Cascade intraoperative neuromonitoring devices have led the market in general spine and cranial procedures for 15 years

Surgeries are inherently risky, especially those that involve the brain, spinal cord, or nerves. Intraoperative neuromonitoring (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 line of Cascade IONM machies are the culmination of nearly two decades of innovation, experience and investment. Cascade IONM is the future of IONM.

Cascade IOMAX Intraoperative neuromonitoring, neurophysiological, surgical monitoring, IONM device, IONM machine
Cascade PRO intraoperative neurophysiological monitoring equipment
Cascade Elite intraoperative neuromonitoring equipment

Cascade IOMAX


The Cascade IOMAX is a compact, robust intraoperative neuromonitoring system designed to withstand daily use and the environmental hazards of the operating room. Its modular design lets users tailor each IONM setup to the specific requirements of different surgeries.

Cascade PRO


The Cascade PRO can be customized for 16 or 32 channels with external amplifiers. Extender pod shielding reduces noise and provides surge protection. The component can be portable or cart based, and supports the TCS-4 and TCS-1000 transcranial stimulators and the ES-IX 2 stimulator.

Cascade Elite


The Cascade Elite’s 32-channel built-in amplifier with 64 inputs is encased in a robust, waterproof aluminum case that allows flexible placement options. The Elite supports TCS-4 and the TCS-1000, Cadwell’s electrical stimulator boxes, and the ES-IX 2 sitmulator.

Software for neurophysiological intraoperative monitoring

Help capture critical information and strengthen documentation with Cascade Surgical Studio software. Surgical Studio is the platform for Cadwell’s powerful multi-modal IONM devices: Cascade IOMAX, Cascade PRO, and Cascade Elite.

  • All-modality monitoring: SEP, TceMP, BAEP, VEP, EMG, TEMG, EEG and TOF
  • Dynamic montaging
  • Switch users during a case without interrupting data acquisition
  • Share and manage resources across your organization
  • Auto-capture event screenshots and include them in reports
  • View live and saved data side-by-side
  • Remote monitor with independent display and reporting
  • Improved workflow
  • Custom user colors
  • Role-based access
  • Intuitive procedure setup
  • Colored cursor alerts
  • And more!

Cascade IONM devices provide

  • Auditory and visual stimulation
  • Electrosurgery and noise detection
  • Cart-based and portable configurations
  • Pod-based and module-based solutions
  • High and low current stimulation
  • Transcranial stimulation
  • Surge protection

UConn IONM Graduate Program

University of Michigan IONM Program

Courtesy of UConn Intraoperative Neuromonitoring Graduate Program

Courtesy of the University of Michigan

Cascade is not intended for intraoperative lateral trans-psoas monitoring (ILTM) using automatic threshold detection. Cadwell disclaims (and does not support) any use of Cascade Software for ILTM.

Cascade IOMAX Brochure –  Cascade PRO Flyer –  Cascade IONM Brochure

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