AVALANCHE® SI 2 – PLUS X Award 2021 Our slogan the art of neuromonitoring has expressed our own expectations for our product for many years, but we are particularly proud to have our performance recognised by independent experts. Our AVALANCHE® SI 2 received the coveted PLUS X Award seal of approval in 2021 in 4 categories: High Quality Design Ease of Use Functionality The PLUS X Award takes a unique approach. In contrast to many competitors whose recognitions mainly focus on design, the PLUS X Award follows a different philosophy. A high-calibre jury comprising representatives of various industry...

Multimodal neuromonitoring system – with optional further applications Enhanced connectivity and greater data security based on Windows 10 IoT State-of-the-art touchscreen technology with hygieneoptimised glass front Brilliant sharpness and colour display in the OR Expanded documentation – trends included in report Easier connection to hospital information systems via LAN and WLAN AVALANCHE® SI 2 – fit for the future. Countless surgeons, anaesthesiologists, and OR nurses around the globe have relied on our proven AVALANCHE® model for over 18 years. We knew our new system would have to stand out...

The smooth glass front matches the overall modern appearance and highlights the rich colours of the new screen display. It is highly intuitive to operate – exactly what you would expect from a state-of-the-art device. Driven by Windows 10 IoT, the latest Microsoft operating system, your neuromonitor will easily integrate into your hospital information system.

AVALANCHE® neuromonitors have long been known for their ease of use and reliable functionality. They stand out for their consistently modular concept with up to 8 measuring channels that is an intuitive fit for many surgical disciplines. Further applications can be added later. Our AVALANCHE® SI 2 neuromonitors can localise and assess the functionality of motor nerves, sensory nerves or cerebral structures during surgery. The stimulators required for most clinical situations are built in. Our accessories catalogue lists all necessary electrodes for stimulation and signal acquisition.

Thyroid Surgery Carotid Surgery

... more Thyroid surgery

Seamless recurrent nerve monitoring via continuous vagus nerve stimulation Functional integrity check of motor nerves Two decades of experience – more than 1000 devices – thousands of surgeries every year. We are a little obsessed with thyroids because that’s where most AVALANCHE® systems are used. When it comes to continuous neuromonitoring, we were inventors and pioneers at the same time. Today, operating rooms wouldn’t be the same without this method. The interaction of automatic vagus nerve stimulation – running continuously in the background – and situational manual stimulation at the surgical...

Localisation and functional integrity check for cranial motor nerves You can use our device to identify nerves in parotidectomies or neck dissections. No more worries about causing nerve lesions in the course of vestibular schwannoma surgery or when placing cochlear implants. The application areas in ENT are as versatile as our AVALANCHE® SI 2. The electromyogram of up to 8 muscles consistently responds to even the smallest nervous irritations. Loud enough for you to hear it – but pleasantly quiet as a rule. One glance at the large monitor with its brilliant colour reproduction will tell you...

... more Carotid surgery Lower risks with SEP measurement Oxygen perfusion monitoring What is your preferred practice for carotid TEA? Do you always place a shunt or do you feel most secure when you can speak with the patient during the operation? There is no winner in the comparison between general and regional anaesthesia. Our AVALANCHE® SI 2 neuromonitors supply somatosensory evoked potentials, or SEP for short, during TIVA. Patient preparation does not take longer. Our special software developed for carotid TEA allows for easy interpretation of signal changes. We not only show you how to...

A timer shows the clamping time, and even better: it automatically documents important phases, without any additional steps. As a reminder, our AVALANCHE® SI 2 neuromonitors have a multimodal structure and can be used in multiple departments. Your purchase will pay off after just a few interventions. Just think of your colleagues in general and ENT surgery, who might be pleased to share the device with you. Did you know that SEP monitoring with a measurement-based approach is considered one of the safest methods for assessing oxygen perfusion during the clamping phase? Is regional anaesthesia...

... more Spinal surgery EMG, SEP, and MEP measurement, monitoring of the afferent and efferent nerve pathways If you’ve already learned about the other application areas of our AVALANCHE® SI 2 device, you have almost heard it all. There’s only one other area: spine surgery. Monitor long pathways in minor surgeries with 4 EMG and 4 SEP channels. You can use 8 EMG channels for stabilising interventions or intervertebral disc removal. Our AVALANCHE® SI 2 has most stimulators built in. That’s no small feat for a portable compact device. If you need more channels, for example for correcting thoraco-lumbar...

... Learn more: Customer favourites Saxophone electrode Stimulation probes continuous vagus nerve stimulation direct stimulation of nerves and muscles It is soft, stands out for its design, and is Compare our stimulation probes with easy to use. We have given it an optimal those of others. Do you see the difference? shape to adapt to the anatomical conditions of the vagus nerve. Our probe handles are ergonomically designed to protect your hand. They are easy to manoeuvre to let you reach every corner the safest aids for continuously monitoring of the surgical area. With our monopolar or the recurrent...

from the Dr. Langer accessory list! Electrode tube Tube electrode EMG leads with standard or Woodbridge tube cost-effective alternative to the electrode tube No time for sticking on an electrode? Or Our tube electrodes have been on the does the proper placement of adhesive elec- market for 15 years. Doing things yourself trodes sometimes go wrong? can save money – that’s true here as well. Then use our tubes with fully integrated You can place the tube electrode on any electrodes. Whether in the standard or endotracheal tube with just a few steps. spiral version, we can offer the right elec-...