Hill-Rom Monarch 1000 User Manual
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Hill-Rom Monarch 1000 User Manual

Airway clearance system
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Monarch™ Airway Clearance System,
Model 1000
User Manual
Product No. PMACS1
Rx only: Federal USA law restricts this device to sale by or on the order of a physician.
195292 REV 1

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  • Page 1 Monarch™ Airway Clearance System, Model 1000 User Manual Product No. PMACS1 Rx only: Federal USA law restricts this device to sale by or on the order of a physician. 195292 REV 1...
  • Page 2 Apply Serial Number Label here or record Serial Number ____________________________...
  • Page 3 Rom makes no commitment to update or keep current, the information in this manual. Hill-Rom reserves the right to make changes without notice in design, specifications, and models. The only warranty Hill-Rom makes is the express written warranty extended on the sale or rental of its products.
  • Page 4 For product support or to order additional copies of this manual (195292), contact Hill-Rom: • In the USA, call Hill-Rom at 800-426-4224 • Outside of the USA, contact your distributor or local Hill-Rom representative, or go to www.respiratorycare.hill-rom.com. The Monarch™ Airway Clearance System User Manual (195292 REV 1)

  • Page 5: Table Of Contents

    Table of Contents Document Symbols ..........1 Important Safeguards.
  • Page 6 Table of Contents Using the Mobile App ........44 Run Program Mode—Therapy 1 and Therapy 2.
  • Page 7 Table of Contents Service Calls ........... . . 91 Troubleshooting .
  • Page 8 Table of Contents NOTES: Monarch™ Airway Clearance System User Manual (195292 REV 1)

  • Page 9: Document Symbols

    READ ALL INSTRUCTIONS BEFORE USING Training shall be provided by a Hill-Rom qualified trainer or respiratory therapist before the user uses the product for therapy delivery. The training may last 60 minutes or until the user is comfortable with the safe and effective use of the product.
  • Page 10 Do not use attachments not recommended by the manufacturer. Do not use unauthorized parts or accessories with this device. Use only Hill-Rom authorized garment vest shells to avoid allergic skin reactions. 10. If this product has a damaged Power Cord or plug, or the product does not operate correctly, do not use it.
  • Page 11 • In the USA, call Hill-Rom at 800-426-4224. • Outside of the USA, contact your distributor or local Hill-Rom representative, or go to www.respiratorycare.hill-rom.com. 22. The potential for electrical shock exists with electrical equipment. Failure to follow protocols may cause death or serious personal injury.

  • Page 12: Intended Use

    8th grade education level or comparable. We recommend that patients who do not meet this education level get assistance from Hill-Rom qualified trainers before using this device for therapy. The patient should also have the ability to start or stop the therapy physically either via the pendant, mobile app buttons, or pause/resume control on the garment.

  • Page 13: Contraindications

    Contraindications CONTRAINDICATIONS WARNING: If any patient conditions exist that could cause the use of Monarch™ Airway Clearance System to present a risk to the patient, do not use the unit except as directed by a physician. Death or serious injury could occur.

  • Page 14: Acronyms

    Acronyms • Suspected pulmonary tuberculosis • Lung contusion • Bronchospasm • Osteoporosis or osteomyelitis of the ribs • Coagulopathy • Complaint of chest wall pain ACRONYMS Acronym Meaning HFCWO High Frequency Chest Wall Oscillation Pulmonary Oscillating Disc Long Term Evolution (4G) Coordinated Universal Time FEATURES Item...
  • Page 15 Features CAUTION: Obey these cautions to help prevent equipment damage: • Use only with the Hill-Rom approved AC/DC power adapter (Hill- Rom Part Number 195500). • Use only with the Hill-Rom approved battery (Hill-Rom part number 194566 (Inventus Power, Inc. model number 194566)).
  • Page 16 Features Item Image Item Image Backpack Battery Cover Charging Battery Access Port Panel and Bat- tery Compart- ment Pause/ Pendant Dock Resume But- Monarch™ Airway Clearance System User Manual (195292 REV 1)

