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MAGSTIM 200 2 Operating Manual

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MAGSTIM
2
200
P/N 3001-23-04
OPERATING MANUAL
LUMENIS EX1091
Page 1

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  • Page 1 ® MAGSTIM P/N 3001-23-04 OPERATING MANUAL LUMENIS EX1091 Page 1...

  • Page 2: Table Of Contents

    Rear Panel Description Section 5: Preparations for Use Section 6: System Status Codes Section 7: Using the Magstim 200 7.1 Description of the Coil 7.2 Coil Positioning 7.3 Discharging the Magstim 7.4 Recording of Evoked Responses Section 8: Safety Features 8.1 Coil Temperature Protection...

  • Page 3: Guarantee

    The capacitor is guaranteed for one year, or 200,000 discharges, which ever comes first. The Magstim Company Limited reserves the right to perform guarantee services in its factory, at an authorised repair station, or at the customer's installation.

  • Page 4: Introduction

    INDICATIONS FOR USE The Magstim 200 is a magnetic nerve stimulator intended for the stimulation of neuromuscular tissue. The Magstim 200² system is for use by, or under the supervision of a medical practitioner only. CAUTION Federal law restricts this device to sale by or on the order of a practitioner licensed by the law of the State in which he/she practices to use or order the use of the device.

  • Page 5: Warnings And Precautions

    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 6 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 7: Front Panel Description

    - 3006-00, which is supplied without the control unit shown in the above diagram, functions 4 to 17 are implemented on the remote control coils. For details of the remote control coils see Magstim Remote Control Coils Operating Manual – 3179-23. ON/OFF (Standby) Button (1) This switch toggles the operational state of the Magstim 200 .
  • Page 8 Unit Power Status Indicator (3) Condition 1. – While the Magstim 200 is in the Standby state, as controlled by the Mains Power switch (1), this LED flashes at approximately 0.5Hz, indicating that the unit is in a standby condition.
  • Page 9 REPLACE COIL Indicator (9) This red LED will illuminate if any of the following conditions are present: 1. The Coil connected is not compatible with the Magstim 200 2. The surface temperature of the connected Coil has risen above its set limit.
  • Page 10 COIL OUTPUT SOCKET (18) This socket is used to connect the stimulating coil to the Magstim 200 Note that the unit cannot be armed and triggered unless the stimulating coil is connected to this output. Ensure that the locating spot on the coil plug is correctly lined up with the coil output socket before inserting the plug.
  • Page 11 This sign warns that voltages in excess of 1500V are present within the instrument (see also Section 2). ATTENTION Symbol See warnings in Section 2 regarding the use of the Magstim 200 APPLIED PART Symbol BF Type Applied Part. The applied part of this device, namely the stimulating coil, is electrically isolated from the other parts of the equipment as required by safety standards of BSEN60601-1.

  • Page 12: Rear Panel Description

    SECTION 4: REAR PANEL DESCRIPTION MAINS POWER Switch (1) To connect the mains supply to the Magstim 200 set the mains power switch the ON (I) position. To disconnect the mains supply, the mains switch on the rear panel of the unit must be set to the OFF (0) position.
  • Page 13 In these cases the Magstim and the recording instrument will have to be synchronised so that the magnetic pulse produced by the Magstim occurs exactly at the start of the recording sweep of the recording instrument.

  • Page 14: Preparations For Use

    The maximum number of units that can be safely stacked on top of the base Magstim is 3. Attempts to exceed this limit could result in crush damage to the base Magstim 200 .
  • Page 15 30%, and the DEFAULT CONDITION indicator will remain illuminated. 7. Ensure that all indicator LEDs are functioning properly before proceeding; if not, contact The Magstim Company Service Department. LUMENIS EX1091 Page 15 The Magstim Company Limited 3001-23-04...
  • Page 16 Press and hold the TRIGGER key on the front panel, or depress and hold the footswitch. There should be a clicking noise emanating from both the stimulating coil and the Magstim, each time the Magstim is discharged, indicating that a magnetic pulse is being produced.

  • Page 17: System Status Codes

    Bad Serial command of received data checksum (outside TRIGGATE). EMC Detected (Coil adapter only). Invalid Coil Power Identification (Coil adapter only). Hardware Stop activated. Watchdog Timeout. Temperature Interlock 3 activation. Coil stop line fault. LUMENIS EX1091 Page 17 The Magstim Company Limited 3001-23-04 March 2005...
  • Page 18 WARNING – high voltage may be present up to 20 minutes after use on internal high voltage capacitor. Invalid coil category for current system configuration. Invalid NVRAM Checksum. Faulty charging relay detected Base arm LED drive failure LUMENIS EX1091 Page 18 The Magstim Company Limited 3001-23-04 March 2005...

