath from blowing near the eyes. Refer to the drug product monograph for more information.
   • Note: For patients unable to use the mouthpiece, the nebulizer can be used with a COMFORTSEAL* Mask.
2. Inhale and exhale through the nebulizer mouthpiece to verify the movement of the green feedback button on the top of the nebulizer. The button should move up and down freely.
3. Unscrew and remove the top of the nebulizer. Place prescribed drug into the nebulizer cup. Reattach the top and gently hand tighten. Note: Keep the nebulizer in an upright position so the drug does not spill.
4.  
   • Use With Compressor. Attach one end of the tubing to the fitting in the bottom of the nebulizer and the other end to the compressor. Ensure both ends are securely attached. Turn on the compressor. Note: The nebulizer may be used with an Ombra* Compressor or an air source capable of delivering 103 to 170 kPa (15 to 25 psi) and 4 L/min when connected to the nebulizer.
   • Hospital Use With Wall Air. Attach one end of the tubing to the fitting in the bottom of the nebulizer and the other end to the flowmeter or compressed air source. Ensure both ends are securely attached. Set the flowmeter to 7 to 8 L/min with a compressed air source capable of delivering 345 kPa (50 psi).
5. Place the mouthpiece in mouth, and inhale slowly and deeply. As you inhale, the green feedback button will move into the down position. This indicates the nebulizer is producing aerosol. Exhale normally. As you exhale, the green feedback button will move into the up position. This indicates the nebulizer is not producing aerosol. Note: Do not place the lips over the exhalation valve on the bottom of the mouthpiece. Doing so will prevent the valve from functioning properly. Note: Ensure the nebulizer remains upright for proper nebulization.
6. Continue to inhale from the nebulizer until it starts to sputter, or as instructed by your health care provider.
7. Turn off the compressed air source. Note: Disconnect the tubing from the compressed air supply after use.

Refer to the instructions for use for additional information.

To use the AEROECLIPSE* XL BAN* Nebulizer in breath actuated mode, move the mode selector on the top of the nebulizer to the breath actuated position (*). If there is a time when you would rather have a continuous mist, simply move the mode selector clockwise to the continuous mode position (**). 

* Breath actuated position:

 ** Continuous mode position:

Yes, simply use the device in the continuous mode position. Simply move the mode selector clockwise to the continuous mode position (**).

** Continuous mode position:

The AEROECLIPSE* XL BAN* Nebulizer should be replaced after 6 months of use.

We recommend cleaning the nebulizer (excluding tubing) after each treatment.

The nebulizer (excluding tubing) can be cleaned after each use.

1. The mode selector should be in the breath actuated position (*).
2. Remove the EZ TWIST Tubing from the bottom of the nebulizer.
3. Unscrew and remove the nebulizer top.
4. Shake out excess drug.
5. Use any of the following methods to clean the nebulizer.
   • Hand Washing: Soak the three parts in a mild solution of liquid dish detergent and lukewarm clean water for about 5 minutes. Agitate gently. Rinse thoroughly with clean water. Shake out excess water.
   • Dishwasher: Secure the three parts in a basket on the top rack. Run the dishwasher on a normal cycle. Do not heat dry. Shake out excess water.
6. Briefly connect the tubing to the bottom of the nebulizer cup and the compressed air supply to clear the air pathway.
7. Allow the nebulizer parts to air dry before reassembly.
8. Reattach the nebulizer top, making sure to line up the white cylinder with the stem of the nebulizer cup. Gently hand tighten until a stop is detected.
9. Reattach the mouthpiece to the nebulizer with the exhalation valve facing down.
10. After the nebulizer is fully dry and assembled, store in a clean plastic bag or container.

Refer to the instructions for use for additional information.

* Breath actuated position:

The nebulizer (excluding tubing) can be disinfected each day. First, follow the cleaning instructions. Do not dry or reassemble the nebulizer. Use any of the following methods to disinfect the nebulizer.

