Piezowave 2T Shockwave Therapy System

The 4 generation in Piezo Shockwave therapy systems

The highest quality combined with a new operating structure, the PiezoWave2T delivers market-leading innovation to provide you with even more variability and safety. The “T” in the name stands for the high resolution Touch screen, which together with a completely new high voltage generator design, supports the innovative and patented T(iming) treatment delivery modes. Additionally, the PiezoWave2T now provides consistent energy delivery up to 12Hz pulse frequency

Benefits at a glance

-Its level of quality and exceptional output levels coupled with a new system of controls set the benchmark for extracorporeal shockwave therapy.
-The right therapeutic focus for every indication
-Direct Focusing – the gentlest and most precise method of generating shockwaves
-Penetration depth can be incrementally adjusted
-Unique longevity – Up to 5 million shockwave pulses guaranteed
-Stable frequency/energy flux density ratio – Treat with up to 12 Hertz!
-Exceptionally low maintenance
-Dual-View, system of control, support when selecting parameters
-ELvation HUB, access to the latest information about settings and applications, available everywhere and at any time
-T-Mode. An innovative and unique treatment concept
-Up to 25% lighter than our previous system

T-MODE – An innovative and unique treatment concept

Developed and patented by Richard Wolf GmbH. The scientific literature has found that the frequency of extracorporeal stimuli has a relevant impact on mechanotransduction, i.e., the transformation of mechanical stimuli into biochemical signals. Certain frequencies can be specifically used for therapeutic purposes.

T-Burst
The T-Burst frequency mode refers to a series of successive pulse packages interrupted by a brief pause. The duration of pulses and pauses and the frequency are defined before starting treatment. The target tissue experiences a constant shift between the stimulus and respite from the stimulus.

T-Ramp
With the T-Ramp mode, there is a gradual increase in frequency over a defined period of time. The initial frequency and the ultimate frequency as well as the time period during which the frequency increases are defined before starting treatment. It is used for dynamic applications to treat tendons, the musculotendinous junction, and the muscle belly.

Expert view/mode
During the treatment, you can individually display the set total energy flux density (mJ/mm²), the set positive peak pressure (MPa) and the remaining treatment time.

Piezoelectric technology and advantages:

Piezo-ceramic elements arrayed on a concave surface are briefly and simultaneously expanded by a few micrometers by the application of a high-voltage pulse to create a pressure pulse. The piezo elements are precisely aligned with the therapy focus. By precisely focusing the pulse, a shockwave is created in the focal treatment zone.
Piezo shockwaves can be focused directly and do not require an additional reflector. This technology allows a compact therapy source design and creates a precise, well-defined focal zone. The technology is quiet and almost painless, and the intensity can be regulated independently with almost no effect on focal size.
The piezo shockwave technology is also extremely durable. Depending on the version, therapy sources have a guaranteed lifespan of up to 5 million pulses. Therapy sources can be either single-layer or double-layer, depending on the required output and focal shape.
Stable output frequency from one pulse to the next via an optimised high-voltage generator, exceptionally powerful and low maintenance. Conventional and previous ESWT technologies inadvertently reduce the shockwave frequency when utilizing higher intensities as their technical capabilities are limited. In contrast, the new high-voltage generator of the PiezoWave2T guarantees a stable frequency/intensity ratio across a wide area

Focused and linear 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.

Focused shockwave: The focused therapy source of the PiezoWave2 is characterized by its well defined and precise focal zone. Well suited for ESWT therapy and diagnosis. Its guaranteed lifespan of up to 5 million pulses is unrivalled.

Linear shockwave: Breaking new ground in shockwave therapy. The unique linear alignment of piezo crystals along the width of the therapy head creates multiple focal zones and provides a larger overall area of shockwave treatment.

Available treatment sources

FB10G6: Focused shockwave with double layer piezo elements. Adjustable treatment depth from 0 to 60mm

F10G10: Focused shockwave with single layer piezo elements. Adjustable treatment depth 10 to 100mm

FBL10x5G2: Linear shockwave with double layer piezo elements. Adjustable treatment depth from 0 to 20mm

F10G4: Focused shockwave with single layer piezo elements. Adjustable treatment depth from 5 to 40mm

F7G3:  Focused shockwave with single layer piezo elements. Adjustable treatment depth from 0 to 30mm

Conditions treatable with ESWT:

Tennis elbow

Calcific tendonitis of the shoulder

Golfer's elbow

Trigger point treatment

Pseudarthrosis (non-union)

Greater trochanteric pain syndrome

Patellar tip syndrome

Medial tibial stress syndrome

Plantar fasciitis

Achilles tendinopathy

* Current ESWT research activity to support new indications is focused on wound treatment, dermatology, prostatitis

Effectiveness

Extracorporeal shockwaves can be seen as a mechanical stressor that is able to induce biochemical changes in living tissue and which can ultimately influence gene expression in cells at the molecular level, consequently, when used selectively, they can produce a specific tissue reaction. This process is reffered to as mechanotrasduction.

Scientific studies and publications, using the higly accurate piezo-shockwave technology, have confirmed the effectiveness of focused shockwaves for ESWT as well as trigger point diagnosis and treatment.

ESWT is one of the very few medical technologies that is effective at treating chronic injuries. It is suggested that ESWT can "jump start" the healing process in chronic, non-healing injuries and reintroduce the acute phase of healing

Shockwave technologies

While there are numerous shockwave machines on the market today, they are all based on one of the three shockwave technologies, which are:

- Electrohydraulic

- Electromagnetic

- Piezoelectric

There is a fourth technology - radial shockwave (RSWT) or more accurate described as pressure wave therapy, which differs from true shockwave technology because it does not focus pressure waves to create a shockwave. A review of the waveforms reveals that true focused shockwaves are very short and intense while radial pressure waves are slower, less intense, elongated and more sinusoidal in appearance. Because no actual shockwave is produced with RSWT, and because the waveform is so different, RSWT is not considered a shockwave technology. It is more accurately described as a pressure wave technology, and most researchers now use this term to distinguish it from shockwave technology.