h/p/cosmos Robowalk expander F-M Manual

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original directions for use
h/p/cosmos®robowalk®expander
h/p/cosmos®model names
development, production, sales &service
h/p/cosmos®robowalk®expander F-M
h/p/cosmos®robowalk®expander B-M
h/p/cosmos®robowalk®expander F-QP
h/p/cosmos®robowalk®expander B-QP
h/p/cosmos®robowalk®expander AW
h/p/cosmos sports &medical gmbh
Am Sportplatz 8
DE 83365 Nussdorf-Traunstein
Germany
phone [phone]
fax [phone]
[email protected]
www.h-p-cosmos.com
manual-version
version 1.1, revision 06.02.2014
order-no.: [cos30022man-en]

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These directions for use are only valid for the original configuration of the first delivery of this device. Changes of the system
configuration or retrofittings of additional equipment or accessories can result in invalidity of these directions for use. In case
of alterations of the device or the additional equipment, the latest version of these directions for use or the corresponding
additional information should be always considered.
The latest version of the directions for use is always available in PDF version on the h/p/cosmos website:
http://www.h-p-cosmos.com/en/company/downloads.htm
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.
NNeglecting or ignoring these two previous listed prohibitions and warnings may also result in serious injury
or even death.

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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 equipment.
Since 1988 h/p/cosmos®has been developing and manufacturing running machines, systems and accessories for
applications in sports, rehabilitation, medicine, diagnostics and science. When it comes to technology, ergonomy, design and
safety, we have set extremely high standards for ourselves.
With the h/p/cosmos®robowalk®expander we want to make your work easier and give you and your patients the chance to
achieve your therapy results in a faster and more comfortable way.
Because the power of the expanders, you must pay special attention to the mentioned safety regulations.
If proper notice is taken to the safety regulations, the operation of your h/p/cosmos®device is almost without any risk. The
neglect of the safety regulations could result in dangerous situations and serious accidents. Therefore please read the
directions for use and the danger precautions before taking the device into operation.
Some simple maintenance and monitoring (no repair work!), as described, can easily be done or even has to be done by
yourself. All kinds of installation and repair work and most maintenance work are to be performed only by trained and
authorized technicians who have been certified by h/p/cosmos. The following symbols will indicate which work can be done
by the customer and which work has to be done by authorized technicians only:
The customer/user should perform this maintenance and monitoring work. Some safety checks or monitoring
have to be performed on daily basis. It is not expedient to contract certified technicians for such maintenance
work. However, where it is practical, all maintenance and monitoring work marked with this symbol can also
be performed by certified technicians.
All installation, maintenance, repair and monitoring work marked with this symbol must only be performed by
trained and authorized technicians who have been certified by h/p/cosmos. Customers / users must not
perform these kinds of tasks and work.
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. Therefore please fill out the form for registration immediately and send it back via fax,
email or mail.
These directions for use as a firm part of the delivery have to be accessible to the user at any time. It has been written with
great care. Should you, however, still find any details which do not correspond with your device, please notify to us so we
can correct any mistakes as soon as possible.
We wish you a lot of fun and success while exercising and working with your h/p/cosmos®robowalk®expander.
h
Franz Harrer
President & CEO
h/p/cosmos sports & medical gmbh

