Dr. Langer IOM


AVALANCHE® neuromonitors have garnered a reputation for their user-friendly design and dependable performance. What sets them apart is their inherently adaptable framework, featuring up to 8 measuring channels that seamlessly cater to various surgical specialties. This intuitive design accommodates additional functionalities that can be incorporated at a later stage.

Introducing the AVALANCHE® SI 2 neuromonitors, equipped with the capability to pinpoint and evaluate the operational status of motor nerves, sensory nerves, and cerebral structures during surgical procedures. All-encompassing in their functionality, these monitors come equipped with the essential stimulators needed for a wide range of clinical scenarios.

Our comprehensive accessories catalogue outlines a variety of electrodes necessary for both stimulation and signal acquisition, ensuring that all requisites are readily available for a streamlined experience.

Avalanche SI 2 Nerve stimulator/monitor.

  • Modular
  • Ease of use
  • Functional
  • Reliable
  • Clear Touch screen
  • Latest technology
  • Intergrated database
  • Upgradeable
  • Enhanced connectivity
  • 3 presses and you are running
  • Drag & Drop documentation
  • Vagus electrode “Saxophone”
  • Intuitive software
  • Convenient and quit operation

Modalities: EMG, SEP, AEP and MEP.

Thyroid (RLN), perhaps using continous IOM with saxophone electrode,
Parotid for monitoring braches of the facial nerve, up to 8 channels EMG.
Carotid for monitoring Median nerve with SEP.
Acousticus using AEP
Cochlear implants

Modalities EMG, SEP, AEP, MEP
Max. number of channels 8
Amplifier connection Cable
Dedicated softwares Thyroid, Carotid, ENT (EMG 4Ch),
EP (4 Ch), EMG & EP (8Ch)
Modular / Upgradeable Anytime
Interdisziplinary Usage General surgery, ENT, Vascular surgery, Neurosurgery, Spine surgery
Operation Touch screen, Mouse and keyboard can be attached
Display 15“
Sterile operation possible Yes
Hygiene-optimised glass front Yes
Enhanced data security based on Windows 10 IoT Yes
Database Yes
Wireless LAN / WiFi Optional, integrated
LAN / Ethernet Yes
HL7 Yes, with additional software from Storz,
bi-directional Interface
sFTP Yes
Remote Support Yes
PDF Report (Export) Yes (USB, sFTP, HL7)
Printer Yes
Audiofeedback EMG Real muscle activity
Sensation Audiofeedback Convenient, quiet
Automatic storage of all response signals Yes
via „Drag & Drop“
EMG signal with highest amplitude is detected and displayed after stimulation period automatically Yes
of the signals
Unhasty at the end / after stimulation period
Free-running EMG is displayed permanently Yes
Trend analysis for cIONM Yes
Individual report Header Yes
Data Analysis Tool for reserch purposes Yes
Full-Disclosure View for cIONM in database Yes
Stimulators Direct-Nerve-Stimulator,
SEP Stimulator,
AEP StimulatorOptional trigger: MEP Stimulation with Digitimer D185
Number of channels
of stimulators
DNS: 2
SEP: 4
AEP: 2
MEP: 1
Stimulation mode Constant current
(Digitimer: Constant voltage)
Stimulation parameter DNS: 0,05 – 10 mA, 3 / 4 / 30 Hz
SEP: 1-100 mA, 1-20 Hz
AEP: 0 – 100 dB HL, 0,1 – 100 Hz
MEP: 0 – 1000 V, single pulse or train


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