RespirTech inCourage Airway Clearance System


The Philips Respirtech inCourage vest therapy provides  safe, effective, non-invasive airway clearance.  For many respiratory patients,  excess mucus must be removed from lungs and airways to prevent infections. The Philips Respirtech inCourage uses a vest attached to an air pulse generator that creates rapid compressions to the chest, helping to loosen, thin and move mucus through the lungs.

Each Philips Respirtech inCourage® System includes:

  • Air Pulse Unit
  • Set of (2) locking air hoses
  • One vest garment of your choice
  • Set of Airline Approved Rolling Travel Bags
  • User Manual, Quick Start Guide and Power Cord

inCourage® pricing and warranty options:

Category Price Use Hours Guarantee
New $ 6995 0.0 hours 5 year / 1500 hours
Demo $ 4995 0.1-1 hour 5 year / 1200 hour warranty
Standard $ 3995 1-100 hours 4 year / 1000 hour warranty
Budget $ 2495 101-200 hours 3 year / 800 hour warranty
Economy $ 1795 200+ hours 2 year / 400 hour warranty

Please read how to order which includes infromation on how to measure your vest size, below before placing your order.

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The Respirtech inCourage System is our favorite!


The Respirtech inCourage is our favorite airway clearance system (for most users).  One of the reasons is that it is built like a tank.  It runs and runs,  for tens of thousands of hours. The inCourage is more powerful than many  other airway clearance systems.  The RespirTech inCourage system provides proven & effective airway clearance therapy, after all, it was designed by a father of a child with CF (cystic fibrosis).  All components, from the vest to the control panel have been designed to maximize ease-of-use and improved comfort.   And because it is comfortable to use, users tend to do their treatments more regularly, enhancing treatment outcomes.  This system was designed for patients with respiratory conditions like Cystic Fibrosis (CF), bronchiectasis and neuromuscular conditions. RespirTech performed a comparison study to see how the inCourage system stacks up against other HFCWO (High Frequency Chest Wall Oscillation Systems).  Here is a link to the summary of that study. 

Today, more and more people are suffering from various forms of COPD – Chronic Obstructive Pulmonary Disorder, including Bronchiectasis.   Many of these patients are using a mechanical HFCWO airway clearance systems. These treatments have really benefitted some patients.  Research shows that inCourage therapy effective reduces pneumonia and hospital admissions.

Nearly twenty years of clinical experience and over 80 research studies have demonstrated the benefits of vest therapy, also known as high frequency chest compression or oscillation therapy.  Here is a link to patient testimonials and some studies utilizing the RespirTech inCourage System. 

Neuromuscular conditions that can result in excess mucus that blocks the airways include:

Amyotrophic lateral sclerosis (ALS)
Cerebral palsy (CP)
Diaphragm disorders
Multiple sclerosis (MS)
Muscular dystrophy (MD)
Spinal muscular atrophy (SMA)
Other myotonic disorders
Primary ciliary dyskinesia (PCD)
Alpha-1 antitrypsin deficiency (A1AD)

Patients that use these airway clearance systems regularly may benefit from:

    • Improved energy levels and a greater capacity for exercise
    • Easier breathing and improved sleep quality.
    • Fewer respiratory infections and therefore a reduced need for antibiotic treatments.
    • Greater volumes of secretions cleared, decreasing potential infection sites and thus resulting in reduced clinic visits and hospitalizations.

Easy to Use

No special skills are necessary to administer self treatment and little or no caregiver assistance is required.


What’s included with the RespirTech inCourage Airway Clearance System?

The Respirtech inCourage System includes an inflatable vest, two hoses, an air pulse unit and a standard, hospital grade power cord. We also supply a printed manual, quick start guide and a set of airline compliant travel bags.

Everything you need is supplied.

