Monarch Airway Clearance System (Home Care)
The Monarch Airway Clearance System provides mobile High Frequency Chest Wall Oscillation (HFCWO) therapy to help thin and mobilize secretions from the airways. Its revolutionary technology combines mobility with targeted kinetic energy and airflow.
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Overview
Meet The Monarch Airway Clearance System
The Monarch System’s HFCWO therapy clears the airways with revolutionary technology—because when patients can move about more freely during therapy, they can take control of their therapy and their lives.
Breathe Easy Knowing They Will Too
Imagine how your patients’ lives could change if they were given the freedom to do their airway clearance therapy while still doing everyday activities. That’s exactly what our Monarch Airway Clearance System is designed to do. The Monarch System employs revolutionary technology to provide HFCWO therapy in a mobile way. Now your patients can move about freely even as they receive targeted kinetic energy and airflow to thin and mobilize airway secretions.
Mobile
A rechargeable battery powers therapy on the move.
Move Mucus
A study shows that the Monarch System aids in sputum production.1
Powered by PODs
The Monarch System’s eight pulmonary oscillating discs (PODs) are positioned to deliver targeted kinetic energy to the upper and lower lungs. This therapy generates airflow helping to thin mucus and mobilize secretions from the small airways to the large airways, from which they can be coughed or suctioned out to help improve your patient’s airway clearance.2-9
One view of the Monarch System's Pulmonary Oscillating Discs (PODs)
PODs operate in a pattern designed to loosen mucus and optimize the airway clearance effect
Airflow moves the mucus from small airways toward the large airways, from which they can be more easily expelled or removed.
Meet the Mind Behind the Monarch System
Marten Devlieger and his sister were both born with cystic fibrosis (CF). As they grew up, their mother had to manually administer chest physiotherapy (CPT) to them, to help clear their airways. But Marten envisioned a life with more independence. He created a mobile therapeutic device to provide him with the airway clearance therapy he needed. It freed him to travel, to pursue his love of kite-surfing, to have adventures, and to raise his own family. And when Marten told us that he wanted others to experience the flexibility and control he’d claimed for himself, we gladly partnered with him to develop the Monarch Airway Clearance System.
Watch a Brief Video to Learn More
Take a quick tour of the functions, features and benefits of this non-invasive device for HFCWO therapy.
Understanding HFCWO Mechanisms of Action*
Expiratory airflow bias is important, and kinetic energy transferred through the chest wall to the lungs is believed to help loosen secretions adhering to lung tissue.6-11 HFCWO creates kinetic energy designed to increase airflow to help mobilize secretions from the airways.6,7,9,11,12
*Comparisons are not based on head-to-head clinical efficacy studies. The clinical significance of these differences has not been established. Airflow test subjects were adult males with healthy lung function. Results for female subjects and patients with lung disease may vary from those in this study.
Impulse Force Testing Results4
Kinetic energy delivered to the chest wall generates airflow to mobilize secretions and is believed to help loosen secretions.4,5 Impulse force was used to evaluate the kinetic energy delivered by an airway clearance system. Measuring this force applied over an acute period of time provides insight to the energy transfer through a chest wall to lung tissue.
Airflow to Mobilize Secretions
Pulse airflow was used to evaluate the airflow created by different airway clearance systems. Each pulse of airflow at the mouth was measured via software customized to measure oscillating airflow. Testing shows the Monarch System can generate up to five times the airflow of the AffloVest System.10 **
** Systems tested were The Vest System Model 105, the Monarch System Model 1000, and the AffloVest Systems labeled as REF 8200 and 8300.
Summary of Impulse Force and Airflow Testing4,5
Clinical Results
Data from a clinical evaluation of the Monarch Airway Clearance System by Leemans G., et al., were presented at the 2018 North American Cystic Fibrosis Conference. The researchers reported the Monarch System was comparable to The Vest System for sputum production. Post-therapy evaluations of the Monarch System showed statistically significant improvement in Brody scores and FRI results, suggesting the device's relative airway clearance effectiveness.1 Download the clinical research summary to learn more.
