SYSTEM FOR INTRAOPERATIVE MONITORING OF THE FUNCTIONALITY OF NERVES

摘要

A monitoring system (1) adapted for partially or completely automated intraoperative monitoring of nerves during a surgical procedure, the monitoring system comprising at least one stimulation electrode for insertion into the abdominal cavity and sensors for measuring signals, wherein at least one sensor for measuring the bubble function and at least one sensor are provided for measuring the activity of the sphincter Ani, wherein the at least one sensor for measuring the bubble pressure is set up and connected to the rest of the system via an adapter element and the one or more sensors for measuring the activity of the sphincter Ani several electrodes for EMG measurement are,characterized in that the monitoring system is equipped for a laparoscopic procedure and(A) has a software-implemented suppression of respiratory artifacts in the measurement of bladder pressure,(B) preferably further comprises a user guide that automatically checks at least one of the conditions selected from (i) correctly connecting the adapter element to measure the bladder pressure to the rest of the system, (ii) properly attaching the stimulation electrode (s), and (iii ) includes the correct placement of the electrode (s) for EMG measurement in the monitoring system,and (C) in a further preferred embodiment additionally comprises an automated partial interpretation or full interpretation of the incoming measurement signals, which includes a processing and presentation of the derived measurement signals in such a way that the user can clearly grasp the information essential to him.