  • Page 19: Using The Magstim 200

    SECTION 7: USING THE MAGSTIM 200 7.1 DESCRIPTION OF THE COIL – Standard 90mm Coil – 3193-00 Magnetic nerve stimulation can be achieved by discharging the Magstim with the Stimulating Coil in the vicinity of neuromuscular tissue. Current flows from the instrument through the coil in only one direction.
  • Page 20 Magstim 200 of muscles in the body allowing for the functional assessment of motor pathways. In the case of the MAGSTIM the discharge current in the stimulating coil and the resulting magnetic pulse is mono-phasic allowing for mono-hemispheric stimulation. To record the best responses from muscles in the right side of the body always place the coil such that Side A is visible to the operator and Side B is touching the subject.

  • Page 21: Discharging The Magstim

    The recording instrument can be triggered from the TRIGGER OUTPUT socket on the rear panel of the Magstim 200 Alternatively, the Magstim can be triggered by the recording equipment via the TRIGGER INPUT socket on the rear panel of the Magstim. LUMENIS EX1091 Page 21...
  • Page 22 3. The use of a larger reference electrode is recommended to reduce impedance. For your information, The Magstim Company Limited also supplies a special EMG Lead Kit (Part Number 9831-00) designed for use with magnetic stimulators to help reduce artifact.

  • Page 23: Safety Features

    LEDs located on the User Interface Controller – see section 3, items 6 - 8. 2. If the coil surface temperature reaches its set limit, the REPLACE COIL indicator will illuminate and the Magstim 200 will be put into its safe inactive default condition. The default condition indicator will illuminate.

  • Page 24: Maintenance And Servicing

    SECTION 9: MAINTENANCE AND SERVICING 9.1 VOLTAGE SELECTION AND FUSE RATING The Magstim Model 200 may be operated from supplies in the range 110- 120V and 220-240V. The voltage selector on the rear panel and the adjacent fuses must correspond to the supply voltage as indicated in the...

  • Page 25: User Maintenance

    9.2 USER MAINTENANCE At the start of each session the Operator must check the Magstim 200 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, or the stimulating coil, they must not be used.

  • Page 26: Cleaning And Disinfecting

    Note: This coil cannot be sterilised. Do not allow the coil to become contaminated with bodily fluids. 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 27: Device Lifetime

    Magstim 200 or the guarantee will be void. Service training courses are available on request. For further information contact the Magstim Company Service Manager – see above for contact details. 9.6 DEVICE LIFETIME The lifetime of the Magstim 200 is defined as being 5 years from the date of shipment.

  • Page 28: Specifications

    The use of accessories, transducers and cables other than those specified by the Magstim Company Ltd., may result in increased emissions, or decreased immunity, of the equipment. In order to ensure EMC compliance, the Magstim must be used only with those parts specified by the Magstim Company Ltd.

  • Page 29: Power

    Once every 2 seconds at up to 0 - 49% power level Once every 3 seconds at up to 50 - 79% power level Once every 4 seconds at up to 80 - 100% power level LUMENIS EX1091 Page 29 The Magstim Company Limited 3001-23-04 March 2005...

  • Page 30: Rear Panel

    Magnetic Field: The magnetic field produced by the Magstim 200 depends on the type of coil connected. Full details of the Magstim 2nd Generation Coils, and Remote Control Coils, are given in their operating manuals, P/N 3100-23 and 3179-23, respectively.

  • Page 31: Handling

    10.8 PACKING INSTRUCTIONS If, for any reason, it is necessary to return your Magstim² System to either the Magstim Company, or local Distributor, for repair, or upgrade, care should be taken to ensure that the equipment is adequately packed to prevent transit damage.
  • Page 32 The Magstim 200 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the Magstim 200 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the Magstim 200 as recommended below, according to the maximum output power of the communications.
  • Page 33 (>95 % dip in U ) for typical commercial or hospital and voltage 0,5 cycle environment. If the user of the Magstim variations on requires continued operation during power supply 40 % U power interruptions, it is recommended that input lines.
  • Page 34 Electromagnetic environment - guidance Test Level Level Portable and mobile RF communications equipment should be used no closer to any part of the Magstim , including cables, than the recommended separation distance calculated from the equation applicable to the frequency transmitter.

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