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

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® at the early summer congresses: SpineWeek Amsterdam and DGNC Leipzig

Karlsruhe, 20 March 2012. Right on time with the start into a new decade of the joimax® history, the Karlsruhe-based medical technology company specializing in endoscopic resp. micro-invasive spine surgery will be present at two renowned congresses in March: ISASS from 20 to 23 March 2012 in Barcelona und EndoVienna from 29 March to 1 April 2012 in Vienna.

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 80th 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.

FDA Approves joimax® Intracs®em Electromagnetic Navigation System for Endoscopic Minimally Invasive Spine Surgery

IRVINE, CA – joimax®, the German-based market leader in technologies and training methods for full-endoscopic and minimally invasive spinal surgery, is pleased to announce that Intracs® em, its electromagnetic navigation tracking and control system, has been approved by the FDA.

The Intracs® em Navigation System allows for spinal procedures to be carried out with minimal X-ray control, drastically reducing radiation exposure, access time, and the entire length of the surgical procedure. In fact, all joimax® instruments and scopes can be tracked and accurately navigated through the appropriate sensors, which improves safety, expands endoscopic indications, and flattens the learning curve.

Intracs®em is a multiyear development. Its first cadaveric trials were made with a group of surgeons at the ESPINEA® Labs in Karlsruhe, Germany and Irvine, CA.

According to Prof. Dr. med. Michael Kraus of ORTHIX Zentrum in Augsburg, Germany, who headed the preliminary trials: “Using Intracs® em Navigation System in the full endoscopic spine surgery is safe and easily applicable. The technology helps master precise access to the spine, and the clinical trials have confirmed the technique’s multiple advantages.”

Prof. Dr. Chris Hofstetter of UW Medical Center in Seattle, Washington, USA, adds: “joimax® Intracs®em constitutes a highly precise image-guided navigation platform designed for the specific needs of full-endoscopic spine surgery. Using electromagnetic navigation technology allows to track the leading edge of endoscopic instruments in real time, and facilitates needle targeting and orientation during the surgery, while minimizing radiation exposure. No doubt, this technology will expand the indications for full-endoscopic spine surgery and pave the way for innovations in minimally invasive arthrodesis techniques.”

joimax® is also excited to announce its second joint Global Symposium being held in partnership with Integrity Implants, Inc., August 21 – 22. For details, visit www.joimax.com.

joimax® at CAOS in Beijing, China

The 8th Annual Congress of the Chinese Association of Orthopaedic Surgeons (CAOS) was held at the Beijing International Convention Center, Beijing, China on May 7-10.

joimax® joined this important international event both as an exhibitor and as an education partner. CAOS, in collaboration with NASS, created the “Techniques in Complex Spine Surgery” program which featured six 1-hour live technique demonstrations, two 3-hour hands-on cadaver workshops, and five lectures with discussion. As expert support for this exciting program, CAOS invited two members of the joimax® Faculty Team: Dr. Guntram Krzok, Friedrichroda, Germany and Dr. Ralf Wagner, Frankfurt, Germany.
The two surgeons delivered well-visited lectures and demonstrated the joimax® TESSYS® technique. As a highlight of the event, the technique demonstrations were shared via webcast and more than 1000 surgeons viewed the program in the Beijing convention hall. More than 26,000 surgeons, surgical nurses and technicians viewed the demos online which enabled maximum visibility for joimax and its technologies.

The joimax® team members who supported the event on-site were deeply impressed by the strong interest in the latest spine surgery systems coming from many Chinese surgeons. Needless to say China is the largest medical market in the world and joimax® will continue to strengthen its relationship with local partners and training centers.

Live webcast during joimax® TESSYS® technique demonstration at CAOS 2015.

Champions of Health Interview with
Mr. Wolfgang Ries – CEO and Founder of joimax®

Champions of Health: Spotlight On Leaders Shaping Germany’s Healthcare

We are delighted to inform that an interview with the CEO and Founder of joimax®, Mr. Wolfgang Ries, has been published in the Champions of Health magazine.

