In response to some of the discussion, this is just a quick note to let anyone who is interested know that we recently made a programming change to the acoustical patterns of the Vibralung Acoustical Percussor and took that opportunity to update portions of the Vibralung web site that would be impacted by those changes. At the same time, we also updated the 'Cleaning & Care Instructions" page on the site to make the recommendations and methods compatible with the latest CFF guidelines. So, if anyone wants to know how to clean the Vibralung, it is laid out in great detail on the web site
(vibralungACT.com). (And, like other websites, it is occasionally down for maintenance and updating, in which case one should check back later).
Basically, we have presented cleaning options for both hospital as well as home environments of care. Although the web site information is very comprehensive, I'll briefly summarize it here. The Vibralung Acoustical Percussor consists of two major components: a small, lightweight, portable electronic Treatment Control Unit (TCU) and a Hand-held Transducer (HHT).
The TCU, which does not come into contact with mucus membranes, qualifies for hard-surface disinfection and can be cleaned by wiping with pre-moistened germicidal wipes of the kind commonly used in hospitals and also available commercially under many brand names, as listed on the web page. These contain quaternary ammonium compounds (benzalkonium) that the CFF approves for hard surfaces but not for mucus membranes.
The HHT consists of a hand-held piece and a kit of disposable components (Patient Exchange Kit; cone, Y-piece, PEP resistor, mouthpiece). The hand-held component, which does not come into contact with mucus membranes, can be surface disinfected as above. The patient exchange kit, parts of which do come into contact with mucus membranes, is completely disposable and can be discarded and replaced at appropriate intervals decided by the care team (e.g., daily, weekly). In between uses, it can be wiped down with alcohol swabs as per CFF guidelines and/or cleaned with soap and water plus cold disinfection solutions. Because it designed as an inexpensive disposable, it may not be boiled, steamed autoclaved or subject to extremely high temperatures. When an aerosol delivery device is used in conjunction with the Vibralung Acoustical Percussor, additional cleaning techniques must be accomplished for the aerosol delivery device.
Inasmuch as the Vibralung Acoustical Percussor may be used with a wide range of pulmonary and neuromuscular disease patients, with varying degrees of infectious risk, the device has been designed to accommodate different cleaning protocols including periodic discarding of disposable parts. The care team, in consultation with the patient/patient's family, must decide the appropriate cleaning protocol for any given patient. Please refer to the Vibralung Acoustical Percussor web site (vibralungACT.com) for more details and comprehensive cleaning instructions.
Thanks to those of you who are interested in this product.
Michael McPeck, RRT FAARC
Director, Clinical Education
Vibralung Clinical Specialist
Westmed, Inc.
Tucson, AZ
westmedinc.com
vibralungACT.com