P ro to c o l to o l

MagPro R30
MagPro R30 wi th Ma gO pti on
MagPro XlOO
MagPro XlOO wi th Ma gO pti on

ln st ru ct io ns fo r use

Ca gV en tu re

f :agVenture
Research. Tre atm ent . Results.
 77'

~ ht © 2021 Tonica Elektronik A/S. Ali rights reserved

copyng ·
The contents of this manu al a~e thertp:opte:tytl of Tohn.ibc~ Elektronik A/5.
AnY reproduction in who1e or m pa 1s s ne y pro 1 1ted.
time of printing / transfer
·t· t·to the CD-ROM,
h b this manu
· dal correctly
· described the device
. and .1ts
tunctions.
At the However, as mo .
d 1 1ca 1ons may ave een carrte out sine~ the production of this ma
t m packag• maY conta1n one or more addenda to the manual. This manual nual, the
~~liding anY such addenda must be thoroughly read, before using the device.

The following situations void anv. guarantee(s) and obligations for Tonica Elektronik A/S:
_ The device is not used accordmg ·t· dtobthe enclosedthmanuals
th Tand· other accompanying documentation
.
..
The device is installed or mod1 1e Y persons o er an onica Elektronik A/S or otherauthor1zed .
service technic1ans

MagPro sottware version 7.2

2
 Contents
tntroduct·,on
··········"· ·················••·••···················································································.......................................... 4
Basic Use of the Protocol T001 ........................................................................................................................
.............................. 4
Basic Protocol Composition........................................................................................................
.......................... 6
Creating the Protocol ........................................................................................................................
..............
................................. 6
Appl·cat'1on
I. s•••••••••••.••••••••••••••.••••••••••••••••••••••••••••••••••.••••••••••••••••••••••••••••••••••••••••••••••••••••••.•
•••••••••••••••............................... 8
Parameter Ranges ............................. 9
MagPro R30......................................................................................................................................................
...............
MagPro R30 induding MagOption................................................................................................................ ..................... 9
........ ................. 9
MagPro X100 ......................................................................................................................................................
.............................. 10
Mag Pro X100 .mcIud.mg MagO pt·10n .........................................................................................................
.............................. 10

I
I
t
l

3
 lntroduction
-
lntroduction
An increasing number of applications in the field of
Magnetic Stimulation involve advanced sequencing
of multiple stimulations. The Protocol Tool is
-- 76 A/us

Cool-B65 100000
developed to meet these new demands.

The MagPro G3 platform comprises different

models: R30, R30 incl. MagOption, X100 and X100
incl. MagOption. The Protocol Tool is fully
integrated in the basic menu structure of MagPro.
The tool has a number of model dependent features
- please check the available features in section
Parameter Ranges.
••
Exil Lelt Right s
Basic Use of the Protocol Tool
To start a specified protocol: When enteringthe Protocol Menu, the lnformation

--76 A/us
""'-
and Selection ~reas a~e replaced by the large Setup
Table. The act1ve cell in the Setup Table is color
marked with cyan.
22·c Cool-B65 100000
At the top of the Setup Table, every column has a
=-- ;
...._'- ..... I "'--..,_
0..-0--

--"-.....- ··- j .......,_

=-
J
J .
Sn,11
Modli
0.rl'ld0r9dlcr'I
header showing the name of each parameter. ln the
left side of the table, the line number is shown.
..,"-' 1 ..., _. . . . u
Nol . .. _ •• - I wa.tarm
.,.. -~ ~ "rtC\I,..,..
I --~-
=~ =~I~===- :
,.a.. """"
,-,.o., "-"
:::.= ~=-* :
a.... ,_- -~~,. .
· •--!! Controls
~--- ..
I 00
~~t:A~-
Moving the Cursors
j
~ ~ -- - ln the Setup Table, the two soft keys "Left" and
"Right", and the traditional Up/Down arrows to the
right of the screen are used to move between the
Timing Configure CalaJlúor Recall cells of the table.
White cells cannot be edited. The values are gray, if
the cell is not relevant in the present context.
• From the Main Menu, select the Timing
Menu. NOTE ln large Setup Tables, only fragments of the

--76 A/us ....