  • Page 17: Pendant

    Product Symbols ENDANT Press the power button for 3 seconds to activate the pendant. The pendant allows for features and functions of the garment to be activated, edited, and deactivated. Item Description Screen ON/OFF button Navigation buttons Center button Back button PRODUCT SYMBOLS These symbols are used on your model of Monarch™...
  • Page 18 Product Symbols Symbol Definition WARNING OR CAUTION Follow the operating instructions Class II equipment (double insulated), according to EN60601-1 Protected against ingress of solid foreign objects ≥0.04" (1.0 mm) in diameter and dripping water (at 15° tilt). Medical—General Medical Equipment as to Electrical Shock, Fire, and Mechanical Hazards Only in Accordance with Control No.
  • Page 19 Product Symbols Symbol Definition No chlorine bleach* Tumble dry low heat* Catalog number Batch number Date of manufacture Manufacturer Manufacturer and date of manufacture Physician prescription required (for US only) ACMA RCM compliance mark Single Patient Use Monarch™ Airway Clearance System User Manual (195292 REV 1)

  • Page 20: Pendant Screen Symbols

    Product Symbols Symbol Definition Pause/Resume control button—press the button to stop therapy and press again to resume therapy* *Applicable only for vest shell of the product. ENDANT CREEN YMBOLS These symbols are used on your model of Monarch™ Airway Clearance System: Main Screen Symbol...
  • Page 21 Product Symbols Symbol Definition Symbol Definition The LTE is connected. The battery charge has (only available on the under 20% charge on LTE enabled Monarch® the battery. Systems during trans- mission) Front view of the garment with POD locations identified Back view of the garment with POD locations identified Monarch™...

  • Page 22: Mobile Device Symbols

    Product Symbols OBILE EVICE YMBOLS NOTE: The mobile device App images in this manual are examples only. Since mobile device screens may vary by brand, your screen may not look exactly like the images shown. Main Screen Item Description Item Description Current therapy mode Frequency setting...

  • Page 23: Instructions For Use

    If you have any questions or concerns, contact Hill-Rom: • In the USA, call Hill-Rom at 800-426-4224. • Outside of the USA, contact your distributor or local Hill-Rom representative, or go to www.respiratorycare.hill-rom.com. Monarch™ Airway Clearance System User Manual (195292 REV 1)

  • Page 24: Setting Up The Unit

    Install Battery CAUTION: Obey these cautions to help prevent equipment damage: • Use only with the Hill-Rom approved battery (Hill-Rom part number 194566 (Inventus Power, Inc. model number 194566)). • Fully charge the battery to 100% before first time use.
  • Page 25 Instructions for Use Lift the battery access panel. Align the battery so the battery latch is toward the top of the garment. Insert the bottom of the battery into the battery panel first (1). Slide the latch, then proceed to insert the top of the battery until the battery locks into position (2).

  • Page 26: Charge Battery

    Instructions for Use Charge Battery CAUTION: Use only with the Hill-Rom approved AC/DC power adapter (Hill-Rom part number 195500 (MEGMEET model number MANGO120-24CK-HR)) to prevent equipment damage. Plug the power adapter into the garment. Plug the power adapter into the power cable.

  • Page 27: Attaching The Vest Shell

    Instructions for Use Attaching the Vest Shell Lay the garment on a flat surface. Lay the right and left vest shell panels, colored side up, on a flat surface. Align and put one side of the vest shell on to the garment. For the left vest shell, slide the pendant dock through the slots on the vest shell.

  • Page 28: Garment Fitting

    Instructions for Use Garment Fitting SIZE GUIDE REFERENCE Measure from point A to B, see the image below. Measure the circumference around point C, the mid-chest of the patient. Size Guide Measurements Item Description A and B Ideal POD contact point Circumference measure point Monarch™...
  • Page 29 Instructions for Use Shoulder Strap Adjustment Measure the patient’s shoulder height with a flexible tape measure. Place the end of the flexible tape measure in position A and pull the tape measure taunt over the shoulder to position B. Write the shoulder height in the Shoulder Measurement field below.
  • Page 30 Instructions for Use Torso Adjustment Measure the patient’s mid chest with a flexible tape measure. Place the end of the tape measure on the patient’s side, below the bust line. Pull the tape measure taunt around the mid chest as shown in the image on page 20 for position C.Write the mid chest circumference in the field below.
  • Page 31 Instructions for Use SHOULDER ADJUSTMENT Open the shoulder pad, and remove the pad from the garment to free the shoulder straps for adjustment. Slide the top stretchable band over to access the adjustable strap. Separate and adjust the shoulder strap to fit the patient’s shoulder height.
  • Page 32 Instructions for Use CONFIRM GARMENT SIZING ADJUSTMENTS 11. Put on the garment one shoulder at a time like you are putting on a backpack. 12. Fully zip the front zipper closure. 13. Close the cam buckle on both sides. • To close—hold and pull the cam buckle in the direction of the arrow (A) to close the cam buckle (B).

