Hill Rom Monarch Vest


The Hill-Rom Monarch Vest provides truly mobile and highly effective High Frequency Chest Wall Oscillation (HFCWO) therapy. By using this new and powerful Airway Clearance System, users can thin and mobilize secretions.  Users can get the mobility and flexibility to do their therapy while fitting more activities into their day. You can do more of the things you love, save time and take more control of your busy schedule.

Instead of the traditional airway clearance systems that use an air pulse units combined with air hoses and inflatable vest garments, the Monarch Vest uses four electric-mechanical actuators.  These actuators target strong kinetic energy to each of the four lung lobes where it is needed. The system uses a rechargeable battery and does not need to be plugged into an outlet for use.

The Monarch System frees the user to be able to walk, jog, garden, read, cook and perform other everyday activities without the constraints of hoses and power cables.

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

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Overview of the Hill-Rom Monarch Vest

The Hill-Rom Monarch Vest is a new and powerful airway clearance device.  And yes, it is one of our favorite systems.

Because it does not require hoses or cables, the Monarch Vest provides truly mobile High Frequency Chest Wall Oscillation (HFCWO) therapy.   But don’t think that the Monarch Vest is a wimp just because it is not run from a power outlet.  Because the Hill-Rom Monarch Vest uses a rechargeable battery it does not need to be plugged into an outlet for use.  Even though it runs off a battery, the Monarch Vest delivers a powerful and highly effective form of CPT Therapy.  Regular therapy with the Monarch Vest results in thinning and mobilizing secretions from the airways.  Consequently,  because it is totally mobile, you don’t have to interrupt your day to do your daily treatments!  The Monarch Vest System allows the user to participate in everyday activities without the constraints of hoses and power cables.  And, it looks totally cool.  No joke.

A big thank you and our utmost respect to Marten DeVlieger, CF patient and inventor !!!

How is the Monarch Vest different from other Airway Clearance Systems?


The Monarch Vest uses eight pulmonary oscillating discs (PODs), containing powerful magnets.  In Contrast, the traditional airway clearance systems utilize air pulse units combined with air hoses and inflatable vest garments.  The Monarch’s PODs oscillate and provide targeted kinetic energy to the each lobe of the user’s lungs.  As a result, these oscillations produce airflow inside the lungs to (1) help thin and (2) move mucus from the small airways to the large airways.  Then, during treatment pauses, the user can then coughs up the excess mucus.  Sometimes, users add an insufflator / exsufflator such as the Philips CoughAssist T70 or the Hill-Rom VitalCough.

Is the Monarch Vest right for you?


The Monarch Vest is designed for fully mobile users.  The kind of people that like to stay active.  If you are a couch potato, this isn’t the device for you.  But, it is ONLY for people that have the ability to stand and sit without assistance.  Therefore, if you are unable to stand or sit without assistance, we recommend the Hill-Rom Vest Model 105 or the RespirTech inCourage Systems.  In addition, the Monarch Vest is for users that are at least 15 years of age.  It is highly adjustable, but obviously can only be adjusted to a certain minimum size, about that of a 15 year old’s torso size.  Very sorry, you have to be able to be at least this tall to go on this ride.

The Monarch® Airway Clearance System

The Monarch® Airway Clearance System


Product Features:

Sportswear-inspired design!
The Monarch Vest is made for freedom of mobility.
It’s quiet operation enables easy conversation.
Pendant controls- are intuitive and simple to use.
Rechargeable battery- powers therapy on the move!
Handy rolling case- with a retractable handle and backpack straps
This case looks like ordinary luggage and makes it easy for patients to travel with their device.

Only you know that you have the power of truly mobile airway clearance in your bag!


Product Use:

The Monarch Vest Airway Clearance System is intended to promote bronchial drainage using external manipulation of the thorax.

It is the physician’s choice of treatment.

Designed for patients having difficulty with secretion clearance or the presence of atelectasis caused by mucus plugging.

The Monarch System is intended to be used in the Home Care environment by patients 15 years and older.

Many patients with bronchiectasis find that that airway clearance therapies such as high frequency chest wall oscillation (HFCWO), or “vest therapy,” provide an effective, safe treatment.


Weight 13 lbs. (with battery), Shipping Weight: 18 lbs.
Mid-Torso Circumference Fits 22″ to 50″
Base Material EVA foam
Shell Material Polyester
Battery Lithium-ion


All Systems: 1 year / 200 hours


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 18 lbs
Dimensions 24 × 16 × 6 in
Available Systems

Brand New, 10.2hrs used, 2.5hrs used, 57.3hrs used

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.