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 common features section of the guidelines.
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 coil during the stimulation, it is thus heavier than a single-pulse TMS coil.
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.
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 the individual motor threshold.
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 the individual 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
).
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 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.