NEURO-IOM-32/B

REVIEW

Neuro-IOM is a universal multifunctional system for intraoperative neurophysiological monitoring (IOM). Its use makes it possible to warn the surgical team in a timely manner about the possibility of damage to nervous structures as a result of the surgeon's actions and thereby prevent possible subsequent neurological deficits.

In most countries, IOM is mandatory for many types of surgical interventions, in particular for operations on the spine, brain and brainstem, etc. For example, in operations to eliminate scoliosis, IOM determines the tactics of the surgical intervention itself. Currently, this method is being actively implemented in our country.

Neuro-IOM is the first Russian-made system. A few years ago, Neurosoft, which has extensive experience in the development and production of neurophysiological equipment, rapidly entered the world market of IOM equipment. The device has successfully passed registration in Russia and received a CE certificate, which allows it to be used in a number of foreign countries. And now more than a hundred of our systems for intraoperative neuromonitoring are successfully operating in medical institutions in Russia, Brazil, France, Jordan, Turkey, Bulgaria, etc.

Optimal Solution for Effective IOM

The standard configuration of the Neuro-IOM system (version 2) is ideal for all types of neurosurgical operations. A 32-channel amplifier and a 4-channel transcranial electrical stimulator with the ability to set voltages up to 1000 V and a wide range of stimulus forms allow you to fully control the preservation of conductive pathways using recorded motor evoked potentials even in the most difficult cases.

Neuro-IOM-32/B has:

• 64 amplifier inputs (32 bipolar channels with free input switching);
• 2 separate EMG/EP channels;
• 12 channels of electrical stimulation;
• 2 channels of direct nerve stimulation;
• 4 channels of transcranial electrical stimulation (EFT);
• channels of photo-, phono-, pattern-stimulation;
• electrocoagulator operation detection lines.

We also provide remote units for connecting the abduction and stimulation electrodes with five-meter cables, which allows the system to be placed at some distance from the operating table so as not to interfere with the free movement of the surgical team.

The system is equipped with a set of necessary electrodes, as well as a computer and special software.

Two-in-one: IOM system and dual-channel myograph

The Neuro-IOM system can also be used as an electroneuromyograph. Recording channels and all the necessary stimulants are built into it. 

In this way, when the system is not in the operating room, it can work as a standard clinical electroneuromyograph. But not just a myograph, but a myograph from Neurosoft!

Motor, somatosensory, auditory, visual EP, EMG, direct nerve stimulation, EEG, ECoG, etc. – more than 10 monitoring modalities

The Neuro-IOM system comes with pre-configured templates using all the main modalities of intraoperative monitoring:

• direct nerve stimulation;
• electromyography (EMG);
• somatosensory evoked potentials (SVEP);
• motor evoked potentials (MVP);
• auditory evoked potentials (SVP);
• visual evoked potentials (VEP);
• electroencephalography (EEG);
• electrocorticography (ECoG);
• direct cortical stimulation;
• TOF test.

The use of these modalities makes it possible to assess the preservation of motor and sensory pathways, the integrity of peripheral nerves, the functional state of the brain, to map its functional zones, and much more.