joimax^® presented its complete product range including the newly launched MultiZYTE^® RT (e.g. for rhizotomy) as well as MultiZYTE^® SI for Sacroiliac Joint therapy and the Intracs^® Interaoperative Navigation Tracking & Control System. With Intracs^®, a fully endoscopic integrated electromagnetic based system, the joimax^® instruments can be navigated directly at the tip which allows tracking of instruments with a diameter in the 1mm range. In the course of the congress joimax^® also held two well attended lunch symposia covering the whole scope of surgical indications and also the field of pain therapy up to decompression. Furthermore joimax^® offered daily “Meet the Expert”-Sessions at its booth where spine surgeons were given the possibility to participate on the extensive experience of well-known German spine specialists.

“The endoscopic minimally invasive techniques are becoming more and more the first choice in spinal surgery. This is also reflected in the steadily and now fast growing number of studies showing the benefits on this treatment modalities”, says Wolfgang Ries, CEO and founder of joimax^®. The most recent study by Alastair Gibson, MD from Edinburgh, Scotland called “A randomized controlled trial of TED vs Microdiscectomy” has recently been published online in the European Spine Journal.  During his long-time use of joimax^® endoscopic systems and educational work Dr. Gibson published a huge number of studies on endoscopic minimally invasive spinal surgery. Lately in October 2016 joimax^®, together with the Paracelsus Medical University (PMU), had the honor of conferring him with the Parviz Kambin Award for his excellence in endoscopic spinal surgery. This event took place during the CME-certified workshop course held at the PMU in Salzburg, Austria. The Award is presented to pioneers in the field of endoscopic minimally invasive spine surgery, to which group of Awardees Alastair Gibson was elected there.

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For the 12th Annual Meeting of ISASS (International Society for the Advancement of Spine Surgery) joimax^® will take part in the exhibition and offer an industry workshop with the motto „Endoscopic Spine Surgery – Following New Paths in Barcelona“. Speakers at this event on 21 March 2012 will be Dr. Choll Kim, San Diego, focussing on the outstanding advantages of endoscopic access techniques especially in the area of the lumbar spine. Followed by Dr. Michael Schubert, Munich, with a presentation of complex cases, extending procedures from the lumbar to the thoracic spine, and varying the access path from the transforaminal to the interlaminar surgery method with the joimax^® instrument systems TESSYS^® und iLESSYS^®.

joimax^® displays the complete product range for endoscopic spinal surgery: Instrument sets for the treatment of disc herniations – with CESSYS^® now being available for the cervical spine –, the novel pain therapy product “Multiuse” for endoscopic facet joint denervation and the iLESSYS^® system for 360° decompression. Further special blades for the Shrill^® shaver-drill resection and ablation system and namely the Shrill^® Deflector Blades for resections „around the corner“, eagerly anticipated by the market, will now be launched.

Preluding the 5th World Congress for Endoscopic Surgery EndoVienna, joimax^® has invited internationally renowned specialists to join a User Meeting with presentations of the joimax^® Faculty members and a workshop to be held at the Institute of Anatomy of the Vienna University. The User Meeting will be dedicated to an intense exchange of knowledge and ideas of the most experienced users of the joimax^® technologies. It will be followed by the keynote lecture of Prof. Dr. G.J. Groen, Utrecht, „High-Resolution Imaging of the Spine: Key to a Better Insight in 3D Relations Within the Spine“, at the opening session of the EndoVienna congress. The program of the „EndoVienna Spine Session“ on 30 March 2012 offers a whole bunch of scientific presentations on the most recent joimax^® products. Members of the international joimax^® faculty team will present their experiences when applying the joimax^® access and resection systems. This session will be chaired by Univ. Doz. Dr. Sandro Eustacchio from the University Hospital Graz.

joimax^® is currently planning its attendance to the upcoming congresses: The 80^th Annual Meeting of the AANS in Miami in April at the first place. The BASS Britspine in early May. End of May Spine Week in Amsterdam. To be followed by SFCR in Strasbourg in June – it is the first time that joimax^® will participate in this congress of the Society of French Spine Surgeons with an exhibition stand and a workshop. Subsequently the company will promote its technologies at the DGNC congress to be held in Leipzig this time. All events focus on industry exhibitions displaying novel product developments and on scientific presence within the conference programs.

