MAGSTIM RAPID2 User manual

MAGSTIM®
RAPID2
P/N MOP03-EN-01
OPERATING MANUAL
JUNE 2011

Magstim Rapid2MOP03-EN-01
The MAGSTIM Company LTD June 2011
TABLE OF CONTENTS
Section 1: Warnings and Precautions 1
Section 2: Product Description 3
2.1 Rapid2Systems
2.2 Indications
2.3 Coils
Section 3: System Setup 6
3.1 Rear View
3.2 PSU
3.3 Additional Connections
3.4 MEP Pod Connection
3.5 Printer
3.6 Set-up
3.7 UI
3.8 Stimulation
Section 4: System Operation Instructions 13
4.1 Welcome Screen
4.2 Main Options Menu
4.3 Single Pulse Mode
4.4 Single Pulse Mode MEP
4.5 Repetitive Mode: Setup Standard
4.6 Repetitive Mode: Standard
4.7 Repetitive Mode: Setup Burst
4.8 Repetitive Mode: Burst
4.9 Session Mode: Setup
4.10 Session Mode
Section 5 System 26
5.1 System Options Menu
5.2 User Configuration
5.3 System Details
5.4 System Configuration
Section 6: Data Retrieval 31
6.1 File Maintenance
6.2 Patient Details
6.3 Creating and using Files.
6.4 SD Card
6.5 Print Options
Section 7: System Status Codes 37
7.1 System Status Codes
7.2 Isolated Trigger Port
7.3 SD Card File details
Section 8: Safety Features 42
8.1 Coil Temperature Protection
8.2 Coil Disconnection
Section 9: Maintenance and Servicing 44
9.1 Voltage Selection Instructions
9.2 User Maintenance
9.3 Technical Maintenance
9.4 Cleaning and Disinfecting
9.5 Servicing
9.6 Device Lifetime
9.7 Disposal
Section 10: Specifications 48
10.1 General
10.2 Power
10.3 MEP Pod
10.4 Ambient Temperature
10.5 Capacitor Life Expectancy
10.6 Output
10.7 Coil Compatibility
10.8 UI Rear Panel
10.9 General
10.10 Handling
Section 11: EMC Emissions and Immunity 56
Section 12: Rapid2System Packages 59

Magstim Rapid2MOP03-EN-01
The MAGSTIM Company LTD June 2011
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 1,000,000 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.
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 normal service.
Claims for damages during shipment must be filed promptly with the transportation company. All
correspondence concerning the equipment must specify both, 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 Limited from any
further guarantee obligations.
The Magstim Company Limited 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
Limited.
the electrical installation of the relevant room complies with local regulations, and
the equipment is used in accordance with the instructions for use.

Magstim Rapid2MOP03-EN-01
The MAGSTIM Company LTD 1June 2011
SECTION: 1. WARNINGS AND PRECAUTIONS
USA Only
CAUTION: Magnetic stimulation has 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 information.
CAUTION: In the USA, 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 Rapid2.
CAUTION: The Magstim Rapid2and its stimulating coils 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 Rapid2, 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 coils 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.
Caution: for safety reasons, do not leave patient cables attached to the MEP Pod if they are
not being used. If an unused cable is left connected, and the patient is connected to the other
channel, there is the possibility that the unused cable may touch an earthed surface which
could allow current to flow through the patient to ground.
Caution: do not allow the coil or the coil cable to come into close proximity with the MEP
Pod patient cables. During discharge, current may be induced in these cables.
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 Rapid2must 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 Rapid2
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 System. Do not remove covers. Refer servicing to
qualified personnel. Ensure that the System is not subject to conditions where water/ liquid
may be tipped on it, including the UI Controller.
To ensure grounding safety, all mains power connections should be made directly to wall
power outlet sockets. All of the customer‟s electrical cabling must conform to local electrical
standards. Do not use a terminal block if insufficient sockets are available, as this will form a
potential electrical hazard.
The Magstim Rapid2, its stimulating coil and accessories must not be used if there are any
signs of external damage or if any parts are damp or wet.
Cortical magnetic stimulation runs the risk of inducing seizures.

