Come see us and speak with advanced endoscopy users!

joimax® is the leading developer and marketer of complete systems for endoscopic minimally invasive spinal surgery. We offer TESSYS® (transforaminal), iLESSYS® (interlaminar), and CESSYS® (cervical) for decompression and degenerative procedures, MultiZYTE®  for rhizotomy and sacroiliac joint treatment, and EndoLIF® and Percusys® for minimally invasive endoscopic assisted fusions.

Surgeons utilize joimax® technologies to operate through small incisions – under local or general anesthetic – utilizing natural openings into the spinal canal (e.g. intervertebral foramen, the “Kambin triangle”) to provide tissue- and muscle-sparing benefits to the patients. These techniques lead to better patient outcomes for a wide range of indications including: disc herniations, stenosis, intradiscal pain, and spinal instability.

Visit today to learn more and to view our calendar of endoscopic spine training and education programs available worldwide.

Brands: joimax®, TESSYS®, iLESSYS®, iLESSYS® Delta, iLESSYS® Pro, CESSYS®, MultiZYTE®, EndoLIF®, Vitegra®, Camsource®, Shrill®, Versicon®, Endovapor®, Vaporflex®, Legato®, Intracs® em


Treatment of Herniated Disc with TESSYS method
joimax CM3 - Continuing Medical Education
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 Press Releases

  • 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.”

  • 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 Australian medical device distributor, LifeHealthcare. The two companies have entered into a long-term relationship to provide a broader surgical choice for patients considering spinal surgery.

    “We’re looking forward to working with a partner as strong as LifeHealthcare,” says joimax® Founder and CEO Wolfgang Ries. “LifeHealthcare shares our goals and vision, ensuring that we are able to deliver the highest standards of patient care.”

    Endoscopic spine surgery has been steadily growing in popularity since the late 1990’s with exponential growth in the technique for the past ten years. Surgeons throughout the world have reported that this type of surgery can assist patients in faster recovery, enabling them to reduce their post-operative stay.

    “We’re very pleased to collaborate with joimax®,” comments LifeHealthcare Chief Executive Officer Matt Muscio. “Endoscopic spine surgery is a technique that enables patients to have access to truly minimally invasive surgical procedures of the spine.” 

    Thus, joimax® strengthens its sales activities in Australia and enters into another important partnership across APAC.

    joimax, helathcare, germany, australia, partnership,

    About LifeHealthcare

    LifeHealthcare is a leading independent provider of healthcare solutions in Australia and New Zealand bringing healthcare professionals innovative medical devices by partnering with world class companies who share the vision of innovation and making a real difference to people’s lives. LifeHealthcare has been recognised as one of the Financial Times 1,000 High Growth Companies in Asia-Pacific. In May 2018, LifeHealthcare was acquired by Australia’s largest private equity fund, Pacific Equity Partners, a market leader that has been recognised as a Top 20 Consistent Performer Globally by Prequin. For further information, please visit

    About joimax®

    Founded in Karlsruhe, Germany, in 2001, joimax® is the leading developer and marketer of complete systems for full-endoscopic and minimally invasive spinal surgery. With the Endoscopic Surgical Systems TESSYS® (transforaminal), iLESSYS® (interlaminar) and CESSYS® (cervical) for decompression procedures, MultiZYTE® for facet and sacroiliac joint pain treatment, EndoLIF® and Percusys® for minimally-invasive endoscopically assisted stabilizations, established systems are provided, addressing a whole range of indications.

    In procedures for herniated disc, stenosis, pain therapy or spinal stabilization treatment, surgeons utilize joimax® technologies to operate through small incisions under local or full anesthesia, via tissue and muscle-sparing corridors and through natural openings in the spinal canal, e.g. the intervertebral foramen, the so-called “Kambin triangle”.

  • Karlsruhe (GER) — joimax®, the Germany-based market leader of technologies and training methods for full-endoscopic minimally-invasive spinal surgery, held its first online global symposium, “Endoscopic Spine Surgery – Indications, Technology and Limitations”, at its headquarters in the Training and Education Center (TEC) in Karlsruhe-Germany, on April 24-25, 2020.

