inomed Medizintechnik GmbH of Emmendingen at MEDICA 2017 in Düsseldorf -- MEDICA Trade Fair
Manufacturers Trader Service OEM

inomed Medizintechnik GmbH

Im Hausgrün 29, 79312 Emmendingen
Germany

Telephone +49 7641 941410
Fax +49 7641 941494
info@inomed.com

Hall map

MEDICA 2017 hall map (Hall 9): stand C66

Fairground map

MEDICA 2017 fairground map: Hall 9

Our range of products

Product categories

  • 01  Electromedical equipment / Medical Technology
  • 01.01  Diagnostics
  • 01.01.01  General Diagnostics
  • 01  Electromedical equipment / Medical Technology
  • 01.01  Diagnostics
  • 01.01.01  General Diagnostics
  • 01.01.01.03  Electroencephalographs

Electroencephalographs

  • 01  Electromedical equipment / Medical Technology
  • 01.01  Diagnostics
  • 01.01.01  General Diagnostics
  • 01.01.01.07  Myography equipment
  • 01  Electromedical equipment / Medical Technology
  • 01.01  Diagnostics
  • 01.01.01  General Diagnostics
  • 01.01.01.08  Neurological diagnosis, appartus and instruments
  • 01  Electromedical equipment / Medical Technology
  • 01.08  Surgery and Endoscopy
  • 01.08.02  Surgical instruments and products
  • 01.08.02.04  Surgical disposable instruments
  • 01  Electromedical equipment / Medical Technology
  • 01.08  Surgery and Endoscopy
  • 01.08.02  Surgical instruments and products
  • 01.08.02.05  Other general surgical instruments and equipment

Other general surgical instruments and equipment

  • 01  Electromedical equipment / Medical Technology
  • 01.08  Surgery and Endoscopy
  • 01.08.02  Surgical instruments and products
  • 01.08.02.20  Instruments for the minimal-invasive surgery, MIS
  • 01  Electromedical equipment / Medical Technology
  • 01.08  Surgery and Endoscopy
  • 01.08.02  Surgical instruments and products
  • 01.08.02.27  Instruments for ENT surgery
  • 01  Electromedical equipment / Medical Technology
  • 01.08  Surgery and Endoscopy
  • 01.08.02  Surgical instruments and products
  • 01.08.02.28  Instruments and apparatus for abdominal and general surgery
  • 01  Electromedical equipment / Medical Technology
  • 01.08  Surgery and Endoscopy
  • 01.08.02  Surgical instruments and products
  • 01.08.02.42  Microsurgical instruments
  • 01  Electromedical equipment / Medical Technology
  • 01.08  Surgery and Endoscopy
  • 01.08.02  Surgical instruments and products
  • 01.08.02.43  Minimal invasive surgery equipment
  • 01  Electromedical equipment / Medical Technology
  • 01.08  Surgery and Endoscopy
  • 01.08.03  Electrosurgical devices (HF)

Electrosurgical devices (HF)

  • 01  Electromedical equipment / Medical Technology
  • 01.08  Surgery and Endoscopy
  • 01.08.03  Electrosurgical devices (HF)
  • 01.08.03.02  Equipment and accessories for high frequency surgery

Equipment and accessories for high frequency surgery

  • 01  Electromedical equipment / Medical Technology
  • 01.08  Surgery and Endoscopy
  • 01.08.03  Electrosurgical devices (HF)
  • 01.08.03.04  Devices for cryosurgery and cryotreatment (including chambers)

Devices for cryosurgery and cryotreatment (including chambers)

  • 01  Electromedical equipment / Medical Technology
  • 01.08  Surgery and Endoscopy
  • 01.08.03  Electrosurgical devices (HF)
  • 01.08.03.07  Radio surgical devices

Radio surgical devices

  • 07  Medical Services and Publications
  • 07.02  Further education and training

Our products

Product category: Surgical instruments and products, Neurosurgical instruments and equipment, Stereotactic operating instruments

RM stereotactic system

High-precision from Germany: The inomed RM system

The Riechert Mundinger (RM) system is the only stereotactic system on the market with three fixation points. This gives the device a very high level of stability and precision. The RM is regarded to be the most precise stereotactic system in the world and, with its unique design, provides uncompromised accuracy in stereotactic surgery.

The RM system from inomed is based on the polar coordinate principle. This concept was developed by the two well-known stereotactic experts, Prof. Traugott Riechert and Prof. Fritz Mundinger. The RM aiming arm with its probe mount delivers a high level of mechanical precision. A wide range of accessories ensure that the RM system delivers universal application for the modern stereotaxy service.

Stereotactic system offering the highest precision

The high precision of the inomed RM system was specifically developed for stereotactic interventions in functional neurosurgery. The configuration can be easily adapted for stereotactic brachytherapy. The precision and stability of the RM stereotactic system means that it is the frame of choice, particularly for interventions in functional neurosurgery.
The RM stereotactic system consists of an RM stereotactic base ring and an RM aiming arm unit. The application of the stereotactic base ring and the use of localizers for imaging are described in separate manuals (patient immobilization, localization systems). The RM target device allows the attending neurosurgeon to reach every point in the brain precisely. In order to achieve optimum results, it is a requirement that the patient's head, the position of the target and the trepanation point are taken into consideration when mounting the ring. Different mounting options can be applied both positively and negatively. The standard mount method is used for all acquisitions in the frontal and occipital region of the skull. With negative mounting of the RM, the posterior fossa and pituitary gland can be reached.

Vernier scale for accurate setting

To ensure the settings are as accurate as possible, Vernier scales are attached to the corresponding scales on the RM system. The Vernier scale allows surgeons to define small measurement units that can no longer be read on the main scale. A Vernier scale line corresponds to 1/10 of a degree. In the Vernier scale, 9° are divided into 10 equal sections. Using the Vernier scale in this way, the RM coordinate values can be adjusted precisely to decimal points (1 -, 1 -, 3, etc.). The digits after the decimal point are read from the scale line on the Vernier.

Components of the inomed stereotactic product can be adapted as part of a modular system directly on the aiming arm carriage of the RM system. Other components can also be used separately, and provide further helpful tools for the attending neurosurgeon.

Features

  • Polar coordinate system, with 5 setting parameters allowing for extremely high precision
  • Three fixation points for unmatched stability
  • Trepanation in the target direction
  • MicroDrive with depth sensor for micro-electrode recording (MER)
  • Target point verification using target point simulator
  • Artifact-free, optimized for medical imaging
  • Compatible with inomed iPS planning software
Applications

  • Deep Brain Stimulation
  • Pallidotomy
  • Thalamotomy
  • Brachytherapy
  • Stereotactic biopsy
  • SEEG depth electrodes

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Product category: Surgical instruments and products, Neurosurgical instruments and equipment, Stereotactic operating instruments

ZD stereotactic system

The ZD stereotactic system – for neurosurgery and neuromodulation
Aiming arm system for frame-based stereotactic neurosurgery

The inomed ZD frame derives its name from partners who developed it, Prof. L. Zamorano and Prof. M. Dujovny. This ZD localization system is most often used for neurosurgery and neuromodulation surgery applications.

The ZD system is an unparalleled combination of classical stereotaxy methods with the modern requirements of stereotactically-guided microsurgery. The procedures include stereotactic endoscopy, laser therapy and other cutting-edge applications, including neuromodulation and stereotactic biopsy.

The design of the ZD frame combines precision engineering and manufacturing with easy and intuitive operation. The ZD system therefore provides an important tool for the modern neurosurgeon. The minimally invasive neurosurgery techniques undertaken using the ZD frame offer patient-friendly and life-sustaining treatment options for disorders of the brain.

Almost unlimited access to all intracranial regions

The ZD system is based on the center-of-arc principle, which allows almost unlimited access to all intracranial regions, with a free choice of trepanation point. The surgeon is able to select the access point, offering the greatest safety to the patient and ensuring that all the settings for neuromodulation are configured on the ZD system with the highest level of mechanical precision.

The ZD system is compatible with all imaging procedures used with advanced therapy requirements, including DBS. The ZD head ring unit is made of titanium and guarantees artefact-free CT and MR images. The head ring is also transparent for X-rays. By design, the modular nature of the ZD system makes it possible to quickly and easily pick up whilst accurately and safely performing a number of diagnostic and therapeutic stereotactic procedures and neurosurgery. This is true for DBS procedures in the field of neuromodulation and also for stereotactic biopsy performed on the brain.

Variety of accessories for neuromodulation

When using the ZD system in neurosurgery and neuromodulation procedures, the surgeon is advised to take into consideration all indications and contraindications that generally apply to frame-based stereotaxis.

The ZD system can be used together with all inomed stereotactic rings. There are a variety of accessories and tools available for use with the ZD system. Using the inomed planning system (iPS), surgery can be planned and mapped on to the ZD frame. This includes all steps leading to a neuromodulation (DBS) implantation.

Features

  • Center-of-arc principle, target point remains the same from different trepanation points
  • 6 possible mounting positions for best possible access
  • Single-point fixing for easy and flexible mounting
  • MicroDrive with depth sensor for micro-electrode recording
  • Target point verification using target point simulator
  • Compatible with inomed IPS planning software
Applications

  • Deep Brain Stimulation
  • Pallidotomy
  • Thalamotomy
  • Stereotactic biopsy
  • SEEG depth electrodes

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Product category: Surgical instruments and products, Neurosurgical instruments and equipment, Stereotactic operating instruments

Target point simulator – Stereotaxic phantom

Recommended by leading neurosurgeons – inomed target point simulator (Phantom)

The stereotactic target point simulator from inomed, also referred to as a phantom, is a unique product and only available from inomed. Professors Riechert and Mundinger, globally recognized pioneers in neurosurgery, have developed the phantom alongside the development of the RM stereotactic system. The target point simulator has become internationally established and is regarded by leading neurosurgeons to be an essential and recommended tool for planning and conducting complex operations on the brain. The use of the phantom becomes especially significant for the highly complex neuromodulation (DBS) techniques.

