EndoTrainer Plus

With the joimax^® EndoTrainer Plus, the transforaminal surgical technique TESSYS^® and the interlaminar surgical technique iLESSYS^® can be trained in prone or in lateral patient position. Under realistic conditions and constant monitoring via the navigation software, the fluoroscopic technique can be learned.
The joimax^® EndoTrainer Plus consists of a navigation camera, a laptop with application software, a torso-model and all accessories.

The correct positioning of the needle

Placing the needle is fundamental for a successful endoscopic spine surgery! Through repeated practice of the needle positioning, the surgeon receives experience of the TESSYS^® and the iLESSYS^® procedure. Through this system, the user receives feedback of the needle tip position via fluoroscopy and live image.

Real tactile feedback

Synthetic materials, which are very similar to human skin, muscles and osseous spine, are used in the torso model. The user receives a realistic tactile feedback while placing the needle, dilatating and reaming the intervertebral foramen, and introducing the instruments.

Navigation window

The planning of the access to the intervertebral or interlaminar foramen with the joimax^® needle technique can be displayed in lateral, AP, axial and in 3D model view.

Control window

Selection of the views, as well as further menu adjustments, are done via the control window.

Live cam window

For viewing the position of the inserted needle/rod tip.

3D spine

Virtual rotatable spine and transparent viewable torso allows a full 360° overview.

Optical warning system

Assistance in the danger zone: If the access instruments are getting too close to the spinal cord, the color display of the dura changes from Green to Yellow, while touching the dura it changes to Red.

Snapshot function

While activating the x-ray button, a snapshot is simulated which displays the actual position of the needle via C-Arm image, selecting  between the levels of L1-L3, L4/L5 or L5/S1.