Michael Hausman, MD*
Mount Sinai Health System, New York, NY
Reliably locate nerves in altered anatomy or anytime nerves are at risk
Map location of nerve through tissue
Localize nerve tissue obscured by scarring, tumor or bone
Determine stimulation threshold for motor response
Test for changes in nerve function throughout the procedure
Stimulate muscle to evaluate excursion in tendon and free muscle transfers
Confirm whether a tissue structure is a nerve
Confirm with full tetanic contraction (vs a “twitch”)
Identify individual fascicle groups within a nerve
Top Five Rules to Avoid Neurovascular Injury During Total Shoulder Arthroplasty. Evan Flatow, MD, and Victor Olujimi, MD Leni & Peter W. May Department of Orthopaedic Surgery, Icahn School of Medicine at Mt. Sinai, NYC, NY Seminars in Arthroplasty, March 2017. Volume 28, Issue 1, Pages 2-4.
Intraoperative Nerve Monitoring With a Handheld Intraoperative Biphasic Stimulator: Evaluation of Use During the Latarjet Procedure. Rimmke, Nathan A. MD; Jones, Grant L. MD; Bishop, Julie Y. MD Techniques in Orthopedics: June 2018 – Volume 33 – Issue 2 – p e5-e8.
Intra-Operative Sciatic Nerve Assessment in Complex Total Hip Arthroplasty Using a Handheld Nerve Stimulator: A Case Series. Shai S Shemesh, MD, Samuel Overly, MD, Jonathan Robinson, MD, Catlin S. Mouchas, MD, Darwin Chen, MD Hip Int. 2018 Mar;28(2):210-217. doi: 10.5301/hipint.5000553. Epub 2017 Sep 10.
Empowering the Surgeon – New neuroprotective and neuroreconstructive techniques. Michael R. Hausman, MD, Lippmann Professor of Orthopedic Surgery, Vice-Chairman, Department of Orthopedic Surgery, Chief, Hand and Elbow Surgery, Mount Sinai Medical Center.
Nerve Repair Manual – A practical approach to injury and repair in the brachial plexus and upper extremity. Scott H. Kozin, MD, Chief of Staff, Shriners Hospital for Children – Philadelphia; Team Leader, Touching Hands Project, American Society for Surgery of the Hand.
The CHECKPOINT® Nerve Stimulator/Locator is a single-use, sterile device intended to provide electrical stimulation of exposed motor nerves or muscle tissue to locate and identify nerves and to test nerve and muscle excitability. Do not use this Stimulator when paralyzing anesthetic agents are in effect, as an absent or inconsistent response to stimulation may result in inaccurate assessment of nerve and muscle function. For a complete list of warnings and precautions regarding the use of the Stimulator, please consult the Instructions for Use.
*Dr. Hausman is a paid consultant of Checkpoint Surgical, Inc.