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№ 13 · In-Exsufflator · ICU

Horizon Cough 1K. When coughing isn't a reflex.

An automatic airway-clearance system built for invasively ventilated patients. A closed-loop algorithm detects the cough cycle, preserves post-cough PEEP, and coordinates oscillation with the ventilator — so the nurse manages the patient, not the machine.

  • Exsufflation flow > 200 L/min
  • Cough pressure −30 to −90 cmH₂O
  • Treatment cycle 5 – 120 min
  • Display 8" TFT waveform
CE · Class IIb ISO 13485 MDR 2017/745 ICU Ready
Horizon Cough 1K mechanical in-exsufflator — front three-quarter view
200L/min Peak exsufflation flow at −40 cmH₂O
90cmH₂O Maximum cough suction pressure
65dB(A) Operating noise at full cycle
5.7kg Portable chassis with rolling dock option
Cough detection < 120 ms
Feature 01 — SmartCycling

The cycle starts itself.

A pressure-flow discrimination algorithm watches for the early signature of a cough attempt — and triggers the insufflation–exsufflation cycle in under 120 milliseconds. No trigger buttons. No clinician foot-pedal. The machine simply meets the patient.

  • 01Pressure-flow signature detection at 1 kHz
  • 02Closed-loop cycle start & terminate
  • 031–10 coughs per treatment, user-configurable
  • 045–120 min cycle windows for protocol flexibility
Feature 02 — Safe-Exsuff

PEEP never drops.

Every exsufflation ends on a gradient — a controlled return to the patient's clinician-set PEEP before airway pressure can collapse. No derecruitment. No re-intubation spiral. Safe-Exsuff is the reason Horizon Cough 1K earns a place in ICUs that treat patients with the thinnest margin.

  • 01Clinician-set baseline PEEP preservation
  • 02Graded exsufflation termination — no pressure cliff
  • 03Post-cough stabilisation window 2–8 s
  • 04Real-time airway-pressure trace on 8" display
Live · ICU bed #B4 · patient #88201
Pinsp +40
Pexp −60
PEEP 8
Cycle 5/8
Oscillation5–20 Hz Amplitude±5 cmH₂O DepthTuned per pt.
Feature 03 — Comfort-Flutter

Secretions,
mobilised with precision.

Superimposed pressure oscillations gently shear the mucus column free from the bronchial wall — before the exsufflation phase removes it. Clinicians report faster sputum yield, fewer re-treatments, and a treatment the patient actually tolerates.

  • 015–20 Hz oscillation overlay during insufflation
  • 02Amplitude tunable ±5 cmH₂O
  • 03Pairs with SmartCycling automatically
  • 04Optional exsufflation-volume limiter
Feature 04 — SyncMate ventilator integration

Works with
the ventilator you already own.

SyncMate tubing routes the cough cycle through the existing ventilator circuit — no disconnection, no apnea exposure, no broken seal. The machine recognises the ventilation mode in use and coordinates within it.

  • 01Compatible with AC · SIMV · VC · PC · PSV
  • 02In-line integration — circuit stays intact
  • 03Vibration mode available for therapy tuning
  • 04Waveform overlay display on 8" TFT
Ventilator · sync status
In-phaseAC · SIMV · PC · PSV
Cycle
8/10coughs delivered
Secretion yield
+38%vs. manual ambu
Technical Specifications

The numbers, without varnish.

Measured at 23 °C, sea-level ambient, with a standard 22 mm patient circuit and adult endotracheal tube. Full IEC 60601-1 / 60601-1-2 conformance on file for partner tenders.

Therapy

Modality
Mechanical insufflation–exsufflation
Insufflation pressure
+10 to +70 cmH₂O
Exsufflation pressure
−30 to −90 cmH₂O
Exsufflation flow
> 200 L/min peak
Treatment cycle
5 – 120 min
Coughs per treatment
1 – 10
Oscillation
5 – 20 Hz · ±5 cmH₂O

Ventilator Compatibility

Assist Control (AC)
✓ Supported
SIMV
✓ Supported
Volume Control
✓ Supported
Pressure Control
✓ Supported
Pressure Support
✓ Supported
Circuit
SyncMate in-line 22 mm

Display & Control

Screen
8" TFT touchscreen
Waveforms
Pressure · flow · volume
Language packs
EN · FR · DE · AR · NL · ES
Alarms
ISO 60601-1-8 compliant

Acoustic & Physical

Noise level
≤ 65 dB(A) at 1m
Dimensions
300 × 300 × 260 mm
Weight
5.7 kg
Mounting
Tabletop · rolling-cart · rail

Electrical

Input
100–240 V AC · 50/60 Hz
Consumption
≤ 200 VA
Battery (opt.)
4 h internal backup
Ingress
IP21

Compliance

Classification
CE Class IIb · MDR 2017/745
Standards
IEC 60601-1 · 60601-1-2 · 60601-1-8
Quality
ISO 13485 certified manufacture
Cybersecurity
IEC 81001-5-1 compliant
In the box

Ready for the bedside.

01

Horizon Cough 1K unit

Main chassis with integrated SmartCycling controller.

02

SyncMate integration tubing

22 mm in-line ventilator-compatible patient circuit.

03

Bacterial / viral filters ×5

Medical-grade main-line filters, single-patient-use.

04

Power supply & rolling dock

Hospital-grade PSU and 5-caster mobile base (optional).

05

USB data-export kit

Treatment logs exportable for quality review.

06

Clinical training & warranty

On-site training block + 3-year limited service contract.

Horizon Cough 1K on rolling dock next to an ICU bedside
ICU · 04:12 Cycle 5/8 · PEEP 8 · yield +38%
At the bedside

Built for the hour
everyone forgot to plan for.

Retained secretions. A patient who can't clear them. A nurse who needs both hands free. The Horizon Cough 1K is designed for the four-AM moment when manual bagging isn't a solution, and an unplanned extubation isn't an option.

We replaced a manual airway-clearance protocol across two ICUs with the Cough 1K. Secretion yield rose, re-intubations fell, and the nurses regained time they were spending on manual percussion. Nobody wants to go back.
Dr. Thomas Mertens ICU Lead — CHU Saint-Pierre, Brussels
Request

Specify the Cough 1K
for your ICU.

Clinical application leads support bed-side trials, tender documentation, training protocols, and firmware roadmaps across Europe, the Gulf, and North Africa.