Ten minutes. Then get on with your day.
BiWaze® Clear combines lung expansion, high-frequency oscillation, and nebulization in one guided airway-clearance session that typically takes about 10 minutes.
Break the cycle
When airways are stretched or damaged, mucus pools where a cough can't always reach it — and stuck mucus is where germs grow, bringing infection, inflammation, and more mucus. Round and round. Breaking the cycle starts with getting the mucus out — every day.
Designed to fit more easily into your routine
Airway clearance can be an important part of managing a chronic lung condition — but fitting therapy into everyday life isn’t always easy.
BiWaze® Clear combines lung expansion, high-frequency oscillation, and nebulization into one guided therapy session. Simply sit, follow along, and breathe with the cycles of your prescribed therapy — typically in about 10 minutes.
Problems it can help address
- Retained secretions
- Atelectasis (collapsed areas of the lung)
- Shallow breathing / hypoventilation
- Pulmonary exacerbations
RX-Only - US Federal law restricts this device to sale or use on the order of a licensed practitioner.
3 therapies. 1 session. ~10 minutes.
Think of a clogged pipe — you open it, shake it loose, and thin it out. BiWaze Clear does all three in one guided session, while you sit and breathe.
Open the airways
Gentle positive pressure (PEP) holds your airways open, so there is a path out for mucus — and helps re-open areas of the lung that have collapsed.
Shake it loose
Rapid little pulses of air (high-frequency oscillation) vibrate the mucus until it lets go of the airway wall and starts moving upward.
Thin it out
A fine saline mist from the built-in nebulizer thins the mucus, so it stops gripping and starts sliding.*
* Saline only; currently pending FDA clearance for medications. Therapy goals: reduce airway obstructions, re-expand collapsed areas of the lung, and enhance gas exchange.
You breathe. The system does the work.
You sit comfortably and take intentional breaths against gentle pressure during the PEP phase, then rapid, gentle pulses during oscillation, all while the saline mist runs. No garment to wear, no percussion, no special positions.
Your prescribed therapy is saved as a profile on the 7″ touchscreen, so each session starts with a tap. The closed breathing circuit separates the air you breathe in from the air you breathe out, and the nebulizer is built in — there's no separate machine to set up.
At 9 lb with a built-in battery, BiWaze Clear packs into its carrying bag and travels when you do.
Contained. Complete. Simple.
Contained
- Closed dual-lumen breathing circuit — the air you breathe in and the air you breathe out travel separate paths
- Exhaled air passes through a bacterial/viral filter
- Saline mist is delivered inside the closed circuit — not into the room
Complete
- Lung expansion, oscillation, and nebulization in one system
- One ~10-minute session instead of a stack of separate devices
- Up to 10 saved therapy profiles, customized by your care team
- Arc Connect™ therapy tracking to help you stay on routine
Simple
- Sit comfortably and breathe through the therapy
- Simple touchscreen — pick your profile and press start
- Easy-to-assemble breathing circuit
- 9 lb with a built-in battery and carrying bag
Stay connected with Arc Connect
Arc Connect is a mobile app designed to help patients and caregivers manage and track respiratory therapy at home with compatible BiWaze systems — view progress, set goals and reminders, and stay engaged with your therapy routine.
Your routine, visible
- Automatically records therapy from compatible BiWaze systems
- Track progress, insights, and trends over time
- Goals and reminders that keep you on routine
Your team, in the loop
- Choose how you share information with caregivers or care team members
- Simple reports you can bring to appointments
- Your home-care provider can help you get set up
Arc Connect is designed to work with compatible BiWaze Cough and BiWaze Clear systems. Available features may vary by device and software version. Requires iOS 16.0+ or Android 9.0+; therapy data sync requires Wi-Fi.
One device. One circuit. One routine.
BiWaze Clear replaces a multi-device routine with a single system your care team programs for you.
What's included
Control unit: 7″-class touchscreen with your saved therapy profiles, internal lithium-ion battery, and a closed-circuit design with the Aerogen® Solo nebulizer built in.
Breathing circuit: closed, dual-lumen circuit with bacterial/viral filter — single-patient use, replaced every 30 days or 90 typical therapies, whichever comes first.
Carrying bag: organized and padded, so therapy travels with you.
Built on evidence. Backed by one billing code.
