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Respiratory Health

Advancing respiratory health through innovative therapies

Hill-Rom® Respiratory Care

Monarch® Airway Clearance System

Mobile therapy that works.1,2,3

The Monarch® Airway Clearance System is a high frequency chest wall oscillation (HFCWO) therapeutic device with revolutionary new technology.  The therapy combines mobility with targeted kinetic energy and airflow to thin and mobilize secretions from the airways.  By allowing patients to move about freely during therapy, it empowers them to take control of their therapy--and lives.

Connected in care to you, their health care team, via the VisiView® Health Portal patients can collaborate in their treatment planning.  A game-changer in HFCWO.

Learn more about the Monarch® System and additional patient resources available for you.

Where Therapy is Moving

Product Overview

Powered by POD technology

The Monarch® System is used to aid mobilization of secretions from the airways to help improve airway health. This is achieved by the placement of eight pulmonary oscillating discs (PODs) containing magnets, over the upper and lower lobes of the lungs. The PODs oscillate and provide a targeted kinetic energy to the lungs. This therapy generates airflow to help thin and mobilize mucus from the small airways to the large airways, where it can be coughed out or suctioned.

Mobile and connected.

The Monarch® System helps motivate and empower patients to collaborate in their therapy by offering key attributes:

  • Enabled with either LTE or WiFi connectivity.
  • Connects patients wirelessly to their care team via the VisiView® Health Portal.
  • Provides access to patient therapy session feedback.
  • Encourages adherence through collaboration between patient and physician.

Understanding HFCWO mechanisms of action.*

Expiratory airflow bias is important, and kinetic energy transferred through the chest wall to the lungs is believed to help loosen secretions adhering to lung tissue.4-9  HFCWO creates kinetic energy designed to increase airflow to help mobilize secretions from the airways.4,5,7,9,10

Monarch 3D Animation Video


To view this video on a smartphone, please visit our Hill-Rom YouTube channel.

The man behind the Monarch® System

Marten De Vlieger and his sister, both Cystic Fibrosis patients, grew up with their mother manually performing CPT to help clear their airways.  With a vision for more independence, Marten created a mobile therapeutic device for airway clearance.  This novel device gave him the freedom to travel and live his adventurous, kite-surfing life while raising a family.  Wanting others to experience this flexibility and control, he partnered with Hill-Rom to develop the Monarch® Airway Clearance System.

Product Features

  • Sportswear-inspired design is made for freedom of mobility.  Its quiet operation enables easy conversation.3  Fun colors and patterns let patients personalize their device.
  • Pendant controls are intuitive and simple to use.
  • Mobile app, used with Bluetooth® connectivity, streamlines device operation for patients.
  • Rechargeable battery powers therapy on the move.
  • VisiView® Health Portal - Easy, automatic therapy tracking to enhance collaboration in care.
  • Handy rolling case with retractable handle and backpack straps looks like ordinary luggage, and makes it easy for patients to travel with their device.


Contact Hill-Rom to learn more about how the Monarch® Airway Clearance System can help you Breathe a Little Easier.

Technical Specifications

Product Specifications

Monarch® weight (with battery): 13 lbs
Fits mid-torso circumference of: 22" to 50"
Base Garment: EVA Foam
Garment Shell: Polyester
Lithium-ion Battery

Wireless Communication

Bluetooth® Specification: Built-in
Bluetooth® Compliance: Bluetooth® V4.0 (BLE Mode)
LTE or WiFi Connetion to the VisiView® Health Portal

Product Warranty

Limited Warranty

If you need to order a new vest shell complete this form.

If you need to order a new accessory complete this form.

Additional Information

Monarch® Airway Clearance System Patient Brochure
Monarch® Airway Clearance System Physician Brochure
Product Training


Indications and Important Safety Information

Indications for Use11
The Monarch® Airway Clearance System is intended to provide Airway Clearance Therapy and promote bronchial drainage where external manipulation of the thorax is the physician's choice of treatment. It is indicated for patients having difficulty with secretion clearance, or the presence of atelectasis caused by mucus plugging.  The Monarch Airway Clearance System is intended to be used in the Home Care environment by patients, 15 years and older.


If any patient conditions exist that could cause the use of Monarch Airway Clearance System, Model 1000 to present a risk to the patient, do not use the unit except as directed by a physician.  Death or serious injury could occur.

Monarch Airway Clearance System, Model 1000 is contraindicated if these conditions are present:

  • The Monarch® device uses Pulmonary Oscillating Discs (PODs) that create a magnetic field which is present whether the device is turned on or off.  Due to the presence of the magnetic field, people who have an active implantable medical device, such as any of the following, are contraindicated (if they cannot keep the susceptible component at least 6 inches away from the Monarch® device):
    • Pacemakers
    • Neurostimulators
    • Infusion Pumps, including Insulin Pumps
    • Circulatory Support Devices
    • Implantable Cardioverter Defibrillators (ICDs)
  • Head and/or neck injury that has not yet been stabilized.
  • Active hemorrhage with hemodynamic instability.


The Monarch Airway Clearance System warnings include:

  • Patients that may have difficulty clearing secretions from the upper airway (such as those with DMD or other advanced neuromuscular or neurological disorders) may require specialized therapy regiments involving manually or mechanically assisted coughing or other techniques in conjunction with Monarch® Airway Clearance System, Model 1000 therapy. Please consult your physician to determine if additional therapy is appropriate.
  • The Monarch® Airway Clearance System has been prescribed by your physician for your use only. Do not let others try on your device, whether it is turned on or off.  It should never be worn or used by someone with an active implantable medical device due to the presence of the presence of the magnetic field created by the Monarch® Pulmonary Oscillating Discs (PODs).  See the Contraindications section in the manual for further description of an active implantable medical device.

For a complete list of Warnings or to obtain a copy of the User Manual, please call us at 800-426-4224.

*Comparisons are not based on head-to-head clinical efficacy studies. The clinical significance of these differences has not been established. Airflow
test subjects were adult males with healthy lung function. Results for female subjects and patients with lung disease may vary from those in this study.

Monarch®, The Vest® and VisiView® are registered trademarks of Hill-Rom Services PTE Ltd.
Bluetooth® is a registered trademark of Bluetooth SIG, Inc.