Kategorie: Information

joimax® presents EndoLIF® as a world premiere at the Annual Meeting of DGNC

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Not yet FDA cleared

joimax® presents EndoLIF® as a world premiere at the Annual Meeting of DGNC

Karlsruhe, 24 May 2013. It has become a good tradition – but this time it will include a world premiere: As in previous years, joimax® will present a lunch symposium during the 64th Annual Meeting of the German Society of Neurosurgery DGNC to be held in Düsseldorf, Germany, on 27 May 2013. As a world premiere joimax® will introduce its novel EndoLIF® system for endoscopic stabilization of the lumbar spine. The joimax® Faculty Team had the chance to see this technology during its yearly User Meeting held at the Institute of Anatomy of the University of Mainz, Germany, in April. It will now be displayed to the broad expert audience of DGNC’s Annual Meeting.

Besides the endoscopic technology for the access to the disc compartment based on the well proven TESSYS® or iLESSYS® access method, the EndoLIF® system comprises an O-cage (oblique cage) and a screw and rod system for posterior percutaneous stabilization. The advantages of this procedure are obvious:
– Smooth, atraumatic access due to dilation of tissue
– Dura and nerves are protected by the working tubes
– Dorsal bone structures are generally not affected
– O-Cage with osteo-conductive surface providing the optimum substrate for cell growth
– Stabilization via screw and rod system for percutaneous i.e. minimally invasive positioning
Indications for this procedure are the degenerative disease of intervertebral discs, mechanical instabilities and spondylolisthesis grade I and II. CE approval is expected by summer 2013.

The joimax® lunch symposium will be chaired by Prof. Dr. Jürgen Kiwit (Berlin). Dr. Guntram Krzok (Friedrichroda) will present „TESSYS® and iLESSYS® for multiple decompression therapies“. Dr. Bernd Illerhaus (Recklinghausen) will then draw the line to the EndoLIF® technology with an outlook on future therapeutic options. „The EndoLIF® system is the next logical step in the evolution of endoscopic access technologies to the spinal canal for gentle and safe minimally invasive implantation of cages with subsequent percutaneous stabilization“, states Dr. Illerhaus with conviction.

joimax® STUDIES PUBLISHED IN WORLD NEUROSURGERY TESSYS® system proves to be surgical rescue solution for kyphoplasty complication and thoracic disc herniation.

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Irvine, Germany, September 14th, 2016 – joimax®, the expert in endoscopic minimally invasive spine surgery, is pleased to announce another publication on its technologies to be released in World Neurosurgery (2016). In the paper called “Transpedicular Lumbar Endoscopic Surgery for Highly Migrated Disc Extrusions, a preliminary series and surgical technique,” published by Krzok G et al, 21 patients underwent this procedure with the TESSYS® system. The paper follows two technical notes by Wagner R et al in which he shows joimax® techniques as surgical rescue solutions in a kyphoplasty complication and another one for the treatment of a thoracic disc herniation, all published in World Neurosurgery.

The first technical note mentioned above describes the case of a 72-year-old woman with a leakage of the kyphoplasty cement into the spinal canal (a described and known complication), where the joimax® technology was successfully used as a rescue solution to remove the cement and decompress the nerval structures preventing major surgery. The second technical note describes the transforaminal endoscopic foraminoplasty and discectomy for the treatment of a thoracic disc herniation. A 31-year-old woman with severe thoracic back pain over one year was successfully treated by using the transforaminal endoscopic approach so that open surgery was not needed.

