RespirTech inCourage User manual

This manual contains words and symbols that bring attention to specific statements.
WARNING Indicates a potentially hazardous situation which, if not
avoided, could result in death or serious injury.
CAUTION Indicates a potentially hazardous situation which, if not
avoided, may result in minor or moderate injury.
The following symbols are used in this manual and on the inCourage®Airway
Clearance Therapy. Their meanings are as follows:
RespirTech Business Hours: Monday-Friday 8am – 5pm CST
Toll Free: 800-793-1261
www.respirtech.com
2896 Centre Pointe Drive, St. Paul, MN 55113
TF 800.793.1261 | Fax [phone]
© 2014 Respiratory Technologies Inc. 900000-000 Rev R
General Warning Sign
indicating the risk of
personal injury
Caution Hot Surface Warning: Risk of
Electric Shock
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inCourage®Airway Clearance Therapy | INSTRUCTION MANUAL

TABLE of CONTENTS
Introduction ..................................................................................................... 4
Components and Controls ................................................................................ 5
Safety Instructions............................................................................................. 7
System Setup.................................................................................................... 8
Fitting the inCourage Comfort Vest ............................................................. 8
Treatment Definitions ...................................................................................... 12
Starting a Treatment Session ............................................................................ 13
Turn On the inCourage System ................................................................. 14
Quick Start Mode.................................................................................... 14
Auto Pause Mode .................................................................................... 15
Multi Step Mode...................................................................................... 16
Modify a Multi Step Session............................................................................. 17
Fast Set Programming (FS)........................................................................ 17
Review and Adjust Multi Step Session Settings ............................................ 18
Set Session to Factory Default ................................................................... 19
System Utilities ............................................................................................... 20
Information Menu (i) ................................................................................ 20
Retrieve Hour Meter Reading (HMR) .......................................................... 20
Retrieve Software Version.......................................................................... 20
Retrieve Device Average Use Information................................................... 21
Setup Menu ............................................................................................ 21
Beep Control ................................................................................... 22
Quick Start/Auto Pause Session Time ................................................. 22
Pause Time ...................................................................................... 22
Pressure Limit ................................................................................... 23
Pressure Increment............................................................................ 23
Reset Defaults................................................................................... 23
Clear Average Use ........................................................................... 23
Using the Button Lock ..................................................................................... 24
Cleaning and Filter Replacement ..................................................................... 25
Troubleshooting Guide ................................................................................... 27
Specifications................................................................................................. 28
Contraindications ........................................................................................... 29
Electromagnetic Emissions............................................................................... 30
Electromagnetic Immunity ............................................................................... 31
Patient Bill of Rights and Responsibilities ........................................................... 32
Notice of Privacy Practices............................................................................... 34
Medicare DMEPOS Supplier Standards ............................................................ 38
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inCourage®Airway Clearance Therapy | INSTRUCTION MANUAL

INTRODUCTION
Thank you for selecting the inCourage®Airway Clearance Therapy from RespirTech.
RespirTech’s mission and vision is to provide superior products and services to a wide
variety of individuals that will benefit from airway clearance management. In doing
so, we will achieve strong business results and demonstrate the ability to provide for
the needs of clinical care teams, patients and families by implementing innovative
solutions while creating and maintaining a positive workplace for our associates.
How does the inCourage Airway Clearance Therapy work?
The inCourage System consists of an inflatable vest, interconnecting hoses, and a
Pulsating Therapy Unit (PTU) that creates compressions to the chest to help loosen,
thin, and move mucus throughout the lungs.
Indications for Use
The inCourage Airway Clearance Therapy is indicated when external manipulation
of the chest is the physician’s treatment of choice for increasing the clearance of
mucus in patients with pulmonary disorders. The system promotes airway clearance
and improves bronchial drainage utilizing High Frequency Chest Compression (HFCC).
This manual includes instructions for setup, use, and maintenance of the
inCourage System. It is to be used as a reference guide. Please review all sections
carefully prior to using the inCourage System.
The device instructions contained herein may apply only to device variations with
V36 software.
Warranty provided separately with shipment of device.
CAUTION: Federal law restricts this device to sale by or on
the order of a physician!
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inCourage®Airway Clearance Therapy | INSTRUCTION MANUAL

COMPONENTS and CONTROLS
Pulsating Therapy Unit (PTU)
The PTU is the main control unit, which
creates the pulsating air compressions that are
transferred to the vest. It is the source of control
for the system.
inCourage Comfort Vest
The vest is made of multi-layered nylon. It is
secured utilizing QuickFit straps that allow you to
quickly size the vest to the recommended spacing
that allows for the pulsating air.
Interconnecting Hoses
The two hoses are made of high-strength,
fiber-reinforced PVC. The hoses deliver the
pulses of air from the PTU to the vest.
Locking Connectors
The connectors are made of nylon with stainless
steel locking levers.
Power Cord
The power cord plugs into the PTU and to a
grounded, three-pronged outlet. Grounding
reliability can only be achieved when the
equipment is connected to a properly grounded,
three-pronged outlet.
On/Off Switch
The power to the unit is controlled by the On/Off
switch located on the back of the unit.
On = I Off = 0
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inCourage®Airway Clearance Therapy | INSTRUCTION MANUAL

