Hillrom Vest 205 User manual

The Vest® Airway Clearance
System, Model 205
Instructions for Use

The Vest® Airway Clearance System, Model 205 i
Instructions for Use (140643 REV 16)
REVISION
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Rom makes no commitment to update or keep current, the information
contained in this manual.
Units with a 51-XXXXX serial number are manufactured by:
HILL-ROM, INC.
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CHARLESTON, SC 29405
Units with a 52-XXXXX or 53-XXXXX serial number are
manufactured by:
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PHONE [phone]

ii The Vest® Airway Clearance System, Model 205
Instructions for Use (140643 REV 16)
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.
This manual (140643) was originally released and supplied in English. For
a list of available translations, contact Hill-Rom.
Notice to Users and/or Patients in EU—Any serious incident that has
occurred in relation to the device, should be reported to the manufacturer
and the competent authority of the Member State in which the user
and/or patient is established.
Product images and labels are for illustrative purposes only. Actual
product and label may vary.
Sixteenth Edition, 2020-04
First Printing, 2006
3M™ is a trademark of 3M Company.
Cough Pause® and Hill-Rom® are registered trademarks of Hill-Rom
Services, Inc.
Hillrom™ is a trademark of Hill-Rom Services, Inc.
Underwriters Laboratories Inc.® is a registered trademark of Underwriters
Laboratories Inc.
The UL logo is a registered trademark of Underwriters Laboratories, Inc.
The Vest® is a registered trademark of Hill-Rom Services PTE Ltd.
Viraguard® is a registered trademark of Veridien Corporation.
Virex® is a registered trademark of Diversey, Inc.
Replace this manual (140643) if it is damaged and/or can not be read.
For product support or to order additional copies of this manual (140643),
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 respiratorycare.hill-rom.
Reference Documents
The Vest® Airway Clearance System, Models 104, 105, and 205 Service Manual
(183192 – North America; 150754 – International)

The Vest® Airway Clearance System, Model 205 iii
Instructions for Use (140643 REV 16)
Table of Content s
Revision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Indications for use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Intended patient population. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Intended users . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Document Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Product Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Safety Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Relative Contraindications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Air Pulse Generator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Push Bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Remote Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Height Adjustment Release Lever . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Locking Casters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Stand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Storage Basket . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Air Hose Connector Ports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Air Hoses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Control Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Contour Foam (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Instructions for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Put on the Disposable, Single-Patient Use (SPU) Vests. . . . . . . . . 16
Wrap SPU Vest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Full SPU Vest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Connect the Air Hoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Set Up the Air Pulse Generator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Software Version. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Use The Vest® Airway Clearance System, Software Version 1.20 . . . . 21
Setting and Using a New Program Mode . . . . . . . . . . . . . . . . . . . . . 23

iv The Vest® Airway Clearance System, Model 205
Instructions for Use (140643 REV 16)
Table of Contents
Using the Program Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Setting and Using a New Ramp Mode . . . . . . . . . . . . . . . . . . . . . . . . 27
Using the Ramp Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Check the Hour Meter Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Change the Language. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Disable the Program Modes (Program and Ramp) . . . . . . . . . . . . 33
Set Facility Custom Default Settings . . . . . . . . . . . . . . . . . . . . . 34
Use The Vest® Airway Clearance System, Software Version 1.22. . . . 36
Normal Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Set and Use the New Program Mode . . . . . . . . . . . . . . . . . . . . . . . . 39
Use the Program Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Set and Use the New Ramp Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Use the Ramp Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Check the Hour Meter Reading . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Change the Language. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Disable the Program Modes (Program and Ramp Modes) . . . . . 53
Set Custom Default Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Move the Air Pulse Generator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Raise or Lower the Air Pulse Generator . . . . . . . . . . . . . . . . . . . . . . . 59
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
General Cleaning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Steam Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Cleaning Hard to Clean Spots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Expected Life. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Disposal Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Disposable Garments and Replacement Parts . . . . . . . . . . . . . . . . . . . . 64
Size the Disposable Garments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Service Calls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Air Pulse Generator Does Not Power On. . . . . . . . . . . . . . . . . . . . . . 67
No Air Pulses into the Disposable Garments . . . . . . . . . . . . . . . . . . 67
Screen Shows “Please Call for Service” Message . . . . . . . . . . . . . . 67

