The PEPE device is a vibratory PEP is a single patient use therapy device that provides Positive Expiratory Pressure (PEP) therapy for patients who have Cystic Fibrosis, COPD, asthma, and lung diseases with secretory problems, and patients with atelectasis. The PEP device uses inhalation and exhalation to keep the lungs healthy. When exhaling, the PEP vibratory therapy device provides vibrations you will feel in the airways.

Over-the-counter medication simply relaxes the muscles and relieves inflammation, it does not clear the build-up of mucus in the airways. The accumulation of mucus in the lungs causes a decline in lung capacity. The PEPE device (Positive Expiratory Pressure Exerciser or vibratory PEP device’s vibratory flutter effectively clears mucus from the airways and strengthens the lungs. The PEPE device can also be used as a lung exerciser that is suitable for athletes as well as physically active people to increase their lung capacity. The PEPE device opens weak or collapsed airways by creating positive pressure and oscillations simultaneously, which helps move secretions such as mucus to the upper airways where it can be coughed out.

The PEPE device is designed to be an add-on therapy to your existing medications. You should continue to take your prescribed medications.

IMMEDIATE BENEFIT: It will open up the airways into your lungs that have been partially obstructed over the years, due to natural aging, pollution, poor physical condition, and smoking (if applicable).

LONG TERM BENEFIT: It will target and develop the respiratory muscles (the diaphragm and intercostals) to help you inhale more volume of air/oxygen into your lungs, and to exhale more carbon dioxide out of your lungs.

What can the PEPE Airway Clearance Device be used for?

The PEPE (Positive Expiratory Pressure Exerciser) device can be used as a natural and effective PEP therapy treatment for patients suffering from respiratory conditions such as:

  • Cystic Fibrosis
  • Asthma treatment (with Secretion Retention)
  • Bronchiectasis
  • COPD (Chronic Obstructive Pulmonary Disease)
  • Smokers
  • Most other disorders resulting in retained secretions
  • Lung strengthening and expansion
  • Chest cold and flu
  • Mucociliary Clearance Disorders


Stage 1 – Mucus Loosening and Mucus Mobilization

  1. Gather supplies, relax, assume proper posture and position.
  2. Slowly inhale beyond a normal breath, but do not fill lungs completely.
  3. Hold breath for 2–3 seconds
  4. Place PEPE in mouth, adjust tilt to feel maximum of vibrations within chest, keep cheeks stiff.
  5. Exhale through PEPE at a reasonably fast but not too forceful speed, using abdominal breathing.
  6. Exhale beyond a normal breath but do not empty lungs completely.
  7. Attempt to suppress cough.
  8. Repeat steps 1 through 7 for 5–10 breaths.

Begin Stage 2 – Mucus Elimination

  1.   Slowly inhale, filling lungs completely.
  2.   Hold breathe for 2–3 seconds.
  3.   Place PEPE in mouth, adjust tilt to feel maximum vibrations within chest, keep cheeks stiff.
  4.   Exhale forcefully through PEPE as completely as possible.
  5.   Repeat steps 9 through 12 for 1–2 breaths.
  6.   Initiate cough (or huff manoeuvre). Return to Stage 1 and repeat full sequence (Stages 1 and 2) until lungs are clear or therapy is over.

*Note: Feeling light-headed is normal, but be careful not to push too far.


What is a PEP device?

PEPE is a natural lung physio exerciser for home use that aids in mucus clearance and increased lung’s capacity. The PEPE device unblocks congested airways using oscillating Positive Expiratory Pressure (Oscillating PEP) commonly known as PEP therapy that uses vibrations and positive air pressure to clear the lungs and loosen the mucus.

Why is Airway Clearance necessary?

Many chronic pulmonary conditions consist of a build-up of secretions in the airways. These secretions, if left in the airways, can block air passages, make breathing difficult, and provide an ideal environment for bacteria. Daily airway clearance with the PEPE device can reduce the chances of lung infection and damage.

Who should use the PEPE device?

The PEPE device is widely recommended as Respiratory Physio aid for patients with Respiratory conditions such as: Asthma, Cystic Fibrosis, Bronchiectasis, COPD, Chronic Bronchitis and Other Conditions Producing Retained Secretions.  The device can also be used to assist with chest cold and flu symptoms and by smokers.

How should the patient clean the PEPE device?

The PEPE device is recommended for single patient use. Wash all four parts of the PEPE device with a warm soapy water for 5-10 minutes. Rinse the individual components thoroughly in running water. Shake off the extra water and lay on a clean, dry, and absorbent surface to air dry.

How should the PEPE be assembled after cleaning?

To assemble the PEPE device, insert the funnel in the lower section of the mouthpiece, place the ball bearing in the funnel, and screw the cover onto the lower section of the device.

How often should the device be used?

The number of breaths through the device may vary from 6 to 10  breaths per one cycle. This will depend on the individual’s sputum volume and lung capacity/strength. Each treatment session should consist of 6 to 10 cycles. Most users start with six days a week, twice a day, for 10 mins per session.

How soon should the patient notice a difference after using the PEP device?

Some could start feeling a change after a week if they’ve been previously physically active, while others may have to wait for longer than 2-3 weeks or a month.

Is the PEPE device Australian Made?

Yes, the PEPE device is proudly Aussie made and manufactured respiratory device.