joimax® presents product portfolio at JSSR in Yokohama Japan
Further continues International Growth Strategy

Karlsruhe, GER– April 18, 2019 – joimax®, the Germany-based market leader of technologies and training methods for full-endoscopic, minimally-invasive spinal surgery, is presenting its complete product portfolio at the 48th Annual Meeting of the Japanese Society for Spine Surgery and Related Research (JSSR). The annual meeting is currently underway running April 18-20, 2019 in Yokohama, Japan.

Earlier this year, joimax® announced its partnership with United Biomech Japan, Inc., who is overseeing distribution of the complete joimax® product line throughout Japan. Approval of the Pharmaceutical Medicals and Medical Devices Agency (PMDA) is expected within the next couple of months.

“The Japanese market is characterized by a strong demand for innovative products on endoscopic spinal surgery,” explained United Biomech Japan, Inc. Executive Kazuya Oribe. “The interest at our booth is overwhelming. There are approximately one thousand Japanese surgeons that are now already interested in doing endoscopic spinal surgery.”

“The patients’ demand for gentle surgery methods that result in a very quick recovery, is continuously increasing,” said joimax® Group Founder and CEO Wolfgang Ries. “Our entrance into the Japanese market is another milestone in expanding our global presence to offer superior medical products. Coupled with an outstanding, international training and education program, we’ve positioned ourselves for long-term growth.”

joimax(R) presence at JSSR Yokohama, Japan, endoscopicspine surgery, Minimally invasive, Transforaminal, Interlaminar, Training and Education, Japan, United Biomech Inc., JSSR
joimax(R) presence at JSSR Yokohama, Japan, endoscopicspine surgery, Minimally invasive, Transforaminal, Interlaminar, Training and Education, Japan, United Biomech Inc., JSSR
joimax(R) presence at JSSR Yokohama, Japan, endoscopicspine surgery, Minimally invasive, Transforaminal, Interlaminar, Training and Education, Japan, United Biomech Inc., JSSR

TESSYS® pioneers receive the Parviz Kambin Honorary Award

Karlsruhe – At a ceremony in Paris two TESSYS® pioneers received the Parviz Kambin Honorary Award: Dr. Florian Maria Alfen from Würzburg, Germany, who in 2003 acquired the first TESSYS® complete system and has successfully performed more than 2,500 procedures. As a member of the joimax® Faculty, Dr. Alfen has trained many doctors. The second award winner is Dr. Daniel Laich from Chicago, U.S.A. He is the first TESSYS® user in the United States and has been a Faculty member since 2009, as well as a scientific adviser for the company with his extensive experience of TESSYS®.

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.

TESSYS_Pioniere

joimax® Experiences Major Growth, Launches TESSYS® TransSAP Endoscopic Surgical System

KARLSRUHE, Germany – (BUSINESS WIRE) – joimax® is continuing its year-over-year double digit growth. Over the past 9 months, joimax® has grown more than 25% globally and in the United States alone, more than 35%. Among this major spurt, the market leader in technologies and training methods for full-endoscopic and minimally invasive spinal surgery is launching a new endoscopic surgical system, TESSYS® TransSAP.

“This allows for more extensive foraminal decompression and provides an optimal basis for transforaminal endoscopic fusion”

The company attributes strong growth to their popular workshop and educational program, which is now offered worldwide under the ESPINEA® training academy. To keep momentum, joimax® is releasing the TESSYS® TransSAP — the fourth addition to the TESSYS® family encompassing the standard TESSYS® Std, TESSYS® XT featuring longer reach instruments, and TESSYS® Thx, the optimized version for the thoracic spine.

The system is based on the proven TESSYS® method introduced in 2004. Since then, the technology has been enhanced and can be used for more complex indications, widening the spectrum of disease and vertebral level applications.

joimax® faculty surgeon masters, Dr. Christof Hofstetter and Dr. Ralf Wagner, demonstrate TESSYS® and iLESSYS® to an at capacity crowd during NASS 2022 in Chicago. (Photo: Business Wire)

“The TransSAP method follows an adopted access path to the spine, directly targeting the Superior Articulating Process,” says Dr. Christoph Hofstetter, associate professor in the Department of Neurological Surgery at the University of Washington. “This allows for more extensive foraminal decompression and provides an optimal basis for transforaminal endoscopic fusion,” adds Dr. Ralf Wagner, a longstanding joimax® ESPINEA® Faculty orthopedic surgeon based in Frankfurt.