content
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1Model overview............................................................................................................................................................... 6
2Introduction .................................................................................................................................................................... 7
2.1 Description ....................................................................................................................................................................... 7
2.2 Safety equipment ............................................................................................................................................................. 7
3Intended and forbidden use .......................................................................................................................................... 8
3.1 Intended use..................................................................................................................................................................... 8
3.2 Forbidden use .................................................................................................................................................................. 8
4Safety notes, warnings, precautions............................................................................................................................ 9
4.1 General............................................................................................................................................................................. 9
4.2 Preparation of the patient / user ....................................................................................................................................... 9
4.3 Preparation of the device ............................................................................................................................................... 10
4.4 During exercise .............................................................................................................................................................. 10
4.5 Machine care.................................................................................................................................................................. 10
4.6 Danger zones ................................................................................................................................................................. 11
5Operation ...................................................................................................................................................................... 12
5.1 Connection to safety arch............................................................................................................................................... 12
5.2 Attachment of cuffs......................................................................................................................................................... 13
5.3 Setting the load .............................................................................................................................................................. 14
5.4 Connecting the expander ............................................................................................................................................... 17
6Application Examples.................................................................................................................................................. 18
7Service........................................................................................................................................................................... 20
7.1 Safety notes, warnings, precautions .............................................................................................................................. 20
8Installation ......................................................................................................................................................... 22
8.2 Installation –Front.......................................................................................................................................................... 23
8.3 Installation –Front (airwalk se) ...................................................................................................................................... 29
8.4 Installation –Back .......................................................................................................................................................... 32
8.5 Installation checklist and instruction of the user ............................................................................................................. 40
9Maintenance and safety inspections ..................................................................................................... 41
9.1 Preventive maintenance ............................................................................................................................ 41
9.2 Immediate maintenance ..................................................................................................................................... 41
9.3 Maintenance Checklist ................................................................................................................................................... 42

content
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9.4 Change of expanders and hooks ........................................................................................................................ 47
9.5 Regular inspections / examinations ..................................................................................................................... 52
9.6 Hygiene and cleansing .......................................................................................................................................... 52
9.7 Spare parts & consumables ........................................................................................................................................... 53
10 Technical data .............................................................................................................................................................. 54
10.1 h/p/cosmos robowalk®expander.................................................................................................................................... 54
10.2 Economic life time .......................................................................................................................................................... 54
10.3 Force curves................................................................................................................................................................... 55
11 Disposal ........................................................................................................................................................................ 56
12 Appendix 1: Certificates .............................................................................................................................................. 57
12.1 Certificate of the TSA (TÜV) according to ISO 9001...................................................................................................... 57
12.2 Certificate of the TSA (TÜV) according to EN ISO 13485.............................................................................................. 58
13 Appendix 2: Protocols ................................................................................................................................................. 60
13.1 Adjustment table............................................................................................................................................................. 60
13.2 Instruction protocol, checklist ......................................................................................................................................... 63
13.3 Instruction protocol, signatures ...................................................................................................................................... 65
14 Appendix 3: Symbols................................................................................................................................................... 66
15 Contact .......................................................................................................................................................................... 67

model overview
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1Model overview
The h/p/cosmos®robowalk®expander can be used in combination with the following running machines:
n
medical
running machines
c
sports & fitness
running machines
h/p/cosmos®locomotion®150/50 E med
h/p/cosmos®locomotion®150/50 DE med
h/p/cosmos®locomotion®190/65 E med
h/p/cosmos®locomotion®190/65 DE med
h/p/cosmos®locomotion®190/65-3p E med
h/p/cosmos®locomotion®190/65-3p DE med
h/p/cosmos®stratos®lt med
h/p/cosmos®stratos®med
h/p/cosmos®mercury®lt med
h/p/cosmos®mercury®med
h/p/cosmos®Kistler Gaitway®II F
h/p/cosmos®Kistler Gaitway®II S
h/p/cosmos®stratos®lt
h/p/cosmos®stratos®
h/p/cosmos®mercury®lt
h/p/cosmos®mercury®
h/p/cosmos®stellar®lt med
h/p/cosmos®stellar®med
h/p/cosmos®quasar®lt med
h/p/cosmos®quasar®med
h/p/cosmos®pulsar®lt
h/p/cosmos®pulsar®
h/p/cosmos®pulsar®lt 3p
h/p/cosmos®pulsar®3p
h/p/cosmos®stellar®lt
h/p/cosmos®stellar®
h/p/cosmos®quasar®lt
h/p/cosmos®quasar®