  • Page 33: Set Up The Mobile App

    SET UP THE MOBILE APP NOTE: For assistance with the installation of the mobile application (app) to a device, contact Hill-Rom: in the USA, call 800-426-4224; outside of the USA, contact your distributor or local Hill-Rom representative, or go to www.respiratorycare.hill-rom.com.
  • Page 34 Set Up the Mobile App If you want to connect to your Monarch device, tap I Have a Monarch. NOTE: Make sure that Bluetooth® is enabled on your mobile device before you select I Have a Monarch. Enter the serial number of your Monarch device.
  • Page 35 Set Up the Mobile App 10. If Bluetooth® is not enabled, the Monarch app will notify you. Tap Turn on, and follow the on-screen instructions. 11. Tap OK to allow Notifications. CAUTION: The first time you launch the mobile application a Notification screen will show.

  • Page 36: Program The Garment

    Program the Garment PROGRAM THE GARMENT The pendant is used to program the gar- ment and start the therapy. The pendant dock is on the front of the gar- ment. Place the pendant in the pendant dock when the pendant is not in use. ARMENT Slide the pendant up and away from the garment to remove the pendant from the pendant dock.

  • Page 37: Treatment Options

    Program the Garment Treatment Options Mode of Operation Description Manual mode Manual mode uses one frequency and inten- sity for a set time of the entire therapy ses- sion. Program modes Therapy 1 and Therapy 2 are programmed therapy sessions. Each program is a quick start therapy session.
  • Page 38 Program the Garment Press the Center button. Frequency will be selected by default. Press the Up or Down navigation buttons to select the frequency value. Press the Right navigation button to select Intensity. Press the Up or Down navigation button to select the intensity value.

  • Page 39: Program Manual Mode-Mobile App

    Program the Garment Program Manual Mode—Mobile App See “Set Up the Mobile App” on page 25 for steps on how to download the Monarch app. After you turn on the Monarch garment from the pendant, open the Monarch app on your mobile device. From the mobile device, tap Request Control.
  • Page 40 Program the Garment From the mobile device, tap Go to Therapy. Tap the Frequency to select and change the frequency; swipe up or down until the frequency value needed is highlighted. Tap the selected number to confirm the frequency setting. Monarch™...

  • Page 41: Program Therapy Mode

    Program the Garment Tap the Intensity to select and change the intensity; swipe up or down until the intensity value needed is highlighted. Tap the selected number to confirm the intensity setting. Tap the Duration to select and change the duration; swipe up or down until the duration value needed is highlighted.
  • Page 42 Program the Garment Select Edit Therapy 1 or Edit Therapy 2 to change a programmed therapy, and press the Center button. Cough Interval will be selected by default. Press the Center button to edit the Cough Interval. Press the Up or Down navigation buttons to increase or decrease the frequency of the cough pause.
  • Page 43 Program the Garment NOTE: The therapy steps are labeled by X/X meaning current step out of total steps. Example: 1/8 means it is the first step out of a total of 8 steps. The maximum number of steps allowed is 8 steps. Each therapy step can have a different Frequency, Intensity, and Duration setting.
  • Page 44 Program the Garment 19. Press the Center button to confirm the step settings. 20. Press the Down navigation button to select the next step or Add New Step. 21. Repeat Step 3 through Step 20 until all steps in the therapy are programmed as prescribed by the physician.