Over the years a growing number of studies show the outstanding advantages of endoscopic minimally invasive spinal surgery, such as the prospective Randomized Controlled Trial (RCT) of Ruetten et al in 178 patients and by Hoogland et al in a study of 262 consecutive cases of transforaminal endoscopic spinal surgery. Both were published in Spine 2008, Vol. 33, Issue 9. Another retrospective evaluation with 195 patients of Jasper et al (Clinical Neurology & Neurosurgery 2013, Vol. 115, Issue 10) and a multi-centric MIS prospective registry published by Sclafani et al (IJSS 2015, Vol. 9, Art. 69) with 86 patients, also showed very encouraging results. Beyond that, a special edition in the Journal of Neurosurgery called Neurosurgical Focus, published by Gokaslan Z, Telfeian A and Wang M focused on Endoscopic Spine Surgery was released in February 2016 (JNS 2016, Vol. 40, No. 2).

“Working with Endoscopic Spine Surgery for more than 12 years (her performed already 2,400 Tessys® procedures in daysurgery in analgo-sedation) and seeing its evolution is just amazing and I wonder where we will be in five or ten years from now”, says Menno Iprenburg, MD from Veenhuizen, NL, who continues to be involved in many of these studies.

Albert Telfeian, MD, PhD from Brown University, RI is very happy about the actual hit rate on PubMed when searching for endoscopic spinal surgery, “To date we’ve received a rate of 2,730 papers on http://www.ncbi.nlm.nih.gov/pubmed/?term=endoscopic+spinal+surgery and I am really excited how many indications are treatable with endoscopy already today,” said Telfeian.

“Shortly another RCT study will be published by Gibson et al demonstrating the quality and great success rate of endoscopic spine treatments with a high adoption rate, especially in Asian countries, and in some countries where there is more than 50% growth per annum”, says Wolfgang Ries, founder and CEO of joimax®.

joimax® inspires Thai-German Neurosurgery Congress participants for TESSYS®

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Karlsruhe, 6th of October 2011. joimax® opened doors for the Thai-German Neurosurgery congress participants, under the patronage of the German Academy for Neurosurgery (GANS) and the presidency of the Director of the Clinic for Neurosurgery at the “Städtisches Klinikum” in Karlsruhe, Prof. Dr. med. Dr. h.c. Uwe Spetzger – this year taking place in Karlsruhe, South Germany.

joimax® organised a lunch symposium in line with the congress, beginning with a company conducted tour through the facility where the participants visited amongst others the departments of the technical staff, research, development and construction – the core competencies and heart of the company. Also interesting were the explanations of the company founder and managing director Wolfgang Ries speaking about the exhibits in the so called internal “museum”, documenting the development of the 10 years company history,
showing prototypes of instruments, endoscopes and devices from the founding years.

The application of TESSYS® was presented by Prof. Dr. med. Ju?rgen Kiwit, Chief Physician of the Helios Hospital for Neurosurgery in Berlin Buch, in his demonstrative lecture with many pictures and videos. “In my opinion the minimally invasive TESSYS® method is the future of spine surgery, especially when treating herniated discs and stenosis. The advantages of this gentle method are more than obvious,” he stated.

The full potential of the endoscopic spinal surgery was impressively shown by Wolfgang Ries in his overview presentation: with special instruments it is also suitable for treating e.g. spinal canal stenosis and so makes – besides the transforaminal – the interlaminar access possible also, so that the spinal canal is now accessible from all sides, meaning 360°. The instruments of the next generation with flexible forceps, reamers and endoscopes are already very advanced in the joimax® development pipeline. An endoscopic assisted spine stabilisation system will open further wide ranges of applications.

A concluding hands-on with the latest joimax® endoscopic devices on models fully convinced the 45 Thai-German guests of the company’s innovative performance.

Thai-German_Meeting2011

joimax® – The experts in minimally invasive endoscopic spinal surgery show flag at the EUROSPINE in Lyon

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Karlsruhe – joimax® is participating with an industrial exhibition at the annual meeting of the european spine society „EUROSPINE“ from October 1st to October 3rd at the Congress Center in Lyon. In Forum N° A43 the company, located in Karlsruhe, exhibits its now highly diversified product portfolio for 360° surgery in nearly all areas of the spine including endoscopic or percutaneous stabilization. In various lunch symposia, numerous european experts will show their experiences and results. During a 2 hours lunch symposium on the first day of the Congress in Hall Rhône 1 internationally recognized spine specialists under the leadership of Dr. Menno Iprenburg (Veenhuizen / Netherlands) and Dr. Alastair Gibson (Edinburgh / United Kingdom) will provide insights of their experience and into their scientific results.

