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One patient. One continuous neuromuscular journey.


Neuromuscular management changes throughout every case. The information clinicians need during induction is different from what they need during maintenance, reversal, and recovery.

Powered by EMGINE™, TetraGraph transforms quantitative EMG data into intelligent, patient-specific information across four critical stages of care:

  1. Readiness

  2. Management

  3. Prediction

  4. Recovery Safety

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01 — READINESS
Assess Intubation Readiness

Objective insight before intubation.

The TetraGraph Intubation Readiness Indicator uses the T1/Tc ratio to quantify suppression of the first twitch relative to control, providing objective insight into neuromuscular block depth during induction and supporting informed timing of tracheal intubation.

  • Intubation Readiness Indicator
  • T1/Tc measurement
  • Objective assessment of block depth
  • Quantitative EMG monitoring from induction
     
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02 — MANAGEMENT
Support Personalized Dosing Decisions

Stay aligned with the patient—and the surgical plan.

During maintenance, patient response, surgical requirements, and workflow can change quickly. TetraGraph continuously measures neuromuscular function while intelligent automation and personalized case prompts help clinicians manage block throughout the procedure.

  • Personalized case notifications
  • Level-of-Block Gauge™
  • Automatic PTC
  • Automatic Time Interval
  • Continuous signal-quality validation
  • Guided Signal Strength feedback
  • Single-Twitch and TOF monitoring
     
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03 — PREDICTION
Anticipate the Next 15 Minutes

From monitoring what has happened to anticipating what comes next.

Predictive Recovery provides an at-a-glance indication of whether a patient is likely to recover to TOFR ≥0.90 without reversal within the next 15 minutes, helping clinicians personalize recovery planning and make more informed reversal decisions.

Predict recovery. Consider reversal. Or wait and reassess.

  • Predictive Recovery
  • 15-minute recovery horizon
  • At-a-glance recovery status
  • Support for personalized reversal decisions
     
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04 — RECOVERY SAFETY
Confirm. Summarize. Close the Loop.

Prove recovery before the case ends.

Confirm quantitative recovery to TOFR ≥0.90, then close the case with a concise end-of-case summary including the trend overview, total case time, and TOFR when monitoring was paused or stopped.

From readiness to recovery, TetraGraph helps tell the complete neuromuscular management patient journey. 

  • TOFR ≥0.90 confirmation
  • End-of-case summary
  • Case trend overview
  • Total monitoring time
  • Objective documentation of recovery
     

Smart automation throughout the case

EMGINE™ integrates intelligent automation into the neuromuscular monitoring workflow—helping clinicians optimize signal quality, reduce manual adjustments, and maintain reliable monitoring from induction through recovery.

Welcome to the next-generation TetraGraph era

Built on decades of science, algorithms refined by real-world data from thousands of patients and the proprietary Level-of-Block Gauge, the next-generation TetraGraph is game changer in neuromuscular monitoring. 

WHY TETRAGRAPH?
Built on EMG. Powered by EMGINE™.

Next-generation TetraGraph combines advanced electromyography with the EMGINE™ software platform to deliver precise, reliable neuromuscular measurements and intelligent software-driven insights throughout the perioperative continuum.

Its advanced EMG algorithm has been refined using more than six billion real-world data points and analyzes muscle function at four times higher resolution compared with TetraGraph Classic.

Algorithms help optimize signal strength and automate monitoring workflows from induction through recovery.

High-resolution quantitative measurements across all levels of neuromuscular block.

The proprietary Level-of-Block Gauge™ turns complex quantitative information into an easy-to-interpret view of the patient's current state and trend.

Portable design, flexible mounting, EMG sensors for diverse patients and connectivity to supported multiparameter monitors and EHR infrastructure.

TetraGraph in the OR

Intuitive interface for enhanced clarity

TetraGraph features an intuitive interface, so clinicians can easily view and analyze patient data trends, enhancing decision-making and patient management throughout the perioperative period, including both real-time and post-procedure reviews.