MAGSTIM 2002 User manual

MAGSTIM®
MODEL2002
(PIN
3001-01)
With
Double 70mm
Remote Coil
(PIN
3190-00)
OPERATING
MANUAL
BTL EX2027
Allergan v. BTL
PGR2021-00025

Magstim Model 2002
TABLE OF CONTENTS
Section
1:
Section 2:
Section 3:
Section 4:
Section 5:
Section 6:
Section 7:
Section 8:
Section 9:
Section 10:
Guarantee
Description
1.1
Introduction
1.2 Contraindications
1.3 Indications for Use
Warnings and Precautions
Front Panel Description
Rear Panel Description
Preparations for Use
Using the Magstim Model 2002
6.1
Description
of
the Coil
6.2 Discharging the Magstim
6.3 Recording
of
Evoked Responses
Status Codes error Codes
Safety Features
8.1
Coil Temperature Protection
8.2 Coil Disconnection
8.3 Other Safety Measures
Maintenance and Servicing:
9.1 Voltage Selection and Fuse Rating
9.2 User Maintenance
9
.3
Technical Maintenance
9.4 Cleaning and Disinfecting
9.5 Servicing
9.6 Device Lifetime
9.7 Disposal
Specifications:
General Specifications
10.l Power
l0.2 Ambient Temperature Requirements
10.3 Capacitor Life Expectancy
10.4 Output
10.5 Rear Panel
10.6 General
10.
7 Handling
Page
Numbers
1
2
2
2
2
3
6
11
13
15
15
18
19
21
23
23
23
23
24
24
25
26
27
27
27
27
28
28
28
29
29
29
30
30
30

Magstim Model 2002
GUARANTEE
Equipment manufactured by the Magstim Company Limited
is
fully guaranteed covering
materials and workmanship for a period
of
one year from the date
of
shipment. The capacitor is
guaranteed for one year, or 200,000 discharges, which ever comes first. The Magstim Company
Limited reserves the right to perfonn guarantee services in its factory, at an authorised repair
station, or at the customer's installation.
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 nom1al service.
Claims for damages during shipment must be filed promptly with the transportation company.
All correspondence concerning the equipment must specify both model name and/ or number
and serial number,
as
it appears on the invoice for said equipment.
Improper use, mishandling, tampering with, or operation
of
the equipment without following
specific operating instructions will void this guarantee and release the Magstim Company from
any further guarantee obligations.
The Magstim Company will only accept responsibility for
the
effects on safety, reliability and
performance
of
the equipment
if:
modifications or repairs are carried out by persons authorised by The Magstim Company.
ii the electrical installation
of
the relevant room complies with local regulations, and
iii the equipment is used in accordance with the instructions for use.
The Magstim Company Limited 3001-23-USA 1 August 24, 2006

Magstim Model 2002
SECTION
1:
DESCRIPTION
1.1 INTRODUCTION
This manual is written for users
of
the Magstim Model 2002, an instmment used
in the magnetic stimulation
of
neuromuscular tissue.
The Magstim Model 2002 is a device capable of stimulating neuromuscular tissue
by
inducing small currents in the tissue using a brief pulse
of
electromagnetic
energy.
This method
of
stimulation enables deep, and otherwise inaccessible,
nerves to
be
stimulated ea'iily and relatively painlessly. In addition, no skin
preparation
is
required and stimulation can be achieved through clothing.
INDICATIONS
:FOR
USE
CAUTION
The Magstim Model 2002 is a magnetic nerve stimulator intended for the
stimulation
of
peripheral nerves for diagnostic purposes.
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.
CONTRAINDICATIONS
Magstim Model 2002 and its accessories should not
be
used on or in the
vicinity
of
patients or users with cardiac demand pacemakers, implanted
defibrillators and/or implanted neurostimulators.
The Magstim Company Limited 3001-23-USA 2 August 24, 2006

