ACP Synchrony User Manual
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ACP Synchrony User Manual

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Equipment User Manual
This manual contains confidential and proprietary information owned by Accelerated Care Plus ("ACP"), division of Hanger Inc. 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 who purchased the equipment or have implemented the ACP
program and are covered by an executed Lease Agreement with ACPL 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 by the 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 and Hanger Inc., 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 2015-2021, ACCELERATED CARE PLUS CORP., ALL RIGHTS RESERVED
Synchrony
CONFIDENTIAL AND PROPRIETARY
Revised 09.15.2021
Part No. MNL-0001 Rev 3

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Summary of Contents for ACP Synchrony

  • Page 1 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 by the Lease Agreement.
  • Page 2 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.

  • Page 3: Table Of Contents

    SYNCHRONY EQUIPMENT USER MANUAL TABLE OF CONTENTS INDICATIONS & CONTRAINDICATIONS ....................1 Indications for Use ............................1 Contraindications ............................1 WARNINGS & PRECAUTIONS ........................2 Warnings ............................... 2 Precautions ..............................2 SYNCHRONY AND OMNISEMG INTRODUCTION .................3 ™ OPERATION OF SYNCHRONY ........................4 Main Menu ..............................5 Continue Treatment ............................

  • Page 5: Indications & Contraindications

    SYNCHRONY EQUIPMENT USER MANUAL INDICATIONS & CONTRAINDICATIONS Indications for Use Synchrony consists of a Dysphagia Cart, Omnistim FX2 Portable PENS, and an OMNIsEMG surface ® ™ electromyography (sEMG) biofeedback system. These devices are used in adjunct to oral motor and swallowing exercise and treatment.

  • Page 6: Warnings & Precautions

    The device uses a lithium ion battery. Battery replacement and disposal should only be performed by the • ACP Service Center or an authorized repair facility. If the power cable for your Synchrony equipment appears damaged or frayed, please don’t use it and • contact our Customer Support department for a replacement.

  • Page 7: Synchrony And Omnisemg ™ Introduction

    Delivery of Synchrony and OMNIsEMG ™ Upon receipt of Synchrony, 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.

  • Page 8: Operation Of Synchrony

    OMNIsEMG ™ sensors. NOTE: Do not remove power cord from the wall outlet before Synchrony is powered “OFF” using the procedure above. Synchrony may remain "on" for extended periods, including overnight, without harming it or reducing the unit's longevity.

  • Page 9: Main Menu

    Continue treatment – selecting the intended patient to continue treatment. – continue an existing patient’s treatment. Clinicians may be prompted to sign-in prior to selecting the intended patient to continue treatment. New treatment – create a new patient for treatment with Synchrony. Clinician may be prompted to sign-in prior to creating new patient treatment.

  • Page 10: Continue Treatment

    SYNCHRONY EQUIPMENT USER MANUAL Continue treatment Hover the mouse over the Continue treatment section and click to continue If not signed in, the therapist will be prompted to enter their Clinician ID and Password Enter assigned Clinician ID and Password. When signed in, the current database of patients is presented Note –...
  • Page 11 SYNCHRONY EQUIPMENT USER MANUAL Session dashboard When selecting an existing patient to continue treatment, the selected patient’s Session dashboard is displayed. The Session dashboard is an at a glance display of recent patient activity. The dashboard will always display the Patient ID in the upper right of the screen and the two most recent exercises performed in the middle of the screen.
  • Page 12 SYNCHRONY EQUIPMENT USER MANUAL Pre-exercise process – Resting baseline All initial exercises will start with a pre-exercise session unless the clinician indicates differently. The software prompts the patient to remain still and quiet for 5 seconds to obtain the “resting baseline.” To capture the resting baseline manually, select “Mark manually”.
  • Page 13 SYNCHRONY EQUIPMENT USER MANUAL Pre-exercise process – Review marked repetitions After marking 3 typical swallow repetitions a review dashboard is provided. Each repetition can be edited or deleted. If a marked repetition is deleted, the opportunity to resume the pre-exercise is provided.
  • Page 14 SYNCHRONY EQUIPMENT USER MANUAL Pausing an exercise All exercies can be paused and a menu of options — End exercise, Resume and Edit — is provided, End exercise – exercise stops and advances to the “Exercise summary” page Edit parameters – provides a way to save...
  • Page 15 SYNCHRONY EQUIPMENT USER MANUAL Exercise summary report Upon completion of an exercise the exercise summary dashboard is displayed, providing multiple views of the completed exercise in a tabbed format. The default display is the Summary report providing an at-a-glance view of each repetition.

  • Page 16: New Treatment

    New treatment “New treatment” allows the addition of a new patient into the Synchrony database. When selected, the therapist will be prompted to sign-in if not already signed in. The process to add a new patient is simplified to only request the minimum information to establish a record for each patient.
  • Page 17 A prompt will appear requesting the therapist update all the patient information. Multiple tab views of patient data – As the patient is progressed through the use of Synchrony, progress can be reviewed by selecting the tabs. Return to patient dashboard – To return to the Patient dashboard, use the Back arrow or click on the Dashboard icon ©...
  • Page 18 SYNCHRONY EQUIPMENT USER MANUAL Introduction to Synchrony Introduction to Synchrony allows the therapist to acquaint the patient to sEMG and swallowing exercise. Tools are provided to demonstrate how events are marked in individual repetitions or as period markers. At the completion of the Introduction, select “End introduction”...

