Hill-Rom The Vest Airway Clearance System

1 Products Hill-Rom The Vest Airway Clearance System Remote control Wrap Vest is available in multiple sizes Easy transport The disposable Wrap vest promotes infection control Easy application of consistent, effective Airway Clearance therapy In today's busy health care environment, finding time At a glance to administer manual chest percussion, with postural drainage, is a challenge for caregivers. Additionally, some Helps mobilize pulmonary secretions through high-frequency chest wall oscillation (HFCWO) therapy patients may be unable to tolerate optimal positioning Provides safe, consistent, effective therapy or chest clapping with manual therapy. Yet pulmonary Easy to administer and comfortable for the patient complications triggered by impaired Airway Clearance can have serious results inflammation, infection, lung damage, Helps reduce pulmonary complications and increase clinical stability even respiratory failure. The Vest System provides exceptionally consistent, easy-to- use therapy.

2 Through high-frequency chest wall oscillation (HFCWO) technology, The Vest System dislodges mucus from the bronchial walls, thins and mobilizes secretions, and mobilizes mucus from the smaller to larger airways, where it can be cleared by coughing or suctioning. Hill-Rom The Vest Airway Clearance System .. Acute . Care Long-Term Care Home Care . The Vest System can be beneficial to Mechanism of action patients across the continuum of care, The Vest System consists of an inflatable vest connected including acute and post-acute facilities, by tubes to an air-pulse generator. The generator rapidly as well as in the home. inflates and deflates the vest, compressing and releasing the chest wall up to 25 times per second. This technology is called high-frequency chest wall oscillation (HFCWO). Research demonstrates safety and efficacy The rapid chest movement mimics mini-coughs The Vest System has been in use since 1988. More that dislodge and thin the mucus, moving it along than 80 clinical trials demonstrate the effectiveness of to the central airways.

3 The Vest therapy treats all HFCWO therapy for patients with a variety of conditions. lobes of the lungs simultaneously and is technique- In addition, over a dozen peer-reviewed studies independent. It can be beneficial to patients across demonstrate that The Vest System clears mucus more the continuum of care, including acute and post-acute effectively and helps maintain or improve pulmonary facilities, as well as in the home. function better than conventional chest physiotherapy. Tolerance rating of vest therapy Ventilator weaning 105 Patient tolerance assessed daily by 100 40 38 In a study comparing the safety and respiratory therapist during therapy. efficacy of The Vest System and CPT. Number of daily observations % of patients weaned No significant adverse events were reported. on 54 long-term ventilator-dependent 80 30. Only 12 ( ) patients were patients with Airway Clearance problems, 60 discontinued, citing inability to tolerate. 20 The Vest System patients were weaned 15.

4 49. Subjectivetolerance ratings among from ventilator use at more than twice 40 continuing users for all therapy days were: 10 the rate of CPT patients. Mean + CD = + .94; Median= 20 0 Source: Ndukwu IM, Shapiro S, Nam AJ, Schumm PL. 8 Comparison of high-frequency chest wall oscillation 3 Source: Brierly S, Adams C, Suelter J, Grooch T, CPT The Vest . Becker B, Safety and tolerance of high-frequency System (HFCWO) and manual chest therapy (MCPT) in long- 0. chest wall oscillation (HFCWO) in hospitalized critical term acute care hospital (LTAC) ventilator-dependent 1 2 3 4 5 care patients. Arizona Heart Hospital, Phoenix, AZ, patients. Chest 1999;116(4 suppl 2):311S. Tolerance score Salina Regional Health Center, Salina KS, Advanced (1=poorly tolerated; 5=well tolerated). Respiratory, St Paul, MN. Products Saves time and effort Effective for secretion Clearance dysfunction arising from a variety Manual chest percussion therapy is of conditions time-consuming, with a complete session typically taking up to 45 The Vest has been prescribed minutes.

5 A session with The Vest for secretion Clearance dysfunction System takes less than half the time associated with a variety of diseases Airway Clearance Therapy Indications*. Production of excess or abnormal (typically 15-20 minutes). and conditions, including cystic Airway secretions fibrosis, muscular dystrophy, chronic Atelectasis, mucous plugging or pulmonary The patient does not have to be infiltrate demonstrable on chest x-ray obstructive pulmonary disease, and repositioned during therapy safer for Ineffective or impaired cough cerebral palsy. It has been successfully the caregiver and more comfortable Hypoventilation/hypoxemia used to maintain healthy lung Diagnosis of pneumonia for the patient. In fact, the therapy function in post-operative, ICU, Artificial Airway can be administered to a patient in and post lung transplant patients. Mechanical ventilation any position, even while sitting in Aspiration a bedside chair. Disposable, single- Immobility patient-use vests provide superior Post thoracic or abdominal surgery infection control.

