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MAGSTIM The Rapid2 Operating Manual

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The Rapid
2
Therapy System
Operating manual
MOP16-EN-02
December 2019

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Summary of Contents for MAGSTIM The Rapid2

  • Page 1 The Rapid Therapy System Operating manual MOP16-EN-02 December 2019...

  • Page 2: Contact Details

    ® are registered trademarks of the Magstim ® Company Ltd. This document, and all other versions there of remain property of Magstim ® and should not be modified or copied without first obtaining permission from the company. ‘Frequently Used Functions’ are labelled as ‘Essential Functions’ on the table of contents.

  • Page 3: Preface

    MOP16-EN-02 Preface The Magstim ® Rapid Therapy System is a medical device that delivers non-invasive, magnetic stimulation. When applied to the cortex this is known as Transcranial Magnetic Stimulation (TMS). ® Magstim TMS therapy is an effective, non-invasive, outpatient treatment, with few known adverse effects + Carpenter, L et al.

  • Page 4: Devices Covered

    MOP16-EN-02 Devices Covered ® This document is applicable to The Magstim Rapid Therapy System in the following configurations: ® The Magstim Rapid Therapy System: Rapid UI (User Interface) - P/N: 3022-00 Rapid Mainframe - P/N: 3012-00 Rapid Single PSU (Power Supply Unit)

  • Page 5: Table Of Contents

    2.3 Warnings 2.4 Precautions 2.5 Emergency Procedures 2.6 Output Safety, Repetition Rate Of Stimulus 2.7 Adverse Experiences Using The Magstim Rapid Therapy System 3.1 Preparation And Placement 3.2 Cable Connection 3.3 Positioning The Cart Mounted Coil Arm 3.4 System Start-up 3.5 Using The Touch Screen...
  • Page 6 7.6 Handling 7.8 Packing Instructions Technical Information 8.1 Technical Specifications 8.2 Safety Measures Appendices Appendix A; Attaching the Coil Arm Clamps Appendix B; Example TMS Screening Questionnaire Appendix C; List Of Figures Appendix D; Document Information The Magstim ® Company Ltd.

  • Page 7: Product Guarantee

    MOP16-EN-02 Product Guarantee The Magstim ® Company Limited (herein known as Magstim ® ), guarantees the effectiveness of both materials and workmanship for a period of two years from the date of shipment for the following products: Rapid UI (User Interface)

  • Page 8: Support Period

    Support Period The support lifetime of the components are defined below. Use beyond these periods is not recommended. Servicing and replacement parts will be available within these times. Magstim ® cannot guarantee that spare parts will be available after these times.

  • Page 9: Product Overview

    MOP16-EN-02 Section 1 Product Overview The Magstim ® Company Ltd.

  • Page 10: Device Description

    Magnetic Stimulation in Medication-Resistant Depression, Bulletin of Clinical Psychopharmacology, Vol: 22, N.: 3, 2012. 1.3 Indications For Use The Magstim Rapid² Systems are intended to be used for the stimulation of peripheral nerves and the human cortex for therapeutic and diagnostic use, including the treatment of major depressive disorders in adult patients.

  • Page 11: User Requirements And Training

    The instructions in this manual assume the user has been trained in the proper use of The Magstim ® Rapid Therapy System and that he or she has the required medical education or experience to operate the device safely and effectively. Further training is available through Magstim ® The Magstim ® Company Ltd.

  • Page 12: Product Overview

    Cart Mounted Coil Arm D70 MT Coil Rapid Stimulator Stimulator Cart ® Figure 1.1: Magstim Rapid2 Therapy System overview AirFilm ® Coil (page 13) Rapid² Stimulator (page 7) The coil delivers the stimulation pulses to Configurations of the Rapid² stimulator the patient during a treatment session.