,..~~
li ·'"'- .......
•llt4.17-~.....__

-- l110'1
tables are shown. Make certain to use the
Left/Right keys and the Up/Down arrows to
maintain the full overview.
22°c Cool-B65 100000

....,_
TmngContd
l PP'
lnserting New Llnes
New lines are inserted automatically, when the
~inTl'ln 2
NurOer ofT,_. 2 cursor is placed in the last line (lowest), and the
....,_Tfll"linlll'va

------
l OMC
down arrow key is pressed. When inserting a new
Fliorw.mo-
111 1 .... .. .. 111 11.......... 11l1
.....,~
.....,~T.,..
On
1.00 line, the contents of the new line will be copiec:1 from
10 the previous line. You may modify the copy line,
before inserting new lines.

Deleting a Line
Main Configure Protocol S1art
The line, in which the cursor is placed, is deleted by
pressing the soft key "Delete" .
• Select the Protocol Menu.
Starting / Stopping Protocols
By pressing soft key Start the actual protocol will
The Status Area in the upper section of the screen is
unchanged and the Soft key Area in the button has start and pressing either the soft key Stop or the
changed to protocol control keys. dedicated key Enable/Disable the protocol
execution stops immediately. Pressing the soft key
Start always restarts the protocol from line 1.

4
-
lntroduction

Individua! Start/ Pause Protocols

lt is possible to select an individua! start line and
pause a running protocol. This feature is enabled on
Service page 2.

--
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• From the Main Menu, select the

Configuration Menu, then Service and
Service 2 soft keys.
• Set "Protocol lndividual Start" to ON

With this feature enabled the individua! start line is

selected by moving an arrow-cursor Up/Down by
the two arrow buttons to the right of the display.

0.96 Standsd Norma!

0.97 Standsd Norma!
0.98 Standard Norma!

With this feature enabled it is possible to pause a

running protocol by pressing the soft key Stop.
When pressing the soft key Start the protocol will
continue from the last performed line indicated
with the arrow cursor. lf start from another line is
wanted, the arrow cursor is moved to relevant line
before pressing the soft key Start.

5
 Basic Protocol Composition

Basic Protocol Composition

Most routine and experimental work performed Delay
within the field of magnetic stimulation can be The Delay parameter in the Setup Table indicates
described as a sequence of actions: the time between two sequences. The definition is
equal to the term "lnter Tra in Interval" used in the
Firstly, we find the right spot on which to place the Timing Menu.
coil, and then we find the motor threshold. We give
a few additional single-stimuli, - and then we The allowable delay selection is determined by the
perform a well-defined protocol. The protocol is settings in the remaining columns. lf for instance,
based on a series of pulse trains separated by the current direction is reversed, or the waveform
resting intervals. is changed, it requires one, or more of the internaI
power switches to reposition, thus limiting the
Creating the Protocol minimum delay to 10 seconds.