The target point simulator (phantom) is used primarily to translate the coordinates from the planning software and mechanically setting the target point in real-space prior to surgery. A steel target point rod is moved with three movable thumb screws in the X-, Y-, and Z-axis (coordinates from the planning software). The tip of the rod forms the target point, in accordance with the planning software. A base ring is attached to the target point simulator and the aiming arm unit can be placed on this ring. The phantom consequently simulates the respective target point for the patient.

There are two options for setting the target direction on a phantom:

a) Mechanical adjustment on the phantom:

The desired stereotactic coordinates are set on the phantom. The trepanation marker is brought and fixed to the patient's head in the position of the desired trepanation gap. This is transferred to the base ring on the target point simulator by loosening the retaining screw and attaching in the same place (number of degrees on the ring).

After attaching the aiming arm to the base ring on the phantom, a puncture probe is directed through the opening of the trepanation marker directly to the target point. In order to do this, all screws on the aiming arm and carriage are loosened. This enables the assembly to be moved in all directions. By looking through the depth gauge, with the instrument holder and the trepanation marker, it is relatively easy to slide the assembly in all directions and move until the tip of the aiming point marking rod is visible. Once the best possible setting is reached on a phantom, all fixing screws are locked and secured and the entire aiming arm is attached to the base ring.

b) Mathematical adjustment on the phantom:

Using X-ray, CT and MRI scans with the inomed planning software (iPS),  the target and trepanation point coordinates are calculated and converted to stereotactic angles. The coordinates calculated by the iPS can be set directly on the aiming arm carriage of the RM or ZD stereotactic system. The aiming arm is then mounted on the phantom for verification.

Despite this rather simple target setting, an additional check on the phantom is always recommended. Any errors in adjusting the angle on the aiming arm or curved/bent instruments are detected immediately with the phantom. The phantom is therefore the final authority for preventing stereotactic errors. Only the use of a phantom can ensure the highest level of safety for patients during neurosurgery and neuromodulation .

Features

  • Patient-customized checking of target points
  • The setting of the stereotactic system in relation to the patient's target point is guaranteed to be accurate and correct for the given coordinates
  • Faulty instruments are detected before being used
  • Perfect for training beginners
  • X, Y and Z axes can be set for the patient-specific target point
  • Autoclavable
Applications

  • Target point verification for the stereotactic system and instruments

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Product category: Surgical instruments and products, Neurosurgical instruments and equipment, Microsurgical instruments

Stereotactic biopsy for the brain

inomed delivers the best instrument for every biopsy requirements

When the diagnosis of a brain tumor is uncertain, a stereotactic biopsy can provide clarity and confidence. To ensure that such clarity and confidence is delivered during a biopsy, inomed offers a sophisticated set of biopsy instruments for intra-operative stereotactic surgery .

From an evidence-based perspective, histopathological diagnosis of a brain tumor is the method with the highest accuracy rate for classifying a tumor. In this sense, stereotactic biopsy is the best method of treatment, especially for smaller and more deeply-seated lesions. This is considered to be the best way to classify a lesion accurately, and only this way can each and every patient receive the optimal treatment for their specific disease.

Working lengths for every application

Depending on the application and the requirements of its intended use, inomed biopsy sets offer a range of working lengths. Biopsy sets are selected to suit the stereotactic system that is being used. This means all systems with internationally established stereotactic working lengths, i.e. both 190 mm and 280 mm, can use inomed stereotactic instruments.

Planning a stereotactic biopsy can be performed with the inomed planning software (iPS): inomed's software supports current methods for target point definition, visually, functionally and metabolically. Due to the high quality of inomed’s biopsy instruments, users are able to work precisely at the point from where tissue is to be removed. The inomed target point simulator helps to validate the design and verify the exact calibration of the instruments used.

Safety and precision during the biopsy

inomed provides a safe process within the framework of planning and implementing a stereotactic biopsy for the brain. Using the unique inomed target point simulator, inomed is uniquely positioned to offer the highest levels of precision in the field of stereotactic biopsy. inomed continues to set standards for accuracy and precision.
The inomed portfolio comprises all current types of biopsy instruments, including forceps and probes (Sedan-type and Backlund).

Depending on personal preference or clinical requirements, disposable products and reusable products are also available. The sets include guide tubes and, if necessary, Mandarin and sterilization boxes.

  • inomed Stereotactic System Zamorano-Duchovny (ZD)
  • inomed Stereotactic System Riechert-Mundinger (RM)
  • Leksell
  • Micromar
  • CRW Radionics
Features

  • Available as single-use or reusable instruments
  • Available as forceps, probe or needle
  • Working length 190 mm or 280 mm
Applications

  • Controlled removal of tissue in the brain (biopsy)

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Product category: Surgical instruments and products, Neurosurgical instruments and equipment, Neurological diagnosis, appartus and instruments

MSV – MicroDrive for deep brain recording and stimulation

A mechanical masterpiece

This is the fourth generation of the sophisticated high-precision instrument used by surgeons and medical professionals around the world to position electrodes during stereotactic interventions and in deep brain stimulation.

The inomed MicroDrive was developed in cooperation with leading international practitioners and experts. The resulting standards and specifications set by the experts were extremely high. inomed has delivered on the specifications required and achieved mechanical precision delivering unique performance. The inomed MicroDrive is known to most specialists in the field and the device is favored for deep brain recording and stimulation applications.

Professionals and subject matter experts use the MicroDrive routinely. Using the inomed MicroDrive delivers the best possible neurophysiologically targeted diagnostics (deep brain recording and stimulation).

Modern imaging technology can identify physical structures of the brain, however, imaging modalities alone are not able to clearly and finitely identify target areas. In addition to this, target location can be affected by brain shift or indeed the functional target point may differ from the imaging results. For all of these reasons, microelectrode recording is used to further improve target point localization and precision. Precise localization, recording and stimulation are particularly important for DBS and neurmodulation procedures. For this entire spectrum of uses, the inomed MicroDrive is an indispensable tool. Correct application of the MircoDrive enables users to determine the optimum target point, for optimal treatment outcome in deep brain stimulation (DBS).

The universal nature of the MicroDrive design means that the inomed MicroDrive can be used with other Stereotactic systems and a wider range of users are able to benefit from the technology. With the addition of a suitable adaptor available from inomed, the MicroDrive can be used on all currently available stereotactic systems.

Functional neurosurgery requires more than just manual dexterity

Surgeon’s tools become an extension of his hands. The tools and technology used in the OR must work in perfect synchronization with the surgeon and be entirely reliable too. This is especially the case when positioning electrodes during a stereotactic procedure, such as deep brain stimulation (DBS).

The depth stops on the inomed MicroDrive ensure that fitting the electrodes and guide tubes incorrectly is not possible. The tactile feedback (‘click’) allows the neurosurgeon to ‘feel’ when a full turn of the MicroDrive spindle has been completed.
The inomed MicroDrive is able to position and deliver up to five electrodes for recording and stimulation for deep brain stimulation (DBS) procedures. The inomed MicroDrive has a resolution of 50 µm per division and allows the surgeon to position the electrodes accurately, with tactile feedback after each full turn.

With the addition of the optional depth sensor to the MicroDrive, the stereotactic position of the electrodes  is automatically transferred to the ISIS MER system and is indicated on the screen and recorded as part of the patient recording process.

Features

  • Implanting of DBS electrodes from Medtronic® , St. Jude® and Boston Scientific®
  • Positioning resolution of 50 µm
  • Tactile feedback after one complete turn (0.5mm)
  • Optional depth sensor available
  • Autoclavable
Applications

  • Deep Brain Stimulation
  • Recording and localization of the core area in the case of lesions
  • Micropositioning of other probes and electrodes

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Product category: Surgical instruments and products, Neurosurgical instruments and equipment, Myography equipment

ISIS Micro Electrode Recording (MER) system

inomed ISIS MER - The most compact and intuitive MER system available

Deep brain recording and stimulation or extracellular recording in other regions of the brain is potentially a high-risk intervention requiring a precise and systematic approach. The ISIS MER system is a self-contained, micro-electrode recording system that provides all of the hardware and software elements necessary for targeted measurement in MER and neuromodulation techniques. The ISIS MER system can be configured for a wide range of applications and is designed to be easy and intuitive to use.

ISIS MER System: Modularity in neurosurgery

The portable ISIS MER system comprises all the equipment the neurosurgeon will need in one box: ISIS MER USB Headbox module for micro-electrode recording and ISIS EMG USB Headbox module for electromyography. The system includes a high specification Notebook computer and medical grade power supply. The MER system carry case includes space for the high-precision inomed MicroDrive and sterilization box. The ISIS MER system also includes a small yet powerful and portable workstation for the OR.

Within the cart configuration, the system also includes a wide-screen monitor with an easy-to-clean surface and optional touchscreen operation. A high-performance speaker system and laser printer complete the cart configuration. The cart also benefits from additional space for accessories.

The intuitive interface of the ISIS MER Headbox ensures that both the surgeon and the operator of the MER system can see the electrode depth at all times throughout the procedure. This is critical to target localization during deep brain stimulation or when measuring local field potentials. Easy access to this information is also vital to ensuring accurate and safe procedures.

Hightech Systems combine to deliver the ultimate MER

The ISIS MER system has an intuitive and easy-to-use user interface. This means that the surgeon and the MER operator can focus on the procedure and patient during the critical recording and stimulation phases of the procedure.