instruction
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2Introduction
2.1 Description
The h/p/cosmos robowalk®expander is attached to the h/p/cosmos treadmill. In total
it consists of 8 expander cables, 4 in the front, and 4 in the rear. The expander cables
are attached to the patient via leg cuffs.
With the h/p/cosmos robowalk®expander you can either support or load the patient.
In manual locomotion therapy the systems assists the therapist in moving the
patient’s legs rather than moving them only manually. This leads to reduced fatigue in
both patient and therapist and will enable extended treatment time leading to more
successful therapy. The robowalk®expander is a great help for the especially
challenging work with neurological patients.
In order to strengthen specific muscle groups it is also possible to load the patient
with the expander cables.
For gait correction the patient may be supported and/or loaded in a way the patient is
automatically driven in the right gait pattern.
In manual locomotion therapy the front robowalk®expander system with its traction
force support can be compared to a power steering system of a vehicle. The power
consuming work and motion is supported by the system, but not fully replacing the
human effort.
The h/p/cosmos robowalk®expander is easy to use and therapists will appreciate the
simple settings. Forces and angles of tension cables can be set individually via raster
holes to match the skills of the patient or the requirements of the therapist. Due to the
flexibility of the expander cables, the movement can be set from almost any point in
front of or behind the patient. The rear expanders have very different functions and
benefits compared to the front expanders. The rear cables do not create traction
support like the front cables, but work as a resistance system for muscle training and
gait correction. The rear expander cables can even be set outside the width of the
treadmill so that adjustments from the side can be made to the patient´s leg
positioning.
Since in many cases it is not required that the therapist works permanently hands on
‘contact’ with the patient, it allows the therapist to observe the movement of the
patient and to observe the treatment progress by viewing the patient from different
angles.
Once you have found the perfect setting for a patient you will want to use this at the
next visit straight away. Each setting is numbered so that the therapists can easily
record each patient´s specific setup for future therapy and training sessions.
2.2 Safety equipment
A safety system to prevent from falling must be used when using the h/p/cosmos
robowalk®expander. We recommend the h/p/cosmos safety arch with chest belt,
rope and automatic stop of the treadmill or an unweighting system that prevents from
falling. Alternatively to a safety arch an unweighting system may be utilized as a fall
prevention system. We recommend the h/p/cosmos airwalk se 135. The use of the
h/p/cosmos robowalk®expander without a fall protection system is strictly prohibited
and may lead to accidents and injuries with fatal consequences.

intended and forbidden use
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3Intended and forbidden use
The intended use, discussed in the following, can be performed with any h/p/cosmos robowalk®expander system in
combination with an h/p/cosmos treadmill and fall stop prevention or unweighting system.
Always regard the safety istructions of the treadmill, fall stop prevention system and
unweighting system.
3.1 Intended use
NLocomotion therapy
NUnloading of patient –supporting gait cycle
NLoading of patient –concrete extra stimulation
NGait correction
NGait training
The correct loading form must be prescribed by a medical doctor. The manufacturer cannot make any declaration or
recommendation, because the therapy depends on the patient, the clinical picture, the degree of disability and the
progress of rehabilitation.
The h/p/cosmos medical equipment may be operated in medical facilities by medical staff only.
3.2 Forbidden use
NThe h/p/cosmos robowalk®expander must not be used without a fall prevention system (safety arch / unweighting
system).
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 any kind of physical restriction must see a doctor before using the system and ask for permission.
NChildren and animals are not allowed to use the system without a supervisor (medical doctor or therapist) and
must not get near to it (4 m safety zone) without a supervisor.
NOther use than the explicitly mentioned intended use.
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 entitled "Safety precautions, safety regulations, prohibition and warnings".
NAll forbidden uses as stipulated in the treadmill’s operation manual also apply.

