Neuro Monitoring · Hardware + AI
Hear the brain before it whispers a warning.
A next-generation intraoperative neuromonitoring stack — wireless multi-modality hardware fused with deep-learning signal AI. Fewer false alarms, earlier injury detection, and one neurophysiology cockpit shared across OR, ICU and remote supervisor.
−72%
False-positive alerts
3–6 min
Earlier injury warning
1 : 4
Remote supervision ratio
<60 s
Signed report at close
01 · Hardware
Sterile, wireless, OR-grade.
Purpose-built for neuro and spine procedures. Every component is designed to survive electrosurgery, fit under sterile drapes, and capture clean signal even in the noisiest hybrid OR.
Wireless 64-channel headbox
Battery-powered, sterile-drape-friendly amplifier with low-noise differential inputs and on-board impedance check — eliminates cable clutter on the OR table.
64 ch · 24-bit · ≤0.5 µV noise · 8 h battery
Multi-modality stimulator
Synchronized transcranial MEP, peripheral SSEP, train-of-four and direct cortical stimulation in a single, foot-pedal controlled unit.
TES · TCS · SSEP · TOF · DCS
Fiber-optic isolation
Galvanically isolated optical link to the cart removes 50/60 Hz mains noise and electrosurgery interference at the source.
Optical isolation · ESU-tolerant
Edge compute cart
GPU-accelerated cart runs signal AI locally — no cloud round-trip, sub-second alerts even when network drops.
NVIDIA Jetson-class · offline-first
Smart electrode kit
Single-use subdermal needle and corkscrew electrodes with RFID tagging — auto-populates montage and tracks usage.
RFID · sterile single-use
OR-integrated display
Dual 32" surgical-grade displays with sterile foot-pedal and voice control. Mirrors to navigation, microscope and Cortex command center.
4K · DICOM-calibrated
02 · AI Software
Signal intelligence, not just signal display.
The Metasurgeon neuromonitoring AI runs on the cart and in the cloud. It learns each patient's baseline, suppresses OR noise, and surfaces only the changes that matter — with full traceability for medico-legal review.
−72% false alarms
Adaptive artifact suppression
Deep-learning filter trained on >1M OR signal-seconds removes ESU bursts, 50/60 Hz, movement and pulse artifact without flattening the trace.
Alerts 3–6 min earlier
MEP / SSEP change detection
Per-channel baseline modelling flags amplitude drop >50% or latency shift >10% within one stimulation cycle — surgeon-tuned thresholds per procedure.
qEEG every 2 s
EEG burst-suppression & seizure
Real-time quantitative EEG: BSR, alpha-delta ratio, ictal pattern detection. Closes the loop with anaesthesia for titrated burst-suppression.
CN VII / V / X / XII
Cranial nerve mapping copilot
Auto-classifies free-run EMG bursts (A-train, neurotonic, spike) and overlays cranial nerve risk zones on the navigation view.
15–30 min lead-time
ICP / CPP trajectory model
Forecasts intracranial hypertension 15–30 minutes ahead using ICP waveform morphology, CPP and PRx — a true neuro early-warning score.
Report in <60 s
Auto op-note & evidence pack
Generates a signed neurophysiology report with annotated traces, alert timeline, and surgeon acknowledgements — billing- and audit-ready.
03 · How it enhances existing IONM
Bolts on to the IONM you already run. Then transforms it.
Drop-in upgrade
Bridges to Cadwell, NIM, NuVasive, Inomed and Nicolet via standard 25-pin DSUB / LEMO breakouts. Existing electrodes and stimulators keep working.
Remote supervision
One neurophysiologist safely covers 4–6 ORs through low-latency streaming, surgeon chat, and AI triage on the supervisor's queue.
Closed-loop OR
Streams events to navigation, microscope overlays, and anaesthesia — and writes signed events back into Cortex NeuroOS and the EMR.
Integrates with
Bring AI neuromonitoring into your next case.
Pilot the platform in your OR alongside your current IONM provider — no rip-and-replace. We deploy in two weeks and ride along on your next ten cases.