MAGSTIM HORIZON Operating Manual
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MAGSTIM HORIZON Operating Manual

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SUPERCEDED
O
™
Operating manual
MOP30-US-05
September 2018
September 2018

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  • Page 1 SUPERCEDED ™ Operating manual MOP30-US-05 September 2018 September 2018...

  • Page 2: Contact Details

    ® is a trademark of The Magstim Company. ® 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. The information contained within this document is accurate at time of publication.

  • Page 3: Preface

    SUPERCEDED MOP30-US-05 Preface The Magstim ® HORIZON ® is a TMS therapy system, an electromechanical medical device that produces and delivers non-invasive, magnetic stimulation through an electromagnetic treatment coil. This method of cortical stimulation is known as Transcranial Magnetic Stimulation (TMS).

  • Page 4: Devices Covered

    SUPERCEDED MOP30-US-05 Devices covered ® ® This document is applicable to the Magstim HORIZON HORIZON ® Fast Package - P/N: 5195-00 This consists of: HORIZON ® Mainframe - P/N: 4950-00 ® HORIZON PSU (Power Supply Unit) - P/N: 4806-00 HORIZON ®...

  • Page 5: Table Of Contents

    Product Guarantee Product Overview 1.1 Device Description 1.2 What is TMS? 1.3 Indications for Use 1.4 User Requirements and Training 1.5 Product overview 1.6 Horizon stimulator 1.7 HORIZON ® AFC (Air Film Coil) ® 1.8 HORIZON MT Remote Coil 1.9 Accessories Warnings, Symbols &...
  • Page 6 9.4 Table of protocol wait times 9.5 Manufacturers EMC declaration Appendices Appendix A; Therapy Chair Coil Stand Assembly Appendix B; Example TMS screening questionnaire Appendix C; List of Figures Appendix D; Document information ® The Magstim Company Ltd. September 2018...

  • Page 7: Product Guarantee

    Replacement will be at the company’s discretion where a repair is not possible and/or not feasible. The Horizon ® Coils & mainframe are only covered under this guarantee provided the EPV &...
  • Page 8 Support life The serviceable lifetime of the components is 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

    SUPERCEDED MOP30-US-05 Section 1 Product Overview ® The Magstim Company Ltd. September 2018...

  • Page 10: Device Description

    These magnetic fields enter the brain unimpeded. TMS uses those magnetic fields to induce a much smaller electric current in a specific part of the brain. TMS at rapid rates (i.e. ≥5 Hz), like that applied by HORIZON ® , causes neuronal...

  • Page 11: User Requirements And Training

    • Recurrent thoughts of death or suicidal ideation or a suicide attempt. b. Medication Adequacy In clinical trials for a device with similar technological characteristics to HORIZON ® medication adequacy was determined using an Antidepressant Treatment History Form (ATHF), which identified those medications given at or above the minimal effective dose and duration as defined in the product labeling.

  • Page 12: Product Overview

    Cooling module can be The stimulator consists of 3 main found in “1.9 Accessories”. components; HORIZON ® mainframe, the HORIZON ® PSU (Power Supply Unit) and the HORIZON ® (User Interface). ® The Magstim Company Ltd. September 2018...

  • Page 13: Horizon Stimulator

    If lit high voltages b. Coil Output Socket are present within the system. This socket is used to connect the stimulating coil to HORIZON ® . The e. Coil Holder locking levers on either side of the...
  • Page 14 Earth Strap Connector c. Power Link Socket The earth strap is fitted between the The mainframe connection for the mainframe and the PSU. HORIZON ® link lead to connect to the PSU. See must not be used without the “a.
  • Page 15 PSU (Power Supply Module) i. Front view Power Indicator Armed / Fault Indicator Coil Connector Holder Figure 1.4: HORIZON ® PSU front view a. Power Indicator (PSU) c. Coil Connector Holder The power indicator illuminates when The coil connector holder is designed HORIZON ®...
  • Page 16 Warning: High voltages can be present on this connector. d. Earth Strap Connector The earth strap is fitted between the mainframe and the PSU. HORIZON ® b. Power Link Socket must not be used without the earth The PSU connection for the link lead strap fitted.
  • Page 17 SUPERCEDED MOP30-US-05 c. HORIZON ® UI (User Interface) HORIZON ® UI is the interface by which the user controls HORIZON ® stimulator. i. Front view Stand-by Indicator Run Button Trigger Button Touch Screen System Stop Button Control Dial Base Plate Figure 1.6: HORIZON...
  • Page 18 HORIZON ® UI to the mainframe. “a. Stimulator connection” on page 36. c. Battery Compartment The battery compartment is accessed from the base of HORIZON ® UI. The batteries maintain configuration details, such as time and date when ® HORIZON is powered down.