  • Page 13: Rapid Stimulator

    If the UI is not used for 30 minutes Base Plate it will go into stand-by. The screen The base plate provides stability to will appear blank and the stand-by the stimulator UI. indicator will pulse. Touch the screen to wake the UI. The Magstim ® Company Ltd.
  • Page 14 Ready Indicator This socket is used to connect the stimulating coil to the stimulator. This indicator illuminates when the stimulator is charged ready to be triggered. If lit high voltages are present within the system. The Magstim ® Company Ltd.
  • Page 15 The indicator will be off when the present on the system. system is in standby. The indicator will turn red if a fault is detected in the PSU. The Magstim ® Company Ltd.
  • Page 16 DC Power Jack The stimulator and external devices allows an external 24V, 750mA DC (such as a PC). power supply to be attached. “5.10.9. Using A Memory Card” on page 78 The Magstim ® Company Ltd.
  • Page 17 The mainframe connection for the link lead (see page 36). Access for fuse Do not allow the cooling fan to be replacement is also provided here. obstructed. See page 86 for further details. The Magstim ® Company Ltd.
  • Page 18 The stimulator must not be used page 36). without the earth straps fitted (see page 36). Power Supply Socket The socket for the power cable provided, to connect the PSU to the mains supply (see page 36). The Magstim ® Company Ltd.

  • Page 19: Airfilm Coil (Treatment Coil)

    Coil Cable Coil Handles The coil cable links the coil to the The coil handles allow you to adjust mainframe. the angle of the coil for stimulation. The Magstim ® Company Ltd.

  • Page 20: The D70 Mt Coil

    The coil handle allows you to safely mainframe. hold and position the coil during stimulation. Coil Head The coil’s figure-of-eight winding is located within the coil head. This generates a magnetic field which provides the stimulation. The Magstim ® Company Ltd.
  • Page 21 • The stimulator will be triggered repeatedly if the two buttons are held. Note: you will not be able to charge the stimulator if both buttons are already held down. The Magstim ® Company Ltd.

  • Page 22: Magstim Stimulator Cart

    MOP16-EN-02 ® 1.9 Magstim Stimulator Cart The highly mobile Cart securely and neatly houses the stimulator creating an all- in-one solution. Cart Mounted Coil Arm Coil Arm Clamp Coil Arm Clamp Stimulator Shelf Storage Shelves Lockable Wheels Figure 1.9: Cart...

  • Page 23: Cart Mounted Coil Arm

    The secure connection for the Arm Rotate the central locking knob Extension to the stimulator cart. anti-clockwise to position the coil and clockwise to lock the arm. “1.9 Magstim® Stimulator Cart” on page 16 for more information. The Magstim ® Company Ltd.
  • Page 24 MOP16-EN-02 The Magstim ® Company Ltd.

  • Page 25: Warnings, Symbols & Contraindications

    MOP16-EN-02 Section 2 Warnings, Symbols & Contraindications The Magstim ® Company Ltd.

  • Page 26: Contraindications

    At ~30 cm from the face of the treatment coil, the peak magnetic field is sufficiently diminished to allow for the safe use of many electronic devices, however, this may vary between implanted devices and should be investigated before treatment. The Magstim ® Company Ltd.
  • Page 27 This also includes wearable monitors and bone growth stimulators. For clarification, the contraindications are specified in the table overleaf, along with their possible consequences. The Magstim ® Company Ltd.
  • Page 28 Patient injury Affected therapy; patient Radioactive seeds injury VeriChip Inconvenience microtransponder Wearable physiologic Inconvenience monitors (e.g. Holter) Bone growth stimulators Inconvenience Portable glucose monitors Inconvenience Hearing aids Inconvenience Eyeglasses Inconvenience Cell phones/PDA's Inconvenience Headphones/MP3 players Inconvenience The Magstim ® Company Ltd.

  • Page 29: Symbols Key

    Optical service Indicates the optical service port. port Trigger out See “5.11 Trigger Output” on page 79 for more socket information. SD card socket See “5.10.9. Using A Memory Card” on page 78. The Magstim ® Company Ltd.
  • Page 30 Hearing protection is advised for the patient and the operator if he or she is frequently located within 6 feet (2 meters) of the coil during operation. Do not lean or push. High Pressure! - Do not open or damage. The Magstim ® Company Ltd.