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The team from joimax® Inc. (Irvine, CA, US) participated in this important event as a corporate partner and showcased its products for minimally invasive spine surgery (MISS). Traffic to the booth was high and the team was very satisfied with the outcome of the meeting. One topic that came up during many discussions with the visiting attendees was the screw-rod system Percusys® for spinal stabilization. The product received 510k clearance in March.

joimax® founder and CEO Wolfgang Ries from Karlsruhe, Germany, was invited as the keynote speaker for the Practical Clinic session “Invention and Innovation in Neuro- and Spine Surgery”. His one hour lecture on the first day of the AANS meeting presented a compelling picture on how joimax® evolved since 2001 when the company was founded. Key products and technologies were presented as well which led to engaged discussions after the lecture. Teodoro Forcht-Dagi, Co-Director of the session, commented: „joimax® is a remarkable example of an innovative start-up company that evolved to a successful mid-size local company. Its efforts to work with surgeons and refine MISS technology for the safety and benefit of patients are admirable. A large part of its success is attributable to the combination of technical quality and meticulous training. The company’s contribution to the development of MISS is huge.”

„The AANS Annual Meeting is extremely worthwhile to be at.” emphasized Wolfgang Ries. “For joimax® it was a great opportunity to interact with neurosurgeons and to discuss our well-established MISS techniques and products – made in Germany.”

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Karlsruhe (GER) — German-based joimax^®, the market leader in technologies and training methods for full-endoscopic and minimally invasive spinal surgery, is excited to announce that it has received FDA clearance to market the EndoLIF^® Delta-Cage and EndoLIF^® DoubleWedge-Cage in the United States. Delta-Cages and DoubleWedge-Cages are intended for intervertebral body fusion procedures for various diseases of the lumbar spine, such as degenerative disc disease.

Now in its 20^th anniversary year, joimax^® sets another milestone by providing a family of 3D printed titanium cages. The complete EndoLIF^® product portfolio consists of the Delta-Cage, the DoubleWedge-Cage, and the O/On-Cage. All three models are designed with special features:

• 3D printed titanium for excellent bone ingrowth, fillable with bone or bone substitute material, pre- or post-insertion
• Anatomical shape and lordotic correction options for OLIF, TLIF, and PLIF procedures
• “Over-the-wire” implantation for optimal targeted positioning in the intervertebral disc space
• Endoscopic control of all surgical steps due to the EndoLIF^® platform technology

“It is impressive how well these cages ensure primary stability, especially the DoubleWedge-Cage,” says Dr. Ralf Wagner, head surgeon and founder of the Ligamenta Spine Centre in Frankfurt.

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Karlsruhe – October 05, 2016 – joimax^®, the global acting German developer and marketer of technologies and training methods for endoscopic minimally invasive spinal surgery, will again exhibit at Eurospine 2016 taking place from October 5 – 7 in Berlin. During the conference, joimax^®will launch two new products – the MultiZYTE^® SI Endoscopic Sacroiliac Joint Therapy Set and its new Intracs^® Intraoperative Navigation Tracking & Control System.

MultiZYTE^® SI Endoscopic Sacroiliac Joint Therapy is developed for the treatment of the Sacroiliac Joint Syndrome (SIJS), which has been rediscovered as a major back pain generator in recent years. This kind of pain is commonly felt in the lower back, the gluteal region, the hip and thigh and can even radiate into the leg and foot. Until the 1930s, SI-Joint was the main reason for low back pain, but since 1934 the focus has been on disc herniation. According to recent studies 15 to 25% of all low back pain is caused by the SI-Joint and up to 43% in patients having undergone lumbosacral fusion. MultiZYTE^® SI joimax^® now offers a well developed and lasting treatment option for this disease.

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SMISS has assembled an outstanding research team with extensive experience within the spine field. The Principal Investigator for the Registry, Choll Kim, M. D., Ph.D, Executive Director and Board of Directors Member of SMISS states, “We are excited to partner with joimax^® in the launch of the SMISS Registry, a project that will produce the relevant data collection and management necessary for the continued growth of minimally invasive endoscopic spine surgery. The Society will lead the way in the collection of minimally invasive spine surgery outcomes and cost data. SMISS is positioned to become the model for successful spine research.”

“joimax^® and SMISS are ideal partners to begin this important project in spinal endoscopy. The data collected will assist both parties in furthering the development of minimally invasive endoscopic spinal surgery, which is a great benefit to patients around the world,” said Wolfgang Ries, CEO and Founder of joimax. “We are pleased to provide funding for this important project.”

This three year, multi-centered project will commence patient enrollment in late 2011. The Registry is expected to enroll a minimum of 250 patients during the first phase of the project.

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The patented Percusys system is a multi-functional implant for use during spinal stabilization procedures. Its unique screw and instrument design enables a safer and more effective surgical technique with minimal steps for the surgeon. The single, small instrument set allows flexibility to perform surgery through a percutaneous, minimally invasive or open approach.