Magstim Model 2002
SECTION
2:
WARNINGS AND PRECAUTIONS
n
~g_~
~--~
,;1(;·
t•
411
•
CAUTION: Magnetic Stimulators have not been cleared by the FDA for
cortical stimulation. Investigational human uses require that the user complies
with the FDA regulations regarding Investigational Devices. Please visit
www.fda.gov/cdrh or www.magstim-us.com for more infomrntion.
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.
Attention: Consult accompanying documentation before using the Magstim
2002.
CAUTION: The Magstim Model 2002 and its stimulating coil must not be
used on, or in the vicinity of, patients or subjects with cardiac demand
pacemakers, implanted defibrillators, or other electronic implants.
The Magstim Model 2002, its coils and accessories generate high intensity
magnetic pulses. The induced eddy current is
of
sufficient magnitude to
stimulate nerves and muscle.
The strong magnetic pulses generated by stimulating coil induce eddy currents
in any conductive medium such as the human body, nearby metallic objects or
electronic devices.
NB Particular care must be taken to ensure that leads connected directly to the
patient, or other equipment, are not in a position where the stimulating coil can
couple resulting in currents being induced in them.
Do not discharge the Magstim with the stimulating coil in the vicinity
of
metallic objects or these may be projected, moved and/or damaged.
The Magstim Model 2002 must not be used in an explosive atmosphere or in
the presence
of
flammable anaesthetics.
When the magnetic pulse is delivered, a discharge click is produced by the
Magstim 2002 and its stimulating coil. This discharge click may startle.
Where possible avoid the use
of
the stimulating coil near the ears. The use
of
ear plugs is recommended.
High voltages are present within this instmment. Do not remove covers. Refer
servicing to qualified personnel.
The Magstim Company Limited 3001-23-USA 3 August 24, 2006

Magstim Model 2002
The Magstim Model 20{i, its stimulating coil and accessories must not be used
if
there are any signs
of
external damage or ifany parts are damp or wet.
Cortical magnetic stimulation runs the risk
of
inducing seizures. This device is
cleared only for peripheral nerve stimulation for diagnostic purposes.
Do not discharge the Stimulating Coil in the vicinity
of
objects sensitive to
magnetic fields. Examples are credit cards, floppy disks and computer screens.
Trigger input -only equipment that meets EN 60601-1 ( IEC 601-1 ), and
configured in compliance with EN 60601-1-1, should be connected to this
input. See Section 4 for more infonnation.
Trigger output -only equipment that meets EN 60601-1 ( IEC 601-1 ), and
configured in compliance with EN 60601-1-1, should be connected to this
output. See section 4 for more information.
Protection circuits in the Magstim Magnetic Stimulator disable the equipment
ifthe surface temperature
of
the stimulating coil exceeds to set limit. The
stimulating coil is intended for transient use, the surface temperature limits for
which, being
41
°C.
If
it is intended that the coil be used for more prolonged
contact, the proposed protocol must
be
nm, prior to its application on a patient,
to ensure that the surface temperature does not rise above
41
°C
during
operation.
The stimulating coil must not be immersed in water, put in an ice bucket, or
refrigerated. Not even
if
placed within a plastic bag. The stimulating coil does
not have any specialised protection against the ingress
of
liquids, therefore
conditions where ingress
of
liquid, or the forming ofcondensation within the
stimulating coil, can occur must be avoided
as
the electrical insulation will be
compromised. Cooling must only be perfonned by using a flow
of
cool air
from a fan or air conditioning unit.
Due to thermal lag, the surface temperature
of
the Stimulating Coil will
continue to rise following the stimulating coil over-temp activating and forcing
the main unit into a standby condition. Therefore, the stimulating coil must be
removed from the patient as soon as the replace coil symbol is illuminated.
There are currently few medical papers available regarding the effects
of
magnetic stimulation on the unborn child/ foetus or the expectant mother. As a
result
of
this, we are unable
to
verify the safety
of
the stimulating coil's use on,
or by, pregnant women. We recommend that anyone wishing
to
use the
stimulating 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.
The Magstim Company Limited 3001-23-USA 4 August 24, 2006

