Neuro-IOM is a multifunctional modular platform solution for intraoperative neurophysiological monitoring (IONM). Its application allows the surgical team to be informed about possible damage of nerve tissues resulting from surgeon actions and, thus, to prevent neurological deficit.
In most countries intraoperative neurophysiological monitoring is a must in various types of surgery, i.e., spine surgery, brain surgery, brainstem surgery, etc. As for the spine surgery (for example, scoliosis) the tactics is directly determined during IONM. Currently, the technique is being implemented actively in our country.
Neuro-IOM is the first Russian intraoperative neurophysiological monitoring system. The large experience in development and manufacture of neurophysiological equipment helped Neurosoft company to enter the IONM market rapidly several years ago. The system was registered in Russia and then the company had got the CE mark to sell the system in European countries. Now, more than hundred of Neurosoft Neuro-IOM systems are used successfully in hospitals and other healthcare facilities of Russia, Brazil, France, Jordan, Turkey, Bulgaria and other countries.
Fundamental IONM with expert class configuration
The expert configuration of Neuro-IOM (version 2) allows performing intraoperative neurophysiological monitoring using 64 channels. The system also includes the electrical stimulator channels and transcranial electrical stimulator channels to control peripheral and motor pathways.
Main features:
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The Neuro-IOM system is equipped with the acquisition and stimulator pods to attach recording and stimulating electrodes with 5 m cables. It allows arranging the system at a distance from the operating table to ensure free movement for the surgical team. The set of specially-designed electrodes and the software are also included to the delivery set.
Two-in-one: IONM device and 2-channel EMG/EP system
Neuro-IOM can be used as the EMG/EP system, the acquisition channels and all necessary stimulators are built in. This advanced 64-channel configuration of the system includes 4 additional channels for EMG and EP acquisition, while the standard 32-channel configuration includes 2 additional EMG channels.
When the Neuro-IOM system is not in the operating room, it can be used as a common EMG system. Not just an EMG system, but the one produced by Neurosoft!
Motor, somatosensory, auditory and visual evoked potentials, EMG, direct nerve stimulation, EEG, ECoG — more than 10 modalities for intraoperative neurophysiological monitoring
The Neuro-IOM system is delivered with the preset templates ensuring the following modalities:
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Using these modalities the surgical team can control motor and sensory pathways, monitor peripheral nerve integrity, assess the brain activity and perform mapping of its functional areas, etc.
Transcranial electrical stimulator (up to 1000 V), 16-channel electrical stimulator, low current stimulator, auditory and visual stimulators
Robust stimulators ensure high-quality responses during acquisition of brain evoked potentials and EMG exams.
Transcranial electrical stimulator deserves the special attention. It is intended for stimulation of motor cortex to record motor evoked potentials from muscles. The stimulator ensures single pulse and train stimulation, as well as double train and train + pulse stimulation.
Flexible configurations to ensure any monitoring needs
The Neuro-IOM.NET software provides a set of default templates for various types of surgeries. Each template includes the settings of modalities for a particular type of surgery, test window layouts, acquisition and stimulation parameters, etc. The system has a vast number of channels and stimulators with separate adjustment. Use of preset templates simplifies and speeds up the system setup for surgery.
You can always change and save the settings of any surgery template. It is a unique option for such kind of systems. There is no IONM system in the world that is so flexible!
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Neuro-IOM adalah solusi platform modular multifungsi untuk pemantauan neurofisiologis intraoperatif (IONM). Penerapannya memungkinkan tim bedah untuk mendapatkan informasi tentang kemungkinan kerusakan jaringan saraf akibat tindakan ahli bedah dan, dengan demikian, untuk mencegah defisit neurologis. Di sebagian besar negara, pemantauan neurofisiologis intraoperatif adalah suatu keharusan untuk berbagai jenis pembedahan, misalnya, pembedahan tulang belakang, pembedahan otak, pembedahan batang otak, dll. Sedangkan untuk pembedahan tulang belakang (misalnya, skoliosis), taktiknya ditentukan secara langsung selama IONM.