System integration with the inomed MicroDrive  and the micro-macro electrodes delivers seamless performance. The design is stunningly simple. This means that only one plug-in connection is required per electrode. Switching between recoding and stimulation for a given electrode/channel is very simple – internal computer-controlled switching means there is no need to swap cables from recording to stimulation. All raw signal information is recorded for each channel used and signal filtering is an online function of the software. This results in the complete signal spectrum being recorded and available for post-operative investigation and intra-operative display.

Features

  • 5 MER channels for recording and stimulation
  • Up to 16 EMG channels
  • Intuitive and easy to use
  • Upgradeable with additional functions and additional ISIS USB headboxes
  • High-quality loudspeakers
  • Online analysis functions
  • Depth sensor for electrode position display
Applications

  • Target localization for extracellular recording and deep brain stimulation
  • Recording and localization of the core area in case of lesions

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Product category: Surgical instruments and products, Instruments for the minimal-invasive surgery, MIS, Minimal invasive surgery equipment, Other general surgical instruments and equipment

C2 NerveMonitor Spine

Neuromonitoring for Spinal Column Surgery

C2 NerveMonitor

The C2 NerveMonitor from inomed combines simplicity of use with high quality stable EMG signals and acoustic tones output. The matched electrical stimulation accessories enable intermittent & continuous monitoring to be performed.

C2 Spine Software – simple, fast and intuitive

inomed is pleased to announce the availability of our new Spine Software for the C2 NerveMonitor. The new Spine Software is coupled with a release of a set of matching accessories to enable easy and intuitive neuromonitoring during spinal surgery. The software is available on the C2 NerveMonitor platform, which is already used across the world for a wide range of surgical monitoring where user-friendly operation and quality signal acquisition is of paramount importance e.g. in thyroid surgery.

Intuitive controls –   positioning needle electrodes  and connecting cables

When monitoring spinal surgery with the C2 Spine Software, the user is guided step by step. The program provides simple options for setup ensuring the user is ready to perform the test very quickly.  The especially designed accessories have been adapted to the Spine Software. The user is guided intuitively through each step, starting from the correct positioning of the needle electrodes to connecting the cables to the system.  This makes neuromonitoring during spinal surgery an easy standard to adopt as a part of the surgical procedure. The C2 Spine Software combines efficient neuromonitoring during spinal surgery with simple and intuitive operation that has been tried and tested for other applications of the C2 NerveMonitor.

Automatic monitoring of the pharmacological relaxation status of patients

The C2 Spine Software includes an integrated twitch-test (relaxation monitoring). This test is used to automatically check the pharmacological relaxation status of the patient's muscles. This is crucial for effective recording of signals during spinal surgery.
The muscles are continuously monitored when the software is in measuring mode. If a relevant activity occurs – for example, by direct nerve manipulation – the surgeon is informed of this visually and acoustically. Pedicle screw testing and stimulation capabilities of the C2 make automatic identification of the respective stimulation threshold value possible and thus the position of the screw within the pedicle can be inferred. Essential information is provided quickly and easily and is displayed for users during spinal surgery.

The C2 Spine Software automatically saves all muscle responses and stimulation limits in one document for the subsequent report. As a result, it is possible to review every stimulation response for the procedure at a later date.

Features

  • Ease of operation by OR staff
  • Clear representation of the EMG signal
  • C2 Spine Software for operations on the spinal column
  • Good quality loudspeakers
  • Twitch-test for automatic relaxation monitoring
  • Barcode scanner for patient data
Applications

  • Posterior cervical interbody fusions
  • Lumbar interbody fusions

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Product category: Surgical instruments and products, Instruments for the minimal-invasive surgery, MIS, Instruments for ENT surgery, Minimal invasive surgery equipment

C2 NerveMonitor Thyroid

C2 NerveMonitor – Easy-to-use neuromonitoring for thyroid surgery, ENT, spine and a range of other applications

Innovation delivering quality and reliability for preservation of nerve function

The C2 NerveMonitor is the result of inomed's 20+ years of experience in the field of nerve monitoring (IONM). The C2 is available as a 4 or 8 channel EMG monitor. The system includes high performance differential amplifiers and two independent stimulators: one stimulator may be used for direct nerve stimulation with handheld probes and the second for applications such as continuous vagus nerve monitoring, delivering stimulation at a user-defined rate and amplitude.

Proven methods of neuromonitoring - Simplified

Designed for everyday use in the operating room, the C2 NerveMonitor benefits from an intuitive user interface that makes the system very easy to use indeed. The C2 combines simplicity of operation with a clear visual display showing waveform, trends and numbers, as well as auditory feedback. All monitoring sessions are recorded and can be printed in the form of a comprehensive user-defined report. All the device’s components have been designed to meet European and international safety and quality standards. Procedures that can be monitored using the C2 NerveMonitor include thyroid surgery and a range of user-specific programs for ENT and spinal surgery. The sophisticated easy-to-use interface and a comprehensive range of accessories make the C2 NerveMonitor a versatile and portable system for the OR.

Neuromonitoring as the standard of care

Neuromonitoring is becoming the standard of care for a wide range of revisionary surgical procedures. This is particularly true of procedures for the thyroid gland. Common to all surgical interventions, the requirement for documentation from monitoring thyroid surgery is either mandatory or becoming an essential part of patient care. A major strength of the C2 NerveMonitor is the ability to document and produce fast and accurate reports. The C2 NerveMonitor provides a barcode scanner to enable fast input of patient identification, while the systems also includes tools for easy data integration into patient management databases and intuitive ways to easily create patient monitoring reports. The C2 exemplifies the application of innovation in delivering quality patient care.

Features

  • Ease of use for Operating Room staff
  • Synthetic sound technology for easy audio interpretation of nerve response
  • Clear presentation of the muscle response in the form of EMG waveforms
  • Channel Select software for optimal signal quality in thyroid surgery
  • High quality loudspeakers
  • Continuous vagus nerve monitoring during thyroid surgery
  • Integrated patient database
  • Barcode scanner for patient ID input
Applications

The C2 NerveMonitor was developed to provide real-time feedback for neural pathway integrity. Surgical procedures monitored using the C2 NerveMonitor include:

  • Thyroid gland procedures
  • Parotid surgery
  • Acoustic neuroma
  • Cochlear implantation
  • Pedicle screws and XLIF
  • Neurosurgery (motor cranial nerves)

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Product category: Surgical instruments and products, Instruments for the minimal-invasive surgery, MIS, Instruments for ENT surgery

C2 NerveMonitor Facial surgery/ENT

C2 NerveMonitor

The C2 NerveMonitor from inomed combines simplicity of use with high quality stable EMG signals and acoustic tones output. The matched electrical stimulation accessories enable intermittent & continuous monitoring to be performed.

Ear, nose and throat medicine: Acoustic neuroma to the parotid
The application of neuromonitoring techniques can considerably reduce risks during parotid surgery

Surgery in ear, nose and throat medicine is delicate, complex and high-precision. This is also the case for surgery of the parotid (parotid gland surgery). During parotid surgery, the location of the branches of the facial nerve poses a major challenge for the surgeon. Monitoring, localization and function-testing of nerves located in the operating field is indispensable in supporting the surgeon during the parotid procedure. Neuromonitoring serves as a method of choice, delivering lower risks and an improved patient outcome. The most common ENT interventions in which inomed products are used include the following:

  • Parotid surgery (surgery of the parotid gland)
  • Thyroid surgery
  • Acoustic neuroma
  • Tympanoplasty
  • Mastoidectomy
Monitor nerves, mitigate risk and improve patient outcome: Parotid gland surgery and other ENT procedures can be performed safely

During a parotid gland (parotid) procedure, the facial nerve is particularly at risk.

For thyroid surgery, neuromonitoring with inomed nerve monitoring technology can help  reduce the risk of nerve injury to the vocal cord nerves and thus minimize the possibility of  temporary or complete vocal cord paralysis.

During tympanoplasty procedures, neuromonitoring reduces the risk of injuring nerve tissue when milling near the boney facial canal. Additionally, during mastoidectomy procedures, neuromonitoring techniques are also used to reduce the risk of injury during milling in the vicinity of the bony facial canal.

Surgery in ear, nose and throat medicine is more challenging without the use of neuromonitoring equipment and techniques. Nerve-sparing parotid surgery (surgery of the parotid gland) improves the quality of intraoperative management and shortens operating times. Patients respond positively to the reduced surgical time leading to improved outcomes.

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Product category: Surgical instruments and products, Instruments for the minimal-invasive surgery, MIS, Instruments for ENT surgery, Instruments and apparatus for abdominal and general surgery, Minimal invasive surgery equipment, Neurosurgical instruments and equipment, Myography equipment

ISIS IONM system

Intraoperative Neuromonitoring: From SEP to MEP

inomed Neuroexplorer software includes EMG, AEP, SEP, MEP, phase reversal SEP, EEG and VEP capabilities enabling the monitoring clinician to deliver a comprehensive monitoring service.

Intraoperative neural monitoring (IONM) refers to a variety of methods that are used to monitor the integrity of nerves during surgery (including SEP). Neuromonitoring forms an important part of the range of services offered to patients in a modern hospital.  IONM is used in the fields of neurosurgery, cardiothoracic surgery, ear, nose and throat medicine, orthopedics, trauma surgery, vascular surgery, abdominal surgery, as well as general surgery. These systems and techniques can also be used in the ICU.

IONM techniques are used to minimize and prevent risks to motor and sensory nerves during surgery. The technique also assists clinicians to identify nerve structures using neurostimulation, and helps prevent nerve impairment during the operation. IONM applications include aortic aneurysm surgeries, including spinal monitoring with SEP and MEP and SEP monitoring during carotid surgery. In addition, it is also possible to measure and monitor a full range of electrophysiological modalities, including EMG, AEP, MEP, SEP, EEG and VEP, and correlate the results against a common time base.

