For patients managing cystic fibrosis, COPD, bronchiectasis, or post-surgical secretion buildup, Amsino's acapella devices deliver vibratory positive expiratory pressure (PEP) to loosen and mobilize mucus without the need for gravity-dependent positioning. Two color-coded resistance options cover different flow capabilities: the acapella DH (green) suits patients who can maintain expiratory flow of 15 LPM or greater for three seconds, while the acapella DM (blue) is intended for lower flows under 15 LPM. Both are single-patient-use with an integrated mouthpiece. Clinicians outfitting reusable setups can choose the autoclave-able and boil-able Acapella Choice with its 22mm fitting, or the Acapella Duet Kit, which bundles the device with mouthpiece, nebulizer, oxygen tubing, and flex tubing so aerosolized medication can be delivered during the same therapy session. For emergency ventilation, the 1st Response SureGrip Resuscitator Bag provides a disposable adult BVM with nasal/oral mask and tube reservoir.