IOM Systems, or Intraoperative Monitoring systems, are advanced neurophysiological platforms designed to safeguard neural structures during high-risk surgeries like spine, brain, and vascular procedures. Equipped with multi-channel amplifiers, electrodes, and real-time software, they continuously track evoked potentials (SSEP, MEP, BAEP), EEG, and EMG signals to detect compromise from retraction, ischemia, or instrumentation, enabling immediate surgical adjustments. Portable carts integrate stimulation, recording, and alerting features with artifact rejection for electrocautery noise, supporting multimodal monitoring under sterile conditions. Compatible with total intravenous anesthesia (TIVA), these systems reduce neurological deficits, enhance precision mapping, and improve patient safety across neurosurgical, orthopedic, and ENT interventions.