Piezo-electric shockwave systems. Precise, focused and economic
Richard Wolf and Elvation Medical – two names which are almost synonymous with piezo-ceramic shockwave technology. Since more than 30 years, shockwave generation using piezo technology has been one of the most precise, effective and economic ways of generating shockwaves to treat urological stones (ESWL) and offer shockwave therapy (ESWT).
The piezo elements are arranged on a concave surface; a high-voltage pulse is used to briefly and simultaneously expand the piezo elements by a few micrometers, creating a pressure pulse. The piezo elements are aligned precisely to the therapy focus. The precise focusing of the pulse results in steepening of the shockwaves at the therapy focus.
Advantages of focused piezo shockwave systems
• Excellent performance with single-layer and double-layer technology
• Piezo-electric “direct focusing” technology
• minimal superficial pain during applications
• Well defined, precise focus – perfect for diagnosis and therapy
• Uniquely durable therapy source
• Finely adjustable penetration depth using interchangeable gel pads
• Independently adjustable penetration depths and energy levels
• Wide range of energy setting
• Low noise level
For more information on ELvation Piezo Shockave Systems, please contact us today!
The Next Piezo Shockwave Generation
New paths in shockwave therapy – by Richard Wolf and ELvation
The latest piezo shockwave generation from Richard Wolf and ELvation – the PiezoWave 2- offers a number of unique new and improved features. The piezo single- and double-layer technology has been used to create a unique, never previously implemented range of optional therapy sources: focussed, planar and – entirely new – linear focussed. With its outstanding performance data and exceptional – guaranteed! – life-span up to 5 million pulses depending on the therapy source, the PiezoWave 2 offers the best shockwave source for every indication. Users benefit from the easy-to-operate controls, the automatic therapy source recognition with a plug & play function, and the ELvation ESWT App for iPads conveniently slotted in the tablet PC holder.
– Focused, linear or planar – the best shockwave for every indication
– Excellent performance with single-layer and double-layer technology
– Piezo-electric “direct focusing” technology – minimal pain during applications
– Well defi ned, precise focus – perfect for diagnosis and therapy
– Uniquely durable therapy source
– Finely adjustable penetration depth using interchangeable gel pads
– Independently adjustable penetration depths and energy levels
– Wide range of energy settings
– Simple operation with App support and Ipad holder
– Plug&Play – therapy source recognition
Focused, linear and planar shockwave therapy
The piezo-electric shockwave principle offers an extensive range of shockwave configurations. The only one of its kind in the world, the PiezoWave2 allows users to choose between a classic focused shockwave, a linear focused shockwave, and a planar pressure wave. The right shockwave mode is available for every indication.
An operational concept ensuring you will always be up-to-date
The PiezoWave2 has an improved user interface that simplifies it’s daily use. Therapy source recognition through Plug&Play ensures that your PiezoWave2 will provide the appropriate energy spectrum when you plug in the therapy source. Individual settings can be adjusted with just a few keystrokes. You are supported by our optional ESWT App for your Ipad. With this new form of user support we want to ensures that even in future you will continue to receive the latest information on settings and the newest experiences for PiezoWave2 clinical applications. Quickly and online.
– Therapy source recognition with Plug&Play
– Quick therapy start
– Easy to use – uncomplicated operation
– Supported by our ESWT Ipad App
– Use of external, supporting Apps
– Always up-to-date
Efficient and effective
The PiezoWave2 BASIC 30 is a revolutionary focused shockwave therapy (ESWT) unit with a maximum penetration depth of 30 mm. The unit is supplied together with a point focused therapy source (F7G3) and is particularly suitable for ESWT applications and for treating trigger points in orthopedics, rheumatology and sports medicine.
The system can be upgraded at any time by purchasing additional optionally available therapy sources. This makes the BASIC 30 the optimal basic model as you can continue to expand your application portfolio in future.
Standard accessories:
Therapy source F7G3 30 mm
Gel pads
1 bottle ESWT contact gel, 250 ml
Foot switch
Cart
The tablet PC is not part of the unit. The ESWT instruction app and the trigger-point app are available from the App Store.
Technical specifications:
External power supply: 220-240 VAC / 50 – 60 Hz
Noise level: 65 dB(A)
Classification: 93/42/EEC class IIb product
Technical specifications for the therapy source:
Energy flux density: 0.018 – 0.403 mJ/mm²
Intensity levels: 20 levels
Maximum penetration depth: 30 mm
Foot-activated
Maintenance:
The unit requires very little maintenance. To maximize the life of your product, we recommend the following:
Control unit
In the EU, an annual safety inspection is mandatory. This inspection should be combined with a functional check carried out by a maintenance engineer.
Therapy source
The therapy source has a guaranteed lifespan of 5 million shockwave pulses and/or 2 years. A functional check carried out by a maintenance engineer is recommended at the end of this period.
