ACP OMNICYCLE ELITE User manual

COPYRIGHT 2010 - 2020, ACCELERATED CARE PLUS CORP., ALL RIGHTS RESERVED
OMNICYCLE
®
ELITE
Motorized Therapeutic Exercise System
User Manual
Revised 05/26/2020
Part No. 290A000533 Rev 8
This manual contains confidential and proprietary information owned by Accelerated Care Plus ("ACP") which is protected by copyright. This
manual or any portion thereof may not be photocopied, reproduced or translated to another language without the express prior written consent of
ACP. This manual may only be used by entities that have purchased the equipment or have implemented the ACP program and are covered by an
executed lease agreement containing a confidentiality agreement, which is incorporated by reference in its entirety. This manual may not be used
for any other purpose.
Any additional copies of the manual shall be ordered from ACP. No changes or modifications shall be made to the manual without prior review
and written authorization from ACP. No authorization is given to market, sell, disclose, or exploit this manual except as for purposes of using the
equipment as contemplated bythe Lease Agreement.
ACCELERATED CARE PLUS MAKES NO WARRANTY OF ANY KIND WITH REGARD TO THIS MANUAL, INCLUDING, BUT NOT
LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. Accelerated
Care Plus shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance
or use of this Manual.
The information contained in this document is subject to change without notice.

COPYRIGHT 2010 - 2020, ACCELERATED CARE PLUS CORP., ALL RIGHTS RESERVED
OMNICYCLE® ELITE USER MANUAL

COPYRIGHT 2010 - 2020, ACCELERATED CARE PLUS CORP., ALL RIGHTS RESERVED
OMNICYCLE® ELITE USER MANUAL 3
OMNICYCLE® ELITE
ACP manufactures a premier line of rehabilitation technologies to assist health care professionals with improved
outcomes and quality-of-life for patients. The ACP product line includes Pain Control Systems, Muscle Stimulators,
Interferential Therapy, Therapeutic Ultrasound, Pulsed Shortwave Diathermy devices, and advanced Therapeutic
Exercise Systems. Our OMNISWD®, MEGAPULSE®, OMNIVERSA®, NEUROPROBE®, OMNISTIM®,
OMNISOUND®,OMNICYCLE®,OMNISTAND®,OMNIVR®,and SYNCHRONY
DYSPHAGIA SOLUTIONS by ACP® represent the most recent worldwide advances available for therapeutic
application of electro medical devices and other rehabilitation technology.
ACP is internationally recognized for its contribution to research in the development of medical applications
for therapeutic rehabilitation. The company sponsors and conducts research at leading health care institutions and
major universities throughout the world.
Manufactured for ACP by:
Medica Medizintechnik GmbH
Blumenweg 8
88454 Hochdorf Germany 0297

