ICS – 1 System: Product Overview

The inCourage™ system is a specialized piece of durable medical equipment (DME) that provides high-frequency chest compression (HFCC) airway clearance therapy (ACT) for patients with cystic fibrosis and other pulmonary disorders associated with impaired secretion clearance function. HFCC is a high-demand intervention recognized by government and private payers as a medically necessary standard of care therapy for appropriately selected patients. The inCourage™ system received FDA 510(k) clearance to market in 2005 as a secretion clearance device for use by patients with or at risk for pulmonary disease associated with diminished mucociliary clearance (MCC) function. Prescriptions for the inCourage™ system are not limited to any specific diagnoses.

The inCourage™ system offers technical and design advancements not available with other HFCC machines:

Triangle waveform: The shape of the waveform delivered by HFCC machines is shown to be important in maximizing mucus clearance.
  • A comparison of triangle versus older sine waveform technology found a mean volume increase of 20% in mucus cleared – with a range up to 41% - with the inCourage™ System
  • Triangle wave form may be more effective because peak airflow and maximum lung volumes occur at the same frequencies
  • Triangle waveform therapy may be more comfortable because duration of peak pressure is shorter

Jacket: The inCourage™ system jacket has the fastest in-jacket pulse pressure rise with the shortest duration at maximum pressure in the therapeutic frequency range 6-15 Hz.
  • Active venting compensates for chest wall expansion and contraction during the breathing cycle
  • Patients are able to take deeper, more comfortable breaths
  • Greater lung volumes permit larger HFCC-induced expiratory airflow volumes at the mouth - an important measure of treatment efficacy
  • QuickFit jacket fitting feature permits precise sizing
  • Precise fit ensures consistent therapy
  • Widest range of standard jacket sizes; 23 sizes from 16 – 60 inches
  • Custom jackets are available to accommodate all sizes and shapes

Standard and Custom Programming: The inCourage™ system is pre-programmed for use with an easy-to-understand menu. The machine is equipped with a touch button digital control panel and a choice of treatment sessions to accommodate individual needs.
  • QuickStart: A pre-programmed 30-minute session that begins immediately and ramps up and down through a full range of therapeutic frequencies
  • AutoPause: A pre-programmed 30-minute session that pauses at five minute intervals for users to perform huffing and coughing maneuvers. Sessions are resumed with a simple touch of a button
  • MultiStep: A custom programming feature that permits users to enter and save up to 3 individualized sessions containing up to 12 steps