  • Page 19: Horizon Afc (Air Film Coil)

    Coil Connector Coil Head Coil Cable Coil Mounting Hole Coil Handles Figure 1.8: HORIZON ® a. Coil Head c. Coil Handles The coil’s figure of eight winding is The coil handles allow you to adjust located within the coil head.

  • Page 20: Horizon Mt Remote Coil

    Motor Threshold (MT) assessments. The coil has a figure- of-eight winding and comprises of five main parts as seen below. Coil Cable Coil Connector Coil Handle Horizon MT Coil UI Coil Head Figure 1.9: Double 70mm MT remote coil a. Coil Handle d. Coil Connector...
  • Page 21 Coil UI (User Interface) Coil Display Up/Down Buttons Ready/High Temperature Indicators Stop Button Multi-function Buttons Figure 1.10: Coil UI of the HORIZON ® MT remote coil a. Down Button • The stimulator will be triggered repeatedly if the two buttons are Press to reduce the power by one held.

  • Page 22: Accessories

    Figure 2.1: AFC Support Stand The central locking knob should be a. Coil Connector locked when the coil is not being secure connection repositioned. HORIZON ® AFC. Detailed instructions can be found on page 38. e. Back Joint b. Secondary Lever connection between articulated arm and the back plate.
  • Page 23 EU Plug, UK Plug and US Plug. plug adapter, connects to the mains supply socket. Using HORIZON ® Cooling Module For further information refer to HORIZON ® Cooling Module Operating Manual (MOP29) • Check HORIZON ® Cooling Module and HORIZON ®...
  • Page 24 • Do not leave the Cooling Module connected for long periods of time (maximum of 2 hours) as this may affect the lifetime of the coil fan. • Once cooling is sufficient, disconnect from the mains AC supply and disconnect ® HORIZON AFC. ® The Magstim Company Ltd.

  • Page 25: Warnings, Symbols & Contraindications

    SUPERCEDED MOP30-US-05 Section 3 Warnings, Symbols & Contraindications ® The Magstim Company Ltd. September 2018...

  • Page 26: Contraindications

    HORIZON ® is contraindicated for use on some patients, as identified in the sections below. These patients should either not be treated with HORIZON ® special precautions should be taken before treatment. To ensure safe treatment we recommend that all patients are screened for contraindications.
  • Page 27 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 HORIZON ® operator to ensure that the treatment coil is never placed within 30cm of these implants, otherwise serious injury could result.
  • Page 28 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. September 2018...

  • Page 29: Symbols Key

    SUPERCEDED MOP30-US-05 3.2 Symbols key a. Device labels The following symbols can be found on HORIZON ® . For the symbol’s placement please see section “Section 1” on page 3. On/Standby Indicates the On/standby switch. switch Armed / Fault Indicates the mainframe armed indicator LED and the indicator PSU armed/fault indicator LED.
  • Page 30 SUPERCEDED MOP30-US-05 System stop This button will stop the HORIZON ® , which will safely button discharge internally. Output control Used to alter the stimulation power output as well as dial change the selected on-screen Optical service Indicates the optical service port...

  • Page 31: Warnings

    3.3 Warnings Attention Consult Operating Manual: Ensure you are familiar with all sections of this operating manual prior to using HORIZON ® WARNING! Failure to heed the following warnings and precautions may cause serious injury, death or damage to the equipment which may render the equipment to be unusable or dangerously unsafe.
  • Page 32 (temporary mild discomfort at the site of stimulation is normal during and/or shortly after treatment). EMC interference: To avoid problems with EMC interference, HORIZON ® should not be used in the vicinity of any equipment that does not comply with EMC Safety Standard IEC 60601-1-2.

