A New Standard for Intraoperative Monitoring
Our AI-IONM approach, supported by a portfolio of integrated solutions, continuously analyzes intraoperative neuromonitoring (IONM) data—delivering real-time insight that helps detect risk earlier and support more informed surgical decision-making.
The Problem
A Critical Gap in Surgical Care
More than 86% of high-risk surgeries in the U.S. are performed without intraoperative neuromonitoring (IONM)—leaving critical neurovascular structures at risk. Millions of patients each year undergo procedures without the real-time insight needed to detect and prevent potential damage.
AI-IONM APPROACH
Expanding Accessto Surgical Insight
Our mission is to bring IONM to all 3.8 million high-risks surgeries in the US each year. We developed Sentinel, an AI-powered IONM platform that works for all surgeons, human and robot-assisted, to help them improve outcomes and preserve patient quality of life.
Supported Surgeries
Spinal Degeneration
1.2 million patients undergo spinal surgery in the US each year, and up to 38% of the patients in unmonitored spinal fusion surgery experience nerve root irritation and/or pedicle wall breaches. Techniques like fluoroscopy and traditional IONM improve the success rate of these surgeries, but each comes with significant drawbacks and limitations. The SENTINEL AI-IONM Platform integrates with popular EMG equipment to support AI-powered monitoring in real time.
Radical Prostatectomy
100,000 patients undergo a radical prostatectomy (RP) in the US each year to remove their cancerous prostates, and 100% of the patients demonstrate complete short-term (2-year) impotence and incontinence following surgery. Urologic surgeries are not currently monitored, but the Sentinel AI-IONM, coupled with vascular monitoring for urinary and rectal incontinence and erectile function, will help surgeons transform patient quality of life for 100,000 men each year.
Get in touch to join the conversation on innovation, research, and the future we’re building in brain health.
Contact UsProduct Portfolio
Sentinel Device
SENTINEL is our portable, automated, AI-powered monitoring platform that gives surgeons real time feedback during high risk surgeries. SENTINEL IOM anywhere with an internet connection and existing equipment. Novel SENTINEL sensors provide unique, powerful insightsinto key structures.
Benefits
• Eliminates human error
• Increases reliability
• Improves sensitivity and specificity
• Optimizes continually
• Evaluate comprehensive physiological data in real time
• Portable SENTINEL sensor device transmits data wirelessly
• The SENTINEL AI integrates with 3rd party equipment
Grid Electrode
Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet. Lorem ipsum dolor sit amet, consetetur
Benefits
Lorem ipsum dolor sit amet, consetetur sadipscing elitr, sed diam nonumy eirmod tempor invidunt ut labore et dolore magna aliquyam erat, sed diam voluptua. At vero eos et accusam et justo duo dolores et ea rebum. Stet clita kasd gubergren, no sea takimata sanctus est Lorem ipsum dolor sit amet. Lorem ipsum dolor sit amet, consetetur
Beyond Traditional IONM
Traditional IONM
- • Limited by availability and skill of trained personnel administration
- • Accessible by prior planning during business hours only
- • Limited availability outside teaching hospitals and city centers
- • Highly variable reliability, specificity, and sensitivity
Sentinel AI-IONM
- • Consistent, AI-driven signal interpretation
- • Always on. Available for emergencies, nights, and weekends
- • Deployable anywhere a surgeon operates
- • Standardized alerts that reduce subjective variability