In addition, joimax® provides a series of implants for fusion indications, such as the percutaneous pedicle screw system, Percusys® Plus, and a family of 3D-printed titanium cages within the EndoLIF® program. The EndoLIF® suite of products consists of the static implants O/On-Cage, Delta-Cage and DoubleWedge-Cage. “There are plans to add a new fully-expandable cage, as well as a navigated solution for endoscopic disc preparation and implant positioning to provide a full endoscopic assisted fusion platform,” says Wolfgang Ries, CEO and founder of joimax®.

All joimax® implants can be safely inserted using the “Over-the-Wire” technique for precise implantation, making them ideal for endoscopically-assisted fusion procedures established and protected by joimax®.

These new products have been exhibited at the following trade shows: SMISS in Las Vegas, CNS in San Francisco, and NASS in Chicago, and will be featured at EUROSPINE in Milan and at the German Spine Congress, DWG, in Berlin later this year.

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®.

Two top notch cadaver workshops offered by joimax® in April

Karlsruhe, 25. April 2012. After March has been the month of international congresses – the ISASS in Barcelona and the EndoVienna in Vienna – April is the month of international workshops for joimax®.

From April 19th to 20th, 2012 joimax® held a cadaver workshop in collaboration with the anatomic institute of the University of Heidelberg – a since long established partner. Dr. Carl-Hans Fürstenberg, senior physician at the centre for spinal cord medicine and spine surgery of the University Clinic Heidelberg, talked about anatomy of the lumbar spine, the transforaminal access and suitable indications for less advanced learners. Dr. Menno Iprenburg from the Dutch Rugkliniek Iprenburg demonstrated the transforaminal approach step by step. The true potential of this method was illustrated by Dr. Ralf Wagner from the Ligamenta Spine Center in Frankfurt with the presentation of some of his most complex cases. The theory session was completed by some recommendations on anesthesia and especially on analgosedation by Dr. Alexander Godschalx from Deurze in the Netherlands. CEO and joimax® founder Wolfgang Ries gave a short outline on future developments in endoscopic spine surgery – a field that belongs to the core competences of joimax® as one of the market leaders. Guided by experienced instructors, the 12 international participants were able to intensively try and train the minimally invasive joimax® techniques on three cadavers during the hands-on session.

The second workshop for this month is currently taking place at the MEDucation Medical Training Center, Mülheim/Ruhr in Germany. This workshop is exclusively held for a Chinese group of physicians. The top delegation of 17 spine specialists from China participate at the company’s well known three-step education program. They have visited different German and Dutch clinics for visitations with the experienced joimax® faculty members. Back to Mülheim/Ruhr they will be able to instantaneously practice the joimax® access and treatment methods in the cadaver lab. Talks of the joimax® reference surgeons Dr. Michael Schubert, Munich, and Dr. Guntram Krzok, Friedrichroda, will complete the program. Both Germany-based physicians have a special relation to Chinese customs and culture due to several lecture tours with live surgeries through China. As the third step of the education program own surgeries “at home” guided by the joimax® faculty team or a joimax® application specialist can be arranged. “The combination of theory, practice and life surgeries makes this education program truly unique” – that’s what stated one of the Chinese professors.

The next cadaver workshops will take place in May in Salzburg, Austria and in June in Mainz, Germany.

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.

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

„Shrill®“ – The new Shaver Drill System by joimax® for the treatment of spinal stenosis

Karlsruhe, 14 September 2010: Just in time before the major international fall congresses joimax® launches the „Shrill®“, another technical highlight for the broader application of the TESSYS® spine surgery technique. This multifunctional drill and resection system removes both soft and solid structures effortlessly and safely and hence completes the TESSYS® method for stenotic patients.

The obvious advantages for the surgeon: Shrill® is easy to program, enables intuitional use and it can be operated with buttons on the hand piece or the foot switch. The different shaver blades allow for safe and reliable removal of bone, soft or scar tissue in immediate vicinity of nerves.
The integrated irrigation and suction control provides a clear view on the operation area at all times.

„With this instrument we are now able to successfully operate spinal stenoses fully endoscopically“, says Dr. Menno Iprenburg, one of the first users of the TESSYS® System. „Decompressions of nerve structures in various levels of the spine under endoscopical view are now possible in one surgical session“, states Dr. Ralf Wagner, being an expert in this new surgery technique.

The advantages for the patient are evident as with all other joimax instruments: safety even in sensitive areas, fast pain relieve and regaining quality of life due to the minimal invasive surgery method.

Last but not least the advantage for the health care system: The short recovery time of the patient reduces cost to the patient and health insurance!