MAGSTIM RAPID2 Operating Manual
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MAGSTIM RAPID2 Operating Manual

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®
MAGSTIM
2
RAPID
P/N MOP03-EN-01
OPERATING MANUAL
JUNE 2011

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  • Page 1 ® MAGSTIM RAPID P/N MOP03-EN-01 OPERATING MANUAL JUNE 2011...

  • Page 2: Table Of Contents

    10.3 MEP Pod 10.4 Ambient Temperature 10.5 Capacitor Life Expectancy 10.6 Output 10.7 Coil Compatibility 10.8 UI Rear Panel 10.9 General 10.10 Handling Section 11: EMC Emissions and Immunity Section 12: Rapid System Packages The MAGSTIM Company LTD June 2011...
  • Page 3 The Magstim Company's obligations under this guarantee are limited to repairs or, at the company's option, replacement of any defective parts of our equipment, except batteries, without charge if said defects occur during normal service.

  • Page 4: Warnings And Precautions

    Caution: do not allow the coil or the coil cable to come into close proximity with the MEP Pod patient cables. During discharge, current may be induced in these cables. Do not discharge the Magstim with the stimulating coil in the vicinity of metallic objects or these may be projected, moved and/or damaged.
  • Page 5 Coil's use on, or by, pregnant women. We recommend that anyone wishing to use the Coil on a pregnant woman, or use it whilst pregnant, should contact the Magstim Company Ltd. for more information as new medical papers become available.

  • Page 6: Product Description

    ON ARMED/FAULT Indicator This LED is continuously illuminated when the system is armed and high voltages are present in the system. This LED turns RED when a fault has been detected in the PSU. The MAGSTIM Company LTD June 2011...
  • Page 7 STATUS/FAULT Indicator This LED is continuously illuminated green when the system is operating correctly. This LED turns RED when a fault has been detected in either the Dual PSU or Plus Module. The MAGSTIM Company LTD June 2011...

  • Page 8: Indications

    When the coil plug is fully engaged in the socket, lock the plug in place by turning the black locking ring clockwise. To remove the coil, put the Magstim Rapid² into standby and turn the black locking ring anti-clockwise. HIGH VOLTAGE Symbol This sign warns that voltages in excess of 1500V are present within the instrument.

  • Page 9: Coils

    The entire Operating Manual should be studied prior to use and users should be aware, in particular, that high voltages and currents, which can prove lethal, are present if the covers are removed. The Magstim system‟s parts are detailed in Sections 3-6.
  • Page 10 Image- Guided TMS stereotactic 3D imaging system. For further information on this system please contact The Magstim Company Limited. For peripheral sites, the stimulation site can be marked with a suitable pen.

  • Page 11: System Setup

    Isolated UI Cable Trigger Port Foot Switch Mains Power Pneumatic Switch Socket Fuse Access and Voltage Cooling Fan Selector Outlet Power Entry Module HV Power Entry Socket 10A Link Lead Earth Strap HV Cable The MAGSTIM Company LTD June 2011...
  • Page 12 Warning Symbol. Care should be taken when connecting HV cables. High Voltage can present on this connector. Connector is an output. Connect the stimulator mainframe to this connector. Connector is an input. Connect the HV power supply to this connector. The MAGSTIM Company LTD June 2011...

  • Page 13: Additional Connections

    25 Way D Type Connector (situated on rear of the UI, 2 rows of pins) This connector is situated on the rear of the UI, and has 2 rows of pins. The connector links the UI to the Magstim Rapid as shown on the diagram on the previous page.

  • Page 14: Mep Pod Connection

    It is recommended that all EMG cables are screened to minimise interference. The MEP Pod is designed to be used with surface electrodes only. The MEP Pod is designed to be fitted to the Magstim Rapid UI only. Do not attempt to connect it to a computer, or any other equipment, with a similar connector.
  • Page 15 Do not allow the coil or the coil cable to come into close proximity with the MEP Pod patient cables. During discharge, current may be induced in these cables. The MAGSTIM Company LTD June 2011...

  • Page 16: Printer

    Align the edges of the paper roll against the paper holders and push down gently. Pull the paper through and close the cover. The Printer is now ready to be used. Roll Paper On/Off Cover Button Cover Open Button Feed Cover Open Button The MAGSTIM Company LTD June 2011...

