ABM Respiratory Care

BiWaze® Cough System

Mechanical Insufflation-Exsufflation (MI-E) Therapy

A mechanical insufflation-exsufflation (MIE) system designed to support patients with a weak or ineffective cough.

The BiWaze Cough control unit

How it works

A dual-blower design separates inhaled air from exhaled mucus, helping deliver higher peak cough flows and maintain lung volume during therapy. Suitable for use across care settings.

Evacuate and cough. Moves mucus out of the upper airways.

  • Dual airflow pathway

    Synchronized inhalation and exhalation to mimic a natural cough, separating exhaled mucus from fresh inhaled air.

  • Oscillation option

    Programmable oscillations on the inhale, the exhale, or both phases of the cough cycle, to loosen mucus for improved airway clearance.

  • CoughCue™

    Senses inspiratory effort and helps trigger exhalation when the patient is ready.

From ABM

Why an assisted cough

From ABM Respiratory Care's own BiWaze platform material. No audio.

Features

What BiWaze Cough gives a clinician.

Hygienic by design

An optional dual-lumen breathing circuit separates the inhaled air from exhaled mucus for cleaner therapy.

Pressure through the pause

Positive airway pressure (PAP) during the pause phase stabilizes and maintains lung volume.

Intuitive and lightweight

A simple touchscreen interface and a built-in lithium-ion battery, at a weight of about nine pounds — straightforward for patients, caregivers and healthcare providers.

In detail

A closer look at BiWaze Cough.

  • The two air paths inside the platform, one for inhalation and one for exhalation.

  • Inhale, exhale, pause — the cough cycle the system delivers.

Imagery courtesy of ABM Respiratory Care. Their own documentation is the authority on specifications.

Who it is for

Patient symptoms and conditions.

Patient symptoms

  • Weak or ineffective cough due to limited mobility or diaphragmatic weakness, increasing the risk of atelectasis or pneumonia
  • Difficulty clearing airway secretions, or complete inability to do so

Patient conditions

  • Weak or ineffective cough
  • Amyotrophic lateral sclerosis (ALS)
  • Progressive bulbar palsy
  • Muscular dystrophy
  • Spinal muscular atrophy (SMA)
  • Multiple sclerosis
  • Spinal cord injury (SCI)
  • Motor neuron disease
  • Quadriplegia

Symptoms and conditions as listed by ABM Respiratory Care in their own BiWaze Systems home care material. This page is not clinical advice, and the prescribing decision is the clinician's.

Specifications

BiWaze Cough — part number BC20113

BiWaze Cough specifications
Size 10.5 in L × 9.2 in W × 3.5 in H (27.5 cm × 23.5 cm × 9.0 cm)
Weight 9.4 lbs (4.1 kg), including the internal battery
Presets Up to 10
Modes Automatic and Manual
Oscillation frequency 5 to 20 Hz
Oscillation amplitude 5 levels, 1 being the lowest
Battery Up to 2 hours of therapy on a full charge; about 4.5 hours to recharge
Patient interfaces Face masks in various sizes, mouthpiece, and a tracheostomy or endotracheal tube adapter

Therapy pressures and timings are not restated here. They are printed in ABM's own specification sheet, linked below.

Source: BiWaze Cough Product Description and Specifications, published by ABM Respiratory Care.

What the home care configuration includes

  • Control unit
  • AC power cord
  • Carrying bag
  • User manual
  • Patient quick start guide
  • Integrated lithium-ion battery
  • Single lumen breathing circuit, adult medium
  • One-year manufacturer warranty

Documents

BiWaze Cough literature and evidence.

Full user manuals and electronic instructions for use are maintained by ABM Respiratory Care at eifu.abmrc.com (opens in a new tab).

Talk to Stellor about BiWaze Cough.

Request literature, product information, an in-service, or technical support from Stellor Medical.