Brain Ultimate TMS Therapy

Safety Features

Certification

Brain Ultimate TMS M-Series by Yingchi Technology sets a new industry standard in Transcranial Magnetic Stimulation (TMS) with its superior precision, efficiency, and dependability, outperforming existing market offerings. It stands out as the first TMS system to achieve China's NMPA/CFDA Class III certification, further solidifying its leadership position through global recognitions such as FDA clearance, EU CE Marking, Australia's TGA, South Korea's KFDA and so on. This underscores its adherence to the highest international quality and safety standards.

Overheating Protection

The Brain Ultimate/Yingchi Technology TMS system, which consists of a stimulator, cooling unit, and coil, has superior thermal regulation and several temperature sensors that continuously monitor conditions in real time. When temperatures rise above 105.8°F (41°C), a key safety feature known as the "automatic system shutdown" is activated, thereby preventing overheating. This system actively monitors liquid levels, temperature, and operating status to ensure maximum safety and functionality.

LED Indicator for Operating Status

The Brain Ultimate/Yingchi Technology TMS liquid cooling unit ensures consistent and efficient coil cooling, resulting in optimal performance and safety during operation. It meticulously monitors liquid temperature, volume, and circulation to ensure that all conditions are appropriate. Furthermore, the device has an LED indication that provides real-time data on liquid temperature, volume, and circulation status, enabling for quick operational adjustments and oversight.

Pulse Counter

To ensure optimal dosage delivery and maintain coil integrity, Brain Ultimate/Yingchi Technology TMS Coils are designed for a lifespan of 20,000,000 pulses, as specified by the manufacturer. Each coil is equipped with an intelligent pulse counter that accurately tracks the number of pulses delivered, allowing precise monitoring of coil usage.

Patient Data Security and Secure Operational Access

Brain Ultimate/Yingchi Technology TMS system is configured to operate exclusively with an authorized dongle issued to the attending physician. This protocol enhances the security of patient data, preserves confidentiality, protects programmed settings, and restricts operational access to authorized personnel only.

Navigating TMS Treatment: A Step-by-Step Guide

  1. Measuring Motor Threshold (MT):
    1. Open the QUICKSTIM Software and either create a new patient profile or select an existing one from the patient list.
    2. Properly fit the TMS positioning cap on the patient, ensuring their palms face upward and they are fully relaxed.
    3. Determine the patient’s accurate MT value using either the OM-MT (Observational Muscle Twitch) or EMG-MT (Electromyography Muscle Twitch) method.
  2. Protocol Selection or Configuration:
    Choose the prescribed protocol from the list of saved protocols, or create a new one as prescribed by the physician. Enter the specified parameters (Frequency, Intensity, ISI, ITI, Number of Pulses, Number of Trains) and save the new protocol.
  3. TMS Treatment Setup:
    1. Identify the designated stimulation target.
    2. Position the TMS treatment coil directly over the marked target.
    3. Ensure the patient is comfortable and inform them that the session will begin shortly.
  4. Operational Steps for TMS Treatment:
    1. Continuously observe the patient during the treatment.
    2. Check in with the patient to assess their comfort and collect feedback.
    3. Verify the details of the patient’s next scheduled appointment.
    4. If needed, print or export the treatment report.

TMS Treatment Process

Precision of Target Positioning. There are three commonly used methods for locating therapeutic target.

5cm rule: After finding the RMT hotspot, move forward 5cm to find the DLPFC treatment target.

Positioning Cap: Using YINGCHI positioning cap which is designed based on the EEG 10-20 electrode placement system to select the closest electrode position. For example, the left DLPFC can choose F3 electrode position as the target. Positioning caps are available in different sizes, suitable for patients of different ages.

TMS 3D Navigation System: MRI based neuronavigator provides a professional solution for the precise positioning of MRI based neuronavigator realized rTMS target personalization (based on individual brain structure, function or functional connection between brain areas), reproducibility and visualization.

Patient Motor Threshold (MT)

What is MT? MT is the minimum amount of electrical energy a patient needs for TMS to elicit motor movement. MT measure is conducted with the patient in a "resting state" and is sometimes called resting motor threshold (RMT). MT or RMT can be understood as "TMS dose".

Why determining MT is required before TMS treatment? MT is recognized as the "gold standard" for determining TMS dose. Delivering TMS treatment at the correct dose guards patient safety against the possibility of inadvertent seizure, its relationship to efficacy and reproducibility in cortex stimulation. Resting Motor Threshold (RMT or MT) is determined by using visual observation of muscle twitch (OM-MT) or electromyography muscle twitch (EMG-MT).

Items marked with* are investigational devices and for research use only. CAUTION - Investigational Device. Limited by Federal (or United States) law to investigational use.