I purchased the Medium PureVent Pet Oxygen Chamber for my 20 lb Cavalier King Charles Spaniel, Maxwell Smart, after he was diagnosed with MVD and CHF, causing fluid buildup, coughing, and labored breathing. While waiting for our oxygen concentrator, I kept the chamber nearby—and Max would snuggle next to it. Then he woke me two nights in a row, persistent and restless. When I placed the chamber on the floor with his blanket, he climbed right in, laid down, and went back to sleep — and his labored breathing and coughing ceased almost immediately. He’s repeated this for three nights as I fine-tuned his oxygen flow per recommendations. Max and I are truly happy with this unit—it gave us an at-home option when clinic oxygen therapy costs weren’t feasible. Thank you for making such a fantastic product.