PEPE Airway Clearance Respiratory Device



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PEPE Vibratory PEP device - A Natural Treatment for Asthma, COPD & Other Respiratory conditions.

PEPE is an affordable, effective and natural lung physiotherapy PEP device manufactured in Australia. The PEPE device is a handheld mucus clearance respiratory device that loosens and eliminates mucus build up or phlegm from your airways. The PEPE uses Oscillating Positive Expiratory Pressure or PEP Therapy for patients with mucus producing respiratory conditions. The PEPE device is a pipe shaped device with a hard plastic mouthpiece at one end, a protective perforated plastic cover at the other end and a stainless steel ball resting in a circular cone inside the PEPE device.

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.

This combined actions helps move the mucus up the airways so that it can be coughed out. Daily airway clearance with the PEPE (Positive Expiratory Pressure Exerciser) can help break this cycle of lung infection and lung damage.

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.

Wholesale Enquiries: If you are interested in stocking the PEPE device please contact us to discuss your requirements. [email protected] or 1300 76 72 79

What are the benefits of the PEPE Device- Positive Expiratory Pressure Exerciser

  • Affordable & effective treatment for many respiratory conditions such as asthma attacks
  • Easy to clean PEP device
  • Easy to operate and does not require electricity or water.
  • Ideal for children and adults
  • Helps clear the airways & enhances lung function
  • Improve breathing and reduce shortness of breath.
  • Light weight & small hand held device
  • Made in Australia
  • 100% Natural Lung Expansion Device
  • Drug free vibration therapy
  • Loosens mucus and secretions through breathing
  • Mucus removal lessens the chances of lung infection or lung damage
  • Similar to the Flutter mucus clearance device, Acapella, AirPhysio, Aerobika, TurboForte
  • Works for any respiratory condition where mucus removal is helpful

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
      • Bronchiectasis
      • COPD (Chronic Obstructive Pulmonary Disease)
      • Smokers
      • Most other disorders resulting in retained secretions
      • Lung strengthening and expansion
      • Chest cold and flu

Why is Airway Clearance important?

In many chronic pulmonary conditions there is a build-up of secretions in the airway walls. These secretions, when stuck in the airways can block the airways, making breathing difficult, and provide an ideal environment for bacteria to multiply and thrive. Therefore, airway clearance can be critical to your treatment. Daily airway clearance and lung expansion with the oscillating PEP device can help break this cycle of lung infection and lung damage.

How to use the PEPE device:

The PEPE natural lung physio device vibrates the airways which loosens mucus and secretions from the airway wall. The intermittent increase in pressure helps keep the airways open during exhalation so that the mucus does not become trapped and can move up the airway. The rapid exhalation that creates the oscillations helps push the mucus up the airway to where it can be coughed out.

Follow the steps below to use the PEPE device:


Step 1: Mucus Loosening

The patient should be seated with back straight and head slightly tilted upward so the upper airway is open. Slowly inhale to 3/4th of the a full breath, place the PEPE device in the mouth with lips sealed firmly and tube of the PEP device is horizontal. Hold your breath for 2-3 seconds, this allows the inhaled air to be distributed evenly throughout the lungs. Now exhale through the PEPE device reasonably fast but not too forceful. Remember to keep the cheeks stiff so the vibrations produced by the PEPE device are not wasted in the cheeks. At this point you should start feeling the mucus moving further up the airways with each exhalation. Concentrate on feeling the airways vibrate and continue to exhale through the PEPE device slightly further (longer exhales) than exhaling during normal breathing without the device. Repeat this breathing technique 5-10 times to loosen the mucus as much as possible. Emphasis should be on inhaling slowly, holding the breath for 2-3 seconds and exhaling quickly but not being forceful.

Now you will be ready to begin step 2: Mucus Elimination

Slowly inhale, perform the 2–3 second breath hold and then forcibly exhale through the PEPE as completely as possible. This forceful exhalation should move the mucus up to a level that triggers a cough.
Therapy is complete when no further mucus can be coughed up.

Frequency and duration can be determined by a health professional.

OR Click here PEPE Instructions (PDF) to download the PDF and print the PEPE Device instructions.

How does the PEPE device work?

When you exhale or breathe out through the PEP device or the PEPE your breath moves the steel ball inside the device. This results in vibrations in the airway that loosens mucus or phlegm. The slight increase in pressure helps in keeping your airway open during exhalation so that the mucus does not become trapped and can easily move up the airway. The combined action of vibrations and pressure pushed the mucus up your airways progressively until you are able to cough it out.

Frequently Asked Questions about the PEPE device

What is a PEP device?

PEPE is a natural lung physio exerciser for home use that aids in mucus clearance and it also helps increase your lung’s capacity. The PEPE device unblocks congested airways using oscillating Positive Expiratory Pressure (Oscillating PEP) commonly known as PEP therapy that harnesses vibrations and positive air pressure to clear the lungs and loosen the mucus. Therefore, the PEP therapy and oscillations help improve your respiratory function by assisting in removing secretions and improving lung ventilation.

How does the PEP device work?