6 Pre-peri-post thoracic organ transplantation Post trauma with risk for pneumonia Prolonged anesthesia In clinical outcomes studies, Frequent need for therapeutic bronchoscopy/lavage The Vest System is associated with: Need for diagnostic sputum induction Improved secretion Clearance ;. Stabilized or improved pulmonary functions; Absolute Contraindications Head and neck injury until stabilization Improved exercise tolerance;. Active hemorrhage with hemodynamic Reduced incidence of pneumonia and related hospitalizations; instability Higher patient satisfaction and therapy adherence; and * The APTA, American Physical Therapy Association, Reduced healthcare costs. list of indications for Airway Clearance therapy. Reduced incidence of pneumonia and related hospitalizations Reduced healthcare costs 52 $424,979. 50. In a 12-month retrospective, 12- $400,000 After one year of HFCWO therapy, month prospective assessment of BlueCross BlueShield members with CF.

7 40 The Vest System , eleven individuals $300,000 demonstrated a 49% reduction in total * p< with quadriplegic cerebral palsy healthcare costs. $217,830. Incidence 30 experienced statistically and clinically $200,000. 27*. significant reductions in total Source: Ohnsorg F. A cost analysis of high-frequency pneumonias and pneumonia-related $100,000 chest-wall oscillation in cystic fibrosis. Am J Respir Crit 20. 13 Care Med 1994; 149(4 pt. 2):A669. hospitalizations. 10 $0. 3*. Source: AV Plioplys, S Lewis, and I Kasnicka. pre-Vest post-Vest Pulmonary Vest Therapy in Pediatric Long-Term 0 .012 .031. Care. Journal of American Medical Directors Pneumonias Hosp. for Association 2002; 3: 318-321. Addendum added pneumonia four patients to the original seven. Amplified Before tx After tx results of the eleven patients were presented at American Medical Directors Association Conference, March 2003. Hill-Rom The Vest Airway Clearance System To learn more Wrap Vest Sizing Chart Call your Hill-Rom representative today to learn more Size Chest Circumference about The Vest System or to request a demonstration.

8 Small 23-33 inches Visit our web site at for detailed Medium >33-43 inches information. Large >43-53 inches X-Large >53-67 inches Product Specifications Model Number ..103 Part Numbers Air-pulse generator (#103) ..300413. Generator ..35 lbs. (22"H x "W x "D) Tubes ..200426. Remote control ..200328. Stand ..8 lbs. (17"H x 25" Diameter base) Contour foam ..300177..5 legs with 2 locking casters and 3 non-locking caster Instruction Manual ..500115. Electrical ..120V AC, 5 Amp, 60 Hz ..Underwriters laboratories (UL) Listed for and Canada Decibels ..58 dB. A. Hill-Rom warrants The Vest Airway Clearance System Model 103 generators and accessories to be free from defects in materials and workmanship for a period of one year. This warranty period commences on the date of shipment from the manufacturing facility. This warranty is made to the original purchaser only. Purchasers are limited to licensed healthcare entities. Home and residential customers are not eligible.

9 B. Hill-Rom will repair or replace, at its discretion, at its facility, any accessory and/or part(s) of the generator which it finds have become defective during normal use or, at the discretion of Hill-Rom , it may elect to supply a replacement generator and/or accessories to Purchaser. For repair or replacement as set forth in Section A above, call the Hill-Rom Technical Services Department at 800-445-3730 to arrange for the return of the defective generator or accessory. C. This Limited Warranty is limited to its express terms. In particular: 1) Except as expressly provided by this Limited Warranty, Hill-Rom SHALL NOT BE LIABLE FOR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES FOR BREACH OF ANY EXPRESS OR IMPLIED WARRANTY ON THE PRODUCT. SUITABILITY FOR USE OF Hill-Rom PRODUCTS IS SOLELY DETERMINED BY PURCHASER. Because some states do not permit the exclusion or limitation for incidental or consequential damages, this limitation or exclusion may not apply to Purchaser.

10 2) This Limited Warranty is extended only to the original Purchaser of the generator or accessory. AS TO ALL OTHERS, Hill-Rom MAKES NO WARRANTY, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, ANY. IMPLIED WARRANTY OF MARKETABILITY OF FITNESS FOR A PARTICULAR PURPOSE, WHETHER ARISING FROM STATUTE, COMMON LAW, CUSTOM OR OTHERWISE. NO EXPRESS OR IMPLIED WARRANTY SHALL EXTEND. BEYOND THE PERIODS SPECIFIED IN SECTION A ABOVE. THIS LIMITED WARRANTY SHALL BE THE EXCLUSIVE REMEDY AVAILABLE TO ANY PERSON. Because some states do not allow exclusion or limitation of implied warranties, the above exclusion or limitation may not apply to Purchaser. 3) This Limited Warranty applies only to The Vest Airway Clearance System Model 103. Conversion to other models is expressly excluded. 4) NO PERSON HAS ANY AUTHORITY TO BIND Hill-Rom TO ANY REPRESENTATION, CONDITION OR WARRANTY EXCEPT THIS LIMITED WARRANTY. 5) This Limited Warranty gives Purchaser specific legal rights, and Purchaser may also have other rights which vary from state to state.