H/p/cosmos Airwalk ap Service manual

h/p/cosmos sports & medical gmbh Am Sportplatz 8 DE 83365 Nussdorf-Traunstein / Germany

phone +49 86 69 86 42 0 fax +49 86 69 86 42 49 [email protected] www.hpcosmos.com

file: n:\article\cos101676-en\20210629_cos101676-en_hpcosmos_airwalk_ap_unweighting_ifu_iim_manual.docx

IMPORTANT! READ CAREFULLY AND KEEP AVAILABLE!

original instructions for use

airwalk®ap / airwalk®lt

unweighting device

body weight support device (BWS)

with optional fall prevention

h/p/cosmos®medical device

product family: body weight support device

model: airwalk®ap

article number: [cos30028]

model: airwalk®lt

article number: [cos30028-lt]

The copyright of this document, media, design, software and intellectual property is owned by

h/p/cosmos sports & medical gmbh, except where explicitly stated differently. Warning: All rights

reserved. Unauthorized copying, reproduction, hiring, lending, public performance and

broadcasting prohibited.

development, production, sales &service

h/p/cosmos sports &medical gmbh

Am Sportplatz 8

DE 83365 Nussdorf-Traunstein

Germany

phone +49 86 69 86 42 0

fax +49 86 69 86 42 49

[email protected]

www.hpcosmos.com

h/p/cosmos EUDAMED ID:

Economic Actor Manufacturer

SRN: DE-MF-000006147

version of instructions for use

version 1.2, revision 28.06.2021

order-no.: [cos101676-en]

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These instructions for use are valid for the original configuration of all devices mentioned above.

Changes of the original configurations of your device (updates, retrofitting of accessories, etc.) may result in invalidity of these

instructions for use.

In this case, always consider the last version of these instructions for use as well as the instructions for use of the retrofitted

accessories (e.g unweighting vests, shorts and harnesses) and/or combined products, such as for example an h/p/cosmos

treadmill.

The latest version of these instructions for use is always available on the h/p/cosmos website:

https://www.hpcosmos.com/en/contact-support/media-downloads/manuals

NIt is strictly forbidden to perform any amendments of the technical design, technical specifications, labelling

and configurations of this device and the accessories connected to it.

NAny amendments, unauthorized, poor or lack of service / maintenance will result in loss of manufacturer’s

liability and warranty.

Latest field safety notes FSN and safety warnings are available on the h/p/cosmos website:

https://www.hpcosmos.com/en/safety

Basic-UDI: 4050588004064

UDI-DI airwalk ap: 4050588002305

UDI-DI airwalk ap lt: 4050588002312

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Dear customer,

We would like to express our gratitude for putting your trust in us, in deciding for this top of the range device.

Since 1988 h/p/cosmos®has been developing and manufacturing running machines and accessories for applications in sports,

rehabilitation, medicine, diagnostics and science. When it comes to technology, ergonomics, design and safety, we have set

extremely high standards for ourselves.

h/p/cosmos’devices are designed for the challenging applications of therapy, diagnostics and training in the medical field and

competitive sports. Our declared goal is the improvement of health and performance of your patients and customers.

In order to reach this goal we developed this high-performance device, which naturally bears certain risks due to its power.

The compliance with the safety regulations reduces these risks to a minimum. For that reason, it is very important to read the

instructions for use in full before taking the device into operation and pay special attention to the mentioned safety regulations.

Although our devices are very robust and service reduced some maintenance and monitoring has to be performed regularly in

order to keep the device in a safe and reliable condition.

The instructions for use describe all the maintenance and monitoring that has to performed by you.

The attached instructions for installation and maintenance describe the processes of installation, detailed maintenance and

repair work that must only be performed by trained and authorized technicians who have been certified by h/p/cosmos.

We recommend calling our competent service team or entering into a maintenance contract for a routine service at an interval

of 6 or 12 months for standard machines and standard applications. A form for registration of your institution and device is

included in the delivery. In order to be able to supply you with the latest technical information and service, it is important for

you to fill out the form for registration immediately and send it back via fax, email or mail.

These instructions for use as a firm part of the delivery have to be accessible to the user at any time. They have been written

with great care. Should you, however, still find any details that do not correspond with your device, please notify us so that we

can correct any mistakes as soon as possible.

Since these instructions for use are subject to alterations without prior notice always refer to the latest version on our website.

