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Intraoperative Monitoring (IONM)

  2. Neurodiagnostics
  3. Intraoperative Monitoring (IONM)

Cascade IOMAX™ IONM System

Cascade IOMAX™

Modular, OR‑Tough Neuromonitoring from 8 to 80 Channels

Cascade IOMAX™ is Cadwell’s most adaptable intra‑operative neuromonitoring platform. Waterproof, drop‑tested Cortical and Limb Modules sit close to the sterile field, while a single SafeT® cable carries power and data back to the technologist’s station—keeping leads short, artefact low and the OR uncluttered. Configure exactly what each procedure needs, from an eight‑channel ENT setup to an 80‑channel cranial or spine case, and run every modality inside Cascade Surgical Studio software.

Technical Specifications
Cortical Module Core Functions: 16 recording channels; integrated stimulation, Highlights: TCS‑9 dynamic montaging for trans‑cortical MEPs, low‑current E‑stim, plus built‑in auditory & visual stimulators
Limb Module Core Functions: 8 recording channels; 5 paired E‑stim outputs, Highlights: Adds SpO₂ and heart‑rate monitoring; stack up to four Limb Modules with one Cortical Module
32‑CH Amplifier Core Functions: Extra 32 recording channels, Highlights: Records scalp EEG & direct‑cortical SSEPs; plugs into any IOMAX build
LCSwap™ Core Functions: Switch‑matrix for cortical stimulation, Highlights: Twelve outputs—each assignable anode/cathode—plus two paired probe outputs; programme patterns in software.
Technical Details
  • Channel capacity: 8 – 80 (16 per Cortical, 8 per Limb, plus optional 32‑CH amp)
  • Module ruggedness: Waterproof housing, rubber bumpers, OR drop‑tested
  • Stimulation options: Low‑current cortical, 5 × paired limb outputs, auditory clicks, visual LED goggles, dynamic TCS‑9 montaging
  • Cabling: Single SafeT® colour‑coded quick‑release cable from table to tech station; interchangeable across all modules
  • Integration: Trigger In/Out ports for third‑party devices; full multi‑modality support in Cascade Surgical Studio (CSS) software
Why Choose Cascade IOMAX™?
  • : Tailor every case: build lightweight eight‑channel ENT or 80‑channel cranial set‑ups with the same hardware.
  • : Keep the field clean: patient‑side modules plus a single SafeT® trunk cable reduce tangles and turnover time.
  • : OR‑proof design: waterproof, drop‑resistant housings withstand fluids, impacts and constant repositioning.
  • : All stimulators on board: cortical, limb, auditory and visual outputs eliminate extra boxes and cables.
  • : Future‑ready: add Limb Modules, a 32‑channel amplifier or LCSwap switch matrix at any time—no system replacement needed.

Cascade IOMAX™ delivers the flexibility, durability and comprehensive modality support neurophysiology teams need to protect neural pathways confidently across the full spectrum of surgical procedures.

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