| Amplifier | ||
| Number of Channel | : | 64 channels (32 Channel Amplifier X 2 Unit) |
| Voltage range | : | 10 µV 150 mV |
| Ratio error of voltage measurement | : | ±10% |
| Common-mode rejection ratio at 50 Hz frequency | : | > 90 dB |
| Noise level (with input shorted) | : | < 0.6 µV in 5 – 3000 Hz |
| Bandwidth | : | 0.2 – 4000 Hz @ -3(±0.5) dB |
| Input impedance (common-mode) | : | > 300 MΩ |
| Input capacitance (common-mode) | : | < 30 pF |
| Input impedance (differential mode) | : | > 200 MΩ |
| DC offset rejection (±800 ± 20 mV) | : | yes |
| Patient leakage current | : | < 0.1 µA |
| Bandpass flatness in the range: 0.2 to 4000 Hz relative to input signal |
: | –30 to +5% |
| Selectable filters @ -3(±10%) dB | : | yes |
| High pass filter | : | 0.2, 0.5, 1, 2, 5, 10, 20, 50, 100, 200, 500, 1000, 2000 Hz |
| Low pass filter | : | 10, 15, 20, 30, 35, 50, 75, 100, 150, 200, 300, 500 Hz, 1, 1.5, 2, 3, 4 Kz |
| Display gain | : | 0.05, 0.075, 0.1, 0.15, 0.2, 0.25, 0.4, 0.5, 0.75, 1, 1.5, 2, 2.5, 4, 5, 7.5, 10, 15, 20 25, 40, 50, 75,100, 150, 200, 250, 400, 500, 750 µV/div; 1, 1.5, 2, 2.5, 4, 5, 7.5, 10, 15, 20 mV/div |
| Ratio error of display gain | : | ±5% |
| Sweep speed | : | 0.1, 0.15, 0.2, 0.25, 0.4, 0.5, 0.75, 1, 1.5, 2, 2.5, 4, 5, 7.5, 10, 15, 20, 25, 40, 50, 75, 100, 150, 200, 250, 400, 500, 750 ms/div.; 1, 1.5, 2, 2.5, 4, 5, 7.5, 10, 15, 20 s/div. |
| Ratio error of sweep speed | : | ±1% |
| Sound notification at EMG signal acquisition | : | yes |
| Parameters of Electrical StimulatorBuilt-in Electronic Unit | ||
| Number of channels for 64 configurations | : | 8 |
| Stimulus type | : | voltage or current |
| Pulse amplitude at current stimulation | : | 0 - 200 mA, 0.1 mA step |
| Maximum voltage at current stimulation | : | 425 V ± 25 V at 1 kΩ |
| Pulse amplitude at voltage stimulation | : | 0 – 400 V, 1 V step |
| Maximum current at voltage stimulation | : | 210 mA ± 10 mA at 1 kΩ |
| Relative deviation of pulse amplitude | : | ±5% |
| Stimulus waveform | : | rectangular (monophasic, biphasic) |
| Stimulus polarity | : | normal, inverse |
| Pulse duration | : | 50 - 5000 µs, 10 µs step |
| Admissible relative deviation of pulse duration in the range | : | not more than 10% |
| Stimulation modes | : | single pulse, train |
| Stimulation frequency | : | 0.01 - 100 Hz with 0.05 Hz step |
| Relative error of stimulation frequency | : | ± 5% |
| Number of pulses in train | : | 2 – 200 |
| Interpulse interval in train | : | 2 to 10 ms (± 5%) with 0.08 ms step |
| Admissible absolute deviation of intertrain interval at repetitive stimulation | : | ± 0.01 ms |
| Low Current Stimulator Built-in Electronic Unit | ||
| Number of channels for 64 configurations | : | 3 |
| Current pulse waveform | : | Rectangular, < 10µ nse time |
| Pulse polarity | : | normal, inverse |
| Pulse amplitude at current stimulation | : | 0 - 20 mA, 0.01 mA step |
| Trancranial Electrical Stimulator Built-in Electronic Unit | ||
| Number of Channel 64 Configuration | : | 1 |
| Number of channel/switched outputs when using electronic switch | : | 1./4. |
| Pulse Amplitude | : | 0 - 1000V, 5 V step |
| Pulse waveform | : | Rectangular (Monophasil, Biphasic) |
| Pulse polarity | : | Normal, inverse |
| Stimulation mode | : | Single Pulse, train, double train, train + pulse |