Oscillating PEP device such as the PEPE or Flutter device create vibrations when you exhale. The vibrations move the mucus from the surface of your airways. After blowing through the PEP device several times, a huff cough will help move the mucus out of the airways. PEP therapy will help prevent accumulation of secretions; improve mobilization of secretions; promote effective breathing patterns and improve distribution of ventilation; improve central and peripheral airway function.

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 to multiply and thrive – a primary cause of progressive, irreversible lung damage. Therefore, airway clearance is critical to your overall care. Daily airway clearance with the PEPE device can help prevent the chances of getting lung infection and lung damage.

Can I share my PEPE device with my partner or family member?

No, the PEPE device is for single patient use only. This means that only you should use your PEPE device and for hygiene purposes, should not be shared or passed on to anyone else including your partner.

Do I need to read the instructions provided with the device before use?

Yes, it is very important to read the instructions before using the device. This will increase the safety while using the PEPE device for you and others.

Can anyone use the PEPE device?

We recommend that you speak with your GP or Health Professional to ensure the PEPE device is the right treatment choice for you. The PEPE device provides positive expiratory pressure (PEP) therapy for patients with mucus producing respiratory conditions. 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.

Is the PEPE device Australian Made?

Yes, the PEPE device is proudly Aussie Made and Manufactured respiratory device.  

Where can I buy the PEPE device?

You can purchase the PEPE device via our website HomeMed accepts Visa, MasterCard and American Express payment cards, PayPal as well as AfterPay. Please note, the credit card payment option does not accrue a surcharge for processing.

If you are unable to make a purchase via these payment methods or have any concerns with purchasing online please do not hesitate to contact us directly on 1300 767 279 and our customer service team will be able to assist you with your order. Once the payment has cleared, your PEPE device will be shipped to you.

How do I pay for the PEPE device?

HomeMed accepts Visa, MasterCard and American Express payment cards, as well as AfterPay. Online payment is both fast and secure. All transactions are processed through an encrypted payment getaway and we use leading security and fraud protection systems. Once your order has been completed, you will receive a confirmation email containing a receipt for your transaction. The default currency on the HomeMed website is AUD Dollars.

Will the PEPE device help with COPD?

Patients with COPD who have regular sputum or those with thick secretions, a PEP device can be applied for the removal of these secretions. The PEPE device is a simple and small device shaped like a pipe that creates a positive expiratory pressure (PEP). These vibrations and PEP therapy mobilise airway secretions facilitating their clearance and improving airflow. You can use an airway clearance device such as the PEPE device along with your other treatments, including medications and airway clearance techniques. Please do not hesitate to ask your respiratory therapist for advice.

How much does the PEPE device cost?

We aim to keep the price of the PEPE device very competitive to provide you with an affordable option for your respiratory therapy. The PEPE device retails at $79.00 – this price also includes FREE standard shipping across Australia. For more information visit

What is the PEPE device made from?

The PEPE device is made from medical grade plastics. The medical grade plastic means that the parts are microbial resistant, impact resistant, heat resistant and chemical resistant.

When will I receive my PEPE device?

Orders placed before 2pm AEST Monday through Friday will be processed on the same day, except for the weekends and statutory holidays. All items are shipped from Brisbane with AusPost.

How can I track my order?

When your order is handled by our warehouse and ready to be shipped, you will receive an email including your tracking number so you can keep an eye on your shipment.

How do I clean my PEPE device?

Since the PEPE device requires direct contact with your mouth, the device requires cleaning after each use and left to dry before the next use. Dissemble the PEPE device, keep the ball bearing to one side so that it cannot roll away. Wash all four parts of the PEPE device with a mild dishwashing soap (with warm water) for 5-10 mins, Rinse the individual components thoroughly in running water, shake off extra water. Lay all parts of the PEPE device on a clean, dry and absorbent surface and let it air dry.

How do I assemble my PEPE device after cleaning it?

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

How often should I use the device?

Generally, the number of breaths through the device may vary from 6 to 10 (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. It often differs, depending on the device and your medical condition. You should consult with your physician when in doubt, yet most users start with six days a week, twice a day, for 10 mins per session depending on your daily activities or until there is no sputum production. Generally, morning and late afternoon or evening sessions are recommended.

When can I 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.

Processing Time:

Orders placed before 2pm AEST Monday through Friday will be processed on the same day, except for the weekends and statutory holidays. Products ordered after 2pm Monday – Friday will be processed and shipped on the next business day. Products ordered on weekends, public holidays or other non-trading business days, will be processed and shipped on the next working business day. It is recommended that orders be placed well in advance for travelers.

Within the shopping cart there is a facility to have products sent to an address different from the billing address and to add special delivery instructions, such as a preferred day for delivery or directions. Though we cannot guarantee the day of delivery, we will try to follow your instructions and if possible, notify you if we are not able to. Please do not leave instructions for the couriers on your door, as they are unlikely to be carried out.

To check estimated delivery times for tracked parcels to your postcode use the following Australia Post links. We post from QLD 4006.

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13 Reviews Hide Reviews Show Reviews

  • 4
    flutter review

    Posted by Leanne on 29th Nov 2017

    My husband has lung disease and we were recommended that we got a flutter. Absolutely wonderful. Easy to use and small so he can pop it in his pocket.