FDA Adverse Event
Malfunction
Summary report: N
INCOURAGE DEVICE
MDR report key: 24713718
·
Received March 30, 2026
Report
- Report Number
- 3004961434-2026-00003
- Event Type
- Malfunction
- Date Received
- March 30, 2026
- Date of Event
- March 9, 2026
- Report Date
- May 12, 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 DEVICE IS NOT TURNING ON, SPARKED WHEN THE PATIENT TRIED TO OPERATE. RETURNING THE DEVICE AND POWER CORD FOR QUALITY INSPECTION, NO PT HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 147286 | INCOURAGE DEVICE | PERCUSSOR | BYI | RESPIRATORY TECHNOLOGIES, INC | ICS-1M-US | 16616 | 00841561102785 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 |