| Pulse duration | : | 40, 50, 60, 70, 80, 100, 150, 200 µs |
| Auditory Stimulator | ||
| Number of channels 4 Configuration | : | 4 |
| Parameters | : | Values |
| Pulse frequency | : | 0.01 – 100 Hz |
| Relative deviation of pulse frequency | : | ±0.1% |
| Click duration | : | 100 – 5000 µs (±20 µs) |
| Tone frequency | : | 100 – 5000 Hz |
| Tone pulse duration | : | 0.1 – 90 ms |
| Visual Stimulator | ||
| Number of channels 4 Configuration | : | 4 |
| Stimulus duration | : | 2 – 1500 ms |
| Relative deviation of stimulus duration | : | ±10% |
| Stimulus frequency | : | 0.01 – 100 Hz |
| Relative deviation of stimulus frequency | : | ±10% |
| Maximum luminance of LED goggles per one side | : | from 2 to 1500 cd/m2 |
| Electrosurgery Detector | ||
| Number of channels 32 Configuration | : | 2 |
| Minimal detected current within 150 kHz - 2.5 MHz frequency range | : | 100 mA |
| Trig in/out Channel | ||
| Number of channels | : | 1 |
| Input signal | : | TTL (high – Uin. > 2.4 V; low – Uin. < 0.8 V) |
| Input impedance | : | > 47 kΩ |
| Output signal | : | TTL (high – Uout. > 4.5 V; low – Uout. < 0.5 V) |
| Pulse duration | : | (1 ± 0.01) ms |
| Output impedance | : | (1±0.1) kΩ |
| General Parameters and Specifications | ||
| Interface | : | USB |
| Supply voltage | : | 220±22 V AC (50/60 Hz) |
| Minimum Computer | ||
| i7, 16GB RAM, 1 TB SSD Windows 10 or Higher, 24 " monitor & Color Printer | ||
| Neuro-IOM 32-channel electronic unit | : | 1 |
| Neuro-IOM 32-channel amplifier | : | 1 |
| Neuro-IOM electrical stimulator pod (for 1-4 channels) | : | 1 |
| Neuro-IOM electrical stimulator pod (for 5-8 channels) | : | 1 |
| Neuro-IOM low current stimulator pod | : | 1 |
| Neuro-TES electronic switch | : | 1 |
| Neuro-IOM acquisition pod (А, 1-8) | : | 2 |
| Neuro-IOM acquisition pod (B, 9-16) | : | 2 |
| Neuro-IOM acquisition pod (С, 17-24) | : | 2 |
| Neuro-IOM acquisition pod (D, 24-32) | : | 2 |
| Starter Kit IOM | : | 1 |
| Ground electrode with cable | : | 2 |
| Cable for disposable electrode with button connector, touch-proof | : | 12 |
| LED photic stimulator | : | 1 |
| ES detector clip | : | 2 |
| Insert earphones | : | 1 |
| Video cable | : | 1 |
| Video capture device | : | 1 |
| Medical tape Transpore | : | 4 |
| «ТМ-630»Isolation transformer | : | 1 |
| Technical Manual "Neuro-IOM" | : | 1 |
| Technical Manual "Electrodes for EMG and EP Studies" | : | 1 |
| User manual "Neuro-IOM.NET" | : | 1 |
| Annex to User Manual "Exams Manager" | : | 1 |
| Guidelines «Train-of-four Stimulation (TOF)» | : | 1 |
| Guidelines «Facial Nerve» | : | 1 |
| Guidelines «Motor Evoked Potentials (MEP)» | : | 1 |
| Guidelines «Somatosensory Evoked Potentials (SEP)» | : | 1 |
| Guidelines «Auditory Evoked Potentials (AEP)» | : | 1 |
| Guidelines «Thyroidectomy» | : | 1 |
| Guidelines «Pedicle Screw Test» | : | 1 |
| Transportation bag | : | 1 |
| License for the use of software "Neuro-IOM.NET" | : | 1 |
| Equipment "NINDEX" software for anesthesia depth monitoring: | ||
| NINDEX software license for Neurosoft devices | : | 1 |
| User manual "NINDEX" | : | 1 |
| Dongle for NINDEX software license (NDXNE, NDXKEYNE) | : | 1 |
| Aksesoris Lokal: | ||
| PC (Dell atau setara) | : | 1 |
| Monitor (24 Inch) | : | 1 |
| Printer (EPSON atau setara) | : | 1 |
| Trolley | : | 1 |
| UPS | : | 1 |