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NIM-Neuro® 3.0

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1. Leading Through Innovation Monitoring Mode First and Only Nerve Monitor with These Innovative Features Simultaneous Monitoring During Bipolar Cautery No need to mute or turn off monitoring when using bipolar cautery e Provides expanded monitoring capabilities Artifact Detection Software e Distinguishes between artifact and EMG signals e Mutes most artifacts for a more quiet surgery APS Monitoring Automatic Periodic Stimulation Provides real time continuous monitoring Artifact Detection Feature e Stimulating electrode is placed on the nerve Allows for early detection and warning of a change in nerve function Enhanced On Screen Information e More Visible EMG Values and Settings Expanded Amplitude and Time Scales Intuitive Buttons and Tabs for Easy Access to Advanced Settings NERVE INTEGRITY MONITORING SYSTEM Initial release of the APS electrode will be limited Monitoring Mo de Leading Through Innovation Stim Bur Guard e Combines an electric drill with stimulation e Works with Visao High Speed Otologic Drill and Integrated Power Console IPC system e Warns surgeon of bur s proximity to facial nerve during otologic surgery Versatility within the Surgical Field Microscope Overlay Imports NIM signal through high end microscope as you operate e Works with several high quality surgical microscopes Surgeon Mini Screen e Displays monitoring informat
2. electrode e Setup and Reports Wizards e Artifact detection software to help reduce noise P P my w l e D It an stomized procedure settings e Stim bur capability combining Visao High Speed ela Hit ang eu P g Otologic Drill with stimulation e Electrode and nerve placement guides e Up to eight channels of monitoring More Convenient For you and your OR staff e More monitoring from within surgical field NIM signal overlay in your microscope e Incrementing Probe adjusts stimulus and captures data e Surgeon Mini Screen Use two stimulators at once e Multiple USB ports for saving data e Customizable for your needs Why Monitor It helps reduce the risk of nerve damage during surgery by monitoring EMG activity in multiple cranial and peripheral nerves and providing audible and visual alerts if the nerve is activated Initial release of the APS electrode will be limited Intuitive Navigation Bar e Always at top of screen Better Faster Touchscreen e Navigate NIM software more Three User Modes e Side tabs access other settings e Setup Monitoring Reports quickly and easily ADM 7 mcm S4uV fg E3 i 1 Electrode Freeze E Check 5 2 Orbicylaris UTIS j 4 Pi 1 INNEN WU ATA j 4 rome Pon ey Pe IVS VOI PF utn E j j Display Measure wand AUC ed NA Y 1 H V Events o DNA ga v Event Capture 100 f 4 HV Jj cYNTVAM Event Threshold
3. Medtronic NIMV Neuro 3 0 NERVE INTEGRITY MONITORING SYSTEM m Setup D Orbicularis Oculi Activate 00 LV 5 Vocalis Left el Control Pan ul z 07 30 2003 02 07 PM GUI V2003 7 13 1357 DSP 2008 7 6 1006 eeseeeeeeeeeess eeeeeeeeeeee ses e 97 9959 e eee e eeee es i eeeeee ee eeoevrveer LI eee ee e t Co S eeeeceeeeeeeeeeee ee ee d e jJ e E D S 9 9 9 9 9 6 9 6 s o eeeeere eee oe AE NIM Neuro 3 0 po e 9 9 e 9 eee 9 9907070000 NIM Neuro 3 0 Leading Through Innovation Safety and peace of mind that s what intraoperative nerve monitoring is all about And that s why Medtronic ENT introduced the first NIM nerve integrity monitor in 1989 Our NIM system evolves with your needs because we listen to you and combine your experience with ours The new eight channel NIM Neuro 3 0 is built on 20 years of continuous innovation experience and leadership in nerve monitoring With remarkable breakthrough technology it delivers advanced monitoring features in an easily accessible system Improved Safety Peace of Mind Easier to Use The first and only nerve monitor that fully enables Redesigned software e Three simple user environments e Simultaneous monitoring during bipolar cautery Setup Monitoring and Reports e Real time continuous monitoring with APS
4. Neck Peripheral Custom Procedures Denotes change from default settings S Hel Settings p 09 24 2009 09 43 AM GUI v2009 9 21 1500 DSP v2009 9 16 807 E Step E Electrode Check 2 of 2 2 Place Electrodes S 1 Orbicularis Oculi 2 Orbicularis Oris Orbicularis Oculi m 3 Mentalis 4 Frontalis 5 Vocalis Left 6 Vocalis Right Previous Monitor Information Warning EMG Monitoring Is Disabled yoayD epojoe y 7 Glossopharyngeal Stim 1 Return Ground Show Details Setup Gp Orbicularis Oculi e Orbiculagis Oris Activate Events 100 Y Vocalis Left Threshold 8 Vocalis Right Snapshot a Glossopharyngeal Volume 51 E sBunjes aunpaa2oJg a Save 09 24 2009 09 44 AM GUI v2009 9 21 1500 DSP v2009 9 16 807 Control Panel 5 uV 50 mS al 07 30 2009 02 07 PM GUI v2009 7 13 1357 DSP v2009 7 6 1006 Gp Orbicularis Oculi 34 uV go laris Oris 303 V Mentalis Frontalis Activate Events 100 nu Vocalis Left 3 4 uV a vocais Right 4 uV Control Panel Snapshot Glossopharyngeal 5 uV 5 i ME 42 gt 5 a 1 lt e 3 500 nV 1 50 mS Gl iania 0200 PM GuIv2009 7 Q Electrode Freeze Check D S Display Measure Events Q Event Capture 100 nu Event Threshold Snapshot Action Comment A Print amp Save Gl Va a Advanced Help Settings 131357 DSP v2009 7 6 1006