  • Page 17: Set-Up

    Magstim Plus to the HV input on the rear of the Main Frame. Connect a 10A link lead from the Dual PSU Module to the Magstim Plus and from the the Magstim Plus PSU module and the stimulator Main Frame.
  • Page 18 Note: If the UI is not used for 30 minutes it will go into a standby condition. In standby, the screen will appear blank and the blue LED in the upper right corner of the front bezel will pulse. Touch the screen to restore the UI. The MAGSTIM Company LTD June 2011...

  • Page 19: Stimulation

    UI. A clicking noise will emanate from both the stimulating coil and the Magstim Rapid² each time the Magstim Rapid² is triggered. This indicates that a magnetic pulse is being delivered by the stimulating coil, which is stimulating the nerves beneath it.

  • Page 20: System Operation Instructions

    Pressing the Continue button before the system has fully initialised gives access to the following options: Single Pulse Mode System File Maintenance The system needs to be fully initialised before Repetitive Mode and Session Mode are accessible. The MAGSTIM Company LTD June 2011...

  • Page 21: Main Options Menu

    System Selecting this option will call up the Systems Options Menu Screen. (See Section 5) File Maintenance Selecting this option will call up the File Maintenance Screen. (See section 6.1) The MAGSTIM Company LTD June 2011...

  • Page 22: Single Pulse Mode

    All other configurable Single Pulse Mode options are available only when the MEP Pod is connected. NOTE. The Rapid must be switched off before connecting or disconnecting the MEP Pod. NOTE. Enhanced mode is not available when using an Air Film Coil (P/N 3950-00) The MAGSTIM Company LTD June 2011...

  • Page 23: Single Pulse Mode Mep

    Volts/ Div Trace 2 Selecting the Volts/Div Trace window allows the user to set the scaling factor for channel 2. Selectable options: 50μV, 100μV, 200μV, 500μV, 1mV, 2mV, 5mV and 10mV. The default setting is 200μV. The MAGSTIM Company LTD June 2011...
  • Page 24 The trace of Latencies the selected cursor can be moved using the Rotary Control Knob, for example to identify the time of an event. The MAGSTIM Company LTD June 2011...
  • Page 25 Amplitude Cursors must be ON for this option to become available. Note, in Repetitive Mode or Session Mode, the Amplitude Cursor positions set in Single Pulse Mode will remain marked by the Amplitude Cursor on the trace. The MAGSTIM Company LTD June 2011...
  • Page 26 This takes the user to the Session Setup screen (see Section 4.9) File This takes the user to the File Maintenance screen (see Section 6.1). Options Menu Selection of this option will return the user to the Options Menu screen. The MAGSTIM Company LTD June 2011...

  • Page 27: Repetitive Mode: Setup Standard

    Save Session takes the user to the File Maintenance screen (See section 6.1) Options Menu Selection of this option will return the user to the Options Menu screen. RUN SESSION This screen takes the user to the Repetitive Mode screen in order to run a session. The MAGSTIM Company LTD June 2011...

  • Page 28: Repetitive Mode: Standard

    Selection of this option will return the user to the Repetitive Setup screen. Single Pulse Selecting this option will return the user to the Single Pulse Mode screen. Options Menu Selection of this option will return the user to the Options Menu screen. The MAGSTIM Company LTD June 2011...

  • Page 29: Repetitive Mode: Setup Burst

    This screen takes the user to the Repetitive Mode Screen to run a session. Save Session Save Session takes the user to the File Maintenance screen (See section 6.1). Options Menu Selection of this option will return the user to the Options Menu screen. The MAGSTIM Company LTD June 2011...

  • Page 30: Repetitive Mode: Burst

    Selection of this option will return the user to the Repetitive Setup screen. Single Pulse Selecting this option will return the user to the Single Pulse Mode screen. Options Menu Selection of this option will return the user to the Options Menu screen. The MAGSTIM Company LTD June 2011...

  • Page 31: Session Mode: Setup

    Selection of this option will call up the File Maintenance screen (See section 6.1) and allows the user to save the session set up. Options Menu Selection of this option will return the user to the Options Menu screen. The MAGSTIM Company LTD June 2011...

  • Page 32: Session Mode

    Selection of this option will return the user to the Repetitive Setup screen. Single Pulse Selecting this option will return the user to the Single Pulse Mode screen. Options Menu Selection of this option will return the user to the Options Menu screen. The MAGSTIM Company LTD June 2011...

