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Our Respiratory Therapists are all highly credentialed with extensive experience in both adult and pediatric care.  We provide 24 Hour Emergency Service for questions or problems.

For more information, click on the respiratory category below:

CPAP/BiPAP

  • Our sleep therapy program has been designed to help you successfully achieve your prescribed therapy goals.  We carry CPAP and Bi-level devices including AVAPS and ASV devices.  Our multiple manufacturers have many different options to be sure we can comfortably meet your unique needs.
  • Obstructive Sleep Apnea affects more than 12 million Americans. Individuals with sleep apnea stop breathing at times during sleep.  A CPAP provides continuous positive airway pressure to help hold open the airway during sleep thus providing a good night sleep.  Your pressure requirement is determined by your doctor’s recommendation based on a sleep study.
  • Untreated, sleep apnea can cause high blood pressure and other cardiovascular disease, memory problems, weight gain, impotency and headaches.  Moreover, untreated sleep apnea may be responsible for job impairment and motor vehicle crashes.  Fortunately, sleep apnea can be diagnosed and treated.  Our therapists will help you find the right product to meet your therapy needs.
  • CPAP Cleaning Tips
  • CPAP Supplies and Follow Up Program
  • See CPAP/BiPAP products

Nebulizers

  • A nebulizer is a device that converts liquid medicine into a fine mist you inhale by breathing through a  mouthpiece or mask.  Once the nebulizer is set up, it can be used while breathing normally.  Most medications are delivered in 5 to 15 minutes.
  • See nebulizer products
  • For care and cleaning, click here
  • Nebulizer PDF on cleaning and care

Enteral Nutrition

  • Essentia Health – Medical Equipment & Supplies can help you meet all of your nutrition goals with a wide range of supplies, whether you are looking for a formula to help your new baby row, meal replacements when you don’t feel like eating or tube feeding formula and supplies.
  • Oral nutritional supplements are often beverages that are taken by mouth to help you meet your daily nutritional goals.  These products may be needed for a brief amount of time such as after surgery or for a longer period of time such as aiding with weight gain.  Oral nutritional supplements are specially formulated to help you meet your calorie, protein and vitamin needs when you are unable to take enough food in.  These products may be drank individually, added to food to enhance nutritional intake or used in recipes to make high calorie beverages.
  • See enteral nutrition products

Ventilators

 

  • Trilogy100 makes invasive and noninvasive home ventilation less complicated with a simplified user interface and Respironics' proven Bipap technology for greater versatility. Its lightweight design and internal and detachable batteries make portability easier for patients on the go.
  • Astral 150 life support ventilators offer the best battery-to-weight ratio on the market with an eight-hour internal battery and a weight of only 3.2 kilograms. Two optional eight-hour external batteries provide a total run-time of 24 hours. With this expanded mobility, chronically ill adult and pediatric patients who would otherwise be hospitalized may be safely treated away from the hospital for a more enriched life. Less time in the hospital can also mean a reduction in the cost of care.
  • Our Ventilator services are seamless from hospital to home setting. Our therapist becomes involved before time of discharge, at the patient care conferences, to assure patient and family or staff needs will be met once home. The patient is placed on our Ventilator equipment before discharge to assure a smooth transition to home.  The Respiratory Department staff service the staff with all equipment needs in the home, and follow-up is done monthly by a Respiratory therapist.

Home Oxygen

We make oxygen easy and convenient.  We have many options to help meet your oxygen needs in a way that suits your lifestyle.  From a portable concentrator that is airline approved to a system that fills your own tanks at home, we will set you up with the oxygen system you need.

The room air we breathe contains 21% oxygen.  Some people with certain lung or heart conditions require a higher percentage of oxygen in order to maintain their blood oxygen saturation levels.  Supplemental oxygen can be provided at home with an oxygen concentrator and oxygen tanks.

Oxygen must be prescribed by a doctor.  The prescription must have 3 parts:  flow rate in liters per minute, method of administration (cannula, mask, etc) and amount of time to use oxygen daily.  For example:  oxygen 2 lpm via nasal cannula continuous.

