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Anterior Lateral Access

for Cervical Disc Herniation Treatment

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C E S S Y S s u rg e ry : m i n i m a l l y i nvasive and very gentle

Indications for the CESSYS procedure
CESSYS allows for the minimally invasive treatment of cervical disc herniations. This procedure is indicated for patients without associated
cervical instability or stenosis. The endoscopic CESSYS procedure uses an anteriorlateral approach through the disc space directly to the site
of herniation. Under endoscopic visualization, the compressive disc material can be removed. The small diameter cannulas allow for atraumatic
access and removal of the herniated disc material with specialized forceps. Additionally, a radiofrequency probe for tissue ablation and hemostasis is available.

Advantages of cervical endoscopic nucleotomy

The intervention is minimally invasive, very gentle and can
be carried out under monitored anesthesia care (MAC)
By preserving the disc, the natural structure of the segment is preserved
No laminotomy required
Small incision and minimal scarring; good cosmetic results
No spinal cord manipulation due to a ventral approach
Short recovery period
Minimal blood loss

As comfortable as possible for the patient

The patients may choose: The intervention can be carried out either
under general anesthesia or MAC. MAC is generally associated with less
anesthesia risks. Additionally, it offers the advantage of immediate patient
feedback if there is any contact with the neural structures. The intervention
is carried out in a supine position.

MRI axial

Patient positioning and cranial

fixation.

lateral herniation

Insertion of the needle

into the disc.

MRI sagital

Needle positioning under

fluoroscopic control.

Soft tissue dilation with the Guiding Rod.

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Guiding Rod.

C E S S Y S s u rg e ry : m i n i m a l l y i nvasive and very gentle

Instrument system precise and durable
The CESSYS instrument system contains all necessary instruments for a minimally invasive access. A variety of instruments are included
for sequential soft tissue dilation, access through the annulus and removal of herniated disc material. Three working cannula tip variations are
available to accommodate various herniation sites. The tray can also accommodate the joimax CESSYS Cervical Hybrid Scope*.
The single-cable connection of the Video/Camera Unit to the endoscope, provides less bulk and therefore, lightweight handling of the endoscope.
This patented hybrid cable technology enables the surgeon to gently maneuver the endoscope throughout the procedure. The 1.2 mm, 40,000
pixel camera optics in combination with the joimax C-Camsource Camera System provides HD quality imaging.

*Combination of rigid and flexible endoscope parts

in proven joimax Combo single-cable technology.

CESSYS Dilatator Reamer

CESSYS Working Tubes

with rinsing connector and different tips

CESSYS Biopsy Forceps

outer diameter:
working length:

2 mm
215 mm

Legato / Vaporflex
Safe and reliable bipolar RF-technology
Soft tissue can be shrunk and ablated with
the Legato and Vaporflex bipolar probes
Due to low tissue penetration it is possible to
work gently near nerve tissue

Introduction of the
working cannula.

Removal of herniated material through the endoscope.

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CESSYS C E R V I C A L E N D O S C O P I C S U R G I C A L S Y S T E M
joimax CESSYS Cervical Surgical System
An anteriolateral, minimally invasive approach to the cervical spine
is now possible with the cervical endoscopy system.

joimax HD Endoscopy Tower

The expert solution for spinal procedures: Specifically designed for
treatment of the sensitive structures of the spine.

1
2

REF

Description

CESSYSANT

Cervical Endoscopic Surgical System

CH402100C

CESSYS Cervical Hybrid Scope

Cervical Hybrid Endoscope specifications:

outer diameter
3.9 mm/2.6 mm
working channel
2.1 mm
shaft length
100 mm
rinsing channel
1.2 mm
optic
1.2 mm with 40,000 Pixel
optic angle
6
angle of view
95 5
Working Tubes
outer diameter
working length

5 mm
100 mm

REF Disposables

Description

JMSN18GW11

18G Needle + 0.8 mm Guide Wire

JBPP27020

Legato RF-Probe, bipolar

JBPH352505

Legato Handpiece

JSMDTF32

Vaporflex RF-Probe, bipolar

REF RF-Equipment
JSM120

Description

Endovapor Dual High Frequency System

6

joimax GmbH
Amalienbadstrasse 41
RaumFabrik 61
76227 Karlsruhe - Germany
PHONE
+49 (0) 721 255 14-0
FAX
+49 (0) 721 255 14-920
MAIL
info@joimax.com
NET
www.joimax.com

joimax, Inc.
14 Goodyear, Suite 145
Irvine, CA 92618-3759, USA
PHONE
FAX
MAIL
NET

+1 949 859 3472

+1 949 859 3473
info@joimaxusa.com
www.joimaxusa.com

This document contains information protected by copyright and property law and may not be copied
in full or in parts thereof or transferred to a further medium in any form. Distribution to third parties is
prohibited. joimax, TES, TESSYS, iLESSYS, CESSYS, PeNuts, EndoLIF, Vitegra, Camsource,
Shrill, Versicon, Endovapor, Vaporflex, Legato, Kyverment, Tigrip and SPOT are registered
brands of joimax. Other products and names used here may be the registered brands of other
companies. Patents are registered. Copyright 2013 joimax GmbH. All rights reserved.
CAUTION: U.S. FEDERAL LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A PHYSICIAN

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