  • Page 33: System

    Selection of this option will call up the System Details Screen. System Configuration Selection of this option will call up the System Configuration Screen. Options Menu Selection of this option will return the user to the Options Menu Screen. The MAGSTIM Company LTD June 2011...

  • Page 34: User Configuration

    This window displays the UI‟s backup battery voltage. Battery Voltage Back Selection of this option takes you back to Systems Options Menu. Options Menu Selection of this option will return the user to the Options Menu Screen. The MAGSTIM Company LTD June 2011...

  • Page 35: System Details

    This screen shows the part numbers, revision and serial number information for UI, MEP Pod, Main Frame, PSU, Plus module (if applicable) and attached coil. Print For Print Operations See Section 6.5. Back Returns the user to the System Options Menu. The MAGSTIM Company LTD June 2011...

  • Page 36: System Configuration

    This button clears the password window. Enter This button enters the current number in the password window for verification. If correct, the service menus are displayed. Back This option returns the user to the System Options Menu screen. The MAGSTIM Company LTD June 2011...

  • Page 37: Data Retrieval

    Selection of this option will call up the Patient Details Screen. Back Selection of this option returns the user to the previous screen. Options Menu Selection of this option will return the user to the Options Menu Screen. The MAGSTIM Company LTD June 2011...

  • Page 38: Patient Details

    File Selection of this option will call up the File Maintenance screen. Options Menu Selection of this option will return the user to the Options Menu Screen. The MAGSTIM Company LTD June 2011...

  • Page 39: Creating And Using Files

    Press „Open‟, then Patient Details  Select the required window and make changes using the on-screen keyboard.  Press „Save‟ on the keyboard to confirm  Press „File‟ to return to File Maintenance  Press „Close‟ The MAGSTIM Company LTD June 2011...
  • Page 40 The prompt „Are you sure you wish to overwrite the selected file?‟ will appear whether the file currently contains information or not.  Select „Yes‟  Use the on-screen buttons to navigate back to, for example, Single Pulse Mode. The MAGSTIM Company LTD June 2011...

  • Page 41: Sd Card

    MOP03-EN-01 6.4 SD CARD An SD Card provides the opportunity for information that is stored on the Magstim Rapid² to be transferred to a PC and viewed using any standard PC text editing software package. Information is transferred onto the SD Card via the „File Maintenance‟ Screen.

  • Page 42: Print Options

    The printer makes it possible to generate copies of the majority of the information that is stored within the Magstim Rapid². The Print option allows for screen or file information to be obtained on paper. In any screen where the „Print‟ Button is visible the Printer can produce a reproduction of the information that is displayed on screen.

  • Page 43: System Status Codes

    EEPROM Checksum Incorrect. Invalid coil Category. Invalid Power Identification . Temperature sensor circuit failure. Bad Serial command or received data checksum. Internal Software Error. Invalid Coil Temperature ID. Invalid temperature algorithm coefficient. Coil controller malfunction. The MAGSTIM Company LTD June 2011...
  • Page 44 Air Extraction Unit Not Operating Correctly (3530-00 coil only) Error codes produced by base system. Error Codes Description Power fail Stack underflow Stack overflow RTS overrun WD Timeout Unexpected reset Bad checksum SYS debug error Coil under temperature Coil max difference The MAGSTIM Company LTD June 2011...
  • Page 45 Base arm LED drive failure External PSU Fault Base over temperature Snubber Board over temperature Base under temperature HC CAP under temperature Snubber Board under temperature Ambient over temperature System failed to produce protocol The MAGSTIM Company LTD June 2011...

  • Page 46: Isolated Trigger Port

    Each line of data ends with a carriage return line feed request, <CR>.  File Layout The following details the order the data is stored in the Magstim UI generated file. Version, <file format number>, <CR> File, <system filename>, <CR>...
  • Page 47  File line Details The following details the content and data range limits for each data lines contained in the Magstim UI generated file. Version. This number is created by the UI and must be present in the file and “must not be altered”.
  • Page 48 The files may also be imported into spreadsheets, make sure the delimited option is highlighted and the file origin is set to “Arial- western European” The MAGSTIM Company LTD June 2011...

  • Page 49: Safety Features

    If the instrument has not been triggered for over 10 minutes after the system status window has displayed READY, the unit will automatically select the default mode and discharge internally The Magstim Rapid is capable of recognising automatically the type of stimulating coil being used. The MAGSTIM Company LTD June 2011...

