JOIMAX® ANNOUNCES RELEASE OF FIRST ENDOSCOPIC AMA CPT CODE Company also releases newly designed joimax® homepage

Irvine, CA – September 26, 2016 – The AMA (American Medical Association) released the CPT 2017 Codebook (Current Procedural Terminology), now containing the first endoscopic spinal surgery code no. 62380. This new code covers endoscopic decompression of the spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar, and will be enforced as of January 1st, 2017. Under this code the specific transforaminal (TESSYS®) and/or interlaminar (iLESSYS®) procedures are fully covered in the USA herewith, which are already marketed by joimax® in 45 countries.

“The definition of this new code in the CPT codebook 2017 is a major milestone towards the acceptance of endoscopic minimally invasive spine surgery techniques and its benefits to both the surgeon and their patients,” states Wolfgang Ries, Founder and CEO of joimax®. Since 2012 joimax®  had been driving this effort to obtain CPT codes as these procedures required submission to payors for reimbursement coverage which was granted only in single cases under temporary codes, so-called T-codes.

“joimax® has been instrumental in driving the effort to obtain full code coverage of endoscopic spinal surgery,” says Daniel Laich, DO, Swedish Convenant Hospital, Chicago, who had been participating and presenting in almost every AMA meeting over the last five years. Due to the high research and publication activities by key users like Albert Telfeian, MD, PhD, at Rhode Island Hospital at Brown University, and a group of users around him, strong evidence has been accepted by AMA authorities, justifying the release of this new CPT code.

Many papers and publications on joimax® products can now be downloaded from the newly released joimax® homepage. The completely redesigned website offers visitors richer insight into the company’s innovative products and systems. A quick and easy access to essential information and features is available, including the latest workshop and education activities, which are essential in endoscopic minimally-invasive spinal surgery.

Meanwhile joimax® offers basic and advanced workshop training courses mainly in the USA, Germany and Austria, and oversees a participation population of almost 3,000 physicians. Independent training courses are also performed in China and Korea to support the fast growing Asian markets. Detailed information about those courses are updated regularly at www.joimax.com.

The website uses the latest technology so the site is compatible with today’s browsers and mobile devices, such as smartphones and tablets. Visitors can also use the new website to stay informed with the latest company news. The new website goes live today and is located at the same address: https://www.joimax.com.

joimax® Celebrates 25 Years of Advancing Endoscopic Spine Surgery

Karlsruhe, Germany — [April 2026]joimax®, Inc., a global leader in technologies and training for endoscopic spine surgery, proudly marks its 25th anniversary, celebrating a quarter century of innovation dedicated to advancing minimally invasive spine care and improving outcomes for patients worldwide.

The origins of joimax® trace back to early 2001, when Wolfgang Ries, Founder and Executive Chairman, first introduced the company concept in a presentation to potential partners and investors and developed the initial business plan later that year. Although the investment environment changed significantly following the events of September 11, 2001, joimax® was founded shortly afterward through strong personal commitment and a clear belief in the future of endoscopic spine surgery.

Despite the uncertainty at the time, we remained convinced of the potential of endoscopic techniques to transform spine surgery,” said Wolfgang Ries. “With a clear vision and strong dedication, we established joimax® near Karlsruhe and began partnering with surgeons to develop technologies designed to challenge conventional surgical approaches and support surgeons in delivering less invasive treatment options for patients. Seeing how both the field and the company have progressed over the past 25 years is extremely rewarding.

Mr. Wolfgang Ries
Founder and Executive Chairman of joimax® 
Wolfgang Ries Founder & Executive Chairman of joimax

Today, joimax® solutions support surgeons across the globe with comprehensive platforms designed for a wide range of endoscopic spinal procedures. Through its commitment to education and training, the company has helped thousands of surgeons develop and refine endoscopic techniques, contributing to the growing global momentum behind minimally invasive spine surgery.

Reaching this 25-year milestone is a testament to the dedication of our employees, the trust of our surgeon partners, and the shared vision that endoscopic techniques can transform spine care,” said Maximillian Ries, CEO of joimax®. “As we celebrate this milestone, we are equally focused on the future. The next chapter for joimax® will build on our legacy of continued innovation, deeper collaboration with surgeons, and a commitment to expanding access to endoscopic spine surgery around the world.

