32-channel neuromonitor for neuro- and spine surgery

You will be impressed by the clarity and intuitive operation of our AVALANCHE® PLUS. Our aim is to make your daily work easier, increase your efficiency and save you valuable time.

The consistently visual configuration of the AVALANCHE® PLUS is intuitive to learn. Perform a configuration entirely via the touch screen, select muscle groups and assign them to the measurement window using DRAG & DROP, keep an eye on the neurophysiological signals and then conveniently generate a PDF report: This is our concept - focused on the essentials.

The art of neuromonitoring - that's not just our slogan. The user interface graphics are works of art that reflect our philosophy. With a newly created user experience, we aim to bring more quality to the operating room.

32-channel neuromonitor


Our new AVALANCHE® PLUS takes a completely new approach to operation. We call it ASSISTANCE PACKAGE® because you are guided through the typical workflow of a surgery in four assisted steps. You will feel the advantages of our well thought-out concept. Just like a modern smartphone, all tasks are performed via touch screen. This is not only fun, but also promotes understanding of the complex multimodal neuromonitoring.

After a brief period of familiarisation, you will learn to appreciate the advantages of the system, you will need less time, errors will be found more quickly and largely avoided thanks to the ASSISTANCE PACKAGE® - our goal, more patient safety.

makes you a specialist

See - Understand - Apply

Experience more about the ease with which you will perform neuromonitoring in the future. With our ASSISITANCE PACKAGE® in the new AVALANCHE® PLUS.


You decide what you need

Handling our AVALANCHE® PLUS is a new experience. You will master the system in no time at all. You can determine your signal derivations in a flash from the visual display. You control everything clearly and comprehensibly on the touchscreen.

Select individual muscle groups and assign them to the desired measurement window using DRAG & DROP. AVALANCHE® PLUS recognizes predefined leads for evoked potentials. Your measurement window is created at the touch of a button. The system automatically assigns the stimulators. You select the connections for the electrodes and you are ready to go. The system remembers your settings. Markings allow you to see which leads have been set at any time - it can be that quick.


Patient connection made easy

AVALANCHE® PLUS shows you at any time which electrodes are connected where or which connections are still missing. Our colour- and shape-coded connections, e.g. on our stimulator outputs, can be quickly and clearly assigned.

AVALANCHE® PLUS also supports you in connecting the recording electrodes. When you select a muscle on the screen or a cortical recording position in the 10-20 system, a white LED on the amplifier near the patient shows you the correct connection. Not only can you find the exact electrode position immediately, but you can, for example, identify a bad electrode contact causing signal interference without significant loss of time. Because as soon as the electrode is placed, AVALANCHE® PLUS continuously checks the electrode contact and even displays it directly on the preamplifier. Green for very good contact, yellow for sufficient contact and red for loss of contact - it could hardly be simpler.


Never miss a thing

The large touch screen of  AVALANCHE® PLUS, keeps all configured signals on display. All modalities have separate view options to prioritise them temporarily. The system automatically detects and hides RF interference from electrosurgical devices – without the need for cumbersome, additional sensors. High impedance leads are displayed in red. Simply click on a channel to display the respective electrode with the pre-amplifier LED for quick troubleshooting to restore a “clean” signal. Open and apply previously configured measurement setups at any time. Use the quick access feature to directly modify the stimulation intensity of every stimulator from the main window and monitor the effect on signal quality. Keep a full signal overview during the entire surgery to make sure you don‘t miss a thing.


Final report at the touch of a button

Create screenshots in a single step. Select events, scroll through the preview and generate a PDF report. Our REPORT-ASSIST provides guidance in four easy steps.

red dot award 2023

User Interface Design

In 2023, our AVALANCHE® PLUS  was once again able to impress at one of the most important design competitions. It received the coveted RED DOT DESIGN Award 2023 in the User Interface (UI) category.

"In search of good design" - the Red Dot Design Award is one of the largest design competitions worldwide. The Red Dot label has established itself internationally as one of the most coveted seals of quality for good design. In order to be able to expertly evaluate the diversity in this field, the award is divided into three disciplines. Each of these competitions is held once a year.

This award is a confirmation of our outstanding design and engineering skills. It is not without reason that the slogan: the art of neuromonitoring has accompanied us for over 10 years.



iF DESIGN Award 2021

As early as 2021, our AVALANCHE® PLUS received the coveted iF DESIGN Award in the User Interface (UI) category.

Every year, iF International Forum Design GmbH organizes one of the world's most famous and valuable design competitions: the iF DESIGN AWARD

The iF DESIGN AWARD is one of the most prestigious design awards in the world - with more than 4,700 participants from 56 countries in 2021.

Owned by the certified non-profit iF Design Foundation, which promotes design and its social significance, the iF DESIGN AWARD is completely independent. In addition, international design experts guarantee a transparent and fair jury process that gives every participant an equal chance of winning.

Making of


The last few months have been a unique experience for our entire team. It's unbelievable how much work goes into a project like this and which details ultimately make the difference.

Whether on the Kandelfelsen, in the neurosurgery department in Günzburg or in our Waldkirch headquarters, everyone was always fully committed and we think the result is really something to be proud of!

We would particularly like to thank Prof. König and his great team from the University Hospital Ulm for their kind support. And now, without further ado, we present:

Open Video

Fields of application