COPYRIGHT 2010 - 2020, ACCELERATED CARE PLUS CORP., ALL RIGHTS RESERVED
4 OMNICYCLE® ELITE USERMANUAL
Table of Contents
SYMBOLS ON THE PRODUCT ...................................................................................................................5
WARNINGS & PRECAUTIONS....................................................................................................................6
Warnings .........................................................................................................................................................6
Precautions ......................................................................................................................................................6
INDICATED USE ..........................................................................................................................................7
Biocompatibility..............................................................................................................................................8
Training Requirements ....................................................................................................................................8
User Requirements ..........................................................................................................................................8
THE OMNICYCLE® ELITE............................................................................................................................9
Delivery of the Omnicycle® Elite.....................................................................................................................9
Transporting ....................................................................................................................................................9
Introduction .....................................................................................................................................................9
Switching the Omnicycle® Elite On/Off..........................................................................................................9
Controls and Functions..................................................................................................................................10
OPERATIONAL GUIDELINES ...................................................................................................................11
Power Supply Operation................................................................................................................................11
Basic Operational Sequence ..........................................................................................................................11
Exercise Program Planning ...........................................................................................................................11
Correct Posture..............................................................................................................................................12
Active and Assisted Exercising .....................................................................................................................12
Muscle Hypertonia/Spasms ...........................................................................................................................12
Cardio-Pulse Set............................................................................................................................................12
Control Panel with Color Touch Screen........................................................................................................14
Cycle Setup, Features, and Adjustments........................................................................................................16
OMNICYCLE® ELITE PROGRAM MENU...................................................................................................22
Full Program Menu........................................................................................................................................23
Description of Omnicycle® Elite Functions...................................................................................................24
Menu Features...............................................................................................................................................26
INFECTION CONTROL EQUIPMENT AND PRINCIPLES OF USE ..........................................................30
Definitions.....................................................................................................................................................30
Universal Precautions – Body Substance Isolation........................................................................................30
Cleaning/Disinfecting of the Omnicycle® Elite..............................................................................................30
Cleaning and Low Level Disinfection ...........................................................................................................30
Intermediate Level Disinfection and Barriers................................................................................................30
Use of Barriers – Intermediate Level Disinfection ........................................................................................31
TROUBLESHOOTING................................................................................................................................32
Preventive Maintenance and Good Operating Practices ................................................................................33
Servicing Your Omnicycle® Elite. .................................................................................................................33
Proper Disposal..............................................................................................................................................33
TECHNICAL SPECIFICATIONS.................................................................................................................34
Electromagnetic Compatibility......................................................................................................................34
OMNICYCLE® ELITE STANDARD AND OPTIONAL ACCESSORIES ........................................................35
Infection Control Supplies.............................................................................................................................36
STANDARD LIMITED PRODUCT WARRANTY........................................................................................37
Warranty Coverage........................................................................................................................................37
Warranty Exclusion.......................................................................................................................................37
Warranty Period.............................................................................................................................................37
Warranty Validation......................................................................................................................................37
Return of Defective Equipment.....................................................................................................................37
APPENDIX I - ILLUSTRATED OPERATIONAL SEQUENCE....................................................................39
Procedure for Quick Start-Up........................................................................................................................39
Submenu Operation.......................................................................................................................................39
Adjusting parameters for a selected program.................................................................................................41
Setting user default parameters:.....................................................................................................................42
Reset Factory Default Settings: .....................................................................................................................43
Obtaining Exercise Session Analysis ............................................................................................................44
APPENDIX II – ELECTROMAGNETIC COMPATIBILITY..........................................................................45

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OMNICYCLE® ELITE USER MANUAL 5
Symbols on the Product
Symbol Used for Symbol Used for
Serial number Type B medical device
Date of manufacture Manufacturer
Caution, consult accompanying
documents
Caution, electrical precautions
Consult instructions for use 0297 CE mark of confidence
Maximum extension of device
base or supporting arm of upper
body exerciser. IP2X
Classification against water
intrusion
Proper disposal required. Do not
dispose of with regular
household waste. Follow state
and/or local regulations.
Alternating current device.
Observe the user manual No symbol Protection Class I
Protect the product from
humidity
Maximum body weight
Danger due to movable parts Do not step on covers or footrests

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6 OMNICYCLE® ELITE USERMANUAL
WARNINGS & PRECAUTIONS
Warnings
•Do not operate this device until the User Manual has been carefully read and is understood.
•Never operate the lower extremity exerciser with the pedals removed. Serious injury to the user or patient could
result.
•Never select the start button until the appropriate upper or lower extremity icon selection has been confirmed.
Serious injury to the user or patient could result when the default lower extremity is selected if the patient’s legs
are in front of the pedals.
•Never leave a resident or patient unattended while they are sitting at or actively using the Omnicycle® Elite.
Precautions
•The Omnicycle® Elite should always be positioned so the patient’s face is clearly visible by the therapist or
operator to enable ongoing assessment of patient effort and exercise tolerance. The system should never be
positioned in a way that the patient’s condition/status cannot be appropriately monitored while using the system.
•Start with an initial exercise session of no longer than 15 minutes at a low load. Gradually increase the length
and intensity of subsequent sessions to suit the patient’s individual capabilities and load level.
•Caution should be used for patients with suspected or diagnosed cardio pulmonary conditions. Pay attention to
heart rate limits and cardio pulmonary symptoms.
•Caution should be used in the presence of recent surgical procedures, fractures or healing bone and soft tissue
when muscle contraction may disrupt the healing process. Ensure that Range of Motion (ROM), patient
positioning, extremity and/or activity load limits are respected.
•Caution should be taken with any patient exhibiting psychological or physical hypersensitivity to the therapeutic
treatment. Several attempts should be made to place them at ease so that their confidence and cooperation can
be gained during the treatment.
•The Omnicycle® Elite is designed to be used in a sitting position only. Patients should never stand on the foot
rests with the full weight of their body.
•The greater the distance between the Omnicycle® Elite and the patient’s seat/wheelchair, the more the knee, hip
and UE joints are extended. Start at a closer distance to avoid overextending the joints while providing the
appropriate range of motion (ROM). This is particularly important when using the Omnicycle Elite® with
patients recovering from fractures, total hip or knee replacement procedures, etc.
•In cases of partial paralysis, spasticity, instability or limited range of motion of the legs or arms, use the
Omnicycle® Elite with the optional calf or arm supports. For the lower extremity (LE), adjust the pedal
length/radius as needed. Consider using the Spasticity Management feature.
•If the Omnicycle® Elite is used by a patient in a wheelchair, use a wheelchair bracing/stabilizing device and the
systems anti-tip protection straps to prevent accidental tip-over during exercise.
•Children must be constantly supervised when exercising on the Omnicycle® Elite. Never leave the Omnicycle®
Elite unsupervised when children are present.
•If the Omnicycle® Elite is damaged, not operating normally, or producing abnormal noises or odors, stop the
exercising session immediately, unplug the power cord and contact ACP Customer Service at 800-350-1100.
•A potential electric shock hazard exists once the device outer casing has been in part, or fully, removed. Only
qualified service personnel should perform service and repairs. Warranty will be voided if the outer casing has
been removed or tampered with.
•To avoid the risk of electrical shock, this equipment must only be connected to an electrical outlet with
protective earth/ground. Only connect the Omnicycle® Elite to a properly grounded power outlet using a
hospital grade cable.
•Caution should be used if disabling the microphone feature in the sonic stop application.
•Do not “PAUSE” the treatment to use the Omnicycle® Elite with another patient.

