The Monarch™ Airway Clearance System

Mobile therapy that works.1

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 their lives.

Powered by POD technology.

The Monarch™ System is used to aid mobilization of secretions from the airways and help improve airway health.* This is achieved by anatomically-specific placement of the eight pulmonary oscillating discs (PODs) on the upper and lower lobes of the lungs. This therapy helps to thin mucus and generates airflow to move the mucus from the small airways to the large airways, where it can be coughed out or suctioned.

POD technology

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.
  • Enriches patient coaching with therapy session feedback.
  • Encourages adherence through collaboration.



Sportswear-inspired design is made for freedom of mobility

Fun colors and patterns let patients personalize their device.


Rechargeable battery

Powers therapy on the move


Pendant controls

Are intuitive and simple to use.


Mobile app

Used with Bluetooth® connectivity, streamlines device operation for patients.


Handy rolling case

With retractable handle and backpack straps, looks like ordinary luggage and makes it easy for patients to travel with their device.

The man behind the Monarch™ System

Marten De Vileger 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.



Monarch 00:15
Monarch 3D Animation Video
To view this video on a smartphone, please visit our
Hill-Rom YouTube channel.

Indications and Important Safety Information

Indications for Use

The Monarch Airway Clearance System is intended to provide Airway Clearance Therapy and promote 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.


Monarch Airway Clearance System, Model 1000 is contraindicated and should not be used if these conditions are present:

  • Patients who have a pacemaker or implantable cardioverter defibrillator (ICD) due to the presence of a magnetic field, when the system is on or off.
  • Head and/or neck injury that has not yet been stabilized.
  • Active hemorrhage with hemodynamic instability.

Relative Contraindications

The Monarch Airway Clearance System also has a number of conditions that are considered relative contraindications. These are conditions which, if present, the device would not generally be recommended and a healthcare team should be consulted to determine if the product should be used on a case-by-case basis.

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

References »
  1. Airflow data: Independent lab testing analyzed and compared average airflows at the mouth generated by high frequency chest wall oscillation (HFCWO) therapy in 10 human subjects using home care garments.  Airflows were measured via pneumotachometer at settings of maximum intensity at multiple therapy frequencies (5, 10, 15 and 20 Hz for Monarch and The Vest® System, and Soft, Medium and Intense for AffloVest® System).  Impulse force data: Bench testing conducted at maximum intensity at multiple therapy frequencies (5, 14, and 20 Hz).  Testing consisted of measuring impulse force, or applied force over a timeframe of 30 seconds, via 4 force sensors placed on a mannequin in upper and lower chest locations.  Test data and reports on file at Hill-Rom, Inc.

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