  • Page 45: Program Therapy-Mobile App

    Program the Garment Program Therapy—Mobile App See “Set Up the Mobile App” on page 25 for steps on how to download the Monarch app. After you turn on the Monarch from the pendant, open the Monarch app on your mobile device. From your mobile device, tap Request Control.
  • Page 46 Program the Garment From your mobile device, tap Go to Therapy. Tap the Settings icon on the top right of the app. Tap Therapy Settings. Tap Edit Therapy 1 or Edit Therapy 2 to select the programmed therapy to change. Monarch™...
  • Page 47 Program the Garment Tap the Cough Interval to select the interval. Swipe up or down until the Cough Interval value needed is highlighted. Tap the selected number to confirm the cough interval setting. 10. Tap the Cough Duration to select the duration. Monarch™...
  • Page 48 Program the Garment 11. Swipe up or down until the Cough Duration needed is highlighted. Tap the selected number to confirm the cough duration setting. NOTE: The therapy steps are labeled by X/X meaning current step out of total steps. Example: 1/8 means it is the first step out of a total of 8 steps.
  • Page 49 Program the Garment 13. Tap the Frequency to select and change the frequency; swipe up or down until the frequency value needed is highlighted. Tap the selected number to confirm the frequency setting. 14. Tap the Intensity to select and change the intensity; swipe up or down until the intensity value needed is highlighted.

  • Page 50: Start Therapy

    Start Therapy 17. To delete a step, swipe the step you want to delete to the left and tap Delete. 18. Tap Save to save the changes, or tap Cancel to discard the changes. 19. See “Start Therapy” on page 42 to learn how to start therapy. START THERAPY ANUAL HERAPY...
  • Page 51 Start Therapy To pause therapy, do these: Select Pause, and the Center button or press the Pause/Resume control button on the garment. Press the Center button to resume therapy, or press the Pause/Resume button on the garment. If the therapy has been paused for 8 minutes, this screen will show.

  • Page 52: Using The Mobile App

    Start Therapy When the therapy session is complete, the Therapy Complete screen will show. Press the Center button to return to the main screen. NOTE: The pendant screen will dim after 3 minutes of no active therapy or inputs. The system will completely shut down after 10 minutes when used with the battery pack.
  • Page 53 Start Therapy From the pendant, select Allow, and press the Center button. Tap Go to Therapy. From the mobile device, tap Manual on the top menu bar. Monarch™ Airway Clearance System User Manual (195292 REV 1)
  • Page 54 Start Therapy Tap Start. NOTE: The timer starts from the total duration and counts down to zero. To pause therapy, do these: Tap Pause during therapy. Monarch™ Airway Clearance System User Manual (195292 REV 1)
  • Page 55 Start Therapy Tap Resume to start the therapy. If the therapy has been paused for 8 minutes, a pop-up screen will show to allow you to choose to Stop or Resume the therapy. Tap Stop or Resume. Monarch™ Airway Clearance System User Manual (195292 REV 1)
  • Page 56 Start Therapy d. If Stop is selected, an Incomplete Therapy screen will show. Tap Stop or Resume. When the therapy session is complete, the Therapy Complete screen will show. Press Done to return to the Main screen. NOTES: • The Monarch™ Airway Clearance System will dim the screen after 3 minutes of no active therapy or inputs.

  • Page 57: Run Program Mode-Therapy 1 And Therapy 2

    Start Therapy —T ROGRAM HERAPY HERAPY Using the Pendant See “Program Therapy Mode” on page 33 to set up and save a therapy program as prescribed by a physician. Select Therapy 1 or Therapy 2, and press the Center button. To start the therapy, select Start, and press the Center button.
  • Page 58 Start Therapy If the therapy has been paused for 8 minutes, this screen will show. Use the Up and Down navigation buttons to select Stop or Resume, and press the Center button. If Stop is selected, an Incomplete Therapy screen will show. Use the Up and Down navigation buttons to select Stop or Resume, and press the Center button.