Magstim Rapid2MOP03-EN-01
The MAGSTIM Company LTD 2June 2011
Do not discharge the Stimulating Coil in the vicinity of objects sensitive to magnetic fields.
Examples are credit cards, floppy disks and computer screens.
Protection circuits disable the equipment if the temperature of the Stimulating Coil exceeds
40oC.
Coils must not be immersed in water, put in an ice bucket, or refrigerated, even if placed
within a plastic bag, as condensation may be created within the coil. The coils do not have any
specialised protection against the ingress of liquids; therefore conditions where ingress of
liquid, or the forming of condensation within the coil, can occur must be avoided as the
electrical insulation will be compromised. Cooling must only be performed by using a flow of
cool air from a fan or air conditioning unit.
Coil Over
Temperature
Due to thermal lag, the surface temperature of the Stimulating Coil may continue to rise
following the coil over-temp activating and forcing the main unit into a standby condition.
Therefore, the Coil must be removed from the patient as soon as the UI indicates that the coil
is over-temperature.
If the Rapid system is externally triggered via a signal generator, the coil temperature
algorithm is disabled. Under this condition, at high frequency/high power, it is possible for the
coil temperature to reach levels well in excess of the 41ºC limit specified in EN60601-1,
before the hardware temperature cut-out operates. If the system is to be used under these
conditions, it is essential that the intended protocol be run prior to use on a patient, to ensure
that its temperature remains within the required limit.
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 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.
On no account must the Magstim Rapid2and its accessories be used in
environmental conditions outside those specified in this operating manual.
No pins of connectors identified with the ESD warning symbol should be touched. The
connectors involved are those to be found on the rear of the User Interface. Connections
should not be made to these connectors unless ESD precautionary procedures are used. All
staff responsible for using the Magstim Rapid2System should receive an explanation of the
ESD warning symbol and receive training in ESD precautionary procedures –
Connection should be made only by a person who is wearing a conductive wrist strap, which
is connected to a suitable tested earth connection, or following the person grounding
themselves by touching a part of the external casing connected to protective earth.
Please observe the stacking limit of the system. An assembled Rapid2system can have a
weight of up to 55kg. Ensure that the surface upon which to system is to be placed is capable
of supporting this weight. Failure to do so may result in injury or damage. The weight for each
individual module within the Rapid2system can be found in Section 10.9 of this manual.
Excessive Sound
Exposure
When the Rapid2system is discharging into an attached coil it is capable of producing high
instantaneous sound pressure levels. Magstim recommends that the patient wear ear protection
during stimulation. Refer to the individual coil manual for more information.

Magstim Rapid2MOP03-EN-01
The MAGSTIM Company LTD 3June 2011
SECTION: 2. PRODUCT DESCRIPTION
2.1 RAPID2 SYSTEMS
2.1.1 RAPID2
ARMED Indicator
This LED is continuously
illuminated when the system
is armed and high voltages
are present in the system.
UI
Main
Frame
PSU
ON/OFF/STANDBY
This switch toggles the
operational state of the
Rapid2.
Unit Power Status Indicator
Flashes when the system
is in STANDBY.
On continuously when
the system is ON.
Coil OUTPUT Socket
See below for description
PSU Power Status Indicator
OFF when system is in
STANDBY or OFF.
On continuously when
system is ON
ARMED/FAULT Indicator
This LED is continuously illuminated when the system is armed and high voltages are present
in the system. This LED turns RED when a fault has been detected in the PSU.

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The MAGSTIM Company LTD 4June 2011
2.1.2 RAPID2PLUS1
UI
Main
Frame
Dual
PSU
Plus1
Module
ARMED Indicator
This LED is continuously
illuminated when the system
is armed and high voltages
are present in the system.
ON/OFF/STANDBY
This switch toggles the
operational state of the
Rapid2.
Unit Power Status Indicator
Flashes when the system
is in STANDBY.
On continuously when
the system is ON.
Coil OUTPUT Socket
See below for description
ARMED/FAULT
Indicator
This LED is continuously
illuminated when the system
is armed and high voltages
are present in the system.
This LED turns RED when a
fault has been detected in the
PSU.
PSU Power Status Indicator
OFF when system is in
STANDBY or OFF.
On continuously when
system is ON
STATUS/FAULT Indicator
This LED is continuously illuminated green when the system is operating
correctly. This LED turns RED when a fault has been detected in either
the Dual PSU or Plus1Module.
POWER INDICATOR
This LED is continuously
illuminated green when the
Plus1module is powered on.