Magstim Model 2002
On no account must the Magstim 2002 and its accessories be used
in environmental conditions outside those specified in this
operating manual.
No coils other than the Double 70mm Remote Coil (Part Number 3190-
00) should be used with the Magstim Model 200c unit.
The only exceptions are other stimulating coils that have subsequently
been approved by the FDA for use with this Magstim Model 2002.
Please contact the Magstim Company for a list
of
other stimulating
coils approved for use with the device,
if
any.
The Magstim Company Limited 3001-23-USA 5 August 24, 2006

Magstim Model 2002
SECTION
3:
FRONT PANEL DESCRIPTION
NOTE
•
n1agst1rn
1. All operating functions described in this section assume that the
mains power switch, located on the rear panel, is in the ON position.
2. For the Magstim Model 2002 -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.
ON/OFF (Standby) Button (1)
This switch toggles the operational state
of
the Magstim 2002• On initial
application
of
mains power, the Magstim Model
2()()2
enters its Standby
state. This is indicated by the Power State indicator
(3)
flashing. Pushing
the ON/0-FF switch when the unit is in its Standbv state will set the
Magstim Model
20()2
into its operational state. This is indicated by the
Power State indicator (3) being continuously illuminated. All LEDs and
symbols will illuminate within a period of 5 seconds. At the end
of
5
seconds the OUTPUT % DISPLAY will default
to
30%, and the inactive
default condition indicator
(l
0) will illuminate. At the end
of
the session
the Magstim Model 2002 can be returned to its Standby condition by
pushing the ON/OFF switch.
The Magstim Company Limited 3001-23-USA 6 August 24, 2006

Magstim Model 2002
ARMED Indicator (2)
® This LED
is
illuminated when the unit is in an armed condition. This
indicates that there is high voltage present inside the unit. On power-up
the armed indicator on the main unit flashes three times as part
of
a self-
test programme.
Unit Power Status Indicator (3)
Condition 1. -While the Magstim Model 2002 is
in
the Standby state, as
controlled by the Mains Power switch (1), this LED fiashes
at
approximately 0.5Hz, indicating that the unit is in a standby condition.
Condition 2. -While the Magstim Model 2002 is
in
the Operational state,
as
controlled by
ON/
OFF (Standby) button (2), this LED is continuously
lit, indicating that the unit is
in
the Operational state.
OUTPUT%
DISPLAY Indicator (4)
This display is used to show the following:
1.
The set power output
as
a percentage
of
maximum. After turning the
unit on using the ON/OF:F button (
l)
the OUTPUT % DISPLAY will
display 30%. The OUTPUT CONTROL knob (16) can then be used to
change the output level in 1
% steps. Note: The OUTPUT % DISPLAY
only shows the level the Magstim Model 2002 is actually charged to if the
READY symbol (12) is illuminated.
2. The system status codes. These are detailed in Section 6 - System
Status Codes.
COIL IN Indicator (5)
This green LED will illuminate if there
is
a coil detected
as
being
~
~
connected correctly to the Magstim Model
20<Y.
COIL TElVIPERATURE Indicators (6, 7 & 8)
These
LED's
represent the surface temperature
of
the stimulating coil.
The
LED's
illuminate sequentially as the temperature rises, beginning
with the bottom green LED and ending with the amber LED. When the
amber LED is lit, it means that the stimulating coil is getting close to its
maximum operating temperature. As soon as it reaches its maximum
operating temperature, the replace coil indicator will illuminate and the
M2002 will put itself into a safe mode and discharge internally.
The Magstim Company Limited 3001-23-USA 7 August 24, 2006