One system – Configured to meet all your application requirements

The inomed ISIS IONM system delivers impressive performance, ease of use, flexibility and a comprehensive range of applications. The ISIS IONM system provides a complete and user-configurable package for multi-modal intraoperative neurophysiological monitoring.

The ISIS IONM system is available in three different forms – the ISIS IONM system, the ISIS IONM compact system, and the ISIS IONM Xpress (portable). The type and number of amplifiers can be selected and configured in accordance with the user’s intended application. The ISIS neurostimulator is the heart of every ISIS IONM system.

The stimulation adapters used with the ISIS neurostimulator are color-coded and clearly labeled, enabling easy connection to probes and electrodes at the patient’s bedside.

Regardless of the ISIS IONM system you choose – all inomed IONM system configurations are based on USB technology and are designed to be upgradable. The systems can be enhanced with additional channels and applications as required to meet your changing monitoring needs. Our ultimate aim is to provide powerful, flexible tools that improve the level of information available during surgical procedures, enabling clinicians and surgeons to minimize nerve impairment and deliver improved outcomes for patients.

Features

  • The ISIS IONM system is available as an 8, 16, 24 or 32 channel system and can be upgraded up to 128 channels, if required
  • Constant current stimulator with 12+1 outputs for direct neural, cortical, muscular, transcutaneous and transcranial electrical stimulation
  • Stimulation current of 0.01mA to 250mA can be set at individually definable levels
  • Continuous impedance measurement and current flow control indicator
  • Each stimulation channel can be used flexibly for all measurement types and freely selected to create montages or muscle groups
  • Easily create an unlimited number of application-specific, pre-installed measurement programs. The system includes a large number of predefined programs for application areas, including tibialis, EMG, SEP, MEP and SEP
  • Simultaneous, clear presentation of all measurement types, including tables, stacks and trends for selected modalities
  • Patient documentation database with the option to synchronously analyze data from another PC
Applications

  • Neurosurgery, including SEP and MEP monitoring during spinal cord surgery
  • ENT surgery, including AEP and EMG monitoring in acoustic neuroma
  • General & visceral surgery, for example, EMG monitoring in surgery of the thyroid gland
  • Vascular surgery, for example, SEP monitoring in the event of carotid stenosis
  • Orthopedics and spinal surgery, such as SEP and MEP monitoring spine and scoliosis surgery
  • Cardiothoracic surgery, such as SEP and MEP monitoring for aortic aneurysms
  • Pelvic Intraoperative Neuromonitoring

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Product category: Surgical instruments and products, Instruments for the minimal-invasive surgery, MIS, Instruments for ENT surgery, Instruments and apparatus for abdominal and general surgery, Minimal invasive surgery equipment, Neurosurgical instruments and equipment, Myography equipment

NeuroExplorer Software 6.0

Next generation of ISIS IOM Software
NeuroExplorer Software 6.0 for intraoperative Neuromonitoring

The powerful NeuroExplorer Software 6.0 is the latest inomed innovation in the field of intraoperative moni­toring and meets the highly demanding requirements for comprehensive monitoring: improved signal quality resulting from optimized digital signal processing, high user-friendliness and complete documentation.

The NeuroExplorer Software 6.0 is available for all versions of latest ISIS IOM systems ISIS IOM system, ISIS IOM system compact, portable ISIS Xpress. The modular design of the NeuroExplorer Software 6.0 offers users flexible configuration of individual types of measurement and can be expanded to meet individual requirements.

Proven technology meets intelligent usability improvements

The next software generation NeuroExplorer 6.0 refines proven technology of the neuromonitoring software with innovative tools and offers a precise and efficient monitoring for optimal measurement data during the entire monitoring procedure.

NeuroExplorer Software 6.0 allows a quick creation of individual scenarios by using templates with predefined standard parameters. High-user-friendliness supports an easy application and efficient operation procedure through simple adjustment of electrode positions, detail window for signal key information, easy to use comment function and live analysis of signals during ongoing monitoring process. 

Further significant and innovative feature of the NeuroExplorer Software 6.0 is the improved digital signal processing (DSP). DSP allows a more detailed identification and reduction of stimulation artefacts and a significantly improved signal quality. The automated, exact peak detection simplifies the analysis of signals during the procedure. Through intelligent data capturing immediate missed spontaneous activity will be subsequently captured when starting EMG and EEG recording. Automated recording of all monitoring data in EDF+ format simplifies the analysis process with any free analysis software.

The NeuroExplorer Software 6.0 and its comprehensive datamanagement offers further advantages to the users. The new SQL Server based DataSync-Module offers a synchronized database for several ISIS IOM systems enabling the synchronization of patient data between multiple workstations. DataSync is the optimal solution for a central data and backup management.

The Screen2Video feature providing all activities as video file offer advanced service and a helpful tool for presentations and training purposes.

Features

New usability
  • Electrode positioning – quick and easy configuration
  • Signal key information in one view
  • Timeline – live analysis during ongoing monitoring
  • Default Editor for quickly creating indivdual scenarios
  • Individual and quick arrangement of monitoring windows
Comprehensive datamanagement
  • New report generator
  • DataSync – synchronized database for several ISIS IOM systems
New DSP toolbox
  • Improved digital signal processing (DSP)
  • Identification and reduction of stimulation artefacts
  • Optimized filter algorithm for raw signals
  • Improved peak detection of evoked potentials
  • All signals safed as EDF+ data
  • Intelligent data capturing
Advanced Service
  • Screen Capturing – Screen2Video function for presentations and education
  • ServiceZip – fast support assistance
Applications

  • Neurosurgery, including SEP and MEP monitoring during spinal cord surgery
  • ENT surgery, including AEP and EMG monitoring in acoustic neuroma
  • General & visceral surgery, for example, EMG monitoring in surgery of the thyroid gland
  • Vascular surgery, for example, SEP monitoring in the event of carotid stenosis
  • Orthopedics and spinal surgery, such as SEP and MEP monitoring spine and scoliosis surgery
  • Cardiothoracic surgery, such as SEP and MEP monitoring for aortic aneurysms

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Product category: Surgical instruments and products, Instruments for the minimal-invasive surgery, MIS, Instruments for ENT surgery, Instruments and apparatus for abdominal and general surgery, Minimal invasive surgery equipment, Neurosurgical instruments and equipment

ISIS Neurostimulator

A general-purpose neurostimulation system 

The ISIS Neurostimulator is a USB powered module that can be used with stand-alone Windows based PC software to deliver electrical stimulation. The ISIS Neurostimulator can also be configured to form a part of the ISIS IOM system using the NeuroExplorer software. The device provides a multifunctional constant current stimulator, which is specially designed for Neurostimulation and intraoperative neurostimulation.
 
Easy to use – safe and reliable connection

The stimulation adapters used with the ISIS Neurostimulator are color-coded and clearly labeled enabling easy connection to probes and electrodes at the patient’s bedside.

The ISIS Neurostimulator can also be configured to be used with neurodiagnostic systems to deliver neurostimulation for EMG and iEEG procedures.

The ISIS Neurostimulator – powerful and flexible

The ISIS Neurostimulator includes 12 channels for high-power stimulation (max. 250 mA) and a single channel for direct nerve stimulation (max 25 mA). The range of outputs allow for the simultaneous use of a range of neurophysiological measurement techniques in surgery, including neurosurgery, epilepsy surgery, general and visceral surgery and ENT. In addition to the 12 channel stimulation capability, the ISIS Neurostimulator also includes technology that continuously monitors the impedances of the stimulation electrodes. This technique ensures that the current delivered to the patient is constant and kept within safe limits. Stimulation parameters can be modified and saved in the control software.

Features

  • Constant current stimulator with 12+1 outputs for direct neural, cortical, muscular, transcutaneous and transcranial electrical neurostimulation
  • Stimulation current of 0.01 mA to 250 mA can be set at individually definable levels for each channel
  • Impedance measurement and current flow control indicator
  • Each stimulation channel can be used flexibly for all measurement types and freely selected
  • Simple programming of an unlimited number of application-specific stimulation programs
  • Patient documentation database
  • All adaptor/connection boxes required are included
Applications

  • Transcranial electrical neurostimulation of motor evoked potentials
  • Direct cortical and subcortical neurostimulation of the speech and motor cortex
  • Direct intracerebral neurostimulation for localization of functional disorders in pre-surgical diagnostics for certain pharmaco-resistant epilepsies.
  • Direct neurostimulation for monitoring cranial and peripheral nerves
  • Neurostimulation of peripheral nerves, neural lesions to measure nerve action potentials
  • Neural and muscular stimulation for surgery in the small pelvic region and anal atresia

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Product category: Neurosurgical instruments and equipment, Neurological diagnosis, appartus and instruments

ISIS Switchmatrix

ISIS Switchmatrix switches between iEEG and electrical stimulation – an intuitive and scalable solution
Stimulation and recording of  iEEG has never been so easy

The intracranial EEG, or iEEG, is a method of evaluating epileptic activity in the brain. In case of intractable epilepsy, surgical intervention is an option. To narrow down the focus of the epileptic activity, an iEEG is measured and the pathological sites in the brain are identified. Applications of iEEG are found in neuroscientific research, e.g. in cortical mapping and functional studies.