Magstim Rapid2MOP03-EN-01
The MAGSTIM Company LTD 5June 2011
Coil OUTPUT Socket Operation and SYMBOLS
This socket is used to connect the stimulating coil to the Magstim Rapid2. Note that the unit cannot be
armed and triggered unless the stimulating coil is connected to this output. Ensure that the locating pin in
the coil plug is correctly lined up with the coil output socket before inserting the plug. When the coil plug is
fully engaged in the socket, lock the plug in place by turning the black locking ring clockwise.
To remove the coil, put the Magstim Rapid² into standby and turn the black locking ring anti-clockwise.
HIGH VOLTAGE Symbol
This sign warns that voltages in excess of 1500V are present within the instrument.
ATTENTION Symbol –Consult Operating Manual
See warnings in Section 1 regarding the use of the Magstim Rapid2.
APPLIED PART Symbol
BF Type Applied Part.
The degree of protection against electric shock for applied part accessories is classified
as Type BF Applied Parts. This means that the Stimulating Coils, MEP Pod and MEP
Pod patient leads are electrically isolated from the other parts of the equipment and
meet Type BF leakage current limits as required by BS EN 60601-1.
2.2 INDICATIONS
The Rapid2works by inducing electrical currents in tissue using a non-invasive stimulating coil at
frequencies of up to 100Hz. The stimulating coil is placed near the intended site of stimulation and
trigger pulses initiate brief magnetic pulses. The magnetic fields can pass through clothing, tissue and
bone to reach otherwise inaccessible areas. One feature of magnetic stimulation is that it is less likely to
stimulate pain fibres at the skin surface, reducing the discomfort when compared with conventional
electrical stimulation. Magstim Rapid² magnetic stimulators combine stimulation frequencies from 1Hz
to 100Hz with a touch screen interface which controls every aspect of the stimulator's control and
operation.
INDICATIONS FOR USE. The Magstim Rapid2is a magnetic stimulator intended for the
stimulation of cortical and peripheral nerves for diagnostic and research
purposes. The Magstim Rapid2is intended for use by, or under the
supervision of, a medical practitioner only.
CONTRAINDICATIONS. Magstim Rapid2systems and their accessories should not be used on or
in the vicinity of patients or users with cardiac demand pacemakers,
implanted defibrillators and/or implanted neurostimulators.
CAUTION. Check the Magstim Rapid2System and its accessories for any signs of
damage. If the Magstim Rapid2 System or any of its accessories are
damaged in any way they must not be used.
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.
To avoid interference problems the Magstim Rapid2, and its
accessories, should not be used in the vicinity of any equipment that
does not comply with EMC Standard EN 60601-1-2, including mobile
phones.
For reasons of safety and reliability, if the system is set at 100% power,
the user must not exceed 250 stimuli per minute, or 4000 stimuli per
hour or 24,000 stimuli for every 24 hour period. This limitation is in
addition to any other limitation imposed by the dedicated controller, or
heating effects on the stimulating coil and charger circuitry.