  • Page 31: Warnings

    • Must not be used in the vicinity of implanted conductive or medical electronic devices. This includes (but is not limited to) pacemakers, implantable cardioverter defibrillators (ICD’s), vagus nerve stimulators (VNS) and wearable cardioverter defibrillators (WCD). ® The Magstim Company Ltd.
  • Page 32 • WARNING: Portable RF communications equipment (including peripherals such as antenna cables and external antennas) should be used no closer than 30 cm (12 inches) to any part of the Magstim ® Rapid Therapy System or accessories, including cables specified by the manufacturer.
  • Page 33 Ensure the support bracket is securely fixed between the mainframe and the power supply unit. Do not stand on any part of the Magstim ® Stimulator Cart. Do not sit on any part of the Magstim ®...

  • Page 34: Precautions

    Patient Data: Magstim recommends that you do not store Personally Identifiable Data (PID) on either the User Interface (UI), or in the patient files exported to the SD card.
  • Page 35 If overheating occurs please contact the service department to check the system for malfunction or damage. Contact details can be found on page ii The Magstim ® Company Ltd.
  • Page 36 Improvement in quality of life with left prefrontal TMS in patients with pharmacoresistant major depression: acute and six month outcomes. Brain Stimul 2014;7:219–25. Seizure Risk: No device related seizures have been reported with the use of the Magstim Rapid Therapy System in approximately 800 patients participating in published clinical trials.
  • Page 37 Patient Monitoring: Following acute treatment with TMS Therapy, patients will need to be monitored and may need to resume antidepressant medications. This device has not been evaluated for durability of antidepressant effect in controlled clinical trials. The Magstim ® Company Ltd.

  • Page 38: Emergency Procedures

    1. Press the ‘stop’ button on the stimulator UI to stop the treatment. 2. Pull the coil away from the patient. 3. Manage the patient’s condition and/or call for help. The Magstim ® Company Ltd.

  • Page 39: Output Safety, Repetition Rate Of Stimulus

    Significant adverse experiences should be reported to: feedback@magstim.com. Across 29 published articles of randomized, sham-controlled studies of the Magstim Rapid Therapy System in the treatment of depression, in approximately 800 treated patients, the most frequent adverse events were headache (104 events) and pain at the application site (69 events).
  • Page 40 MOP16-EN-02 The Magstim ® Company Ltd.

  • Page 41: Using The Magstim Rapid Therapy System

    MOP16-EN-02 Section 3 Using The Magstim Rapid Therapy System The Magstim ® Company Ltd.

  • Page 42: Preparation And Placement

    Take care to ensure cables do not pose a trip hazard and secure cables where necessary. 3.2 Cable Connection The installation and connection of The stimulator will be performed by a Magstim ® representative.
  • Page 43 Link Lead (Mainframe-Plus HV Cable (Plus -Plus Power Supply Socket (3) Link Lead (Plus -PSU) Earth Strap 2 HV Cable (Plus -PSU) Power Supply Socket (1) Power Supply Socket (2) Figure 3.3: Super Rapid Plus cabling The Magstim ® Company Ltd.

  • Page 44: Positioning The Cart Mounted Coil Arm

    • Ensure the coil is positioned close to the cart but not touching the UI. • Re-tighten the central locking knob to secure the Figure 3.5: Storage position coil and arm. Note: ensure that the coil does not come into contact with the UI. The Magstim ® Company Ltd.
  • Page 45 • Unlock the articulated arm central locking knob, return the arm to the horizontal folded position and re-lock the central locking knob to secure the position. Important: Do not leave the arm in a vertical folded position. The Magstim ® Company Ltd.

  • Page 46: System Start-Up

    Note: For first time use it is recommended to set the system parameters such as the time, date and preference options. From the options menu select ‘System’, then ‘User Configuration’ and refer to “5.8 User Configuration” on page 74. The Magstim ® Company Ltd.

