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User Manual
Medic
makes breathing easier
SM
Contents
Introduction ............................................................................................................... 3
Precautions.............................................................................................................4-5
Product description .................................................................................................... 5
Getting used to your Medic Plus .............................................................................. 6-7
Training with Medic Plus .........................................................................................8-9
Medic Plus Assembly ..........................................................................................10-11
Guidance for healthcare professionals ................................................................12-13
Disclaimer and Warranty .......................................................................................... 14
Care and maintenance ............................................................................................. 15
Technical specifications ........................................................................................... 16
Load selction range ................................................................................................. 16
Contact Information:
Head Office:
POWERbreathe International Ltd
Northfield Road, Southam,
Warwickshire CV47 0FG,
England, UK
Telephone: +44 (0) 1926 816100
www.powerbreathe.com
Distribution:
Australia, New Zealand
and Pacific Islands:
Better Breathing Pty. Ltd.
8/490 Scottsdale Drive
Varsity Lakes, QLD 4227
Australia
Telephone: +61 1300 139629
www.powerbreathe.com
North America:
POWERbreathe
Customer Service, Shipping & Warehouse
7621 East Joy Road, Ann Arbor,
Michigan, 48105,
USA
Telephone: +1 734 996 5900
www.powerbreathe-usa.com
UK and Ireland:
HaB International Ltd.
Northfield Road, Southam,
Warwickshire CV47 0FG,
England, UK
Telephone: +44 (0) 1926 816100
www.habdirect.co.uk
For other territories please visit: www.powerbreathe.com
Introduction
Congratulations, by purchasing the POWERbreathe Medic Plus you have taken a big step
towards – Better Breathing.
POWERbreathe Respiratory Muscle Training (RMT) will make your breathing muscles stronger,
reducing breathlessness during exercise and daily activity.
POWERbreathe (RMT) uses a technique known as resistance training. This strengthens the
breathing muscles by making them work harder, in much the same way as you might use
weights to increase the strength of your arm muscles.
When training with your POWERbreathe Medic Plus, you will notice that you have to work harder
to breathe in. This is the effect of resistance training acting on the muscles used to inhale –
primarily the diaphragm and rib cage muscles. When breathing out, there is no resistance and
you can breathe out normally, allowing the chest and breathing muscles to relax, naturally
pushing the air from your lungs.
Used properly, you should begin to enjoy the benefits of using your POWERbreathe Medic Plus
in just a few weeks.
To make sure you get the most from your POWERbreathe Medic Plus, please read this
instruction booklet carefully, visit powerbreathe.com and take time to get used to
your POWERbreathe Respiratory Muscle Training.
Precautions
POWERbreathe - Respiratory muscle training (RMT) / Inspiratory muscle training (IMT) is drug
free; suitable for almost anyone and should cause no harmful side effects when used properly.
If you have any doubts about the POWERbreathe Medic Plus device’s suitability or you have a
medical condition, please consult your doctor.
Please read the following - Precautions and CONTRAINDICATIONS information, to ensure that
you use the POWERbreathe Medic Plus device safely and appropriately:
PRECAUTIONS:
• Do not make changes to any prescribed
medication or prescribed treatment
programme without consulting your doctor.
• To prevent the potential transmission of
infections, we recommend that you do not
share your Medic Plus with other users,
including family members.
• This product is not intended to diagnose,
treat, cure or prevent any disease.
• POWERbreathe Medic Plus is designed for
exercising your inspiratory muscles only. No
other use is intended or implied.
• Anyone who is under the age of 16 should
only use POWERbreathe RMT / IMT with
supervision from an adult. The Medic Plus
contains small parts and is not suitable for
children under 7 years.
• Whilst training with the Medic Plus you
should feel resistance when inhaling but it
should not be painful. If you should feel pain
whilst using the Medic Plus, stop immediately
and consult your doctor.
• Some users may experience slight ear
discomfort when training with Medic Plus,
especially if they are recovering from a cold.
This is caused by inadequate equalisation
of pressure between the mouth and ears. If
symptoms persist, please consult your doctor.
• If you are suffering from a cold, sinusitis or
respiratory tract infection, we advise that you
do not use your Medic Plus until symptoms
have disappeared. If in doubt, consult
your doctor.