Planning and implementing a protocol is a job for lf only the Amplitude Setting A is changed from line
experienced users only. You must be able to select to line - and if all other settings are unchanged - the
the proper Mode of Operation, Waveform, Current minimum delay-setting (0.2 seconds) is possible.
Direction, Repetition Rate, Number of pulses per
Train, etc. The initial delay, in line 1 indicates the delay from
pressingthe soft key "Start", until the protocol
Using PulsePairs complicates the definition even execution starts. The Delay is determined according
further: you must select the lnter Pulse Interval to whether or not the power switches have to
(IPI), and the Ratio of the B/A-pulses. But most reposition, before the Protocol is executed.
important of all: the safety guidelines mentioned in
the Users Guide for MagPro must be read and lt is possible to start a new sequence line from an
understood before use. external trig. This is done by selecting External.
External Trig must be selected in the Timing Menu
Never use higher amplitude, or more stimulations for this option.
than absolutely necessary.
NOTE Beware of click noise, when during long AmplitudeA
sessions: wear hearing protectors. The Amplitude A is the stimulation intensity that
will be used and the level is the ratio between the
intensity set by amplitude knob and the parameter
The composition of protocols in the Protocol Menu
value selected in•Ampl.A" parameter cell.
follows the natural definition given in the text
above. Each line in the table is a pulse train with
lf the fraction is set to 1.00, the amplitude of pulse
parameters where number of pulses in each tra in is
A is equal to the Basic Amplitude Setting.
decided by "TrainPulses" and the resting period to
the next train is decided with "Delay".
Most applications make amplitude settings
referring to e.g. the motor threshold. lf the motor
Setting Individua! Parameters threshold is found by a series of single stimuli, and
Each of the parameters in the Setup Table has a by adjusting the coil position and the pulse
context sensitive allowable range of settings, see amplitude, the motor threshold will finally be
the table, Parameter Ranges. displayed in the Basic Amplitude window.

Same of the parameters are grayed, when the ln this case, the Fraction method is very practical, as
parameter is not relevant to the present context ln all subsequent settings will relate to the indicated
addition, the Protocol T ool will automatically Basic Amplitude, i.e. the motor threshold. lf
correct most of the parameters, as not all stimulation at 90% of motor threshold level is
combinations of parameters are possible. E.g. when required, the "Ampl.A• parameter is set to O.90.
in Twin Mode, it is not possible to set the Rep. Rate
to 20pps (S0ms between pulse pairs), and request The Basic Amplitude can be altered at anytime
an IPI of 100ms. during the execution of the Protocol. This
automatically adjusts all related amplitudes in the
Please observe that the parameter you select is Setup Table.
accepted and inserted in the Setup Table.
The actual resulting Amplitude of pulse A is
indicated in the bottom of the display.

6
 Basic Protocol Composition

Mode
The va lue and interpretation of the Mode Please observe: the Ratio B/A is specified as the
amplitude of pulse B relative to the setting in the
parameter are identical to the setting in the Main
parameter "Amplitude A", described above. E.g.
Menu. Choose between: Standard, Power and Twin.
setting the "Amplitude A" to 2.00, the B/A Ratio to
2.00 and the absolute amplitude (pulse wheel)
NOTE Changing the Mode parameter from line to currently set to 20 %, will render the following
line requires the power Switch in MagOption to amplitudes: A= 40% and B = 80%.
reposition, providing a minimum Delay of 10
seconds. Rep.Rate
The values and interpretation of the parameter
Rep.Rate are identical to the setting in the Timing
current Direction Menu.
The va lues and interpretation of the current

l direction parameter are identical to the setting in

the Main Menu. Choose between: normal and
reverse.
TrainPulses
The values and interpretation of the parameter
TrainPulses are identical to the setting "Pulses in
Train" in the Timing Menu.
NOTE Changing the Current Direction parameter
from line to line, requires the power Switch in Progress Bars
MagPro to reposition, giving a minimum Delay of 10
seconds.
••• ..
'
Two progress bars are located below the Setup
Waveform Table. The progress bar "leW indicates the time
The values and interpretation of the Waveform elapsed during the delay-period and/or during
parameter are identical to the setting in the Main single line execution. During the delay periods, the
Menu. Choose between: Monophasic, Biphasic, bar is gray, and during the execution of the line
Halfsine and Biphasic Burst specified sequence, the bar turns blue.

NOTE changing the Waveform parameter from line The progress bar indicates the time elapsed
to line requires the power switch in MagPro to during the entire protocol execution.
reposition, but only when the waveform
Monophasic has been one of the active selections. NOTE lf the delay column includes an External trig
Repositioning requires a minimum Delay of 10 function the progress bar to the right will not be
seconds. updated.

