The gadget is not really aimed at improving "lung" function but rather breathing power technique. Many people simply do not breathe deeply or with much control of the diaphragm. As such they exchange air like a humming bird flaps it's wings and their SAC is high. This device, or snorkeling (extended wind pipe & some water column resistance), or singing all force you to develop control many do not have and would require a prohibitive amount of bottom time to attain. This thing just makes you work at breathing or suffocate! Don't over think it, it's that simple.
Pete
Pete