  • Page 59: Using The Mobile App

    Start Therapy Using the Mobile App Press and hold the power button on the pendant for 5 seconds. From your mobile device, tap the Monarch app to open the app. Tap Request Control. NOTE: The Monarch app will automatically pair with the Monarch garment during the first two minutes after the Monarch garment is powered on.
  • Page 60 Start Therapy Tap Go to Therapy. NOTE: The pendant screen will show a message that your mobile device is controlling the Monarch garment. Tap Therapy 1 or Therapy 2 on the top menu bar. Tap Start. NOTE: The timer starts from the total duration and counts down to zero.
  • Page 61 Start Therapy NOTE: You can change the settings during therapy by tapping on the setting you want to change. To pause the therapy, do these: You can pause during the therapy by tapping Pause. Tap Resume to start the therapy. Monarch™...
  • Page 62 Start Therapy If the therapy has been paused for 8 minutes, this screen will show. Tap Stop or Resume. The cough timer screen will show at each cough interval. Either wait for the timer to run out of time, or select Resume to continue with your therapy session.
  • Page 63 Start Therapy 10. If Stop is selected, an Incomplete Therapy screen will show. Tap Stop or Resume to continue. 11. When the therapy session is complete, the Therapy Complete screen will show. Press Done to return to the Main screen. NOTES: •...

  • Page 64: Isolate Pods

    Start Therapy Isolate PODS Using the Pendant From the Main screen, select Menu, and press the Center button. Select the Therapy Settings menu. Use the Down navigation button to select the ISOLATE PODS menu. Press the Center button to view the ISOLATE PODS screen. Use the Navigation button to select different PODs.

  • Page 65: Using The Mobile App

    Start Therapy Press the Center button to turn the POD on or off. NOTE: White indicates that the POD will be active. Gray indicates that the POD is off. A defective POD is shown with a red cross icon. Press the Back button to return to the previous screen. NOTE: The system will not allow all PODs to be in inactive.
  • Page 66 Start Therapy Tap Therapy Settings. Tap Isolate Pods. Monarch™ Airway Clearance System User Manual (195292 REV 1)

  • Page 67: Device Information

    Device Information Tap on the POD(s) to be turned on or off. NOTE: A green checked POD means the POD is active. A gray POD means the POD is inactive. A red POD means a defective POD which does not function. Swipe from right to left to see the other side of the garment.
  • Page 68 Device Information Select the Device Information menu. Select the General menu. Select the Software Information menu. The following general information will show: • MCB (Master Control Board) APP Software • MCB BL (bootloader) Software • Pendant APP Software • Pendant Software Monarch™...
  • Page 69 24 hour format. Date is in MM/DD/YYYY format. NOTE: The clock and date will be set at Hill-Rom before shipment and will show the current Coordinated Universal Time (UTC) to correctly synchronize the use data with the VisiView™ Health Portal. The time and date cannot be adjusted by the user, only viewed for confirmation of the settings.

  • Page 70: Using The Mobile App

    Device Information SING THE OBILE Tap the Settings icon on the top right of the app. Tap General. Monarch™ Airway Clearance System User Manual (195292 REV 1)
  • Page 71 Device Information Tap Device Info. The following information will show for Device Info: • Serial Number • Total Therapy hours for this Monarch device • FCC ID Monarch™ Airway Clearance System User Manual (195292 REV 1)

  • Page 72: Regulatory

    Regulatory REGULATORY From the Main screen, select Menu, and press the Center button. Select the Regulatory menu, and press the Center button. View the regulatory information. Press the Back button to return to the previous screen. SET THE LANGUAGE SING THE ENDANT From the Main screen, select Menu, and press the Center button.

  • Page 73: Using The Mobile App

    Set the Language Select the Device Settings menu, and press the Center button. Select the Language menu, and press the Center button. Use Up or Down navigation buttons to select the language you want shown on the Monarch pendant, and press the Center button. Press the Back button to return to the previous screen.
  • Page 74 Set the Language Tap Language. Tap the Language you want shown on the Monarch app and pendant. NOTE: A check by the language shows the active language. Tap Save, on the top right, to save the changes, or tap Cancel, on the top left, to discard the changes.

  • Page 75: Manage Bluetooth® Connections

    Manage Bluetooth® Connections MANAGE BLUETOOTH® CONNECTIONS ® O LUETOOTH N OR From the Main screen, select Menu, and press the Center button. Select the Device Settings menu, and press the Center button. Select the Wireless menu, and press the Center button.