  • Page 33: Precautions

    ® adjacent to or stacked with other ® equipment. If adjacent or stacked use is necessary, you must observe HORIZON to verify that it is operating normally. a. Coil and stand specific warnings Environmental conditions: Following transportation or storage, the user must allow the coil to reach operating ambient temperature.
  • Page 34 Patient Data: Magstim recommends that you do not store Personally Identifiable Data (PID) on either the Horizon User Interface (UI), or in the patient files exported to the SD card. Should you decide to store PID on the UI then it is the responsibility of the user...
  • Page 35 Cooling of the HORIZON ® AFC must only be performed using the integral cooling mechanism. DO NOT OBSTRUCT THE AIR VENTS OF THE HORIZON ®...
  • Page 36 Hearing Protection: The patient must always wear earplugs or similar hearing protection devices with a rating of 30db of noise reduction when being treated with HORIZON ® . Hearing protection is also advised for the clinical operator if he or she is frequently located within 6 feet (2 meters) of the coil for an extended period during operation.
  • Page 37 If worsening of symptoms continues, consideration should be given to changing the therapeutic regimen, including possible discontinuation of treatment with HORIZON ® Note: Physicians should also encourage families or caregivers to observe patients and notify the treatment provider if symptoms worsen.
  • Page 38 • Patients with history of substance abuse, obsessive compulsive disorder or post-traumatic stress disorder. • Patients with a psychotic disorder, including schizoaffective disorder, bipolar disease, or major depression with psychotic features. • Patients with neurological conditions that include a history of seizures, ® The Magstim Company Ltd. September 2018...
  • Page 39 Across 29 published articles of randomized, sham-controlled studies of the HORIZON ® predicate device (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: Output Safety, Repetition Rate Of Stimulus

    Numbers preceded by the symbol > are the longest durations tested. No after discharge or spread of excitation has been encountered with single trains of TMS at these combinations of stimulus frequency and intensity. ® The Magstim Company Ltd. September 2018...

  • Page 41: System Setup

    SUPERCEDED MOP30-US-05 Section 4 System setup ® The Magstim Company Ltd. September 2018...

  • Page 42: Preparation And Placement

    filter, required to maintain the compliance with IEC 60601-1-2 regarding Electro-Magnetic emissions. Ensure the system is NOT connected to mains power before connection. i. Attaching the Horizon ® MT Remote coil & connector holders (Figure 4.1). • Align the coil holder onto the mainframe aligning with the holes on the front right of the mainframe case.
  • Page 43 • Connect the foot switch lead (if Connection used) to the foot switch socket of the mainframe (Figure 4.1, ). • To connect the earth strap provided between HORIZON ® PSU and the mainframe (Figure 4.1, ), loosen the nut on the PSU connection point connect the earth strap and replace the nut to secure in place.
  • Page 44 MT remote coil head in the coil holder on the side of the mainframe. • Align HORIZON ® MT remote coil connector with the coil socket on HORIZON ® mainframe and insert the Figure 4.2: MT Coil coil connector into the coil socket whilst holding Connection the mainframe steady.
  • Page 45 Cooling Module (see page 17). ® • For first time use and following transport or storage, allow the HORIZON cooling fan to run for 8 hours before charging. This will allow any moisture that may have accumulated within the device to be dispersed.
  • Page 46 MT remote coil connector from the coil socket of HORIZON ® mainframe whilst holding the mainframe steady. ® • Safely store the coil connector of HORIZON remote coil in the coil connector holder on the side Figure 4.7: HORIZON ® on HORIZON ®...

  • Page 47: Operating Instructions

    SUPERCEDED MOP30-US-05 Section 5 Operating instructions ® The Magstim Company Ltd. September 2018...

  • Page 48: System Start-Up

    On / Standby Switch Figure 5.1: HORIZON ® Power Switches ® • Switch ON (I) the mains power switch on the rear panel of HORIZON mainframe (Figure 5.1, • Press the power switch (Figure 5.1, b) on the front of HORIZON ®...