    In view of the coronavirus restrictions introduced by many governments, in March,  joimax® began holding weekly webinars, in partnership with key surgeons, to demonstrate the latest endoscopic techniques. The training sessions culminated with a two-day Symposium, full of live discussions and video demonstrations, scheduled during Western and Eastern time zones.

    On April 24, joimax® Founder and CEO Wolfgang Ries, moderated a panel with faculty members Ralf Wagner, MD (Ligamenta Spine Center Frankfurt-Germany) and Christoph Hofstetter, MD, PhD (University of Washington Medicine, Neurosurgery Department, Seattle/USA). The following day, faculty member, Junseok Bae, MD (President of Wooridul Spine Hospital Seoul, South Korea), joined the panel.

    On both days, the agenda included a theoretical part focused on transforaminal and interlaminar indications, and the general possibilities of endoscopy from lumbar to thoracic to cervical, as well as a hands-on lab portion. In the wet lab, Dr. Ralf Wagner demonstrated the joimax® product application of TESSYS® and iLESSYS® in specific indications. Moreover, there were presentations of Intracs® em , the first electromagnetic system for endoscopic spine applications that can navigate instruments directly at the tip. This navigation system combines lateral and AP images of the C-arm with CT scan, providing surgeons with most accurate views of the target region.

    The Symposium also featured special guests: Dr. Menno Iprenburg (Iprenburg Spine Clinic, Veenhuizen, Netherlands) and Prof. Alastair Gibson (The Royal Infirmary of Edinburgh, Edinburgh Scotland); both board members of ESPINEA® Academy, who gave their valued input, based on their long-lasting experience.

    “This is the  future of digital education and a great way to virtually meet and learn,” stated Dr. Iprenburg.  Prof. Gibson added, “excellent Symposium; it couldn’t get any better”.

    The Symposium marked a major milestone, with 430 participants. Surgeons from all over the world joined this unique online education program and stimulating Q&A session.

    When safe, joimax® will transition back to on-site workshops and trainings, but in the  meantimewill continue with its attention-grabbing online webinars.

 Featured Products

  • Intracs®em
    NEW! The joimax® Intracs® electromagnetic navigation system for endoscopic spinal procedures....

  • The Intracs®em navigation system allows for minimally invasive endoscopic spinal procedures to be carried out with minimal x-ray control, drastically reducing radiation exposure. The electromagnetic field allows the surgeon to track the tip of the instrument for safe access to any spinal target. This technology facilitates needle targeting and orientation, flattening the learning curve and expanding endoscopic indications. Intracs®em Navigation System can be integrated into the joimax® Endoscopic Tower or used as a stand-alone solution.
  • iLESSYS® Pro
    The joimax® iLESSYS® Pro utilizes the interlaminar access path for endoscopic minimally invasive surgical procedures....

  • iLESSYS® Pro is an endoscopic minimally invasive surgical procedure, which uses the interlaminar access path to remove disc herniation or treat stenosis. This set of instrumentation is ideal for ipsi- and contralateral intraspinal bony decompression and deherniation within the spinal channel.


    • Lumbar herniated discs dorsal and lateral to the spinal nerves
    • Spinal stenosis
    • Hypertrophic ligamentum flavum
    • Facet joint cysts
    • Lumbar central stenosis and recessus stenosis
    • Foraminal stenosis both sides
  • CESSYS® Dorsal
    The joimax® CESSYS® Dorsal is designed to access of the cervical spinal canal posteriorly for endoscopic minimally invasive surgical procedures....

  • CESSYS® Dorsal is an endoscopic minimally invasive surgical procedure utilizing posterior access for removal of disc herniations or treatment of stenosis within the cervical spinal canal. The minimally invasive nature of this procedure is far less traumatic than microsurgical techniques. The CESSYS® Dorsal is perfectly suited for treatment of dorsal pathologies such as osseous decompression.


    • Foraminal disc herniations (contained or non-contained)
    • Soft, lateral and medio-lateral herniated discs
    • Foraminal osteophytes with stenosis
    • Cervical recess stenosis
    • Cervical central stenosis

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