  • Page 76: Connect Device

    Manage Bluetooth® Connections ONNECT EVICE Select the Device List menu. The Monarch System will automatically start scanning for Bluetooth® enabled devices. A list of Paired Devices and Other mobile devices available will show. Use the navigation buttons to select the mobile device to connect to from either the Paired list or Other list.

  • Page 77: Delete A Paired Device

    Manage Bluetooth® Connections This screen will show to indicate the system is trying to connect with the device. 10. Once Paired, the device will show under Paired. ELETE A AIRED EVICE NOTE: The mobile device’s Bluetooth® must be enabled in order to delete a device from the of Paired Devices on the pendant.

  • Page 78: Wifi

    WiFi The device will no longer be listed under Paired Devices. Press the Back button on the pendant to return to the previous screen. The Monarch™ Airway Clearance System must be within about 33 feet (10 meters) of the Bluetooth® device with no obstructions. WIFI From the Main screen, select Menu, and press the Center button.
  • Page 79 WiFi Select the WiFi feature. Use the Left and Right navigation buttons to turn on or off the WiFi feature. Select Network 2 for your primary WiFi connection. Use the navigation buttons on the pendant to select the letter or number to enter your network password.

  • Page 80: Lte

    The screen will show that the system is searching for the network. From the Main screen, select Menu, and press the Center button. Select Device Settings, and press the Center button. Select Wireless, and press the Center button. Monarch™ Airway Clearance System User Manual (195292 REV 1)

  • Page 81: Change Color Themes

    Change Color Themes Select the LTE feature. Use the Left and Right navigation buttons to turn on or off the LTE feature. The LTE Status information screen shows: • Carrier Name • Mobile Equipment Identifier (MEID) • SIM card ID CHANGE COLOR THEMES SING THE ENDANT...

  • Page 82: Using The Mobile App

    Change Color Themes Select the Color Themes menu, and press the Center button. Select the desired color, and press the Center button. SING THE OBILE Tap the Settings icon on the top right of the app. Monarch™ Airway Clearance System User Manual (195292 REV 1)
  • Page 83 Change Color Themes Tap Color Themes. Tap the color you want. Tap Save to save the changes, or tap Cancel to discard the changes. Monarch™ Airway Clearance System User Manual (195292 REV 1)

  • Page 84: Cleaning

    Cleaning CLEANING WARNING: Obey all warnings throughout the manual and also the warnings below. Failure to do so could cause injury and/or equipment damage: • The potential for electrical shock exists with electrical equipment. Failure to follow protocols may cause death or serious personal injury.

  • Page 85: General Cleaning-Garment

    Cleaning —G ENERAL LEANING ARMENT We recommend to wipe clean the garment with the recommended cleaning solutions and warm water. Do not use excessive liquid or harsh cleansers, and do not submerge The Monarch™ Airway Clearance System in water or any solution. Dilute the cleaning solution as specified on the manufacturer’s label.

  • Page 86: Support

    From the Main screen, select Menu and press the Center button. Select the Device Information menu, and press the Center button. Select the Support menu. The Support screen will show a phone number to contact Hill-Rom. Monarch™ Airway Clearance System User Manual (195292 REV 1)

  • Page 87: Using The Mobile App

    Support SING THE OBILE Tap the Settings icon on the top right of the app. Tap Contact Us. Monarch™ Airway Clearance System User Manual (195292 REV 1)

  • Page 88: Errors

    Errors Tap the phone number to place a call. ERRORS From the Main screen, select Menu and press the Center button. Select the Device Information menu, and press the Center button. Monarch™ Airway Clearance System User Manual (195292 REV 1)
  • Page 89 Errors Select Errors to review system error codes, and press the Center button. Select Reset to remove the error information, and press the Center button. Select No or Yes to reset the error list, and press the Center button. Once Yes is selected, the pendant will show no errors.

  • Page 90: Using The Mobile App

    Errors SING THE OBILE Tap the Settings icon on the top right of the app. Tap General. Monarch™ Airway Clearance System User Manual (195292 REV 1)
  • Page 91 Errors Tap Device Info. Tap Errors to view a list of errors. Monarch™ Airway Clearance System User Manual (195292 REV 1)
  • Page 92 Errors Tap Reset to clear the error list. Tap Yes to clear the error list. Tap the back arrow to return to the previous screen. NOTE: The reset of errors will erase the current list being shown on the pendant. The system will continue to store errors collected on the device even though they are not viewable on the pendant.

