NEXON Medical

nexon medical

Transforming spinal surgery

Despite significant advancements in medical technology and surgical techniques, the field of spine surgery still faces challenges. NEXON Medical are working to bridge the performance gap in patient outcomes between spine surgery and other major surgeries. A landmark study by the Schulthess Klinik, Zurich, Switzerland, found a significant difference in Patient Accepted Symptom State (PASS) between patients undergoing lumbar spine, hip, and knee surgeries. Read more about the study.

At Vivostat®, we are thrilled and exited to provide spine surgeons with a innovative, minimally invasive surgical solution that enhance patient care and improve outcomes. With years of experience and expertise within medical devices to spine and neurosurgery, we are committed to offering a biportal endoscopic solution that overcome existing challenges in spinal procedures and setting new standards in patient care.

What makes EnsightTM special?

The secret is out on minimally invasive surgery in general, we know all the benefits for both the patient and the hospital; less pain, lower risk of infection, fewer complications, faster recovery, shorter hospital stays, less scarring etc. 

With the EnSight™ system we want to bring all this to spine surgery. There are two primary minimal invasive techniques for endoscopic spine surgery: monoportal and biportal.

  1. Monoportal endoscopy:
    This involves a single portal or incision, which is suitable for simpler herniations. It offers minimal tissue dissection and results in a smaller surgical scar and reduced postoperative pain. However, its range of indications is limited and with the visual quality, it requires great experience.
  2. Biportal endoscopy (BESS/UBE):
    In contrast, biportal endoscopy uses two incisions—one for the endoscope and another for surgical instruments. This allows for greater flexibility and a wider range of indications, including:
    • Herniations
    • Stenoses
    • Fusion procedures

Biportal offers better visualization of the surgical site, enabling more complex surgeries with increased precision and reduced risks. It’s quickly becoming the technique of choice for spine surgeons globally and now we are bringing it to Denmark and Sweden.

benefits of EnsightTM

Our NEXON portfolio

The Game Changer in Spine Surgery

We believe that patient experience and cost-efficiency are paramount and with EnSight™ Biportal Endoscopy for spinal surgery they go hand-in-hand.

With a faster learning curve compared to mono-portal endoscopy and a wider range of indications, and last but not least; one instrument set to fit all spinal indications, biportal endoscopy is set to become the new standard in spinal surgery. This technology is designed to provide:

  • Enhanced visualization: superior clarity during surgery, allowing for greater precision.
  • Minimized recovery times: less invasive than traditional surgeries, reducing postoperative pain and hospital stays.
  • Lower costs: reduced surgical time and faster recovery, which translates into lower healthcare costs.

Biportal endoscopy offers a solution that addresses both the need for better patient outcomes and operational efficiency.

Interested in knowing more?

If you are interested in knowing more, then you are always welcome to contact us or if you want to do a bit of research yourself, you can find more information in the reference list below, or you can start off with the groundbreaking study we mentioned earlier:

The study won the EUROSPINE 2017 Paper Award, for analyzing over 4,500 patients with degenerative lumbar spine, hip, or knee disorders. The research highlights the opportunity for significant improvement in the spine surgery field, and NEXON Medical is leading the way in addressing these gaps. 

The study by the Schulthess Klinik, Zurich, Switzerland, found a significant difference in Patient Accepted Symptom State (PASS) between patients undergoing lumbar spine, hip, and knee surgeries.

