Nerve Location During Surgery Made Simpler

By HospiMedica staff writers
Posted on 24 Jan 2008
A nerve location system helps surgeons avoid nerve injuries during thyroid, parathyroid, parotid, and other head and neck surgeries.

The Nerveana Nerve Location System is a compact, electronics-based surgical system that provides clear, precise, real-time feedback; locating the nerve by laryngeal surface electromyography (EMG) electrodes before it is visualized; and providing an audio alarm without interrupting the operation's flow. The recording electrodes are placed in the muscles of associated nerve roots; if the nerve root becomes irritated, a signal will be generated and recorded by the EMG monitor to alert the surgeon. The system can be used to locate any peripheral motor nerve, and is currently in use to locate and monitor the recurrent laryngeal nerve, the tenth cranial nerve, and other nerves that may be compromised in thyroidectomies, parathyroidectomies, parotidectomies, and other head and neck procedures. Unlike traditional nerve monitoring, the Nerveana informs the surgeon before, not after, each dissection.

The Nerveana is intuitive in use, integrating seamlessly into the surgeon's technique using a stimulating dissector (any surgeon-preferred surgical instrument can be made into a stimulating instrument). The system provides an audio alarm and also, if selected, simultaneous audio EMG; there is also an option to view an EMG waveform on a personal computer (PC) or laptop, via an onboard universal serial bus (USB) port. The Nerveana Nerve Location System is a product of Neurovision (Ventura, CA, USA).


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