Division for Endocrine and Minimally Invasive Surgery, Department of Human Pathology in Adulthood and Childhood "G. Barresi", University Hospital G. Martino, University of Messina, Messina, Italy.
Division of General Surgery, ASST Settelaghi, Varese, Italy.
Surg Technol Int. 2021 May 20;38:109-124. doi: 10.52198/21.STI.38.GS1443.
A new device for monitoring the laryngeal nerves during thyroid surgery has been developed. NIM Vital™ (Medtronic Xomed, Inc., Jacksonville, FL, USA) incorporates (a) a new wireless design, (b) NIM NerveTrendTM (Medtronic Xomed) EMG reporting, (c) intelligent noise-reduction technology that suppresses artifacts, (d) smart troubleshooting pop-up alerts, and (e) NIM Nervassure ™ (Medtronic Xomed) for continuous monitoring. This device offers enhanced stability and flexibility for both intermittent and continuous laryngeal nerve monitoring. The new NIM NerveTrend ™ EMG reporting makes it possible to track the recurrent laryngeal nerve condition throughout a procedure, even when using intermittent nerve monitoring. During both continuous and intermittent monitoring, green, yellow and red status bars provide visual information and associated tones provide audible cues, making it easy to monitor nerve function and interpret EMG trends. This new tool for laryngeal nerve monitoring has the potential to augment nerve dissection during surgery. Measurements of long-term outcome are needed to establish their efficacy.
一种新的用于甲状腺手术中监测喉返神经的设备已经研发出来。NIM Vital™（美敦力 Xomed，Inc.，杰克逊维尔，FL，美国）包含：(a) 一种新的无线设计；(b) NIM NerveTrendTM（美敦力 Xomed）肌电图报告；(c) 智能降噪技术，抑制伪影；(d) 智能故障排除弹出式警报；以及 (e) NIM Nervassure™（美敦力 Xomed），用于持续监测。该设备为间歇性和持续性喉返神经监测提供了增强的稳定性和灵活性。新的 NIM NerveTrend™肌电图报告使得在手术过程中跟踪喉返神经状况成为可能，即使使用间歇性神经监测也是如此。在连续监测和间歇性监测期间，绿色、黄色和红色状态条提供视觉信息，相关的音调提供听觉提示，便于监测神经功能和解释肌电图趋势。这种新的喉返神经监测工具有可能增强手术中的神经解剖。需要进行长期结果的测量来确定其疗效。
