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Respiratory Health

Advancing respiratory health through innovative therapies

Hill-Rom® Respiratory Care

Monarch® Airway Clearance System

It can be hard to fit your therapy into your life, even though you know how important it is.  The Monarch® Airway Clearance System changes all that.  Its revolutionary new technology clears your airways while allowing you to move about freely.  That lets you fit more in your day, do more of the things you love, and take more control of your life.

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

Where Therapy is Moving

Product Overview

Inspired by you.

For nearly 30 years, Hill-Rom has been part of the lives of people with airway clearance diseases and conditions.  Our signature product, The Vest® Airway Clearance System, has helped thousands of patients to clear the way for better days.  We're proud of that.  At the same time, we know how challenging it is to fit therapy into busy schedules.  We've heard it again and again from patients: "I just want to live my life!"  We get it.  That's what inspired the Monarch® Airway Clearance System.  By allowing you to move freely, it opens a new world of possibilities for doing your therapy--your way.

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.

Mobility Powered by POD Technology

The Monarch® System uses Pulmonary Oscillating Discs (PODs) to generate targeted kinetic energy to your lungs.  This helps thin mucus and increase airflow, mobilizing secretions from the airways while you're going about your day.  So you no longer have to put your life on hold for therapy.

Monarch 3D Animation Video


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

Who can benefit from the Monarch® Airway Clearance System?

  • Patients who have evidence or a suggestion of retained secretions.
  • Patients who have difficulty with secretion clearance, or presence of atelectasis caused by mucus plugging.

Product Features

  • Sportswear-inspired design is made for freedom of mobility.  Its quiet operation enables easy conversation.1  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 Connection 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 Use2
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 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 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.

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