  • Page 49: Treatment Preparation

    • Ask the patient to insert earplugs and (if used) fit the TMS patient cap (refer to the placement Instructions supplied with the TMS cap). ® • Connect the HORIZON MT coil (see “b. Horizon® MT remote coil connection” on page 38) for the motor threshold assessment. 5.3 Motor Threshold and Treatment site a. Locating C3...
  • Page 50 (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 5.6: Locating C3 (Step 3) ® The Magstim Company Ltd. September 2018...
  • Page 51 • On the touch screen, select ‘Single Pulse’ (from the options menu). Figure 5.7: MT coil 45° in relation to the mid-line ® • Remove the HORIZON MT coil from the holder on the side of the mainframe. • Press the ‘Run’ button to charge the system.
  • Page 52 SUPERCEDED MOP30-US-05 Pulse Pulse Pulse Down Pulse Figure 5.9: Motor cortex sensitivity flowchart ® The Magstim Company Ltd. September 2018...
  • Page 53 • Refer to the flowchart overleaf (Figure 5.11) using the coil UI buttons adjust the power. • The resulting stimulator output (XX%) is the patients Motor Threshold level. ® The Magstim Company Ltd. September 2018...
  • Page 54 SUPERCEDED MOP30-US-05 Pulse x 10 ≥5/ Pulse Down x 10 ≥5/ = MT Figure 5.11: Motor Threshold level flowchart ® The Magstim Company Ltd. September 2018...
  • Page 55 5.13, ) and treatment site carefully remove the coil connector from the coil socket of the mainframe. • Safely store the coil connector of HORIZON ® remote coil in the coil connector holder on the ® side of the HORIZON PSU.
  • Page 56 Note: The coil must remain is contact with the patient’s head throughout the protocol delivery. The treatment location and coil angle may be adjusted to alleviate patient discomfort. See “5.6 Patient discomfort” on page 53. ® The Magstim Company Ltd. September 2018...

  • Page 57: Treatment

    SUPERCEDED MOP30-US-05 5.5 Treatment ® Caution: Under no circumstances should HORIZON MT Remote Coil be used to run repetitive/treatment protocols due to the risk of overheating. Note: If the coil temperature rises after delivering a repetitive protocol, the stimulator will be temporarily disabled to ensure the coil temperature is adequate to run another repetitive protocol.
  • Page 58 • Should the treatment session need to be stopped or paused, press the ‘stop’ button on the Horizon ® • If necessary, the treatment location, coil angle or power level may be adjusted to alleviate patient discomfort.

  • Page 59: Patient Discomfort

    Facial Discomfort 1. Stop treatment by pressing the red stop button on Figure 5.1: Facial the HORIZON ™ discomfort step 2. 2. Rotate the coil clockwise in 5° increments, to a maximum of 20°...
  • Page 60 SUPERCEDED MOP30-US-05 ® The Magstim Company Ltd. September 2018...

  • Page 61: System Features

    SUPERCEDED MOP30-US-05 Section 6 System features ® The Magstim Company Ltd. September 2018...

  • Page 62: Options Menu

    Figure 6.1: Options menu screen Information user configuration, system details, system configuration and contact Information for Magstim ® File Maintenance (page 67). The file maintenance window allows the user to store and recall individual treatment protocols. 6.2 Single Pulse Mode a.
  • Page 63 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 74. ® The Magstim Company Ltd. September 2018...

  • Page 64: Repetitive Setup

    Figure 6.3). Power (%) If accessed from single pulse Figure 6.3: Repetitive setup screen - mode, the power will be carried Standard over from the ‘Protocol Intensity’ window of the ‘Single Pulse’ screen. ® The Magstim Company Ltd. September 2018...
  • Page 65 1 and 999, in steps of 1. Total Number of Pulses The total number of pulses calculated to be delivered by the set protocol. None of the settings above can cause the ‘Total Number of Pulses’ to exceed 60000. ® The Magstim Company Ltd. September 2018...
  • Page 66 Run Mode” on page 63). Save Session Access the ‘File Maintenance’ screen to save the current protocol (see “6.9 File Maintenance” on page 67). Options Menu Return to the options menu (“6.1 Options Menu” on page 56). ® The Magstim Company Ltd. September 2018...
  • Page 67 Select ‘NO’ to reset the protocol parameters manually. Number of Cycles Set the number of cycles in a session between 1 and 999 cycles, in 1 cycle increments. ® The Magstim Company Ltd. September 2018...
  • Page 68 Run Mode” on page 63). Save Session Access the ‘File Maintenance’ screen to save the current protocol (see “6.9 File Maintenance” on page 67). Options Menu Return to the options menu (“6.1 Options Menu” on page 56). ® The Magstim Company Ltd. September 2018...