Lectures on the latest product developments are expected with great interest, hereby:

  • The EndoLIF® system for endoscopic lumbar column stabilization. This system includes not only the fully endoscopic access technology to the disc space with the proven TESSYS® or iLESSYS® method, but also an implant, the so-called O-Cage (O = oblique).
  • Percusys®, an innovative screw and rod system for the posterior percutaneous stabilization.

The advantages of this methods are obvious:

  • Tissue sparing access by dilation
  • Protection of dura and nerves through a proven access corridor
  • Preservation of the posterior bony structures due to the special lateral access
  • EndoLIF® O-Cage made of Ti6Al4V for optimized bone ingrowth
  • Percutaneous stabilization by Percusys® and therefore minimally invasive

Both new systems are CE approved and the FDA approval is in progress.

Since 2004, more than 100,000 patients in 30 countries were successfully operated using the TESSYS® method and their further developments. Studies show the shorter reconvalescence time, faster recovery and thereby speed up the return of the patients to work and enhance quality of life.

Visit joimax® at EUROSPINE, Cité Internationale, Lyon Convention Centre, Forum N° A 43 and see for yourself the benefits of the new systems.

Virtual Global Symposium on Minimally Invasive Spinal Surgery Highlights Livestream Training Benefits

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Karlsruhe, Germany — The Global Symposium of the ESPINEA® Academy in Karlsruhe, sponsored by joimax®, showcased how modern, advanced training for surgeons works. Earlier this month, over four days, more than 300 participants from around the world learned about the latest endoscopic surgical methods for spinal diseases. Via live demonstrations, twelve world-renowned spinal surgeons presented case studies, gave tips and tricks, and allowed people to look over their shoulders at endoscopic videos while operating on cadavers. The livestream made it possible for participating surgeons to understand exactly how endoscopic operations are carried out.

“You can only get closer if you do it yourself,” said one participant.

Endoscopic spinal surgery is developing into the gold standard for back problems that need surgery,” said Wolfgang Ries, the academy’s founder and chairman. “A large number of studies show it is superior to conventional methods of open spine surgery. Unfortunately, this technique is still not taught in most training centers around the world”.

ESPINEA® fills this gap with an extensive training program. Webinar formats are unavoidable in the Coronavirus period. With today’s livestream technologies, ESPINEA® was able to provide real-time, interactive surgical training, zooming in on how its surgical instruments can be used successfully.

“The participants’ enthusiasm is confirmation that we need to further develop online trainings,” said Ries. “While virtual events cannot replace face-to-face instruction — after all, it’s learning by doing — they provide an excellent alternative”.

ESPINEA® Academy was founded by joimax® in February 2019. A month later, joimax® CEO and Founder Wolfgang Ries held its first faculty and user meeting at the Paracelsus Medical University in Salzburg. Since then, ESPINEA® has been accredited by the oldest surgical college in the world, the Royal College of Surgeons Edinburgh. Participants at events such as the Global Symposium can earn medical training credits for Continuing Professional Development (CPD points). Points can be applied to medical license renewals.

Underscoring the importance of virtual learning, three ESPINEA® board members chaired the symposium: Menno Iprenburg from Iprenburg Spine Clinic in Veenhuizen, Netherlands; Sang-Ho Lee, president of Wooridul Spine Hospital, Korea; and J. N. Alistair Gibson, Royal College of Surgeons in Edinburgh. The participants concluded, “It was worth taking part just to hear these luminaries in person. But the best part was the opportunity to see the operation as if you were performing it yourself.”