BurstPulses Save and Recall Protocols

This parameter is only relevant, if Biphasic Burst 1s Ali the settings made with the Protocol Tool are
selected as waveform. saved and recalled alongwith all the basic settings
The values and interpretation ofthe BurstPulses in the system.
parameter are identical to the setting in the Main
Menu. Choose between: 2, 3, 4 and 5 pulses. When the protocol has been tailored to your
application - go to the Configuration Menu and save
IPI all the settings in one of the available memories (A-
This parameter is only relevant, if using Twin Mode, Z). Saving the settings to the so-called "Default"-
or the waveform Biphasic Burst memory forces the MagPro to wake-up with the
The values and interpretation of the IPl-parameter settings of your choice !
are identical to the setting in the Main Menu. Set lf a USB stick is inserted, settings can also be saved
the interval between the TwinPulses, or set the to the USB stick. ln the Configuration Menu select
individua! interval between the numbers of pulses D:\A-2 or E:\A-2.
in Biphasic Burst
Note that saving to a memory overwrites the
B/ARatio .
previous contents.
This parameter is only relevant, when using Twm
Mode.
The values and interpretation of the B/A-parameter Recall a specific protocol in the Main Menu by
are identical to the setting in the Main Menu. Set choosing the memory name in the Setup field, and
the Ratio between the B and A pulses in Twin Mode. by pressing the soft key Recall.

7
 Applications

Applications
Once you become familiar with the Protocol Tool, 11 Move the cursor to the right to the Ampl A and
the many operations, whether small/simple or increase the value from 0.80 to 1.00 in line 4.
large/complex, can be handled effectively and lnsert 3 new lines by pressing the Arrow key
consistently. ln general, the precision and "down"
repeatability of the results will benefit from this.
12 lncrease the Ampl A value again now from 1.00
Stimulation site, i.e. the position of the coil in to 1.20 in line 7. lnsert 3 new lines by pressing
relation to the patient, is of great importance. Any the Arrow key •down•
kind of result can be completely invalidated by the 13 Enable the device. Turn the amplitude up to e.g.
lack of proper positioning. Always make sure to 45 %. Make a few single stimuli to find the
position the coil correctly by giving a few single proper coil position and the proper stimulus
stimuli. amplitude - while adjusting the amplitude.
14 Your screen should now look like this:

--
Stimulation amplitude is also of great importance.
Any kind of result can be invalidated by the lack of
proper amplitude setting. Finding the motor 62 A/us
threshold of the individua! patient is often a good ClilT-.....

start Give a few single stimuli to find the threshold. 21°c C-B60 759

Below is an example of making a protocol for

experimental use:

1 Before entering the Protocol Tool, go to the

main Menu and set the following parameters:
Mode = Standard
Current Direction = Normal
• Press the soft key "start" to start the
Waveform = Biphasic
sequence of protocol lines.
2

3
From the Main Menu, press the soft key
Timing. --
54 A/us

--
ln the Timing Menu, set Timing Control to
Sequence. ""'-
C-B60 759

4 From the Timing Menu, press the soft key

Protocol.
=--=----t-· I •• I : :- ' - : --,

s lf the present setup includes more than one

line, delete all the lines by pressing the soft key
Delete.
6 Move the cursor to the Amplitude-A cell by
pressing the soft key Right Adjust the T-...- llll2I

Amplitude-A setting by rolling the large black Exrt Left Rlght Del.ie Slep
pulse wheel on the right side of the screen. Set
the amplitude-A value to 0.80. The status of the current sequence is displayed by
7 Move the cursor to the right, and set the Mode, the two progress bars. Current line progress shows
Current Direction and the Waveform to the that the current line 3 has progressed 4 sec of the
values as specified in 1) above. total 20 sec and the current amplitude is 45%
multiplied with the Ampl.A factor 0.80 equals 36%.
8 Move the cursor to the right to the Rep.Rate
cell by pressing the soft key Right Set the
Rep.Rate to 20 pps. Set the parameter
TrainPulses to 20.
9 lnsert a single new line by pressing the arrow
key "down". Modify the parameter Delay to 20
sec. Leave the rest of the line unchanged.
10 lnsert 2 new lines by pressing the Arrow key
"down".