E & OE. Errors and omissions excepted.

We wish you a lot of fun and success while exercising and working with this h/p/cosmos device.

Franz Harrer

President & CEO

h/p/cosmos sports & medical gmbh

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airwalk ap [cos30028] stand alone device with external air compressor

airwalk ap [cos30028] in combination with an h/p/cosmos treadmill and robowalk expander

airwalk lt [cos30028-lt] floor mounted pillar with possible installation example via ceiling mounted pulleys

h/p/cosmos sports & medical gmbh Am Sportplatz 8 DE 83365 Nussdorf-Traunstein / Germany 
phone +49 86 69 86 42 0 fax +49 86 69 86 42 49 [email protected] www.hpcosmos.com 
file: n:\article\cos101676-en\20210629_cos101676-en_hpcosmos_airwalk_ap_unweighting_ifu_iim_manual.docx 
© 1988 - 2021 h/p/cosmos sports & medical gmbh author: fh created 29.06.2021 printed 29.06.2021 page: 5 of 43 
 
 
Symbols used ................................................................................................................................................................. 6 
Description...................................................................................................................................................................... 7 
Intended use ................................................................................................................................................................... 8 
Residual risk / Side effects (med)............................................................................................................................... 10 
Forbidden Use / reasonably foreseeable misuse...................................................................................................... 10 
General safety requirements....................................................................................................................................... 11 
Emergency dismount / emergency release ............................................................................................................... 12 
Application body weight support................................................................................................................................ 13 
Application fall prevention and safety stop (optional).............................................................................................. 21 
Trouble shooting .......................................................................................................................................................... 23 
Name plate .................................................................................................................................................................... 24 
Technical data .............................................................................................................................................................. 24 
Spare parts and consumables .................................................................................................................................... 28 
Intended / expected lifetime ........................................................................................................................................ 28 
Disposal ........................................................................................................................................................................ 28 
Installation .................................................................................................................................................................... 29 
Pneumatic wiring.......................................................................................................................................................... 33 
Options.......................................................................................................................................................................... 36 
Labelling........................................................................................................................................................................ 39 
Packing.......................................................................................................................................................................... 41 
Maintenance.................................................................................................................................................................. 42 
Contact .......................................................................................................................................................................... 43 
 

h/p/cosmos sports & medical gmbh Am Sportplatz 8 DE 83365 Nussdorf-Traunstein / Germany

phone +49 86 69 86 42 0 fax +49 86 69 86 42 49 [email protected] www.hpcosmos.com

file: n:\article\cos101676-en\20210629_cos101676-en_hpcosmos_airwalk_ap_unweighting_ifu_iim_manual.docx

1. Symbols used

General

CE sign, proof for meeting the essential requirements according to medical device directive

93/42/EEC (MDD), replaced by medical device regulation (EU) 2017/745 (MDR) since May 26,

2021.

Danger –hazard with high risk! (acc. to ISO 3864-2)

In case this hazard is not prevented, it will lead to death or severe injury.

Warning –hazard with medium risk! (acc. to ISO 3864-2)

In case this hazard is not prevented, it might lead to death or severe injury.

Caution –hazard with low risk! (acc. to ISO 3864-2)

In case this hazard is not prevented, it might lead to minor or slight injury.

Manufacturer (acc. to ISO 15223-1)

2020-09-30

Manufacturing date (acc. to ISO 15223-1)

Follow instructions for use (acc. to ISO7010-M002)

Potential equalization (IEC 60445)

Transport

Fragile, Handle with care (acc. to ISO7000-0621)

This way up (acc. to ISO7000-0623)

Keep dry (acc. to ISO7000-0626)

Centre of gravity (acc. to ISO7000-0627)

Do not stack (acc. to ISO7000-2402)

Temperature limitations (acc. to ISO7000-0632)

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2. Description

2.1. Design

The h/p/cosmos airwalk ap is an unweighting, also called “body weight support” (BWS), device for partial body weight support

(relief) with optional safety stop for fall prevention.

The airwalk ap is made of powder coated steel. The component box is the connection between the rails and the two vertical

adapters, which carry the two arches. The two arches carry the cable guide. Like a crane, the device is overlapping the treadmill

in a height of approximately 2.75 m.

