POWERbreathe Medic Plus


POWERbreathe Medic Plus is a Respiratory Muscle Training device (RMT) scientifically proven to strengthen the respiratory muscles, reducing breathlessness, improving exercise tolerance and enhancing quality of life in a wide range of patients. POWERbreathe Medic Plus is the second generation of POWERbreathe Medic RMT devices.

POWERbreathe Medic Plus Features:

  • 65% improvement in airflow dynamics compared to POWERbreathe Medic Classic
  • Pressure Threshold training
  • Improved, more comfortable mouthpiece
  • Easy, visible load adjustment (no need to remove cover as with Classic Medic)
  • Mechanically adjustable variable load settings (9 - 78cmH2O)

In stock  -  REF: PB2000


POWERbreathe Medic offers an evidence-based, drug-free treatment for patients in a variety of medical conditions such as COPD, Heart Failure, Asthma, Thoracic Surgery, Ventilator Weaning, Cystic Fibrosis and Neuromuscular Disease.

These benefits were the findings of trials and research in which the original POWERbreathe Medic Classic was the intervention used.

  • Increase in quality of life
  • Reduction in drug intake by up to 75%
  • Non-invasive treatment
  • Drug-free with no side effects or drug interactions
  • The first non pharmacological treatment for respiratory disease
  • Clinically proven by a wealth of research
  • Continuous research leads a program of development and new products
  • Increases whole body’s capacity to undertaken activity or exercise
  • Inspiratory Muscle Training (IMT) is part of the NICE guidelines for RMT
  • Training adjunct for Pulmonary Rehab
  • Can be used straight out of the box

Level 0 = 9cmH2O
Level 1 = 16cmH2O
Level 2 = 23cmH2O
Level 3 = 29cmH2O
Level 4 = 36cmH2O
Level 5 = 43cmH2O
Level 6 = 50cmH2O
Level 7 = 57cmH2O
Level 8 = 64cmH2O
Level 9 = 71cmH2O
Level 10 = 78cmH2O

(Precise load settings may vary)

Medical Devices Directive 

The main purpose of the Directive is to harmonise national controls, so allowing free movement of medical devices throughout the European Union and EFTA whilst at the same time ensuring that all devices within the Union are reasonably safe in use.

The Directive covers most medical devices other than active implantable medical devices and in vitro diagnostics.

The Directive

  • Specifies “essential requirements” which must be met before any device can be placed on the market 
  • Introduces controls covering the safety, performance, specification, design, manufacture and packaging of devices 
  • Specifies requirements for assessment of clinical investigation protocols, and the evaluation of any adverse incidents that occur 
  • Introduces a system of assessment of clinical investigation protocols, which is matched to the degree of risk inherent in the device 
  • Empowers a Competent Authority to identify and designate “notified bodies” who check and verify that devices meet the relevant essential requirements 

EC Medical Devices Directives Guidance Notes for Manufacturers of Class 1 Medical Devices

ISO Certificates of approval for ‘Design & manufacture of medical devices for improvement of respiratory function'

How to use:

  1. The patient puts the nose-clip on so that it pushes their nostrils together (this is optional but prevents the patient from breathing in through their nose).
  2. The patient should then breathe in quickly and forcefully through POWERbreathe for 30 breaths twice a day (preferably morning and night to allow the inspiratory muscles time to recover in between sessions). This is the scientifially proven training regimen.
  3. As inspiratory muscle strength and stamina improve, the patient may adjust and increase the resistance.
  4. Full instructions are provided in the accompanying user manual.


  1. POWERbreathe will be exposed to saliva during use. We recommend that a few times a week POWERbreathe should be soaked in warm water for about 10 minutes ( the POWERbreathe Manual has full details).
  2. Once a week POWERbreathe should be soaked in a mild cleansing solution instead of water, using  POWERbreathe Cleansing Tablets - only 1 tablet is required each time. 

POWERbreathe is drug free, suitable for almost anyone and should cause no harmful side effects when used properly. Please read the following precautions and contraindications to ensure that POWERbreathe is used safely and appropriately.


  • The patient must not make changes to any prescribed medication or prescribed treatment programme without consulting their doctor.
  • POWERbreathe should not be used if the patient is suffering from a ruptured eardrum.
  • To prevent the potential transmission of infections, we recommend that POWERbreathe is not shared with other users, including family members.
  • This product is not intended to diagnose, treat, cure or prevent any disease.
  • POWERbreathe is designed for exercising the inspiratory muscles only. No other use is intended or implied.
  • Anyone who is under the age of 16 should only use POWERbreathe with supervision from an adult. POWERbreathe contains small parts and is not suitable for children under 7 years.
  • Whilst training with POWERbreathe the patient should feel resistance when inhaling but it should not be painful. If the patient feels pain whilst using POWERbreathe they should stop immediately and consult their doctor.
  • Some users may experience slight ear discomfort when training with POWERbreathe, especially if they are recovering from a cold. This is caused by inadequate equalisation of pressure between the mouth and ears. If symptoms persist, patients should consult their doctor.
  • If a patient is suffering from a cold, sinusitis or respiratory tract infection, we advise that they do not use POWERbreathe until symptoms have disappeared. 

Healthcare Professional should take into consideration the following conditions before patients use POWERbreathe:

  1. 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.
  2. Pulmonary hypertension or large bullae on chest x-ray
  3. Marked osteoporosis with history of rib fractures
  4. Desaturation during or following IMT (<94%)


Inspiratory muscle training, such as training with POWERbreathe, is not recommended for patients with certain conditions, including the following:

  • Asthma patients who have low symptom perception and suffer from frequent, severe exacerbations or with an abnormally low perception of dyspnoea
  • If a patient is suffering from a ruptured eardrum or any other condition of the ear
  • Patients with marked elevated left ventricular end-diastolic volume and pressure
  • Patients with worsening heart failure signs and symptoms after RMT / IMT
  • POWERbreathe IMT device
  • Mouthpiece (PVC - not made with natural rubber latex or and phthalates)
  • Nose clip
  • Storage pouch
  • 4 cleansing tablets
  • User manual

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