Magstim Model 2002
REPLACE COIL Indicator (9)
This red LED will illuminate
if
any
of
the following conditions are
present:
1.
The Stimulating coil connected is not compatible with the Magstim
Model 2002•
2.
The surface temperature
of
the connected Stimulating coil has risen
above its set limit.
3. The connected stimulating coil is faulty.
4.
There is no stimulating coil connected.
If
this LED is illuminated the Magstim Model 2002 will
be
put into its
safe inactive default condition.
DEFAULT CONDITION Indicator (10)
0 This LED is illuminated when the Magstim Model 2002 has been put
into its safe inactive default condition.
AR~IED Indicator (11)
This LED is illuminated when the unit
is
in an armed condition. This
indicates that there is high voltage present inside the unit.
READY Indicator (12)
This LED is illuminated when the Magstim Model 2002 is charged and
ready to be triggered. A magnetic pulse can be produced
by
depressing
one
of
the Trigger Enable switches at the base
of
the stimulating coil and
depressing the TRIGGER button (15), or by depressing the footswitch,
or by applying a Trigger Input
to
the TRIGGER INPUT connector on
the rear panel.
Note:
If
the instmment has not been triggered for over 1 minute after the
READY symbol
is
illuminated the unit will automatically select the
default mode and discharge internally.
(13) -Applicable to Magstim Rapid Only -
Q)
This indicator relates
to
a timing function associated with rapid rate
stimulation. Therefore, this function is only operational when the UI
Controller is used on a Magstim Rapid System.
The Magstim Company Limited 3001-23-USA 8 August 24, 2006

Magstim Model 2002
RUN Button (14)
0
The
Magstim Model 2002 can be
put
into the ARMED mode
by
momentarily pushing the RUN button. This can only
be
achieved
if
the
stimulating coil is connected to the COIL OUTPUT socket (18) and the
REPLACE COIL symbol (9) is not illuminated. In the ARMED mode
the
ARMED
symbol (11) will illuminate and the instrument will charge
to the level displayed
on
the OUTPUT % DISPLAY (4).
TRIGGER Button (15)
@
'
'
The
Magstim Model 2002 can be triggered, and a magnetic pulse
produced, by pushing the TRIGGER button when the READY symbol
(12) is illuminated and one
of
the safety buttons at the base
of
the
stimulating coil is activated. The instrument will continuously charge and
discharge
if
the TRIGGER button is pressed and held.
OUTPUT CONTROL Knob (16)
The
output level setting as shown
on
the OUTPUT % DISPLAY (4) can
be increased,
or
decreased, by rotating the knob clockwise
or
anti-
clockwise respectively. Each complete 360° rotation changes the output
level by approximately
20%.
SYSTE.1\/l
STOP Button {17)
0 The Magstim Model 2002 can be
put
into the safe inactive default mode
by
momentarily pushing the
STOP
button. In this mode the DEFAULT
CONDITION indicator (10) will illuminate and the instrument will
discharge internally.
Note:
The
default mode is automatically selected
if
the stimulating coil is
disconnected, becomes faulty, the surface temperature
of
the connected
stimulating coil has risen above its set limit, the SYSTEM
STOP
button
is activated, the instrument detects an internal fault,
or
if
the READY
symbol has
been
illuminated for over 1 minute without the instrument
having been triggered.
COIL OUTPUT SOCKET (18)
This socket is used to connect the stimulating coil to the Magstim Model
20()2_
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 stimulating coil plug is correctly lined up with the stimulating coil
output socket before inserting the plug.
When
the stimulating coil plug is
fully engaged in the socket, lock the plug in place by turning the black
locking ring clockwise.
The Magstim Company Limited 3001-23-USA 9 August 24, 2006

Magstim Model 2002
HIGH VOLTAGE Symbol
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 Model
20(}2_
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-l.
The Magstim Company Limited 3001-23-USA 10 August 24, 2006