The Vest® Airway Clearance System, Model 205 v
Instructions for Use (140643 REV 16)
Table of Contents
An Air Hose Comes out of the Air Pulse Generator or
Disposable Garments during Operation . . . . . . . . . . . . . . . . . . . . . . 67
Screen Shows “RESTARTING” . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Classification and Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Frequently Asked Questions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

vi The Vest® Airway Clearance System, Model 205
Instructions for Use (140643 REV 16)
Table of Contents
NOTES:

The Vest® Airway Clearance System, Model 205 1
Instructions for Use (140643 REV 16)
Intended Use
INTENDED USE
The Vest® Airway Clearance System, Model 205 was developed to provide
effective Airway Clearance Therapy. The system consists of a disposable
garment attached to an Air Pulse Generator that rapidly inflates and
deflates the disposable garment. This causes the chest wall to be gently
compressed and released, which creates airflow within the lungs. This
process moves mucus toward the large airways where it can be cleared by
coughing or suctioning. This type of Airway Clearance Therapy is referred
to as High Frequency Chest Wall Oscillation (HFCWO).
INDICATIONS FOR USE
The Vest® Airway Clearance System, Model 205 is intended to provide
airway clearance therapy when external manipulation of the thorax is the
physician’s choice or treatment. Indications for this form of therapy are
described by the American Association of Respiratory Care (AARC) in the
Clinical Practices Guidelines for Postural Drainage Therapy. According to
AARC guidelines, specific indications for external manipulation of the
thorax include evidence or a suggestion of retained secretions, evidence
that the patient is having difficulty with the secretion clearance, or
presence of atelectasis caused by mucus plugging. In addition, The Vest®
Airway Clearance System is also indicated for external manipulation of the
thorax to promote airway clearance or improve bronchial drainage for the
purposes of collecting mucus for diagnostic evaluation.
INTENDED PATIENT POPULATION
The Vest® Airway Clearance System, Model 205 can be used for the
pediatric to geriatric population. The system accommodates use across
the targeted population by providing a selection of garment sizes which is
used along with the air pulse generator.
INTENDED USERS
The users of the system are designated caregivers in the acute care
environment.
INTRODUCTION
This manual includes instructions for setup, use, and maintenance of The
Vest® Airway Clearance System, Model 205. It is to be used as a reference
guide. Please review all sections carefully before you use the system.
The Vest® Airway Clearance System, Model 205 is intended for use as
prescribed by a physician.

2The Vest® Airway Clearance System, Model 205
Instructions for Use (140643 REV 16)
Symbols
SYMBOLS
DOCUMENT SYMBOLS
This manual contains different typefaces and symbols to make the
content easier to read and understand:
• Standard text—used for regular data.
•Boldface text—emphasizes a word or phrase.
•NOTE:—sets apart special data or important instruction clarification.
•WARNINGorCAUTION
– A WARNING identifies situations or actions that may have an
effect on patient or user safety. To ignore a warning could
cause patient or user injury.
– A CAUTION identifies special procedures or precautions that
persons must obey to help prevent equipment damage.
PRODUCT SYMBOLS
These symbols may or may not be used on your model of The Vest®
Airway Clearance System:
Symbol Definition
Type B equipment with an F-type applied part,
according to EN 60601-1.
(The Vest® garment is the applied part and the
maximum temperature on it will not exceed
107.1°F (41.7°C) under operating conditions.)
Dangerous voltage within the device may
constitute a risk of electrical shock.
(Not applicable to units compliant with
ANSI/AAMI ES60601-1(2005) + AMD(2012).
ON button—starts the Air Pulse Generator (starts
therapy, inflates the disposable garment, moves
to the next screen during programming, starts
the unit after being paused).
ON

The Vest® Airway Clearance System, Model 205 3
Instructions for Use (140643 REV 16)
Symbols
OFF button—stops the Air Pulse Generator
(stops therapy, deflates the disposable garment,
pauses therapy, moves to previous screen during
programming).
Frequency setting
Pressure setting
Time setting
Up arrow button—increases the Frequency,
Pressure, or Time setting.
Down arrow button—decreases the
Frequency, Pressure, or Time setting.
Remote Control Port
Attention: Consult accompanying documents.
(Applicable to UL60601-1 compliant units.)
Class II equipment (double insulated),
according to EN 60601-1.
Protected against ingress of an object of
diameter 12.0 mm and vertically falling water
drops.
Symbol Definition
OFF

