The AEROBIKA® OPEP Device with Manometer Adapter from Monaghan Medical

The AEROBIKA® Oscillating Positive Expiratory Pressure (OPEP) Therapy System with the manometer adapter helps monitor expiratory pressures while providing visual feedback on exhalation.
As the user exhales, the manometer gauge will rise. For each exhalation effort, the goal is to keep the gauge within the green zone (ideally between 10-20 cm H20) to maximize treatment effectiveness. Use of the manometer adapter may help patients unfamiliar with the proper breathing technique for OPEP therapy but is also a helpful reminder for seasoned users.
The AEROBIKA® OPEP device is convenient, user-friendly and provides clinicians and their patients with a means for reliable, drug-free, natural airway clearance. It opens weak or collapsed airways by creating positive pressure and oscillations simultaneously, which helps move mucus to the upper airways where it can be coughed out.
How It Works

- Before Use: Airways inflamed, collapsed, and plugged with mucus.
- As you exhale through the device while keeping the manometer gauge in the green zone, positive pressure will hold the airways open. Think of how you feel when you blow up a balloon. It is the positive pressure that holds the balloon open. Inside your lungs, the positive pressure opens up small airways that may be blocked by mucus.
- As the airways open, the device switches quickly between higher and lower resistance. This may feel like vibrations or pulses which act to loosen the mucus from the walls of your lungs. The frequency of the oscillations closely match the ones within your lungs, helping move mucus to the larger airways. This makes it easier for you to cough up the secretions.
- With the airways opened and the mucus moved out of the airways, your inhaled medication may work better.1
How To Use

- CLOSE LIPS around mouthpiece
- INHALE and HOLD for 2-3 seconds
- EXHALE – slowly but firmly
- REPEAT as directed
These are shortened user instructions. Always review the complete instructions that came with your device.
Frequently Asked Questions
Can the manometer accessory be purchased separately from the AEROBIKA® OPEP device?
At this time, the manometer accessory is only available when purchased in combination with the AEROBIKA® OPEP device. It cannot be purchased separately.
What are the benefits of the manometer accessory?
The manometer accessory includes a gauge which can be used to confirm proper technique for each exhalation. It provides immediate feedback by achieving a visual goal for each breath. The feedback provided can also guide a clinician or user on choosing the correct level of resistance to set to optimize therapy.
How does the manometer gauge link the user to their therapy?
On exhalation, the manometer gauge will rise indicating the backpressure within the airways. Users want to keep a steady exhalation effort, keeping the gauge within the desired pressure range – usually between 10-20 cm H2O, or as prescribed by their healthcare team. The gauge provides immediate feedback to the user, helping develop proper exhalation technique. This can be valuable for new users who may be unsure of how to use the device, as well as more experienced users who may benefit from frequent adjustments in the resistance setting based on disease symptoms.
Why is there a 6 month expiry for the manometer gauge, but the AEROBIKA® OPEP device is good for 12 months?
The manometer gauge is a measurement tool, which has undergone rigorous validation testing to ensure the measurements are accurate for its recommended replacement period of 6 months. The AEROBIKA® OPEP device has also undergone rigorous testing to meet or exceed the 12 month lifespan on functionality with repeated cleanings.
Can I clean the manometer gauge and adapter with my AEROBIKA® OPEP device?
No, the manometer measurement gauge cannot be submerged in water or any other liquid. Soaking or submerging may leave residues that can affect the accuracy of the pressure readings or may cause malfunction.
The manometer gauge can be removed from the manometer adapter (which can be cleaned with the AEROBIKA<sup>®</sup> OPEP device) and the outside surface can be wiped down with isopropyl alcohol.
If you have a question that was not answered here, please contact us.
Clinical Evidence
AEROBIKA® OPEP DEVICE CLINICAL EVIDENCE SUMMARY
A quick view of the most recent peer-reviewed evidence supporting the chambers. Learn more.
AIRWAY CLEARANCE IN THE COVID-19 TREATMENT PATHWAY
An evidence assessment for the integration of the AEROBIKA® OPEP device into the care pathway for COVID-19 patients with airway clearance needs. Watch the video.
USE OF THE AEROBIKA® OPEP DEVICE RESULTED IN DECREASED READMISSIONS VERSUS STANDARD OF CARE
28% decrease in readmissions for COPD exacerbations. Learn more.
39% decrease in all-cause rehospitalizations and lower costs for post-operative recovery. Learn more.
References:
1Svenningsen S. et al. COPD 2016;13(1):66 – 74.
2V Wolkove N, et al. CHEST 2002;121(3):702-7.