New, never even opened. Why use this device? The AEROBIKA* Oscillating Positive Expiratory Pressure (OPEP) device is a drug-free and easy to use device that can help clear excess mucus in the airways and improve breathing.1 The AEROBIKA* device has an innovative pressure-oscillation mechanism that creates positive pressure pulses when a patient exhales. The positive pressure created can assist with opening weak or collapsed airways.1 The AEROBIKA* device also produces vibrations in the airways that can help to thin and loosen mucus, naturally moving it to the upper airways where it can be coughed out easily.2 The AEROBIKA* device can be used to manage respiratory conditions such as COPD, Bronchiectasis, and Cystic Fibrosis. For more information, news, and reminders, sign up for: MyAEROBIKA* Program. Contraindications The use of the device is not recommended for the following conditions: Patients unable to tolerate the increased work of breathing, Intracranial pressure (ICP) > 20 mm Hg, Hemodynamic instability (blood pressure instability), Recent facial, oral, or skull surgery or trauma, Acute sinusitis, Epistaxis (bleeding nose), Esophageal surgery, Nausea, Active hemoptysis (bleeding from lungs), Untreated pneumothorax (untreated collapsed lung), Known or suspected tympanic membrane rupture or other middle ear pathology