EMGINE software suite powering TetraGraph

TetraGraph just got smarter with EMGINE™

7th generation algorithm refined based on over six billion real-world data points for accurate EMG readings.
Proprietary TetraGraph Adaptive Intelligence™ automates your workflow from induction to recovery.
Patented, advanced noise-cancelling technology ensures clean and accurate data.

Latest version is EMGINE Sirius.

Personalized EMG monitoring

TetraGraph just got even smarter. Powered by EMGINE Sirius, the latest version of the proprietary software suite, TetraGraph enables personalized monitoring of neuromuscular block through several powerful features.

Supporting both pre- and post-paralytic monitoring

Instant sensor placement feedback

TetraGraph provides objective, quantitative feedback on sensor placement through a visual Signal Strength Gauge and icons, supporting unmatched clinical accuracy whether monitoring begins pre- or post-paralytic. Simply press Auto Play to help guide optimal placement before administering muscle relaxants.

Unified signal icons appear across all screens, extending the same visual feedback throughout the case. Consistency improves confidence and accelerates troubleshooting.

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Eliminating guesswork

Refined Estimated Signal Strength

When monitoring begins after muscle relaxants have already been administered, the Estimated Signal Strength function intelligently projects the expected pre-relaxant signal based on the current EMG signal and stimulation response.

This allows clinicians to validate proper sensor placement even under full block conditions, eliminating guesswork and reducing the need for sensor repositioning once recovery begins.

Together, the automated setup and Estimated Signal Strength deliver a complete, adaptive view of sensor placement quality, whether monitoring starts before or after muscle relaxant administration.

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Refined to improve clinical control

Safer, smarter induction

Intubation Readiness Indicator

The T1/Tc ratio displays the relationship between the first twitch and the control twitch, enabling clinicians to assess block depth by tracking the decline in T1 amplitude. This provides a quantifiable indicator of when the vocal cords are fully relaxed and adequately abducted for intubation.

Unlike TOF fade—which can vary widely between patients—T1 suppression is a more direct, consistent, and reliable parameter for identifying optimal intubating conditions.

Supporting your workflow

Quick and clear access to Single-Twitch mode

Use Single-Twitch (ST) mode when a depolarizing neuromuscular blocking agent (NMBA) is given, or start in TOF Mode for non-depolarizing relaxants—supporting seamless workflow from induction through reversal.

Distinct green screen for Single-Twitch mode

EMGINE Sirius introduces a new greenscreen interface that instantly identifies Single-Twitch mode. A prominent blue “Go to TOF” button provides a fast return to TOF monitoring. Together, these intuitive color cues streamline navigation and strengthen visual safety awareness in every case.

Single-Twitch button on start screen

A new Single-Twitch (ST) button makes it faster than ever to toggle between modes.

Added flexibility and control

Adaptive, high-current stimulation capabilities

The system now offers adjustable stimulation up to 80 mA. This expanded range with configurable limits supports challenging cases where higher current is needed to achieve reliable responses, such as in obese or diabetic patients.

Intuitive, hands-on experience

Integrated training and Demo Mode

A new intuitive Demo Mode allows users to walk through a complete next-generation TetraGraph case from start to finish. Powered by real clinical data, it delivers an interactive training experience that showcases all key screens, buttons, and workflows in just minutes—helping new users learn the system quickly and confidently.

Additional new capabilities and customization

Case Time for accurate tracking of case duration
Improved display of uncertain measurements, now shown as unfilled values for improved clarity
Customizable PTC intervals to align with clinical preference and workflow
Enhanced Trend view screen featuring upgraded controls and more intuitive navigation

Key benefits at a glance

While the current software already delivers outstanding results, new EMGINE releases introduce a series of innovative features designed to enhance accuracy, workflow, and decision-support—all available as a complimentary, optional upgrade.

EMGINE Sirius - Dec 2025

Guided setup with clear, visual signal-strength feedback
New Quick Start screen with one-touch access to TOF mode for non-depolarizing NMBAs and Single-Twitch mode for depolarizing agents
New Intubation Readiness Indicator (T1/Tc) for assessing optimal intubating conditions
Enhanced color cues and unified iconography for faster mode recognition
Expanded stimulation range with configurable limits for added flexibility and control
Faster, more intuitive user interface that streamlines every stage of monitoring
Integrated training and demo mode to help new users learn the system quickly and confidently.

Download data sheet for details

Experience the future of quantitative monitoring.

Upgrade your quantitative monitoring solution today!

Contact your local Senzime representative to upgrade to EMGINE Sirius at no charge.

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EMGINE Software Suite

TetraGraph just got smarter with EMGINE™

Personalized EMG monitoring

Refined to improve clinical control

Intubation Readiness Indicator