.. include:: ../links.inc

Magstim Super Rapid² Plus¹
==========================

The `Super Rapid² Plus¹`_ is a repetitive stimulator delivering biphasic pulses with
single pulse, repetitive pulse and theta burst stimulation capabilities.

Magstim devices share common features that are detailed in the
:ref:`common features section of the guidelines <tms/guidelines:Magstim devices>`.

.. image:: ../_static/magstim/super-rapid-plus-system.png
    :align: center
    :class: img-with-border
    :width: 400

Start-up
--------

The `Super Rapid² Plus¹`_ can be started by (1) setting the power switch to ``ON``
behind the top and middle unit, and (2) pressing the power button on the front panel of
the top unit.

.. important::

    The `Super Rapid² Plus¹`_ power consumption is important. The system has 3 separate
    alimentation that should be plugged on 3 separate power circuits (**not** only 3
    separate power outlets, but 3 distinct circuits).

Coils
-----

The `Super Rapid² Plus¹`_ **must be used with an actively cooled coil**. Those
coils include an heatsink and a fan to cool the :term:`coil` during the stimulation, it
is thus heavier than a single-pulse TMS :term:`coil`.

.. image:: ../_static/magstim/super-rapid-plus-coil.png
    :align: center
    :class: img-with-border
    :width: 400

.. tip::

    A sham :term:`coil` is available for the `Super Rapid² Plus¹`_. The sham
    :term:`coil` feels exactly the same as the active :term:`coil`, but does not deliver
    any stimulation. It vibrates and emits the same noise as the active :term:`coil`. A
    tag on the :term:`coil` cable indicates whether the :term:`coil` is active or sham.

Settings
--------

The tactile screen and the nob are used to configure the stimulation parameters.
The `Super Rapid² Plus¹`_ can deliver single pulse and repetitive pulse.

.. tab-set::

    .. tab-item:: Single pulse

        In single pulse mode, the only setting available is the intensity. The intensity
        is set as a percentage of the maximum stimulator output and should be defined
        based on the
        :ref:`the individual motor threshold <tms/guidelines:Motor threshold>`.

        .. image:: ../_static/magstim/super-rapid-plus-settings-single-pulse.png
            :align: center
            :class: img-with-border
            :width: 500

    .. tab-item:: Repetitive pulse

        In repetitive pulse mode, burst of 3 pulses are delivered at a fix frequency. By
        default, theta burst stimulation is configured with bursts of 3 pulses at 50 Hz
        repeated at 5 Hz.
        The settings available are:

        * The intensity (labelled ``power``), defined as a percentage of the maximum
          stimulator output. It should be defined based on the
          :ref:`the individual motor threshold <tms/guidelines:Motor threshold>`.
        * The intra-burst frequency (labelled ``frequency``), defined as the frequency
          of the pulses within the burst.
        * The inter-burst frequency (labelled ``burst frequency``), defined as the
          frequency of the bursts.
        * The number of pulses within a burst (labelled ``number of pulses``).
        * The duration of the stimulation (labelled ``cycle time``).
        * The number of cycles (labelled ``number of cycles``).

        .. image:: ../_static/magstim/super-rapid-plus-settings-repetitive-pulse.png
            :align: center
            :class: img-with-border
            :width: 500

        The pulse train schematics updates based on the settings set, except the number
        of pulses within a burst.

        .. important::

            Each cycle ends with a wait period during which the :term:`coil` cools down.
            The wait time is automatically calculated based on the settings set.

        .. tip::

            Instead of planning multiple cycles, it is common to set a single cycle with
            a high number of bursts.

Datasheets & Manuals
--------------------

.. list-table::
   :widths: 100
   :header-rows: 1

   * - Manual
   * - .. image:: ../_static/icons/pdf.png
           :align: center
           :alt: Manual
           :target: ../_static/downloads/manuals/magstim-rapid.pdf
           :width: 100