Contact:
joimax® GmbH 
Nicole Read
info@espinea.org

joimax® starts into spring with a comprehensive education initiative

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Karlsruhe, 12th April 2013. April is the month of international workshops for joimax® – with its holistic Education Program and 4 cadaver workshops in total in the US and Germany the leading provider of instruments and techniques for minimally invasive endoscopic spine surgery starts into spring.

The starting signal sounded on 5th April in Irvine, California, where the subsidiary joimax®, Inc. is located. The two-day cadaver lab attended by 10 surgeons at the Advanced Med Institute let the spine physicians from around the United States experience the joimax® TESSYS® (Transforaminal Endoscopic Surgery System) surgery technique for the endoscopic access to the spinal column step-by-step. Reference surgeon Dr. Carl Spivak, neurosurgeon at Bassett Hospital Cooperstown in New York, talked about the anatomy of the lumbar spine, the transforaminal access to the vertebral canal and suitable indications. During the wet lab hands-on session on 3 workstations the surgeons were able to intensively try and train the minimally invasive operation technique for the treatment of disc herniations and spinal canal stenosis. „The technical performance of the joimax® procedure and the approach to the pathology have impressed me. After the workshop I feel very comfortable expanding my indications and applying endoscopy for the spine“– that’s what stated one of the attendees.

A real highlight of the spring education initiative is the first joimax® balloon-kyphoplasty workshop on 12th April at the Clinic for Accident, Hand and Restorative Surgery at the UKGM in Gießen, Germany. Besides interesting scientific presentations on balloon-kyphoplasty and osteoporosis therapy, the workshop’s main focus lies on the practical training of this minimally invasive surgical technique for the gentle treatment of vertebral fractures. Under the guidance of the instructors Professor Christian Heiß, Associate Professor Dr. Wolfgang Böcker and Dr. Markus Engelhardt their experiences and expert knowledge will be directly transferred to the 8 attendees.

The end of this training-intensive month forms an exclusively held workshop for a Chinese group of physicians at the University Medical Center of the Johannes-Gutenberg-University in Mainz, Germany. Under the guidance of Dr. Michael Schubert (Munich) und Dr. Guntram Krzok (Friedrichroda), the top delegation of 6 spine specialists from China will receive phase-on training on how to perform endoscopic spinal surgeries using the specific transforaminal and interlaminar joimax® access and decompression procedures.

Particularly exciting for the joimax® Faculty is 14th April when the already 5th international User Meeting will be hosted right after the Chinese Workshop. Here, the brand new joimax® products will be presented on the anatomical specimen – starting with CESSYS® (Cervical Endoscopic Surgical System) for the therapy of herniated discs on the cervical spine through to the next generation of TESSYS® with the quick FastTrack-access. Specifically designed for experienced users, the fine-tuned FastTrack surgical instruments allow for the transforaminal acces to the spinal canal in fewer steps. A very special highlight is, however, the EndoLIF® System (Endoscopic Lumbar Interbody Fusion) for spinal stabilisation, which is going to be presented for the first time. Various cage technologies and spinal implants have been designed specifically for the minimally invasive endoscopic lumbar spine fusion procedure; the access to the disc space is based on the well-proven TESSYS® and iLESSYS®-systems – thus this is the world’s first fusion procedure under endoscopic view.

You can find all workshop dates for 2013 at p478114.webspaceconfig.de/en/doctors/education

NASS, 2015: joimax® launches its new EndoLIF® On-Cage and new iLESSYS® Delta interlaminar endoscopy system

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Chicago, Illinois – October 14, 2015 (BUSINESS WIRE) – joimax®, the global German developer and marketer of technologies and training methods for minimally invasive endoscopic spinal surgery, launches its two newest products – the EndoLIF® On-Cage and iLESSYS® Delta interlaminar system, during the 30th annual North American Spine Society (NASS) meeting in Chicago.