  • Page 69: Repetitive Run Mode

    The system is waiting to commence the next train / cycle. A window will appear showing the wait time remaining. Warning: This is displayed when coil is over temperature and should be removed from the patient and allowed to cool. ® The Magstim Company Ltd. September 2018...
  • Page 70 See for more information. Single Pulse Return to the single pulse screen (“5.2 Single Pulse Mode” on page 56). Options Menu Return to the options menu (“6.1 Options Menu” on page 56). ® The Magstim Company Ltd. September 2018...

  • Page 71: System Options Menu

    Coil Switch Option Choose whether you want to use the MT coil multifunction interlock buttons (see “1.8 Horizon® MT Remote Coil” on page 14) to trigger the system. When set to OFF the MT coil multifunction buttons will behave normally.

  • Page 72: System Details

    Options Menu Return to the options menu (“6.1 Options Menu” on page 56). 6.7 System Details This screen shows the part numbers, software revision and serial number information for the HORIZON ® Mainframe (Base), PSU and the coil currently connected. Back Return to the system options menu.

  • Page 73: System Maintenance

    • > Shows the selected file. b. Saving A Protocol • From the ‘Options Menu’ select ‘Repetitive Mode’ • Set the required protocol by Figure 6.13: File maintenance window selecting each window and using the control dial. ® The Magstim Company Ltd. September 2018...
  • Page 74 When a file is ‘Viewed’ changes are not saved automatically but can be saved by pressing ‘‘Save Session’ and then ‘Save as’ , a prompt will ask if you wish to overwrite the file, select ‘YES’ to save the changes. ® The Magstim Company Ltd. September 2018...
  • Page 75 If necessary patient details can be associated with a protocol. As files are not encrypted, we recommend you do not store Personally Identifiable Data (PID) on HORIZON or in exported files. Should you store PID it is your responsibility to ensure compliance with the relevant regulations on data protection.
  • Page 76 Options Menu Return to the options menu (“6.1 Options Menu” on page 56). i. Using A Memory Card HORIZON ® is supplied with a memory card to allow exporting of files. Only a compatible memory card should be used (see “8.1 Technical Specifications” on page 84.

  • Page 77: 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 84. For more information on the trigger output contact Magstim ® (page ii).
  • Page 78 SUPERCEDED MOP30-US-05 ® The Magstim Company Ltd. September 2018...

  • Page 79: Troubleshooting

    SUPERCEDED MOP30-US-05 Section 7 Troubleshooting ® The Magstim Company Ltd. September 2018...

  • Page 80: 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. September 2018...

  • Page 81: 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. September 2018...

  • Page 82: Touch Screen Calibration

    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. September 2018...

  • Page 83: Care & Maintenance

    SUPERCEDED MOP30-US-05 Section 8 Care & Maintenance ® The Magstim Company Ltd. September 2018...

  • Page 84: User Maintenance And Calibration

    See also “8.3 Voltage, Fuses & Batteries” below. ® If there are any signs of damage to HORIZON or any accessories, including the cables or connecting pins, cease to use and contact the service department (page ii).
  • Page 85 The batteries in the UI need to be replaced every 2 years. To do so: Figure 8.1: Power Entry Module 1. Unplug the UI link lead and turn the HORIZON ® UI upside down. 2. Remove the 4 cross-head screws visible, and detach the plastic bottom of the HORIZON ®...

  • Page 86: Cleaning And Disinfecting

    fluids. They may be cleaned using a cloth moistened with 70% isopropyl alcohol in water, however ensure that HORIZON ® and accessories have dried thoroughly before use.

  • Page 87: Environmental Conditions

    If it is necessary to lift the units, the weight should be distributed evenly. Please see ”General Specifications:” on page 86 for the weight of individual units. Figure 8.2: Guidelines on lifting and lowering ® The Magstim Company Ltd. September 2018...

  • Page 88: Packing Instructions

    MOP30-US-05 8.9 Packing Instructions ® If, for any reason, it is necessary to return your HORIZON care should be taken to ensure that the equipment is adequately packed to prevent transit damage. Ideally the equipment should be returned in its original packing. If this or an...

  • Page 89: Technical Information

    SUPERCEDED MOP30-US-05 Section 9 Technical Information ® The Magstim Company Ltd. September 2018...