Flexibility, speed and simplicity

The ISIS Switchmatrix has a range of areas of application. These include applications with iEEG in the diagnosis of epilepsy or with chronic or acute electrophysiological studies of the cortical surface. The complete study is often supported with a VEEG. The ISIS Switchmatrix is an open system and works with all stimulators and digital amplifiers for iEEG recording. Whenever flexibility, speed and simplicity are required, the inomed Switchmatrix provides a powerful and simple stimulation switching tool for use with invasive multi-channel recording or an intracranial EEG. The ISIS Switchmatrix benefits from a history of developing electrical stimulation systems for IOM and diagnostic applications. The design of the Switchmatrix and corresponding software applications both benefit from extensive cooperation with neurologists, neurosurgeons and other specialists to ensure optimal usability and performance.

Individually controllable electrodes

The ISIS Switchmatrix is powered by a USB port and connects one or two of the 64 channels from iEEG to electrical stimulation. The ISIS Neurostimulator is the perfect partner for the ISIS Switch Matrix with iEEG. In combination with a digital amplifier, the ISIS Switchmatrix can connect individual electrodes of the iEEG lead with the ISIS Neurostimulator or other nerve stimulators. At the same time, the other non-switched channels continue to record the iEEG. However, the ISIS Switchmatrix also offers the ideal starting point for complex applications. Up to three expansion modules - ISIS Switchmatrix extensions - can be connected to the ISIS Switchmatrix. Each of these expansion modules also contain 64 channels and the option to connect up to two additional stimulators. inomed offers a complex solution to meeting complex neurological testing challenges. A maximum of eight stimulators can be connected to individual electrodes for up to 256 channels for the iEEG.

Features

  • Simple and intuitive operation
  • Expansion option with up to 3 ISIS Switchmatrix extensions
  • 64 to 256 channels
  • Connections for up to 8 external neurostimulators
Applications

  • Presurgical evaluation of epilepsy
  • Electrocortical stimulation mapping
  • Fast switching within an electrode array

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Product category: Surgical instruments and products

Delta electrode

Delta electrode – continuous monitoring of the recurrent laryngeal nerve during thyroidectomy
Improved information on nerve state using continuous neuromonitoring of the recurrent laryngeal nerve

Thyroid disorders affect millions of people worldwide. In many cases, surgical treatment is necessary and often the only solution. For example, where a goitre, an enlargement of the thyroid gland, has formed, or if malignant changes are found, surgical intervention is recommended.

In the case of surgical intervention where partial removal of the thyroid gland (subtotal thyroidectomy) or its complete removal (total thyroidectomy) is required, these procedures carry a risk of damage to the vocal cord nerve, the recurrent laryngeal nerve. If the recurrent laryngeal nerve is impaired or damaged, this can have serious consequences for the patient. Impairment or damage to the recurrent laryngeal nerve can result in short-term hoarseness after surgery or even lead to permanent bilateral vocal cord paralysis.

Avoiding bilateral vocal cord paralysis

Intraoperative neuromonitoring during thyroid surgery enables the function of the recurrent laryngeal nerve to be monitored throughout. The continuous monitoring process enables the surgeon to make informed decisions during surgery. Following surgery, a definitive statement can be made as to nerve function. The ultimate goal of recurrent laryngeal nerve monitoring is to minimize nerve impairment and to avoid bilateral vocal cord paralysis.

During the procedure, the surgeon is able to use a hand probe to locate the recurrent laryngeal nerve, map it and check its function. Nerve function is therefore recorded both at the beginning and at the end of the operation. In addition, continuous neuromonitoring allows for both audible and visual feedback of the nerve function in real time and enables the surgeon to react quickly to avoid vocal cord paralysis.

In continuous recurrent laryngeal nerve monitoring, the vagus nerve is stimulated so as to monitor and protect the recurrent laryngeal nerve in the surgical area.

The delta-electrode is placed around the vagus nerve and thus always keeps contact with the nerve and delivers stimulation pulses at the defined rate and threshold.

Perfect fit on the nerve

The distinct advantage of the electrode is its delta-like shape and form factor. The shape enables the electrode to be positioned optimally on the nerve and prevents the electrode from slipping or sliding off. As a result of the constant contact with the vagus nerve, technically-induced signal attenuation and even signal loss can be avoided. The surgeon can thus immediately see if the recurrent laryngeal nerve is at risk and can act before a reduction in nerve conductivity becomes an irreversible vocal cord paralysis.

Using intraoperative nerve monitoring, and depending on nerve performance during the procedure, the surgeon has the option of ending the procedure after a unilateral thyroidectomy if the results from nerve monitoring are inconclusive or sub-optimal. After successfully maintaining the ipsilateral function of the recurrent laryngeal nerve, the surgeon is able to continue operating contra laterally with a higher degree of confidence. This method helps to identify nerve impairment at an early stage and therefore avoid bilateral vocal cord paralysis.

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Product category: Neurological diagnosis, appartus and instruments, Neurosurgical instruments and equipment

Cortex Grid Electrodes and Depth Electrodes

Cortex Grid Electrode

Localisation of disfunctions by EEG recording in the presurgical epilepsy diagnostic and neurophysiological mapping during neurosurgical interventions in order to localise the central sulcus of cerebrum with SEP recording (phase reversion)
  • Implantable up to 30 days
  • Contact material: platinum/iridium, MRI compatible
  • Delivered sterile (ethylene oxide), for single use
  • Thickness 0.7 mm – contact diameter 2.5 mm
  • Strips with 10 mm – contact distance 10 mm

Depth Electrode
  • 0.8 mm fine
  • Useful for SEEG and RF Thermolesions
  • Contact material: platinum/iridium, MRI compatible
  • Delivered sterile (ethylene oxide), for single use
  • Contact size 2 mm – contact distance 10 mm

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Product category: Surgical instruments and products, Surgical disposable instruments, Neurosurgical instruments and equipment

Mapping Suction Probe by Raabe

New mapping method simplifies safe tumor resection in the brain
Dynamic continuous subcortical mapping of the corticospinal tract by Raabe

Mapping Suction Probe: All-in-one surgical suction & stimulation probe

Dynamic continuous subcortical mapping is a new method that simplifies safe tumor resection in the brain. Especially for the new mapping technique, inomed developed the Mapping Suction Probe in cooperation with Prof. Dr. Raabe (Inselspital Bern). The combination of a surgical suction tube and a stimulation probe allows suction during tumor resection and also enables the simultaneous continuous dynamic mapping of the corticospinal tract.

Mapping Method by Raabe

The ability to resect a tumor down to low motor thresholds (3-5 mA) is a significant refinement of the classic subcortical mapping of the corticospinal tract:

The mapping starts with a stimulation intensity around 10 mA (10 mm distance to the corticospinal tract).
Current intensity is proportional to the distance of the corticospinal tract (Rule of thumb: 1 mm ≈ 1 mA).
If a motor response is triggered, the current should be reduced in 2 mA steps until 5 mA is reached.
As soon as a motor response is triggered, the resection should be continued at a more distant position from the corticospinal tract.

The suction tip is at any time on the same place where the resection is performed and enables continuous mapping.
The tumor resection should be terminated by the surgeon, considering the progress of the operation and appropriate current intensity of the cortical MEPs.

The method is based on a resection, where no MEP will be triggered. The method allows a safe tumor resection with better protection of the corticospinal tract and helps to prevent a postoperative permanent paresis.

Benefits of the Mapping Suction Probe by Raabe

  • Subcortical mapping with synchronous suction
  • Simplified maximal tumor resection
  • No change of instruments during the procedure
  • Continuous audio feedback:
    A low-pitched sound alerts the surgeon if a MEP is triggered
    A high-pitched sound is delivered when current confirm is activated and there is no motor response allowing a continuation of resection

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Product category: Surgical instruments and products, Microsurgical instruments, Neurosurgical instruments and equipment

inomed Planning Software - iPS

Target point planning, biopsy and DBS
inomed planning software - iPS

Accurate and precise planning is essential for all forms of neurosurgery that require targeting structures in the brain. For example, targeting the STN for DBS procedures requires that the target is identified and a precise and accurate trajectory is defined for use with stereotactic devices. In order to achieve this, it is essential that a high-precision and easy-to-use planning tool is employed. The inomed iPS software is such a tool, enabling the clinician to easily assemble all of the necessary imaging modalities and create an optimum set of planning coordinates to target the area of interest.

State-of-the-art imaging techniques in combination with developments in the field of IT have led to breakthroughs in stereotactic and functional neurosurgery. These technologies have enabled accurate and tissue-sparing interventions in the human brain.  All the planning tasks are carried out by the inomed iPS planning system.  

Safe intervention during DBS requires precise planning

Before any surgical intervention, surgeons use the iPS from inomed to plan their access and target point coordinates for specific surgical interventions in the brain. The target defined may be verified prior to surgery using the inomed target point simulator.

What sets the IPS planning software apart is the high quality of its image manipulation tools and the methods and algorithms used to merge images together. If required, anatomical atlases can be projected onto the patient's own data. In turn, this allows verification based on anatomical principles and provides for safe intervention.

Seamless connection to IT systems

Interfacing with hospital imaging tools is a prerequisite for successful and effective operation in planning and stereotactic interventions. The inomed iPS software connects seamlessly to hospital-specific imaging equipment and IT structures. In addition, the iPS software supports a variety of different image formats, allowing for a wide range of applications. Once planning is complete, the resulting data is transferred to the stereotactic system, paving the way for an accurate and safe surgical intervention.

There is currently no other stereotactic planning software besides iPS that supports the wide range of different stereotactic systems on the market. Whether carried as a laptop or in stationary mode with a network connection, iPS provides reliable coordinates and helps ensure successful interventions.

Supporting all planning approaches

iPS supports all planning approaches, whether free-hand, functional, atlas-based or metabolically-oriented. In each case, various options are available that can complement each other to provide greater safety in interventions, such as DBS.
A powerful multi-level fusion algorithm allows the merging of digital and digitized image information, always preserving the exact patient geometry in the foreground, with simultaneous optimization of anatomical visibility and image quality. This forms the basis for a secure, high-risk intervention, such as DBS.