  • Page 19: Performing An Exercise

    SYNCHRONY EQUIPMENT USER MANUAL Performing an exercise – Example Effortful swallow All exercises follow the same process of pre-exercise, exercise delivery and results. Each exercise also provides the therapist with the recommended default visualizations and exercise parameter settings which can be edited and tailored to the needs of each patient.
  • Page 20 SYNCHRONY EQUIPMENT USER MANUAL Timing Manual timing – the therapist controls the timing of the exercise duration (when the exercise starts and stops). Other options include exercise duration based on time or number of repetitions. Exercise parameters Sound when marking repetition –the system default is a sound when a repetition is marked. This can be set on or off.
  • Page 21 SYNCHRONY EQUIPMENT USER MANUAL NOTE: Any button with an L, M, or R in a box format indicates the foot switch can be used in place of the mouse by simply tapping the left, middle, or right pedals. Left foot pedal...
  • Page 22 SYNCHRONY EQUIPMENT USER MANUAL Exercise display screen – Effortful Swallow exercise The exercise display provides a way to observe the the sEMG trace display along with the featured patient visualization. The exercise command boxes — Mark repetition, Mark event and Pause — are located in the lower right of the screen for all exercises.
  • Page 23 SYNCHRONY EQUIPMENT USER MANUAL Editing parameters All exercise parameters can be edited. When “Edit parameters” is selected a dialogue box offering the opportunity to “Save before editing”. This is recommended. When “Save” is selected the screen advances to the “Exercise parameters”...

  • Page 24: Performing An Assessment

    SYNCHRONY EQUIPMENT USER MANUAL Single exercise Single exercise is intended to be an express pathway to initiate an exercise or assessment. The Single exercise setup follows the same setup process as reviewed in prior sections of this document. Throughout the single exercise path of use, up into the reviewing of results, the therapist can link the exercise data to an existing patient or new patient record by selecting the Sign in patient box.

  • Page 25: Set-Up Assistant

    SYNCHRONY EQUIPMENT USER MANUAL NOTE: Any button with an L, M, or R in a box format indicates the foot switch can be used in place of the mouse by simply tapping the left, middle, or right pedals. Left foot pedal...

  • Page 26: Administrator Section

    The Administrator section is a user ID and password controlled area intended to be used by the individual identified as the Synchrony administrator. The administrator has access to a control panel of system administrative fields, including ways to manage the patient database, provide clinicians credentials to access Synchrony, review system utilization data and to manage and edit bolus names.

  • Page 27: Improving Connectivity

    SYNCHRONY EQUIPMENT USER MANUAL Administrator control panel The Administrator control panel provides multiple administrative tools to clinically manage the Synchrony system. Manage patients – access to the patient database to edit or delete patient information Manage clinicians – provides access to edit...

  • Page 28: Electrode Setup - Connecting The Semg Sensor

    SYNCHRONY EQUIPMENT USER MANUAL Electrode Setup – Connecting the sEMG Sensors • Remove OMNIsEMG ™ sensor from charging station and swipe over the magnet on the charging station to activate (slowly flashing white LED = active). Snap two lead wires into the sensor and then remove the electrode patch from the •...

  • Page 29: Infection Control Equipment And Principles Of Use

    After each use, clean common contact surfaces, such as control panel and lead wires with ACP germicidal • wipes. With a second ACP germicidal cloth, wipe again leaving surfaces wet for at least 5 minutes. Allow the • surface to air dry before patient use.
  • Page 30 SYNCHRONY EQUIPMENT USER MANUAL Use of Barriers – Intermediate Level Disinfection The use of an all-purpose barrier film provides surface protection from cross-contamination resulting from a variety of applications. This precaution should be used whenever dealing with non-intact skin or the chance of coming in contact with bodily fluids.

  • Page 31: Technical Specifications

    50 to 80% Rh, non-condensing Altitude 0 to 2000M Autonomy Up to 24 hours with rechargeable battery ACP reserves the right to change technical specifications and product availability without notice. © COPYRIGHT 2015-2021, ACCELERATED CARE PLUS CORP., ALL RIGHTS RESERVED CONFIDENTIAL AND PROPRIETARY...

  • Page 32: Troubleshooting

    TROUBLESHOOTING Service Center For repair or service of ACP Products and accessories, please call (800) 350-1100 and follow the prompts. Normal hours of operation are 6:00am to 5:00pm Pacific Standard Time. After hours, please leave a message and a technician will return your call during the next scheduled workday.

  • Page 33: Standard Limited Product Warranty

    Standard Limited Product Warranty. Buyer is responsible for shipping cost associated with sending the Equipment to the ACP Service Center. ACP shall ship Equipment to Buyer after repair at no cost to the Buyer provided repair is deemed to be under warranty.
  • Page 34 ACP is not responsible for any loss or damage to the Equipment prior to receipt at the ACP Service Center. Equipment returned for warranty service must be shipped complete with all accessories (except for manuals), in its original packing or equivalent so as not to be damaged while in transit.

  • Page 35: Synchrony And Omnisemg ™ Accessories

    SYNCHRONY EQUIPMENT USER MANUAL SYNCHRONY AND OMNIsEMG ™ ACCESSORIES ITEM NO. DESCRIPTION ITEM Synchrony Synchrony incorporates a virtual reality augmented biofeedback rehabilitation unit 300800A called the OMNIsEMG ™ which has been specifically designed to accommodate patients with difficulty swallowing as a result of oral or pharyngeal muscle dysfunction.
  • Page 36 SYNCHRONY EQUIPMENT USER MANUAL SYNCHRONY AND OMNIsEMG ™ ACCESSORIES (cont.) ITEM ITEM NO. DESCRIPTION https://acplus.com/acp- Synchrony Equipment User Manual technology-user- DOC# 290SYN manuals Electrodes, Face & Neck – PENS 74921 w/snap, 10packs/box Electrodes, Pharyngeal sEMG, 1-Use 34184 15/box Electrodes, Oro-Facial, sEMG, 1-Use...

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