POWERbreathe receives ISO Accreditation

POWERbreathe receives ISO accreditation certificate of approval for ‘Design & manufacture of medical devices for improvement of respiratory function’

The Quality Management System of POWERbreathe International Ltd has been approved by Lloyd’s Register Quality Assurance (LRQA) to the following Quality Management System Standards:

The Quality Management System is applicable to:

Design and manufacture of medical devices for improvement of respiratory function. 

POWERbreathe International Limited is committed to the overall aim of maximising customer satisfaction. We will provide impartial advice on what is appropriate for the customer and comply with such requirements that are necessary to supply high quality medical devices for improvement of respiratory function.

Australian Register of Therapeutic Goods Certificate for POWERbreathe IMT

The Australian Register of Therapeutic Goods (ARTG) Certificate has been issued to our approved provider in Australia, Medtronic Australasia Pty Ltd.

Medtronic Australasia Pty Ltd. is now approved by the ARTG to supply Medtronic Australasia Pty Ltd with POWERbreathe IMT.

View ARTG Certificate >

The ARTG

The Australian Register of Therapeutic Goods (ARTG) is the reference database of the Therapeutic Goods Administration (TGA). It provides information on therapeutic goods that can be supplied in Australia.

TGA is Australia’s regulatory agency for medical drugs and devices.

POWERbreathe K5 Wins Best Innovation For Human Performance Award

The Best Innovation For Human Performance Award is one of the awards being sponsored by FitnessCompared at Elevate this year.

What is Elevate?

Elevate is the biggest cross-sector physical activity, health and performance event in the UK. It brings together policy makers, local authorities and performance experts to focus on tackling physical inactivity. And this year sees the launch of the new Elevate Innovation Awards, one of which is the Best Innovation for Human Performance. This is the award won by the POWERbreathe K5 with Breathe-Link Live Feedback Software.

About the Innovation Awards

The Elevate Innovation Awards are a series of prizes for the best products and services in 5 defined categories: Best Health and Wellness Innovation, Best Workout Innovation, Best Facility Innovation, Best Innovation for Human Performance and Best Start-up.

POWERbreathe K5 Wins Award

During the first day of the show (May 10th) the expert panel of judges were walking around the stands, assessing entries against a set criteria. After their rounds the judges, who are expert industry professionals and influential fitness bloggers, decide on the winning entries. And at the end of the first day of the show, POWERbreathe received the Best Innovation For Human Performance Award!

The Importance of Human Performance Factors

Human performance is an area the physical activity sector and sporting world will focus on in order to achieve the best results possible. By studying the human body, and in this case studying breathing using the POWERbreathe K5 with Breathe-Link software, an individual, athlete or coach will see how their breathing can be improved for a better performance.

Ticking the Human Performance Box

Because breathing is a core human physiological system fundamental to sport, exercise, health and movement, breathing better can influence performance in everyone.

The POWERbreathe K5 with Breathe-Link Live Feedback Software ticks the Human Performance box because it:

  • Optimises physical output
  • Turns weaknesses into strengths

And following the analysis and evaluation of a person’s breathing needs, an appropriate performance and training programme is easy to design and tailor to each individual.

Breathe-Link Software Encourages & Improves Human Performance

The performance of an athlete is influenced by genetic make-up, hard work and, more so nowadays, the contribution of science. Breathe-Link Live Feedback Software is one such contribution.

Thanks to the live display of an individual’s breathing, performance will improve almost immediately as the individual responds to their training feedback. And it’s not just limited to athletes. The software caters for all levels and all requirements, from individuals and teams to organisations. The K5 and its software enhances human performance, for sport, exercise, work and health.

The K5 Leads the Way in Improving Human Performance

The most common method for improving performance is to improve technique. And research has shown breathing fatigue can limit performance. Therefore by improving breathing technique, performance will also improve.

The respiratory muscles contribute to limit performance because the high levels of respiratory muscle work sustained throughout heavy exercise cause the respiratory muscles to fatigue. This could “initiate the metabo­reflex, leading to vasoconstriction of limb locomotor muscle vasculature, exacerbating peripheral fatigue of working limb muscles and, via feedback, intensifying effort perceptions, thereby contributing to limitation of high-intensity endurance exercise performance.”

 

K-Series Selected For Front Cover Of ERS Buyers Guide

The ERS (European Respiratory Society) Buyers’ Guide Editor selected (at no cost) the POWERbreathe KH-Series to feature on the front cover of the ERS Buyers’ Guide for 2011 / 2012.