  • Page 47: Using The Touch Screen

    Thumb Screw Coil Stand Connector Flat Side Pull Knob Pull Knob Pull Knob Thumb Screw Mounting Hole Figure 3.10: AFC Coil Mounting Diagram 1 Figure 3.11: AFC Coil Mounting Diagram 2 The Magstim ® Company Ltd.
  • Page 48 Caution: Failure to connect the coil and stimulator correctly can cause damage to the connector pins and in severe cases, internal damage to the coil and damage to the stimulator. Figure 3.12: Correct and incorrect coil connection The Magstim ® Company Ltd.
  • Page 49 • Select the ‘Stimulator Output’ window on the UI screen and use the control dial to adjust the power level. This will be shown on the coil display, Coil Display Ready Indicator High Temperature Indicator Stop Button Multi-function Buttons Figure 3.13 The D70 MT Coil UI. The Magstim ® Company Ltd.
  • Page 50 • The white information window on the screen should display ‘Coil OK to run’. • Place the coil in the desired location and press the ‘Run’ button to charge the system. • Press the ‘Trigger’ button to begin the set protocol. The Magstim ® Company Ltd.

  • Page 51: Treatment

    MOP16-EN-02 Section 4 Treatment The Magstim ® Company Ltd.

  • Page 52: Treatment Preparation

    4.1. The Nasion is a ridge above the nose. The Inion is a lump on the back of the head. The Pre-auricular points sit just above each ear. Preauricular Point Nasion Inion Figure 4.1: Nasion, Inion, Diagram The Magstim ® Company Ltd.
  • Page 53 (X) and measure along the line (as step 2) from Cz towards the left pre-auricular point. Mark this spot as C3 Note: C3 is always located on the left side of the patient’s head. Figure 4.4: Locating C3 (Step 3) The Magstim ® Company Ltd.
  • Page 54 4.7) using the control dial to adjust the stimulator output. • Wait at least 2 seconds between each pulse and ask the patient to briefly clench and relax their hand. • Note down the resulting stimulator output level (AA%). The Magstim ® Company Ltd.
  • Page 55 MOP16-EN-02 Pulse Pulse Pulse Down Pulse Figure 4.7: Motor cortex sensitivity flowchart The Magstim ® Company Ltd.
  • Page 56 • Wait at least 2 seconds between each pulse and ask the patient to briefly clench and relax their hand. • Refer to the flowchart overleaf (Figure 4.9) using the control dial to adjust the power. • The resulting stimulator output (XX%) is the patients Motor Threshold level. The Magstim ® Company Ltd.
  • Page 57 MOP16-EN-02 Pulse x 10 ≥5/ Pulse Down x 10 ≥5/ = MT Figure 4.9: Motor Threshold level flowchart The Magstim ® Company Ltd.

  • Page 58: Treatment Of Major Depressive Disorder (Mdd)

    Figure 4.12: Locating F3 Figure 4.13: Locating F3 (Step 1) (Step 2) (Step 3) 4.3.2. Connecting AirFilm ® Coil For Treatment • Rotate the outer collar of the coil connector anti-clockwise to unlock the connector. The Magstim ® Company Ltd.
  • Page 59 Note: The coil must remain is contact with the patient’s head throughout the treatment. If necessary, the treatment location and coil angle may be adjusted to alleviate patient discomfort. See “4.4 Patient Discomfort” on page 58.. The Magstim ® Company Ltd.
  • Page 60 The ‘Wait Time’ can be adjusted if necessary between 11 and 26s. • If accessed from the ‘Single Pulse’ screen, the ‘Power’ value is carried from the ‘Protocol Intensity’ window of the ‘Single Pulse’ screen. Figure 4.16: MDD treatment protocol The Magstim ® Company Ltd.
  • Page 61 Warning: The safety and effectiveness of iTBS has only been established using the following parameters during a controlled clinical trial, where the power is determined by 120% of the patient’s motor threshold. Figure 4.17: MDD, iTBS treatment protocol The Magstim ® Company Ltd.
  • Page 62 6 sessions over the next 3 weeks. Using the standard rTMS protocol each session should take between 19 and 37.5 minutes, dependent on the ‘wait time’. Using the iTBS protocol, each session should take slightly more than 3 minutes. The Magstim ® Company Ltd.
  • Page 63 • Reposition the coil if necessary. Press the ‘Run’ button to charge the system and press ‘Resume’ to begin treatment again. • The protocol will resume at the start of the next ‘train’ of pulses, regardless of when the last train was stopped. The Magstim ® Company Ltd.