The Interview

In this insightful interview, Mr. Ries shares the inspiring story behind the founding of joimax® and provides an in-depth look at our cutting-edge products and innovations that are shaping the future of minimally invasive endoscopic spine surgery. 

I believe in fostering a culture of collaboration and teamwork as well as empowerment within the organization. By encouraging open communication and valueing diverse perspectives, I ensure that decisions are well-informed and reflective of the collective wisdom of the team.

Mr. Wolfgang Ries
CEO and Founder of joimax® 

This publication serves as an opportunity to showcase the dedication of joimax® to advancing endoscopic minimally invasive spine spine surgery technology and improving patient care.

joimax® Hosts International Training Summit to Showcase Innovative Technologies Presents Kambin Award; Introduces Endoscopic Spine Academy

Karlsruhe, GER– March 12, 2019 – Earlier this month, at the international training summit dubbed, Faculty and User Meeting, joimax®, the Germany-based market leader of technologies and training methods for full-endoscopic minimally-invasive spinal surgery, presented its newest products and technologies. During the two-day event, joimax® also honored four surgeons with the Kambin Award and introduced the Endoscopic Spine Academy, ESPINEA.

The summit took place at the Paracelsus Medical University (PMU) in Salzburg, Austria, March 1-2, 2019 where more than 100 participants attended top-class presentations as well as well a human cadaver lab. The lab was equipped with ten hands-on training stations: six cadaveric stations with 4K image resolution equipment and within those stations, two Intracs® navigation systems where integrated; two stations with Real Spine simulation models; and two stations with the latest EndoTrainer® Plus virtual simulator, which can be used in any lab for training.

The Intracs® em electromagnetic navigation system for endoscopic minimally invasive spine surgery in lumbar and thoracic applications is very easy to set up, extremely user-friendly, and ready to serve as a stand-alone device. Specifically designed for simple and safe access to any spinal target, the system relies on electromagnetic tracking and allows for simultaneous navigation of multiple instruments such as needles, guiding rods, reamers, and endoscopes, also developed by joimax®.

Dr. Erik Traupe (Germering, GER) stated: “I am really surprised how precise and easy navigation can be.”

After multiple successful introductions in 2018, Intracs® em is available globally, except in the United States, where FDA submission is planned in spring 2019.

Another trendsetting innovation presented at the summit: the joimax® TESSYS® Thx, a derivative of the well-known TESSYS®. Designed for a comfortable and safe treatment of decompressions in the thoracic region, it combines a special endoscope for thoracic applications, a viewing angle with 45° adapted to a steeper access route, a reduced diameter and a big working channel.

Jun Seok Bae, MD of the Wooridul Spine Hospital Group in South Korea is very excited about the advantages: “… just great, I want it a.s.a.p. and am ready in my hospital for daily usage!”

Moreover, joimax® showcased its EndoLIF® product line: the well-known 3D-printed EndoLIF® O/On-Cage, the EndoLIF® Delta Cage, and the latest EndoLIF® Double Wedge Cage, where approval is expected shortly.

Both Dr. Ralf Wagner (Frankfurt, GER) and Dr. Paul Houle (Cape Cod, MA, USA) are convinced of this solution for spinal fusion: “With the gentle and atraumatic access via gradual tissue dilatation, muscles remain intact and infection risk is reduced. Using

3D-printing technology, an open diamond cell structure, and a rough and porous surface, the implant ensures optimal bone ingrowth, stability and finally fusion.”

During the summit, the Parviz Kambin-Award was presented under the patronage of the PMU, ESPINEA and joimax® in recognition and honor of outstanding scientific and educational dedication to transforaminal surgery to Christoph P. Hofstetter (Seattle, WA, USA), Jian Shen (Amsterdam, NY, USA), Albert Telfeian (Providence, RI, USA) and Dinh Ngoc Son (Hanoi, Vietnam).