Brody Scores and FRI Measurements for the Monarch System
| Parameter | Pre-MONARCH System Therapy Measurements | Post-MONARCH system Therapy Measurement | P-value |
| Brody Scores | 57.71 ± 16.55 | 55.2 ± 16.98 | p=0.001 |
| FRI (iVaw) | 49.442 ± 50.117 | 44.516 ± 49.637 | p<0.001 |
Features
What’s Included
Mobile Garment
This mobile garment uses eight independently operating PODs delivering targeted kinetic energy.
Pendant Control
Pendant control is intuitive and simple to use.
Vest Shell
The vest shell comes in your choice of five colors and is machine washable and dryable.
Rolling Carrying Case
The rolling carrying case with a retractable handle and backpack straps looks like ordinary luggage and makes it easy to travel with the device.
Rechargeable Battery
The rechargeable battery powers therapy on the move.
Power Adaptor & Cord
A power adapter and cord are included.
Order & Support
Learn More About Monarch Airway Clearance System
Ordering and Support Information for Monarch Airway Clearance System
Get additional ordering, customer, technical, and medical support information for Monarch Airway Clearance System by contacting Baxter using the links below.
U.S. Catalog
To buy this product, or purchase OEM parts and accessories please visit U.S. Catalog.
U.S. Support
For manuals and documentation, product training, technical support and services, submit repair and return requests or check order status for Hillrom, Allen Medical and Welch Allyn product please visit U.S. Support.
U.S. Edu
For medical information or non-promotional education about our products or therapies, please visit U.S. Edu.
Customer Account
For customers ordering our Hillrom and Welch Allyn products, you can still access personalized inventory tracking, media libraries, and order history. For all other needs, our U.S. Support site is always available to keep you moving forward.
Contact Us
To find contact details and assistance for Baxter products, report an adverse event or report a product complaint, or any other inquiries, please visit our contact us page.
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CARE Connex Program
Baxter created the CARE Connex Program to deliver comprehensive services at every step of the patient journey, offering new efficiencies for your practice and helping improve the therapy experience for your patients.
We work with over a thousand leading local, regional, and national companies to include commercial health plans and networks, Medicaid, Medicare, TRICARE and the Department of Veterans Affairs.
Resources
FAQs
Who is the MONARCH System for?
- The Monarch Airway Clearance System is cleared by the FDA to provide airway clearance therapy and promote bronchial drainage where external manipulation of the thorax is the physician’s choice of treatment. The Monarch System can help people living with diagnoses such as:
- Chronic Pulmonary – Bronchiectasis, Cystic Fibrosis and Primary Ciliary Dyskinesia
- Neuromuscular – Cerebral Palsy, Muscular Dystrophy, Spinal Muscular Atrophy, Amyotrophic Lateral Sclerosis, Multiple Sclerosis, Stable Quadriplegia and Paralysis of Diaphragm
How do I ensure the MONARCH System fits my patient properly?
A licensed, professional Baxter trainer will come to your patient's home to provide a personalized fitting and Monarch System training. Afterward, your patient may need additional fit adjustments as the Monarch System’s device's foam conforms to their body. If you have any questions about device fit, please call Baxter Customer Service at 800-426-4224.
What are the MONARCH System's maintenance requirements?
Although the Monarch System requires no general maintenance, its cleaning guidelines are listed in its User Manual.
Are the shells machine-washable and dryable?
Yes. The vest shell can be machine washed and tumble dried on low heat. The shoulder pads, backpack cover and POD covers should be wiped down with an approved cleaner. Refer to the Monarch System's User Manual for full cleaning guidelines.
How does the MONARCH System provide therapy to the entire lung when the PODs are only touching the torso in eight places?
The Monarch System employs a clearance therapy known as high frequency chest wall oscillation (HFCWO) to thin and mobilize secretions from the airways and help improve respiratory health. Its pulmonary oscillating discs (PODs) deliver targeted kinetic energy to both lungs' upper and lower lobes, front and back. This helps to thin mucus and increase airflow throughout the lungs. That stronger airflow can get behind secretions, lift them away from airway surfaces, and move them along from the small airways to the large airways, from which they can be coughed or suctioned out.
How does the MONARCH System's therapy differ from that of THE VEST System?
Both provide HFCWO therapy to clear the airways. While The Vest System uses an air bladder system to deliver airflow-generating energy over the entire chest wall, the Monarch System uses its magnet-containing PODs to deliver targeted kinetic energy to specific regions of the lungs' upper and lower lobes to thin mucus and generate airflow to mobilize secretions. This is why wearing a Monarch System garment may feel different from wearing The Vest garment.