“With the new EndoLIF® program, combined with the TESSYS® technology, and now the iLESSYS® Delta, joimax® offers complete endoscopic solutions for spinal decompression, stabilization and fusion.”

The EndoLIF® On-Cage is a 3D-printed titanium alloy, manufactured utilizing a special electron beam melting (EBM) technology. The cage displays a porous surface with a diamond cell structure, which provides an optimal base for cell proliferation and bone growth. Two large implant graft windows, which are filled with autogenous bone, allow for bridging bone to further support fusion. The EndoLIF® On-Cage implant allows surgeons to utilize a mini-open or an inter-muscular approach, similar to a mini-transforaminal lumbar interbody fusion (TLIF) approach, into the intervertebral disc space facilitating endoscopic-assisted fusion.

Dr. Ralf Wagner, LIGAMENTA Spine Center, Frankfurt, and Dr. Bernd Illerhaus, ONZ Spine Center, Recklinghausen, are two German spine specialists who have already performed more than 200 of the 800 EndoLIF® On-Cage procedures in Europe. “The access is dura and nerve-gentle, preserves better dorsal bony structures and limits scar tissue formation because of the stepwise tissue dilation,” said Dr. Wagner.

iLESSYS® Delta, an advanced development of the joimax iLESSYS® standard technology, is suitable for dorsal and dorso-lateral treatment of central spinal canal stenosis. The iLESSYS® Delta system enables a large area to be decompressed by means of a more widened interlaminar approach, guided by a full endoscopic direct visualization technique. The new and specific instrument set includes specially developed tools that permit an extensive, yet gentle, tissue-sparing decompression. A new endoscope with a 6 mm working channel allows the use of large shaver blades designed for bone and tissue resection, along with a range of instruments to be applied under full endoscopic view.

“We are impressed by the new endoscope which delivers outstanding image quality. With the specialized instrument set, it is finally possible to achieve decompression of central spinal canal stenosis,” said Albert E. Telfeian, M.D., Ph.D., Department of Neurosurgery, Rhode Island Hospital, Providence, RI. Jian Shen, MD, PhD, of Mohawk Valley Orthopedics, P.C., NY, concurs. The two surgeons gained experience with the new system during a meeting at the Anatomy Department of the University of Mainz, Germany, earlier this year, and during the cadaveric training course at Vitruvian lab in Baltimore, MD, held last week.

“Albert Telfeian and Jian Shen will be the first spinal surgeons in the USA to perform surgeries with the new iLESSYS® Delta endoscopic technology and the EndoLIF® On-Cage implants,” says Wolfgang Ries, CEO and founder of joimax®. He adds, “With the new EndoLIF® program, combined with the TESSYS® technology, and now the iLESSYS® Delta, joimax® offers complete endoscopic solutions for spinal decompression, stabilization and fusion.”

With the FDA approval of Percusys® percutaneous screw-rod-system earlier this year, and the FDA approval of EndoLIF® On-Cage in July, joimax® is positioning itself as a clear leader in minimally invasive endoscopic spinal surgery, providing a full spectrum of product technologies, now fully available in the U.S. market.

User Meeting Heidelberg

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joimax® sets the second highlight in its anniversary year: The TESSYS®/iLESSYS® User Meeting in Heidelberg

Karlsruhe/Heidelberg, 20 June 2011. After the success of the User Meeting in scope of the AANS Annual Scientific Meeting in Denver, Colorado in April, joimax® invited customers and users of their systems to attend the User Meeting in Heidelberg.

