TWISTER® MM
Intraoperative nerve stimulation
In neurosurgery and neuromonitoring, intraoperative stimulation is of utmost importance. This method entails precisely administering electrical impulses to targeted areas of the nervous system during surgery.
TWISTER® MM
A multifunctional electric neurostimulator designed for intraoperative stimulation of nerves, muscles, and the cortex:
Upon launching the software, users are presented with pertinent operating instructions and cable connections, enhancing the intuitive nature of TWISTER® MM, our compact standalone unit.
Direct nerve stimulation
For nerve stimulation in ENT, oral and maxillofacial surgery, skull-base surgery, and peripheral nerve procedures
In ENT, OMS, skull-base surgery, and peripheral nerve surgery, the “Direct Nerve Stimulation” user program of TWISTER® MM offers precise electrical nerve stimulation capabilities. This method allows surgeons to stimulate motoric nerves during surgery and verify their response visually or through palpation at the innervated target muscle. Utilised for localisation and functional monitoring, this technique is invaluable in various surgical areas, including ENT, OMS, skull-base surgery, and peripheral nerve surgery.
TWISTER® MM can monitor nerves such as the N. facialis and N. trigeminus during procedures like parotidectomy or mastoidectomy. Additionally, it aids in monitoring the N. accessorius during neck dissection and branches of the brachial plexus in patients with tumours, injuries, or compression syndrome.
Cortical mapping
For the direct activation of the cortex in neurosurgical and epilepsy procedures
For direct cortex stimulation in neurosurgery and epilepsy surgery, the “Cortical Mapping” user program of TWISTER® MM is indispensable. Designed to locate motor areas and the speech centre in the brain, this technique is vital in neurosurgery and epilepsy surgery. The individual anatomy of the cerebral cortex, which varies between patients, can be affected by tumours in the nervous system. TWISTER® MM enables surgeons to visualise a map of the patient’s cortex, aiding in the localisation of critical regions while minimising damage to surrounding tissue.
PSARP
For electrical muscle stimulation during paediatric surgical procedures
Specifically developed for electrical muscle stimulation in posterior sagittal anorectoplasty (PSARP) according to Peña and de Vries, the “PSARP” user program of TWISTER® MM is tailored for paediatric surgery. Stimulation at a frequency of 50 Hz facilitates the localisation and functional monitoring of muscular structures crucial for maintaining continence and reconstructing the necessary access route. The ultimate goal of this treatment is long-term faecal continence and improved quality of life for young patients undergoing paediatric surgery.
Fields of application
Thyroid Surgery
ENT / OM Surgery
Vascular Surgery
Neurosurgery
Spine Surgery