How often does Baxter contact MONARCH patients?
A member of the Baxter Respiratory Health’s clinical staff will periodically call patients to discuss how the system is working for them and to answer any questions. Insurance providers may request this data to ensure that the device is being used.
Can I travel on an airplane with the MONARCH System?
When traveling with the Monarch System, it's recommended that patients review the latest medical device regulations on the U.S. Transportation Security Administration's website (www.tsa.gov). The Monarch System has a lithium-ion battery and current TSA guidelines allow a lithium-ion battery to be included only in carry-on luggage (it may not be included in checked luggage). When a bag is checked at the gate or at plane-side, the Monarch System's battery must be removed and kept with the passenger in the aircraft cabin. The travel agent or airline should be able to answer questions regarding the requirements for traveling with medical devices. Patients might also consider carrying a letter from their physician, stating their medical condition(s) and medical need for the device.
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Other Information
Disclaimers
Rx Only. For safe and proper use of product mentioned herein, please refer to the Instructions for Use or Operator Manual.
Baxter, Hillrom, CARE Connex, Monarch and The Vest are trademarks of Baxter International Inc. or its subsidiaries.
AffloVest is a registered trademark of Tactile Medical.
References
- Leemans G, Belmans D, Van Holsbeke C, et al. The effectiveness of a mobile high-frequency chest wall oscillation (HFCWO) device for airway clearance. Pediatr Pulmonol. 2020;55:1984–92.
- Data on File at Baxter International Inc.
- NIDCD Fact Sheet: Hearing and Balance. Noise-Induced Hearing Loss. National Institute on Deafness and Other Communication Disorders. NIH Pub. No. 99-4233. March 2014. Accessed March 7, 2024. https://www.nidcd.nih.gov/health/noise-induced-hearing-loss
- Bench testing conducted in 2017. Testing was performed at the following therapy settings: The Vest System Model 105 and the Monarch System Model 1000 with intensity/pressure set at 10, frequencies settings at 5, 14, and 20 Hz; the AffloVest System was tested at the “Vibration” setting at “Low”, Medium” and “High” settings, which according to the AffloVest System web site operate at 5Hz, 13Hz, and 20Hz respectively. The AffloVest Systems used were labeled as REF 8200 and 8300. 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. Comparisons are not based on head to head clinical efficacy or safety studies.
- Independent lab testing conducted in 2017. Data was analyzed and compared average pulse 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 the following: The Vest System Model 105 and the Monarch System Model 1000 with intensity/pressure set at 10, frequencies settings at 5, 10, 15, and 20 Hz; the AffloVest System was tested at the “Vibration” setting at “Low”, Medium” and “High” settings, which according to the AffloVest System web site operate at 5Hz, 13Hz, and 20Hz respectively. The AffloVest Systems used were labeled as REF 8200 and 8300. Comparisons are not based on head to head clinical efficacy or safety studies. Airflow test subjects were adult males with healthy lung function. Results for female subjects and patients with lung disease may vary from those in this study.
- King M, Phillips D, Gross D, Vartian V, Chang HK, Zidulka A. Enhanced tracheal mucus clearance with high frequency chest wall compression. Am Rev Respir Dis. 1983; 128:511-5.
- Dosman CF and Jones RL. High-frequency chest compression: a summary of the literature. Can Respir J. 2005. 12(1): p. 37-41.
- Freitag L, et al. Removal of excessive bronchial secretions by asymmetric high-frequency oscillations. J Appl Physiol. 1989; 67: 614-9.
- McCarren B, Alison JA. Physiological effects of vibration in subjects with cystic fibrosis. Eur Resp J. 2006; 27: 1204-9.
- Murray M, et al. Critical Care Medicine Perioperative Management Second Edition by Lippincott Williams & Wilkins. 2002: p. 435.
- Chest physical therapy. www.healthofchildren.com/C/Chest-Physical-Therapy.html. Accessed March 19, 2024.
- Kendrick A. Airway Clearance Techniques in Cystic Fibrosis: Physiology, Devices and the Future, Cystic Fibrosis. InTech, 2012. Available from https://www.intechopen.com/books/cystic-fibrosis-renewed-hopes-through-research/airway-clearance-techniques-in-cystic-fibrosisphysiology- devices-and-the-future.