The unweighting unit is integrated into one of the vertical adapters. A pneumatic cylinder is performing the weight support. The

unweighting force is transferred via a static rope to the unweighting bar. The subject is wearing a special vest (harness,

optionally chest belt and/or unweighting pants/shorts, which is fixed to the unweighting bar.

In order to support the subject, the unweighting vest is similar to a climbing harness with a high degree of comfort.

(1) Component box

(2) 2x adapter

(3) 2x arch

(4) Cable guide

(5) Roller + cover

(6) Rope

(7) Adjustable stop

(8) 2x rail

(9) Unweighting bar

2.2. Application

In neurological and also in orthopedic rehabilitation it is important for the patient to start exercising as early as possible.

Therefore an individual and optimal unweighting system is crucial for the patient. Further applications are gait training, balance

training and functional training under unweighted and/or safe conditions without risk of falling. The h/p/cosmos airwalk

unweighting system supports a natural gait pattern. The single-point suspension allows dynamic vertical movement when

walking and at the same time allows freedom in movement and body rotations where wanted. Additional fixation straps for

further stabilization may be utilized if desired and if recommended for the patient. The unweighting, depending on the progress

of therapy, can be adjusted via a hand unit.

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3. Intended use

3.1. Intended use

NBody weight support of a subject (during treadmill therapy / training)

NFall protection of a subject (during treadmill therapy / training)

NEmergency stop in case of falling during treadmill therapy / training

NBalance training under unweighted and/or secured conditions

NFunctional movement and gait training under unweighted and/or secured conditions

NOverspeed / hyperspeed and excess frequency training in athletics (only for sports applications)

Prescribed fall prevention device for any application where falling might cause an unacceptable risk (e.g. high speed or

special applications, applications with subjects not able to support their weight properly, physically impaired, newly

operated hip patients, invasive probes, osteoporosis, etc.)

3.2. Intended operator

NMedical staff only

Nthat has been carefully trained according to these instructions for use

Nthat is working according to the prescription of the medical doctor, where applicable and necessary

NThe subject is not the intended operator.

But the intended operator is authorized to allow the subject to control the device according to the instructions of the intended

operator and under the permanent observation of the intended operator.

This means the operation of the device remains the responsibility of the intended operator at all times, taking the physical

and mental condition of the subject into account.

The intended operator has to be within reach of at least one emergency stop / off at all times

3.3. Intended location

NMedical facilities only

NNo use at home or in home healthcare environments (acc. to IEC 60601-1-11)

NNo outdoor use

NNo direct sunlight

NSufficiently lighted for proper readability of warning, labels, displays and operation elements

NProper environmental conditions (see “Technical Data”)

NStationary training equipment: Not moved during use

3.4. Intended duration

NDepending on the prescription of the medical doctor

3.5. Contraindications

Absolute contraindications

(have to be excluded before the treadmill is used)

NAcute myocardial infarction (within 2 days)

NInstable angina pectoris

NCardiac arrhythmia pathology and/or limited hemodynamics

NSymptomatic massive aortic stenosis

NUncompensated / uncontrolled heart insufficiency

NAcute pulmonary embolism or pulmonary infarction

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NAcute endocarditis, myocarditis, pericarditis

NAcute aortic dissection

NAcute coronary syndrome

NAcute phlebothrombosis of the lower extremities

NFebrile infections

NPregnancy

NAcute thrombosis

NFresh wounds e.g. after surgery

NAcute fracture

NDamaged disc or traumatic disease of the spine

NEpilepsy

NInflammations

NAcute migraine

Relative contraindications

(The application may be started if the possible benefits exceed the risks.

The decision has to be made by the medical doctor before the treadmill is used)

NLeft main coronary stenosis

NMain artery disease

NCardiac valve disease of moderate severity

NKnown electrolyte imbalance

NArterial hypertonia (RR > 200 mm Hg syst. > 110 mm Hg diast.)

NTachyarrhythmia or bradyarrhythmia

NHypertrophic cardiomyopathy and other forms of outflow tract obstruction

NHigher degree atrioventricular AV-blocking

NAnemia

NPhysical and/or mental disabilities leading to inability to exercise adequately

NPartially invasive medical devices (probes, infusions, catheters, external fixators, etc.)

NCardiac pacemaker

NVisual impairment (vision < 30% acc. to WHO)

Further contraindications may occur. This has to be evaluated by the medical doctor.

