Head and neck surgery
EAR, NOSE AND THROAT | MEDICAL SPECIALTIES
Explore solutions for Medtronic ENT head and neck surgery solutions, including education, evidence, and innovation.
NIM Vital™ nerve monitoring system
The next generation in nerve monitoring
Preserving laryngeal and facial nerve function and reducing the possibility of nerve palsy1 is key to preserving quality of life for your patients.2
The NIM Vital™ nerve monitoring system gives you a strategic advantage* and greater confidence when monitoring nerve function.3† It advances nerve monitoring to inform your surgical strategy1,4,5,6 so patients can continue living fully and feeling deeply.
See how NIM Vital pushes the boundaries of monitoring nerve function in head and neck surgery.
Education and training
NIM Vital™ NerveTrend™ EMG reporting: Case 1
Professor Barczyński, MD, PhD, presents a surgical case study using NIM Vital™ NerveTrend™ EMG reporting technology.
NIM Vital™ NerveTrend™ EMG reporting: Case 2
Professor Barczyński, MD, PhD, presents a surgical case study using NIM Vital™ NerveTrend™ EMG reporting technology.
PTeye™ parathyroid detection system
See professor Solorzano, MD, FACS, FSSO, discuss PTeye™ parathyroid detection system.
Clinical evidence
I-IONM
International neural monitoring study group guideline 2018 part I: Staging bilateral thyroid surgery with monitoring loss of signal
C-IONM
Prediction of postoperative vocal fold function after intraoperative recovery of loss of signal
Parathyroid identification
A novel optical approach to intraoperative detection of parathyroid glands
Nerve monitoring
NIM Vital™ intraoperative nerve monitoring system
The NIM Vital™ system is an intraoperative EMG monitor that enables users to locate and confirm the integrity of nerves during surgical procedures.
Neuromonitoring accessories
APS™ continuous monitoring electrodes
The Automatic Periodic Stimulation (APS™) continuous monitoring electrodes enable early detection and warning of a change in nerve function to prevent damage to the recurrent laryngeal nerve (RLN) during thyroid surgery.
Parathyroid detection
PTeye™ parathyroid detection system
The PTeye™ system aids surgeons in the identification of parathyroid tissue by confirming parathyroid tissue real-time during thyroid and parathyroid surgery.
What is a nerve monitor?
Intraoperative nerve monitoring (IONM) is a technique used during surgery to monitor the condition of a patient's nervous system throughout the surgical procedure. Monitoring the condition of the nervous system helps prevent damage to the spinal cord, brain, facial, or laryngeal nerves.
How does NIM monitor work?
NIM nerve monitoring electrodes are placed in the appropriate muscle locations in the patient for the procedure being performed. These electrodes are connected to the NIM nerve monitoring system, which continuously monitors EMG activity from muscles innervated by the affected nerve.
What is NIM thyroidectomy?
Visually identifying the RLN or VN can be difficult in areas with poor visibility, even with a detailed knowledge of anatomy and surgical skill. The NIM can be used to identify and assess the RLN and VN during dissection for valuable information that can reduce the risk of injury to the patient and give you added peace-of-mind.
Using the NIM and meticulous dissection of the upper thyroid pole improves EBSLN identification. As the EBSLN is at risk during thyroidectomy and can lead to voice morbidity, the NIM can aid identification of the EBSLN and provide a functional assessment of the EBSLN after thyroid resection.
Who can perform intraoperative monitoring?
While a full IONM team consisting of at least four members — an operating surgeon, an anesthesiologist, a neurophysiologist, and a medical technologist trained by a neurophysiologist — is usually necessary to perform IONM, a smaller team may suffice under limited circumstances.
Resources
Contact
6743 Southpoint Drive N
Jacksonville, FL 32216
USA
Toll free: 800-874-5797
Telephone: 904-296-9600
Fax: 800-678-3995
Timely news and updates
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*
Compared to visualization alone.
†
Compared to NIM™ 3.0 Response and NIM™ 3.0 Neuro.
1
Dionigi G, et al. The technique of intraoperative neuromonitoring in thyroid surgery. Surg Technol Int. 2010;19:25–37
2
Wilson JA, Deary IJ, Miller A, et al. The quality of life impact of dysphonia. Clin Otolaryng 2002;27:179–82
3
Thomusch O, et al. Intraoperative neuromonitoring of surgery for benign goiter. Amer J Surg. 2002;183(6):673-8
4
Dionigi G, et al. Why monitor the recurrent laryngeal nerve in thyroid surgery? J Endocrinal Invest. 2010; 33: 819–822
5
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
6
Stopa M. Prognostic value of intraoperative neural monitoring of the recurrent laryngeal nerve in thyroid surgery. Langenbecks Arch Surg (2017) 402:957–964