If oxygen is ordered non-continuously or “as needed” the prescription must include an indication for when to use it.  For example: oxygen 2 lpm via nasal cannula as needed for exertion.

Insurance coverage generally requires a room air oxygen saturation level of 88% or less at rest.  It can also be tested with activity.  If the level decreases during activity, oxygen should be applied and the patient retested with oxygen on to determine the correct liters per minute.

Standard home equipment includes a “stationary” source – an oxygen concentrator and a “portable” source – oxygen tanks or a portable concentrator.

A Respiratory Therapist will review the following home equipment options with you and your provider to determine the best choice for your life style and level of activity:

Oxygen Concentrator

This is a standard home stationary source.  It is used when you are sleeping and thought the day when you are at home.  It runs on AC power and allows flow rates from 1-10 lpm continuous.  A large back up oxygen tank is provided in case of power outages.

  • Link to Oxygen Concentrator in Store

Home Fill Station

The home fill station is a device that enables patients to refill their own tanks for portable use.  It is used in conjunction with a stationary concentrator.  The tanks use a pulse dose technology to extend the duration of the tanks.  The tanks are available in 5 sizes and come with an easy to use carrying bag.  The pulse dose conserving levels range from 1-6 lpm with a continuous option of 2 lpm.  The fill device runs off of AC power only.

  • Link to Home Fill Station in Store

Portable Oxygen Concentrator

The portable oxygen concentrator runs on rechargeable batteries.  This is also used in conjunction with a stationary concentrator.  It is a good choice for the very active patient.  The internal battery enables up to 3 to 3.5 hours of use between recharges.  When more time is needed away from home, an additional battery for extended activity is available.  The unit can be plugged in and recharged on an AC power source or off of a vehicles DC power source.  This portable oxygen concentrator offers 5 pulse dose setting options in the conserving mode ONLY, Continuous flow is not available.  It is FAA  approved for on-board, in-flight use and ultra-lightweight at 6.2 pounds.

  • Link to Portable Oxygen Concentrators in Store

Portable/Stationary Concentrator

This concentrator acts as both a stationary and portable unit.  It may be best for very active patients with high flow needs.  It is usually the best option for patients that are frequently away from home over night or seasonally.  It offers pulse dose settings from 1-6 lpm with a 7-9 lpm range avaialbe for larger breath requirements.  Also, a continuous flow option of up to 3 lpm is available.  It is FAA approved for on-board, in-flight use and weighs 15 pounds.  As a current oxygen patient, you can check out this portable concentrator free of charge to meet your occasional overnight needs.  We request you call ahead to reserve one.  A refundable deposit is required to cover any damages.

  • Link to Portable /Stationary Concentrator in Store

Our Certified Mastectomy Fitters help women lead fuller lives after breast surgery.

Following surgery, you may have a chance to work with a certified fitter to go over options for breast forms, partial breast forms and bras available.  Approximately four to six weeks following surgery, after being released from your doctor’s care, you can make an appointment with a certified fitter to select products that best suit your needs.  Our certified fitters will make arrangements to work with you at the Essentia Cancer Center in Duluth, or at our location in Virginia, MN

Important information to aid your recovery:

Nutrition

  • During breast cancer treatment, the most important nutritional goal is to maintain a caloric balance.  You may find small, frequent meals are better tolerated than three large meals.
  • Eating well helps the body recover more efficiently and quickly.  Consult with your doctor about any dietary restrictions and aim to select a variety of foods from all food groups.  In addition to five fruits and vegetables daily, eat high-fiber foods and stick with low-fat milk or dairy products.

Exercise

  • Exercising after your surgery can help reduce instances of side effects that may occur. Talk with your doctor prior to starting exercises so that you can decide on a program that is right for you.  Begin exercising after your doctor’s permission.

At your appointment, you will likely be fitted with special bras or camisoles that are soft and have features to accommodate any post-surgical accessories.  Some forms of reconstruction will require binding or compression to help support the new surgery while healing.  These bras will most likely be front closure or allow you to step into them so you do not have to lift your arms while recovering.

