Hill-Rom The Vest® 105 Airway Clearance System


The Vest® Airway Clearance System, Model 105, is specially designed to assist respiratory patients in the mobilization of retained secretions. Retained secretions can lead to increased rates of respiratory infection, hospitalization and reduced lung function. This is a vicious cycle that must be avoided at all costs.   And mechanical, High-Frequency Chest Wall Oscillation Systems can help break the cycle.

We offer following options:

Category Price Use Hours Guarantee
New $ 6995 0.0 hours 5 year / 1000 hours
Demo $ 4995 0.1-1 hour 3 year / 800 hour warranty
Standard $ 3995 1-100 hours 3 year / 500 hour warranty
Budget $ 2495 101-150 hours 2 year / 300 hour warranty
Economy $ 1795 150+ hours 1 year / 200 hour warranty
Child X Small: 16″-19″ chest size
Child Small:  19″-23″ chest size and 13″ long
Child Medium:  >23″-27″ chest size and 16″ long
Child Large:  >27″-31″ chest size and 17″ long
Adult X Small Slim: >27″-31″ chest size and 18″ long
Adult Small:  >31″-36″ chest size and 18″ long
Adult Medium: >27″-31″ chest size and 18″ long
Adult Large:  >45″-52″ chest size and 22″ long
X Small  (19” – 23”)
Small  (>23” – 33”)
Medium (>33 – 43”)
Large (>43” – 53”)
Extra Large (>53” – 67”)
XX-Large (>67” – 75”)

The Hill-Rom Vest is used to treat the following conditions:

• Atelectasis, Pulmonary Infiltrates
• Acute Lung Injury (ALI) or Pneumonia
• Respiratory Failure – Acute (ARF)
• Aspiration Lung Injury
• Pulmonary Insufficiency following trauma
• Mechanical Ventilation or Surgery
• Acute Respiratory Distress Syndrome (ARDS)

The Hill-Rom Vest Airway Clearance System is an ideal treatment for:
• Emphysema
• Asthma
• Chronic Bronchitis
• Bronchiectasis
• Cystic Fibrosis
• Chronic Obstructive Pulmonary Disease (COPD)
• Respiratory Conditions caused by:

Obesity, Cardiac Failure, Cerebral Palsy, Motor Neuron Disease, Quadriplegia and/or Quadriparesis, Muscular Dystrophies and other myopathies,

• Dyspnea or other respiratory abnormalities.

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 The Vest® 105 Airway Clearance System

The Hill-Rom Vest Model 105 Airway Clearance System helps respiratory patients maintain clear airways.  Certain respiratory patients may retain mucus due to airway clearance dysfunctions.  Other patients may struggle with secretion retention and/or an ineffective cough.  Another patient group that use the Hill-Rom Vest Model 105 Airway Clearance System may produce excess mucus secretion.  Hospitalized or immobile user may also struggle with airway clearance.  Sometimes, people that have been sick for some time may benefit from HFCWO (High Frequency Chest Wall Oscillation) treatments to help them clear their airways.   For patients that are struggling with neuromuscular conditions or paraplegia the Vest treatments may also help.  Finally, patients that suffer from other conditions that cause muscle weakness may also find CPT (Chest Percussion Therapy) using the Hill-Rom Vest helpful.

The Most Commonly Used Airway Clearance System

The Hill-Rom Vest 105 Airway Clearance System is the most commonly used High Frequency Chest Wall Oscillation (HFCWO) system in the world.   The predecessor, the Model 104 Vest, was the first portable airway clearance device.  It allowed patients to receive their CPT (chest percussion therapy) in the comfort of their own home.  Prior to that, patients had to go to a hospital, clinic or a rehabilitation facility to receive HFCWO therapy.  Hill-Rom revolutionized the treatment of many respiratory patients and saved caregivers and medical professional a lot of time compared to manual percussion therapy.  And because HFCWO treatment is more comfortable than manual percussion therapy, it is easier to reach better compliance (do your treatments regularly).  


Components of the Hill-Rom The Vest® 105 Airway Clearance System


The Hill-Rom Vest uses an air pulse generator to create high frequency oscillations.  These oscillations range from 5 – 20 Hz.   The oscillations are transmitted from the air pulse generator via a set of two hoses to a vest garment.  Then, the vest garment transfers them to the user’s torso.  These oscillations liquify excess mucus in the lungs.  They further help to move it from the smaller to the larger airways.  Once liquified,  and in the larger airways, the user can then cough up excess mucus.


Some patients that cannot cough effectively may benefit from the aid of the Respironics CoughAssist T70, or the Hill-Rom VitalCough ®.  By removing excess mucus from the lungs, patients can reduce their risk of developing pneumonia.

Here is a link on how patients with bronchiectasis benefit from HCWO treatments.

Hill-Rom The Vest® Model 105 Airway Clearance System Includes:

Hill-Rom Vest 105
  1. Air Pulse Unit
  2. Travel Bag
  3. Full Documentation
  4. Air Hose Set
  5. Power Supply & Cord
  6. Remote Control
  7. One Vest Garment (not shown) – Vest Wrap C3 Vest

Vest Garments for the Hill-Rom Vest


The Hill-Rom Vest Model 105 Airway Clearance System can accommodates a wide variety of  vest garments.  These vest garments are available in many different sizes and colors.

The most important factor for choosing the correct Hill-Rom vest style:

  1. Determine if the user is fully mobile and can stand and sit without assistance.  For these patients, the Hill-Rom washable C3 vest garment may be the best choice.  The C3 vest garments are more effective because the air bladders are both in the front, the sides and in the back. The C3 vest garments should NOT be used for patients that are going to be using them while laying in bed.  If used in bed, the patient will bounce up and down due to the air pulses between their back and the mattress.
  2. If the patient is bedridden, a Hill-Rom Vest Wrap may be the most appropriate vest garment.  This particular garment only has an inflation pocket in the front (chest).  Even though treatments are not nearly as powerful, it may be the best choice of garments.   In addition, the vest wrap is much easier for a patient / caregiver to put on when lying in bed.