1. Boiling: Place the three parts in a pot with boiling water and boil for 5 to 15 minutes. Remove from the water without touching the water. Allow the parts to air dry thoroughly before reassembling. Note: Place a small rack on the bottom of the pot to prevent parts from coming in contact with the hot bottom.
2. Isopropyl Alcohol: Wipe the outside surfaces of the three parts with a tissue dipped in 70% isopropyl alcohol then submerge the three parts in a soak of 70% isopropyl alcohol for 1 minute before shaking to remove excess alcohol. Rinse the parts thoroughly with sterile water. Allow the parts to air dry thoroughly before reassembling.
3. Bleach: Soak the three parts in a 1:50 bleach to water solution (1 tablespoon (15 mL) bleach in 3¼ cups (800 mL) water) for 3 minutes. Rinse the parts thoroughly with sterile water. Allow the parts to air dry thoroughly before reassembling. 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.
4. Electronic Steam Disinfector: Place the three parts in an electronic steam disinfector. Follow the manufacturer’s instructions for use. Remove the parts from the unit. Allow the parts to air dry thoroughly before reassembling.
5. Microwave Steam Bag: Place the three parts in a microwave steam bag (such as Quick Clean^† Micro-Steam^† bag). Follow the manufacturer’s instructions for use. Remove from the bag. Allow the parts to air dry thoroughly before reassembling.
6. Vinegar: Soak the three parts in a 1:3 vinegar to water solution (1 cup (250 mL) vinegar in 3 cups (750 mL) water) for 1 hour. Rinse the parts thoroughly with sterile water. Allow the parts to air dry thoroughly before reassembling.
7. After the nebulizer is fully dry and assembled, store in a clean plastic bag or container.

Refer to the instructions for use for additional information.

† trade-marks of the respective companies

You may notice condensation on the inside of the EZ TWIST Tubing. This is normal. To remove the condensation, simply connect one end of the tubing to the compressed air supply, and allow the air to run without the nebulizer attached. This will force air through the tubing, drying the inside. To clean the exterior, wipe with a damp cloth. Allow to air dry thoroughly.

Refer to the instructions for use for additional information.

The AEROECLIPSE* XL BAN* Nebulizer can be used in the hospital with wall air or with a compressor.

Clean, disinfect and sterilize the nebulizer before using it with a different patient. This will prevent cross infection.

The nebulizer (excluding the tubing) can be cleaned, disinfected and sterilized up to 150 times. The tubing must be replaced between patients.

Cleaning and Disinfection

1. The mode selector should be in the breath actuated position (*).
2. Remove the tubing from the bottom of the nebulizer.
3. Unscrew and remove the nebulizer top.
4. Shake out excess drug.
5. Soak the three parts in a 0.5 % solution of neodisher^† MediClean forte (or similar) cleaning agent for 5 minutes, agitating gently.
6. Load the parts into a washer-disinfector compliant to ISO 15883-1. Ensure the parts are oriented upright.
7. Run the cleaning and disinfection cycle. 
   • Note: Use cleaning agent neodisher^† Mediclean. The use of a rinse agent is optional.
8. Following disinfection, remove the parts from the washer-disinfector. Shake out excess water. Allow the parts to air dry thoroughly.

Sterilization

1. After cleaning, disinfection, and air dry, pack and seal the nebulizer parts in a sterilization pouch compliant to ISO 11607-1 & 2 or EN 868-5.
   • Note: The pouch should be no smaller than 70 mm x 120 mm. The white cylinder portion of the nebulizer top should be positioned in the pouch so it is not bent or pressed into corners where it can become bent (Figure 1).
2. Load the pouch in the sterilizer.
3. Sterilize according to ISO 17665-1 Moist Heat with any of the following parameter sets: 
   • 3 pre-vacuum phases; 134 °C sterilization temperature; 3 minutes hold time; 1 minute dry time
   • 3 pre-vacuum phases; 121 °C sterilization temperature; 20 minutes hold time; 1 minute dry time
   • Note: Do not exceed a temperature of 137 °C.
4. Reassemble the nebulizer prior to next use.
5. Store in a clean plastic bag or container.

* Breath actuated position:

Figure 1:

† trade-marks of the respective companies

The AEROECLIPSE* XL BAN* Nebulizer can be connected directly to the AEROBIKA* OPEP device for nebulizer therapy during inhalation with secretion mobilization during exhalation. To use, first remove the mouthpiece from your AEROECLIPSE* XL BAN Nebulizer. Then, attach the device to the nebulizer port of the AEROBIKA* OPEP device. No adaptor is required. Your healthcare provider will advise you which medication to use for your combined treatments. 

Download the AEROBIKA* OPEP device instructions for information on how to use the device with the AEROECLIPSE* XL BAN* Nebulizer.

Yes, a filter kit is available for use with AEROECLIPSE* BAN* Nebulizers. The filter kit filters fugitive emissions (aerosolized medication)¹, viruses² and bacteria² from the patient's exhaled breath. It reduces exposure of healthcare providers to potentially harmful emissions. The filter kit is a single patient, single use accessory (use only once).