4The Vest® Airway Clearance System, Model 205
Instructions for Use (140643 REV 16)
Symbols
Read the operating instructions.
Medical— General Medical Equipment as to
Electrical Shock, Fire, and Mechanical Hazards
Only in Accordance with:
ANSI/AAMI ES60601-1(2005) + AMD (2012)
CAN/CSA-C22.2 No. 60601-1:14
E336914
Devices with serial numbers 51-XXXXX and
52-XXXXX are in compliance with these
standards: Medical Equipment with respect to
electrical shock, fire, mechanical, and other
specified hazards only in accordance with
UL/EN/IEC 60601-1 and CAN/CSA C22.2 No.
601.1.
The Vest® Airway Clearance System, Model 205
conforms to the European Medical Device
Directive 93/42/EEC. Units made before May 3,
2008.
The Vest® Airway Clearance System, Model 205
conforms to the European Medical Device
Directive 93/42/EEC. Units made on and after
May 3, 2008, and before September 14, 2018
The Vest® Airway Clearance System, Model 205
conforms to the European Medical Device
Directive 93/42/EEC. Units made on and after
September 14, 2018.
Identifies a replaceable fuse link in an electronic
circuit.
Environmental Protection:
Waste electrical products should not be
disposed of with household waste. Please
recycle where facilities exist. Check with your
Local Authority or a retailer for recycling advice.
Do Not Spray.
Symbol Definition

The Vest® Airway Clearance System, Model 205 5
Instructions for Use (140643 REV 16)
Symbols
Catalog number
Batch number
Serial number
Medical Device
Authorized Representative in the European
Community
Unique Device Identification
Temperature for transport and storage
Relative humidity for transport and storage
Atmospheric pressure for transport and storage
Fragile
This way up
Keep Dry
Symbol Definition

6The Vest® Airway Clearance System, Model 205
Instructions for Use (140643 REV 16)
Symbols
Stacking limit. The maximum number of identical
packages which may be stacked on the bottom
package.
Date of manufacture
Manufacturer
Manufacturer and date of manufacture
Non sterile
For multiple use on a single patient
Physician prescription required (for US only).
(Only for products to the Federative Republic of
Brazil)
InMetro Net Connection Corporation (NCC) logo
Tear open here
Maximum safe working load
Symbol Definition

The Vest® Airway Clearance System, Model 205 7
Instructions for Use (140643 REV 16)
Symbols
Mass of equipment weight
Symbol Definition

8The Vest® Airway Clearance System, Model 205
Instructions for Use (140643 REV 16)
Safety Instructions
SAFETY INSTRUCTIONS
CONTRAINDICATIONS
WARNING:
Warning—If patient conditions exist that cause the use of The Vest®
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.
The Vest® Airway Clearance System is contraindicated if these conditions
are present:
• Head and/or neck injury that has not yet been stabilized
• Active hemorrhage with hemodynamic instability
RELATIVE CONTRAINDICATIONS
If the patient has one or more of the conditions below, carefully consider
and assess the patient’s case before you decide to use The Vest® Airway
Clearance System.
• Intracranial pressure (ICP) >20 mm Hg, or patients in whom increased
intracranial pressure is to be avoided
• Uncontrolled hypertension
• Hemodynamic instability
• Pulmonary edema associated with congestive heart failure
• Bronchopleural fistula
• Subcutaneous emphysema
• Large pleural effusions or empyema
• Recent esophageal surgery
• Active or recent gross hemoptysis
• Pulmonary embolism
• Uncontrolled airway at risk for aspiration such as tube feeding or
recent meal
•Distendedabdomen
• Bronchospasm
• Suspected pulmonary tuberculosis
• Recently placed transvenous pacemaker or subcutaneous pacemaker
• Recent epidural spinal infusion or spinal anesthesia
• Recent spinal surgery or acute spinal injury

The Vest® Airway Clearance System, Model 205 9
Instructions for Use (140643 REV 16)
Safety Instructions
• Rib fractures, with or without flail chest
• Surgical wound, healing tissue, recent skin grafts, or flaps on thorax
• Burns, open wounds, and skin infections on the thorax
• Lung contusion
• Osteomyelitis of the ribs
• Osteoporosis
•Coagulopathy
• Complaint of chest wall pain
READ ALL INSTRUCTIONS
BEFORE USING
NOTE:
When using electrical products, especially when children are present,
basic safety precautions should always be followed, including the
following important safeguards.
WARNING:
Warning—Obey all warnings throughout the manual and also the safety
information below to help prevent injury and/or equipment damage:
•Warning—Unplug this system immediately after you use it.
•Warning—Do not use the system near flammable chemicals or
products, including flammable anaesthetics. To do so could cause
personal injury or equipment damage.
•Warning—Adult supervision is required to use the therapy on
children.
•Warning—Federal USA law restricts this device to sale by or on the
order of a physician.
•Warning—Use close supervision when this system is used by or near
children or patients with physical limitations or impaired cognitive
abilities.
•Warning—Keep the hoses and power cord away from children to
avoid strangulation.
•Warning—Do not store or use the device around pets, pests, or
unsupervised children.
•Warning—Use this system only for its intended use. Use only those
attachments that are specified by the manufacturer.

