4.7 Conducting a session

To conduct a SIMEOX session, the patient must be

settled comfortably. The patient can change positions

when using the device (on their stomach, on their

back, semi-seated, on their side) in order to maximise

drainage from all areas of the lung.

SIMEOX does not act during the inspiratory phase,

SIMEOX acts only during the expiratory phase

The patient is relaxed

The patient begins by slowly inspiring through the

nose the equivalent of their tidal volume.

When the patient is ready to release air from his/

her lungs, he/she places the mouthpiece in his/

her mouth and press the remote control button

(or the “GO” button on the front) to start the

SIMEOX vibratory signal.

The mouthpiece is positioned in such a way that it

is an extension of the trachea.

The mouthpiece is placed on the tongue, in such

a way that the tongue does not obstruct the

mouthpiece during activation of the signal during

relaxed expiration by the patient.

The GO button must be pressed throughout the

expiratory phase.

The patient lets the device take control during

his/her relaxed expiration without opposition and

feels the vibrations in his/her thorax.

Repeat the steps above as many times as

necessary. A typical SIMEOX session consists of 3

to 5 cycles with a pause of 45 seconds between

each cycle – to be adjusted according to the

needs and condition of the patient.

The patient only coughs to expectorate. If the cough

is triggered prematurely, it must be controlled.

After a 15- to 30-minutes session, the patient is

drained. He/she coughs naturally at the end of the

session and/or at a later stage.

If the red lights illuminate, the expiration must

be stopped by releasing the remote control

button or removing the mouthpiece.

If lights 3 to 5 are illuminated: the transmission

quality of the vibratory signal is optimal

Reminder: in order to ensure that the device is

optimally effective, training in the use of SIMEOX

is recommended. Contact PHYSIO-ASSIST, your

physiotherapist or your referring doctor for this

training.

The mouthpiece is badly positioned if the vibrations are felt in the mouth and not in the thorax. An

expiration that is too long or forced risks to prematurely trigger a cough, as does an inspiration that is

too strong or violent

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