Additionally, the following conditions have
been highlighted to require guidance from
your medical professional, before use of the
Medic Plus device:
• A history of spontaneous pneumothorax (a
collapsed lung that was not due to traumatic
injury e.g. broken rib), as it may lead to a
recurrence of the condition. Following a
traumatic pneumothorax and/or broken rib,
the Medic Plus should not be used prior to full
recovery.
• Pulmonary hypertension
• Large bullae on chest x-ray
• Marked osteoporosis with history of
rib fractures
• Desaturation during or following
IMT (<94%)
CONTRAINDICATIONS: Respiratory muscle
training (RMT) / Inspiratory muscle training
(IMT), such as training with POWERbreathe
Medic Plus, is not recommended for patients
with certain conditions such as:
• POWERbreathe Medic Plus is not suitable
for asthma patients who have low symptom
perception and suffer from frequent, severe
exacerbations or with an abnormally low
perception of dyspnoea.
• Do not use the Medic Plus if you are
suffering from a ruptured eardrum or any
other condition of the ear
Precautions
Product description
POWERbreathe Medic Plus device
Scale
Handle cover
Load
adjustment
Mouthpiece
Nose-clip
Internal load
indicator sleeve
Storage pouch
www.powerbreathe.com
User manual
Storage pouch
www.powerbreathe.com
User Manual
Medic
makes breathing easier
SM
• POWERbreathe Medic Plus is not suitable for
patients with marked elevated left ventricular
end-diastolic volume and pressure
• POWERbreathe Medic Plus is not suitable
for patients with worsening heart failure signs
and symptoms after RMT / IMT
Please remember: If in doubt, consult your
specialist respiratory health doctor.
POWERbreathe RMT/IMT is clinically proven
to improve symptoms, exercise tolerance
and quality of life in major debilitating
conditions such as COPD, Asthma and Heart
Failure. If you or your doctor, would like more
information on the clinical effectiveness
of POWERbreathe devices, please visit our
website (www.powerbreathe.com). If you have
any more questions about POWERbreathe,
please contact the POWERbreathe distributor
in your country.
Developed, designed and manufactured with pride in the United Kingdom
To Activate Your Warranty
Please ensure that you register your
POWERbreathe Medic Plus by visiting www.powerbreathe.com/warranty-index
Alternatively please retain the sales receipt as proof of purchase date.
Thank You.
Disclaimer
Warranty
Limited 2 year Manufacturer’s Warranty
This warranty gives the purchaser specific legal rights. The purchaser may also have other
statutory rights. POWERbreathe International Ltd hereby warrants to the original purchaser
whose name shall be duly registered with it that the product sold by it is free from defects in the
material and workmanship. 2 years (24 months) is from date of purchase.
The obligations of POWERbreathe International Ltd under this warranty are limited to the repair
and replacement of such part or parts of the unit as shall be found upon inspection to be
defective in material or workmanship. Misuse, abuse or accidents, negligence of the precautions,
improper maintenance or commercial use, cracked or broken cases is not covered under this
warranty. During the two year warranty period, the product will be either repaired or replaced (at
our option without charge). Warranty does not cover damage or consequential damage caused by
service not authorised by POWERbreathe International Ltd.
The warranties contained herein are expressly in lieu of any other warranties including implied
warranty of merchantability and/or fit for purpose.
POWERbreathe devices are not toys. This product is designed to be used for breathing exercise
only. Any other use is not recommended.
Always seek the advice of your doctor or other health provider with any questions you may have
regarding a medical condition. This product is not intended to diagnose, cure or prevent any
disease. Individual results may vary. No claims are made or implied in the use or results by the
use of the equipment herein.
Always read the user manual before use. The material in this manual is for information
purposes only.
POWERbreathe devices contain small parts and are not suitable for children under 7 years.
Note: This product is sealed to maintain hygiene and cannot be returned if the seal is broken.
POWERbreathe International Ltd makes no representations or warranties with respect to this
manual or with respect to the products described herein. POWERbreathe International Ltd shall
not be liable for any damages, direct or incidental, consequential or special, arising out of or
related to the use of this material or the products described herein.
POWERbreathe is a patented and design copyright protected product. All rights reserved.
