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Smiths Medical ASD Inc acapella® DH Vibratory PEP Therapy System with Mouth Piece Green, >15 lpm for 3 sec, 22mm O.D. ambient end, 22mm O.D. patient endacapella® combines the benefits of both PEP therapy and airway vibrations to mobilize pulmonary secretions and can be used in virtually any spatial orientation. Patients are free to sit, stand or recline.