Teilnehmer Anwendertreffen Heidelberg 2011

 

The meeting provided an ideal discussion forum for the TESSYS® users, orthopedic and neurosurgeons with scientific lectures, experience reports and an extensive practical session at the Institute for Anatomy and Cell Biology of the Heidelberg University. joimax® placed the focus on their new products with the shaver/drill system SHRILL® and the iLESSYS® instrument kits, that represent the consistent further development of the well-known and proven joimax® platform for endoscopic spine surgery. Dr. med. Carl Hans Fu?rstenberg, Senior Consultant and Deputy Head of Spinal Cord Injury and Head of Operative Spinal Cord Injury Department of Orthopaedics, Trauma Surgery and Spinal Cord Injury at the University Hospital Heidelberg, was impressed with the, now comprehensive, access technique: „The circle has been literally closed now. With TESSYS® and iLESSYS® we have the 360 degrees access to the spinal canal.“ „With the complement of iLESSYS® for interlaminar access, the complete range of endoscopic access techniques to the spinal canal is now available, providing us a lot more options to help patients efficiently and fast “, stated University Lecturer Dr. Sandro Eustacchio from the Neurosurgery Department of the University Hospital in Graz, Austria, who has been practicing the interlaminar access method for quite a while and demonstrated it to the audience.

Another core theme was the application of the shaver/drill system SHRILL®, impressively presented by Dr. med. Guntram Krzok, Friedrichroda, who cannot imagine specifically stenosis therapy without this „fantastic instrument“ any more, as he stated. According to his experience, this instrument perfectly completes the indication array of endoscopic spinal surgery.

All participants praised the format of the meeting with being the right mix of theory and practice as well as the ideal forum for an extensive exchange of experiences between the experts. During the relevant congresses and exhibitions of the second half of 2011, joimax® will present and launch further product novelties starting at EuroSpine in Milan, Italy, and SMISS in Las Vegas in October, NASS in Chicago in November and later at the 6th German Spine Congress to be held in Hamburg in December 2011.

joimax® celebrates 10 years of TESSYS®

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Karlsruhe – Since 2004 more than 100,000 patients in 30 countries (up to August 2014) have undergone surgery with the TESSYS® method and its later developments. The latest studies reveal a shorter recovery time, a quicker return to work and normal quality of life, and an associated reduction in the impact on welfare systems.

joimax® looks back on 10 years of successful application of the TESSYS® procedure for minimally invasive endoscopic removal of herniated discs – a particularly gentle surgical technique using the naturally occurring transforaminal opening to the spinal canal. TESSYS® was the first product that joimax® launched onto the market and it helped the company make its breakthrough. Since then, joimax® has greatly diversified its product portfolio for 360° surgery in virtually all areas of the spinal column, including endoscopic and percutaneous stabilization.

joimax® Announces Partnership with Southeast Asia Distributor, Transmedic Group

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Karlsruhe (GER) – joimax®, the German-based market leader in technologies and training methods for full-endoscopic and minimally invasive spinal surgery, is pleased to announce a new partnership with Transmedic Group, a top medical device distributor headquartered in Singapore. In this exclusive deal, Transmedic will represent joimax® in Singapore, Hong Kong, Philippines and Indonesia.

The long-term partnership will provide a broader surgical choice for patients considering endoscopic minimally invasive spinal surgery in these markets. With recent advances in the field of endoscopic discectomy (ED), the procedure has potential to supersedemicrodiscectomy (MD) as the gold standard of care in management of lumbar disc disease, as the latest literature suggests.

“joimax® is very much looking forward to working with Transmedic Group,” says joimax® Founder and CEO Wolfgang Ries. “With the rising popularity of endoscopic approaches in the management of spinal diseases, we’re able to deliver the highest standard of patient care, strengthen our sales activities, and enter into another important partnership across APAC.” 

Teo Kee Meng, managing director of Transmedic Group commented, “We’re very pleased to partner with joimax®. With their technological advancements and use of new spinal access corridors, a major prevention of spinal structure collateral damage is assured, allowing for significantly reduced complications and improved postoperative recovery times.”

About Transmedic Group
Transmedic Group was founded in 1980 with the aim of becoming the top specialist in the advanced medical technology area in Southeast Asia. Headquartered in Singapore, the privately held company has since grown its presence in seven countries with more than 500 employees, and is well-renowned as the leading provider of latest technologies in healthcare.