For clinicians, selecting the right mechanical in-exsufflation (MI-E) device is a decision that directly impacts patient outcomes. With a growing number of options now available, it’s worth taking a closer look at how these devices compare and what sets the leading options apart.
The Current Landscape
The MI-E market includes several well-regarded devices: the Philips CoughAssist E70, the Nippy Clearway 2, the BiWaze Cough, the Comfort Cough II, and the Kalos Cough Assist. Each has its place, and when you compare them side by side against the Pegaso E7C a clear picture emerges.
The Pegaso E7C: Built for the Full Clinical Picture
The Pegaso E7C is not a single-purpose cough assist device. It offers comprehensive airway clearance modes designed for both hospital and home use, and is TGA registered.
Seven therapy modes in one device. Most cough assist devices offer manual and automatic MI-E modes. The Pegaso E7C goes further — combining IPV (Intrapulmonary Percussive Ventilation), Cough Assist/MI-E in automatic, manual, auto-adaptive, air stacking and trainer modes, and the unique Flow Aspire mode, which delivers passive expiratory flow acceleration for secretion clearance without requiring any patient effort. For patients who are weak, non-cooperative, or unable to actively participate in therapy, this is a meaningful clinical advantage.
Oscillation that goes further. The Pegaso E7C’s oscillation amplitude reaches up to 15 cmH₂O — higher than competing devices, which typically cap at 10 cmH₂O — and can be applied independently during insufflation, exsufflation, or both. The HFCWO Belt accessory takes this further still, delivering hands-free high frequency chest wall oscillation at 15 Hz, meeting the clinically recognised ≥13 Hz therapy threshold, while patients breathe normally.
Pressure, flow, and control. Pressures reach up to 70 cmH₂O with the flows needed for truly effective cough assist therapy. Rise times are available across three levels, trigger sensitivity is adjustable across nine levels, and air stacking can be programmed across up to seven steps — giving clinicians the granular control that complex patients require.
Live and recorded waveforms. The Pegaso E7C displays live waveforms and records therapy data — a feature that supports ongoing titration of cough assist settings and is particularly valuable in clinical and research environments. Inspired volumes and peak inspiratory flow are displayed in real time.
SpO₂ monitoring on screen. Integrated SpO₂ monitoring is available directly from the display, allowing clinicians and carers to monitor lung perfusion and therapy efficacy without a separate device.
200 therapy sessions stored. With internal memory storing up to 200 therapies and USB, USB-C, and SD card connectivity, the Pegaso E7C supports data capture and communication across care settings.
Practical for real-world use. At 3.2 kg with an internal battery offering 3–4 hours of continuous use, a large 7-inch colour touchscreen, an optional foot pedal, and a mode lock for patient and carer menus, the Pegaso E7C is designed to work as well in the home as it does in the clinic.
The Comparison in Brief
When assessed across pressure range, oscillation capability, therapy modes, monitoring, data storage, connectivity, and build quality, the Pegaso E7C offers a broad and versatile platform for airway clearance. While devices such as the CoughAssist E70 and Nippy Clearway 2 are well-established and effective in their respective applications, the Pegaso E7C brings multiple therapy modalities, including IPV, advanced MI-E, Flow Aspire, HFCWO, and integrated monitoring, together within a single system.
Download the Cough Assist Comparison TableAvailable for Purchase, Hire, or NDIS
The Pegaso E7C is available through BMedical for purchase, hire, or as part of an NDIS plan — making it accessible across a wide range of funding pathways.
To discuss whether the Pegaso E7C is the right fit for your patients, or to request a demonstration, contact the BMedical team or visit our Clinician Hub to learn more about the Pegaso.
