MAGSTIM The Rapid2 Operating Manual page 27

• Metallic Objects in or near the Head:
The stimulator is contraindicated for use on patients having conductive,
ferromagnetic, or other magnetic-sensitive metals in the head or within
30cm of the treatment coil; this includes stimulator devices implanted in
or near the head e.g. active or inactive implants (including device leads),
including deep brain stimulators, cochlear implants and vagus nerve
stimulators.
• Implants Controlled by Physiological Signals:
The stimulator is contraindicated for use on patients who have an
implanted device that is activated or controlled in any way by physiologic
signals, even if the device is located outside the 30cm distance. This
includes pacemakers, implantable cardioverter defibrillators (ICD's)
and vagus nerve stimulators (VNS). The device is also contraindicated
for patients using wearable cardioverter defibrillators (WCD), even if the
device is removed, due to the potentially unstable cardiac condition of
such patients.
• Implants Not Controlled by Physiological Signals:
Patients may have other implanted devices or metallic objects located
in areas outside the 30cm distance from the coil during TMS Therapy if
such devices are not controlled by physiologic signals. Examples include:
sutures and implanted insulin pumps.
However, great care must be taken by the operator to ensure that the
treatment coil is never placed within 30cm of these implants, otherwise
serious injury could result.
• Wearable or Removable Devices:
If patients have removable devices or objects that may be affected by the
magnetic field, the device(s) should be removed from the patient area
before treatment (e.g. earrings, hearing aids, eyeglasses, cell phones, MP3
players, etc.) to prevent possible injury or damage to the device. 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.
MOP16-EN-02
21