www.cadwell.

com/IONM
 Surgeries are inherently risky, especially those that
involve the brain, spinal cord or nerves. Intraoperative
neurophysiological monitoring (IONM) is performed
during many different types of surgeries to reduce
the risk of devastating, irreversible neurological deficits,
such as muscle weakness, loss of sensation, hearing
loss and impairment of essential bodily functions.

IONM involves multi-modal recording of electrical

potentials from the nervous system during operations
to detect adverse changes, enable corrective action, and
offer surgical guidance.

Cadwell’s new Cascade® IOMAX™

with Surgical Studio software,
the culmination of nearly two decades of
innovation, experience and investment,

Is The future of IONM.

2 Cadwell Industries, Inc.

 A comprehensive solution for patient-centered IONM care.

Surgeon
Embrace adjunct
technologies to
optimize your
patient’s outcome

Neurophysiologist
Educator
Feel at ease with
Prepare IONM providers of
intuitive software
tomorrow using realistic
and purpose-built
simulation software
IONM hardware

Patient

Administration
IT
Protect the hospital’s
investment by choosing Choose secure and
durable equipment with efficient access to
quality service and clinical data
support

www.cadwell.com/IONM 3
 The modular design of Cascade® IOMAX™
lets users tailor each IONM setup to the Rotate for
specific requirements of each surgery. surgeon
view

Cortical Module. Designed for recording and

stimulating at or near the patient’s head, with
16 channels, TCS-9 for dynamic montaging of
transcranial MEPs, and Low Current,
Auditory and Visual Stimulation.

Limb Module. Designed for recording and

stimulating the arms and legs with eight
recording channels, 5 paired E-Stim outputs,
SpO2 and Heart Rate.

IOMAX systems are scalable from eight to 48

channels.
• Use the Cortical Module solo
• Combine the Cortical Module with one to
four Limb Modules
• Use one or two Limb Modules
independently

Base Module. Provides power and

communication via a single SafeT Cable to the
OR table, and allows Trigger In/Out interfacing
with third-party devices.

LCSwap. Comprehensive switch matrix

solution for direct cortical stimulation. Twelve
outputs can be independently assigned as
anode or cathode; includes two paired outputs
for hand-held probes.

4 Cadwell Industries, Inc.

IOMAX™ is a compact, robust
system designed to withstand
Cortical and Limb
daily use and the environmental Modules are
hazards of the operating room. drop tested
and waterproof.

SafeT™ Cables
Waterproof and
completely
interchangeable
between Modules with
color-coded
quick-release metal
connectors.

Mount Modules to the

OR table with rail
brackets and clamps.
Easily insert and
remove electrodes
with the Quick Adapt.

PelicanTM
SpO2 carry-on case
Measure pulse oximetry TSA-approved lock.
and heart rate from up to Sturdy and secure.
four limbs. Accommodates up to a
48-channel IOMAX system.

www.cadwell.com/IONM 5
 Cascade® Surgical Studio software offers an intuitive user interface.

Streamline your workflow

• Switch users during a case to log

involvement and apply settings
without interrupting data acquisition.
• Seamlessly share and manage data and
resources across your organization.
• View live and saved data side-by-side
and never miss critical information.

Deliver clinical excellence

• Use TCS-9 dynamic montaging to
achieve optimized MEP results for
each patient.
• Achieve quick and intuitive direct
cortical stimulation with strips,
grids, and/or probes using the
software-driven switch matrix.

Capture critical information

• Automatically capture screenshots

with every User Event entry.
• Save the previous 30 seconds of
EMG with Store Buffer.
• Set up color-changing amplitude
and latency cursor alerts.

6 Cadwell Industries, Inc.

 CADx Simulation Software
• Simulate realistic data demonstrating
anesthesia, technical and surgical effects.
• Manipulate patient control panel to create
real-world scenarios for demonstration and
assessment purposes.
• Train or teach using the same procedure
setups and software tools used in the OR.

Strengthen
documentation
• Standardize demographic data collection.
• Enter comments just by typing.
• Choose whether to save the Chat Log.
• Choose screenshots to include in reports.

Stay connected
• Remote monitoring and integrated group chat are powerful tools for
communication with colleagues during surgery.
• Reviewers have their own display settings and the ability to add to the
Event Log and capture screenshots.
• Set up CadLink™ information management to automatically interface with
EMR or HIS to import patient demographics and export results and reports.

www.cadwell.com/IONM 7
 We are dedicated to developing industry-leading
IONM solutions to help you help your patients.

The Cadwell Story

John Cadwell, BSEE, MD, saw a need for innovative In the 2000s, Cadwell developed the industry’s best
and reliable neurophysiology instruments during integrated report generator and introduced Easy PSG.
his residency at the University of Washington School
of Medicine. Lately, we have expanded our headquarters and opened
offices in China and Singapore. Our global sales and
John combined his experience in electrical support teams help physicians and medical centers
engineering and medicine to design the world’s worldwide help their patients.
first microprocessor-controlled EMG instrument.
Together with his brother, Carl Cadwell, DDS, John Today, our brands include Arc EEG, LTM and ICU cEEG;
formed Cadwell Laboratories in 1979. Cascade® IONM; Sierra® EMG and EP with integrated
ultrasound; Easy® PSG and CadLink™ data management.
In the 1980s, Cadwell developed the best-selling
5200A EMG and the Spectrum 32 EEG. Cadwell is staying true to its mission: helping you
help others.
In the 1990s, Cadwell’s Sierra took over the EMG line
and Cadwell introduced Cascade IONM and Easy
EEG.

Cadwell has a strong history of supporting customers. Please discuss service, support, warranty
and training information with your sales manager or distributor.

Cadwell Industries, Inc. Visit Www.estore.cadwell.com

909 N. Kellogg St. · Kennewick, WA 99336 For all of your electrodes, accessories and consumable supplies
(800) 245-3001 · +1 (509) 735-6481 ph · +1 (509) 783-6503 fx
www.cadwell.com · info@cadwell.com

8
© 2018 Cadwell Industries, Inc. All rights reserved. PN# 100880-937 Rev. 03
Cadwell Industries, Inc.
The information contained in this document is subject to change without notice. This document contains trademarks that belong to Cadwell Industries, Inc. and other companies, respectively.
Product availability may vary in different countries and markets. Please contact Cadwell for additional information.