“I am thrilled about the Kambin Award, the most prestigious award in endoscopic spine surgery,” said Jian Shen.

Additionally, joimax® announced the recently founded and globally acting Endoscopic Spine Academy (ESPINEA). Backed by a scientific advisory board, ESPINEA offers professional and high-quality educational programs, specialty workshops and courses, and an opportunity to share knowledge and experiences. The goal of the academy is to elevate surgeons to the next level of expertise in endoscopic spinal treatment modalities.

The first two ESPINEA Board Members are Dr. Menno Iprenburg, NL, longstanding endoscopic surgeon and twice Kambin Award recipient, and Kambin Award recipient Prof. Alastair Gibson, UK, whose been performing endoscopic spine surgery since 2005, using almost all system applications.

joimax® celebrates 10 successful years on the market with TESSYS® at the WCMISST in Paris

Karlsruhe, 11.06.2014. joimax® looks back on 10 years of success with the surgical application of TESSYS® for the minimally invasive, endoscopic removal of herniated discs; a particularly gentle surgical technique which utilizes the natural transforaminal access to the spinal canal. TESSYS® was the first product that brought joimax® to market and was a breakthrough for the company. Today, joimax® offers a highly diversified product portfolio for 360° surgery in almost all areas of the spine including endoscopic and percutaneous stabilization.

During the award ceremony in Paris, two TESSYS® pioneers will be awarded with the “Parviz Kambin Honorary Award”: Dr. Florian Maria Alfen of Würzburg, who bought the very first TESSYS® system in 2004 and has successfully operated on more than 2,500 patients. As a member of the joimax® Faculty Team, Dr. Alfen has trained a large number of surgeons. The second award winner is Dr. Daniel Laich of Chicago. He is the very first TESSYS® user in the U.S. and has been a faculty member since 2009. Since 2013, he has also been operating as a scientific advisor for the company.

Since 2004, more than 100,000 patients in 30 countries were surgically treated with the TESSYS® method and its subsequent surgical developments. Follow-up studies show a significantly shorter recovery time, faster return to work and normal activities with improved quality of life and ultimately, lower costs to the social system.

At the WCMISST, the 4th World Congress of Minimally Invasive Spine Surgery and Techniques, joimax® presents its latest development- the EndoLIF® system for endoscopic stabilization of the lumbar spine. Aside from fully endoscopic access via the proven TESSYS® and iLESSYS® methods, the EndoLIF® system contains an O-Cage for oblique interbody fusion. In addition, joimax® presents its new Percusys® System- a posterior, percutaneous screw and rod system. The advantages of these products and procedures are apparent:

– Smooth, atraumatic access due to gentle dilation of tissue
– Dura and nerves are protected by the working tubes
– Dorsal bone structures are generally not affected and remain intact
– O-Cage with an osteo-conductive surface provides the optimum substrate for cellular growth
– Posterior, percutaneous stabilization via the minimally invasive screw and rod system

Both of these systems are CE marked and FDA clearance is in progress.

Visit us at WCMISST, booth #15 at the Marriott Rive Gauche Hotel and discover for yourself the many advantages of our newest systems.

Collage_WC_MISST_Paris_2014_med

joimax®announces major spike in attendance at its ESPINEA® workshops, reports record revenues

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 a major spike in attendance at its Endoscopic Spine Academy (ESPINEA®) workshops, which contributes to sustainable growth after another year of record revenues in 2021.

The growing interest can be attributed to increased coverage in literature and publications as cited on PubMed®. Moreover, the joimax®-initiated workshop program, now under the umbrella of ESPINEA®, offers optimal training for a variety of applications and procedures, making it attractive to a broader audience. 

joimax® established ESPINEA® three years ago. In Fall 2020, the Endoscopic Spine Academy was accredited by the Royal College of Surgeons Edinburgh (RCSEd). It is one of only four Accreditation Centers that meet its strict rigorous internal quality assurance processes. Together, with its growing team of faculty, joimax® developed the complete six-step curriculum to bridge the learning curve for spine surgeons. The curriculum, which was approved by the RCSEd, is developed as an educational program from beginners to masters alike.

