The Vest APX System (Home Care)
The Vest APX System is an airway clearance device, designed to provide non-invasive at-home high frequency chest wall oscillation (HFCWO) therapy with all new comfort and ease. The Vest APX System may be used for the pediatric population (six months and older) to geriatric population.
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Overview
Meet the The Vest APX System
Advanced Pulmonary Experience
The Vest APX System uses the same airflow technology as The Vest System, Model 105, with enhanced design elements driven by clinician and patient inputs for an improved user experience. The Vest APX System aims to remove barriers to consistent therapy adherence, with treatment designed to fit easily into patients’ daily lives.
The Vest APX System can be used to treat patients with
- Bronchiectasis
- ALS and other neuromuscular conditions
- Cystic fibrosis
- Spinal cord injuries
Setting the Standard
The Vest APX System uses the same trusted technology as The Vest System, the pioneer and leader in High Frequency Chest Wall Oscillation (HFCWO) therapy. No other device in the category has been studied as extensively or trusted by more patients.1
More than 35 years
More than 60
Nearly 200,000
94%
67%
45%
Trusted Efficacy with New Comfort and Ease
The Vest APX System was designed for ease of use and improved comfort for patients with advancements your patients will appreciate.1
- Incorporates well-established technology with trusted efficacy
- Designed to support daily therapy use with improved portability and comfortability*
- Slimmed down vest garments and redesigned to be up to 48% lighter for ease of use and comfort
- Interactive touchscreen designed to be 19% smaller and 30% lighter for user convenience
*Compared to The Vest System, Model 105
Features
Designed with Ease in Mind
The Vest APX System is comfortable and simple to use.3 The garment—also available in a wrap style—is trim and lightweight. A trim, sportswear-inspired garment makes treatment more comfortable,1 and soft, wicking performance fabric helps keep moisture away from the skin. Quick fastening VELCRO Brand Closures are designed to make it easy to get the optimal fit for patients varying in shape and sizes.3
THE VEST APX System Vest Garment
This is designed for comfort, keeping the abdomen free and focusing therapy on the chest area.
THE VEST APX System Wrap Garment
The wrap garment is an alternative therapy option if the full garment style isn’t right for your patient
Air Hoses
Quick-attach hose connections between the hose and control unit interface are designed to help improve attachment and use
Touchscreen Interface
The Vest APX System control unit features a 7” LCD and a locking screen to ensure settings are not inadvertently changed.
Travel Case
A luggage-style carrying case with four-wheel spinner design makes it simple for patients to take their therapy wherever they go.
A Variety of Garment Sizes, Colors and Patterns
With 12 new colors and designs available for your patients and sizes for patients with a chest circumference of 16 to 67 inches, there are exciting options for nearly everyone.
Pediatric Designs
- Vest garment fits 16” – 31”
- Wrap garment fits 19” – 33”
- Colors and patterns clockwise from top:
- Flamingo Pink*†
- Funky Camo
- Galactic Red
- Hidden Foxes
- Magenta Ribbons
- Playful Posies
- Royal Blue*†
- Social Butterfly
*Flamingo Pink and Royal Blue also available in wrap garment
†Child size 16” – 19” available in Flamingo Pink and Royal Blue only
Adult Designs
- Vest garment fits 30” – 52”
- Wrap garment fits 33” – 67”
- Colors and patterns clockwise from top:
- Burgundy*
- Hunter Green
- Magenta Ribbons†
- Navy Blue*
- Slate Grey
- Playful Posies†
*Burgundy and Navy Blue also available in wrap garment
†Magenta Ribbons and Playful Posies only available in adult size 30” – 34”
Watch a Brief Video to Learn More
Order & Support
Learn More About The Vest APX System
Ordering and Support Information for The Vest APX System
Get additional ordering, customer, technical, and medical support information for The Vest APX System by contacting Baxter using the links below.
U.S. Catalog
To buy this product or look for options and specs 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
For 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.
Prescription and Reimbursement Process
Prescribing Information
To easily prescribe THE VEST APX System, download this prescription form and the required attachments and fax it to 1-800-870-8452.
Insurance Criteria
For information regarding the common patient criteria for receiving insurance coverage for HFCWO devices, as well as details on prescribing via EMR and e-prescribing platforms, see the following documents:
Diagnoses
Identify which diagnoses are covered for HFCWO therapy devices and which codes to use when prescribing
Sizing
To figure out the best garment size for each patient, download this sizing brochure.
Ready for More?
Complete this form to have a representative reach out.
