Intraoperative Neuromonitoring for Thyroid and Parathyroid Surgery

Intraoperative Neuromonitoring AVALANCHE® SI

Intraoperative neuromonitoring equipment AVALANCHE® SI for cranial motor nerves in thyroid and parathyroid surgery

Compact and efficient monitor for thyroid surgery and the continuous monitoring of the vagus nerve.

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AVALANCHE SI® is a 1 EMG channel monitor with dedicated software for thyroid surgery and for the continuous monitoring of the vagus nerve; it is a compact and portable device. It has a large 15" touchscreen color display, which allows direct entry of patient data, programming parameters and documentation. There also are audible and/or visual alarms for example in the case of loose ends.
This intraoperative neuromonitoring equipment has a database for archiving which can contain several thousands of patients, and available at any time. The case of interest can be easily retrieved, viewed and exported as a PDF report via USB stick.
AVALANCHE SI® with dedicated software for thyroid surgery offers the possibility to save events before and after surgical resection directly from the screen that appears on the display and the possibility to create dedicated reports. Thanks to the Auto-Mute function, you can turn on the sound only in the presence of electrical stimulation by the operator (optimal condition during thyroid surgery).
AVALANCHE SI® with software for continuous monitoring of the vagus nerve allows for the continuous monitoring of the nerve by applying a bipolar electrode on the vagus nerve itself. This feature provides the surgeon to be warned acoustically in case of any significant change in the base line, predetermined prior to resection, without the need to observe the display. They are in fact visual and audible alarms in case of nerve pain. The base line is automatically determined by simply pressing a button on the screen, at the time of positioning of the electrode for continuous stimulation of the vagus.
This intraoperative neuromonitoring equipment automatically analyzes and displays both latency and amplitude of action potentials. It also automatically stores all the signals generated as stimulation response.
The pacing current of our intraoperative neuromonitoring supplies is variable in a range from 0.1 mA to 10 mA and it is limited to this value to prevent damage of the nerve.
AVALANCHE SI® also has an "Auto-Mute" function for feedback of sounds, so that the sound is active only during electrical stimulation. The system can 'be easily upgraded at any time, even remotely.

Accessories of our intraoperative neuromonitoring supplies

The use of reliable equipment is crucial when working in the medical field. You lose valuable time if you need to research during surgery causes of malfunctions caused by defective accessories, in addition, it is easy to quickly lose confidence in the system. Our goal is never making it happen. For this reason we offer a full range of accessories specifically designed and high quality for the various applications. All available accessories are listed in our IONM accessories catalog.

Disposable Accessories for our intraoperative neuromonitoring supplies:

  • Disposable stimulation probes
  • Specific accessories for thyroid surgery: Saxophone® electrode
  • Specific accessories for thyroid surgery: laryngeal disposable electrodes
  • Specific accessories for thyroid surgery: cuffed endotracheal tube for EMG 

Reusable Accessories for our intraoperative neuromonitoring supplies:
  • Headbox
  • Reusable stimulation probes
  • Connecting cables
  • Printer

You may be interested in other neuromonitoring solutions:

- Intraoperative Neuromonitoring AVALANCHE® SI for parotid surgery

Producer Dr. Langer Medical Dr. Langer Medical

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