NEURO-IOM

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Neuro-IOM is a multifunctional, modular platform designed for advanced intraoperative neurophysiological monitoring (IONM). It enables the surgical team to detect potential nerve tissue damage in real time and take immediate corrective action, significantly reducing the risk of postoperative neurological deficits.

In many countries, IONM is a mandatory standard of care for complex procedures such as spine, brain, and brainstem surgeries. In spine surgeries, including scoliosis correction, intraoperative decisions are often guided directly by neurophysiological monitoring. Neuro-IOM supports these critical decisions with accuracy, reliability, and speed.

Neuro-IOM is the first Russian-developed IONM system, created by Neurosoft, a company with extensive experience in neurophysiological equipment design and manufacturing. The system is CE certified and is successfully used in more than 100 hospitals and healthcare facilities across Russia, France, Brazil, Turkey, Jordan, Bulgaria, and other countries.

Comprehensive Solution for Intraoperative Neurophysiological Monitoring

The standard Neuro-IOM (Version 2) configuration is engineered to meet the demands of virtually all types of neurological and spine surgeries. Its powerful 32-channel amplifier and high-voltage transcranial electrical stimulator (up to 1000 V) enable reliable monitoring of motor pathways, even in the most challenging surgical conditions.

Key Hardware Features

  • 64 amplifier inputs (32 bipolar channels)

  • 2 dedicated channels for routine EMG, NCS, and EP

  • 12 electrical stimulation channels

  • 2 channels for direct nerve stimulation

  • 4 channels for transcranial electrical stimulation

  • Integrated auditory, visual, and pattern stimulation channels

  • ES detector channels

The system includes acquisition and stimulator pods with 5-meter cables, allowing flexible placement away from the operating table and ensuring unobstructed movement for the surgical team. A complete set of specially designed electrodes, PC hardware, and dedicated software is included.

Supported Monitoring Modalities

Neuro-IOM supports more than 10 intraoperative monitoring modalities through preset and customizable templates:

  • Motor Evoked Potentials (MEP)

  • Somatosensory Evoked Potentials (SEP)

  • Free-run and triggered EMG

  • Direct nerve stimulation

  • Auditory Evoked Potentials (AEP)

  • Visual Evoked Potentials (VEP)

  • EEG

  • ECoG

  • Direct cortical stimulation

  • Train-of-Four (TOF) stimulation

These modalities allow comprehensive monitoring of motor and sensory pathways, peripheral nerve integrity, brain activity, and functional cortical mapping.

Advanced Stimulation Capabilities

Neuro-IOM is equipped with robust, high-performance stimulators, including:

  • Transcranial electrical stimulator up to 1000 V

  • 12-channel electrical stimulator

  • Low-current stimulator

  • Auditory and visual stimulators

The transcranial electrical stimulator supports single pulse, train, double-train, and combined stimulation modes, ensuring reliable motor evoked potential acquisition across a wide range of clinical scenarios.

Flexible Configuration and Intelligent Software

The Neuro-IOM.NET software offers predefined templates for different surgical procedures, including modality settings, stimulation parameters, acquisition settings, and screen layouts. These templates significantly reduce setup time and streamline workflow in the operating room.

All templates are fully editable and can be saved for future use, providing unmatched flexibility. With its extensive channel capacity, independent parameter control, and customizable workflows, Neuro-IOM delivers a level of adaptability rarely available in IONM systems.