
Development and manufacture of systems for intraoperative neuromonitoring and neurostimulation
Dr. Langer Medical GmbH
Waldkirch (Am Bruckwald 26, 79183)New on Amplifa
About Dr. Langer Medical
Dr. Langer Medical GmbH develops and manufactures medical devices for intraoperative neuromonitoring (IONM) and intraoperative neurostimulation at its site in Waldkirch in the Black Forest. The portfolio includes the 8-channel neuromonitor AVALANCHE® SI 2 for thyroid, ENT and carotid surgery, the 32-channel neuromonitor AVALANCHE® PLUS for neurosurgery and spine surgery, and the neurostimulators TWISTER® MM (multimodal procedures) and TWISTER® TC (transcranial stimulator for MEP and D-Wave). The range is complemented by electrodes and IONM accessories such as the tube electrode, electrode tube and saxophone electrode. In addition to research and development, the company offers technical service as well as training and support for users. Since 2022, Dr. Langer Medical has been part of Brainlab, a leading provider of digital medical technology based in Munich, and is being integrated into the “Digital Surgery” segment. The company sells its products internationally, including in Europe, the Middle East, Africa, Asia-Pacific and Latin America.
- Site
- Waldkirch
- Processes
- Development and manufacture of medical devices (neuromonitors, neurostimulators, electrodes), Production of intraoperative neuromonitors (AVALANCHE SI 2, AVALANCHE PLUS), Manufacture of neurostimulators (TWISTER MM, TWISTER TC), Manufacture of electrodes and IONM accessories (tube electrode, electrode tube, saxophone electrode), Research and development in medical technology, Development and manufacture of neuromonitoring medical devices, Technical service (national/international), Research and development
- Materials
- Intraoperative Neuromonitoring, Intraoperative Neurostimulation
- Industries
- Medical Technology, Surgery, Endocrine Surgery, Thyroid Surgery, ENT Surgery, Carotid Surgery
- 01
Research and development
- 02
Manufacture of neuromonitors, neurostimulators and electrodes
- 03
Quality management (QM-RA)
- 04
Sales nationally and internationally
- 05
Technical service and user training
Products and Technologies
Intraoperative Neuromonitoring
Systems for continuous functional monitoring of nerves during surgical procedures.
Intraoperative Neurostimulation
Stimulators for multimodal procedures and transcranial stimulation (MEP, D-Wave).
Waldkirch Site

Waldkirch
DEHeadquarters, development, production
- Materials
- Medical devices (electronics, electrodes)
- AVALANCHE SI 2 (8-channel neuromonitor, in-house production)
- AVALANCHE PLUS (32-channel neuromonitor, in-house production)
- TWISTER MM (multimodal neurostimulator)
- TWISTER TC (transcranial stimulator)
Product Portfolio






Inside the production




Industries
Processes & technical limits
| Processes | Tolerance | Max. part | Weight | Lot size | Materials |
|---|---|---|---|---|---|
| Development and manufacture of medical devices (neuromonitors, neurostimulators, electrodes)Assembly | – | – | – | – | – |
| Production of intraoperative neuromonitors (AVALANCHE SI 2, AVALANCHE PLUS)Assembly | – | – | – | – | – |
| Manufacture of neurostimulators (TWISTER MM, TWISTER TC)Assembly | – | – | – | – | – |
| Manufacture of electrodes and IONM accessories (tube electrode, electrode tube, saxophone electrode)Assembly | – | – | – | – | – |
| Research and development in medical technologyEngineering | – | – | – | – | – |
4 Anlagen & Maschinen
| Machine | Manufacturer / model | Quantity | Working area | Year built | Site |
|---|---|---|---|---|---|
| Intraoperative neuromonitor (8-channel) | Dr. Langer Medical AVALANCHE SI 2 | – | – | – | Waldkirch |
| Intraoperative neuromonitor (32-channel) | Dr. Langer Medical AVALANCHE PLUS | – | – | – | Waldkirch |
| Multimodal neurostimulator | Dr. Langer Medical TWISTER MM | – | – | – | Waldkirch |
| Transcranial stimulator | Dr. Langer Medical TWISTER TC | – | – | – | Waldkirch |
Additional services
History
- 1998
Start of company operations; more than 25 years of “the art of neuromonitoring” (company statement)
- 2021
AVALANCHE® PLUS receives the iF DESIGN Award 2021
- 2022
Acquisition by Brainlab (Munich) and integration into the “Digital Surgery” segment; awards “Top Innovator 2022” and “Employer of the Future 2022”; AVALANCHE® SI 2 receives four quality seals of the PLUS X Award