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VibraPEP® with patented oscillating valve technology (OscValve™) delivers differentiated therapy not available in mechanical OPEP device. The patented OscValve™ design allows the clinician to fine tune the shape of the oscillation waveform to match the pathology of the patient. You can set VibraPEP to a standard vibration setting that treat patients requiring a permanent PEP with added pressure oscillations above baseline. It enlarges and promotes airway stabilization and collateral ventilation. Dynamic PEP can be used to treat patients requiring more variance or “dynamics” in their treatment. Here, a gradual rising pressure is followed by a sudden pressure drop creating more random vibrations. This decreases the cohesiveness of sputum promoting mucociliary clearance.