    1. Ju, C. I., & Lee, S. M. (2023). Complications and management of endoscopic spinal surgery. Neurospine20(1), 56–77. https://doi.org/10.14245/ns.2346226.113
    2. Lin, G., Yao, Z., Xin, C., Kim, J., Chen, C., & Hu, B. (2022). A meta-analysis of clinical effects of microscopic unilateral laminectomy bilateral decompression (ULBD) versus biportal endoscopic ULBD for lumbar canal stenosis. Frontiers in Surgery9https://doi.org/10.3389/fsurg.2022.1002100
    3.  Chen, K., Jabri, H., Lokanath, Y. K., Song, M., & Kim, J. (2020). The evolution of interlaminar endoscopic spine surgery. Journal of Spine Surgery6(2), 502–512. https://doi.org/10.21037/jss.2019.10.06
    4. Pairuchvej, S., Muljadi, J. A., Ho, J., Arirachakaran, A., & Kongtharvonskul, J. (2019). Full-endoscopic (bi-portal or uni-portal) versus microscopic lumbar decompression laminectomy in patients with spinal stenosis: systematic review and meta-analysis. European Journal of Orthopaedic Surgery & Traumatology30(4), 595–611. https://doi.org/10.1007/s00590-019-02604-2
    5. Choi, K., Shim, H., Kim, J., Cha, K. H., Lee, D. C., Kim, E. R., Kim, M. J., & Park, C. (2019). Cost-effectiveness of microdiscectomy versus endoscopic discectomy for lumbar disc herniation. The Spine Journal19(7), 1162–1169. https://doi.org/10.1016/j.spinee.2019.02.003
    6. Wasinpongwanich, K., Pongpirul, K., Lwin, K. M. M., Kesornsak, W., Kuansongtham, V., & Ruetten, S. (2019). Full-Endoscopic Interlaminar Lumbar discectomy: retrospective review of clinical results and complications in 545 international patients. World Neurosurgery132, e922–e928. https://doi.org/10.1016/j.wneu.2019.07.101
    7. Kim, J., Choi, D., Park, E. J. J., Lee, H., Hwang, J., Kim, M., & Oh, J. (2019). Biportal Endoscopic spinal surgery for lumbar spinal stenosis. Asian Spine Journal13(2), 334–342. https://doi.org/10.31616/asj.2018.0210
    8. Choi, D., & Kim, J. (2019). Efficacy of biportal endoscopic spine surgery for lumbar spinal stenosis. Clinics in Orthopedic Surgery11(1), 82. https://doi.org/10.4055/cios.2019.11.1.82
    9. Park, M., Park, S., Son, S., Park, W., & Choi, S. (2019). Clinical and radiological outcomes of unilateral biportal endoscopic lumbar interbody fusion (ULIF) compared with conventional posterior lumbar interbody fusion (PLIF): 1-year follow-up. Neurosurgical Review42(3), 753–761. https://doi.org/10.1007/s10143-019-01114-3
    10. Kim, J., & Choi, D. (2018). Unilateral biportal endoscopic decompression by 30° endoscopy in lumbar spinal stenosis: Technical note and preliminary report. Journal of Orthopaedics15(2), 366–371. https://doi.org/10.1016/j.jor.2018.01.039
    11. Heo, D. H., Son, S. K., Eum, J. H., & Park, C. K. (2017). Fully endoscopic lumbar interbody fusion using a percutaneous unilateral biportal endoscopic technique: technical note and preliminary clinical results. Neurosurgical FOCUS43(2), E8. https://doi.org/10.3171/2017.5.focus17146
    12. Eum, J. H., Heo, D. H., Son, S. K., & Park, C. K. (2016). Percutaneous biportal endoscopic decompression for lumbar spinal stenosis: a technical note and preliminary clinical results. Journal of Neurosurgery Spine24(4), 602–607. https://doi.org/10.3171/2015.7.spine15304
    13. Gibson, J. N. A., Subramanian, A. S., & Scott, C. E. H. (2016). A randomised controlled trial of transforaminal endoscopic discectomy vs microdiscectomy. European Spine Journal26(3), 847–856. https://doi.org/10.1007/s00586-016-4885-6
    14. Ruetten, S., Komp, M., Merk, H., & Godolias, G. (2008). Full-Endoscopic interlaminar and transforaminal lumbar discectomy versus conventional microsurgical technique. Spine33(9), 931–939. https://doi.org/10.1097/brs.0b013e31816c8af7
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