Additionally, post-operative imaging can, after an intervention such as DBS, be combined with pre-operative information so that complications can be excluded and the accuracy of the procedure verified.

Features

  • PACS connectivity
  • DICOM import and export
  • Automatic image fusion
  • 3D simulation
  • Visualization of electrodes
  • Anatomical atlases
  • Supports all imaging systems
  • Post-operative checks
Applications

  • Stereotactic target planning
  • Biopsy planning
  • Deep Brain Stimulation (DBS)
  • SEEG planning

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Product category: Surgical instruments and products, Instruments and apparatus for abdominal and general surgery, Minimal invasive surgery equipment, Instruments for the minimal-invasive surgery, MIS

pIOM® Pelvic neuromonitoring

Pelvic neuromonitoring helps to improve outcomes in complex procedures on the minor pelvis
pIOM technology when used for pelvic neuromonitoring can decrease postoperative complications

inomed has completed the development of its pIOM technology for pelvic neuromonitoring, and this new technology and product from inomed can help minimize the risk of nerve impairments during surgical interventions in the minor pelvis. The application of this technique can reduce the incidence of postoperative complications. Real-time assessment of nerves provides surgeons with timely information about neural functions and can help minimise complications and maintain the quality of life for patients. The pIOM technology for pelvic neuromonitoring has been perfected following ten years of clinical research with the Medical University of Mainz, Germany. This technique is now being used in many clinics.

pIOM technology for pelvic neuromonitoring helps to maintain the quality of life for patients

Rectal cancer is among the most frequent forms of cancer worldwide. The autonomic nervous system of the minor pelvis is very complex and can be difficult to evaluate visually. Pelvic neuromonitoring can be used for several surgical interventions in the minor pelvis and is currently indicated for the resection of rectal cancer. For this condition, the procedure of choice is the deep anterior total mesorectal excision (TME). During resection of the rectal carcinoma, pelvic neuromonitoring can significantly reduce the number of postoperative complications including incontinence and sexual dysfunction. The pIOM-technology developed by inomed allows surgeons to have access to additional information. Using this information in conjunction with other parameters enables the surgeon to deliver improved outcomes and a higher quality of life for patients.

Hightech for nerve monitoring

Pelvic neuromonitoring is delivered by expanding the gold standard in intraoperative monitoring  ISIS IOM Systems with additional software and hardware tools. New pIOM accessories have been specially designed for pelvic neuromonitoring resulting in an easy setup for the procedure.

Simultaneous display of bladder pressure and EMG signals for anal sphincter muscles allow the surgeon to fully rely on pelvic neuromonitoring and focus his or her attention on the target area.

Other departments such as proctology, gynaecology or urology can benefit from pelvic neuromonitoring as well.

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Product category: Devices for cryosurgery and cryotreatment (including chambers)

C3 CryoSystem for cryotherapy

Freeze pain with the C3 CryoSystem

Using cryotherapy (cryolesion) techniques, the inomed C3 CryoSystem allows the pain therapist to "put the pain on ice". Effective treatment of pain has been the goal for clinicians and pain treatment experts throughout human history. Both acute and chronic pains represent a huge challenge for patients, as well as their clinicians, and diminishes the patient’s quality of life. The pain-relieving effect of cold has been known since ancient times. By building on the past and using the latest advances in cryotechnology and pain relief, patients and clinicians are now choosing the state-of-the-art inomed C3 CryoSystem for cryotherapy and pain treatment.

Treatment-resistant, chronic pain in the spinal column region is one of the main indications of cryotherapy and thus the main area of application for the inomed C3 CryoSystem. When medicated pain or injection treatments for chronic back pain do not bring relief, neurodestructive procedures such as cryotherapy and thermolesion can be the solution. Using the inomed C3 CryoSystem and disrupting the conduction pathways of pain with cryotherapy, effective pain relief can be delivered to the patient. The precision cryoprobes from inomed allow for a targeted application of the cooling effect on the affected peripheral nerve.

Cryotherapy method

The basic principle of cryotherapy requires that the affected nerve is located and identified using imaging and visual techniques, followed by precise targeting using the built-in electrical stimulator in the inomed C3 CryoSystem. Once the nerve has been located and targeted, the CryoSystem probe starts the process and freezes the nerve. During the freezing process, an ice ball of about 3-5 mm in diameter is formed on the nerve. This process takes around 2 minutes and reduces the temperature of the nerve to approximately -60 °C. The inomed C3 CryoSystem provides the user with a choice of gases to enable the freezing process. These include carbon dioxid (CO2) and nitrous oxide (N2O) gas supplies and adaptors are available to allow connection to the respective gas cylinders. Freezing causes axonotmesis of nerves (disruption of the axon), but the connective tissue remains intact and allows the nerve to regenerate. In view of the precise targeting of the sensory nerve, there is no direct risk from cryotherapy to the nerves responsible for motor activity and sensitivity.

Features of the C3 CryoSystem for cryotherapy:

  • Intuitive and easy to use
  • User-friendly menu navigation
  • The entire cryotherapy treatment and documentation process can be carried out with the footswitch (optional)
  • Integrated electrical stimulator (motor and sensory stimulation)
  • Excellent low-temperature (cryo) results
  • Automatic control and regulation of all relevant parameters, such as gas flow and pressure
  • Automatic purging procedure
  • Patient management system
  • Treatment report with comments
  • Documentation of all functions used, including stimulation and cryo processes
  • Barcode reader for patient identification
  • Device communication via USB
  • Data import and export
  • Connection to a printer
Applications for cryotherapy

The main indication for cryotherapy is treatment-resistant, chronic pain in the spinal column region, most commonly lumbar facet syndrome. Additionally, they include:

  • Facet syndrome
  • Pseudoradicular postnucleotomy syndrome (radiating pain after disc surgery)
  • Discogenic pain without disc herniation (nucleus pulposus prolapse)
  • Coccygodynia (pain in the coccyx)
  • Post-thoracotomy pain
  • Primary and secondary intercostal neuralgia
  • Neuroma-related pain syndromes
  • This technique offers significant pain relief lasting several months, while additional treatment procedures, such as physiotherapy, can ensure further and continued pain relief. The cryotherapy procedure can be repeated at any time.

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Product category: Surgical instruments and products, Surgical disposable instruments, Other general surgical instruments and equipment, Neurosurgical instruments and equipment

IOM Accessories

A complete connection concept from needle electrodes to adapter box

inomed stimulation and recording accessories have been specifically developed to meet intraoperative applications.

Our accessories portfolio includes stimulation probes and electrodes (e.g. subdermal needle electrodes) for stimulation and recording. These are complimented by color-coded adapter boxes and connecting cables in a wide range of lengths.

Electrodes for stimulation and recording

In addition to their use in relation to signal recording, electrodes, including needle electrodes, can also be used for stimulating nerve and muscle tissue. Application-specific electrodes with a range of different geometries have been optimized for use with a range of multimodality applications (surface and needle electrodes). All electrodes, including needle electrodes, can be used for all measurement modalities (AEP, EEG, EMG, MEP, SEP, VEP) in a multimodal neuromonitoring application. All electrodes also feature a 1.5 mm safety connector and are compatible with a variety of connection schemes on other manufacturer systems.

Subdermal needle electrodes (SDN electrodes)

The subdermal needle electrodes available from inomed provide an easy and reliable patient connection to enable the high-quality recording of electrophysiological signals. These electrodes can also be used for the electrical stimulation of nerve and muscle tissue. Subdermal needle electrodes are also available in the form of corkscrew electrodes, hookwire electrodes, hook electrodes and short needle electrodes for pediatric applications. In addition, the range offers various bipolar needle electrodes, including electrodes for vocalis and oculomotor nerve recording.

The Trigon SDN electrode is a special form factor subdermal needle electrode. As a result of its extremely thin geometry and 30° angle to the needle, the special hand-piece on the Trigon enables an easy to manipulate atraumatic fixation. All needle electrodes are available with different needle and cable lengths, as well as different color combinations.

D-wave electrode

The inomed D-wave electrode is a bipolar flexible drainage and stimulation electrode. It can be used for recording both D- and I-waves. The D-wave electrode can also be used to stimulate the spinal cord and enables electrical intraoperative functional testing during the procedure. In addition, this flexible electrode is also used in the postoperative prognosis of spinal cord function in neurosurgery, spinal surgery and vascular surgery.

Strip and grid electrodes (including needle electrodes)

inomed strip and grid electrodes are typically used for reverse-phase SEPs, direct cortical stimulation – bipolar or monopolar against a counter electrode (e.g. needle electrodes). In addition, these electrodes can also be used for epilepsy surgery. The electrodes are available in a range of designs with 4, 6 or 8 contacts per strip. The strips are combined in a range of configurations to deliver grinds of differing numbers of electrodes.

Stimulation probes (including needle electrodes)

Hand-held stimulation probes are used for electrical stimulation of nerves and neural structures. When used in conjunction with needle electrodes, probes and electrodes can be used to record electrophysiological signals. A wide variety of bayonet-shaped probes are available from our product range. These products help ensure that working under the microscope remains unobstructed and easier for the surgeon. The probes are sterilized with ETO and have a cable with length of 3 m, leading to a standard safety plug for connection to a full range of stimulation outputs and headboxes. All monopolar probe packages include a needle electrode used as a ground electrode. Reusable probes are connected to the systems via a 4-meter probe cable.

Bipolar stimulation probes

Bipolar probes are available in the following form factors; bipolar concentric probes, fork sensors and hook probes. In order to accommodate the various application requirements from direct cortical stimulation to stimulation and recording of direct nerve action potentials (NAPs), bipolar probes can be delivered in a variety of geometries.

