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“MIS changed opportunities in spine surgery; however, Endoscopy is set to take things to a new level.”

Prof. Roger Härtl, M.D.

Director of Neurosurgery Spine, Weill Cornell Medicine
 


… Endoscopy will create a performance gap!

We believe…

When patient experience and lower costs are your key drivers, then offering your patients Endoscopic Spine Surgery makes common sense. And given Biportal Endoscopy has a faster learning curve and covers a growing range of indications it will become the technique of choice creating a new standard.

the most important technologies

Monoportal endoscopy

Monoportal (also : uniportal or full-endoscopic) endoscopic spine surgery involves the use of a single portal or incision point to access the spine. In this technique, the surgeon inserts an endoscope through the small incision and navigates it to the affected area of the spine.

This method requires minimal soft tissue dissection, as well as bone removal, resulting in a very small surgical scar and reduced postoperative pain. This approach is typically suited for simple herniations.

Biportal endoscopy

On the other hand, biportal endoscopic spine surgery (also: BESS or UBE (unilateral biportal endoscopic spine surgery)) uses two working portals or incisions to gain access to the spine. The first incision is used to insert the endoscope, while the second incision is used for surgical instruments. This method has a broader range of indications, ranging from herniations, stenoses and fusion.

ConClusion

Compared to monoportal endoscopy, biportal endoscopy provides excellent visualization of the surgical site and allows for more complex surgical procedures. Both monoportal and biportal endoscopic spine surgery are minimally invasive techniques that offer several advantages over traditional open and minimally invasive spinal surgeries. However, the choice between the two techniques depends on the patient’s specific condition and the surgeon’s preference and experience.

the advantages of biportal endoscopy

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«The biportal endoscopy technique is relatively simple to adopt, as it relies on a more familiar approach, requires less expensive instruments, has a shorter learning curve, and is also well-suited for interbody fusion.»
 

European Spine Journal

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«Die versatility of this technique is truly amazing. I honestly don’t see any limits as yet.»
 

PD Dr. Antonio Faundez

Orthopaedic Spine Surgeon Hôpital de La Tour, Meyrin, Switzerland


 

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«Biportal endoscopy’s preservation of soft tissue and reduced scaring may reduce complexity of a future surgery; it may even delay the spinal disease pathway.»
 

Prof. Jin Sung Kim

Seoul St. Mary's Hospital, Seoul, South Korea

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«It is my experience, there is a shorter learning curve to proficiency with biportal compared to Monoportal endoscopic spine surgery.»
 

Prof. Dong Hwa Heo

Champodonamu Spine Hospital, Seoul, South Korea


THE Nexon EnSight™ biportal solution

To foster proficiency in endoscopy extends beyond the mere product: For a surgeon to achieve mastery in this discipline, some elements are essential:


Education
 

A structured, systematic learning process and experience that expedites your personal learning curve to ensure competency and confidence in performing biportal endoscopic spine surgery.

Learn more


Service Support


A package of on-site services to support your transition to a complete biportal endoscopic spine surgery programme - clinical observations, first surgery support, team-based training, equipment maintenance, seamless logistics, etc.


Community


A community of practice to ensure enhanced learning and continuous professional development - community platforms, symposia, user meetings and other opportunities for international exchange to facilitate the sharing of best practice as surgeons continue to improve their skills and competences.


The Nexon EnSight™ biportal solution includes the following instruments
 

A comprehensive set of tools and instrumentation designed by the pioneers in biportal endoscopy. Continual innovation ensures you constant access to the newest tools to optimize your performance.

Instrument Sets

Two Sets covering:

 

  • Disc Herniation

  • Stenosis

  • Fusion

Standard Set

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Forceps Set

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Endoscopic radiofrequency system

  • Plasma effect on tissue with lower temperature and higher effectiveness

  • Modes: coagulation & ablation

  • Recommended Spine tools:

    - RF Probe 90: efficient ablation

    - RF FlexProbe: safety interlaminar space

  • Designed and CE approval for spine surgery

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