Hill-Rom, St Paul, Minn, offers the Vest Airway Clearance System, designed to remove excess and retained lung secretions. The Vest is a safe, easy, and effective device for children and adults. The system consists of an inflatable vest connected by two air hoses to an air pulse generator. The generator rapidly inflates and deflates the vest, compressing and releasing the chest wall, in a process called high-frequency chest wall oscillation (HFCWO). HFCWO generates increased airflows, which create repetitive cough-like shear forces to loosen secretions. It is available by prescription for therapy in the home or acute care environment. (800) 426-4224; www.thevest.com.

Boehringer Laboratories Inc, Norristown, Pa, offers its CASS suction regulator, which has been shown to effectively remove tenacious secretions. Developed in conjunction with respiratory professionals, this regulator includes a special pulse mechanism that moves secretions while protecting the patient from injury by effectively maintaining a safe applied level of suction. Continuous aspiration of subglottic secretions (CASS) has been reported to be effective in reducing the incidence of ventilator associated pneumonia (VAP). CASS is made possible with the use of special endotracheal tubes containing an additional lumen to allow for the removal of secretions above the cuff. (800) 642-4945; www.boehringerlabs.com.

Thayer Medical, Tucson, Ariz, manufactures The Quake®, a unique, innovative device that provides airway clearance therapy in a portable, easy-to-use, handheld device. The Quake’s soft touch handle allows the patient to regulate rotation frequency and vary percussive pressure differentials within the lungs, during both inhalation and exhalation. The Quake provides optimum performance in any patient position and offers superior results due to its “Flow Independent” design. The Quake truly allows for individualized therapy that meets each patient’s airway clearance needs. (520) 790-5393, ext 235; www.thayermedical.com.

J.H. Emerson Co, Cambridge, Mass, offers the CoughAssist® Mechanical In-Exsufflator (MI-E), a noninvasive airway clearance device for patients with an ineffective cough. It helps by enhancing or replacing the natural removal of bronchial secretions. The CoughAssist achieves this by gradually applying a positive pressure to the airway and then rapidly shifting to negative pressure. The rapid shift in pressure produces a high expiratory flow from the lungs, simulating a cough. It is ideal for patients with neuromuscular disease or other neurological disorder with some paralysis of the respiratory muscles, such as spinal cord injury. (800) 252-1414; www.coughassist.com.

Smiths Medical Inc, Carlsbad, Calif, offers the EzPAP® positive airway pressure system. When incentive spirometry alone will not open patients’ airways, consider the EzPAP system as your next option. It makes providing positive airway pressure positively easy. Simply connect to a flow meter (wall air or O2 for enhanced Fio2), adjust to 5-15 lpm, and instruct the patient to breathe diaphragmatically through the mouthpiece or mask. No equipment to roll around. No labor-intensive CPT. No extensive training. Just a few minutes as prescribed—not for hours at a time. The EzPAP system features a pressure port for connection to a gauge (recommended for initial use with each patient), and a standard 22-mm OD fitting to accommodate a small volume nebulizer, mouthpiece, or three mask options. (800) 258-5361; www.smiths-medical.com.

Electromed Inc, New Prague, Minn, offers the SmartVest® airway clearance system that uses high-frequency chest-wall oscillation (HFCWO) therapy to deliver effective, well-tolerated airway clearance treatment for patients who are otherwise at risk of developing respiratory infections from retained secretions. The company’s new Trimline™  model  emphasizes convenience in providing HFCWO therapy. The SmartVest system is portable, programmable, and multipositional. The vest is made of a soft fabric material, is washable, and provides treatment on a full coverage basis. (800) 462-1045; www.electromed-usa.com.