The ESWT Standard Model
The PiezoWave2 BASIC 40 is a revolutionary focused shockwave therapy (ESWT) unit with a maximum penetration depth of 40 mm. The unit is supplied with a point focused therapy source (F10G4) and is particularly suitable for ESWT applications and trigger-point treatments in orthopedics, rheumatology and sports medicine.
The system can be upgraded at any time by purchasing additional optionally available therapy sources. The Basic 40 allows you to expand your application portfolio as required in future.
Standard accessories:
Therapy source F10G4 40 mm
Gel pads
1 bottle ESWT contact gel, 250 ml
Foot switch
Cart
The tablet PC is not part of the unit. The ESWT instruction App and the trigger-point app are available from the App Store.
Technical specifications:
External power supply: 220-240 VAC / 50 – 60 Hz
Noise level: 65 dB(A)
Classification: 93/42/EEC class IIb product
Technical specifications for the therapy source:
Energy flux density: 0.032 – 0.822 mJ/mm²
Intensity levels: 20 levels
Maximum penetration depth: 40 mm
Foot-activated
Maintenance
The unit requires very little maintenance. To maximize the life of your product, we recommend the following:
Control unit
In the EU, an annual safety inspection is mandatory. This inspection should be combined with a functional check carried out by a maintenance engineer.
Therapy source
The therapy source has a guaranteed lifespan of 5 million shockwave impulses and/or 2 years. A functional check carried out by a maintenance engineer is recommended at the end of this period.
60 mm penetration depth with a 5x larger focal volume
The PiezoWave2 PLUS 60 expands the limits of ESWT. Its piezo double-layer FB10G6 therapy source is unique and, in addition to a maximum penetration depth of 60 mm, it creates a 5x bigger focal volume which optimizes the localization of pain points. The unit is supplied together with a point focused therapy source (FB10G6) and is particularly suitable for ESWT applications and to treat trigger points in orthopedics, rheumatology and sports medicine.
The system can be upgraded at any time by purchasing additional optionally available therapy sources. The PLUS 60 allows you to expand your application portfolio in the future – for example, by purchasing a linear focused therapy source.
Standard accessories:
Therapy source / handpiece FB10G6 60 mm
Gel pads
1 bottle ESWT contact gel, 250 ml
Foot switch
Cart
The tablet PC is not part of the unit. The ESWT instruction app and the trigger-point app are available from the App Store.
Technical specifications:
External power supply: 100V – 127V ; 220V – 240V / 50 – 60 Hz
Noise level: 65 dB(A)
Classification 93/42/EEC class IIb product
Technical specifications for the therapy source:
Energy flux density: 0.027 – 0.702 mJ/mm²
Intensity levels: 20 levels
Maximum penetration depth: 60 mm
Choice of foot or hand activation
Maintenance
The unit requires very little maintenance. To maximize the life of your product, we recommend the following:
Control unit
In the EU, an annual safety inspection is mandatory. This inspection should be combined with a functional check carried out by a maintenance engineer.
Therapy source
The therapy source has a guaranteed lifespan of 5 million shockwave pulses and/or 2 years. A functional check carried out by a maintenance engineer is recommended at the end of this period.
Unique. Point focused and linear focused piezo shockwave.
The PiezoWave 2 MultiUse 40 is a unique focused shockwave therapy (ESWT) unit with a wide range of applications. Its two therapy sources are unique. The piezo F10G4 therapy source provides established and proven treatment applications with a maximum penetration depth of 40 mm; the linear arrangement of the focal zone created by the linear focused shockwave has made it possible to use focused applications to treat larger areas homogeneous for the first time, opening up new perspectives for shockwave therapy (particularly for myofascial trigger-point therapy and dermatology/wound healing). The linear focused FBL10x5G2 therapy source has a penetration depth of 20 mm. The unit is particularly suitable for applications in the fields of orthopedics, myofascial therapy, sports medicine and dermatology (wound healing disorders).
The system can be expanded at any time by purchasing additional optionally available therapy sources.
Standard accessories:
Therapy source F10G4 40 mm; therapy source FBL 10x5G2
Gel pads
1 bottle ESWT contact gel, 250 ml
Foot switch
Cart
The tablet PC is not part of the unit. The ESWT instruction app and the trigger-point app are available from the App Store.
Technical specifications:
External power supply: 100V – 127V; 220V – 240V / 50 – 60 Hz
Noise level: 65 dB(A)
Classification: 93/42/EEC class IIb product
Technical specifications for the therapy source:
Energy flux density: 0.018 – 0.822 mJ/mm²; 0.018 – 0.160 mJ/mm2
Intensity levels: 20 levels
Max. penetration depth: 40 mm; max penetration depth: 20mm
Foot-activated, hand-activated
Maintenance
The unit requires very little maintenance. To maximize the life of your product, we recommend the following:
Control unit
In the EU, an annual safety inspection is mandatory. This inspection should be combined with a functional check carried out by a maintenance engineer.
