AVALANCHE® PLUS

Discover our 32-channel neuromonitor optimised
for neuro and spine surgery

Experience a revolutionary advancement in intraoperative neuromonitoring (IONM) with our AVALANCHE® PLUS system. Its meticulously crafted user interface sets a new standard, inspiring confidence and efficiency for neuro and spine surgeons alike.

AVALANCHE® PLUS

The intuitive design streamlines operations, guiding users seamlessly through procedures. AVALANCHE® PLUS simplifies learning curves, empowering users to operate with ease and speed, ultimately saving valuable time.

With its touchscreen interface, customize visual configurations effortlessly. Select specific muscle groups and arrange them within measurement windows via simple DRAG & DROP functionality. Monitor neurophysiological signals in real-time during procedures and effortlessly generate PDF reports—an unprecedented feature in medical technology.

This unparalleled user experience instills greater confidence in utilizing neuromonitoring devices, promising enhanced quality and patient care in operating rooms. Elevate your surgical outcomes with AVALANCHE® PLUS.

32-Channel neuromonitor with Assistance Package®

Experience unparalleled performance with our cutting-edge SI 2, the ultimate AVALANCHE® neuromonitoring system. Equipped with the latest technology, it boasts enhanced speed, power, and future-proof digital capabilities for your operating room (OR). The sleek glass front complements its modern aesthetics, accentuating the vibrant colours of the new screen display. Operating this innovative device is incredibly intuitive, ensuring seamless usability. Powered by Windows 10 IoT, the latest Microsoft operating system, our neuromonitor effortlessly integrates with your hospital information system, optimising workflow efficiency. Elevate your neuro and spine surgeries with the superior capabilities of the SI 2.

ASSISITANCE PACKAGE®

Unlock enhanced ease and efficiency in neuromonitoring with our exclusive ASSISTANCE PACKAGE® integrated into the latest AVALANCHE® PLUS system.

Config Assist

Take control and choose what suits your needs best.

Discover a whole new level of user experience with AVALANCHE® PLUS. Mastering the system is effortless, thanks to its intuitive interface. Customise your signal recordings with ease using the visual display and touchscreen controls. Say goodbye to complex functions and hidden menus.

Effortlessly assign muscle groups to measurement windows using DRAG & DROP functionality. AVALANCHE® PLUS streamlines the process with predefined recordings, such as evoked potentials, and automatic stimulator assignments. Simply connect the electrodes, and you’re ready to proceed. Plus, the system remembers your settings for added convenience. With markers for easy reference, you’ll never miss a beat. Experience the speed and efficiency firsthand.

Setup Assist

Streamlined patient engagement made simple.

Stay informed effortlessly with AVALANCHE® PLUS, which provides real-time feedback on electrode connections. Our colour- and shape-coded system ensures quick and clear assignment of connections, including numerous stimulator outputs.

Moreover, AVALANCHE® PLUS simplifies electrode connection. When selecting a muscle or cortical recording position on the screen, a white LED on the patient’s amplifier guides you to the correct connection. This feature not only aids in finding electrode positions promptly but also helps identify and address signal interference caused by poor electrode contact. The system continuously monitors electrode contact status, displaying it directly on the preamplifier as green for excellent contact, yellow for sufficient contact, and red for loss of contact—making troubleshooting effortless.

Signal Assist

Stay on top of every detail.

With the expansive touchscreen of the AVALANCHE® PLUS, all your configured signals are visible at a glance. Plus, you can easily switch to separate views for each modality when needed. Say goodbye to RF interferences from electrosurgical units—they’re automatically detected and filtered out without the need for cumbersome additional sensors.

High impedance recordings are flagged in red for quick identification. Simply click on the channel, and the LED on the preamplifier directs you to the respective electrode. Correcting errors is a breeze, restoring signals to their pristine quality.

Access stored measurement setups instantly and tweak stimulation intensity for each stimulator directly from the main window. Keep a comprehensive overview of signals throughout the entire procedure to ensure nothing escapes your attention.

Report Assist

Generate your final report instantly.

With Report Assist, creating comprehensive reports is as easy as a touch of a button. Capture screenshots effortlessly in just one step. Select relevant events, and with four simple steps, generate a polished PDF report. It’s that quick and simple. Ready to go.

Award winning

RED DOT AWARD 2023

User Interface Design

In 2023, our AVALANCHE® PLUS once again demonstrated its excellence by winning the esteemed RED DOT DESIGN Award 2023 in the User Interface (UI) category.

The Red Dot Design Award is renowned as one of the largest design competitions globally, attracting entries from around the world. Recognised internationally as a symbol of exceptional design quality, the Red Dot label is highly coveted. To ensure thorough evaluation of design diversity, the award is divided into three disciplines, each held annually.

iF DESIGN Award 2021

AVALANCHE® PLUS

In 2021, our AVALANCHE® PLUS was honoured with the esteemed iF DESIGN Award in the User Interface (UI) category.

Each year, the iF International Forum Design GmbH hosts one of the world’s most renowned and valuable design competitions: the iF DESIGN AWARD.

The iF DESIGN AWARD stands as one of the most prestigious accolades in the design realm, boasting over 4,700 entrants from 56 nations in 2021.

As a venture of the accredited non-profit iF Design Foundation, dedicated to advancing design and its societal impact, the iF DESIGN AWARD operates independently. Furthermore, an array of international design experts ensures a transparent and equitable judging process, providing every entrant with an equal opportunity for success.

Behind the scenes

Play Video

The making of

AVALANCHE® PLUS

Delve into an immersive exploration of the revolutionary neurocare technology with a captivating video detailing the creation of the Avalanche Plus. Crafted by Dr. Langer, this cutting-edge device embodies innovation at its finest. Experience the unveiling of intricate processes and meticulous craftsmanship that underpin this advanced neuromonitoring solution. From conceptualisation to precision engineering, this behind-the-scenes footage provides an exclusive glimpse into the dedication and expertise driving the development of a device that redefines accuracy and reliability. Step into the realm of innovation – click to view the video and uncover the unmatched excellence of the Avalanche Plus by Dr. Langer.

Fields of application

Thyroid Surgery
ENT / OM Surgery
Vascular Surgery
Neurosurgery
Spine Surgery
Rectal Surgery

Join us in shaping the future of IOM

Whether you are a healthcare professional seeking cutting-edge devices or a partner interested in reshaping the landscape of patient care, we are here to collaborate and innovate.