  • Page 93: Critical Errors

    Errors RITICAL RRORS NOTE: If the solution is to contact Hill-Rom or the solution provided does not resolve the error, use this contact information: • In the USA, call Hill-Rom at 800-426-4224. • Outside of the USA, contact your distributor or local Hill-Rom representative, or go to www.respiratorycare.hill-rom.com.

  • Page 94: Caution Errors

    Monarch garment to cool for 15 minutes. AUTION RRORS NOTE: If the solution is to contact Hill-Rom or the solution provided does not resolve the error, use this contact information: • In the USA, call Hill-Rom at 800-426-4224. •...
  • Page 95 Errors Error Pendant Mobile App Battery under 25%—the battery charge is less than 25%. Charge the battery or use the AC/DC power adapter to plug into a wall outlet. Or, you may continue the therapy with the understanding that the battery charge may run out before the therapy set time.
  • Page 96 Errors Error Pendant Mobile App WiFi—reconnect to the WiFi communication, see “WiFi” on page 70. Bluetooth®—reconnect to the Bluetooth® communication, see “Manage Bluetooth® Connec- tions” on page 67. LTE Communication—move to a location where the LTE signal strength increases. Make sure that you have LTE access at this time and that the device is correctly configured for the LTE.
  • Page 97 Errors Error Pendant Mobile App Press the button on the battery, confirm that a battery indicator light is lit on the front of the battery. If there is no light or a flashing light, plug the unit into power. Data storage—contact Hill- Rom.

  • Page 98: Service

    If service is necessary, use this contact information: • In the USA, call Hill-Rom at 800-426-4224. • Outside of the USA, contact your distributor or local Hill-Rom representative, or go to www.respiratorycare.hill-rom.com. Monarch™ Airway Clearance System User Manual (195292 REV 1)

  • Page 99: Expected Life

    The expected service life of the battery is one year from date of purchase. Hill-Rom will repair or replace a defective unit as part of a warranty package specified at the time of purchase of the Monarch garment.

  • Page 100: Troubleshooting

    Monarch™ garment. Make sure the battery is fully charged and is properly seated in its location on the garment. If necessary, unplug the DC connector from the garment, and then reconnect. If the problem still exists, contact Hill-Rom. POD( CTIVATE Use the pendant to get to the Isolate PODS screen (see “Isolate PODS”...

  • Page 101: Storage And Handling

    Storage and Handling STORAGE AND HANDLING To store or transport the Monarch™ Airway Clearance System, do as follows: Place the garment in the carry case. Insert the AC/DC power adapter, power cord, battery, and other accessories into the compartments above the garment in the carry case.

  • Page 102: Frequently Asked Questions

    Frequently Asked Questions FREQUENTLY ASKED QUESTIONS • How does the Monarch™ Airway Clearance System effectively treat areas of my lungs? – The system is designed to oscillate the chest wall to create airflow by applying percussion to the lung area to treat the lobes of the lung.

  • Page 103: Replacement Parts List And Instructions

    Replacement Parts List and Instructions REPLACEMENT PARTS LIST AND INSTRUCTIONS Symbol Part Number Description 197811 Shoulder pads 195499 Back cover 198221 POD cover M07774 POD cover (set of 4) 198457S Pendant clip 198413S Panel hinge kit Monarch™ Airway Clearance System User Manual (195292 REV 1)
  • Page 104 Replacement Parts List and Instructions Symbol Part Number Description 198683 Washable vest shell, orange 198684 Washable vest shell, blue 198685 Washable vest shell, green 198686 Washable vest shell, pink 198687 Washable vest shell, red 198678 Battery access panel, green 198679 Battery access panel, red 198680 Battery access panel, pink...

  • Page 105: Battery Replacement

    Replacement Parts List and Instructions Symbol Part Number Description M07437 Power cord, NA_Canada (NEMA1-15P) ATTERY EPLACEMENT NOTES: • Consult your local regulations to safely discard or recycle the battery. • Do not return the battery unless specifically requested by customer service. •...