We have various styles of post-mastectomy products to help restore confidence and appearance after your breast surgery, including a variety of different bras, scarves and compression garments.

Breast forms are available for various body and breast types as well.  Most forms are made of silicone that mimics the feel and weight of breast tissue.  Lightweight silicone is lighter than the standard silicone and relieves some of the weight on your neck and shoulders.

There are also partial breast forms, shapers or shells available for women who need slight shaping to fill out their bra cups.  Shapers are also useful for women going through the reconstruction process.

For more information, click on the mastectomy category below:

Bras and Camisoles

  • Our certified fitters will measure you for the correct bra size and evaluate your needs.  You will be fitted with various styles of bras to meet your requirements.  There are many styles from seamless molded cup for a smooth rounded look to M-frame designs that provide the needed support for larger breasts.
  • See bras and camisoles products

Breast Forms

  • With many different shapes and sizes along with a wide variety of bras and accessories we are sure to find the perfect match for YOU.
  • See breast form products

Partial Forms and Shapers

  • For lumpectomies or other breast conserving surgeries that require shaping to recapture symmetry, we provide partial breast forms or shapers.  These can be worn in special pocketed bras or against your skin in a fashion bra.  The shapers can also fill in any deficits in the bra cup.  Additionally, there are skin-friendly adhesive nipples that can be worn with or without a bra.
  • See partial forms and shapers products

Durable Medical Equipment (DME) is a broad term used to describe equipment that is used to serve a medical purpose, can withstand repeated use, and is appropriate for use in the home.  Some examples of common DME include hospital beds, walkers, wheelchairs, canes/crutches and bath chairs.  If your doctor prescribes a DME it may be a covered item under your health insurance plan.  A simple insurance verification will tell us if your items are covered and/or if it requires a prior authorization.  At a minimum you will need a prescription from your doctor for insurance coverage.

It is in your best interest to work with a local supplier to determine coverage and to ensure you are getting the most appropriate piece of equipment possible.  It is possible that even if your doctor writes you a prescription, that your insurance policy may not cover the requested items.  It is also possible that the standard piece of equipment may not be what you want and depending on your insurance you could pay an out of pocket upgrade charge to get the DME you desire.  Most DME can be purchased out of pocket with no detailed order required.

Typically a patient will use DME to perform his or her daily activities like mobility and bathing in the home.  While managing the recovery from an injury, the progression of a disease or condition, or just the general effect of aging, it is very common for an individual to have many different types of DME in their home.  Use of DME not only helps you to perform independent daily activities in the home but often allows you to participate in activities out of the home as well.  Shopping, doctor visits, family and community events and travel are some of the activities that millions of people perform daily with the assistance of DME.

For more information, click on the medical equipment category below:

Aids for Daily Living

  • Aids for Daily Living (ADL) includes items that help with everyday activities like getting dressed (button hook, dressing stick, shoe horn), eating (specialized utensils), bathing (long handled sponge).  ADLs are inexpensive items and are rarely covered by insurance carriers.
  • See Aids for Daily Living products

Bath Safety

  • The bathroom can be the most dangerous room in the home of an aging adult or disabled person.  Bath safety equipment helps you use existing bathroom facilities safely and independently.  Bath safety can be relatively inexpensive to keep you at home and/or prevent or eliminate the need for expensive remodeling.
  • We have a complete line of bath safety items.  This product line includes bath benches with and without a back, transfer benches, wall and tub mounted grab bars, hand held showers, raised toilet seats, toilet safety frames and commodes.   All of the benches, the toilet safety frames and commodes  are height adjustable.  The legs have spring pins which allow for quick and easy height adjustments.  We do not install grab bars, hand held showers or toilet safety frames.  We do assemble all products and will demonstrate to you how to adjust the equipment.  Most bath safety equipment is very simple and does not require any special skill to set up or adjust.
  • It is very important that when you adjust the height of any bath equipment you get the adjustment pin to fully extend out before use. Failure to do so could result in a fall while using the equipment.  Due to government regulations, bath equipment may not be returned.
  • Most insurance carriers do not pay for bath safety items.  However, a bedside commode may be covered if the patient is room-confined or unable to get to toilet facilities.
  • See bath safety products