5. Snapshot Action Stim2 3 Mentalis v Comment g A i lt Events 100 uV S Vocalis Left Threshold Vocalis Right a Snapshot ba 7 Glossopharyngeal eS Advanced Settings Print Save A pes Control Panel Volume 7 EEEEEN 07 30 2009 02 00 PM Gui v2009 7 13 1357 DSP v2009 7 6 1006 ES Qum a CR RN NE E A PAAR 222 e 0 0 070709 95 9 99 22222222 ee SASSI SC a i RIC SN II E tutup pnt oL LOLACRL PAA Pa ICI a aN eeee eee e X LOCA DOO A N I Sa be A A y en oO AAA 2 M N euro 3 0 erected tof at tutu trt eee B x OOOO aie oe TARAY AAAA x y SOS ON he eae CN P OO he 4 9 t DON e 2 y yy os eae d Snapshot Button e Provides flexible reporting options Adjustment Knobs e Quickly change stimulus or d Sleeker Design Instantly prints and saves current volume levels e More compact system takes screen image up less space New cart reduces clutter with streamlined cord management Visual Enhancements e Larger and easier to read displays and storage Greatest EMG response is highlighted 3 Easy Steps to Begin Monitoring Nerve and Electrode Placement Guides More Convenient Electrode Checking Audio EMG Samples Electrode Placement Guides NU biel MO O 39 E Information 1 Select Procedure Acoustic Neuroma 4 ch Acoustic Neuroma 2 ch Cochlear Implant Mastoid Head
6. bers Adriatic Regional Office 385 1 488 1120 Australia 1800 668 670 Baltic Regional Office 37 1 67560226 Belgium 32 2456 09 09 Canada 1800 217 1617 China 86 21 50800998 Czech Republic 420 2 9657 9580 France 33 470 679 800 Germany 49 2159 8149 209 Greece 30 210 67 79 099 Hong Kong 852 2919 1312 Hungary 36 30 5052987 India 91 22 26836733 Israel 972 9 972 4400 S Medtronic taly 39 02 24137 324 Japan 81 6 4795 1506 orea 82 2 3404 3600 Lebanon 961 1 370 670 Luxembourg 32 2456 09 09 etherlands 31 45 566 8800 Poland 48 22 465 6942 Russian Federation 7 495 580 73 77 Singapore 65 6776 6255 South Africa 27 11 466 1820 Spain 34 91 625 05 40 UK 44 1923 205 166 USA 1 904 296 9600 Description Surgeon Mini Screen includes cable Surgeon Mini Screen Cable replacement Microscope Cable NIM 3 0 System Cart Keyboard Medical Grade Storage Case Biomed Test Kit Universal Mainframe Fuse Kit 2 5AMP Patient Interface Fuse Kit 32MA Video Audio Recording Adapter Kit NIM NIM Contact NIM Neuro and Visao are registered marks of Medtronic Inc APS and IPC are trademarks of Medtronic Inc Qty Adobe Acrobat are registered marks of Adobe Systems Incorporated 2009 Medtronic Inc This literature is intended for the exclusive use of physicians Rx only 890479EN ee ee eee d 2010 092 09 09
7. ion on small screen e Attaches to any I V pole Incrementing Probe e Adjusts the stimulus from 0 01 mA to 30 mA e Prints or saves the current screen Two Independent Stimulators Better Quality EMG Information Increased Sensitivity e Enables more flexibility in stimulus options e Improved signal to noise ratio e Enables you to hear and see lower level EMG responses due to less background noise Helps minimize nerve manipulation during surgery Improved Muting Detector e More sensitive to EMG signals e Less sensitive to external and internal interference e Only one muting port instead of four NIM NEURO 3 0 Reports Mode Leading Through Innovation Quick and Easy Documentation p Report Wizard rs e Create custom reports Seman NIM Neuro 3 0 e Enter case information and customize data fields M Repe wt Created on 2 6 2009 2 9 PM Procedure e Save or print patient s EMG activity to document for electronic medical records reimbursement etc e Utilize snapshot or log reports Multiple USB Ports e Attach a printer USB stick keyboard or other data storage devices e Save reports in Adobe Acrobat PDF Dedicated Service and Support Large dedicated sales force 20 years of experience in nerve monitoring Onsite training for you and your staff upon installation e Ongoing in servicing and training NERVE INTEGRITY MONITORING SYSTEM Ordering Information System Re
8. quirements Product 8253402 8253410 8253600 8220325 Description Mainframe NIM Neuro 3 0 International Patient Interface Box 8 Channel Patient Simulator Universal NIM Muting Detector Probe Includes one choice of a power cord 1895821 1895822 1897821 1895824 1895825 Power Cord United Kingdom 2 5 Meter Power Cord Continental Europe 2 5 Meter Power Cord North America 6 Meter Power Cord United Kingdom 6 Meter Power Cord Continental Europe 6 Meter Includes one choice of a User Guide 8253050A User Guide EN SP FR PO GR 8253050B User Guide EN FR DE DU IT 8253050C User Guide EN SW DA Fl NO 8253050D User Guide EN PO CZ HU TR 8253050E User Guide EN RU CD 8253050F User Guide EN International 8253062 Service Manual Printer Package Product 8253026 8253025 8253029 8253028 For further information please call Medtronic ENT at 800 874 5797 or Description Printer Power Supply Power Cord USB Cable Qty ee eee ee ee ee ee ee ee d Qty ee eee Accessories Product 8253010 8253080 8253015 8253020 8253030 8253035 8253040 8253070 8253075 8253085 904 296 9600 You may also consult our website at www MedtronicENT com Medtronic ENT Medtronic USA Inc 6743 Southpoint Drive N Jacksonville FL 32216 USA www MedtronicENT com Toll free 800 874 5797 Fax 800 678 3995 International Telephone Num

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