RespirTech InCourage System


The inCourage is designed for use with 120Volts AC

All of us at Medafore hope that this will change soon.  But don’t despair – you can always use a step down transformer to use the inCourage anywhere in the world.  If you live in a country that has a 220V power grid, you will need a minimum 500W step down transformer.  These devices reduce the voltage from 220 to 120V.  They are available worldwide, therefore we encourage our clients to buy them locally as they are expensive to ship overseas.


HFCWO therapy combined with CoughAssist or VitalCough Insufflator Exsufflator

As you already know, the inCourage does a great delivering fast, yet gentle air pulses to the chest to clear the airways. These air pulses work to shorten treatment time when compared to manual percussion therapy and increase the amount of mucus removed. Using HFCWO (High Frequency Chest Wall Oscillations), mucus is loosened, liquified and moved from smaller to larger airways from where it can be coughed up.  This system also produces greater airflow to help move secretions out of the lungs through coughing, swallowing or suctioning if needed. And this brings us to our next point!

Some patients use the RespirTech inCourage System in conjunction with the CoughAssist T70 or the cheaper Hill-Rom VitalCough to help them cough up excess mucus.  The inCourage System therapy is easy, highly effective & comfortable because all areas of the lungs are treated at the same time. Patients can also save time in their daily regiments by combining their nebulizer & vest treatments.


Easy inCourage Programming

The Respirtech inCourage can be used independently by most users, even children.  Because this airway clearance system is specifically designed for simple, easy to use, one-button operation.  The inCourage  System can be programmed with very easy-to-follow instructions.  You can also program and save individualized therapy sessions that work best for you.  Therapy customization and clear, detailed therapy data are at your fingertips.  It’s really that simple! No computer science degree or batteries required. 


inCourage Vest Garments

Some airway clearance vest systems can compress a patient’s chest. This can cause discomfort for some patients and making it difficult to take a deep breath. The Respirtech inCourage vest garments utilizes active venting.  This allows the chest to expand.  Lung expansion is important for deep, comfortable breathing, even during treatment.  Patient comfort leads to greater use and easier compliance with daily therapy.  Increased and regular use of the system can result in better outcomes and fewer respiratory infections for chronic airway clearance conditions.  Vest garments are available in 2 inch increments designed for the best fit.  In turn, this maximizes treatment results. With other systems, garment choices are limited to small, medium, large and extra large. A vest garment that is too small is extremely uncomfortable.   A garment that is too big does not deliver effective treatments. Therefore, please don’t get a vest garment that is too large for your child and hope that the child will ‘grow into it’.   Best of all, these garments are machine washable!  All you need to do is insert two supplied plastic plugs into the vest and wash it on gentle cycle & hang the inCourage vest garment up to air dry.  

There are two vest styles available for the inCourage system.  These are the comfort vest and the comfort band.  The RespirTech inCourage comfort vests are designed for users that can stand or sit independently.  The inCourage comfort bands are for patients that are bedridden.

RespirTech InCourage Comfort Vest
RespirTech InCourage Comfort Vest

RespirTech inCourage – Triangle Waves

The inCourage system incorporates recent advances in vest therapy technology, including the triangle waveform. Patients that have used the inCourage system report that this triangle waveform therapy appeared more comfortable than the sine waves produced by most other air pulse technologies.  Why?  Because the duration of peak pressure is shorter, compared  than in similar airway clearance devices using a sine wave.  Triangle waveform therapy may be more effective than sine wave treatments.  Research has shown that the inCourage’s triangle shape air-pulse waveform maximizes mucus clearance.   RespirTech claims that the triangle wave results in an additional 20% to 40% mucus clearance compared to other airway clearance systems.


