510(k) Report

510(k) · Cleared

Cleared

Pegaso Cough, Pegaso a-Cough, Pegaso a-Cough Perc

K140598510(k) TraditionalCleared Oct 16, 2014220-day reviewClass II21 CFR 868.5905

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Dima Italia Srl · NHJ Device, Positive Pressure Breathing, Intermittent

Cleared on Oct 16, 2014 as substantially equivalent to K002598 (J. H. Emerson Co., 2000) and 3 other predicates after a 220-day review. Its family tree reaches back 6 generations to 1988. 1 later device descends from it.

Decided
Oct 16, 2014
Review
220 days
Class
Class II
Product code
NHJ
Recalls
None
Predicates
4

Its longest line of descent runs back 6 generations to K884098 (1988). 9 ancestors in all. 1 later device descends from it, 1 citing it directly.

  1. Root · 6 generations backK884098 Thairapy (TM) Bronchial Drainage System, Model 101American Biosystems, Inc. · 1988
  2. 5 generations backK965192 Thairapy Vest SystemAmerican Biosystems, Inc. · 1997
  3. 4 generations backK993629 Abi Vest Airway Clearance SystemAmerican Biosystems, Inc. · 2000
  4. 3 generations backK012928 Abi Vest Airway Clearance SystemAdvanced Respiratory · 2001
  5. 2 generations backK024309 The Vest Airway Clearance System, Model 104Advanced Respiratory · 2003
  6. 1 generation backK122111 Respironics Simplyclear DeviceRespironics, Inc. · 2012
  7. This deviceK140598 Pegaso Cough, Pegaso a-Cough, Pegaso a-Cough PercDima Italia Srl · 2014
  8. Descendant · cites it directly · 0 of its ownK253001 KT Airway Clearance Device II (KT-3); KT Airway Clearance Device II…Hunan Ruijiong Biotech Co., Ltd. · 2026

Most influential descendants

Showing 1 of 1 · See all
  • K253001KT Airway Clearance Device II (KT-3); KT Airway Clearance Device II (KT-5)Hunan Ruijiong Biotech Co., Ltd. · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K884098Thairapy (TM) Bronchial Drainage System, Model 101American Biosystems, Inc.1988—
−5K965192Thairapy Vest SystemAmerican Biosystems, Inc.1997—
−4K993629Abi Vest Airway Clearance SystemAmerican Biosystems, Inc.2000—
−3K012928Abi Vest Airway Clearance SystemAdvanced Respiratory2001—
−2K024309The Vest Airway Clearance System, Model 104Advanced Respiratory2003—
−1K122111Respironics Simplyclear DeviceRespironics, Inc.2012—
0 (this device)K140598Pegaso Cough, Pegaso a-Cough, Pegaso a-Cough PercDima Italia Srl2014—
+1K253001KT Airway Clearance Device II (KT-3); KT Airway Clearance Device II (KT-5)Hunan Ruijiong Biotech Co., Ltd.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200010
200810
201210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K140598, 1988–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA 510(k) database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in NHJ? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new NHJ device

  1. #1 K260604 BiWaze Clear Systemscore 14.0 · 8 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (4)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K002598Emerson Cough Assist Model CA-3000 W/Automatic Timing and Model CM-3000 W/Manual Timing
Summary page 10
…b) Classification. Class II (performance standards) Predicate device Name(s) and Emerson Cough Assist, Model CA-3000 K002598 510(k) numbers: Dima Italia Negavent DA-3 Plus Pegaso K072292…
J. H. Emerson Co.2000—
*K072292Negavent Plus Pegaso Cough, Model: DA-3 Plus
Summary page 10
…Name(s) and Emerson Cough Assist, Model CA-3000 K002598 510(k) numbers: Dima Italia Negavent DA-3 Plus Pegaso K072292 Philips Respironics CoughAssist T70 K121955…
Dima Italia Srl2008—
*K121955Coughassist T70 Device
Summary page 10
…Dima Italia Negavent DA-3 Plus Pegaso K072292 Philips Respironics CoughAssist T70 K121955 Respironics SimplyClear Percussor K122111 Reason for submission…
Respironics, Inc.2012—
*K122111Respironics Simplyclear Device
Summary page 10
…Philips Respironics CoughAssist T70 K121955 Respironics SimplyClear Percussor K122111 Reason for submission Device modification. Description of device. The Dima Italia Srl Pegaso Cough is an…
Respironics, Inc.2012—