Magstim Rapid2MOP03-EN-01
The MAGSTIM Company LTD 6June 2011
The entire Operating Manual should be studied prior to use and users
should be aware, in particular, that high voltages and currents, which
can prove lethal, are present if the covers are removed. The Magstim
Rapid2system‟s parts are detailed in Sections 3-6.
Each of the mains connections for the Rapid2System must be made
via separate, permanent, mains outlets. On no account should a
multi-way extension lead be used to connect more than one mains
connector to a single mains outlet.
The Rapid2System must be used only with the supplied mains
leads fitted with an integral filter, as they are required to maintain
the System’s compliance with EN 60601-1-2 regarding Electro-
Magnetic emissions, as is the earth strap fitted between the
stimulator and the power supply unit (PSU). In the case of the
Super Rapid2Plus1there are two earth straps. The first between
the stimulator and the Magstim Plus1, the second between the
Magstim Plus1and power supply unit (PSU).
The MEP Pod is designed to be fitted to the Magstim Rapid2UI only.
Do not attempt to connect it to a computer, or any other equipment,
with a similar connector. To do so could result in electric shock/ burns
to the patient at the site of electrode attachment. The MEP Pod
connector has a hole deliberately blocked to prevent incorrect
connection.
100Hz must not be used for cortical stimulation, it is for peripheral
use only. For safety guidelines relating to transcranial stimulation,
see Section 10.6 of this Operating Manual.
The Stimulating Coil must not be discharged in the vicinity of the
patient’s heart.
2.3 COILS
A variety of coils is recommended to stimulate specific neutral pathways. These coils have their coil
heads labelled with blue arrows, which represent the direction of the coil discharge current. The virtual
cathode for these coils is approximate to the valley or trough formed by the conjunction of the two
coils, directly opposite the handle towards the leading edge of the coil.
Double 70mm Coil
2nd Generation Double 70mm Stimulating Coil P/N 3191-00. Also Standard Double 70mm Stimulating
Coil P/N 9925-00.
Coil Adapter
Please note: it is important that the
coil is connected correctly. If the
coil appears to be misaligned,
remove and re-connect the coil. Do
not use if the coil appears
misaligned.
The Double 70mm coil is capable of accurate stimulation of
cortical areas and spinal nerve roots.
Applications Include:
Selective monohemispheric transcranial stimulation
Excitation of spinal roots
Motor cortex
Peripheral nerves
Coil P/N 9925-00 must be connected to the
stimulator via the supplied coil adaptor (P/N
3110-00). This coil will not function if
connected directly to the stimulator.

Magstim Rapid2MOP03-EN-01
The MAGSTIM Company LTD 7June 2011
High Power Remote 90mm Coil (additional item available)
P/N 3192-00
Location
The Double 70mm Coil is localised in its area of stimulation. For reproducible results from cortical
stimulation, the most effective site of stimulation should be established and marked using an Image-
Guided TMS stereotactic 3D imaging system. For further information on this system please contact
The Magstim Company Limited. For peripheral sites, the stimulation site can be marked with a suitable
pen.
For further information regarding coils, see relevant coil operating manuals, or visit the Magstim
website at www.magstim.com.
The High Power Remote 90mm Coil can be used
for central motor conduction studies. The design of
the coil allows between 120 and 160 stimuli at the
maximum power level before requiring a few
minutes to cool.

Magstim Rapid2MOP03-EN-01
The MAGSTIM Company LTD 8June 2011
Fuse Access
and Voltage
Selector
SECTION: 3. SYSTEM SETUP
3.1 REAR VIEW
3.1.1 RAPID2
UI Cable
10A Link
Lead
HV Cable
Mains Power
Switch
Power Entry
Module
Isolated
Trigger Port
Foot Switch
Pneumatic
Socket
Cooling Fan
Outlet
HV Power
Entry Socket
Earth Strap

Magstim Rapid2MOP03-EN-01
The MAGSTIM Company LTD 9June 2011
10A Link
Lead
HV Cable
Mains Power
Switch
Power Entry
Module
Mains Input to PSU.
Note: 3 Mains connections are required.
Plus1Mains
Power Switch
10A Link
Lead
3.1.2 RAPID2 PLUS1
Back Panel Symbol Descriptions
Please refer to operating manual for connection instructions.
Warning Symbol. Care should be taken when connecting HV cables.
High Voltage can present on this connector.
Connector is an output. Connect the stimulator mainframe to this connector.
Connector is an input. Connect the HV power supply to this connector.
UI Cable
Fuse Access and
Voltage Selector
Isolated
Trigger Port
Foot Switch
Pneumatic
Socket
Cooling Fan
Outlet
HV Power
Entry Socket
Earth Straps
PSU HV Power
Entry Socket

