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Brain channel monitoring

BIS™ Advance monitor

<p>The BIS™ Advance system is designed to monitor the hypnotic state of a patient's brain based on the acquisition and processing of EEG signals.</p>

BIS™ brain monitoring benefits at a glance

May provide up to 38% reduction in primary anesthetic delivery6, 7, 9-11
29% reduction in the risk of postoperative delirium12
27% to 53% faster wake-up times3, 7, 9, 13

Personalized anesthesia, now with cleaner EEG signal capture.†

Perfecting your art. Advancing patient care.

Built on a clinically proven foundation, the latest generation of BIS™ technology delivers a cleaner, more accurate EEG signal for clinical interpretation.

The BIS™ Advance pEEG module features enhanced artifact protection through improved ECG filtering and analog-to-digital signal conversion at the sensor to reduce signal interference. Integrated two- and four-channel monitoring within a single module, future-ready software upgrade capabilities, and an improved mechanical design provide a flexible platform built for today's clinical needs and tomorrow's innovations.†,14

BIS™ Advance Monitor website and support imagery

BIS™ Advance pEEG module features

Enhanced ECG filtering helps reduce cardiac signal artifacts†

Converts EEG signal from analog to digital directly at the point of connection with the sensor, preserving a more accurate EEG signal†

Supports both 2- and 4- channel monitoring within a single device

Supports both two- and four- channel monitoring within a single device

Provides a next-generation hardware and software platform ready to support future parameter expansion and advanced monitoring capabilities

Provides a next-generation hardware and software platform ready to support future parameter expansion and advanced monitoring capabilities

Expanded internal memory (from ~32 MB to ~50 GB) to store ~1,000 hours of raw EEG and processed variables‡

† Compared to legacy BIS™ modules.

‡ Data is automatically deleted when reaching the threshold. User discretion at downloading is required. Data may be deleted according to local procedures and regulations.

Frequently Asked Questions

What parameters are available on the BIS™ Advance system?


  1. Signal quality index (SQI)
  2. Electromyogram (EMG) shown in numerical form and as a bar
  3. BIS™ index value
  4. Suppression ratio (SR)
  5. Suppression time (ST)
  6. Median frequency (MF)
  7. Spectral edge frequency (SEF)
  8. Density spectral array (DSA)
  9. Electroencephalography (EEG) with adjustable amplitude scale and sweep speed
  10. EEG power asymmetry index (ASYM) with BIS™ bilateral sensor
  11. Burst count with BIS™ bilateral sensor and BIS™ extend sensor

What sensors function with the BIS™ Advance system?

  • BIS™ quatro sensor: Measures brain activity in adult patients undergoing general anesthesia or sedation.
  • BIS™ pediatric sensor: Measures brain activity in pediatric patients four and up for individualized anesthetic management.
  • BIS™ extend sensor: Measures brain activity and burst count in adult patients who require longer periods of monitoring, including those in the ICU.
  • BIS™ bilateral sensor: Measures the hemispheric differences in the brain with the Asymmetry Indicator (ASYM).

 

What is the BIS™ Advance pEEG module? 

The BIS™ Advance pEEG module is the system component that processes the raw EEG signal and delivers the BIS™ index value and other parameters and trends when used with the BIS™ Advance monitor or integrated OEM monitoring platforms.

 

What does “two-channel and four-channel in one module” mean? 

The BIS™ Advance pEEG module supports both unilateral (two-channel) and bilateral (four-channel) monitoring within a single hardware device, reducing SKUs and streamlining procurement workflows.

BIS™ Advance Monitor website and support imagery

The BIS™ brain monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessment.

Webinars

Reading between the lines: The good, the complex, and the untapped beyond the index

Vanessa Moll, MD, PhD, FASA, FCCM

37:01

Minds Matter: Brain ERAS for cognitive protection & age-friendly care

Carol Peden, MB ChB, MD MPH, FRCA FFICM, FACHE

Lis Evered, MBiostat, PhD, (Hon) FANZCA

58:05

On-demand training

BIS™ Advance on-demand training: Why BIS™ technology?

BIS™ Advance on-demand training: Overview of the BIS™ Advance monitor

BIS™ Advance on-demand training: Workflow and customizing trend data

MedEd Learning Experience podcast series

Discussions on anesthesia and the brain

Explore our interview-style audio and video podcast series on anesthesia and the brain.

MedEd Bytes video series

BIS™ brain monitoring system

Watch our “byte”-sized educational video series on the BIS™ brain monitoring system.

Software Bill of Materials (SBOM)

To receive the Software Bill of Materials, please email us.

