Cadwell Cascade IONM System

Yes, the Cadwell Cascade IONM System is a Certified Refurbished unit delivered fully configured and ready for immediate use. The essential Cadwell IOM software is pre-installed on the included Dell laptop.

Software and System Details

• Software Version: The system comes loaded with Cadwell IOM software version 2.5.395.
• System Hardware: The software is pre-loaded on the certified refurbished Dell E5540 laptop, which features an Intel i5 Processor, 8 GB of RAM, a 500 GB hard drive, and operates on the Windows 11 OS.

This robust configuration supports simultaneous multi-modality testing, including SEP, TceMP, free-run/stimulated EMG, EEG, and Train of Four. Please note that the Base Model does not include the hardware board required to perform optional BAEP and VEP tests.

Yes, the Cadwell Cascade IONM System is a powerful, portable, multi-modality neuro-monitoring platform designed for concurrent testing across various protocols.

Key Monitoring Capabilities
The system is capable of simultaneously performing the following tests:

• Evoked Potentials (EP): Somatosensory Evoked Potentials (SEP) and Transcranial Motor Evoked Potentials (TceMP).
• Electromyography (EMG): Both free-run and stimulated EMG.
• **Electroencephalography (EEG).
• Train of Four (TOF) nerve stimulation.

Advanced Hardware & Technology
Signal quality is enhanced by the system’s 16-channel amplifier, which utilizes unique Crosspoint technology. This technology combines the low noise characteristics of a true differential amplifier with the high flexibility of a referential amplifier.

Note on Optional Modalities
The standard configuration does not include capabilities for Brainstem Auditory Evoked Potentials (BAEP) and Visual Evoked Potentials (VEP). These advanced tests require selecting the Upgraded Model configuration, which includes the necessary hardware board.

Yes, portability is a key selling point for the Cadwell Cascade IONM System.

• The main base unit is designed to be lightweight, weighing only 4.25 lb.
• This allows for high flexibility, enabling use with a laptop for a mobile setup or integration as a desktop PC-based system.
• It is perfectly suited for clinical environments that require easy transport across operating rooms or testing suites.

Yes, Crosspoint Technology in the Cadwell Cascade IONM System is designed to significantly enhance signal quality. It combines the flexibility of a referential amplifier with the quiet performance of a true differential amplifier. This unique combination helps in achieving precise and reliable neuromonitoring results by reducing noise and improving signal clarity.

Yes, the Cadwell Cascade IONM System includes an advanced 16-channel amplifier configured for 32 inputs. This powerful setup maximizes signal routing flexibility and fidelity during neurophysiological monitoring. This amplifier is defined by several unique features:

• Crosspoint Technology: This innovative design achieves the low-noise characteristics of a true differential amplifier while offering the routing flexibility of a referential amplifier.
• Dynamic Montaging: It allows for unlimited channel utilization, as any combination of the 32 inputs can be connected to any channel.
• Precision Control: You can manage signals precisely with independent control over gain, hi-cut, and lo-cut filter settings for every channel.
• Noise Reduction: Patented shielding in the input extenders significantly reduces external noise, maintaining excellent signal integrity even when the amplifier is placed further from electrode sites.

Yes, the Cadwell Cascade IONM System is available in two configurations, allowing you to choose the level of testing capability you need:

• Base Model: This configuration supports standard multi-modality tests, including SEP, TceMP, free-run EMG, stimulated EMG, EEG, and Train of Four.
• Upgraded Model: This configuration includes the necessary hardware boards to perform advanced Brainstem Auditory Evoked Potential (BAEP) and Visual Evoked Potential (VEP) studies.

Yes, the Cadwell Cascade IONM System is specifically engineered with advanced features to minimize electrical interference and ensure superior signal quality during intraoperative monitoring.

Two primary technologies contribute to its low-noise performance:

• Advanced Crosspoint Amplifier: The 16-channel amplifier utilizes Crosspoint technology. This combines the low-noise qualities of a true differential amplifier with the flexibility of a referential amplifier for optimal signal routing and integrity.
• Patented Shielded Input Extenders: Input extenders incorporate patented shielding designed to significantly reduce external noise pickup. This allows the amplifier to be placed further from the electrode sites without compromising the monitored signal.

Yes, dynamic montaging offers significant versatility by allowing clinicians to connect any combination of inputs to a single channel. This ensures you have unrestricted control over your monitoring configurations, with the ability to independently adjust the gain, hi-cut, and lo-cut filters for every individual channel.

The Cadwell Cascade IONM System includes a Certified Refurbished Dell E5540 laptop which serves as the core interface. It comes pre-loaded with the Cadwell IOM software (version 2.5.395) and runs on a modern operating system.

The key specifications for the host laptop are:

• Model: Dell E5540
• Processor: Intel i5
• RAM: 8 GB
• Storage: 500 GB hard drive
• Operating System: Windows 11

Yes, the Cadwell Cascade IONM System includes an ES-5 5-channel stimulator. This advanced stimulator is designed to display the actual current delivered, ensuring precise and reliable control during various neuromonitoring procedures.