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inomed Medizintechnik GmbH

ApplicationsApplication fieldsSpine surgery

Spine surgery


Spine surgery is a cross-disciplinary field that encompasses neurosurgical, orthopaedic and trauma surgery aspects. Ideally, all specialist disciplines work together to provide the best possible treatment.

As the spine is an organ that is exposed to strong torsional, tensile and compressive loads and has many joints, the function-preserving treatment of spinal diseases is a challenge. Intraoperatively, muscles, vessels, bones, cartilage and nerve tissue are located in a very confined space, so special care is required to avoid putting pressure on the nerves during milling and punching work, for example, and thus causing injury. Correction of spinal misalignments can lead to intraoperative tension damage to vessels and nerve structures, so the procedure should be performed under careful monitoring.  

The bony spine protects the spinal cord. Protect the spinal cord and spinal nerves during surgery with intraoperative neuromonitoring.
 
Photo: Spinal surgery, illustration of the spine in the foreground
Thanks to the monitoring of the motor pathways by EMG and MEPs and somatosensory pathways by SEPs as well as direct stimulation of nerve roots, neuronal functions can be monitored during a surgical procedure, e.g. during complex straightening surgery for scoliosis. 

The ISIS IOM system is specially designed for these tasks and can monitor a wide range of electrophysiological signals. Intermittent or continuous SEPs, MEPs and EMGs can be recorded.

When operating on tumours in the cervical and superior thoracic areas, it is also possible to record D-waves. This method enables MEPs to be directly recorded from the spinal cord and further information about irritations to be collected. This reduces the risk of malfunctions.

The C2 Xplore and its Spine software combine all functions for precise and efficient neuromonitoring during pedicle screw placement. The system and the associated software offer an established and reliable tool for spine stabilisation and are specifically designed to support surgeons in implant placement. This ensures that the nerve roots and spinal cord are protected, minimising the risk of postoperative functional deficits.

In addition, intraoperative neurophysiological monitoring is also used for the following therapies:
 

Our products help to recognise when and where nerve structures are at risk, thus enabling particularly gentle surgical treatment. Easy handling and customised solutions ensure efficient spinal monitoring.

Relevant products for the application field

C2 Xplore
C2 Xplore
508288
C2 Xplore
For intraoperative neuromonitoring. Easy-to-use 8-channel EMG monitor with 2 integrated stimulators, up to 6 application fields and digital integration in the operating theatre, maximum interconnection online and offline. Mains lead and foot switch included. Can be used in combination with an application package.
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Application package Spine for C2 Xplore
Application package Spine for C2 Xplore
508544
Application package Spine for C2 Xplore
Consisting of software license "Spine", Body Box and license for 8-channel recording.
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ISIS Xpert plus 32-channel system for neurosurgery
ISIS Xpert plus 32-channel system for neurosurgery
504004~P_32CH_NCH
ISIS Xpert plus 32-channel system for neurosurgery
The powerful ISIS Xpert plus combines mobility with functionality. It consists of a height-adjustable equipment cart with panel PC, height-adjustable monitor, laser printer, drawers, constant-current stimulator, amplifier with a total of 32 recording channels (56 inputs: 8 referential and 48 differential) and all necessary adaptor boxes. This system variant is optimally equipped for use in neurosurgery.
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ISIS Xpert 32-channel system for neurosurgery
ISIS Xpert 32-channel system for neurosurgery
504005~B_32CH_NCH
ISIS Xpert 32-channel system for neurosurgery
The powerful ISIS Xpert combines mobility with functionality. It consists of a height-adjustable equipment cart, drawers, accessory basket, constant-current stimulator, amplifier with a total of 32 recording channels (56 inputs: 8 referential and 48 differential) and all necessary adaptor boxes. This system variant is optimally equipped for use in neurosurgery.
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ISIS Xpert 16-channel system for spine surgery
ISIS Xpert 16-channel system for spine surgery
504005~B_16CH_SPINE
ISIS Xpert 16-channel system for spine surgery
The powerful ISIS Xpert combines mobility with functionality. It consists of a height-adjustable equipment cart, drawers, accessory basket, constant current stimulator, amplifier with a total of 16 recording channels (24 inputs: 8 referential and 16 differential) and all necessary adaptor boxes. This system variant is optimally equipped for use in spine surgery.
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ISIS Xpress 32-channel system for neurosurgery
ISIS Xpress 32-channel system for neurosurgery
504006-32CH
ISIS Xpress 32-channel system for neurosurgery
The ISIS Xpress is the portable version of the ISIS IOM system. It consists of the ISIS Xpress base unit, trolley, notebook, notebook and accessory bag, constant current stimulator, amplifier with a total of 32 recording channels (56 inputs: 8 referential and 48 differential) and all necessary adaptor boxes. This system variant is optimally equipped for use in neurosurgery.
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ISIS Xpress 16-channel system for spine surgery
ISIS Xpress 16-channel system for spine surgery
504006-16CH
ISIS Xpress 16-channel system for spine surgery
The ISIS Xpress is the portable version of the ISIS IOM system. It consists of the ISIS Xpress base unit, trolley, notebook, notebook and accessory bag, constant current stimulator, amplifier with a total of 16 recording channels (24 inputs: 8 referential and 16 differential) and all necessary adaptor boxes. This system variant is optimally equipped for use in spine surgery.
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LG2 RF Lesion Generator
LG2 RF Lesion Generator
262000
LG2 RF Lesion Generator
The LG2: Intuitive lesion generator for thermocoagulation in pain treatment and neurosurgery with 2 channels for monopolar and bipolar application.
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LG4 RF Lesion Generator
LG4 RF Lesion Generator
CR2020G
LG4 RF Lesion Generator
The LG4: Intuitive lesion generator for thermocoagulation in pain treatment and neurosurgery, up to 4 channels monopolar, 1 channel bipolar, motor and sensory stimulation.
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C3 CryoSystem
C3 CryoSystem
217000
C3 CryoSystem
The C3 CryoSystem is used for pain treatment through cryoanalgesia. It enables motor and sensory stimulation for nerve localisation.
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Spine surgery accessories

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