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WHY THE NIM VITAL™ SYSTEM

Protection is non-negotiable

Advance your nerve monitoring skills with the latest generation of nerve monitoring technology.

NIM Vital™ is the only system with NerveTrend™ technology, inspires your surgical strategy1,2 and improves your confidence3-4 to protect your patients' nerves and senses.5-6

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Discover more about NerveTrend™ and Nervassure™, two unique technologies, available only with NIM Vital™

NerveTrend™ technology

NIM NerveTrend™ enables nerve condition tracking throughout a procedure, even when using intermittent nerve monitoring.12

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Nervassure™ technology

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APS™ electrode is used for automatic stimulation during continuous monitoring.
 

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Technology evolves, don’t get left behind.

Medtronic has continued to develop and improve nerve monitoring systems, built on over 30 years of experience and innovation. Let us help you bring the latest nerve monitoring technology to your practice. See a comparison chart below.

 

Console NIM Vital™ system NIM™ 3.0 system
Simplified and easy-to-use user interface (UI)7 √7 X
Wireless monopolar muting8 √8 X
Wireless patient interface9 √9 X
Console battery as backup power10 √10 X
Software NIM Vital™ system NIM™ 30 system
Adjust11 √11 √
NIM NerveTrend™12 √12 X
NIM Nervassure™ CIONM alarms and color coding (thyroid)13 √13 X
NIM Nervassure™ CIONM alarms and color coding (parotid)13 √13 X
Enhanced artifact noise suppression14 √14 X
Best channel15 √15 X
Increased stimulation range (up to 50mA)16 √16 X
Intelligent troubleshooting17 √17 X
Monitoring during bipolar cautery18 √18 X
Recollection and overlay of previously saved waveform19 √19 √



35+

years of
development

NIM™ ENT nerve monitoring cart

PATENTED PRECISION, GLOBALLY TRUSTED, SIGNAL STABILITY

Proven to protect: NIM TriVantage™ EMG Endotracheal tube

Discover the NIM TriVantageTM EMG Endotracheal Tube globally recognized and trusted by surgeons, it delivers the performance needed to enhance your surgical outcomes and protect your patient's quality of life.20-22

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EMG Tubes in green and blue dotted circle

NIM VITAL™ REPAIR SERVICE PLAN

Peace of mind: Protect your capital investment

Medtronic recommends annual planned maintenance to promote system accuracy related to stimulation and monitoring.

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Learn more about the NIM Vital™ nerve monitoring system. Submit the form and your representative will reach out to schedule a conversation. We look forward to getting in touch.

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This material should not be considered the exclusive source of information, it does not replace or supersede information contained in the device manual(s)(opens new window).

Please note that the intended use of a product may vary depending on geographical approvals. See the device manual(s) for detailed information regarding the intended use, the (implant) procedure, indications, contraindications, warnings, precautions, and potential adverse events.

For a MRI compatible device(s), consult the MRI information in the device manual(s)(opens new window) before performing a MRI. If a device is eligible for eIFU usage, instructions for use can be found at Medtronic’s website manuals.medtronic.com. Manuals can be viewed using a current version of any major internet browser.

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Medtronic products placed on European markets bear the CE mark and the UKCA mark (if applicable). For any further information, contact your local Medtronic representative and/or consult Medtronic’s websites.

1

Calò PG, Medas F, Conzo G, et al. Intraoperative neuromonitoring in thyroid surgery: Is the two-staged thyroidectomy justified? Int J Surg. 2017;41 Suppl 1:S13-S20. 

2

Fundakowski CE, Hales NW, Agrawal N, et al. Surgical management of the recurrent laryngeal nerve in thyroidectomy: American Head and Neck Society Consensus Statement. Head Neck. 2018;40(4):663-675. 

3

Pardal-Refoyo JL, Parente-Arias P, Arroyo-Domingo MM, et al. Recommendations on the use of neuromonitoring in thyroid and parathyroid surgery. Recomendaciones sobre el uso de la neuromonitorización en cirugía de tiroides y paratiroides. Acta Otorrinolaringol Esp (Engl Ed). 2018;69(4):231-242. 

4

Maneeprasopchoke P. et al. Intraoperative nerve monitoring in thyroid surgery: Analysis of recurrent laryngeal nerve identification and operative time. Laryngoscope Investig Otolaryngol. 2021;6(2):354-361. Published 2021 Feb 26. 

5

Iwata AJ, Liddy W, Barczyński M, et al. Superior Laryngeal Nerve Signal Attenuation Influences Voice Outcomes in Thyroid Surgery. Laryngoscope. 2021;131(6):1436-1442. 

6

Thong, G, Brophy, C, Sheahan, P. Use of intraoperative neural monitoring for prognostication of recovery of vocal mobility and reduction of permanent vocal paralysis after thyroidectomy. Head & Neck. 2021; 43: 7–14. 

7

Medtronic formative usability report, 10937733DOC, page 5, February, 2019.

8

NIM Vital™ final software system integration verification report 10963359DOC, attachment B, pages 69.

9

Iwata AJ, Liddy W, Barczyński M, et al. Superior Laryngeal Nerve Signal Attenuation Influences Voice Outcomes in Thyroid Surgery. Laryngoscope. 2021;131(6):1436-1442. 

10

NIM Vital™ IFU Pg. 52.

11

Design verification: NIM 4.0 software system verification Protocol #10918586DOC; NIM™ Vital™ claims matrix.

12

Design Verification: NIM 4.0 software system verification Protocol #10918586DOC.

13

NIM 4.0 software system verification Protocol #10918586DOC.

14

NIM Vital Artifact Rejection Verification, Report 10937825DOC, page 2, 2019.

15

NIM 4.0 Software System Verification Report, 10939013DOC, attachment B, page 9.

16

10960629DOC NIM4.0 Patient Interface 4-channel complete Design Verification report, Pg 51, 2020.

17

NIM Vital System Design Test Report 10960627DOC, Pages 41, 2020.

18

10960627DOC NIM4.0 System Verification report, Pg. 59, 2020. 24. NIM Vital IFU Pg. 58; Software validation.

19

Design Verification: NIM 4.0 software system verification Protocol #10918586DOC.

20

Engelsman AF et al. Influence of neural monitoring during thyroid surgery on nerve integrity and postoperative vocal function. BJS Open 2018; 2: 135–141.

21

Dionigi G, Kim HY, Randolph GW et al. Prospective validation study of Cernea classification for predicting EMG alterations of the EBSLN. Surg Today (2016) 46:785-791 

22

Fei Y, Yang L, Chen F, and Tian W. Intraoperative neuromonitoring of the recurrent laryngeal nerve is indispensable during complete endoscopic radical resection of thyroid cancer: A retrospective study. Laryngoscope Investigative Otolaryngology. 2022;7:1217–1223.