In case of relative contraindications permanent observation of the subject by medical staff is obligatory.

Sources:

http://leitlinien.dgk.org (German Cardiac Society)

www.acc.org (American College of Cardiology Foundation)

www.americanheart.org (American Heart Association)

http://my.americanheart.org/idc/groups/ahaecc-internal/@wcm/@sop/documents/downloadable/ucm_423807.pdf

The above list does not claim to be exhaustive. The decision as to whether a subject is suitable for treatment always comes

under the remit of the physician in charge, who has sole medical responsibility for the treatment. As part of this, he must

evaluate in particular, in each individual case, possible risks and side-effects of the treatment against the benefit gained from

it. In addition, the subject’s individual situation plays just as important a role as the basic risk assessment for specific patient

groups.

Being a scientific discipline, medicine is subject to constant change in response to new knowledge and progress. It is therefore

the task of the physician in charge to continually keep his knowledge up to date by reading the latest scientific literature and to

acquire new knowledge during the course of treatment.

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4. Residual risk / Side effects (med)

After risk reduction most risks are "acceptable". Only a few risks remain "widely acceptable".

In case fall prevention is not applied or not applied correctly, there are residual risks, such as falling of a person resulting

in skin abrasions, bruises, fractures or in worst case even death.

These risks may occur during use as well as when entering or leaving the device.

Furthermore there is residual risk such as unintended overload of the subject caused by wrong operation, wrong

assessment, or wrong application of the operator.

The residual risk of trapping of clothes / shoes / fingers / hair or other body parts in moving parts can not be excluded as

well. These risks are reduced by safety information within the IFU.

It cannot be excluded that unintended or forbidden use might cause further not yet regarded risks and that already

regarded risks might have been estimated incorrectly. It can also not be excluded that the daily use of the medical product

might show further risks.

For medical applications such as parallel bar gait training there are alternatives such as overground gait training secured

only by the therapist.

However, the benefit of parallel bar gait training contrast to these alternatives is clearly outweighing the residual risk of

falling or overload with the known consequences utilizing this medical device.

In this risk analysis the "present state" of the device has been evaluated.

Having carried out the evaluation and validation of the product, the risk of appearance of a not acceptable risk is very low.

The device (it´s construction, it´s function as well as the intended application) does - under normal conditions - not

represent any unjustifiable risk for the subject, the user, the operator or third persons.

However, the risk of injury or even death due to a malfunction of this medical device is very low.

In over 30 years of history and with many medical devices on the worldwide market, there has never been such a reported

incident.

5. Forbidden Use / reasonably foreseeable misuse

NDo not modify the system and do not connect to other equipment which is not explicitly declared as compatible by

all involved manufactures.

NThe system must not be used without carefully trained specialist staff and without the staff having been instructed

on the safety regulations.

NThe subject must interrupt the training immediately if he/she starts feeling sick or dizzy and should see a doctor.

NSubjects with cardiac pacemakers or any kind of physical restriction must see a doctor before using the system and

ask for permission.

NIn the event of any detected and/or assumed malfunctions and/or defects or unreadable safety warning labels, the

device has to be taken out of operation, clearly marked as such and disabled. The supplier and authorized service

personnel have to be informed in writing.

NUnder no circumstances should a subject/patient or other user be overloaded or overstressed.

NAll prohibitions in the chapter “General safety requirements”.

NOther use than the explicitly mentioned intended use.

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6. General safety requirements

Danger

NThe device has to be inaccessible for unsupervised children (<12 years).

NIncorrect or excessive training may result in injuries to health.

NAlways make sure the device is installed on a stable and levelled base.

from standard EN 20957-1

NFor any application where falling might cause an unacceptable risk (e.g. newly operated hip patients, invasive

probes, osteoporosis, etc.), the chest-belt safety harness cos14903-04-xxx has to be applied additionally.

NBefore adjusting the unweighting force always make sure, the rope is not slung around any part of the subject’s

body.

NThe unweighting bar is freely movable; always make sure it does not hit the subject (e.g. the subject’s head).

NBefore connecting the device to a compressed air supply make sure the hand unit valve is closed, otherwise the

unweighting bar will flip up immediately. Therefore unlock turning knob and turn counter-clockwise until stop.

NDisconnect device from compressed air supply for maintenance or cleaning in order to avoid unintended

movements.

