I used the Hill Rom vest for about a year and I finally returned it because I couldn’t tell it was helping me any more than the AeroBika. But I don’t think I washed, much less sterilized it, in the entire time I used it. That sounds terribly time consuming. Do you really have to do that?

@lvalenti Are you taking NAC or mucinex and hydrating, then using albuterol to open up airways before using 7% saline in your nebulizer? It takes some time to master the whole clearance routine, along the way figuring out what works for you. If you are doing all these things, perhaps you have "dry" bronchiectasis, which is something I don't know much about as mine is quite the opposite.

FWIW, the vest did nothing for me. Hill-Rom was nice enough to give me an extended loan and in that time I determined it was not as effective as autogenic drainage and/active cycle of breathing. Another brand vest I tried (Afflovest) seemed promising but it gave me rib pain. Not using the vest was a big time saver.