  • Page 64: Patient Discomfort

    1. Move the anterior/posterior position forward by 0.5cm (Figure 4.22). 2. Resume treatment to assess improvement. 3. If discomfort still persists, stop the treatment and Figure 4.22: Patient repeat, up to a maximum of 1.5cm from the starting twitching adjustment. position. The Magstim ® Company Ltd.

  • Page 65: System Features

    MOP16-EN-02 Section 5 System features The Magstim ® Company Ltd.

  • Page 66: Options Menu

    System (page 73). Information on the user configuration, system details, system configuration and contact Information for Magstim ® File Maintenance (page 75). The file maintenance window allows the user to store and recall individual treatment protocols.
  • Page 67 Toggle the charge delay ON or OFF. When ON, a stopwatch symbol is displayed in the System Status panel. The default setting is OFF. Duration Set the charge delay duration between 1ms and 10000ms in 1ms increments. The Magstim ® Company Ltd.
  • Page 68 Figure 5.4: Single pulse mode - Time cursors be moved using the control dial, for example to identify the time of an event. Channel 2 Latencies As above, select L1 or L2 to activate a cursor on channel 2 for adjustment. The Magstim ® Company Ltd.
  • Page 69 Select Save Traces to save the current trace if a file is already open. The trace will be saved to the open file. Alternatively, go to File Maintenance and create a file to save the trace. The Magstim ® Company Ltd.
  • Page 70 Access the ‘Session Setup’ screen (“5.5 Session Setup Mode” on page 71). File Access the ‘File Maintenance’ screen (“5.10 File Maintenance” on page 75). Options Menu Return to the options menu (“5.1 Options Menu” on page 60). The Magstim ® Company Ltd.

  • Page 71: Repetitive Setup

    The number of pulses in each ‘train’ can be set between 1 and 6000 in steps of 1. The maximum number of pulses allowed depends on the power and frequency settings as well as the type of coil connected to the stimulator. The Magstim ® Company Ltd.
  • Page 72 The white information window should display ‘Coil OK to run,’ but if necessary will alert the user to actions required or protocols that are unable to be completed see “6.1 Warning Messages” on page 82. Print An optional printer is available. Contact us for more information. The Magstim ® Company Ltd.
  • Page 73 (Figure 5.6 ,a) and ‘Wait time’ (Figure 5.6, b) - ‘Delivery time’ is calculated from the burst frequency and the number of bursts. The ‘Wait time’ is added to this to create the cycle time. The Magstim ® Company Ltd.
  • Page 74 “6.1 Warning Messages” on page 82. Print An optional printer is available. Contact us for more information. Run Session Advance to the burst repetitive run screen to run the protocol (“5.4 Repetitive Run Mode” on page 69). The Magstim ® Company Ltd.

  • Page 75: Repetitive Run Mode

    Stopped: The system is in a safe state and not charged. Ready: The system is charged and ready for stimulation, or is in the process of delivering the protocol. The system should not be left unattended in this state. The Magstim ® Company Ltd.
  • Page 76 Return to the repetitive setup screen (“5.3 Repetitive Setup” on page 65). Single Pulse Return to the single pulse screen (“5.2 Single Pulse Mode” on page 60). Options Menu Return to the options menu (“5.1 Options Menu” on page 60). The Magstim ® Company Ltd.

