Inomed Medizintechnik GmbH Research and Development

Emmendingen, Germany

Inomed Medizintechnik GmbH Research and Development

Emmendingen, Germany
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Krueger T.B.,Inomed Medizintechnik GmbH Research and Development | Somerlik-Fuchs K.H.,Inomed Medizintechnik GmbH Research and Development | Somerlik-Fuchs K.H.,Albert Ludwigs University of Freiburg | Hoffmann K.P.,Fraunhofer Institute for Biomedical Engineering | Mattmueller R.,Inomed Medizintechnik GmbH Research and Development
Biomedizinische Technik | Year: 2014

We present an intraoperative neuromonitoring system for the preservation of autonomous nerves in the pelvic region. The development of such a system as medical device is a complex task. High quality standards need to be considered to insure safety for the patient and the user; these include special electric design requirements as well as stringent specifications on a fail-safe user interface. Especially if a new methodology has to be established, unpredictable challenges can arise. Many years of experience are needed to pre-estimate the customers' needs in order to develop a system that is able to support rather than to challenge the surgeon and his team in the operation room during a possible stressful situation. In this case the commonly known method of intraoperative neurophysiological monitoring was transferred to a new technique and its application in the pelvic region. © 2014 by Walter de Gruyter Berlin Boston.


Weihberger O.,Inomed Medizintechnik GmbH Research and Development | Skurczynska A.,Inomed Medizintechnik GmbH Research and Development | Kruger T.B.,Inomed Medizintechnik GmbH Research and Development
Biomedizinische Technik | Year: 2014

Intraoperative Neuromonitoring is expedient for preserving peripheral and central nervous system function and integrity during surgical procedures. Electrical stimulation of nerves at risk combined with the recording of EMG or EP signals is fundamental to the procedure. Distortion of the monitoring signals due to artifacts of various sources render the technique ineffective and impracticable in some cases. The impossibility to simultaneously perform risky surgical procedures (such as drilling) and stimulating the nerve electrically further show the need for dedicated technical improvements. This work desccribes the development and evaluation of signal detection algorithms for online filter algorithms and an investigation for improved stimulation results. © 2014 by Walter de Gruyter Berlin Boston.

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