The NIM-Neuro® 3.0 is an eight-channel intraoperative EMG monitor used in situations where nerves are at risk of damage due to unintentional manipulation during surgery. The NIM 3.0 system operates by recording the electromyographic (EMG) activity of muscles stimulated by the relevant nerve. It assists the surgeon in locating and identifying at-risk nerves within the surgical field, enabling early nerve detection. The monitor provides immediate alerts when a specific nerve is activated and continuously tracks EMG signals from the muscles associated with that nerve, helping to minimize potential trauma. Highlighted for its user-friendly design, the device offers ease of use through a touchscreen, colorful graphical user interface (GUI), and audio feedback system.
The NIM 3.0 is designed to locate and identify cranial and peripheral motor as well as mixed motor-sensory nerves, including the spinal cord and spinal nerve roots, during surgery.
The APS™ electrode is an accessory that, when used with Medtronic Nerve Monitoring Systems, provides automatic periodic stimulation to the nerves.
The indications for EMG monitoring with the NIM 3.0 are as follows:
In the field of spinal surgery, it is also used for:
The use of paralytic anesthetic agents that completely eliminate or significantly reduce EMG responses to direct or passive nerve stimulation is contraindicated with the NIM 3.0.
