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It was reported that following volara device training on (b)(6) 2025, the patient experienced a leaking nebulizer cup and discontinued use of the device due to medication leakage and lack of perceived therapeutic benefit.The patient, an 81-year-old female with a history of bronchiectasis, reported three bronchiectasis exacerbations that temporally coincided with device use; however, specific dates could not be recalled.The reported exacerbations were treated with levaquin, azithromycin, and amoxicillin.The patient was uncertain whether a circuit-related issue contributed to the events.The exact cause of the exacerbations remains unknown; however, device contribution cannot be excluded.The patient requested in-home retraining and a circuit exchange.A replacement circuit and return packaging were provided, and the device remains with the patient pending re-education and resumption of therapy.No further information was available at the time of this report.
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