Therapy source
The therapy source has a guaranteed lifespan of 5 million shockwave pulses and/or 2 years. A functional check carried out by a maintenance engineer is recommended at the end of this period.
You are supported by our optional ESWT App and our Triggerpoint App for your IPad or Android Tablet PC*. With this new form of user support we want to ensures that even in future you will continue to receive the latest information on settings and the newest experiences for clinical applications. Quickly and online.
Our cooperation partner RB and Elvation offers a most detailed App for the triggerpoint treatment. Perfect for the treatment support and patient information.
Linear focused Shockwave treatment of vascular Erectile Dysfunction
The LSTC-ED (Linear Shockwave Tissue Coverage) treatement – a new and unique approach
Point focused (Fig.1/4) and linear focused (Fig.2/5) shockwaves have shown to provide good results in the treatment of vascular-related ED. However they were hindered by difficulty in treatment delivery and especially treatment coverage using specialised applicators. New experience in the low intensity shockwave treatment of ED using a therapy source with a linear shaped therapy focus are showing improved results utilizing an optimized, new treatment strategy. The treatment strategy is called LSTC-ED (Linear Shockwave Tissue Coverage – Erectile Dysfunction) (Fig 3/6). The innovation in treatment involves the direction of the energy application and the course of treatment which covers across the entire cavernous bodies. The energy is applied at a right angle to the cavernous bodies by moving the therapy source longitudinally through the Penis (Corpora Cavernosa) and Perineum (Crura Penis), ensuring that the optimised energy is delivered through the entire target tissue.
We have used the utmost care in researching and clinical approval of this method. A reputable evidence and study proof was important to us. A prospective, multicenter placebo-controlled study with 75 patients is showing a significant improvement in IIEF-5 scores and a successful treatment in 81% of patients after one month of treatment. A functional improvement was proven 6 months after treatment and underlined the long-term effect of LSTC ED treatment.
The main mechanism of action in ED treatment with shockwaves:
– Neovascularisation
– Improved blood circulation
Focused Piezo Shockwaves to treat Wounds of the diabetic foot syndrom
Die Extracorporeal shockwave therapy (ESWT) for wound management is a non-invasive procedure to stimulate wound healing. A shockwave is a strong, expansive, acoustic pressure wave with an extremely short rise time of just a few nanoseconds, which is followed after a few microseconds by a brief moment of negative pressure, after which pressure returns to normal again. The focused shockwaves used in ESWT reach their highest point of pressure precisely in the target tissue.
For a long time the biological mode of action of shockwaves and how they improved wound healing was not understood; recently, the effects have been described very precisely. Research results have been confirmed by clinical experiences reporting significant improvements in wound healing.
In recent years, numerous scientific studies and publications, some of which also used focused piezo shockwaves, have described the mechanism of action of ESWT in stimulating wound healing. In principle, ESWT is a strong, targeted, mechanical stimulus which promotes biological self-healing processes. On closer inspection, wound healing is the result of a number of complex shockwave effects. Mechanical stimuli infl uence many cellular functions in living tissue, including cell growth, cell differentiation, cell migration, protein synthesis, physiological apoptosis and tissue necrosis. Extracorporeal shockwaves are mechanical stressors capable of inducing biochemical changes in living tissue, which on a molecular level ultimately affect the gene expression of cells, thereby eliciting certain tissue reactions when selectively applied. This process is referred to as mechanotransduction.
Mechanisms of action and effects of ESWT described in the literature:
– neovascularization
– induced release of growth factors such as TGF-Ð1, VEGF
– stimulation of fi broblast proliferation
– stimulation of mesenchymal stem cell migration
– antibacterial effect
– stimulation of local blood fl ow and suppression of pro-infl ammatory processes
Piezo Shockwave for animals
effective and gentle
The Piezo Shockwave from Richard Wolf uniquely combines and expands orthopaedic ESWT applications with the applications of TPST. This means a significant expansion of the range of applications by including the wide area of myofascial pain syndrome. The extracorporeal, focused shock wave allows both the therapy and the precise location of active and latent trigger points. The trigger is excited by the small focus point. The variable depth of penetration of the focused shock wave up to 60 mm allows deep-seated triggers to be localised and treated with accuracy. To minimize the flight instinct the systems are powerful but extremly quiet.
Indications for ESWT in large animals
• Insertion desmopathy
• Tendopathy
• Inflammation of sesamoid bones
• Calcification
• Degenerative joint disease
• Fractures (pseudathrosis), fissures
• Periostal reactions
• Back musculature
Indications for ESWT in small animals
•
• Disorganized or delayed healing of fractures b(pseudarthrosis) with and without fixation
• Tendonitis of the bicipital, Achilles and suprascapular btendon
• Osteoarthritis
• Malformation of the elbow and hip
• Sesamoiditis
• Chronic back pain