This document describes a training device designed to help patients achieve a consistent inhalation technique for the Turbospin® inhaler, which is used with prescribed Colobreathe® (colistimethate sodium) medication. This training tool is not included with the medication pack but is provided by a healthcare professional.

Function Description:

The primary function of this training device is to familiarise users with the minimum flow rate required for effective use of the Turbospin® inhaler. It helps patients practice and achieve a consistent inhalation technique, which is crucial for the proper delivery of medication. The device is specifically designed to aid in inhalation technique and does not contain any medication. It provides audible feedback to indicate when the correct inhalation flow rate has been achieved.

Important Technical Specifications:

Minimum Flow Rate: The device is designed to help users achieve a minimum inhalation flow rate of 30 litres per minute. This is the required flow rate for effective use of the Turbospin® inhaler.
Audible Whistle: The device produces an audible whistle sound when an inhalation flow rate of 30 litres per minute is reached, providing immediate feedback to the user.
Visual Indicators: The device features a green band upon the piston area, which may serve as a visual cue during use.
Design Similarities: The training tool device looks similar to the Turbospin® inhaler, but with key differences to distinguish it as a training aid.

Key Differences from Turbospin® Inhaler:

The training tool device has several distinct features compared to the actual Turbospin® inhaler:

No Removable Cap: Unlike the Turbospin® inhaler, the training device does not have a removable cap.
No COLOBREATHE® Logo: The training device does not feature the COLOBREATHE® logo, clearly indicating it is not the medication delivery device.
Green in Colour: The training device is green in colour, which may help differentiate it.
No Open Air Slits: The training device lacks open air slits found on the actual inhaler.
No Removable Mouthpiece: The mouthpiece on the training device is not removable.
Piston is Fixed: The piston within the training device is fixed, unlike the functional piston in the medication inhaler.
Cannot Use Colobreathe Medication: It is explicitly stated that you cannot use Colobreathe medication with this training device.

Usage Features (4 Easy Steps):

The training device is used in four simple steps to practice inhalation technique:

Step 1: Breathe Out Slowly:
- Place the mouthpiece between your lips and teeth.
- Ensure there is a good seal between your lips and the mouthpiece.
- Take care not to cover the air slits with your fingers or mouth during inhalation.
Step 2: Inhale Slowly and Deeply:
- Breathe in slowly and deeply through your mouth at a rate sufficient for you to hear an audible whistle sound.
- This sound indicates that a minimum flow rate of 30 litres per minute has been achieved.
Step 3: Hold Breath and Exhale:
- Remove the training tool from your mouth.
- Hold your breath for around 10 seconds.
- Then, breathe out slowly.
Step 4: Revisit and Repeat:
- Users can revisit and repeat this process as needed.
- This practice can be done independently or with guidance from a healthcare professional to improve inhalation technique.

Maintenance Features:

The document does not explicitly detail maintenance features for the training device. However, as a training tool, it is likely designed for repeated use and should be kept clean and stored appropriately as advised by the healthcare professional. Given it does not contain medication, the cleaning requirements may be simpler than for a medical device.

Reporting Side Effects:

While this is a training device, the document provides important information regarding reporting side effects related to the Colobreathe® medication. Patients can report side effects directly via the Yellow Card Scheme at http://www.mhra.gov.uk/yellowcard. Further information on the safety of the medicine can be found at http://www.medicines.org.uk/emc/product/3063/pil. Adverse events may also be reported directly to Teva UK Limited at www.tevauk.com.

Additional Resources:

An instructional video is available; users can scan a QR code to access it.
To order a training tool, patients should contact their appointed homecare provider.

Manufacturer Information:

Teva UK Limited, Ridings Point, Whistler Drive, Castleford, WF10 5HX. CLB-GB-NP-00011 Date of Preparation: June 2022

TEVA Turbospin - Page 6

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