Specifications may change without notice due to manufacturer’s continuous programme
of development.
The POWERbreathe logo type is a registered trademark of POWERbreathe Holdings Ltd.
All POWERbreathe product names are trademarks or registered trademarks of
POWERbreathe Holdings Ltd.
All details are correct at time of going to press.
POWERbreathe Holdings Ltd. E & OE © 05/2015
MEDIC Plus User Manual
English 3857 ©05/2015 V1 E & OE
ENG
Precautions
POWERbreathe products are designed to be robust and durable. With a little care, your
Medic Plus should last many years. Please read the following instructions to ensure that
your Medic Plus remains in good condition:
• Do not attempt to reduce the load adjustment below load 0 – this is the minimum setting and
attempting to unscrew the mechanism further may damage the adjustment thread.
• Do not attempt to separate the upper and lower portions of the main body of the device –
these should remain permanently joined.
• Please store your Medic Plus in the storage pouch provided or a suitable clean container.
Always make sure that your Medic Plus is dry before storage.
Cleaning
Your Medic Plus will be exposed to saliva during use and we recommend that you clean it
frequently to keep it in good working order.
A few times a week, soak your Medic Plus in warm water for about ten minutes and then wipe
it with a soft cloth, under warm running water, paying particular attention to the mouthpiece.
Shake off excess water and leave on a clean towel to dry.
Once a week perform the same procedure but soak your Medic Plus in a mild cleansing or
approved cleaning solution instead of water. The cleansing solution used must be intended for
use on equipment that comes into contact with the mouth, such as that used for babies’ bottles.
POWERbreathe cleansing tablets are available from retailers nationwide or visit
www.powerbreathe.com for further details.
To keep your Medic Plus in good condition, after cleansing with an approved cleansing product
hold it upside down under a running tap so that water can run through the device. Shake off
excess water and leave on a clean towel to dry.
If further cleaning is necessary the Medic Plus can be disassembled into its component parts
as demonstrated in the diagrams on Page 10. If disassembling the Medic Plus be careful not to
lose any components parts.
Note: the POWERbreathe Medic Plus is not suitable for dishwashers.
Care and maintenance Technical specifications
Precise load settings may vary marginally due to: (1) the analogue nature of the calibrated spring
tensioner and the precision with which the load is selected; (2) a small effect of inspiratory
flow rate upon spring compression such that high inspiratory flow rates lead to greater spring
compression, and a small increase in load (Caine & McConnell, 2000). This effect is common
to all spring loaded devices, and its size is magnified by increasing spring range (it is larger in
a spring with a maximum range of 90cmH
2
O compared with one with half this range), it is also
greater at lower absolute load settings (Caine & McConnell, 2000).
Caine MP & McConnell AK. (2000). Development and evaluation of a pressure threshold inspiratory muscle trainer
for use in the context of sports performance. Journal of Sports Engineering 3, 149-159.
Load Selection Range Table
No Spring &
No Valve
Assembly
No
Spring
Load (cm H
2
0) @ 1l/sec
Load Setting - - 0 1 2 3 4 5 6 7 8 9 10
cm H
2
0 1
(including ball)
3 9 16 23 29 36 43 50 57 64 71 78
Note: A load of 3cmH
2
O can be achieved by removing the spring and replacing the valve
assembly for training (see page 10 & 11, diagram 1 - 5). In addition, a load of 1 cm H
2
0 can
be achieved when the complete valve assembly is removed and the POWERbreathe breathing
indicator ball is installed (see page 10 & 11, diagram 6).
All values are at a flow rate of 1 litre a Second, consistent with other POWERbreathe models.
Mouthpiece ................................................. Latex-free PVC, contains a silver biocide additive
Clear handle cover ...................................... Polycarbonate
Soft touch adjuster grip .............................. ABS with Santoprene overmoulding
Flap valve ................................................... Silicone 60
O-ring ......................................................... Nitrile rubber
Nose-clip rubber ......................................... Silicone 40
Nose-clip bridge ......................................... Nylon
All other components .................................. ABS (Acrylonitrile Butadiene Styrene)
Note: Materials are FDA compliant with regards to composition, additives and
properties, where applicable in accordance with Medical Device Directive 93/42/EEC
Essential Requirements (Annex 1)
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