  • Page 77: Session Setup Mode

    72). Save Session: Access the ‘File Maintenance’ screen to save this session (see “5.10 File Maintenance” on page 75). Options Menu: Selection of this option will return the user to the Options Menu screen The Magstim ® Company Ltd.

  • Page 78: Session Run Mode

    The white information window should display ‘Coil OK to run,’ but if necessary will alert the user to actions required or protocols that are unable to be completed see “6.1 Warning Messages” on page 82. When the system is delivering a protocol, this will become a progress bar. The Magstim ® Company Ltd.

  • Page 79: System Options Menu

    System Configuration: This screen is intended for service personnel Figure 5.14: System Options Menu only. Press ‘Back’ to return to the system options menu. Options Menu: Return to the options menu (“5.1 Options Menu” on page 60). The Magstim ® Company Ltd.

  • Page 80: User Configuration

    . Press ‘Set Time’ to save the settings or ‘Cancel’ to cancel the changes. Back: Options Menu Return to the system options menu Return to the options menu (page 73). (page 60). The Magstim ® Company Ltd.

  • Page 81: System Details

    • Press ‘Save’ (on the keyboard) to set the file name. • Press ‘Save as’ , a prompt will be ask if you wish to overwrite the file, select ‘YES’ to store your protocol on this file. The Magstim ® Company Ltd.
  • Page 82 • On the file maintenance screen (Figure 5.18), select or create a Figure 5.18: Patient details window file (see “5.10.1. File Selection” and “5.10.2. Saving A Protocol” on page 75). The Magstim ® Company Ltd.
  • Page 83 files from the memory card, an external device (i.e. a PC) must be used. 5.10.8. Other Options Print This feature is not currently available. Back Return to the previous screen. Options Menu Return to the options menu (“5.1 Options Menu” on page 60). The Magstim ® Company Ltd.
  • Page 84 Deleting from the memory card The UI cannot format, create directories or delete any data stored on a memory card. In order to remove files from the memory card, an external device (i.e. a PC) must be used. The Magstim ® Company Ltd.

  • Page 85: Trigger Output

    The output is an open collector type and requires the external connected equipment to provide a pull up resistor for correct operation. The trigger is active low, see “8.1 Technical Specifications” on page 92. For more information on the trigger output contact Magstim ® (page ii Note: Only equipment that meets the relevant IEC standard should be connected to The stimulator.
  • Page 86 MOP16-EN-02 The Magstim ® Company Ltd.

  • Page 87: Troubleshooting

    MOP16-EN-02 Section 6 Troubleshooting The Magstim ® Company Ltd.

  • Page 88: Warning Messages

    “A file is currently open” File Maintenance – Press ‘Close’ to close the open Exporting file and retry the export. The Magstim ® Company Ltd.

  • Page 89: Error Codes

    If presented with a C error code (not listed above), Disconnect and re-connect the coil. If the error persists contact your service representative with details of the error code. Contact details can be found on page ii The Magstim ® Company Ltd.

  • Page 90: Touch Screen Calibration

    If the touch screen is not behaving as expected, the screen may need re-calibrating. To do this: 1. Navigate to the “Options Menu” screen. 2. Press the UI ‘Run’ button and Trigger’ button simultaneously and hold for approx. 3.0s. 3. Follow on screen instructions to calibrate the screen. The Magstim ® Company Ltd.

  • Page 91: Care & Maintenance

    MOP16-EN-02 Section 7 Care & Maintenance The Magstim ® Company Ltd.

  • Page 92: User Maintenance And Calibration

    2. Insert the tip of a small screwdriver or a similar tool into the slot of the power entry module (Figure 7.1, b). 3. Gently lever up the retaining lip of the fuse holder and carefully slide the fuse holder out. The Magstim ® Company Ltd.
  • Page 93 Note: If the equipment is likely to be unused for a long period of time it is advised that the batteries be removed to avoid the batteries corroding. Data should be exported to the memory card before removing the batteries for any length of time. The Magstim ® Company Ltd.

