Related Nerve Monitoring Products

About the NIM EMG Endotracheal Tubes

NIM EMG Endotracheal Tube for nerve monitoring during thyroid surgery

 

Using a NIM Probe for nerve monitoring during thyroidectomy

Why Monitor During Thyroidectomy and Parathyroidectomy Procedures?

Visually identifying the recurrent laryngeal or vagus nerves during thyroid and parathyroid surgery can be difficult in areas with poor visibility, even with a detailed knowledge of anatomy and surgical skill. In fact, research has shown that the perceived incidence of paresis is lower than the actual rate of nerve damage in thyroid procedures.¹ Studies indicate that intraoperative nerve monitoring of the recurrent laryngeal nerve is recommended as a risk-minimizing tool.^2-6

Our innovative NIM^® EMG Endotracheal Tubes provide both an open airway for patient ventilation and intraoperative nerve monitoring capability. Bipolar stainless steel contact electrodes embedded in the endotracheal tube monitor the nerves in both vocal cords. If nerve function changes, the NIM nerve monitoring system provides visual and audible warnings to alert you and help reduce the risk of injury to your patient.

Together with the NIM Nerve Monitoring System, a properly positioned NIM EMG Endotracheal Tube can reduce the risk of injury to your patient by helping you to:

• Identify the recurrent laryngeal or vagus nerves
• Control manipulation during dissection
• Verify the integrity of the nerve prior to surgical closure

Only NIM EMG Endotracheal Tubes are clinically proven and validated for use with our NIM nerve monitoring systems.

Surgical Applications for the NIM EMG Endotracheal Tube

• Carotid endarterectomy
• Cricopharyngeal myotomy
• Excision of Zenker’s diverticulum
• Hemithyroidectomy
• Neck biopsy
• Neck dissection
• Parathyroidectomy
• Partial laryngectomy
• Substernal goiter
• Thyroidectomy

Electrodes, Probes, and Other Nerve Monitoring Accessories

Nerve Monitoring Accessories for the NIM Systems

We offer a complete line of instruments and accessories for our NIM^® Nerve Monitoring Systems. They include:

• Monopolar and bipolar probes
• Incrementing Probe that allows you to adjust stimulus levels from the surgical field
• Muscle-specific, color-coded electrodes
• EMG endotracheal tubes
• Stimulus-dissection instruments
• Surgeon Mini-Screen that attaches to any I.V. pole
• APS™ (Automatic Periodic Stimulation) Electrode that provides real-time, continuous monitoring*
• Stim Bur technology that provides advance warning of facial nerve proximity**

With more than 20 years of nerve monitoring experience, our instruments and accessories help make nerve monitoring easier and more accurate.

See our complete line of intraoperative nerve monitoring accessories in our ENT Product Catalog.

* For use with NIM-Response 3.0 and NIM-Neuro 3.0 models only. Limited initial release.
** Nerve monitoring capability provided by NIM-Response or NIM-Neuro Nerve Monitoring Systems, models 2.0 and later. Must be used with Visao High-Speed Otologic Drill and IPC System.

About the Stim Bur Guard for Otologic Procedures

Integrated Facial Nerve Monitoring

Stim Bur Guard for integrated nerve monitoring during otologic procedures with the Visao Otologic Drill and NIM Nerve Monitoring System*

The innovative Stim Bur Guard for the Visao^® High-Speed Otologic Drill is the first and only commercially available surgical tool that combines an electric drill with stimulation for nerve monitoring. It works with our NIM^® Nerve Monitoring System to alert you of the bur’s proximity to the facial nerve and help reduce the risk of patient injury during otologic procedures.*

The Stim Bur Guard provides stimulating current to our Medtronic otologic burs in both static and dynamic modes. Stimulating the nerve while the bur is in use can offer approximately 1-3 mm of advance warning of facial nerve proximity. If nerve function changes, the NIM system provides visual and audible warnings to alert you. By reducing the risk of nerve damage during otologic procedures, the innovative Stim Bur Guard helps provide additional peace-of-mind for you and your patients.

The Stim Bur Guard can be used with or without irrigation, and numerous bur types are available. See the ENT Product Catalog for a complete selection of our otologic burs.

* Nerve monitoring capability provided by NIM-Response^® or NIM-Neuro^® Nerve Monitoring Systems, models 2.0 and later. Must be used with Visao^® High-Speed Otologic Drill and Integrated Power Console (IPC^®) System.

About the MicroFrance Terris Thyroidectomy Instruments

MicroFrance Terris Thyroidectomy Instruments

 

MicroFrance Terris Malleable Nerve Suction for Thyroidectomies

 

MicroFrance Terris Peanut Holder for Thyroidectomies

 

The MicroFrance^® line of precision ENT surgical instruments includes the Terris Thyroidectomy Instrument Set, developed in conjunction with David Terris, MD, FACS. It offers an innovative approach to address the unique challenges of thyroidectomies and provide maximum access, visibility, and precision. These instruments may be used for both conventional "open" and minimally invasive techniques.

The Terris Thyroidectomy Instrument Set includes:

• Angled, flared retractors that provide maximum access and visibility without interfering with the anterior chest wall
• Malleable suction elevator that enables tissue retraction and ultrasonic steam evacuation
• Malleable blunt tip suction that’s customizable for atraumatic suction around delicate nerves
• Low-profile elevators designed for precise dissection of the recurrent laryngeal nerve
• Slender peanut holder design that allows for unobtrusive blunt dissection; one-handed mechanism enables rapid loading and unloading

MicroFrance Premier Instrumentation

The MicroFrance^® brand is a premier line of ENT instruments, designed with world-renowned ENT surgeons to facilitate new techniques and improve patient outcomes.