FDA Adverse Event
Malfunction
Summary report: N
INCOURAGE DEVICE
MDR report key: 24637711
·
Received March 19, 2026
Report
- Report Number
- 3004961434-2026-00001
- Event Type
- Malfunction
- Date Received
- March 19, 2026
- Date of Event
- February 23, 2026
- Report Date
- May 21, 2026
- Manufacturer
- RESPIRATORY TECHNOLOGIES, INC
- Product Code
- BYI
- UDI-DI
- 00841561102785
- PMA / PMN Number
- K051383
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
Description of Event or Problem · 0
THE PATIENT STATES DEVICE HAS BURNED TERMINALS WHERE CORD PLUGS IN THE BACK.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 124583 | INCOURAGE DEVICE | PERCUSSOR | BYI | RESPIRATORY TECHNOLOGIES, INC | ICS-1M-US | M1019122022 | 00841561102785 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |