1 INTRODUCTION Thank you for purchasing the Enraf-Nonius Bike Reha. This bicycle ergometer is intended for stationary cycling and to help you treat patients in the field of physical medicine and rehabilitation. We hope that this will be a valuable device in the execution of your profession and that it will improve the health and quality of life of many people.
2 SYMBOLS Follow the instructions in the Instructions for Use. It is important that you read, understand and observe the precautionary and operating instructions Warning: Indicates that there is a certain form of danger. Describes the dangers that can lead to personal injury or death. Caution: Indicates that there is a certain form of danger.
Alternating current Emergency stop button 3 PACKAGE CONTENTS With your Bike Reha (art.nr. 1413921) or Bike Reha with adjustable cranks (art.nr. 1413922) you will find enclosed: 1x 1413768 Instructions for Use (PDF on CD) 1x 1413764 Information Booklet 1x 3444298...
The connection for the mains cable is located at the rear, on the underside of the frame. After the mains cable has been connected, switch on the device by using the switch located next to the mains cable connection. The Bike Reha is now ready for use. Page 6 of 30 EN109-1413760-47 IFU...
5 USING THE DEVICE INTENDED USER AND INTENDED USE The Bike Reha is intended to be used, and shall ONLY be used, by or under the supervision of professional users in the field of physical medicine and rehabilitation. When using this product, always bear in mind the possible hazards of the treatment you are providing.
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Patients reporting or showing the following symptoms, should consult with their physician prior to initiating a physical activity program: Pain, discomfort in the chest, neck, jaw, arms or other areas that may result from ischemia • Shortness of breath at rest or with mild exertion •...
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The devices can be used for exercise testing. The ACSM states that in those individuals who require testing, absolute and relative contraindications must be considered. The contraindications stated by ACSM are as follows: Absolute A recent significant change in the resting electrocardiogram (ECG) suggesting significant •...
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GETTING STARTED Adjust the saddle and handle bar to position the patient in the right way to avoid injuries. Saddle height adjustment Horizontal adjustment - saddle Horizontal adjustment – handle bar Vertical adjustment – handle bar To adjust the saddle height: Loosen the knob slightly in the direction indicated (auf / open) to allow the seat post to move freely.
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HEART RATE REGISTRATION Heart rate registration or training is only possible with the optional chest belt. The belt works best if the transmitter is worn against the bare skin and slightly moistened. Allow sufficient distance (at least 1.5 m.) between users. PRECAUTIONS If any serious event occurs in relation to this device, this event should be reported to Enraf- Nonius and to your local Competent Authority!
6 OPERATION The bike is equipped with a touchscreen and a rotary knob. Touch the buttons on the screen to navigate through the menu. When an arc is displayed above a parameter, this means its value can be adjusted by turning the rotary knob. If you want to adjust another parameter, touch the screen to activate that parameter.
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QUICK START Selecting Quick Start is the fastest way to start a training. The resistance of the training ranges from level 1 to 12. These levels correspond to preprogrammed levels of power. (Please note that manual operation will allow for smaller steps in increasing the power or to choose different modes of training (like using constant torque or heart rate).
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MANUAL OPERATION Select the info button in the top right corner to display information to help you select the right mode of training. Levels The resistance of the training can be set from level 1 to 12, just like when using the Quick start. These levels are preprogrammed levels of power.
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HEART RATE Choose heartrate training when you like to relate the intensity of the training to the heart rate of the patient. The power that needs to be delivered by the patient will automatically be adjusted depending on the targeted heart rate. Note: For this mode of training the patient needs to wear a chest belt and some basic knowledge of heart rate training is required to set the right target...
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TRAINING GOALS In this menu you can set a specific training goal. This can be a certain time or distance you want the patient to cover or a certain amount of energy to be burned. It is also possible to be guided by a certain heart rate target, based on patient data and the purpose of the training (e.g.
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Distance Choose this option if the goal is to cover a certain distance. Again choose a training mode. The intensity can be adjusted during training. Energy Choose energy when your goal is to burn a specific amount of energy. This might be relevant when weight control is important.
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Heart rate Set a certain heart rate target, based on patient data and the purpose of the training (e.g. warming up, endurance training, etc.). The device will help you set the applicable target heart rate by means of several training zones. When selecting heart rate as the training goal, the training zones are displayed: Before starting any training or test, please...
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TESTING The Bike Reha offers you various physical exercise tests. With the exception of the Steep ramp test, these tests require the use of a chest belt.
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VO2max The VO2 max test performed according to the protocol by Åstrand is a method for predicting the maximum oxygen uptake capacity at sub-maximum exertion. The essence of the protocol is that the patient achieves a “steady state” heart rate in a relatively short period of time without severe exertion. The protocol consists of two parts.
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RESULTS When a training or test is completed or stopped, a list of results will be displayed. These values either concern a total training, or in case of a test protocol, just the test phase (excl. warming up and cooling down period). VO2max For the VO2max test you will find the values that are important for calculating the VO2max;...
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Table 1: References for VO2max rel. (ml/kg/min) Very poor Poor Reasonable Good Very good Excellent Women 13-19 < 25.0 25.0-30.9 31.0-34.9 35.0-38.9 39.0-41.9 > 41.0 20-29 < 23.6 23.6-28.9 29.0-32.9 33.0-36.9 37.0-41.0 > 41.0 30-39 < 22.8 22.8-26.9 27.9-31.4 31.5-35.6 35.7-40.0 >40.0 40-49...
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≥ 100 Steep Ramp Test [Power at finish] indicates the power to which the Bike Reha was set at the end of the steep ramp test. This is the so-called Maximum Short Exercise Capacity (MSEC). [Wmax (endurance)] is the capacity that can be maintained for a longer period (e.g. 3 minutes, as during a maximum test).
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Gaming This Bike Reha includes a gaming option. We believe the gaming aspect will make it more fun for patients to work out and therefor easier to spend a certain amount of time on the bike. RPM Airlines Just set the goal time and the difficulty (easy, medium, hard or expert level) and start the game.
7 MAINTENANCE The Bike Reha does not require a lot of maintenance. It is important however that you have the device checked annually by a service technician authorized by Enraf-Nonius. An annual check by a service technician authorized by Enraf-Nonius is required to determine whether the device can still be used safely or that it shall be taken out of service.
1413921 Bike Reha 1413922 Bike Reha incl. adjustable cranks The following accessories for the Bike Reha are available: 3496837 Sigma Sport chest belt for heart rate registration 3496838 Elastic strap for Sigma Sport chest belt for heart rate registration...
9 SPECIFICATIONS TECHNICAL DATA Mains voltage: 100 - 240 V Frequency: 50 / 60 Hz Power consumption: approx. 40 VA Load: 20-400 W (5 W increments) 6 – 60 Nm (0.5 Nm increments) Note: For values lower than 20 W or 6 Nm, the accuracy cannot be guaranteed as required by the medical device guidelines.
10 PRODUCT LIABILITY A law on Product Liability has become effective in many countries. This Product Liability law implies, amongst other things, that once a period of 10 years has elapsed after a product has been brought into circulation, the manufacturer can no longer be held responsible for possible shortcomings of the product.
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