Pelvic intraoperative neurophysiologic monitoring

We present an intraoperative neuromonitoring system for the preservation of autonomous nerves in the pelvic region. The development of such a system as medical device is a complex task. High quality standards need to be considered to insure safety for the patient and the user; these include special electric design requirements as well as stringent specifications on a fail-safe user interface. Especially if a new methodology has to be established, unpredictable challenges can arise. Many years of experience are needed to pre-estimate the customers' needs in order to develop a system that is able to support rather than to challenge the surgeon and his team in the operation room during a possible stressful situation. In this case the commonly known method of intraoperative neurophysiological monitoring was transferred to a new technique and its application in the pelvic region.