8
 Parameter Ranges

parameter Ranges
MagPro R30
protocol Menu
parameter Range
Delay . , O.3,0.4 ... 0.9, 1,2,3,4 ..... 300s
Ext erna,I 02
AmplitudeA 0.20, 0.21, 0.22 .......1.98, 1.99, 2.00
Mode Standard
current Direction Norma!
Waveform Biphasic
Rep.Rate 0.1, 0.2, 0.3 ..... O. 9, 1, 2, 3 ....... 30 pps (max. Rep.Rate: depending of options)
TrainPulses 1, 2, 3, 4 ... 1000, 1100, 1200...2000

MagPro R30 including MagOption

Protocol Menu
Parameter Range
Delay External, 0.2, 0.3, 0.4 ... O.9, 1, 2, 3, 4 ..... 300s
AmplitudeA 0.20, 0.21, 0.22, .......1.98, 1.99, 2.00
Mode Standard, Twin
Current Direction Normal
-
Waveform Monophasic, Biphasic
IPI
Monophasic: 2.0, 2.1, 2.2 ... 10.0, 10.5, 11.0 ... 20, 21, 22 ... 100ms, 110, 120 .... 3s
Biphasic: 1.0, 1.1, 1.2 ... 10.0, 10.5, 11.0 ... 20, 21, 22 ... 100ms, 110, 120 .... 3s
B/ARatio 0.20, 0.25, 0.30 ....... 5.00
Rep.Rate 0.1, 0.2, 0.3 ..... 0.9, 1, 2, 3 --.. 30 pps
TrainPulses 1, 2, 3, 4 ... 1000, 1100, 1200...2000

9
 Parameter Ranges

MagPro X100
Protocol Menu
Paramete r Range
Delay External, 0.2, 0.3, 0.4 ... 0.9, 1, 2, 3, 4 ..... 300s
AmplitudeA 0.20, 0.21, 0.22, .......1.98, 1.99, 2.00
Mode Standard
Current Direction Normal, Reverse
Waveform Monophasic, Biphasic, Halfsine, Biphasic Burst
BurstPulses 2,3,4, 5
IPI
Biphasic Burst O.S, 0.6 ... 10.0, 10.5, 11.0 ... 20, 21, 22 ... 100ms, 110, 120 .... 3s
Rep.Rate 0.1, 0.2, 0.3 ..... O. 9, 1, 2, 3 ....... 100 pps
TrainPulses 1, 2, 3, 4 ... 1000, 1100, 1200...2000

MagPro Xloo including MagOption

Protocol Menu
Parameter Range
Delay External,0.2, 0.3,0.4 ... 0.9, 1, 2,3,4 ..... 300s
Amplitude A 0.20, 0.21, 0.22, .......1.98, 1.99, 2.00
Mode Standard, Power, Twin
Current Direction Normal, Reverse
Waveform Monophasic, Biphasic, Halfsine, Biphasic Burst
BurstPulses 2, 3, 4, 5
IPI
Monophasic: 2.0, 2.1, 2.2 ... 10.0, 10.5, 11.0 ... 20, 21, 22 ... 100ms, 110, 120.... 3s
Biphasic, Halfsine: 1.0, 1.1, 1.2 ... 10.0, 10.5, 11.0 ... 20, 21, 22 ... 100ms, 110, 120 .... 3s
Biphasic Burst: O.S, 0.6 ... 10.0, 10.5, 11.0 ... 20, 21, 22 ... 100ms, 110, 120 .... 3s
B/A Ratio 0.20, 0.25, 0.30 ....... 5.00
Rep.Rate 0.1, 0.2, 0.3 ..... O. 9, 1, 2, 3 ....... 100 pps
TrainPulses 1,2,3,4 ... 1000, 1100, 1200..•2000

10
 .. . •..

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