  • Page 106: Battery Access Panel Replacement

    Replacement Parts List and Instructions ATTERY CCESS ANEL EPLACEMENT Lift the battery access panel. Hold the battery access panel close to the hinges, and slowly pull the access panel away from the backpack to remove the hinges from the backpack. Hold the new battery access panel with the logo facing away from the backpack.

  • Page 107: Shoulder Pad Replacement

    Replacement Parts List and Instructions HOULDER EPLACEMENT Disengage the shoulder pad’s hook and loop fastener, and then remove the pad from the garment. Put the new pad into position on the garment, and firmly press the shoulder pad together to engage the hook and loop fastener.

  • Page 108: Ac/Dc Power Adapter

    Replacement Parts List and Instructions AC/DC P OWER DAPTER Only use a Hill-Rom approved Monarch™ power adapter as the AC/DC adapter. Monarch™ Airway Clearance System User Manual (195292 REV 1)

  • Page 109: Specifications

    Specifications SPECIFICATIONS Feature Dimension Monarch™ weight (with bat- 13.2 lb (6 kg) tery) Size guide Fits mid chest circumference of 22" to 50" (55.9 cm to 127 cm) Base garment EVA foam Garment shell Polyester Electrical Requirements Nominal voltage: 24 V DC +/- 1.5 V DC Nominal Power Consumption: ~65 W A/C Power Supply Model MANGO120-24CK...
  • Page 110 Specifications Wireless Communication The Monarch™ Airway Clearance System features a Bluetooth® interface to connect to a smartphone mobile application as a secondary control for the device. The Monarch™ Airway Clearance System also features an optional WiFi module to export device use data in home care environments.
  • Page 111 Specifications Feature Dimension LTE 4G (Optional Configuration) Technology FDD-LTE 3G PP Rel. 9+ LTE Band Designation Band 4, 13 Power Class Transmit Power 23 dBm typical Receive Sensitivity Min -93 dBm Data Rates DL 10Mbps, UL 5Mbps Antenna Internal/built-in IP Services Classification and Standards Technical and Quality Assur- ANSI/AAMI ES60601-1...
  • Page 112 Specifications Electromagnetic Compatibility Guidance The Monarch™ Airway Clearance System is suitable for the electromagnetic environment settings specified in the tables that follow. WARNING: The Monarch™ Airway Clearance System should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the Monarch™...
  • Page 113 Specifications Electromagnetic Immunity Guidance Guidance and Manufacturer's Declaration - Electromagnetic Immunity The Monarch™ Airway Clearance System is intended for use in the electromag- netic environment specified below. The customer or the user of the Monarch™ Airway Clearance System should make sure it is used in such an environment. Electromagnetic - IEC 60601 Immunity Test...
  • Page 114 Specifications Guidance and Manufacturer's Declaration - Electromagnetic Immunity The Monarch™ Airway Clearance System is intended for use in the electromag- netic environment specified below. The customer or the user of the Monarch™ Airway Clearance System should make sure it is used in such an environment. Electromagnetic - IEC 60601 Immunity Test...
  • Page 115 Specifications Guidance and Manufacturer's Declaration - Electromagnetic Immunity The Monarch™ Airway Clearance System is intended for use in the electromag- netic environment specified below. The customer or the user of the Monarch™ Airway Clearance System should make sure it is used in such an environment. Immunity IEC 60601 Compliance...
  • Page 116 Specifications Recommended separation distances between portable and mobile RF communications equipment and the Monarch™ Airway Clearance System. The Monarch™ Airway Clearance System is intended for use in an electromag- netic environment in which radiated RF disturbances are controlled. The cus- tomer or the user of the Monarch™...
  • Page 117 Federal Communications Commission (U.S.A.) Specific Absorption Rate; (SAR) refers to the rate at which the body absorbs RF energy. To maintain compliance, the device must be used with specified Hill-Rom Holdings, Inc. accessories supplied or designated for this product. Use of other accessories may not ensure compliance with FCC RF exposure guidelines.
  • Page 118 Specifications NOTES: Monarch™ Airway Clearance System User Manual (195292 REV 1)

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