Note:  Both vest styles use the same hoses.

Hillrom Vest Garment Sizes


Measuring Chest Circumference
Measuring Chest Circumference is the only way to guarantee proper vest garment fit.

The Vest Airway Clearance System Guidelines for Determining Garment Size

To obtain an accurate measurement for inflatable garment size:
1. Take a deep breath and hold it.
2. Using a tape measure, loosely measure the inches around the widest part of your chest;
women should measure at the bust line.
3. Consult the chart below to determine your inflatable garment size.Proper Vest Garment Fit is Important

The size is extremely important.  Please note that children and young adults cannot be expected to just grow into the vest garment.  Vest garments that are too large do not offer effective treatment.  And, if the vest garment is too small, treatments may be uncomfortable.  We sell additional vest garments, but only to our customers that have purchased a complete system from us due to their limited availability.  Most of these garments are machine washable.  All vest garments automatically reduce the air pressure in the inflatable garment when treatment is paused.  This allows for deep for breathing and effective coughing.  There is no need to remove the vest garment during cough pauses. 

Here are the two types of vest garments available for the Hill-Rom Vest System: 

The Washable C3 Vest Garment and the Vest Wrap.


The above picture is an example of a Hillrom Washable C3 Vest Garment.

Child X Small: 16″-19″ chest size
Child Small:  19″-23″ chest size and 13″ long
Child Medium:  >23″-27″ chest size and 16″ long
Child Large:  >27″-31″ chest size and 17″ long
Adult X Small Slim: >27″-31″ chest size and 18″ long
Adult Small:  >31″-36″ chest size and 18″ long
Adult Medium: >27″-31″ chest size and 18″ long
Adult Large:  >45″-52″ chest size and 22″ long


Hillrom Vest Wrap
Hillrom Vest Wrap – For bedridden patients

Hill-Rom Vest Wrap Sizes

X Small  (19” – 23”)
Small  (>23” – 33”)
Medium (>33 – 43”)
Large (>43” – 53”)
Extra Large (>53” – 67”)
XX-Large (>67” – 75”)

Hill-Rom The Vest® 105  Flexible Programing

The Vest Airway Clearance System air pulse unit provides treatment flexibility with multiple programming options.  This allows users and caregivers to customize their treatments.   Because the Hill-Rom Vest Airway Clearance System Model 105 is used all over the world, it can be programmed in several languages.  Additionally, the Hillrom Vest also has a universal power supply with an input ranges from 100 V AC to 230 V AC, 50 Hz to 60 Hz.  Finally, newer versions also allow programming of pre-set Cough Pause®  feature.


All Hill-Rom Vest® Airway Clearance System Model 105s are sold with

  • an airline compliant, rolling travel bag  
  • set of two air hoses.
  • one vest garment, either a C3 or a vest wrap
  • user manual
  • quick start guide

Here is a link to the Cystic Foundation’s description of the Hill-Rom Vest 105. 

More Information about the Hillrom vest system

Obviously, we cannot possibly describe all features of this airway clearance system here, along with information about international shipping, import duties, taxes, service and bulk purchases.  Here is a link to more information and a way to inquire about a particular system.  

Hill-Rom The Vest® 105 Airway Clearance System Specifications

Air Pulse Generator  weight:  8 kg, height 24.1 cm, width 33 cm, depth 24.1 cm
Main Power Requirements:  100 V AC to 230 V AC, 50 Hz to 60 Hz, 3.4 A at 100 V AC, 2.0 A at 230 V AC
Fuse requirement 4 A, 5 x 20 mm

Environmental conditions for transport and storage of the vest system

  • temperature -25°C to 70 ºC
  • relative humidity 95 % non-condensing
  • atmospheric pressure 500 hPa to 1,060 hPa

Environmental Conditions for actual use of the Hill-Rom Vest

  • temperature 5°C to 40 ºC
  • ambient temperature
  • relative humidity 15 % to 93 %, non-condensing
  • atmospheric pressure 700 hPa to 1,060 hPa

Air Pulse Generator

  • Easy-to-use with large LCD Display.
  • More than 80 clinical studies documenting safety and/or efficacy
  • 5th generation technology HFCWO therapy
  • Eases the patient into therapy to maximize comfort with ramping program.
  • Reduces pressure in the inflatable garment when paused to aid deep breathing
  • Multiple programming options increase prescription flexibility
  • Device can be programmed in several languages
  • Simple, Flexible Programming: Normal Mode, Ramp Mode and Program Mode with Cough Pause® Option


All refurbished system have been completely disassembled, disinfected, inspected and fully tested to OEM specifications.


New systems come with a 5 year
Refurbished systems come with 3 months to 3 year


New System: 5 year / 1000 hour

Demo System: 4 year / 800 hour

Standard System: 3 year / 500 hour

Budget System: 2 year / 300 hour

Economy System: 1 year / 200 hour


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 34 lbs
Dimensions 12 × 12 × 24 in
Available Systems

Brand New, Demo System – 0.9hrs used, Demo System – 11hrs used, Standard System – 1.7hrs used, Standard System – 3.5hrs used, Standard System – 15.4hrs used, Standard System – 22hrs used – HR1-863, Budget System – 96hrs used, Standard System – 15hrs used, Budget System – 22hrs used (2), Standard System – 43hrs used, Budget System – 76hrs used, Economy System – 238hrs 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.