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OMNICYCLE® ELITE USER MANUAL 7
INDICATED USE
The Omnicycle® Elite is a therapeutic exercise device and not a medical instrument for diagnostic
purposes.
Please note that Accelerated Care Plus (ACP) cannot provide medical advice. If you have specific
medical questions, please contact your healthcare professional.
The Omnicycle® Elite is classified as powered exercise equipment intended for medical purposes, such as strengthing
muscles, the restoration of motion to joints or for use as an adjunct treatment for obesity.
The Omnicycle® Elite can be used both as a lower body exerciser or an upper extremity exerciser. It is suitable for
assisted exercise as well as active therapeutic exercise. It is intended for use in attended therapy.
•Using the Omnicycle® Elite as a lower extremity exerciser:
The patient sits on a stable chair or wheelchair. The Omnicycle® Elite is positioned on the floor in front of
the patient. If possible the wheelchair footrests should be removed. The feet are fixed in the Omnicycle®
Elite footrests and should be further secured by the Velcro® strap calf supports or foot retainer pads
(optional feature). The Omnicycle® Elite is then started from the control panel on the display screen.
•Using the Omnicycle® Elite as an upper extremity exerciser:
The patient sits on a chair or wheel chair. The Omnicycle® Elite is positioned on the floor in front of the
patient. The feet are placed into the pedals or on the wheelchair footrests. The upper extremity exerciser is
adjusted to the correct height and reach. The arms are fixed to the exercising handles, armrests (optional
feature) or Tetra-handles (optional feature). The Omnicycle® Elite is then started from the control panel.
The Omnicycle® Elite is specifically recommended for persons with the following conditions:
•Post stroke
•Multiple sclerosis
•Nerve injury
•Parkinson’s Disease (especially upper extremity)
•Post-operative joint replacement Total Knee Arthroplasty (TKA), Total Hip Arthroplasty (THA), Shoulder,
upper extremity (UE)
•Chronic Heart Failure (CHF)
•Chronic Obstructive Pulmonary Disease (COPD)
•Pneumonia
•Patients too weak or unbalanced to use a regular cycle
•Muscle disuse atrophy
The Omnicycle® Elite can be used as a biofeedback device to encourage greater patient participation, exercise effort,
and/or exercise duration by varying pedal RPM, or right/left pedal force. Using these applications may facilitate
cardiovascular, muscle, ROM, and/or cognitive exercise-related goals.
Three new biofeedback applications are available:
•Soccer - Pedaling faster or slower (RPMs) allows the patient to control the position of a goalie to prevent a
soccer ball from going into the net. The RPMs required to position the goalie are pre-set ranges, in
minimum, moderate, or maximum levels of difficulty. When the RPMs (patient effort) fall below the set
parameter range, the goalie drops below the goal area. As the RPMs exceed the upper set parameter range,
the goalie moves above the goal area. In the “assisted” exercise mode, the pedal RPMs are limited to 1-15
in minimum, 1-25 in moderate, and 1-35 in maximum. The set resistance level remains constant regardless
of the pedaling speed.
•Porcupine - By varying the amount of force applied to the right and left pedals, the patient controls the
position of a porcupine (right and left). The goal of the exercise is to position the porcupine under as many
falling objects as possible (balloon, paper airplane etc.). Equal force on the right/left pedals holds the
porcupine in the current position. The set resistance level remains constant regardless of the patient’s
pedaling speed.

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8 OMNICYCLE® ELITE USERMANUAL
•Traffic Jam - Varying the amount of force applied to the right and left pedals, the patient moves (“steers”)
a car through traffic. The goal of the exercise is to drive the car without hitting and vehicles that appear
along the way. Overtaking or passing vehicles requires even distribution of forces applied to the right and
left pedals. An adjustable parameter called “Lane Preselection” enables the operator to select whether the
vehicles to be avoided will appear on the right, left, the center lane, or randomly. By selecting the
minimum level of difficulty, no other cars appear in adjacent lanes and the patient is simply required to
keep the car positioned in the center lane. The set resistance level remains constant regardless of the
pedaling speed.
Biocompatibility
•All components and optional accessories of the Omnicycle® Elite, that the user might come in contact with
when using the device as intended, are designed to meet the biocompatibility requirements of the applicable
standards.
Training Requirements
Staff who have gained their skills and expertise by means of professional medical training, professional experience,
or by means of instruction/training by the manufacturer are deemed able to assess safety relevant regulations and
recognize potential risks.
•Do not operate this device until the User Manual, has been carefully read and is understood.
•Before you start the Omnicycle® Elite exercise programs, consult the User Manual and understand the specific
Warnings and Precautions related to the safe use of the device.
•Review and understand the section marked Operational Guidelines before operating the Omnicycle® Elite.
•Review and understand the proper use of the device controls and proper setup, features, and adjustment
requirements of the Omnicycle® Elite.
•A member of your ACP team will install and configure the device before training. ACP will conduct a train-the-
trainer style education process when the Omnicycle® Elite is delivered.
•During training:
oObserve proper safety protocol by securing legs and arms sufficiently per user manual instructions
oStart to exercise slowly
oIncrease to 70% of individual performance limit as you become more comfortable with the cycle
oAvoid overstraining yourself
Patient Requirements
Patients are persons who have been instructed by staff on the correct and safe use of the Omnicycle® Elite. The
patient is responsible for the safe and correct use of the device.