Monopolar stimulation probes

Monopolar stimulation probes are primarily used for motor mapping and muscle stimulation in spinal surgery and pedicle screw stimulation. The probes have an active electrode (the probe) and a return electrode (ground), which is placed outside the stimulation region. The electrode used for ground can be in the form of a needle electrode or stick-on pad electrodes.

VEP goggles

inomed offers a range of a VEP stimulators that can be used for intraoperative stimulation of the visual pathways. With two independent LED pads, disturbing immobilizing elements are not necessary. The recording of electro-physiological signals takes place on the primary visual cortex and can be carried out using surface electrodes, as well as subdermal needle electrodes.

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Product category: Surgical instruments and products, Surgical disposable instruments, Minimal invasive surgery equipment, Neurosurgical instruments and equipment

Accessories for stereotaxy and functional neurosurgery

inomed offers a wide range of accessories and instruments for stereotactic and functional neurosurgery.

inomed micro-macro electrodes (MiMa):
Ideal for neurosurgery requiring electrophysiological identification of anatomic target points for stereotactic-functional interventions, including deep brain stimulation (DBS). The patented bipolar architecture allows for both recording and test stimulation to be carried out. The low capacitance of the electrodes enables the maximum spike amplitude to be measured. This results in an excellent signal-to-noise ratio for this type of brain surgery.

inomed MicroMove electrodes (IMM):
A combined electrode for the precise electrophysiological localization of anatomical target points in the human brain. The impedance of the MicroMove electrode is 1 MOhm, which means the electrode can be used with most commercially available recording systems.

inomed macro electrodes:
This electrode can be used to identify an anatomical target point by selective test stimulation during brain surgery. The electrode has a monopolar architecture and therefore it does not allow signal recording.


Biopsy Instruments

To enable precise removal of tissue during a stereotactic biopsy, inomed is the single source for all the latest biopsy instruments for brain surgery – these include forceps and probes (Sedan-type and Backlund). Single-use products and reusable versions are available. 

  • Disposable biopsy probes (Sedan-type)
  • Reusable biopsy forceps (also pediatric)
  • Reusable spiral probes (Backlund-type)

We support the following stereotactic systems for brain surgery (the choice of system determines the working length of the biopsy instruments):

  • Zamorano Duchovny (ZD)
  • Riechert-Mundinger (RM)
  • Leksell
  • Micromar
  • Radionics
 Open stereotactic system (OSS) by inomed

The open stereotactic system (OSS) is a system for frame-based stereotaxy in brain surgery. The open ceramic ring is fixed rigidly to the patient's head and remains in place throughout the entire procedure. The stereotactic coordinates from the tomographic images can be transferred to the ceramic ring-mounted stereotactic systems and allow for a targeted intervention.

For neurosurgical and radiosurgical procedures and treatments, the goal is to achieve - as closely as possible - a preoperatively planned target point for brain surgery. Imaging procedures, such as computer tomography or magnetic resonance imaging, can provide images of the patient during brain surgery. With the help of modern computer software, such as inomed iPS planning software, it is possible to view this tomogram either individually or as a three-dimensional image and to analyze the target for brain surgery.

The inomed open ceramic ring ensures minimum interference and maximum artefact reduction when imaging is used, and this is particularly the case with MRI. The semi-open architecture means a part of the patient’s face is not covered. This increases patient comfort, especially during brain surgery while awake.

Indications
Suitable for all types of neuro- or radiosurgical brain surgery that requires a stereotactic procedure.
The open ceramic ring has been specially designed for use with imaging in modern MRI scanners. Often used in compact head coils for brain surgery (e.g. Siemens Vision), it limits the size to an outer diameter of 260 mm. The concept of the open ring still allows access to the ENT region of the patient. In order to achieve the best possible MR imaging and correct for artefacts during brain surgery, a ceramic material is used. This is a high-performance ceramic material. It is characterized by its high resistance to mechanical loads during normal hospital operation and is largely resistant to the effects of daily steam sterilization.

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Product category: Electrosurgical devices (HF), Equipment and accessories for high frequency surgery, Radio surgical devices

Neuro N50 - RF lesion generator

Thermolesion with the Neuro N50

Interventional pain therapy uses minimally invasive procedures such as thermolesion or cryotherapy with the aim of achieving a prolonged reduction of chronic pain through selective disruption or modification of the pain pathways of the affected nerves. This is carried out either by targeted drug injections or the interruption of pain transmission by minimally invasive neurodestructive procedures (e.g. thermolesion).

As an example, chronic pain within facet joint syndrome can be treated accurately, effectively and safely with the proper indications using radio frequency thermolesion.

The Neuro N50 radiofrequency generator for thermolesion is the centerpiece of temperature-controlled RF thermolesion treatment. The programmed temperature control allows controlled lesion techniques to be performed so that the volume of the thermolesion can be determined and reproduced. All functional processes are monitored by the device, thereby providing maximum safety and comfort for both the user and patient during thermolesioning. Only the coagulation temperature and duration can be pre-set, while all additional functions are automatically managed and regulated by the N50 (including the dose of the HF power).

Features of the Neuro N50 for thermolesion

  • Continuous current or continuous voltage stimulator 0-10 mA or 0-10 V
  • Monophasic or alternating square-wave pulse
  • Stimulation frequency adjustable from 0.1 - 999.9 Hz
  • Stimulation pulse duration adjustable from 0.1-99.99 ms
  • Temperature adjustable from 35-120°C
  • Lesion time adjustable from 0.1-999.9 s
  • Pulse mode available
  • Impedance measurement
  • Quick switching between two parallel connected electrodes
  • Coagulation control using a footswitch
  • Automatic temperature control optimized individually for each probe and adjusted to the various thermal properties of the probes
  • Programmable temperature rise ramp of 0.02°C/s to 50°C/s
Applications of thermolesion

  • Selective facet denervation
  • Thermolesion of the Gasserian ganglion and pterygopalatine ganglion
  • Pain therapeutic interventions on peripheral nerves and nerve roots
  • Thermolesion of Ramus communicans
  • Sympathetic blocks
  • Rhizotomy
  • DREZ lesion
  • Chordotomy

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Product category: Electroencephalographs, Neurological diagnosis, appartus and instruments

inomed Walter EEG

inomed - EEG that provides high-resolution VEEG
Walter EEG systems offer high-quality hardware components with an intuitive and powerful software and VEEG option

Walter EEG systems – Versatile solutions for routine EEG and VEEG. During electroencephalography, or EEG, electrodes are placed on the scalp to measure the electrical activity in the brain that results from the exchange of information between nerve cells. The voltage variation of the results is displayed in a characteristic curve. More specific studies are provided by the iEEG and video-EEG tools. The study has been well accepted by patients and provides neurologists and psychiatrists with many references to the functioning of the brain. During video-EEG, or short VEEG, a video file of the patient is recorded, in addition to the electroencephalogram.

The EEG system with VEEG option, setting the standards for digital EEG, is available now from inomed. Walter EEG systems are used worldwide and have been proving themselves for decades in routine EEG applications. High-quality hardware components, in combination with a responsible approach to software development, ensure durability and continual updates. The latest Walter EEG provides long-term recordings with synchronous video image, or VEEG, in high-resolution HD quality.

A range of options for neurological diagnostics

The Walter EEG is available as a 21-channel EEG with two additional bipolar channels and as a 32-channel EEG with three additional bipolar channels and VEEG. The Walter EEG provides a variety of possibilities for meeting all the requirements of neurological diagnostics and research, for example, VEEG long-term recordings. Walter EEG systems are compatible with hospital information systems (HIS) via an HL7 interface. The Walter EEG system is the ideal solution for EEG equipment requirements in neurological practices and neurological or neurosurgical departments in hospitals and can be combined with Surpass systems for EMG, NCV and EP studies.

The Winsor EEG software is characterized by its intuitive user interface, robust network connectivity, and predefined acquisition setups for EEG and VEEG. Version 3.10 provides state-of-the-art features and a completely revised licensing system (no dongle required), as well as a software-controlled pan/tilt function for VEEG, with motorized IP cameras and intelligent functions for the Winsor DB patient and study databases. This software version can store up to four positions for the motorized VEEG camera and continually update the current recording to allow users to quickly and conveniently scroll in VEEG. The FreeViewer costs nothing and saves the video file with the EEG in VEEG format, which can then be read and interpreted without software licenses.

Features of the inomed Walter EEG

  • Long-duration recordings with time synchronous HD video image
  • Robust networking between recording and playback stations
  • Compatible with hospital information systems (HISs) via HL7 interface
  • Tested for the WindowsTM 7 Professional operating system
  • High-quality amplifier unit with integrated A/D converter
  • Multi-connector for optional electrode cap or mini EEG headbox
  • Connection for optional patient button, photo stimulator and trigger box for registering event-related potentials (ERPs)
  • Can be connected to any PC with standard network interface and WindowsTM Professional operating system
  • LED impedance display for amplifier
  • Recording format can be selected, e.g. EDF
  • Flexible Winsor EEG software for simple recording and comfortable evaluation with patient and archive management, HL-7 and GDT interface, findings in Microsoft Word® or Open Office and much more
Applications

  • Standard EEG
  • Video EEG
  • Long-duration recordings

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Product category: Myography equipment, Neurological diagnosis, appartus and instruments

Neurophysiology accessories

EMG needles bridge electrodes, EEG cables and disposable products manufactured by inomed:
inomed offers a comprehensive range of accessories for electrophysiology studies

The full range of accessories for neurological diagnostics, including single-use and reusable products

inomed provides the full range of products required for neurophysiology. Are you looking for bridge electrodes with a transverse hole for your EEG examinations? Finger loops for sensitive neurography? Or perhaps an EMG needle electromyography?