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
The Vest APX System Clinician Brochure
Download the latest The Vest APX System clinician brochure
Frequently Asked Questions
How does The Vest APX System work?
The device uses a technology called High Frequency Chest Wall Oscillation (HFCWO). The equipment consists of a garment connected by air hoses to a controller. During therapy, the garment inflates and deflates rapidly, applying gentle pressure to the chest wall. This moves mucus toward larger airways where it can be cleared by coughing or suctioning.
What are the maintenance requirements for The Vest APX System?
The Vest APX System requires minimal routine maintenance. Periodic cleaning is required. If service is necessary, contact Baxter Customer Service at 1-800-426-4224.
Can The Vest APX System also be run on an electrical power inverter?
The Vest APX System has not been validated to run on an electrical power inverter. The electrical requirements are outlined in The Vest APX System Instructions for Use (214281).
What garment styles are available?
The Vest APX System has two styles of garments: the vest garment and the wrap garment. They are designed for different body shapes and types and provide equivalent airflow with therapy.
How does the patient ensure the garment will fit correctly?
It is important to provide an accurate chest measurement as a baseline to fit the garment. Adjust the sizing strips and straps ensure a comfortable fit. See the fitting instructions for each garment style in The Vest APX System, Instructions for Use (214281).
What languages are available for The Vest APX System display?
The Vest APX system display can appear in two languages, English and Spanish.
Can patients take prescribed aerosol or nebulizer treatments while using THE VEST APX System?
There is no contraindication for conducting both treatments at the same time. Patients should consult their health care teams with further questions.
Can patients change their prescribed settings?
Patients should consult their health care teams to determine if the prescribed settings should be changed.
What should patients do if their stomach gets upset during treatment?
Patients should consult their health care teams to discuss possible remedies for the upset stomach. Possible recommendations by the health care teams may be conducting the treatment before meals, relieving pressure in the stomach area by leaning forward or backward or changing garment style.
What should patients do if they feel their port and would like be more comfortable?
Patients may feel the port inside the garment prior to the garment inflating. If the patients continue to feel the port after the garment inflates, they may benefit from using a contour foam pad (available from Baxter) to help provide comfort for the area of a Hickman catheter, portacath, G-tube, etc. They may also benefit from a different style garment. Contact Baxter Customer Service to order the contour foam.
What happens if THE VEST APX System causes patients to feel itchy?
For the most comfort, it is recommended patients wear a single layer of cotton clothing, such as a t-shirt, beneath the inflatable garment. Heavier clothing can become hot and itchy. If the patient’s skin becomes itchy, using lotion before treatment may help. An itchy nose during treatment may happen from airflow generated from the therapy. If itchiness continues, these patients should talk to their health care teams.
Will insurance cover the costs of THE VEST APX System?
Ultimately, the cost to the patient for The Vest APX System depends on the specific insurance plan: what it covers, what co-payments it requires, what deductible is needed, etc. To meet financial needs, Baxter offers several options to assist with payments. If you have further questions, call Baxter Customer Service, and please have the insurance card handy.
Will the settings be lost if THE VEST APX System is unplugged?
If the device is unplugged, the settings will not be lost. The Vest APX System is equipped with internal memory so it will default to the previous settings.
Who can service THE VEST APX System?
Only authorized personnel can service the system. Please see The Vest APX System Instructions for use (214281), for troubleshooting or call Baxter Customer Service at 1-800-426-4224.
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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, CARE Connex, Hillrom, Monarch, Synclara, The Vest and Volara are trademarks of Baxter International Inc. or its subsidiaries.
Velcro is a trademark of Velcro IP Holdings LLC.
References
- Data on file at Baxter International Inc.
- Warwick W, Hansen L. The long-term effect of high-frequency chest compression therapy on pulmonary complications of cystic fibrosis. Pediatr Pulmonol. 1991; 11: 265-271.
- Basavaraj A, Choate R, Becker BC, Aksamit TR, Metersky ML; Bronchiectasis and NTM Research Registry Investigators. Severity of bronchiectasis predicts use of and adherence to high frequency chest wall oscillation therapy - Analysis from the United States Bronchiectasis and NTM research registry. Respir Med. 2024 Mar;223:107555. doi: 10.1016/j.rmed.2024.107555. Epub 2024 Feb 1. PMID: 38307319.
- Lechtzin N, Wolfe LF, Frick KD. The Impact of High-Frequency Chest Wall Oscillation on Healthcare Use in Patients with Neuromuscular Diseases. Ann Am Thorac Soc. 2016 Jun;13(6):904-9. doi: 10.1513/AnnalsATS.201509-597OC. PMID: 26999271.