COPYRIGHT 2010 - 2020, ACCELERATED CARE PLUS CORP., ALL RIGHTS RESERVED
NOTE:
OMNICYCLE® ELITE USER MANUAL 9
THE OMNICYCLE® ELITE
Delivery of the Omnicycle® Elite
Upon receipt of your Omnicycle® Elite, inspect the shipping container and contents for any obvious or concealed
damage. All ACP products are packaged carefully for rapid, safe delivery. We guarantee delivery in perfect
condition to the postal or delivery services. However any damage or loss incurred during transportation or delivery
is the Postal or Delivery Company’s responsibility. If damage or loss to the product and/or container is obvious or
suspected, appropriate notation must be made on the signed freight bill at the time of delivery. All damage claims
should be promptly filed with the delivering carrier and must be initiated by the addressee where the package was to
be delivered. Retain the original shipping container and inserts for validation of damage claim for use at a later date.
Unpack and check all accessories. A list of enclosed accessories is provided with each unit to assist you in
identification of the type and number of accessories.
Transporting
The Omnicycle® Elite is equipped with wheels for ease of movement. However, the wheels are not suitable for
moving the unit over uneven surfaces. The Omnicycle® Elite must be carried up or down stairs, which requires at
least two persons. To move the unit, tip it and push it in front of you or pull it behind you. The strap on the front
base of the cycle is for two person carry.
Introduction
The Omnicycle® Elite is designed to be used for assisted therapeutic exercises (where the user’s limbs are moved by
the machine) and active therapeutic exercises (where the power is provided by the user). The system gradually
transitions the patient from assisted exercise to more active exercise as the user gains power/mobility. The Omnicycle®
Eliteoffers lower extremity exercise, as well as upper extremity exercise.
The Omnicycle® Elite biofeedback function/programs provide visual feedback to the patient reflecting lower extremity
resistance or cadence. It is also used to indicate lower extremity right-to-left synergy and motor control. The system’s
biofeedback capabilities also assist in decreasing spasticity, or muscle spasms.
Switching the Omnicycle® Elite On/Off
If the screen is not illuminated, the Omnicycle® Elite is in “STAND-BY” mode or “OFF.” Press any button to
switch the Omnicycle®Elite to normal operating mode. The screen will light up and, following a self-test lasting
about 5 seconds the Omnicycle® Elite is ready for use. By pressing the green “START” button on the control pad,
you can start the Omnicycle® Elite and begin exercising. Before starting the system, ensure that the patient is
properly positioned, that their upper or lower limbs are appropriately attached to the arm/hand or footrest/calf
supports and that there are no obstructions that may hinder the patient’s motion. Pressing the “STOP” button on the
control pad during an exercising session will “PAUSE” the exercise program. Pressing the button a second time
ends the exercising session and the session analysis is displayed. Pressing and holding the “STOP” button (for at
least 5 sec.) sets the Omnicycle® Elite to “STAND-BY” mode – the screen illumination switches off.
Do not “PAUSE” the treatment to use the Omnicycle® Elite with another patient as the system will
pick up where the previous exercise paused and produce the wrong Exercise Summary data.
NOTE: The purpose of this manual is to acquaint you with the Omnicycle® Elite operating features and
functionality. Please read the manual carefully before attempting to operate the Omnicycle® Elite. If
questions remain unanswered, contact your ACP sales representative, Clinical Program Consultant, or call
ACP Customer Support at 800-350-1100. Outside the USA call 775-685-4000.

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10 OMNICYCLE® ELITE USERMANUAL
Controls and Functions
L
A
B K
C
D
E
F
G J
H
I
A. Control panel with screen
B. Exercising handles
C. Crank on upper extremity exerciser
D. Locking screw with knurled knob for adjusting reach of upper extremity exerciser
E. Locking screw with knurled knob for adjusting height of handlebar/upper extremity exerciser
F. Calf support and Velcro®Strap
G. Footrest
H. Crank with variable length settings
I. Omnicycle® Elite stand with anti-tip straps and transport wheels
J. Transport strap
K. Control panel inclination adjuster
L. USB interface for control panel and Bluetooth® Printer option. Only the included Bluetooth® transmitter is
permitted for use with the Omnicycle® Elite.