  • Page 94: Cleaning And Disinfecting

    Any attempt to remove the securing screws will invalidate the product guarantee. All servicing and repair work must be carried out by Magstim ® or an authorized Service Repair centre designated by the company.

  • Page 95: Handling

    “8.1.6. General Specifications:” on page 93 for the weight of individual units. Note: The weight of a Magstim Rapid² unit is unevenly distributed with the right hand side of the unit being considerably heavier than the left. Care should be taken when transporting the unit to ensure that this heavier side is adequately supported.

  • Page 96: Packing Instructions

    If it is necessary to return any part of the package, care should be taken to ensure that the equipment is adequately packed to prevent transit damage. The stimulator must be completely disconnected before shipping. Failure to do so is likely to result in transit damage. The Magstim ® Company Ltd.

  • Page 97: Technical Information

    MOP16-EN-02 Section 8 Technical Information The Magstim ® Company Ltd.

  • Page 98: Technical Specifications

    Flammable anaesthetic mixtures: Not protected/Not suitable for use Oxygen rich environments: Not protected/Not suitable for use ® The Magstim Rapid Therapy System complies with IEC 60601-1-2:2014, Edition 4.0 (Conducted and radiated emissions comply with CISPR 11 Group 2 Class A limits and immune to the Professional Healthcare Environment).
  • Page 99 460 x 160 x 375 15.7 Rapid User Interface (UI) 360 x 240 x 280 8.1.7. Software versions Refer to the system details screen (see “5.9 System Details” on page 75). Note: All specifications are subject to alteration. The Magstim ® Company Ltd.

  • Page 100: Safety Measures

    An indication of the coil temperature is given on a run screen in the coil status panel. 8.2.2. Other Safety Measures The stimulator will automatically disarm on completion of a set protocol. The stimulator will also automatically disarm if not triggered within 10 minutes of being charged. The Magstim ® Company Ltd.

  • Page 101: Appendices

    MOP16-EN-02 Section 9 Appendices The Magstim ® Company Ltd.

  • Page 102: Appendix A; Attaching The Coil Arm Clamps

    • Repeat this to fix the other Coil Arm Clamp to the opposite side of the cart. Figure 9.1: Fitting the Coil Figure 9.2: Fitting the Coil Figure 9.3: Fitting the Coil Arm Clamp, step 1 Arm Clamp, step 2 Arm Clamp, step 3 The Magstim ® Company Ltd.

  • Page 103: Appendix B; Example Tms Screening Questionnaire

    I confirm that I have read and understood the above information and that each question has been answered to the best of my knowledge. Name Signature Date The Magstim ® Company Ltd.
  • Page 104 MOP16-EN-02 The Magstim ® Company Ltd.

  • Page 105: Appendix C; List Of Figures

    MOP16-EN-02 Appendix C; List Of Figures Figure 1.1: Magstim ® Rapid2 Therapy System overview Figure 1.2: Rapid2 UI front view Figure 1.3: Super Rapid2 Plus Stimulator front view Figure 1.4: Rapid2 UI rear view Figure 1.5: Super Rapid2 Plus Stimulator rear view Figure 1.6: AirFilm...
  • Page 106 Figure 7.1: Mainframe power entry module Figure 7.2: Guidelines on lifting and lowering Figure 9.1: Fitting the Coil Arm Clamp, step 1 Figure 9.2: Fitting the Coil Arm Clamp, step 2 Figure 9.3: Fitting the Coil Arm Clamp, step 3 The Magstim ® Company Ltd.

  • Page 107: Appendix D; Document Information

    MOP16-EN The Rapid Therapy System Operating Manual English (UK) MOP16-US The Rapid Therapy System Operating Manual (US English (US) Variant) Supporting documents Document Description Language MOP24-EN Magstim ® Guide to Motor Threshold Assessment English (UK) The Magstim ® Company Ltd.
  • Page 108 Magstim ®...

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