  • Page 50: Maintenance And Servicing

    250mA T* T* denotes timed, or antisurge, fuses. The use of fast acting fuses is not recommended VOLTAGE SELECTION INSTRUCTIONS IMPORTANT –Ensure that the Magstim Rapid is disconnected from the mains supply before changing the fuse, or setting the voltage selector.

  • Page 51: User Maintenance

    MOP03-EN-01 9.2 USER MAINTENANCE At the start of each session the Operator must check the Magstim Rapid2, PSU, UI and the stimulating coil for any signs of damage, paying particular attention to the plastic casing. If there are any signs of physical damage to the Magnetic Stimulator, PSU, UI or the stimulating coil, they must not be used.

  • Page 52: Cleaning And Disinfecting

    Note 2: Do not clean or wipe the touch screen with anything abrasive as it will cause permanent damage. 9.5 SERVICING All servicing must be carried out by the Magstim Company Ltd, or one of its authorised service centres. It is recommended that an annual PAT (Portable Appliance Test) test be...

  • Page 53: Device Lifetime

    9.6 DEVICE LIFETIME The lifetime of the Magstim Rapid System is defined as being 5 years from the date of shipment. The Magstim Company Ltd. will support the product for the duration of its lifetime. 9.7 DISPOSAL When the Magstim Rapid...

  • Page 54: Specifications

    Magstim Company Ltd., may result in increased emissions, or decreased immunity of the equipment. In order to ensure EMC compliance, the Magstim Rapid System must be used only with those parts specified by the Magstim Company Ltd. for use with the Magstim Rapid System. 10.2 POWER Operating Voltage 115V±10% AC, 60Hz...

  • Page 55: Mep Pod

    Life expectancy: 2 x 10 discharges at 70% power level 8 x 10 discharges at 80% power level 4 x 10 discharges at 90% power level 2 x 10 discharges at 100% power level The MAGSTIM Company LTD June 2011...
  • Page 56 Output Range: 0% - 100% of Maximum Voltage ±2% Magnetic Field: The magnetic field produced by the Magstim Rapid depends on the type of coil connected. In the case of the Double 70mm Coil supplied with the system, the field output is 1.2T at the surface of the coil.
  • Page 57 Magstim Rapid MOP03-EN-01 230V/240V Rapid Systems Available Output Operating Frequency (Hz) Max. 100Hz Power (%) Standard Rapid Super Rapid Super Rapid Plus 0 – 30% The MAGSTIM Company LTD June 2011...
  • Page 58 Magstim Rapid MOP03-EN-01 115V Rapid Systems Frequency (Hz) Max. 60Hz Available Output Power (%) Standard Rapid Super Rapid² Super Rapid² Plus 0-30 The MAGSTIM Company LTD June 2011...

  • Page 59: Coil Compatibility

    Stimulations at 50% Power 80% Power 100% Power 90mm Coil 3192-00/3193-00 23.47H Double 70mm Coil 3190-00/3191-00 15.50H HP 90mm 9784-00 1935 23.30H 70mm 9762-00 16.25H Db 70mm 9925-00 1576 16.35H DC 110mm 9902-00 1419 17.85H The MAGSTIM Company LTD June 2011...

  • Page 60: Ui Rear Panel

    The system must be disassembled prior to being moved. The parts of the system are not locked together in any way and are likely to fall if moved together, resulting in damage to the equipment and possible injury to those near to or those transporting it. The MAGSTIM Company LTD June 2011...

  • Page 61: Handling

    NOTE – The weight of the PSU 3013-00 and Magstim Plus is unevenly distributed – the left hand side of the unit being considerably heavier than the right hand side.

  • Page 62: Emc Emissions And Immunity

    The Magstim Rapid System is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the Magstim Rapid System can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications...
  • Page 63 (>95 % dip in U ) for typical commercial or hospital and voltage 0,5 cycle environment. If the user of the Magstim variations on Rapid System requires continued power supply 40 % U operation during power interruptions, it is input lines.
  • Page 64 AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured filed strength in the location in which the Magstim Rapid System is used...
  • Page 65 P/N 3801-01 1 x 10A Link Lead P/N 600002 1 x HV Cable P/N 3583-00 1 x UI Cable P/N 3582-00 1 x Magstim SD Card P/N 3844-00 Super Rapid Plus P/N 4100-00 1 x Rapid Main Frame P/N 3012-00...

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