LIW COCO User manual

INSTRUCTIONS FOR USE
COCO Stander
COCO Stander edition 2 - 09.06.2020

page 2 COCO Stander edition 2
NOTE! THE MANUFACTURER IS ONLY RESPONSIBLE FOR THE PRODUCT PURCHASED
DIRECTLY FROM THE LOCAL REPRESENTATIVE OF THE LIW CARE TECHNOLOGY OR IN A
SPECIALISED MEDICAL STORE REPRESENTING LIW CARE TECHNOLOGY WITHIN THE
TERRITORY OF POLAND.
NOTE! THIS PRODUCT CAN ONLY BE USED INDOORS.
NOTE! THERE IS A POSSIBLE RISK THAT A PART OF THE USER'S / AN ACCOMPANYING
PERSON'S BODY MAY BE ENTRAPPED AND/OR SQUEEZED IN THE HOLES / GAPS
BETWEEN INDIVIDUAL ELEMENTS WHEN USING THE PRODUCT, AS WELL AS WHEN
ASSEMBLING AND ADJUSTING MECHANISMS OF THE PRODUCT. THESE PARTICULAR
PROCEDURES SHOULD BE PERFORMED WITH PECULIAR CAUTION. WHEN ALL THE
ADJUSTMENTS HAVE BEEN PERFORMED, IT IS CRUCIAL TO STABILISE THE POSITION BY
PROPERLY TURNING THE NUTS / SCREWS.
NOTE! IF POSSIBLE, THE PACKAGING OF THE PRODUCT SHOULD BE MAINTAINED IN
CASE WHEN IT WOULD PROVE NECESSARY TO SHIP THE PRODUCT WITHIN THE SCOPE
OF WARRANTY REPAIR.
NOTE! THE CHILD CANNOT USE THE DEVICE WITHOUT SUPERVISION.
NOTE! IT IS FORBIDDEN TO EXCEED THE MAXIMUM LOAD OF THE STANDER.
NOTE! DO NOT USE THE STANDER IN CASE WHEN THE PRODUCT HAS DEFECTIVE,
DAMAGED OR MISSING COMPONENTS.
NOTE! ADJUSTMENT AND REGULATION OF THE DEVICE TO MEET THE REQUIREMENTS
OF AN INDIVIDUAL PATIENT MUST BE PERFORMED BY A PHYSIOTHERAPY SPECIALIST
OR A TRAINED PERSON.
NOTE! IT IS CRUCIAL TO CAREFULLY READ THE USER MANUAL BEFORE USING THE
DEVICE.

COCO Stander edition 2 page 3
1Introduction....................................................................................................................................................................... 3
2Identification of symbols.................................................................................................................................................... 4
3Compliance with requirements concerning medical devices............................................................................................. 4
4Indications for using the device ......................................................................................................................................... 4
5Technical data.................................................................................................................................................................... 5
6Basic design of the COCO Stander ..................................................................................................................................... 6
7Detailed description of the design and regulation of the COCO Stander........................................................................... 6
8Accessories....................................................................................................................................................................... 14
9Cleaning and maintenance .............................................................................................................................................. 19
10 Nameplate ....................................................................................................................................................................... 20
11 Warranty/Service............................................................................................................................................................. 21
1Introduction
The COCO Stander elaborated by LIW Care Technology Sp. z o.o. has been designed and patented to ensure an entirely new
quality in rehabilitation.
We have used our best efforts to make sure that the COCO Stander is easy to use and user-friendly. It is crucial to read the
user manual carefully prior to using the product. Following all instructions and recommendations stated in this user manual will
allow you to avoid any situations, which could possibly damage the device, and you will also ensure a complete safety and comfort
of use throughout the whole period of using the product.
You will be able to fully use all the advantages offered by the product only when the product is properly adjusted to the
parameters of the patient's body and the unique requirements of the patient.
1.1 General safety conditions
The biggest concern of LIW Care Technology Sp. z o.o. is to ensure safety for the patients using our devices. In order to provide
complete safety of people using the device it is essential to strictly follow the recommendations stated below:
1. Before undertaking any attempts related with using the device, please read the user manual thoroughly and in case of
any doubts, do not hesitate to contact the seller or the manufacturer.
2. Please make sure that all the information, recommendations and warning included in these chapter are fully
comprehensible.
User manual attached to devices manufactured by LIW Care Technology Sp. z o.o. holds a paragraph marked with a word
NOTE, which aims to emphasise the content of the given paragraph. The significance of the symbol, of which mention has been
made above is as follows:
NOTE!
NOTE! THIS PARTICULAR SYMBOL IS USED TO STRONGLY EMPHASISE THE FOCUS OF
THE READER ON THE WORDING MARKED WITH THIS SYMBOL. NON-COMPLIANCE
WITH THE CONTENT PROVIDED IN THE PARAGRAPH MARKED WITH THIS SYMBOL MAY
ENDANGER THE LIFE OR HEALTH OF THE USER.