Also cleared against K002598: 6 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K253001KT Airway Clearance Device II (KT-3); KT Airway Clearance Device II (KT-5)Hunan Ruijiong Biotech Co., Ltd.20260

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 26 years and passes through 4 companies; a new generation was cleared every 2.6 years on median.
  • None of the 9 ancestors has a recall.
  • Of its descendants, K253001 (Hunan Ruijiong Biotech Co., Ltd., 2026) has gone furthest, with 0 descendants of its own.
  • 6 other devices also cite its predicate K002598.

How does its category compare?

All NHJ devices

NHJ Device, Positive Pressure Breathing, Intermittent: FDA decisions, review times, recalls and adverse event reports over 20 years. 2014, this device’s year, is highlighted.

FDA decisions per year · NHJ

1in 2025

2008: 12012: 22013: 22014: 32016: 12020: 32022: 12024: 12025: 12026 (partial year): 2
2007high 3 (2014) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NHJ

190in 2020

2014: 207 days median2020: 190 days median
2007high 207 (2014) · low 190 (2020)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · NHJ

11so far in 2026, the most since 2007

2024: 1, 1 Class I2026 (partial year): 11, 4 Class I
2007high 11 (2026) · low 0 (2007)2026

Class I (5 since 2007) Class II/III not classified

Adverse event reports per year · NHJ

35in 2025

2007: 162008: 72009: 12010: 22012: 22013: 22014: 12015: 22016: 22017: 62018: 22019: 12020: 32021: 52022: 62023: 172024: 402025: 35
2007high 40 (2024) · low 0 (2011)2025

MAUDE reports naming product code NHJ, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—016
20081—07
20090—01
20100—02
20110—00
20122—02
20132—02
2014320701
20150—02
20161—02
20170—06
20180—02
20190—01
2020319003
20210—05
20221—06
20230—017
20241—1 (1)40
20251—035
20262—11 (4)—

What is it indicated for?

The PEGASO A-COUGH PERC is designed for the use on patients unable to cough or clear secretions effectively due to reduced peak cough expiratory flow, resulting from high spinal cord injuries, neuromuscular deficits or severe fatigue associated with intrinsic lung disease. It may be used either with a facemask, mouthpiece, or an adapter to a patient’s endotracheal tube or tracheostomy tube. For use in hospital, institutional setting, or home use given…

Read the full statement (256 words)

The PEGASO A-COUGH PERC is designed for the use on patients unable to cough or clear secretions effectively due to reduced peak cough expiratory flow, resulting from high spinal cord injuries, neuromuscular deficits or severe fatigue associated with intrinsic lung disease. It may be used either with a facemask, mouthpiece, or an adapter to a patient’s endotracheal tube or tracheostomy tube. For use in hospital, institutional setting, or home use given adequate training.

For use on adult patients and pediatric patients 3 years old and up.

The PEGASO A-COUGH is designed for the use on patients unable to cough or clear secretions effectively due to reduced peak cough expiratory flow, resulting from high spinal cord injuries, neuromuscular deficits or severe fatigue associated with intrinsic lung disease. It may be used either with a facemask, mouthpiece, or an adapter to a patient’s endotracheal tube or tracheostomy tube. For use in hospital, institutional setting, or home use given adequate training.

For use on adult patients and pediatric patients 3 years old and up.

The PEGASO COUGH is designed for the use on patients unable to cough or clear secretions effectively due to reduced peak cough expiratory flow, resulting from high spinal cord injuries, neuromuscular deficits or severe fatigue associated with intrinsic lung disease. It may be used either with a facemask, mouthpiece, or an adapter to a patient’s endotracheal tube or tracheostomy tube. For use in hospital, institutional setting, or home use given adequate training.

For use on adult patients and pediatric patients 3 years old and up.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K140598: Pegaso Cough, Pegaso a-Cough, Pegaso a-Cough Perc.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K140598

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026