Mr. Maximilian Ries
CEO of joimax® 

For more information about joimax® and its 25-year legacy of endoscopic innovation, visit joimax.com/en/about-us.

joimax® Presents Its New Generation 4K Camera Light Source and Documentation Command System, Camsource® LED and Vitegra® at AAOS in New Orleans, LA

Karlsruhe, Germany – March 7th, 2018 – joimax®, the German based market leader of technologies and training methods for endoscopic minimally invasive spinal surgery presents its newest combined 4K resolution camera and LED light source system, Camsource® LED and its fully integrated documentation and command system, Vitegra® Docu and Command. Both systems are introduced for the first time at the Annual Meeting of the American Association of Orthopedic Surgeons (AAOS), currently taking place in New Orleans, LA where joimax® is represented at booth no. 4020.

The Vitegra® Docu and Command system opens a new era of documentation, control and hospital integration. The device comes with numerous flexible control options including a wireless tablet PC, live video streaming and a live voice commenting option, in-surgery image and video review function, voice control capabilities and easy data export solutions. The Vitegra® offers with its command mode to control all other devices that are part of the joimax® endoscopic tower. An optimized monitoring of the endoscopic devices during the surgical procedures by live review and control of all important device parameters is also provided. An initial, limited market launch is planned for Q2/2018 within European and U.S. markets.

“Our new 4K LED Visualization Systems are the next important components of our steadily growing endoscopic product portfolio. These developments demonstrate our continued leading position in the fast-growing endoscopic spine surgery market worldwide,” states Wolfgang Ries, Founder and CEO of joimax®.

jomax Vitegra Docu and Command, Camsource LED

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.

FDA Approval , joimax endoscopic navigation system Intracs em

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.

Eurospine 2016: joimax® launches its new MultiZYTE® SI-Joint Endoscopic Therapy Set and its new Intracs® Intraoperative Navigation Tracking & Control System

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.

The Intracs® Intraoperative Navigation Tracking & Control System was developed in cooperation between joimax® GmbH Karlsruhe and fiagon GmbH in Berlin, both located in Germany. With the Intracs® system, joimax® instruments can be navigated directly at the tip using Fiagons “chip at the tip” technology which allows tracking of instruments with a diameter in the 1mm range. The Intracs ® Navigation and Monitor Unit is integrated in the joimax® Endoscopic Tower and all necessary tools are tailored for the TESSYS® (transforaminal) and iLESSYS® (interlaminar) procedures as well as for minimally invasive stabilization procedures, like EndoLIF® and Percusys®. The main features of the Intracs® system are needle navigation through Vector-Tip-Target processing tools, the merging of 2D X-Rays with 3D- images of a patient’s CT or MRI scans, and the constant orientation control of any endoscope used in joimax procedures.

“With these two new developments we are in the position to enhance our endoscopic minimally-invasive product portfolio, driving adoption rates to meet new heights. With the world unique Intracs® system, navigation is now faster, safer and more accurate than ever before using an electromagnetic (EM) field. Radiation exposure for both, patients and surgeons will be significantly reduced,” says Wolfgang Ries, CEO and founder of joimax®. “Additionally the learning curve for all spinal endoscopic procedures offered by joimax® will now be significantly reduced and the rapid expansion of all these techniques is now well layed-out,” he continues.

joimax® Launches Its Latest Interlaminar Endoscopic System, iLESSYS® Pro, and New 4K Camera Light Source and Documentation Command System, Camsource® LED and Vitegra® at AANS in New Orleans, LA and GSC in Singapore

Karlsruhe, Germany – May 1st 2018 – joimax® again launches new product innovations at the upcoming American Association of Neurological Surgeons (AANS) taking place in New Orleans from April 28 – May 2, and at the Global Spine Congress (GSC) in Singapore, starting May 2. The German based market leader of technologies and training methods for minimally invasive endoscopic spinal surgery expands its family of decompression systems with an additional milestone of its interlaminar endoscopic access systems named iLESSYS® Pro for access and resection within the spinal canal. All endoscopic systems including the members of the so-called iLESSYS® Family will be shown at AANS as well as at GSC, where joimax® will host a full-day workshop with four stations on May 1 and with numerous lectures on endoscopic spine surgery held throughout the congress.

iLESSYS® Pro was developed in collaboration with Christoph Hofstetter, MD, PhD Associate Professor at University of Washington in Seattle, Washington.  It combines the ability to efficiently remove and decompress degenerative spinal pathology from the iLESSYS® Delta with the possibility to enter the spinal canal and treat intraspinal disc pathology which has been a hallmark of the iLESSYS® system. Along with TESSYS®, TESSYS® XT and TESSYS® Isee, now all lumbal and thoracic degenerative pathologies can effectively be treated with joimax® techniques.

