Indications / Contraindications / Safety Information

Indications for Use

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).

CAUTION: Federal law restricts this device to sale by or on the order of a physician!


inCourage Airway Clearance Therapy is contraindicated (not appropriate for use) if the following conditions are present:

  • Head and/or neck injury that has not yet been stabilized
  • Active hemorrhage with hemodynamic instability

Relative Contraindications*

The decision to use the inCourage System for airway secretion clearance in the presence of the conditions listed below requires careful consideration and assessment of the individual patient’s case.

  • Intracranial pressure (ICP) > 20 mmHg
  • Recent spinal surgery, acute spinal injury
  • Bronchopleural fistula
  • Pulmonary edema associated with congestive heart failure
  • Large pleural effusions or empyema
  • Pulmonary embolism
  • Rib fractures, with or without flail chest
  • Surgical wound or healing tissue, recent skin grafts or flaps on the thorax
  • Uncontrolled hypertension
  • Distended abdomen
  • Recent esophageal surgery
  • Active or recent gross hemoptysis
  • Uncontrolled airway at risk for aspiration (tube feeding or recent meal)
  • Subcutaneous emphysema
  • Recent epidural spinal infusion or spinal anesthesia
  • Burns, open wounds, and skin infections on the thorax
  • Recent placement of transvenous pacemaker or subcutaneous pacemaker
  • Suspected pulmonary tuberculosis
  • Lung contusion
  • Bronchospasm
  • Osteoporosis, osteomyelitis of the ribs
  • Coagulopathy
  • Complaint of chest wall pain

*According to the AARC Guidelines for Postural Drainage Therapy