The Buyers’ Guide provides respiratory clinicians with an up-to-date source of information about respiratory products and devices that are transforming the lives of patients with respiratory illness and disease.

The patented POWERbreathe KH-Series and other respiratory care products by POWERbreathe were featured in a full-page of evidence based, drug-free breathing rehabilitation and training products.

POWERbreathe was delighted to have the KH-Series selected for the front cover as the KH-Series represents a revolution in respiratory muscle training with its piezo-resistive pressure sensing technology for the precise measurement of respiratory pressure 500 times/second. The KH-Series’ triple-aperture rotary valve system makes up to 4000 precision movements every second.

POWERbreathe has been recognised in providing ‘Gold Standard’ K-Series devices for important research in a multi-nation COPD study, reporting,

“We conclude that the handheld device provides automatically processed and valid estimates of physical units of energy during loaded breathing tasks. This enables health care providers to quantify the load on inspiratory muscles during these tests in daily clinical practice.”

The printed version of the ERS Buyers’ Guide was distributed to 20,000 delegates who attended the ERS Annual Congress.

IMT in mechanical ventilation: suitable protocols and endpoints

RESEARCH:

Inspiratory muscle training in mechanical ventilation: suitable protocols and endpoints, the key to clear results – a critical review

Silva, Paulo Eugênio

This research from Faculdade de Educação Física, Universidade de Brasília looked into whether Inspiratory Muscle Training (IMT) led to a shorter duration of mechanical ventilation, improved weaning success, or improved survival.

The purpose of this critical review was to determine:

1. What is the ideal prescription of IMT for patients on MV?
2. What is the best time to measure treatment effect?
3. Which kind of device should be used to IMT?
4. What are the best endpoints to evaluate the effects of IMT on the process of discontinuing from MV?

Which kind of device should be used to IMT? POWERbreathe K-Series.

“The biggest challenge in the training of mechanically ventilated patients is the use of conventional devices to impose loads on the respiratory muscles. When training starts, the patient must be disconnected from the ventilator and the respiratory monitoring is lost.”

“A new class of device is now available that is possible to monitor respiratory variables during the training. One example of this is the POWERbreathe K-Series (POWERbreathe-HaB UK) an electronic K-device with feedback software that helps professionals to understand what is happening with patients during their training. This device provides automatically processed information on external inspiratory work. Moreover, power and breathing patterns during loaded breathing tasks is shown, thus the onset of fatigue can be detected earlier.”

“POWERbreathe K-Series was externally evaluated by Belgian researchers and they concluded that the K-Series technology provides automatically processed and valid estimates of physical units of energy during loaded breathing tasks. Recently, de Souza et al. published a case report showing good results using the same technology to train a prolonged mechanically ventilated patient.”

“Another great advantage of this kind of technology is the capacity of load adjustment (1 cmH2O per 1 cmH2O) reaching 3 to 200 cmH2O. Beyond that, the device can adjust the load dynamically, imposing higher load at the beginning of inspirations and lower load close to vital capacity. Thus, a greater range of motion can be reached improving the effectiveness of the training.”

CONCLUSION:

“This review demonstrated the necessity of new RCTs despite of some well designed RCTs have already been published. Many evidences point out that a high intensity training with loads ≥ 50% of MIP in 5 to 6 sets, aiming to reach thirty breathes, one or twice a day, seven days per week is a suitable protocol to improve performance on mechanical ventilation. Patients must be trained at least for two weeks in order to IMT promotes clinically significant effects. It is possible, that outcomes such as the onset of weaning process, duration and success on the weaning, have higher correlation with IMT.” “In conclusion, IMT on mechanically ventilated patients seems to be a promissory treatment despite controversial results. RCTs should be carried out to verify the efficacy of the high intensity training during a suitable period of training using electronic kinetic devices in mechanically ventilated patients.”

Read Inspiratory muscle training in mechanical ventilation: suitable protocols and endpoints, the key to clear results – a critical review

POWERbreathe KH2 promotes increased muscle strength in tracheostomy patients

Following another successful ERS (European Respiratory Society) Congress this year, the European Respiratory Journal has published Abstracts from the 24th International Congress in their Official Scientific Journal.

We’re delighted to be able to share this paper Abstract with you (Eur Respir J 2014; 44: Suppl. 58, page 2, Abstract No. 4297) which concluded that the new and soon to be launched POWERbreathe KH2 “promotes increased muscle strength in tracheostomy patients”.