Magstim Model 2002
SECTION
4:
REAR PANEL DESCRIPTION
(1)
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l\!IAINS
POWER Switch (1)
To connect the mains supply to the Magstim Model 2002 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.
ISOLATED TRIGGER INPUT/OUTPUT PORT (2)
WARNING
Pin Connections
1.
2.
3.
4.
5.
6.
7.
8.
9.
lO.
11.
12.
13.
Only equipment complying with EN 60601-1, and configured in compliance with EN
60601-1-1, should be connected to the trigger output and/or trigger input. In the USA
equipment complying with EN60601-1, lJL2601 or UL544 for medical devices may
also be connected.
Input and output is 5V CMOS Logic Levels: logic
"l"
(High)
is
3.3-5.0V and logic
"O'
(Low) is 0-1.6V. TTL logic"()'' levels (O-0.8V) are compatible with CMOS but logic
"1" levels (2.7V) are not and require a pull-up resistor
of
4.7-l0KQ
to be placed
between the input/output pin and the +5V auxiliary supply.
AuxGND
14. N/C
N/C 15. N/C
Tout-O/C
16. N/C
N/C 17. N/C
+ve Trigger In 18. N/C
-ve Trigger
In
19.
Aux
GND
+ve Trigger Out 20. End Train
-ve Trigger
Out
21. N/C
N/C 22. N/C
Aux+5v
23. N/C
AuxGND
24. Tri,:wer
Ed<>e
b~
~
N/C 25. N/C
N/C 26. N/C
The Magstim Company Limited 3001-23-USA
11
August 24, 2006

Magstim Model 2002
TRIGGER INPUT
The trigger input
is
used to synchronise the Magstim Model 2002 to an
external trigger input. Application
of
a
5V
CMOS Logic Level to this
input will result
in
the instrument being triggered, provided the READY
symbol (12) is illuminated and one
of
the safety buttons at the base
of
the
stimulating coil is activated. This signal must be active for at least lO0µs
for reliable triggering.
TRIGGER OUTPUT
In most instances the Magstim Model 2002 will be used in conjunction
with a recording instrument supplied by various manufacturers. 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.
Almost all recording instruments have some means
of
accepting an
external trigger signal via either a dedicated input port or via the foot
switch trigger input.
The trigger output supplies a synchronisation signal to the external
recording instrument. A 100µs 5V CMOS Logic Level pulse
of
either
polarity is provided at this output whenever the Magstim is discharged.
FOOT SWITCH Pneumatic Socket (4)
This socket is used to connect the supplied pneumatic ~'OOT SWITCH
to the Magstim Model 2002• The FOOT SWITCH
can
be used to trigger
the instrument when one
of
the safety switches at the base
of
the
stimulating coil is activated and the READY symbol
on
the front panel is
illuminated.
COOLING FAN OUTLET (5)
With the Magstim Model
200~
turned on, air is drawn through slots at the
bottom
of
the instrument and expelled through the
:FAN
OUTLET. Since
it
is
important to allow unrestricted air flow, the instrument must be
placed
on
a hard surface.
In
addition, there should be no obstructions
placed closer than
50mm
to the FAN OUTLET.
POWER ENTRY MODULE (6)
FUSE ACCESS & VOLTAGE SELECTOR (7)
2 x T lOA -
110-
120V -
2xT5A
-
220-240V-
The Magstim Company Limited 3001-23-USA 12 August 24, 2006

Magstim Model 2002
SECTION
5:
PREPARATIONS FOR USE
IMPORTANT
To avoid interference problems the Magstim Model 2002, and its
accessories, should not
be
used in the vicinity
of
any equipment that does
not comply with
EMC
Standard
EN
60601-1-2.
Before using the instrument, ensure that the correct fuses are fitted and that
the voltage selector
is
set to suit the supply voltage (see Section 9). Check
the Magstim Model 2002 and its accessories for any signs
of
damage. 1fthe
Magstim Model 2002,
or
any
of
its accessories, are damaged in any way
they must not be used.
If a number
of
Magstim 2002 units are being used, or the Magstim 2002
is
part
of
a BiStim system, it may be desirable for the units to be stacked on
top
of
each other. The Magstim
2()()2
enclosure has been designed such that
the units may be safely stacked on top
of
each other. The maximum
number
of
units that can be safelv stacked
on
top
of
the base Magstim
2002
is
3. Attempts to exceed this limit could result
in
crush damage to the
base Magstim 2002• In addition, the stacked units could become unstable
and overbalance, causing injury to the patient,
or
user, and damage to the
Magstim units.
1.
Inse1t the pneumatic connector
of
the foot switch to the rear panel
FOOTSWITCH socket
on
the Magstim Model 2002.
2.
If
a recording device is being used, synchronise the Magstim with the
recording instrument
by
following the instructions
in
Section 4 -
ISOLATED TRIGGER
1/0
Port.
3. Ensure that the locating spot on the stimulating coil plug is correctly
lined up with the COIL OUTPUT SOCKET, located
on
the front panel
of
the Magstim Model 2002• Insert the connector
of
the stimulating coil into
the output socket. When the stimulating coil plug is fully engaged in the
socket, lock the plug
in
place
by
turning the black locking ring clockwise
until it clicks into place.
4. Set the MAINS
POWER
switch on the rear
of
the unit to the ON (I)
position. The Unit Power Status Indicator
LED
will flash at approximately
0.5Hz, indicating that the unit is in a standby condition.
5. Push the ON/OFF button
on
the front panel
of
the unit. The Unit Power
Status Indicator LED will be continuously lit, indicating that the unit is
operational and is in its safe inactive default condition.
The Magstim Company Limited 3001-23-USA 13 August 24, 2006