“We have re-engineered every part of the iLESSYS® Pro, including dilators, rongeurs and drills with the goal to bring spine endoscopy one step closer to the efficiency of minimally invasive tubular spine surgery. Our patients benefit from the minimal tissue trauma associated with a small working corridor and a low complication rate achieved by superior visualization and illumination by working channel endoscopes. The new scope has completely surpassed my expectations and it is my go-to scope for interlaminar discectomies, medial facetectomies and certain laminectomies.” explains Dr. Christoph Hofstetter.  Also Dr. Ralf Wagner from the Ligamenta Spine Center in Frankfurt, GER expresses his enthusiasm: “The working channel of 4.7 mm allows the use of larger forceps or blades for effective removal of hard tissue and, at the same time, is small enough to ideally suit for working within the spinal canal – really fantastic.”

At both congresses, the company will show its newest combined 4K resolution camera and LED light source system, Camsource® LED and its fully integrated documentation and command system, Vitegra® Docu and Command. They were presented for the first time at the Annual Meeting of the American Association of Orthopedic Surgeons (AAOS) in New Orleans in March. With these innovations, joimax® again sets a major milestone worldwide. “With a significant growth rate in Q1/2018 we clearly demonstrate our leading role in endoscopic spinal surgery. We are still approaching our goal: to sustainably anchor the endoscopic minimally invasive spine surgery” states Wolfgang Ries, Founder and CEO of joimax®. “This is also reflected in the increase of accepted lectures held at all congresses accompanied by a steadily growing number of publications”.

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.

DWG 2016 in Hannover, Germany: joimax® shows major presence with daily lunch symposia and Meet the Expert Sessions at its booth

Karlsruhe, Germany – December 8th, 2016 – from Dec 1st to 3rd, 2016 the most important German spine congress has taken place at the Hannover Congress Centre. joimax® as global acting German developer and marketer of technologies and training methods for endoscopic minimally invasive spinal surgery again exhibited at the 11th congress of the German Spine Society (DWG). The congress attracted an increasing number of attendees who gathered for the latest news on spinal surgery as well as to learn about the techniques and results of endoscopic spine surgery and the benefits of these techniques for both the surgeon and their patients.

joimax® presence at DWG 2016

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.

From left to right: Dr. Menno Iprenburg, NL; Awardee Alastair Gibson, MD, Scotland; Dr. Ralf Wagner, Germany; Wolfgang Ries, Founder & CEO joimax® GmbH

joimax® Introduces Intracs® em Electromagnetic Navigation System – New Minimally Invasive Device Exhibited at EUROSPINE Barcelona and NASS Los Angeles

Irvine, Calif. — joimax®, the Germany-based market leader of technologies and training methods for full-endoscopic spinal surgery, introduces another minimally invasive device, Intracs® em Electromagnetic Navigation System, at two global spine events: EUROSPINE Barcelona, the Spine Society of Europe’s annual conference and expo (September 19-21), and NASS 2018, the North American Spine Society premier meeting in Los Angeles (September 24-28).

“With developments such as Intracs® em, we are steadily positioning ourselves as true innovators in this space.”, states Wolfgang Ries, Founder and CEO of joimax®, “And we further strengthen our leading role in endoscopic spinal surgery.” he adds.

Intracs® em Electromagnetic Navigation System

Intracs® em relies on electromagnetic tracking and is specifically designed for simple and safe access to any spinal target. For exceptional accuracy, the instruments are vector-guided directly at the tip; therefore, bending of needles or other pliant instruments will not affect the navigation’s precision. The new smart and user-friendly system can serve as a stand-alone device, or be completely integrated with the joimax® Endoscopic Tower. It is the only system on the market which allows for simultaneous navigation of multiple instruments such as needles, guiding rods, reamers, and endoscopes; developed by joimax®.

The full European product launch is scheduled for Q4 2018. The global launch, including the United States, will be rolled out in the beginning of 2019.

Trade Show Exhibitions and Demo Workshops

joimax® will be exhibiting at EUROSPINE 2018 and NASS 2018.

  • EUROSPINE 2018: On September 20, joimax® will present at a lunch symposium. In addition, members of the internationally acclaimed joimax® faculty group will host daily Meet the Expert sessions at the joimax® booth, No. 05A.
  • NASS 2018: On September 27, the company will be part of the After Hours Workshop presentation and hands-on cadaver lab. Plus, following a successful introduction at the Annual Meeting of the American Association of Orthopedic Surgeons (AAOS) in New Orleans last March, joimax® will showcase its combined 4K UHD resolution camera and LED light source system, Camsource® LED, and the fully integrated documentation and command system, Vitegra® Docu and Command. Presentations held at Booth No. 1529.

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.