Hill-Rom VitalCough®Insufflator Exsufflator


First, there was the Respironics CM3000, then the CA-3000 and finally the T-70. In 2016 Hill-Rom introduced the VitalCough to compete against the Respironics CoughAssist T-70. It uses similar, noninvasive positive / negative air pressure to stimulates a cough to remove airway secretions. Patients, with compromised peak cough flow can benefit from this therapy. This system was specifically designed to be easy to use for both medical professionals, caregivers or patients themselves. It is also used by nursing rehabilitation facilities.

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

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The Hill-Rom VitalCough® Insufflator Exsufflator uses similar, noninvasive positive / negative air pressure to stimulates a cough to remove airway secretions.  Patients, with compromised peak cough flow can benefit from this therapy.  The Hill-Rom VitalCough® system was specifically designed to be easy to use for both medical professionals, caregivers or patients themselves.  It is also used by nursing rehabilitation facilities.

Why Clear Lungs are so incredibly important

Keeping lungs clear of excess mucus is important because retained secretions create a perfect environment for bacteria, viruses and fungi to multiply and cause life-threatening infections.  Positive / Negative Airway clearance is also called Mechanical Insufflation/Exsufflation (MI/E). The Hill-Rom VitalCough® and Respironics CoughAssist are very useful for patients who have weakened cough and are unable to remove secretions from the large airways without assistance.

Some patients that produce a lot of excess mucus in the small airways may benefit from the use of a High Frequency Chest Wall Oscillation Device such as the Hill-Rom Vest Model 105 or the Philips Respirtech inCourage®.

How the VitalCough Works

The system supplies positive pressure during the inhale phase to inflate the lungs, then immediately shifts to supply negative pressure during the exhale phase. This process mimics a natural cough when secretions are sheared and with the help of this system can be expectorated (coughed up) or removed with suction. Following the exhale, the system pauses and maintains a resting positive pressure flow to the patient.

The Hill-Rom VitalCough® is designed to be easy to use for patients and caregivers. Manual and Automatic modes can be programmed using a simple touch-screen.

Therapy Delivery Options:

  • Facemasks ranging from pediatric to adult large
  • Mouthpiece
  • It can also be used on endotracheal and tracheostomy patients with appropriate adapter.

We also supply 3 breathing circuits with this system!

Please specify mask size when ordering.

Common Questions:


  • How does the Hill-Rom VitalCough® work?

    Using a process called mechanical insufflation-exsufflation, the VitalCough gradually applies positive pressure to the airway followed by a rapid shift to negative pressure. This rapid shift produces a high expiratory flow from the lungs, simulating a cough.The technique avoids airway damage and offers an alternative to an invasive procedure while still offering patients greater comfort and quality of life.

  • What conditions does the Hill-Rom VitalCough® treat?

    The VitalCough has been proven effective for patients with an insufficient ability to cough due to:

    • Poliomyelitis
    • Muscular Dystrophy
    • Spinal Muscular Atrophy
    • Amyotrophic Lateral Sclerosis
    • Myasthenia Gravis
    • Guillain-Barre Syndrome
    • Multiple Sclerosis
    • Or any other neurological disorder with some paralysis of the respiratory muscles, such as a spinal cord injury


What should I consider before purchasing the Hill-Rom VitalCough®?

    1. Any patient unable to cough or clear secretions effectively due to reduced peak cough expiratory flow (less than 3 liters per second), resulting from high spinal cord injuries, neuromuscular deficits or severe fatigue associated with intrinsic lung disease is a candidate for the CoughAssist.
    2. Any patient with a history of bullous emphysema, known susceptibility to pneumothorax, orpneumo-mediastinum, or known to have had any recent barotrauma, should consult with a physician before using.

How is the Hill-Rom VitalCough® used?

The VitalCough® may be used with a facemask or mouthpiece. In addition, the Hill-Rom VitalCough® can work with an adapter to a patient’s endotracheal or tracheostomy tube. It is also safe enough to be used on both adult and pediatric patients at home or in a hospital/institutional environment.

The Hill-Rom VitalCough® is a noninvasive respiratory therapy that safely removes secretions from patients suffering with an ineffective ability to cough.  VitalCough® clears secretions by gradually applying a positive pressure to the airway, then rapidly shifting to negative pressure. The rapid shift in pressure produces a high expiratory flow, simulating a natural cough.

What is Included

    • VitalCough Airway Clearance Unit
    • Air Filter.
    • 6 Foot Patient Circuit.
    • One pediatric or adult mask of your choice.
    • AC Power Cord.
    • User Manual

Features & Benefits

    • Removes secretions from the lungs.
    • Reduces the occurrence of respiratory infections.
    • Safe, noninvasive alternative to suctioning.
    • Easy for patients and caregivers to operate.
    • Safe use with tracheostomy tubes for patients with ALS.
    • Expels 29% more mucus than deep suctioning.
    • Improves SpO2 in ALS patients receiving mechanical ventilation via Tracheostomy tube.
    • Clears airways for longer periods of time than tracheal suctioning and with fewer complications.
    • Less irritating, less painful, less tiring, and less uncomfortable than tracheal suctioning.
    • Minimizes the risk of pneumonia and infections


All Systems: 1 year / 100 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

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 24 lbs
Dimensions 12 × 12 × 24 in
Mask Size

Neo-Natal, Child Small, Child Medium, Child Large, Adult Small, Adult Medium, Adult Medium-Round, Adult Large

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.