Magstim Model 2002
5.
All LEDs and symbols will illuminate within a period
of
5 seconds. At
the end
of
the 5 second period, the OUTPUT % DISPLAY will
indicate
an
output power level
of
30%, and the DEI;'AULT
CONDITION indicator will remain illuminated.
7.
Ensure that all indicator LEDs are functioning properly before
proceeding: if not, contact The Magstim Company Service Department.
8.
Press the RUN button. The
ARMED
indicator will illuminate and when
the instrument is charged to 30% the READY indicator will also illuminate.
This indicates that the instrnment is ready for use.
Note:
If
the instrument has not been triggered for over 1minute after the
READY symbol is illuminated the unit will automatically select the default
mode and discharge internally.
9.
Hold the stimulating coil and press one
of
the Trigger Enable switches
located on either side
of
the stimulating coil handle. 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.
Note: A magnetic pulse will only be produced
if
one or both of the safety
switches at the base
of
the stimulating coil are pressed.
On
no
account must the trigger enable buttons on the stimulating coil
be permanentlv activated, by taping down,
or
any other method
of
fixing. Thev are designed as a safety interlock, to disable them could
result in a serious injury as a result
of
an inadvertent discharge
of
the
coil.
Ensure the instrument is functioning properly before proceeding.
Note: The Magstim Model 2002 can also be triggered by applying a signal
to the TRIGGER INPUT Port, located on the rear panel of the unit.
Completion
of
Session:
During prolonged use, the temperature
of
some
of
the internal components
of
the Magstim 2002 will tend to rise. During operation this
is
regulated by
the operation
of
the cooling fan. However, when the unit is switched off,
the cooling operation is terminated. Therefore, it is recommended
that
if
the Magstim 2002 has been subject to prolonged use, the unit is left
switched on for approximately ten minutes after the last session has been
completed, to allow the fan to cool the unit.
The Magstim Company Limited 3001-23-USA 14 August 24, 2006

Magstim Model 2002
SECTION
6:
USING THE MAGSTIM MODEL 2002
6.1 DESCRIPTION OF THE COIL -Double 70mm Coil -3190-00
Magnetic nerve stimulation can be achieved
by
discharging the Magstim
Model 2002 with the Stimulating Coil in the vicinity
of
neuromuscular
tissue. In the case
of
the MAGSTIM 2002 the discharge current in the
stimulating coil and the resulting magnetic pulse is mono-phasic. Area
of
highest induced current is directly under the coil center.
The
MAGSTIM
2002 is supplied with the Double 70mm Coil (Part
Number 3190-00), shown below. It is designed for the purposes
of
deep
nerve stimulation and features a set
of
controls that duplicate those found
on
the front panel
of
the Magstim Model 2002.
The
function
of
these
controls are show on the following pages.
The Magstim Company Limited 3001-23-USA 15 August 24, 2006

2
.
~1Itldel
200
_Magsbm,,
User (Top) View
OJ
Coil Buttons
View
off
he
Underneath
. Company
The Magstim -::\001-23-USA
L·mited
16
4
'?(}06
August - ,