10 The Vest® Airway Clearance System, Model 205
Instructions for Use (140643 REV 16)
Safety Instructions
WARNING:
(Warnings continued) Obey all warnings throughout the manual and also
the safety information below to help prevent injury and/or equipment
damage:
•Warning—Do not use unauthorized parts or accessories with this
device.
•Warning—Use only Hill-Rom authorized hoses and vests to avoid
allergic skin reactions.
•Warning—Do not use the device near to any heat source such as a
fireplace or radiant heater.
•Warning—Do not use the device in a dusty environment.
•Warning—Do not use the device in a heavy moisture environment.
•Warning—Patients that may have difficulty clearing secretions from
the upper airway (such as those with DMD or other advanced
neuromuscular or neurological disorders) may require specialized
therapy regiments involving manually or mechanically assisted
coughing or other techniques in conjunction with The Vest® Airway
Clearance System, Model 205 therapy. Please consult your physician
to determine if additional therapy is appropriate.
•Warning—To help prevent cross-contamination, replace the single-
patient use, disposable garment between patients.
•Warning—Only authorized persons should service the unit.
NOTE:
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.hill-rom.com.
•Warning—Do not operate the Air Pulse Generator without the
disposable garment and Air Hoses attached.
•Warning—If it is difficult to connect the Air Hoses to the Air Pulse
Generator or disposable garment, do not use lubricant.
•Warning—If it is difficult to connect the Remote Control to the Air
Pulse Generator, do not use lubricant.
•Warning—Do not use harsh cleansers, solvents, or detergents.

The Vest® Airway Clearance System, Model 205 11
Instructions for Use (140643 REV 16)
Safety Instructions
WARNING:
(Warnings continued) Obey all warnings throughout the manual and also
the safety information below to help prevent injury and/or equipment
damage:
•Warning—Do not eat or drink during a therapy session.
•Warning—Do not leave the garment on a patient for extended
periods of time without a cloth barrier between the patient and the
garment.
•Warning—If it is necessary to disconnect/isolate the device from the
main power supply, disconnect the power cord plug from the power
inlet socket on the back of the air pulse generator or disconnect the
plug from the power outlet in the wall.
•Warning—Make sure the position of the air pulse generator is such
that you can quickly, without obstruction, disconnect the power cord
from the main power supply if necessary.
•Warning—Discard The Vest® Airway Clearance System, Model 205
product in accordance with your local government regulations.
•Warning—To protect the patient and caregiver from the total
acoustical energy from the use of this device, make sure of these:
– The device is not used by a patient and/or a caregiver more
than a total of 12 hours each day.
– When the device is in use, keep a distance of at least 1.64'
(0.5 m) between the device and the patient and caregiver.
•Warning—This product contains chemicals known to the State of
California to cause cancer and birth defects or other reproductive
harm.
•Warning—The Vest® Airway Clearance System, Model 205 is MR
Unsafe. Do not expose the system to any magnetic resonance (MR)
environment.
NOTES:
• The system may present a risk of projectile injury due to the
presence of ferromagnetic materials that can be attracted by the
MR magnet core.
• The system may not function properly due to the strong
magnetic and radio frequency fields generated by the MR
equipment.
•Warning—Some patients with seizure history may experience
seizure during or after the therapy.

12 The Vest® Airway Clearance System, Model 205
Instructions for Use (140643 REV 16)
Safety Instructions
WARNING:
(Warnings continued) Obey all warnings throughout the manual and also
the safety information below to help prevent injury and/or equipment
damage:
•Warning—Some patients may experience nausea, dizziness or
headache when using the therapy. It is recommended that patients
refrain from doing any therapy for a period of time after eating. If
patients experience these symptoms, it is recommended that they
take breaks during therapy.
•Warning—Patients that have external ports or equipment (for
example, catheters, feeding tubes, tracheostomy tubes) should take
care to cushion the site and/or support the equipment before
initiating therapy.
•Warning—For patients with breast implants, make sure that you
follow the doctor's prescriptions and exercise caution before you
conduct the therapy.
SAVE THESE INSTRUCTIONS