Magstim Rapid2MOP03-EN-01
The MAGSTIM Company LTD 10 June 2011
3.2 Power Supply Module (PSU –3014-00)
Power Supply Module (PSU –3013-00)
3.3 ADDITIONAL CONNECTIONS
25 Way D Type Connector (situated on rear of the UI, 2 rows of pins)
This connector is situated on the rear of the UI, and has 2 rows of pins. The
connector links the UI to the Magstim Rapid2as shown on the diagram on the
previous page.
26 Way D Type Connector (situated on rear of UI, 3 rows of pins)
This connector is situated on the rear of the UI, and has 3 rows of pins. It provides
trigger input and output signals (see page 43).
DC Power Jack (situated on rear of UI)
The DC Power Jack is situated on the rear of the UI. This connector allows an
external 24V, 750mA DC power supply to be attached. A suitable medical grade
supply must be used, conforming to IEC 60601-1. This is NOT required when the UI
is connected to the Magstim Rapid2.
230VPSU units shown.
115V units are identical in
appearance to the 230V
units, with the exception of
the voltage/power rating
labels sited on the rear of
the units.
Printer
Connection
SD Card
Insertion Point.
Batteries.
25 Way D
Type
Connector
.
15 Way D
Type
Connector
26 Way D
Type
Connector

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The MAGSTIM Company LTD 11 June 2011
Printer
The Printer is attached to the User Interface via an Optical/RS232 Interface Cable
which slides into place on the right hand side at the rear of the UI.
SD Card Socket (situated on rear of the left side panel)
This socket is situated on the rear of the left hand side panel of the UI. This allows
connection of an SD Card. This removable memory storage facility enables transfer
of data between the UI and external devices, such as PCs.
15 Way D Type Connector (situated on rear of UI behind cover)
This connector is situated on the rear of the UI behind the removable cover. It is
designed to accept the Motor Evoked Potential (MEP) pod, available as a separate
item. It has type BF connection.
3.4 MEP POD CONNECTION
NOTE. The Rapid2must be switched off before connecting or disconnecting the MEP
Pod.
The Motor Evoked Potential (MEP) Pod is an optional component which allows the user to capture
EMG signals and display them on the UI. 2 channels are available. The MEP Pod should be mounted as
close as possible to the subject but should be kept away from sources of interference, such as power
cables. It is recommended that all EMG cables are screened to minimise interference.
The MEP Pod is designed to be used with surface electrodes only.
The MEP Pod is designed to be fitted to the Magstim Rapid2UI only. Do not attempt to connect it to a
computer, or any other equipment, with a similar connector. To do so could result in electric shock/
burns to the patient at the site of electrode attachment. The MEP Pod connector has a hole deliberately
blocked to prevent incorrect connection.
CONNECTION
The MEP Pod is attached to the rear right hand side of the UI when viewed from the rear. Remove the
plastic cover to expose a 15 way D Type socket. Attach the MEP Pod cable, ensuring that the plug is
properly inserted. The plastic cover has a notch in its lower edge through which the cable must pass.
This cover, when replaced, provides strain relief for the connector. Do not operate the equipment
without replacing this cover, as damage to the connector and the internal electronics of the UI is likely.
USE
Attach the EMG cable to the MEP Pod and snap the free connectors onto surface type electrodes (for
example, Kendall ARBO H124). Suitable electrodes are available from many medical supply
companies, and no recommendation is made as to a particular type. Electrodes should be chosen which
are suitable for the collection of EMG data, have snap connectors, and which are compliant with local
regulations. When connecting the electrodes, follow the colour code on the MEP Pod.
The EMG connection cable should be screened and should be suitable for use when in direct contact
with the skin. No latex should be present in the cable.

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The electrodes should be positioned on the target muscle which is controlled by the neurons being
stimulated. For example, if the area of the motor cortex which controls the hand is to be stimulated, the
surface electrodes should be placed on abductor digiti minimi, about 1cm apart. The ground electrode
should be placed on the wrist. Care should be exercised when placing surface electrodes. It is important
that a consistent approach is observed, as the amplitude of the EMG signal is dependent on the position
of the electrodes. Good practice in relation to skin cleaning should be observed.
CAUTION
For safety reasons, do not leave patient cables attached to the MEP Pod if they are not being used. If an
unused cable is left connected, and the patient is connected to the other channel, there is the possibility
that the unused cable may touch an earthed surface which could allow current to flow through the
patient to ground.
Do not allow the coil or the coil cable to come into close proximity with the MEP Pod patient cables.
During discharge, current may be induced in these cables.