page 4 COCO Stander edition 2
2Identification of symbols
Name of the manufacturer and production date
Serial number
Permitted user's weight
Avoid contact with water
Follow the user manual
The arrow indicates the discussed element
Arrows indicating the direction of movement
Conformity marking according to the Council Directive
93/42/EEC concerning medical devices, annex VII
3Compliance with requirements concerning medical devices
COCO Stander device meets the essential requirements of the MDD Directive 93/42/EEC for medical devices.
According to annex IX of the MDD Directive 93/42/EEC the COCO Stander device is classified as a non-invasive, active medical
device class I in accordance with rule 1.
Conformity declaration of the device can be obtained in the Commercial Department of the manufacturer.
NOTE! In case of introducing any modifications to the device, using non-original spare
parts or utilizing with products provided by another manufacturer, the CE marking has to
be removed.
4Indications for using the device
COCO Stander can be used in people with faulty posture and muscle dysfunction. It is a perfect solution for children suffering
from cerebral palsy, muscular dystrophy, in various types of paralyses, tetraplegias and paraplegias, as well as in children with
incorrect posture. This device may also be used for therapeutic and prophylactic reasons, as it can prevent inevitable consequences
resulting from paediatric diseases (incorrect posture and an improper functioning of the organism related with the above).
Obtaining a supine position allows to improve functioning of various systems and organs in the patient's body, and in
particular:
−cardiovascular system,
−respiratory system,
−digestive system,
−skeletal system.
Implementing the device during the rehabilitation process of the patient increases the chances of recovery.

COCO Stander edition 2 page 5
5Technical data
Fig. 1
No.
Dimension name
Symbol
Size
1
2
3
1
Base width
BW
66 cm
66 cm
66 cm
2
Base length
BL
82 cm
82 cm
82 cm
3
Platform height
BH
93 cm
93 cm
93 cm
4
Pivot angle range
BA
90° ÷ -15°
90° ÷ -15°
90° ÷ -15°
5
Abduction angle
LA
0° ÷ 30°
0° ÷ 30°
0° ÷ 30°
6
Main trunk support height
BSH
30 cm
38 cm
43.5 cm
7
Main trunk support width
BSW
28 cm
32.5 cm
38 cm
8
Trunk support height
PTH
11 cm
11 cm
11 cm
9
Trunk support width
PTW
17 cm
22 cm
27 cm
10
Extra trunk support height
APH
11 cm
11 cm
11 cm
11
Extra trunk support width
APW
22 cm
27 cm
31.5 cm
12
Hip support height
PHH
13 cm
13 cm
13 cm
13
Hip support width
PHW
13 cm
18 cm
18 cm
14
Maximum user’s weight
60 kg
60 kg
60 kg
15
Total standing frame’s weight
38.5 kg
39 kg
40 kg
16
Extra trunk support –max 2 units per stander

