A Significant Advance in Neuroprotective Surgery
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1 A Significant Advance in Neuroprotective Surgery The CHECKPOINT Stimulator/Locator
2 The Value of CHECKPOINT Enhances nerve exploration and repair Provides a unique intra-operative, surgeon controlled means of safely and reliably locating and identifying nerves and evaluating nerve and muscle function Simple to use for nerve location and tissue dissection Quickly locate and identify nerves and dissect tissue Capable of regional tissue stimulation Allows for intra-operative assessment of muscle function and strength without always requiring tissue dissection and direct nerve contact Helps surgeons avoid intra-operative nerve injury Enhances safe, efficient soft tissue dissection by facilitating the location of nerves at varying depths and through surrounding tissue Facilitates nerve integrity assessment A tool for intra-operative nerve function assessment to verify nerve integrity in connection with a nerve transfer or repair and prior to closure CHECKPOINT Advantages Over Other Stimulators CHECKPOINT offers the simplicity of a hand-held single-use device with the advanced stimulation parameters provided by complex console-based systems: Biphasic balanced stimulus waveform versus direct current (DC) mitigates potential nerve damage and produces continuous nerve activation 20mA amplitude allows surgeon to elicit a muscle contraction by stimulating muscle tissue in the vicinity of the nerve, without need for direct nerve contact, for intra-operative evaluation of muscle strength and tendon excursion Pulse width slide control continuously variable pulse width adjustment enables fine tuning of the stimulus parameters to identify precise nerve activation threshold and facilitate nerve stimulation Surgeon controlled instrument no requirement for communication with or assistance from a neurophysiologist or technician from across the room Complete, self-contained system no special OR staff set-up activities required; no cables connected to the device coming from outside the sterile field that present the risk of infection Cost effective and convenient sterile packaging ensures availability without advance preparation or set up; no capital equipment expense or special staffing expenses
3 A Significant Advance in Neuroprotective Surgery Recent advances in nerve stimulation technology allow surgeons to practice neuroprotective surgery employing surgical techniques designed to protect and preserve nerves during surgery. The CHECKPOINT Stimulator/ Locator is a state-of-the-art hand-held, intra-operative nerve and muscle stimulator that helps surgeons locate, identify and evaluate motor nerve tissue and muscle function in surgical procedures that require careful and precise soft tissue dissection or nerve exploration and repair. Designed by a world-class team of surgeons and biomedical engineers, the CHECKPOINT Stimulator/ Locator helps surgeons make better real time intra-operative decisions with increased confidence. CHECKPOINT is being used in a variety of orthopaedic, plastic, ENT, oncologic, trauma, and nerve repair procedures including: Brachial Plexus Procedure Nerve Exploration/ Repair/Release Nerve Transfer Shoulder and Elbow Revision Reverse Shoulder Arthroplasty Non-union Fracture Repair Facial Reanimation Bone and Soft Tissue Tumor Resection Tendon Transfers Radical Neck Dissection Parotidectomy Thyroidectomy And many others
4 CHECKPOINT Features and Benefits Biphasic Waveform Generation of biphasic waveform for safe and continuous nerve activation for as long as the stimulation probe is applied 360 LED Indicator Light Provides continuous visual confirmation that stimulus is being delivered Pulse Width Slide Control Continuously variable intensity at each amplitude to fine-tune stimulus parameters Selective Amplitude Switch (0.5mA, 2mA, 20mA) Adjust threshold stimulus desired for precise, highly localized individual nerve stimulation to wide and deep generalized nerve activation Advanced Electronic Circuitry Performs continuous circuit and software checks insuring reliable stimulus parameters are delivered and maintained Ergonomic, one-hand design Easy to use; puts all the controls in the surgeon s hand Built-in Power Supply Self-contained batteries eliminate the need for external electrical connection; no cables in the sterile field Sterile, Ready to Use Packaging No advance preparation by OR staff required; allows for restocking option if not used Made in the USA
5 What Surgeons are Saying About CHECKPOINT CHECKPOINT s reliable and reproducible stimulation has helped not only to identify and protect nerves from injury, but also has proven very useful in nerve reconstruction cases. Finally, a well-designed disposable stimulation device that puts precision and control in the surgeon s hand a must for every peripheral nerve surgeon. Michael Hausman, M.D., Lippmann Professor of Orthopedic Surgery, Vice-Chairman, Department of Orthopedic Surgery, Chief, Hand and Elbow Surgery, Mount Sinai Medical Center (NY) Justin Brown, M.D., Assistant Professor of Neurological Surgery, Director of Peripheral Nerve Surgery at University of California, San Diego; Co-Director at Center for Neurophysiology and Restorative Neurology CHECKPOINT is far superior to any nerve stimulator we have used in the past and is indispensable for my brachial plexus and complex nerve repair cases. Scott H. Kozin, M.D., Professor, Orthopaedic Surgery, Temple University and Hand & Upper Extremity Surgeon, Shriners Hospitals for Children CHECKPOINT has become an essential tool for my complex shoulder surgery cases, not only to help identify and protect nerves from injury, but also to gauge how well they are functioning. Evan L. Flatow, M.D., Lasker Professor and Chair, Chief of Shoulder Surgery, Leni & Peter W. May Department of Orthopaedic Surgery, Mount Sinai Medical Center (NY) Dr. Hausman is a paid consultant of and has a financial interest in Checkpoint Surgical. Dr. Brown is a paid consultant of Checkpoint Surgical. Videos and Other Information For additional information including surgical videos visit To schedule a trial or to place an order, contact Checkpoint Surgical: Toll-free: Local: Fax: info@checkpointsurgical.com For Contraindications, Precautions and Warnings visit
6 Checkpoint Surgical, LLC Millcreek Blvd., Suite 110 Cleveland, Ohio Toll-free: Local: Fax: CS-9094-MKT-025-A (Nov 2011) Checkpoint Surgical, LLC 2011
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