J.N. Alastair Gibson DSc MD FRCSEd, a RCSEd and ESPINEA® Advisory Board Member sums it up: “The ESPINEA® mission is to serve endoscopic spine surgeons by providing a growing global network for lifelong learning to best benefit the patient. Our vision is to be the world’s leading interdisciplinary community in endoscopic spine surgery.”

In addition to holding ESPINEA® courses at the joimax®-owned premises in Karlsruhe (Germany) and Irvine (USA), they are also held at ORSI Academy (Belgium) and at other prestigious universities, such as Paracelsus Medical University Salzburg (Austria). Recently, ESPINEA® was rolled out in Thailand. Prior to the July PASMISS Meeting, the courses will be launched in Singapore for the APAC region, and following the October SMISS Meeting, launched widely in the U.S.

“Given the ongoing development of endoscopic spine surgery with more and more technological options, the benefits for the patients, along with the substantial publication, I am convinced that endoscopic spine surgery is now the gold standard,” states Iprenburg Spine Clinic Founder and ESPINEA® Advisory Board Member Dr. Menno Iprenburg.

With the ESPINEA® courses, surgeons can train on different procedures using the joimax® TESSYS®, iLESSYS®, CESSYS®, MultiZYTE®, EndoLIF®, Percusys® based on the latest NAVENTO® tower. Most of the courses are conducted in a hybrid mode — online and on-site presentations and lectures combined with in-person hands-on training using models, simulators and anatomical specimens.

ESPINEA® was established as an open education platform for other players in the field of spinal surgery as well. Therefore, further supporters have already joined and new entrants are welcomed.

CMS Includes Endoscopic Spine in Fee Schedule Proposed Rule for CY 2017

Baltimore, MD – July 14, 2016– The Centers for Medicare & Medicaid Services (CMS) recently released the proposed rules for the 2017 Medicare Physician Fee Schedule (MPFS) and the 2017 Hospital Outpatient Prospective Payment System (HOPPS). Both proposed rules provide information on physician and hospital payment for the newly created CPT code 630X1 for endoscopic decompression of the lumbar spine.

“This is a great step towards the acceptance of endoscopic minimally invasive spine surgery techniques and their benefits to both the surgeon and their patients in the U.S.,” said Wolfgang Ries, Founder and CEO of joimax®. This announcement is in alignment with the reimbursement decision of NICE, UK, in April of 2016, to fully reimburse endoscopic procedures.

A key reason for the recent momentum for endoscopic, minimally invasive spinal surgery is the significant, favorable base of literature, which validates evidence of the efficacy of endoscopic minimally invasive spine surgery. A special edition, “Neurosurgical Focus”, published by the Journal of Neurosurgery (JNS) in February 2016, contains a range of studies on endoscopic spine surgery.

The Society for Minimally Invasive Spine Surgery Announces Agreement With joimax® To Support Creation and Launch of SMISS Registry for Endoscopic Spine Surgery

San Diego, Oct. 20, 2011 – The Society for Minimally Invasive Spine Surgery (SMISS), San Diego, CA and joimax®, Karlsruhe, Germany announced today the signing of an agreement to support the SMISS Registry as a founding sponsor for creation and launch of the SMISS Spine Registry for Minimally Invasive Endoscopic Spine Surgery. The SMISS Spine Registry was designed to collect valuable data concerning decreased hospitalization, recovery times, and complication rates of endoscopic spine procedures, as well as increased quality of life measures, subject satisfaction, and cost effectiveness. In today’s rapidly changing healthcare climate, it is imperative to ensure the ongoing availability of this data regarding efficiencies of care and quality of outcomes.

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.