Beds and Accessories

  • If your doctor has prescribed a home hospital bed, you probably need it for proper positioning during sleep and bed rest.  The most common diagnosis for a hospital bed are Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), reflux, Obstructive Sleep Apnea, leg fracture, cancer and quadriplegia.  You can also use it to assist the transfer into and out of your bed.
  • There are three basic types of home hospital beds:   full electric, semi electric and manual.  Full and semi electric beds have the same electric functions for raising and lowering the head and foot sections.  The difference between the two is that a full electric frame height adjusts with an electric motor and the frame height on a semi is adjusted with a hand crank.  A manual bed has hand adjustment for all three functions.
  • Full electric beds are difficult to get funded through insurance carriers and require a prior authorization if it is a covered option.  The electric frame height adjustment is not usually considered medically necessary.  Many people will not need to change the frame height once the bed is set to the proper height for the user.  Some people will adjust the frame height higher or lower to make transferring into and out of bed easier.
  • We provide full electric beds, however if your insurance does not cover the electric bed, any repairs to the motors that you want to have made will be self pay.  If the motors stop working, there are hand cranks to adjust the head, foot and height of the bed operating same as a manual bed.
  • We also carry unique support surfaces to prevent or  heal wounds or pressure ulcers.  These range from overlays to pressure reducing mattresses to air-fluidized mattresses depending on the stage of the ulcer.
  • See bed and accessory products

Lifts and Lift Chairs

  • Patient lifts (Hoyer) are used to transfer between bed and chair, a wheelchair or a commode.  They are covered if transfers require the assistance of more than one person and, without the use of a lift, the patient would be bed confined.
  • Lift Chairs have a motorized mechanism that lifts the chair for ease of getting out of the chair.  The furniture component is not covered by insurance.  The lift mechanism may be covered if the patient is completely incapable of standing up from any chair in the home.
  • See lift products

Walkers, Canes and Crutches

  • One in three adults 65 and older falls each year.  Mobility aids like canes, crutches and walkers may reduce your risk of falling. 
  • Use a cane or walker to steady yourself when getting up.  Stand up slowly after eating, lying down or resting.  Getting up too quickly can cause your blood pressure to drop, which can make you feel faint.
  • Use a cane or walker to feel steadier when you walk
  • A cane may be covered by insurance when there is a mobility impairment but potential for ambulation.  A walker may be covered when there is mobility impairment that cannot be corrected with a cane but potential for ambulation.  We carry heavy duty walkers for patients that weigh over 300 pounds.  A specialty walker (multiple braking system, variable wheel resistance) may be covered when criteria for a walker is met but cannot use a standard walker due to severe neurologic disorder or other condition causing restricted use of one hand.
  • See mobility aid products

Disposable medical supplies are primarily used to manage a condition.  Many medical supplies help protect caregivers as well as yourself while other medical supplies assist in the control of certain conditions such as incontinence or wound care.

For permanent or temporary situations, we will help you through the process.  From the initial order to basic product recommendation, our Customer Service Representatives are trained to help you navigate the confusing world of disposable medical supplies.  We have an extensive in-stock supply of urological and incontinence supplies.  We also carry a wide variety of wound care supplies.  If we do not stock what you need we may be able to order it from one of our many vendors.

For more information, click on the supply category below:

Maternity

  • Having a baby is an exciting time.  We carry both Ameda and Medela breast pumps and accessories.
  • Sometimes our miracles need a little help.   
  • See maternity products
    • Bili lights
    • Breast pumps
    • Apnea monitors