Ordering information

Item number Description
PMB4000 BIS™ Advance monitor
PMB4000DOC BIS™ Advance monitor docking station
PT00059589 BIS™ Advance monitor power cord, 10A, 10 ft, black (NEMA 5-15P)
PMB4000PMT BIS™ Advance monitor IV pole mount
PMAC71STAND BIS™ Advance monitor desktop stand
PMC80CB BIS™ Advance pEEG module with integrated host cable, sensor cable (PMCBSENSORCBLE), and BIS™ Advance pEEG module mount (PMAC80BR01)
PMCBSENSORCBLE BIS™ Advance pEEG module sensor cable (spare part)
PMAC80BR01 BIS™ Advance pEEG module mount (spare part)
PMB4000PEM BIS™ Advance monitor power supply mount and BIS™ Advance pEEG module mount in one
PMAC80BR03 BIS™ Advance pEEG module IV pole clamp
PMAC80BR02 BIS™ Advance pEEG module data cable
186-0106 BIS™ quatro sensor (box of 25)
186-0200 BIS™ pediatric sensor (box of 25)
186-0212 BIS™ bilateral sensor (box of 10)
186-0160 BIS™ extend sensor (box of 25)

Resources

† Compared to legacy BIS™ modules.

‡ Data is automatically deleted when reaching the threshold. User discretion at downloading is required. Data may be deleted according to local procedures and regulations.

The BIS™ brain monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessment.

 
  1. Nelson G, Altman AD, Nick A, et al. Guidelines for pre- and intra-operative care in gynecologic/oncology surgery: Enhanced recovery after surgery (ERAS®) society recommendations — part I. Gynecologic Oncology. 2016;140(2):313-322. doi:10.1016/j.ygyno.2015.11.015
  2. Zhang C, Xu L, Ma Y, et al. Bispectral index monitoring prevent awareness during total intravenous anesthesia: a prospective, randomized, double-blinded, multi-center controlled trial. Chinese Medical Journal. 2011;124(22):3664-3669. doi:10 .3760 /cma .j .issn .0366-6999 .2011 .22 .012 
  3. Lewis SR, Pritchard MW, Fawcett LJ, Punjasawadwong Y. Bispectral index for improving intraoperative awareness and early postoperative recovery in adults. Cochrane Database Syst Rev. 2019; 26;9:CD003843.
  4. Myles P, Leslie K, McNeil J, Forbes A, Chan M. Bispectral index monitoring to prevent awareness during anaesthesia: The B-aware randomised controlled trial. The Lancet. 2004;363(9423):1757-1763. doi:10.1016/s0140-6736(04)16300-9 
  5. Ekman A, Lindholm M, Lennmarken C, Sandin R. Reduction in the incidence of awareness using BIS monitoring. Acta Anaesthesiologica Scandinavica. 2003;48(1):20-26. doi:10.1111/j.1399-6576.2004.00260.x
  6. Punjasawadwong Y, Phongchiewboon A, Bunchungmongkol N. Bispectral index for improving anaesthetic delivery and postoperative recovery. Cochrane Database of Systematic Reviews. Published online June 17, 2014. doi:10.1002/14651858.cd003843.pub3
  7. Gan TJ, Glass PS, Windsor A, et al. Bispectral index monitoring allows faster emergence and improved recovery. Anesthesiology. 1997;87(4):808-815. doi:10.1097/00000542-199710000-00014 
  8. White PF, Ma H, Tang J, Wender RH, Sloninsky A, Kariger R. Does the use of electroencephalographic Bispectral index or auditory evoked potential index monitoring facilitate recovery after anesthesia in the ambulatory setting? Anesthesiology. 2004;100(4):811-817. doi:10.1097/00000542-200404000-00010
  9. Song D, Joshi GP, White PF. Titration of volatile anesthetics using bispectral index facilitates recovery after ambulatory anesthesia. Anesthesiology. 1997;87 (4):842‐8. 
  10. Luginbühl M, Wüthrich S, Petersen‐Felix S, Zbinden AM, Schnider TW. Different benefit of bispectal index (BIS™) in anesthesia. Acta Anaesthesiologica Scandinavica. 2003;47(2):165-173. doi:10.1034/j.1399-6576.2003.00041.x 
  11. Chan MTV, Cheng BCP, Lee TMC, Gin T. BIS-guided anesthesia decreases postoperative delirium and cognitive decline. Journal of Neurosurgical Anesthesiology. 2013;25(1):33-42. doi:10.1097/ana.0b013e3182712fba
  12. Punjasawadwong Y, Chau-In W, Laopaiboon M, Punjasawadwong S, Pin-On P. Processed electroencephalogram and evoked potential techniques for amelioration of postoperative delirium and cognitive dysfunction following non-cardiac and non-neurosurgical procedures in adults. Cochrane Database Syst Rev. 2018;5:CD01128
  13. Wong J, Song D, Blanshard H, Grady D, Chung F. Anesthesia titration using BIS index improves early recovery of elderly patients undergoing orthopedic surgeries. Can J Anaesth. 2002;49 (1):13‐8.
  14. Internal V&V data on file.