safety notes, warnings, precautions
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4Safety notes, warnings, precautions
4.1 General
Important notes, warnings and precautions are marked with this sign. It also reminds you of
concerns which have to be considered for measurements and connection with other devices.
NThese directions for use
Nare part of the device and must always be accessible for every user.
Nhave to be read carefully before using the device.
Nhave to be observed and followed exactly for appropriate operation and safety.
NAny other use than that explicitly listed in the field of application is prohibited.
NAll regulations and prohibitions are to be followed.
NThe safety notes, warnings and precautions of this device and it’s accessory
Nhave to be read especially careful before using or maintaining the device.
Nhave to be pointed out to every user.
Nhave to be displayed within sight of the device.
NPay special attention to all maintenance and service instructions and the safety notes, warnings and precautions in
the service manual (see chapter 7 entitled “Service”).
NThis device must only be used
Nin medical facilities.
Nunder permanent supervision of medical staff.
Nafter careful instruction by authorized service personnel.
NAll material or parts of this device are to be kept away from children and animals and should neither be drunk nor
eaten.
NSafety, reliability, function and accuracy can only be achieved if installation, commissioning, instruction, extension,
alteration, recommended preventive maintenance, safety checks and repair are performed by authorized staff.
NIn the event that a user connects standard components to support, diagnose or appraise in terms of in-house
production according to the MPG (German Medical Devices Act), he creates a system and therefore has to
perform and verify a simplified conformity validation process.
Disregard of intended and forbidden use, safety notes, warnings and precautions, unauthorized or
lack of maintenance and / or regular safety checks may lead to injuries or even death and / or can
damage the device and will result in loss of any liability and warranty.
4.2 Preparation of the patient / user
NIt is strongly recommended to consult a doctor before using an exercise device.
NSubjects with a cardiac pacemaker or those who suffer from any kind of physical restriction must see their doctor
and get permission before using the exercise device.
NAnimals are not allowed to use the running machine and must not go too near (4 m distance).
NIt is prohibited to use the device under the influence of alcohol, drugs and/or anaesthetics.
NTraining or therapy must always be performed with sports or running shoes (no spikes) and sports clothing.
It must never be used with bare feet.
NHarnesses, chest belts, waist belts, patients’ vests, forearm arm rests, leash and cuffs are not designed for direct
skin or mucous membrane contact.
NFor the attachement of the leg cuffs follow the instructions in these directions for use.

safety notes, warnings, precautions
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4.3 Preparation of the device
NThe h/p/cosmos robowalk®expander must not be used without a fall prevention system (safety arch / unweighting
system).
NThe safety arch with chest belt system must be checked for wear and damage before each use. In particular, the
rope, harness and all links such as the snap hook and the rope brake are to be checked.
NAll wear and tear parts of the system (expander, rope, harness and all links such as snap hook and rope brake)
are to be changed immediately in case of damage.
NCheck the expanders before every use optically. In case of any damage the device has to be taken out of function
until the expander is replaced.
4.4 During exercise
NThe h/p/cosmos robowalk®expander must not be used without a fall prevention system (safety arch / unweighting
system).
NThe h/p/cosmos robowalk®expander must only be used under permanent supervision of medical staff.
NNever set too high loads if the health and the condition of the subject/patient do not permit and a medical doctor
has not authorized these loads. Disregard may cause injuries and dangerous health problems or even death.
Under no circumstances should the test person/subject/patient be overloaded.
NThe subject must interrupt training immediately if he/she starts feeling sick, dizzy or feels pain. The patient should
consult his/her doctor in this case.
NThe emergency stop of the treadmill must be within reach of the subject and the supervisory staff at all times.
NThe emergency stop of the treadmill should only be used in an emergency, especially when there is a danger of
falling. It is not to be used as a normal stop key.
NIn any case of emergency, e.g. danger of stumbling and/or falling, etc: Grab the front crossbar and/or both side
handrails and jump onto the treadmill’s foot rails (step platforms) with both feet. Press the emergency stop button
of the treadmill immediately!
NTake special care for your fingers around the cable rolls to prevent contusion.
NThe subject must be disconnected from the h/p/cosmos robowalk®expander first before it is released from the
safety construction.
4.5 Machine care
In case of any detected and/or assumed malfunctions, defects or unreadable safety labels, the
device must be left immediately. The device must be marked. The supplier and authorised service
personnel are to be informed in writing immediately.
NAll wear and tear parts are to be replaced at least every two years or earlier if necessary due to first sign of wear
and/or damage.