Takeoff with the RespirTech inCourage Quick Start!

inCourage QuickStart takeoff
Follow Jeff Bezos into space with the inCourage QuickStart takeoff

The Quick-Start feature will activate a pre-programmed 30-minute session that ramps up and down through a full range of therapeutic frequencies.  A pre-programmed, 30-minute session stops regularly at five-minute intervals allowing users to cough up mucus, with a single push of a  button. The system incorporates multi-step programming that permits users to enter and save up to 3 individualized sessions, with up to 12 different steps each. 

inCourage vest – designed for ease-of-use & improved patient comfort

The inCourage system has been designed for ease-of-use as well as improved patient comfort.  The air pulse unit has been reduced in size and weight to be as compact and light as possible.  This is one well designed airway clearance system and it gets high marks for quality and durability.   You don’t have to scroll through multiple menus to find all the information you need.  You don’t have to be a programmer to fine tune your treatment.  And the vest garments are top-notch, designed for a long life.  


inCourage Locking Hoses

REAL Locking Hose Connectors are standard on all inCourage systems!   These locking hoses keep the vest garment securely connected to the air pulse unit.  No more unruly air hoses like some other systems that like to detach.  As these locking hoses take a bit more effort to attach, many users just leave them attached in between treatment sessions.  


  • Acid Maltase Deficiency and other deficiencies of circulating enzymes
  • Anterior Horn Cell Diseases
  • Amyotrophic Lateral Sclerosis (ALS)
  • Werdnig-Hoffmann Disease
  • Spinal Muscular Atrophy Unspecified
  • Kugelberg-Welander Disease
  • Other Spinal Muscular Atrophy
  • Progressive Muscular Atrophy
  • Progressive Bulbar Palsy
  • Pseudobulbar Palsy
  • Primary Lateral Sclerosis
  • Other Motor Neuron Diseases
  • Other Anterior Horn Cell Diseases
  • Anterior Horn Cell Disease Unspecified
  • Bronchiectasis
  • Bronchomalacia
  • Bronchial Stenosis
  • Cerebral Palsy
  • CHARGE Syndrome
  • COPD
  • Emphysema
  • Chronic Bronchitis
  • Cystic Fibrosis
  • Dysautonomia
  • Multiple Sclerosis
  • Muscular Dystrophies
  • Congenital Hereditary Muscular Dystrophy
  • Hereditary Muscular Dystrophy
  • Myotonic Disorders
  • Myotonic Muscular Dystrophy
  • Myotonia Congenital
  • Myotonic Chondrodystrophy
  • Drug Induced Myotonia
  • Other Specified Myotonic Disorder
  • Other Myopathies
  • Toxic Myopathy
  • Myopathy in Endocrine Diseases Classified Elsewhere
  • Symptomatic Inflammatory Myopathy in Diseases Classified Elsewhere
  • Disorders of the Diaphragm
  • Pneumonia
  • Post Lung Transplant
  • Post Polio Syndrome
  • Primary Ciliary Dyskinesia
  • Quadriplegia
  • Quadriplegia Unspecified
  • Quadriplegia C1-C4 Complete
  • Quadriplegia C1-C4 Incomplete
  • Quadriplegia C5-C7 Complete
  • Quadriplegia C5-C7 Incomplete
  • Other Quadriplegia
  • Scoliosis
  • Spinal Cord Injury
  • Spinal Muscular Atrophy
  • Tracheomalacia
  • Tracheal Stenosis


New System: 5 year / 1500 hour

Demo Systems: 5 year / 1200 hour

Standard Systems: 4 year / 1000 hour

Budget Systems: 3 year / 800 hour

Economy Systems: 2 year / 400 hour


We will be glad to work with any package forwarders or ship this unit to your friends or family in the USA / Canada if they are willing to forward it to you.

  • We ship within the USA and internationally using FedEx
  • Calculate your shipping charges with our calculator by clicking here.
  • Shipping from ELT INC, Longmont Colorado, USA, 80501, Weight 34 lbs (17 Kg), Dimensions: 24” x 12” x 12″ (61 x 31 x 31 cm)

Taxes, Duties and Import Fees:

  • Colorado Customers Only – please add 8.025% sales tax.
  • All other US Customers – at this time we are only charging Colorado Sales Tax to Colorado residents. You may be responsible for submitting sales tax in your home state.
  • International Customers – you may be liable for taxes, duties and fees.
  • Please contact the customs service in your country for information on any applicable taxes and fees.
  • In some countries (UK, Australia, Lithuania, Russia, Taiwan, etc) medical equipment for personal use by a disabled person is tax and duties exempt.
  • Click here to see if we have any information about tax-exempt status for medical equipment for your home country.