Ostomy

  • An ostomy refers to the surgically created opening in the body for the discharge of body wastes. A stoma is the actual end of the ureter or small or large bowel that can be seen protruding through the abdominal wall. The most common specific types of ostomies are:
    • Colostomy – surgically created opening of the colon (large intestine) which results in a stoma.  A portion of the colon is removed and the remaining colon is brought to the abdominal wall.  It can be temporary to allow the lower portion of the colon to rest or heal, or it can be permanent usually involves the loss of part of the colon.
    • Ileostomy – surgically created opening in the small intestine which.  The intestine is brought through the abdominal wall to form a stoma. May be temporary or permanent and may involve removal of all or part of the colon.
    • Urostomy – general term for a surgical procedure that diverts urine away from a diseased or defective bladder. Part of the bowel or intestine is removed and relocated as a passageway for urine to pass from the kidneys to the outside of the body through a stoma.
  • There are different pouching systems that are one-piece or two-piece .  Both include a skin barrier/wafer and a collection pouch.  The pouch attaches to the abdomen by the skin barrier and is fitted over the stoma.  The barrier/wafer is designed to protect the skin from the stoma output.  Closed pouches are sealed at the bottom.  Open-ended pouches are drainable and require a clamp or clip.
    • Two-Piece System allows changing pouches while leaving the barrier/wafer attached to the skin.  The pouch includes a ring that snaps tightly to the flange
    • On-Piece System consists of a barrier/wafer and pouch joined together as a single unit.  It is simple but requires changing the entire unit when the pouch is changed.

Therapeutic Aids

  • Aches and pains, bumps and bruises, visit us for hot, cold and aroma therapy.  Therapeutic items are rarely covered by insurance carriers.
  • See Therapeutic Aids

Urological and Incontinence

  • Your urinary symptoms will vary depending on whether you suffer from urinary incontinence or urinary retention and the underlying cause. The basic function of your urinary system is to store urine in your bladder and empty it through your urethra.
  • Typical symptoms of urinary incontinence
    • Urinary leakage
    • Small or large amounts of urine leaking without warning or without feeling the urge to go to the toilet
    • Involuntarily leakage when sneezing, coughing, laughing or exercising
    • A sudden urge to rush to the toilet to urinate
    • The need to get up to pass urine two or more times a night (nocturia)
  • Typical symptoms of urinary retention
    • Discomfort
    • Urgent sense to urinate but inability to start the urine flow
    • Frequent visits to toilet
    • Dribble due to overflow incontinence
    • Weak flow
    • Bloated lower abdomen
  • We have urological supplies from trusted vendors to meet either incontinence or retention needs.

Wound Care

  • Wound Care is used for the treatment and promotion of healing for pressure sores.  Pressure sores can occur from lack of position changes while in sitting or lying down for long periods of time.  These products will assist in the healing process and help reduce these sores.
  • We carry a wide variety of wound care supplies including generic gauze and tapes.  Special wound care detailed prescriptions need documentation for the number of wounds, size, stage and level of exudates for each wound.
  • Depending on your insurance, you may need to have your wound examined by your physician and your detailed prescription updates as often as every three months to ensure coverage.  Each carrier has different criteria; we will be happy to guide you through this process.  We will work with your nurse to find the best option that we can provide. 

Essentia Health’s orthotists and prosthetists are certified by the American Board for Certification in Orthotics and Prosthetics.  We are also accredited by The Joint Commission.

We provide care to patients with disabling conditions of the limbs and spine and to patients with total or partial absence of a limb.  Together with your physician and other members of the rehabilitation team, we design, make and fit braces (orthotics) and artificial limbs (prosthetics).

Our goal is to restore your health following a musculoskeletal imbalance or the loss of a limb.  We help return you to the activities you previously enjoyed.  You will be seen over multiple appointments to assure the best fit, function and comfort of your orthotic and/or prosthetic.

Services Provided

We specialize in artificial limbs, braces, foot orthotics and extra depth shoes for adults and children.  We have a specialized scanner to custom mold cranial helmets for infants.  Thanks to our two convenient locations (one in Duluth and one in Fargo), we are often able to coordinate your appointment with others you have at Essentia Health reducing the number of visits you have.  We also offer insurance verification and are able to access your physician’s notes (if you were seen by an Essentia Health provider).  We build and repair devices on-site reducing the time you are without your device when it needs repair.

