New, sealed. Aerobika Oscillating Positive Expiratory Pressure (OPEP) Therapy System is a Mucus Clearance Device. This PEP therapy device is a hand-held device with a proprietary pressure-oscillation dynamic that provides intermittent resistance and creates positive pressure and oscillations simultaneously. This Aerobika device naturally opens weak or collapsed airways to allow more oxygen intake without the need for medication. The use of Aerobika OPEP improves the ability of a patient to bring up mucus, decreases breathlessness and cough frequency, and increases exercise tolerance, resulting in an enhanced quality of life. Aerobika OPEP is helpful for people who have chronic bronchitis, bronchiectasis, COPD, and cystic fibrosis and often produce an excessive amount of mucus. The Aerobika device has five resistance settings, allwing users to customize the level of pressure to suit their needs. Features For Aerobika OPEP mouthpiece, without manometer. Five resistance settings adjust to each patient’s capacity. The lightweight structure fits comfortably in the hand for ease of use. The Aerobika Oscillating Positive Expiratory Pressure (OPEP) device is drug-free and easy to use. Standard 22 mm fitting accommodates small volume nebulizers, including the AeroEclipse Breath Actuated Nebulizer (BAN). The Aerobika OPEP device promotes the opening of airways and assists with moving mucus to the upper airways for easier expulsion.