Control Panel
The control panel is located on
the top/front of the PTU and
provides all interactive menus
and performance readouts.
Control Buttons
The control buttons are located just
below the display. As the readout
above each button changes, the
function of the button changes.
Power Indicator
The power indicator glows green when
the unit is plugged in and the On/Off
button is in the On position.
Stop/Reset Button
This button ends all current functions,
resets the control board, and returns to
the main menu.
QuickFit Adjustable Straps
These straps allow you to size your vest
to the exact, repeatable, recommended
therapy spacing.
Air Ports
The air ports are located at the front
of the PTU and on the front of the vest.
The interconnecting hoses attach to the
ports to complete the connection from
the vest to the PTU.
COMPONENTS and CONTROLS
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inCourage®Airway Clearance Therapy | INSTRUCTION MANUAL

WARNING: To reduce the risk of electrocution, ALWAYS unplug this
product immediately after using. Failure to do so could result in
personal injury or damage to equipment!
WARNING: To reduce the risk of electrocution, fire, or personal injury,
follow these instructions!
1. Be sure to read all information and instructions prior to setting up and using the
inCourage System. Failure to do so could result in equipment damage, personal
injury, or death.
2. Close supervision is necessary when this product is used by or near children or
individuals incapacitated by a chronic illness or injury.
3. Product is to be used only as described in this manual and only as prescribed by a
physician. Failure to do so could result in serious injury or death.
4. All attachments must be recommended by the manufacturer. Use only
components specified in the manual.
5. Do not use device near flammable substances.
6. Inspect power cord and unit prior to use. Do not use this product if any damage
has occurred to power cord or any part of the system. Call a RespirTech Customer
Care Specialist at 1-800-793-1261 if any damage is suspected.
7. Keep all components of the inCourage System away from heated surfaces to avoid
damage and possible injury.
8. Do NOT insert any object into any opening on the system.
9. Always observe ALL warnings, cautions, and notes listed in this manual and posted
on the inCourage System.
10. Be sure to plug the inCourage System DIRECTLY into a properly grounded,
three-pronged electrical outlet. Grounding reliability can only be achieved when
the equipment is connected to a properly grounded, three-pronged outlet.
11. Do not use the inCourage System near water or ANY wet surface. Allow the
inCourage System to dry completely before plugging it into an electrical outlet if
the system becomes wet.
12. Place the inCourage System only on a flat and stable surface away from any
materials that could block unit air intake or exhaust.
13. When traveling by air, the inCourage System should always be considered
carry-on baggage and NEVER checked baggage.
14. It is recommended that the owner or renter of the inCourage Airway Clearance
Therapy insure the device under their apartment or homeowner insurance policy
to cover non-warranty damage expenses.
SAFETY INSTRUCTIONS
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inCourage®Airway Clearance Therapy | INSTRUCTION MANUAL

STEP 1: Fitting the inCourage Comfort Vest
Inspect the Comfort Vest:
Note: Prior to use, the vest should be inspected for any sign of defects. If any
of the following defects are found, please contact a RespirTech Customer Care
Representative at 1-800-793-1261 for immediate vest replacement:
1. Any size hole found in the vest (inner layer, outer layer, seams, or vest ports).
2. Any stitching that has become loose or frayed on the vest.
3. Any damage to the buckles or straps that restricts the function of the strap system.
Adjust the Comfort Vest Straps:
We have taken careful consideration in supplying you with the appropriate size vest
based on your information. Please take a moment and review the fitting instructions
carefully and consult your physician if any discomfort develops.
NOTE: We recommend a thin layer of cotton clothing to be worn under the vest
for best comfort.
To loosen straps: Lift the back of the buckle.
To tighten straps: Hold the buckle and pull the end of the strap
to the patient’s right.
1. These instructions refer to the
three colored QuickFit tabs:
blue, white, and yellow.
2. Before putting on the vest, preset
the QuickFit tabs to the pre-therapy
position by placing the blue tabs
over the yellow tabs.
SYSTEM SETUP
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inCourage®Airway Clearance Therapy | INSTRUCTION MANUAL

3. Put the vest on and connect the
buckles located on the front.
4. Adjust the shoulder straps so the
bottom edge of the vest sits at the
top of the hipbone.
5. Gently tighten the front straps
until each is snug to the chest.
6. Pull each of the QuickFit blue
tabs off the yellow tabs, then
place the blue tabs over the
white tabs.
SYSTEM SETUP (cont’d)
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inCourage®Airway Clearance Therapy | INSTRUCTION MANUAL

7. You are now ready to connect
vest to the PTU.
STEP 2 : Plug in the PTU
1. Place the PTU on a level, sturdy,
dry surface, clear of any flammable
materials or obstructions.
2. Plug the power cord to the back of
the PTU.
3. Plug the power cord into a
properly grounded, three-pronged
outlet. Grounding reliability can
only be achieved when the
equipment is connected to a
properly grounded, three-pronged
outlet. See product specifications
for power requirements.
SYSTEM SETUP (cont’d)
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inCourage®Airway Clearance Therapy | INSTRUCTION MANUAL