Orthotic and Prosthetic Product Lines

Our product line of manual wheelchairs, standard power wheelchairs, complex power wheelchairs which include tilt, recline or both, standard and custom cushions, backs, laterals, headrests, standers and gait trainers come from the quality manufacturers you deserve.  Our expert Rehab Sales staff can fit you appropriately with the type of wheelchair that ensures your way of life.  After a purchase has been made, we support all of our products with service and repair to guarantee your satisfaction throughout the life of the product. 

Effective April 2008, the US federal government mandated any provider selling power wheelchairs with tilt, recline or both requires the expertise of a credentialed Assistive Technology Practitioner (ATP).  Our staff are also members of the National Registry of Rehab Technology Suppliers (NRRTS).  This assures that you are working with highly trained and qualified rehab professionals.

The use of a cane or walker must be ruled out before a wheelchair will be covered by insurance carriers.

For more information, click on the mobility category below:

Manual Wheelchairs

  • There are different weights of manual wheelchairs.  All manual wheelchairs are considered if they meet needs IN THE HOME.
    • A standard chair weighs 65 pounds
    • A Lightweight weighs 50 pounds.  For insurance to consider, you must be independent in self-propelling with the wheelchair in the home
    • Ultra lightweights weigh 40 pounds.  This chair requires an ATP and PT/OT evaluation as well as face-to-face exam by the physician. 
    • Hemi-height for when lower seat to floor height is needed for transfers and/or to assist with self-propelling
  • See manual wheelchair products

Power Wheelchairs

  • Medicare will only rent power wheelchairs.  The use of a manual wheelchair must be ruled out for a power chair to be considered by insurance carriers.
  • See power wheelchair products

Scooters

  • Scooters are rarely covered by insurance carriers.
  • See scooters

Seating and Cushions

  • We work closely with our customers to provide the best seating system. Custom seating is offered in a monthly seating clinic setting.
  • We offer a wide variety of custom seating from Ride Designes and Otto Bock Rehab.  Custom seating is molded to the customer's body to fit their unique needs.
  • We also have pre manufactured seat cushions that are made of foam fluid filled or air.  Different thickesses of a cushion can affect the way a person sists and propels their chair.  Our Rehab Department will help you determine which cushion is the best for your use.
  • See seating and cushions

Standers

  • We provide standing frames for both children and adults to assist in maintaining independent lifestyles.
  • We offer the Easy Stand Evolv for adults working closely with the manufacturer and therapists to ensure the stander meets your standing needs.  This often involves a home evaluation.
  • Pediatric standing frames and gait trainers are available for evaluation.  We use products from Rifton and Otto Bock.  The physician or therapist working with the child may have specific recommendations for the style and features of the product they want evaluated.  Equipment is set up on that recommendation and privided for trial prior to purchase to ensure it meets all of the patient's needs.
  • See standers

General

If your doctor has prescribed a home hospital bed, you probably need it for proper positioning during sleep and bed rest.  The most common diagnosis for a hospital bed are Congestive Heart Failure (CHF), Chronic Obstructive Pulmonary Disease (COPD), reflux, Obstructive Sleep Apnea, leg fracture, cancer and quadriplegia.  You can also use it to assist the transfer into and out of your bed.

There are three basic types of home hospital beds:   full electric, semi electric and manual.  Full and semi electric beds have the same electric functions for raising and lowering the head and foot sections.  The difference between the two is that a full electric frame height adjusts with an electric motor and the frame height on a semi is adjusted with a hand crank.  A manual bed has hand adjustment for all three functions.

Full electric beds are difficult to get funded through insurance carriers and require a prior authorization if it is a covered option.  The electric frame height adjustment is not usually considered medically necessary.  Many people will not need to change the frame height once the bed is set to the proper height for the user.  Some people will adjust the frame height higher or lower to make transferring into and out of bed easier.

We provide full electric beds, however if your insurance does not cover the electric bed, any repairs to the motors that you want to have made will be self pay.  If the motors stop working, there are hand cranks to adjust the head, foot and height of the bed operating same as a manual bed.

We also carry unique support surfaces to prevent or  heal wounds or pressure ulcers.  These range from overlays to pressure reducing mattresses to air-fluidized mattresses depending on the stage of the ulcer.

Products

General

Products

Products
Products