Magstim Rapid2MOP03-EN-01
The MAGSTIM Company LTD 13 June 2011
3.5 PRINTER
TO SET UP THE PRINTER
1. Insert the cable connector straight into the Printers Serial Port to power the printer via the
Mains
2. Connect the other end of the cable to the back of the UI via an optical RS/232 Interface cable
by sliding the connector into the slot until tight. Connect the printer to its power supply and
the power supply to the mains.
3. Switch the printer on via the green button on the left hand side of the printer. The „Power‟
LED should now be illuminated green.
TO LOAD THE PAPER
1. Push the Cover Open buttons on the side of the printer; this should open the Roll Paper Cover.
2. Align the edges of the paper roll against the paper holders and push down gently.
3. Pull the paper through and close the cover.
The Printer is now ready to be used.
Optical RS/232
Interface cable
Serial Port
Roll Paper
Cover
Feed
On/Off
Button
Cover Open
Button
Cover Open
Button

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The MAGSTIM Company LTD 14 June 2011
3.6 SET-UP
1. Before using the instrument, ensure that the correct fuses are fitted and that the
voltage selector is set to suit the country‟s supply voltage (this statement applies to
the Rapid2Main Frame and Magstim Plus1only).
The Rapid2Main Frame contains 2 fuses, rated at T 1.25A, while the Magstim Plus1
contains 2 fuses, rated at T 250mA. These values apply to both 115V~ ±10% and
230V ~ ±10% mains input.
For information on changing the fuses, please see Section 9.
2. Place the system in a room near multiple power sockets and ensure easy access to
and around the equipment. Make sure to stack the system as shown in Section 2.1.
3. Label the entrances to the room to warn of the presence of strong magnetic fields and
to exclude those wearing pacemakers and/or electronic implants.
4. Connect the power cables provided to the power supply socket(s) on the rear of the
PSU. The power requirement of the Magstim Rapid2depends on the PSU used and
the parameters set by the UI.
5. The power cables must be connected directly to wall power outlet sockets, and
not via a terminal block. The Rapid2System must be used only with the supplied
mains leads fitted with an integral filter, as they are required to maintain the
System‟s compliance with EN 60601-1-2 regarding Electro-Magnetic emissions, as is
the earth strap fitted between the stimulator and the power supply unit (PSU). Please
refer to Section 3.1 for reference.
6. Rapid2
Connect the HV cable from the PSU to the rear panel of the Main Frame. Connect
the 10A link lead between the PSU Module and the stimulator Main Frame. Please
refer to section 3.1.1 for reference.
Rapid2Plus1
Connect two of the HV cables from the two the PSUs to the two HV inputs
(indicated by a pair of symbols) located on the rear panel of the Magstim Plus1.
Connect the third HV cable between the HV ouput (indicated by a symbol) on
the rear panel of the Magstim Plus1to the HV input on the rear of the Main Frame.
Connect a 10A link lead from the Dual PSU Module to the Magstim Plus1and from
the the Magstim Plus1PSU module and the stimulator Main Frame. Please refer to
section 3.1.2 for reference.
7. Connect the UI Controller to the Magstim Rapid2Main Frame via the interface cable
supplied.
8. Connect the Stimulating Coil to the front panel connector of the Magstim Rapid2.
9. Apply mains power to the Rapid2System by switching the mains power switch on
the rear panel of the Rapid2Main Frame and, if relevant the mains power switch on
the rear panel of the Magstim Plus1to the ON position.