Magstim Model 2002
ARM/TRIGGER button (1)
0 There is an
ARM
/TRIGGER button located on each
side
of
the stimulating coil. One
of
the two buttons must
be depressed, and held in that position, in order to
arm
the Magstim Model 2002 Stimulator.
When
the
Magstim has charged to the set power leveL
it
can be
triggered
by
depressing the second ARM/TRIGGER
button. The :rvlagstim will continuously charge and
discharge if the second ARM/TRIGGER button is
depressed and held.
STOP Button (2)
0
The
Magstim Model 2002 can be
put
into the safe
inactive default mode by momentarily pushing the
STOP
button. The Magstim will then discharge internally.
Note:
The
default mode is automatically selected
if
the
coil is disconnected, becomes faulty,
or
the coil surface
temperature rises
to
greater than 41°C, in the case
of
the
double
70mm
Coil,
or
50°C in the case
of
the
90mm
Coil, the Stimulator detects an internal
fault
or
if
the
READY symbol has been illuminated for over 1 minute
without the Stimulator having been triggered.
COIL OVER-TEMPERATURE Symbol (3)
This symbol is illuminated when the surface temperature
has risen to 41°C, in the case
of
the double 70mm
Coit
or
50°C in the case
of
the
90mm
Coil
If
this symbol is illuminated the Stimulator will be put
into its safe inactive default condition.
POWER
UP
Button (4)
Individual presses
of
the button will increment the power
level by l
%,.
If
the button is pressed and held, the power
level will continue to increase in 1
% steps until the
button is released,
or
the
power
level reaches 100%.
When
the button has been depressed for a count
of
3, the
rate
of
increase
of
power
level will approximately
double.
OUTPUT % DISPLAY Indicator (5)
This display is used to show the following:
The Magstim Company Limited 3001-23-USA 17 August 24, 2006

Magstim Model 2002
1.
The
set
power
output as a
percentage
of
maximum.
After turning the
Magstim
Model
200
2
on
the OUTPUT % DISPLAY
on
the
Remote
Control
90mm
Coil
will display 30%.
The
POWER
UP and
POWER
DOWN buttons can then
be
used
to change the output level
in
1
%,
steps. Note:
The
OUTPUT % DISPLAY only
shows
the level
the
Magstim
Model
200
2 is actually
charged
to
if
the
READY
symbol
(7) is illuminated.
2.
The
system
status codes. See
Section
5
of
this
Operating
Manual.
NB
-This
manual
assumes
that
the
Remote
Control
is
being
used with a basic
Magstim
200
2 unit
with
no
UI
Controller. All error codes relating to the operation
of
the
UI
Controller are detailed in the
Magstim
200
2
Operating
Manual-
3001-23.
POWER DOWN Button (6)
Individual presses
of
the
button
will
decrement
the
power
level
by
19c'. If the
button
is
pressed and held,
the
power
level will continue
to
decrease in l % steps until
the button is released,
or
the
power
level reaches 09'c.
When
the button
has
been
depressed
for
a
count
of
3, the
rate
of
decrease
of
power
level will approximately
double.
READY Symbol (7)
This
symbol is
illuminated
when the
Magstim
Model
200
2 is
charged
and
ready
to
be
triggered. A magnetic
pulse
can
be produced
by
depressing the
second
ARM/TRIGGER
button. whilst continuing to hold the
first
ARM/TRIGGER
button.
6.2 DISCHARGING THE lvlAGSTil\1
1.
Check
that the
Magstim
200
2 is
in
the default condition. If the
default condition indicator
is
not
illuminated, follow the instmctions
detailed
in
Section
5
-Preparations
for
Use.
2.
Set
the
output
level
on
the
instrument
by
rotating the OUTPUT
CONTROL
knob
until the
desired
level is displayed
on
the
OUTPUT % DISPLAY. It
is
recommended
that
30%
be
used as a
The Magstim Company Limited 3001-23-USA 18 August 24, 2006
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1
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