Thyroid surgery

The cutting-edge ALM (Advanced Laryngeal Monitoring) technology combines highly precise signal recording in thyroid surgery with intelligent software to provide a reliable nerve response signal. More than 25 years of expertise have resulted in Advanced Laryngeal Monitoring, an effective connection between the electrode tube and the IONM system using the intelligent Channel Select Software.

The power of synergy – where advanced technologies combine

When using the ALM technology, users benefit from the combined effects of inomed’s individual key technologies. The ALM Tube or the Laryngeal Electrode Select, used in combination with the C2 Xplore and the C2 Channel Select Software, complement each other perfectly and ensure efficient application in thyroid surgery.

The interaction of the components proves its informative value, especially during recurrent laryngeal nerve neuromonitoring or during monitoring of the superior laryngeal nerve.

8 contacts – 4 channels – 1 best signal

The ALM Tube, a multifunctional combination of PVC endotracheal tube with surface electrodes, and the Laryngeal Electrode Select, an adhesive electrode designed for all common endotracheal tubes, enable optimal EMG recording. Thanks to the easy placement on the vocal cords using the 8 long measuring contacts, the ALM Tube and the Laryngeal Electrode Select provide reliable signal recording at the vocal muscle during intraoperative neuromonitoring in thyroid surgery. The 360° sensor coverage ensures signal stability, even if the tube is rotated or shifted vertically during the procedure.

The 8 measuring contacts form 4 channels, of which the channel with the best signal is automatically displayed by the Channel Select Software on the C2 Xplore. In addition to being displayed, the signal is also output acoustically via the C2 Xplore. This technology is available for intermittent and continuous neuromonitoring. The DELTA-Electrode, which is attached to the vagus nerve for cIONM, delivers continuous stimulation that can be processed by the ALM technology.

  • Efficient and reliable complete solution for IONM in thyroid surgery
  • ALM Tube – tube for EMG recording with 360° sensor coverage and 8 long measuring contacts
  • C2 Xplore Channel Select – software module for the C2 Xplore for automatic detection of the optimal signal
  • C2 Xplore – always available as 8-channel EMG monitor for even more flexibility during the procedure

Relevant products for the application field

C2 Xplore

With its impressive combination of user-friendly software interface, powerful hardware and digital connectivity, the C2 Xplore is the solution for efficient and safe intraoperative neuromonitoring in 6 different application fields.

ISIS Xpress

The ISIS Xpress is the portable version of the ISIS IOM system. It features a lightweight, space-saving case, ideal for easy transportation during service deployments or when travelling.

ISIS Xpert

The ISIS Xpert is a multimodal intraoperative neurophysiological monitoring system that impresses with its versatility and customisability. The height-adjustable cart can be customised individually to each user thanks to a pneumatic system. 

ISIS Xpert Plus

The ISIS Xpert plus is ideal for advanced monitoring. The system is fully equipped as standard and can be used directly for modalities such as AEP, VEP or pelvic IONM. The height-adjustable cart with 2 screens can be customised individually to each user thanks to a pneumatic system. This enables an ergonomic working position in sitting and standing.

C2 Xplore

With its impressive combination of user-friendly software interface, powerful hardware and digital connectivity, the C2 Xplore is the solution for efficient and safe intraoperative neuromonitoring in 6 different application fields.

ISIS Xpress

The ISIS Xpress is the portable version of the ISIS IOM system. It features a lightweight, space-saving case, ideal for easy transportation during service deployments or when travelling.

ISIS Xpert

The ISIS Xpert is a multimodal intraoperative neurophysiological monitoring system that impresses with its versatility and customisability. The height-adjustable cart can be customised individually to each user thanks to a pneumatic system. 

ISIS Xpert Plus

The ISIS Xpert plus is ideal for advanced monitoring. The system is fully equipped as standard and can be used directly for modalities such as AEP, VEP or pelvic IONM. The height-adjustable cart with 2 screens can be customised individually to each user thanks to a pneumatic system. This enables an ergonomic working position in sitting and standing.

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