The quality of our products is second to none: silver chloride and gold-plated electrodes, in addition to bipolar concentric EMG needles, deliver high-quality results. The sterile single-use EMG needle is designed for easy insertion with minimal patient discomfort. The needle is connected to the EMG system using a reusable needle cable. The inomed neurophysiology range includes bridge electrodes, EEG cables, ear electrodes, ECG clamp electrodes, EEG tube caps, wire loop electrodes, waffle recording electrodes, block stimulation electrodes, grounding cables and much more.

Precision, gold-plated contacts ensure an excellent electrical connection

Electromyography, also known as EMG, requires measurements to be taken directly from muscle tissue using an EMG needle. In order to offer the patient more comfort, the inomed EMG needle has a finely sharpened tip and a smooth cannula surface. The recording surface is, depending on the size of the EMG needle, 0.02 mm2 or 0.07 mm2. The needles are supplied in packs of 25 units. The EMG needle is simply inserted in the connection cable at the needle holder. The gold-plated connectors used ensure we have correct polarity and a good electrical connection to the EMG system. The EMG needle electrodes are individually sterile-packed and EO-sterilized, and are available in five lengths and three thicknesses. Compatible with all EMG systems, inomed provides connecting cables with a number of different DIN safety plugs to connect the EMG needle. inomed's extensive product range also includes gel-coated surface electrodes in three different colors per set.

inomed is able to provide your department with the right cable connections to meet your neurophysiology requirements. This includes EEG cables with silver-plated spring connectors and variable electrode cables, e.g. for EMG needles.

Do you need a universal cable for electrodes, such as cup electrodes, surface electrodes, pick-up electrodes, sensitive loop electrodes, or disposable adhesive electrodes with safety connectors?

The inomed product range can deliver the right connecting cable for your needs.

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Product category: General Diagnostics, Myography equipment, Neurological diagnosis, appartus and instruments

Subdermal needle electrodes

Subdermal needle electrodes (SDN electrodes) enable easy, reliable stimulation and the recording of quality EMG signals.
A variety of electrode shapes, colors and lengths are available to meet the complete range of typical clinical and monitoring requirements. The design shape of our electrodes ensures easy manipulation and allows quick and precise application.

Trigon electrodes
The design comprises a thin 2 mm geometry with a shape that is easy to handle. The unique geometry with a 30° angled needle and flat handle facilitates atraumatic electrode application and fixation.

Paediatric electrodes
Small electrode sizes between 6 and 12 mm allow for accurate placement with minimal invasive intervention.

FSR02
Flexible recording and stimulation electrode for temporary application at the spinal cord.
The electrode is used to record D-waves and I-waves and to stimulate the spinal cord for electrical intraoperative function control. Additionally, the electrode can be used for prognosis of the postoperative spinal cord function in the fields of neurosurgery, spinal surgery and vascular surgery.

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Product category: Neurological diagnosis, appartus and instruments

WaveGuard (TM) EEG cap

The WaveGuard (TM) EEG cap provides technology you can rely on
High-quality silver electrodes, concealed cables, comfortable fabric and a durable material

Quickly and conveniently perform the perfect EEG with the WaveGuard EEG cap

WaveGuard EEG caps and the Walter EEG system are the perfect match: the EEG cap is easy to use with a multi-connector, making it simple to connect to the EEG system. The system setup allows practitioners to quickly and conveniently prepare for a recording. The high-quality sintered electrodes provide low impedances and reliable results. Using the cap saves time whilst minimizing the use of consumables. The optimized shape of the electrodes on the WaveGuard EEG caps minimizes induction artifacts and keeps the gel from drying out. In addition, WaveGuard EEG caps are very comfortable to wear, even for long recordings, such as a long-term VEEG. The cap's comfortable material ensures a stable and pressure-free fit. Your patients will thank you for it. Children, in particular, will appreciate the concealed, integrated cable connections on the inomed EEG cap: no exposed cables, no cable clutter, and technology you can trust.

Huge range of EEG cap models available

The WaveGuard EEG cap is available in different sizes and with different electrode layouts. A range of models from 21 to 256 channels are available and the caps come in six different sizes - from newborns through staggered sizes for adults. Never grab the wrong cable again! The color coding and labeling facilitate easy identification during storage and preparation for measurement. The EEG cap is held in place by a chin strap, which is fastened on the left and right sides below the ears with clips. If there are any problems securing the strap to the chin or neck, a chest strap can be attached in place of the chin strap to ensure the EEG cap fits snugly.

Guaranteed longevity

The WaveGuard EEG cap is one of the most durable caps available today for EEG recordings. With the WaveGuard EEG cap you can go through more than 500 measuring and cleaning cycles, whilst inomed also provides a one-year warranty on materials. To ensure that your WaveGuard EEG cap can be used for an even longer period of time, inomed also provides a comprehensive range of accessories, spare parts and a repair service. The WaveGuard EEG cap provides technology you can trust. The fabric, cables and electrodes are made from materials of outstanding quality. WaveGuard EEG caps are therefore the ideal choice for routine EEG, long-term measurements, and functional studies.

Features

  • Available with up to 256 channels
  • Short preparation time thanks to special electrode holders
  • Small sintered Ag/AgCl electrodes ensure high signal quality
  • Optimized electrode form minimizes induction artifacts
  • Long service life thanks to high quality materials
  • No exposed or tangled cables
  • Stable electrode positions from recessed rubber rings
  • Comfortable material ensures a stable and pressure-free fit
  • Easy handling due to color coding and marking
  • Optional fastening above and below the chin with two straps
Applications

  • Standard EEG
  • Video EEG
  • Long-duration recordings
  • Functional studies

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Product category: General Diagnostics, Neurosurgical instruments and equipment

Visor2 (TM) - System for neuronavigation

Neuronavigation is the technique that allows mapping of the interaction between transcranial magnetic stimulation (TMS) and the human brain.

What does successful neuronavigation require?

The Visor2 (TM) system from inomed not only answers this question – it also provides a solid basis to ensure reliability and reproducibility of TMS in practice with neuronavigation. Years of clinical experience and research has demonstrated this and has resulted in the Visor2 (TM) neuronavigation system, a unit that provides an essential tool for neuronavigation and image-based TMS in clinical practice and research applications.

Improved performance for interventions using neuronavigation. Neuronavigated transcranial magnetic stimulation (nTMS) is very successful in diagnostics and therapy. The technique also delivers excellent results in the area of preoperative cortical mapping. Neuronavigation is used as the standard for preoperative cortical mapping.

The perfect addition to any TMS-stimulator

The Visor2 (TM) neuronavigation system increases the reliability, flexibility and performance of your TMS system, as well as offering the perfect complement to any TMS stimulator. Neuronavigation Visor2 (TM) provides multimodal neuronavigated visualization scenarios with the highest graphic quality in real time.

You can choose from three neuronavigation systems:

Visor 2 QT, the TMS neuronavigation system for the clinical routine. The small and agile QT variant has been developed especially for routine use where straight-forward and swift operation is a must for TMS sessions with neuronavigation

or

Visor 2 LT, the complete system with all the vital functions for neuronavigation with MRI import, individual head modelling and an optimal price-performance ratio

or

Visor 2 XT, the advanced system with EMG motor mapping and dual coil navigation support

Thanks to the interactive Visor2 (TM) neuronavigation system, you can pre-plan for each patient personally by importing individual MRI images, or you can use a standard MRI head model. With the use of neuronavigation and simultaneous recording of the EMG signals, you can also very accurately localize and mark the motor functions of the cortex.

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Product category: Further education and training

Functional & Stereotactical Neurosurgery Courses

Primarily focussing on stereotactic methods our Functional & Stereotactical Neurosurgery Courses will bring added value to both, colleagues just starting in this field as well as experienced neurosurgeons who want to deepen their practical knowledge. During extensive hands-on sessions you will have the opportunity to check out the planning software, stereotactic systems and instruments as well as microelectrode recording equipment.

Our trainings are dedicated to doctors and medical staff who work in the areas of intraoperative neuromonitoring, functional neurosurgery, neurological diagnostics and pain treatment.

To ensure a high quality of training and the best possible success in learning, the number of participants is limited. Each training is examined and certified by the State Medical Association. After completing a training you will receive a certificate and the corresponding education credits.

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Product category: Further education and training

Pelvic Neuromonitoring Courses

The Pelvic Neuromonitoring Courses are addressed to general and visceral surgeons being in charge of pIONM who want to get information and details on this specific IONM application. The mix of lectures given by well-known experts in the pIONM field, hands-on sessions with patient simulations in a modern operating environment guarantees a diversified and most interesting program. There will be sufficient time for discussions and questions.

Our trainings are dedicated to doctors and medical staff who work in the areas of intraoperative neuromonitoring, functional neurosurgery, neurological diagnostics and pain treatment.

To ensure a high quality of training and the best possible success in learning, the number of participants is limited. Each training is examined and certified by the State Medical Association. After completing a training you will receive a certificate and the corresponding education credits.

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Product category: Further education and training

Intraoperative Neuromonitoring Courses

The Intraoperative Neuromonitoring Courses are for our customers to update you on the newest IONM technology. This Meeting is always a good occasion to learn the latest applications, to expand your network with other users to find training opportunities and of course to come into personal contact with the inomed IONM team as well as our service and development department.

Our trainings are dedicated to doctors and medical staff who work in the areas of intraoperative neuromonitoring, functional neurosurgery, neurological diagnostics and pain treatment.

To ensure a high quality of training and the best possible success in learning, the number of participants is limited. Each training is examined and certified by the State Medical Association. After completing a training you will receive a certificate and the corresponding education credits.

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