page 6 COCO Stander edition 2
6Basic design of the COCO Stander
Fig. 2
1. Standing frame
2. Wheels
3. Main trunk support
4. Back support
5. Knee support
6. Foot platform
7. Extra support
8. Hip support
9. Supine position releasing handle
10. Abduction regulator
7Detailed description of the design and regulation of the COCO Stander
NOTE! After each adjusting procedure, it is crucial to make sure that all regulated
elements are properly mounted and secured.
7.1 Wheels
The standing frame of the stander is equipped with a set of wheels enabling transporting of the device indoors. In order to
ensure safety of the patient, each of these wheels is equipped with breaks blocking the movement of the wheel. Due to safety
reasons the wheels should be blocked when using and regulating the device. When transporting the device, it is crucial to be
particularly careful when moving through door thresholds or other obstacles.
In order to block the brake of a wheel (1), push the handle of the break (2) down. In order to unblock the break, pull the same
handle upwards.

COCO Stander edition 2 page 7
Fig. 3
7.2 Main trunk support
Main trunk support constitutes the basic support of the patient. In order to perfectly adjust the device to the patient's body,
it is essential to adjust the location of the extra support, back support and hip support.
7.2.1 Regulation of the extra support
The extra support added to the main trunk support enables adjusting the length of the head support to the required
dimension. In order to regulate the position of the extra support (1), undo the knobs (2) and then set the required height. When
the extra support is in a proper position, tighten the knobs (2) in order to block the possibility of any movement of the extra support.
Fig. 4

page 8 COCO Stander edition 2
7.2.2 Regulation of the back support
Before placing the patient in the device, it is essential to disassemble the back support. In order to do so, undo the knob (1)
and remove the back support. The next step is to fold the blockade of the back support bracket (2) and take it out of the clamp (3)
by pulling it away with the belt (4).
NOTE! Pay particular attention and verify that the blockade of the back support bracket
is properly seated in the clamp. Imprecise placement of the blockade in the clamp may
result in autonomous release of the blockade, which in consequence may cause folding
of the back support and hence the lost of stability by the patient. This may cause serious
harm to the patient.
NOTE! When adjusting, taking out or blocking the bracket of the back support, be
particularly aware of the risk and pay particular attention to the fact that hands may be
trapped by the moving components.
Fig. 5
After placing the patient in the device we put the back support bracket and secure it. Back support enables accurate regulation
within all planes. Back support adjustment is shown in Fig. 6. After setting the depth of back support, tighten the knob (1) and
hence block the possibility to remove the back support. Maximum possible distance of the depth is marked with the "MAX" mark.
The height of the attachment is regulated by undoing the screw (2). After setting the height of the back support, we block it by
tightening the screw (2) until resistance. Accurate adjustment of the position of the back support cushion can be obtained by
loosening the screws (3), and then by adjusting the back support and finally retightening the screw (3).

COCO Stander edition 2 page 9
Fig. 6
7.2.3 Regulation of the hip support.
Hip support ensure proper stabilisation of the patient. Regulation of the hip support location is possible both as far as width
and height is concerned. Hip supports are assembled independently, and this allows to adjust each hip support individually. In order
to set the height of the hip support (1) undo the knob (2) and then select one of the slots in the guiding profile (3). After setting the
hip support inside the slot in the profile, tighten the knob (2) and hence attach the hip support to the guiding profile.
Fig. 7

page 10 COCO Stander edition 2
Adjustment focusing on the width of the hip support is performed by loosening the knob (2) (there is no need to entirely undo
the knob), and the second step comes down to setting the location of the hip support (1) and retightening the knob (2).
Fig. 8
Additional regulation of the hip support.
Construction of the hip support enables an additional height regulation within the scope of mounting in one slot of the guiding
rail (2). In order to implement this adjustment, it is essential to unscrew all screws (3) and then move the hip support into the
second slot taking advantage of the remaining assembly holes in the hip support. After moving the hip support, tighten the screws
(3) in the new location.
Fig. 9