NIM VITAL™ NERVE MONITORING SYSTEM
NIM Vital™ nerve monitoring system integrates the following key features which help inspire surgical strategy and help improve patient outcomes1-3:
- NIM NerveTrend™ EMG Reporting
- Intuitive user interface8
- Green, yellow, and red color-coded EMG reporting
- NIM Nervassure ™ Continuous Monitoring
- Enhanced wireless visualization from the surgical field
Indications, Safety, and Warnings
Product DetailsNIM™ 3.0 Systems
Based on more than 20 years of experience, the NIM-Response™ 3.0 and NIM-Neuro™ 3.0 systems offer advanced nerve monitoring technology. NIM™ 3.0 systems monitor EMG activity from multiple muscles. If there is a change in nerve function, the NIM™ 3.0 systems may provide audible and visual warnings to help reduce the risk of nerve damage.9,10
Indications, Safety, and Warnings
Product DetailsNIM Trivantage™ EMG Tubes
NIM TriVantage™ EMG tubes provide an open airway for patient ventilation and intraoperative nerve monitoring of both vocal cords. If nerve function changes, the NIM™ system alerts you with visual and audible warnings to help reduce the risk of intraoperative nerve damage.9,10
Indications, Safety, and Warnings
Product DetailsContinuous Monitoring Electrodes
Used with the NIM™ 3.0 system, the Automatic Periodic Stimulation™ (APS) continuous monitoring electrodes enable early detection and warning of a change in nerve function.14 The APS™ electrode is placed on the vagus nerve and delivers continuous low-level stimulation.
Indications, Safety, and Warnings
Product DetailsSTIM BUR GUARD
The Stim Bur Guard is the first and only commercially available surgical tool that combines an electric drill with stimulation for nerve monitoring. It works with our NIM™ 3.0 system to alert you of the bur’s proximity to the facial nerve and help reduce the risk of patient injury during otologic procedures.*15
Indications, Safety, and Warnings
Product DetailsProduct names on this page are trademarks or registered trademarks of Medtronic.
*
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.
1
Dionigi G, et al. Why monitor the recurrent laryngeal nerve in thyroid surgery? J Endocrinal Invest. 2010; 33: 819-822
2
Randolph GW and Dralle H with the International Intraoperative Monitoring Study Group. Electrophysiologic recurrent laryngeal nerve monitoring during thyroid and parathyroid surgery: international standards guideline statement. Laryngoscope 2011; 121:S1-S16
3
Schneider R, Sekulla C, Machens A, Lorenz K, Nguyen P, Dralle H. Postoperative vocal fold palsy in patients undergoing thyroid surgery with continuous or intermittent nerve monitoring. BJS. 2015; 102:1380-1387.
4
Data on file.
5
Data on file.
6
Data on file.
7
Data on file.
8
Data on file.
9
Dionigi G, et al. Why monitor the recurrent laryngeal nerve in thyroid surgery? J Endocrinal Invest. 2010; 33: 819-822
10
Dionigi G, et al. The technique of intraoperative neuromonitoring in thyroid surgery. Surg Technol Int. 2010;19:25-37
11
Wilson JA, Deary IJ, Miller A, et al. The quality of life impact of dysphonia. Clin Otolaryng 2002;27:179-82
12
Sari S, Erbil Y, Sumer A et al. Evaluation of recurrent laryngeal nerve monitoring in thyroid surgery. Int J Surg 2010;8(6):474-478.
13
Dionigi G, Bacuzzi A, Rausei S, et al.: The technique of intraoperative neuromonitoring in thyroid surgery. Surg Technol Int. 2010;19:25-37.
14
Stopa M. Prognostic value of intraoperative neural monitoring of the recurrent laryngeal nerve in thyroid surgery. Langenbecks Arch Surg (2017) 402:957–964.
15
Kartush J, Bouchard KR. Neuromonitoring in otology and head and neck surgery. Raven Press, 1992, XI, XII.1 Dionigi G, et al. Why monitor the recurrent laryngeal nerve in thyroid surgery? J Endocrinal Invest. 2010; 33: 819-822