NDevice must only be used by carefully trained, authorized and professional staff.

NRegard limits for max subject weight (see technical data / name plate).

NRegard the instructions for regular disinfection of the unweighting vest / safety harness after every training session

(see “application”).

NDo not use the device in combination with other than the intended devices (see technical data).

NDo not use the device in case any of the contraindications applies (see list of contraindications).

NUnauthorized modifications, service or maintenance is forbidden and will result in loss of any liability and warranty.

NDo not use the device in environmental conditions other than described in the chapter “technical data”.

NIn case of unconsciousness the subject has to be released immediately in order to avoid a suspension trauma.

NIn case of any wear and tear the device has to be set out of order immediately

NIn case of any detected or assumed malfunction, defect or unreadable safety label, the device is to be disengaged,

marked and secured against operation immediately. Authorized service personnel has to be informed in writing.

NUse of the device is only allowed for persons correctly secured by the chest belt / unweighting vest. The estimation

has to be performed by the therapist or medical doctor.

NConnection to pressurized air supply has to be accessible for any user at any time!

NAlways check correct position of the slide with the subject! Subjects’ knees must not touch running surface while

suspended in vest / harness.

NBefore deactivation of air cushion / fall stop mode, make sure the system is not under pressure.

NThe intended location must provide a suitable potential equalization condition (e.g. PE-bolt).

NRope has to be replaced by an authorized h/p/cosmos technician at least every 12 months or earlier in case of any

visible or assumed damage.

from risk management

Any serious incident that has occurred in relation to the device should be reported to the manufacturer and the competent

authority of the EU Member State in which the user and/or patient is established.

See also EUDAMED database: https://ec.europa.eu/tools/eudamed/#/screen/home

h/p/cosmos EUDAMED ID Economic Actor Manufacturer: SRN: DE-MF-000006147

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7. Emergency dismount / emergency release

Danger!

General precaution and warning for emergency dismount and /or emergency release:

In case there is a risk of a subject to become unconscious, there have to be sufficient professional staff available within the

treatment room to handle the subject for emergency dismount.

The pull knob and slide in order to adjust the position of the fall stop cannot be re-adjusted in case the subject is unconscious.

Thus a lowering of a subject with the help of the air pressure control valve may not work until a subject can reach a wheelchair

position.

7.1. Device in working condition / subject unconscious

NStop the treadmill if unweighting has been used together with a treadmill.

NCall a doctor.

NCall third person (or sufficient persons to handle and support the body-weight of the subject) in order to stabilize

the subject.

NLower the subject as described in the chapter “Application”.

NRender first aid.

7.2. Device in error condition (subject cannot be lowered by hand unit valve) / subject conscious

NStop the treadmill if unweighting has been used together with a treadmill.

NInstruct subject that you will open the pneumatic circuit and the unweighting will be reduced immediately.

NTell subject to hold handrails and call third person (or sufficient persons to handle and support the body-weight of

the subject) in order to stabilize subject.

NDisconnect device from pressurized air supply.

NUnweighting will be reduced immediately!

NHelp subject to open the vest and exit the treadmill.

7.3. Device in error condition (subject cannot be lowered by hand unit valve) / subject unconscious

NStop the treadmill.

NCall a doctor.

NCall third person (or sufficient persons to handle and support the body-weight of the subject) in order to stabilize

the subject.

NInstruct the third person that you will open the pneumatic circuit and the unweighting will be reduced immediately.

NDisconnect device from pressurized air supply.

NUnweighting will be reduced immediately!

NOpen the vest and carry subject down from treadmill.

NRender first aid

Danger!

Connection to pressurized air supply has to be accessible for any user at any time!

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8. Application body weight support

8.1. General functions

step

picture

description

Increase unweighting force

Turn control knob clockwise

(pull knob if it is locked).

Decrease unweighting force

Turn control knob counter-clockwise

(pull knob if it is locked).

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Setting of fall stop

Pull knob and move slide up or down in order to

adjust the position of the fall stop.

Caution!

Always check correct position with subject!

Subjects’ knees should not touch running surface

while suspended in vest / harness.

Warning!

The pull knob and slide in order to adjust the

position of the fall stop cannot be re-adjusted in

case the subject is unconscious.

Thus a lowering of a subject with the help of the air

pressure control valve may not work until a subject

can reach a wheelchair position.