“During development, the main focus was on the ease-of-use of the system,” says Dr. Frank Hassel, specialist for spine surgery from Freiburg, Germany, who was instrumental to the Percusys development. “The idea was to reduce the complexity in instrumentation and simplify stabilization procedures to minimize the potential damage of soft tissues and improve overall patient outcomes.”

Percusys implants comprise single packaged, sterile, and pre-assembled pedicle screws with lengthening shaft and set-screw. All screws are color coded according to their diameter, cannulated, fenestrated, self-cutting and self-drilling. Each surgical step is carried out using the lengthening shaft, which is tightly connected to the tulip. The assembly allows for direct manipulation and does not require additional instrumentation. Shearing off the lengthening shaft can be done by a 360-degree rotation of the shaft breaker.

Percusyscan be usedin combination with the joimax® EndoLIF® O-Cage. “This offers an optimal solution for minimally invasive, endoscopic-assisted access to the intervertebral disc,” says Wolfgang Ries, CEO and founder of joimax. “Percusys® represents the next logical step in the development of endoscopic surgery and further strengthens the joimax position as an expert in this special market segment.”

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bauerfeind life magazine 2013/1- In the small Dutch village of Veenhuizen, Dr. Menno Iprenburg performs endoscopic surgery on his back patients. The results of his endoscopic operations with the joimax® TESSYS® method sometimes make patients weep for joy.

Dr. Menno Iprenburg has previously been stationed in Tanzania and Zambia as well as in many countries in Asia. As a young physician, he went wherever he was needed. Today the world comes to him. “Apart from Australia – no idea why – we have already had people from all known nations here.” By here, the orthopedist means a spot around 20 miles south of Assen. In the middle of the green expanse of North Holland, by a canal that goes on for miles, lies Veenhuizen. A few pretty, well-kept little houses; that’s all there is. At the end of the village, however, a collection of brick buildings emerges. “It is the remains of an old state jail, renovated a few years ago,” the physician explains. In one of the buildings, which used to be the quaran-tine station, the ‘Rugkliniek Veenhuizen’, also known as ‘Spineclinic Iprenburg’, set up home three years ago. Today, in a place previously used to prevent infection, intervertebral disk surgery is performed.

TESSYS uses a natural keyhole

Patients who are plagued by pain after an inter vertebral disk prolapse undergo a special method of surgery with Dr. Iprenburg. “In Holland, we call it PTED (Percutaneous Trans-foraminal Endoscopic Discectomy),” explains the physician, “Internationally it is known as TESSYS (Transforaminal Endoscopic Surgical System).”This refers to an endoscopic procedure for removing the intervertebral disk prolapse with minimal surgical inter-vention. The special feature of TESSYS is that the surgeon can reach through the inter-vertebral foramen, a “natural keyhole,” with his smallest instruments to the location of the prolapse, where he can remove the press-ing tissue and free the trapped nerve. The patient lies on their side, the incision is only a few millimeters long, and there are few side effects as a result. Patients who come into the Rugkliniek stooping usually leave it a few hours later walking upright.

“I have my life back!”

“When you see the relief on the patient’s face it warms your heart.” Dr. Iprenburg puts on a video that shows himself and a patient immediately after surgery. Uncertain, but with astonishment in her eyes, the patient walks two or three steps. She stops in her tracks. Then she cries. “I have my life back”, she says, her voice breaking. Speechless. It is understandable, when faced with these kinds of images, that even the experienced physician concluded: “This is the best thing I’ve ever done.” Yet TESSYS has nothing to do with miracle cures à la Lourdes, as the physician made it sound. The procedure is internationally established and validated. In studies it has been described as “signifi­cantly ­superior” ­in­ comparison­ with ­the­ standard method (e.g. with the patient in a
prone position). Apparently, around 10,000 inter vertebral disk operations have been carried out to date across the world using the TESSYS method. Of those, and there is evidence to prove it, 1,700 had taken place in Veenhuizen alone as of the start of 2013. Surgery is only carried out in the Rugkliniek when the pain has not reduced six to eight weeks after the intervertebral disk prolapse. Dr. Iprenburg learnt the double keyhole procedure in Germany and practiced it as an orthopedist in Assen, before founding his own private clinic in Veenhuizen. “Although the procedure is more expensive than the
standard method, it is cheaper from a macro-economic perspective, because patients can start work again sooner,” said the physician.

For further information about Dr. Menno Iprenburg please visit www.herniaklinik.nl

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