Here’s the Absract…

A new device for inspiratory muscle training in patients with tracheostomy tube in ICU: A randomized trial

Ivete Alonso Bredda Saad¹, Rodrigo Tonella¹, Ligia Santos Roceto¹, Lilian E.B. Delazari¹, Luciana Castilho¹, Antonio Luis Eiras Falcão¹, Paula S. Silva¹

¹Physiotherapy and Medical Clinic, Unicamp, Campinas, Brazil

Background: Evaluation and training of the respiratory muscles are essential to reducing time of weaning invasive mechanical ventilation (VMI) in intensive care units (ICU). Powerbreathe® is indicated for inspiratory muscle training (IMT) with a progressive resistance and adjustable load in respiratory disease patients.

Objective: Compare the inspiratory muscle strength between two groups of tracheostomy patients: IMT with Powerbreathe® and breathing through a humidified t-piece (T-tube).

Methods: 25 tracheostomy patients were selected under VMI and randomized into two groups: T-tube (control) and IMT with Powerbreathe®. Patients of both groups received respiratory physical therapy and the MIP measurements with a digital manometer (MVD300, Globalmed®), with a one-way valve connected to tracheostomy, with occlusion for 20 seconds. In control group patients underwent T-tube until complete 48 hours of continuous nebulization. In the IMT group was used Powerbreathe® KH2 model (Powerbreathe®, POWERbreathe International Ltd., England) for 30 cycles (three sets of 10 cycles with 1 minute interval between them), adjusted load 30% of the initial MIP, increasing 10% daily. For statistical analysis, were applied Wilcoxon test for comparison of related and Mann-Whitney test for independent samples variables. P values <0.05 were considered statistically significant.

Results: Of 19 patients, 8 in the IMT group with 7 men and 11 in the control, with 8 men. Were increased final MIP compared to initial in IMT group (p=0.017), with no significant difference for the control group (p=0.304).

Conclusion: The IMT with Powerbreathe® in tracheostomy patients promotes increased muscle strength.

 

IMT Protocol for COPD Patients (IMTCO) study design uses POWERbreathe KH1

Respiratory medicine:

Inspiratory muscle training protocol for patients with chronic obstructive pulmonary disease (IMTCO study): a multicentre randomised controlled trial

Noppawan Charususin, Rik Gosselink, Marc Decramer, et al
Published 5 August 2013

The latest paper on the Inspiratory Muscle Training Protocol for Patients with COPD (IMTCO) study design has just been published in Respiratory Medicine on BMJ Open. This study used the POWERbreathe KH1 for home-based IMT. It is suggested that the results of the study could be incorporated into evidence-based treatment recommendations for clinical practice. ClinicalTrials.gov NCT01397396.

Aims of the study:

“This study will examine the effects of adding a well-controlled, high-intensity IMT programme to a 3-month general exercise training programme, using a large, multicentre, randomised controlled design, in patients with COPD and inspiratory muscle weakness. Outcomes will be exercise capacity (primary outcome), inspiratory muscle function, health-related quality of life (HRQL) and participation in daily physical activity.”

Read the full Open Access article online.

POWERbreathe – recognised in providing ‘Gold Standard’ K-Series devices for important research


Measurement validity of an electronic inspiratory loading device during a loaded breathing task in patients with COPD

This is the first Abstract from the multi-nation (Belgium, Holland, Germany, Austria, Switzerland, Canada) COPD study, for which they used the POWERbreathe K-Series.

The study has been carried out by highly respected, leading professionals and highlights the quality, accuracy and reliability of the electronic hand-held POWERbreathe K-Series products for use by healthcare providers in daily clinical practice.

Source: Respiratory Rehabilitation and Respiratory Division, UZ Gasthuisberg, Leuven, Belgium; Faculty of Kinesiology and Rehabilitation Sciences, KU Leuven, Leuven, Belgium.

Abstract

We studied the validity of a recently introduced, handheld, electronic loading device in providing automatically processed information on external inspiratory work, power and breathing pattern during loaded breathing tasks in patients with COPD.

Thirty-five patients with moderate to severe COPD performed an endurance breathing task against a fixed resistive inspiratory load that corresponded to 55 ± 13% of their maximal inspiratory pressure. Flow and pressure signals during this task were sampled and processed at 500 Hz by the handheld loading device and at 100 Hz with an external, laboratory system that provided the “gold standard” reference data. Intra Class Correlations between methods were 0.97 for average mean inspiratory power, 0.98 for average mean pressure, 0.98 for average duty cycle, and 0.99 for total work (all p < 0.0001).

We conclude that the handheld device provides automatically processed and valid estimates of physical units of energy during loaded breathing tasks. This enables health care providers to quantify the load on inspiratory muscles during these tests in daily clinical practice.