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The MAGSTIM Company LTD 15 June 2011
3.7 USER INTERFACE (UI)
ARM Button
The Magstim Rapid2can be put into the ARMED mode by momentarily pushing the
Green RUN button. This can only be achieved if the stimulating coil is connected to the
COIL OUTPUT socket.
TRIGGER Button
The Magstim Rapid2can be triggered, and a magnetic pulse produced, by pushing the
Yellow TRIGGER button.
SYSTEM STOP Button
The Magstim Rapid2can be put into the safe inactive default mode by momentarily
pushing the Red STOP button. In this mode, the instrument will discharge internally.
OUTPUT CONTROL Knob
This control allows the user to change the screen-selected parameter to the desired value.
It is therefore used to alter screen settings as well as changing the power output of the
stimulator.
TOUCH-SENSITIVE SCREEN/ SYSTEM DISPLAY
All selections are made via the touch-screen. To select, touch the centre of the button
symbol next to the desired menu option. Do not press hard, or use a sharp or pointed
object to make the selection, as this may damage the touch screen.
In the set-up screens, all selectable items are coloured in pale blue; white items are non-
selectable. The Rotary Control Knob can only be used to change parameters already
selected. Details regarding the contents and operation of the UI Screens are given in
Sections 4, 5 and 6
Note: If the UI is not used for 30 minutes it will go into a standby condition. In
standby, the screen will appear blank and the blue LED in the upper right corner of the
front bezel will pulse. Touch the screen to restore the UI.
ARM Button
Trigger Button
SYSTEM STOP
Button
Touch Sensitive
Screen
Output Control Knob

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The MAGSTIM Company LTD 16 June 2011
3.8 STIMULATION
See Section 4 to select the desired mode, stimulating power, stimulation frequency, train duration and
inter-train delay.
Activate the ARM button on the UI bezel to arm the unit. The system will charge and the UI will
display READY in the system status window.
NOTE: The system cannot be armed if the footswitch is active.
Position the stimulating coil on the desired area of tissue. The system can be triggered by
pressing a coil switch button and either pressing the footswitch on the trigger button or on the
UI. A clicking noise will emanate from both the stimulating coil and the Magstim Rapid² each
time the Magstim Rapid² is triggered. This indicates that a magnetic pulse is being delivered by
the stimulating coil, which is stimulating the nerves beneath it.
When necessary, it is possible to reposition the stimulating coil and/or to modify the power level on the
UI to suit the requirements for the next stimulus. Meanwhile, the system will have recharged and can
be triggered once again in the normal manner.
When the stimulations have been completed, press the SYSTEM STOP button on the UI.
The system can only be fired when one of the following UI screens is displayed:
Single Pulse Mode,
Repetitive Mode
Session Mode.
EXTERNAL TRIGGERING
If an external triggering device is used, the Rapid2uses the power set to govern the maximum discharge
frequency. Therefore, if the external frequency is set higher than the power set will allow, the
stimulator will discharge at the maximum rate the stimulator can achieve for the power set, and not at
the rate from the external trigger source. In these situations, reducing the power will allow the
discharge frequency to increase. However, during external triggering there are no duration limits on the
trains. Therefore, it is probable under high frequency operation that enough energy will be discharged
into the coil to result in its temperature rising rapidly above 40oC following the system going into a coil
over-temp condition and reverting to its discharged state.
It is important that if this type of operation is intended the protocol be run prior to use on a patient and
the surface temperature of the coil monitored to ensure that the patient is not exposed to excessive
temperatures.
NOTE. If the external trigger is set to the level triggering option it is possible for auto-triggering to
occur. Also note than when using a Rapid2Plus1with external triggering, the performance is limited to
that of the Super Rapid2.
IMPORTANT
The temperature of the internal components become elevated during operation. The system should be
left on, and uncovered, for approximately ten minutes following completion of stimulation to enable
the fan to cool the internal system components.

Magstim Rapid2MOP03-EN-01
The MAGSTIM Company LTD 17 June 2011
SECTION: 4. SYSTEM OPERATION INSTRUCTIONS.
Switch on the system using the ON/OFF/STANDBY button on the front of the Rapid2Main Frame.
4.1 WELCOME SCREEN
The UI will activate automatically. The „Welcome Screen‟ will be displayed.
The system will fully initialise and the Options Menu will appear after 15 seconds.
Pressing the Continue button before the system has fully initialised gives access to the following
options:
Single Pulse Mode
System
File Maintenance
The system needs to be fully initialised before Repetitive Mode and Session Mode are accessible.