US Customers:

  • Credit cards accepted only over the phone.
  • PayPal
  • Checks (subject to payment clearing before we can ship)
  • Wire Transfer

International Customers

  • PayPal
  • Wire Transfer

Power Cord Information

All of our units have a universal power supply that accepts inputs from 110 – 230 V AC, 50 – 60 Hz. That means that you do not need a transformer to operate this system. We do however recommend a surge protector to protect the system against power spikes, especially if you are in an area where the local electrical grid is susceptible to spikes due to poor infrastructure or lighting strikes.

We supply a power cord for your home country, so if you are planning on traveling with your system, or if you are shipping to other than the destination country, please let us know.

Power Cord Information:

Please click here to select the correct power cord.


Need more information?

Click Here to Contact Us
or Call us at: (US) +001 303 619 0544

Weight 36 lbs
Dimensions 24 × 16 × 12 in
Available Systems

Standard System – 8hrs used, Demo System – 43 min used, Demo System – 39 min used, Standard System – 11hrs used, Standard System – 34hrs used, Standard System – 25hrs used, Standard System – 83hrs used, New System – 0.0hrs

How to Order

Measure across the largest part of the chest.

This type of vest garment is used for patients that are able to stand and sit independently.

Child Small: 19 – 23″ / 48 – 58cm
Child Medium: 23 – 27″ / 58 – 69cm
Child Large: 27 – 31″ / 69 – 79cm
Adult Small: 31 – 36″ / 79 – 91cm
Adult Medium: 36 – 45″ / 91 – 114cm
Adult Large: 45 – 52″ / 114 – 132cm
Adult XLarge: 53 – 67” / 134 – 170 cm
Adult XXLarge: 67 – 75” / 170 – 191 cm

This style of vest garment is generally used for patients that are confined to a bed.
X Small: 19″-23″
Small: >23″-33″
Medium: >33″-43″
Large: >43″-53″
X Large: >53″-67″
XX Large: >67″-75″


Style: Washable C3 Vest Garment (choice of colors) or a Vest Wrap (gray).

C3 Washable Vest Garment

The C3® Washable Garment Line.

This type of vest garment is used for patients that are able to stand and sit independently.
The advantage of the Washable C3 Vest Garment is its washable cover that can be separated from an inner bladder for easy cleaning. This style of vest delivers more energy with each oscillation because the inflatable chamber wraps completely around the patient’s upper body.

  • Reusable, machine washable. Bladder must be removed prior to washing.
  • Brushed fabric that is soft to the touch
  • High tech, multi-layer fabric design with breathable,3-D mesh lining
  • Lightweight, adjustable with multiple buckle design.
Classic Line Vest Wrap

Classic Line Vest Wrap

This style of vest garment is generally used for patients that are confined to a bed.
The Vest Wrap is re-usable and is easy to put on patients that may be immobile. The wrap might also work well for patients who have difficulty moving their arms or or have difficulty sitting upright for a Vest treatment. It has an inflatable bladder that extends over the patient’s chest.



How to buy:

  1. Choose your vest.
  2. Select options: Style, Colour and Size.
  3. Add it to your cart.
  4. Pay by credit card or money transfer.

Do not purchase a vest larger than the patient’s chest size!

Purchasing a vest garment that is too large will result in ineffective treatment. Purchasing a vest garment that is larger than the actual chest circumference and hoping that children with just ‘GROW INTO IT’ is not a good idea. Extra vest garments for our customers that have purchased a system from us are $250.