In case there is a risk of a subject to become

unconscious, there have to be sufficient

professional staff available within the treatment

room to handle the subject for emergency dismount.

Air cushion / fall stop mode (optional)

Air cushion mode: no continuous air supply

necessary (reduces noise / energy consumption).

Deactivated: knob in horizontal position

Activated: knob in vertical position

Warning!

Before deactivation of air cushion / fall stop mode,

make sure the system is not under pressure. Hand

unit valve turned counter-clockwise

completely!

deactivated

activated

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8.2. Preventive maintenance

step

picture

description

Check rope for wear and tear.

Check rollers for free motion.

Check accessible tubes and vest for wear and tear.

Warning!

In case of any wear and tear or malfunction the

device has to be set out of order until the worn

component is replaced.

Warning!

Rope has to be replaced by an authorized

h/p/cosmos technician at least every 12 months or

earlier in case of any visible or assumed damage.

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8.3. Putting on unweighting vest, shorts and chest belt

step

picture

description

The vest supports from the waist.

Before putting on vest, extend all straps.

Tight and nonslip cloths reduce riding up.

Tight fit provides greater support and is more

comfortable.

http://ergolet.gofiqr.com/ERDyFQ

Always read instructions and warnings also of all

accessories used!

Warning!

For any application where falling might cause an

unacceptable risk, the chest-belt safety harness

cos14903-04-xx has to be applied additionally.

Optionally to the vest, different size neoprene

tights/shorts can be utilized for moderate

unweighting:

cos10095-neo-S

cos10095-neo-M

cos10095-neo-L

Always read instructions and warnings also of all

accessories used!

Warning!

For any application where falling might cause an

unacceptable risk, the chest-belt safety harness

cos14903-04-xx has to be applied additionally.

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Put on chest belt cos14903-04-xx

Put on the chest belt so that the h/p/cosmos logo is

at the front. In order to attach the carabiner, put the

vertical belt (1) below the shoulder belts (2), facing

the body, thereby unloading the seam at the joint

(3).

Warning!

If the chest belt is put on differently, it may loosen

and it may not prevent from falling.

Always read instructions and warnings also of all

accessories used!

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8.4. Treatment / Unweighting

step

picture

description

Deactivate air cushion mode.

Turn knob in horizontal position.

Warning!

Turn knob slowly and make sure the system is not

under pressure

Connect device to active compressed air supply.

Warning!

Before connection to active compressed air supply,

make sure the system is not under pressure. Hand

unit valve turned counter-clockwise

completely!

Connect unweighting vest to unweighting bar

Use the supplied karabiners for connection, in case

of small subjects elongate with extensions.

Warning!

Safety harness chest belt cos14903-04-xx

For any application where falling might cause an

unacceptable risk, the safety harness has to be

applied additionally.

Lift subject (from wheelchair)

Turn control knob clockwise carefully, if possible

ask the subject to support the process. The less

force needed to lift the subject, the less the vest

rides up.

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Set emergency stop position

When subject stands upright, pull knob and move

slide down to one step before lowest possible

position.

Now the subjects’ vertical movement is limited.

Warning!

The pull knob and slide in order to adjust the

position of the fall stop cannot be re-adjusted in

case the subject is unconscious.

Thus a lowering of a subject with the help of the air

pressure control valve may not work until a subject

can reach a wheelchair position.

Set unweighting force

Adjust the unweighting force by turning the control

knob until the desired value is reached by the

pointer.

Start exercise.

Warning!

Keep subject under permanent supervision.

Set back emergency stop position

Instruct subject to stand on the feet and hold tight

to the treadmill handrails.

Pull knob und push slide upwards completely.

Now the subjects’ vertical movement is free.

Lower subject (back to wheelchair)

After exercise, turn control knob counter-clockwise

carefully to reduce unweighting completely.

If possible, ask the subject to support the process.

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10.

Release subject from unweighting bar

Make sure the subject either can stand stabile and

firm or the subject is sitting in the wheelchair.

Unlock karabiners.

Remove vest and/or chest belt and/or neoprene

tights/shorts.

11.

Cleansing

The manufacturer of the unweighting vest

recommends cleansing with a diluted disinfectant.

The device itself should be cleaned according to

the regulations of your institution. h/p/cosmos

recommends

Bacillol AF, order number [cos12179-01].

This manual suits for next models

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