Independent bench studies
In laboratory testing by an independent lab, BiWaze Clear demonstrated a strong expiratory flow bias across lung models — the airflow pattern associated with moving mucus toward the central airways — along with consistent pressure delivery and efficient aerosol deposition with less fugitive aerosol than other OLE systems tested.¹˒²
Read the white papers →One code for the therapy
BiWaze® Clear therapy is billed under HCPCS code E0469, which covers lung expansion airway clearance, continuous high-frequency oscillation, and nebulization in one system — with A7021 for supplies. Our team supports providers with documentation resources and prior-authorization guidance.
² Kontoudios N, KenKnight HR, DiBlasi RM. In Vitro Comparison of Aerosol Delivery in High-Frequency Assisted Airway Clearance Devices With Integrated Nebulizers. Respir Care. 2024;69(10):1221-1230.
¹ DiBlasi R, Kontoudios N, KenKnight H. Assessment of Oscillatory Pressure and Flow Waveforms With the BiWaze® Clear System: A Study in Vitro. Seattle Children’s Hospital & Research Institute; ABM Respiratory Care; 2025.
The details, all in one place.
| Therapies | PEP (1–30 cm H₂O) · OSC (5–70 cm H₂O; low 3 Hz, med 4 Hz, high 5 Hz) · NEB-only option — each phase programmed independently (5 sec to 30 min) |
| Session length | Approximately 10 minutes (typical programmed session) |
| Modes & presets | Auto and Manual modes · up to 10 therapy profiles with customizable names · lock feature to prevent edits |
| Nebulizer | Integrated Aerogen® Solo vibrating-mesh nebulizer (aerosol FDA-cleared for saline only) |
| Circuit | Closed, coaxial dual-lumen breathing circuit with bacterial/viral filter · single-patient use · 30 days or 90 typical therapies, whichever comes first |
| Interfaces | Mouthpiece · face mask · trach adapter |
| Device | 9 lbs including internal lithium-ion battery (up to 10 nominal 10-minute therapies per charge) · carrying bag included |
| Regulatory | FDA 510(k) K260604 · View the FDA clearance letter (PDF) → |
Product images
Downloads
Getting started
Talking with your care team
For home-care providers
From prescription to first therapy at home
Talk to your care team
BiWaze Clear is a prescription device. Your physician decides if OLE therapy is right for you.
Prescription & documentation
Your care team completes the prescription form and medical-necessity documentation for your equipment provider.
Home setup & training
Your home-care provider delivers the system, programs your therapy profile, and can help you connect Arc Connect.
Supported every day
Questions along the way? ABM Respiratory Care customer support is at 877-226-7201.
Start the conversation with your care team
If airway clearance is part of your care, our discussion checklist can help you prepare for a conversation with your healthcare provider about your needs, current therapy, and whether BiWaze® Clear may be an option.
For home-care providers
Ready to bring BiWaze® Clear to your patients? Our team can help you get started with BiWaze Clear training, Arc Connect™ onboarding, and reimbursement documentation support.
BiWaze Clear at home — FAQ.
What does a session feel like?
You sit comfortably and take slow, intentional breaths through a mouthpiece. You feel gentle pressure as you breathe out, rapid gentle pulses during oscillation, and a soft saline mist. A typical session is about 10 minutes.
Do I have to wear a vest or do chest percussion?
BiWaze Clear delivers therapy through a breathing circuit and mouthpiece — there's no garment to wear and no percussion involved. Always follow the therapy plan your care team prescribes.
Can I travel with it?
Yes — the system is 9 lb with a built-in battery and packs into its carrying bag.
What medications can I use with it?
The integrated nebulizer is FDA-cleared with the system for saline only. Ask your care team before using any medication with your device.
Is BiWaze Clear covered by insurance?
BiWaze Clear is billed under HCPCS code E0469. Coverage varies by payer and plan, and claims are typically reviewed case-by-case with medical-necessity documentation. Your equipment provider can check your benefits — and ABM Respiratory Care provides documentation and appeal support to help.
Your experience could help someone else.
Are you or a loved one doing BiWaze Clear therapy at home? We'd be honored to hear how it fits into your life — the routines, the wins, and the honest moments. With your permission, your story could help another family starting the same journey.
Stories are shared only with your written consent, and you may withdraw at any time. Individual experiences vary; a patient's story is not a claim about outcomes.
Ready to take the next step?
Ask your physician or home-care provider whether BiWaze Clear is right for you — or reach out and we'll point you in the right direction.