  • Page 90: General Specifications

    SUPERCEDED MOP30-US-05 9.1 General Specifications During use, the type of protection against electric shock provided by HORIZON ® is classified as Class 1. The degree of protection against electric shock for applied part accessories is classified as Type BF Applied Parts. This means that the parts of the stimulating...

  • Page 91: Technical Specifications

    115V Equipment should only be used with the filtered line cord provided Input Fusing: Mainframe 2 x T1.25AL, 250V PSU: Internal fuses - these can only be replaced by suitably qualified service personnel ® The Magstim Company Ltd. September 2018...

  • Page 92: Safety Measures

    The E-z Cool Coil has a lifetime of five years or 8 Million “Equivalent Pulse Value” (EPV) pulses, whichever comes first. HORIZON ® MT coil EPV limit ii. The The HORIZON ® MT remote coil has a lifetime of five years or 210, 000 “Equivalent Pulse Value” (EPV) pulses, whichever comes first. ® The Magstim Company Ltd.

  • Page 93: Table Of Protocol Wait Times

    95-100% 35*** * Magstim recommends starting at an ambient temperature 2° lower than the maximum stated ambient to account for natural temperature fluctuations during a treatment protocol. ** After running three or more protocols at power levels between 90% and 94% the wait time should be extended by 10 minutes for subsequent protocols.

  • Page 94: Manufacturers Emc Declaration

    SUPERCEDED MOP30-US-05 9.5 Manufacturers EMC declaration Guidance and Manufacturer’s Declaration – Electromagnetic Emissions HORIZON ® is intended for use in the electromagnetic environment specified below. The customer or the user of the equipment should assure that it is used in such an environment.
  • Page 95 HORIZON ® is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of HORIZON ® can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and HORIZON ®...
  • Page 96 SUPERCEDED MOP30-US-05 Guidance and Manufacturer’s Declaration – Electromagnetic Immunity HORIZON ® is intended for use in the electromagnetic environment specified below. The customer or the user of the equipment should assure that it is used in such an environment. IEC 60601 Test...
  • Page 97 (>95 % dip interruptions typical commercial or in UT) for 0,5 and voltage hospital environment. If cycle variations on the user of HORIZON ® power supply requires continued 40 % UT input lines. operation during power interruptions; it (60 % dip in...
  • Page 98 ® should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating HORIZON ® b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than [3] V/m.

  • Page 99: Appendices

    SUPERCEDED MOP30-US-05 Section 10 Appendices ® The Magstim Company Ltd. September 2018...
  • Page 100 SUPERCEDED MOP30-US-05 ® The Magstim Company Ltd. September 2018...

  • Page 101: Appendix A; Therapy Chair Coil Stand Assembly

    • Align the clamping plate (c) with the stand plate (e) on the opposite side of the headrest support. • Insert the 4 bolts, with washers (d) through the both plates. • Use the supplied Allen key to firmly tighten the four bolts and secure the stand. ® The Magstim Company Ltd. September 2018...

  • Page 102: 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. September 2018...

  • Page 103: Appendix C; List Of Figures

    Figure 1.7: HORIZON ® UI rear view Figure 1.8: HORIZON ® Figure 1.9: Double 70mm MT remote coil Figure 1.10: Coil UI of the HORIZON ® MT remote coil Figure 2.1: AFC Support Stand ® Figure 2.2: HORIZON Cooling Module Figure 4.1: HORIZON...
  • Page 104 Figure 5.9: Motor cortex sensitivity flowchart Figure 5.10 Finding the hot spot Figure 5.11: Motor Threshold level flowchart Figure 5.12: Finding the treatment site Figure 5.13: Connecting HORIZON ® Figure 5.14: Adjusting the coil position Figure 5.15: 45° in relation to the midline Figure 5.16: MDD treatment protocol...

  • Page 105: Appendix D; Document Information

    SUPERCEDED MOP30-US-05 Appendix D; Document information Current editions Document Description Language MOP30-US HORIZON ® Operating Manual English (US) MOP34-EN HORIZON ® Operating Manual English (UK) MOP34-ES Manual de funcionamiento Español HORIZON ® MOP34-FR Manuel d’utilisation Français ® HORIZON Supporting documents...
  • Page 106 SUPERCEDED www.magstim.com Magstim ® September 2018...

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