Modus Focused ESWT Shockwave Therapy / Products / Inceler Medikal Co. Ltd.

MODUS FOCUSED ESWT
SHOCKWAVE THERAPY

Non-Invasive treatment method to use for diabetic foot ulcers and chronic injuries.

Modus Focused ESWT is an effective treatment method used in dermatology. This method treats skin problems with applied focused shock waves on the skin. One of the basic principles of the Modus Focused ESWT is to activate the tissue healing mechanism on the skin.

The effectiveness of Modus Focused ESWT is proven for serious dermatologic situations such as chronic injuries, diabetic foot ulcers, venous ulcerations, and other skin lesions. Shock waves provide increased blood flow and invasion of neovascularization to rapidly treat these kinds of injuries.

Modus Focused ESWT helps to boost collagen production and renew the skin tissues with high-focused shock waves to deep parts of the skin.

Features of the Focused Product

Impulses up to 4 Hz and 0.25mJ
Head options that provide shock wave transmission with a penetration depth of 0 - 80 mm
Power adjustment up to 25 levels
Portable, anywhere, anytime treatment
Ready-made treatment programs and visual, written and video narrative information (Indications and Pathological Applications Guide)
Archive support for the user with patient registration and follow-up menu
Ability to change Frequency and Power settings during treatment.
The parameters set during the treatment can be easily seen on the device screen and changes can be made during the treatment.
Generator and handpiece unit does not require maintenance.

Coloured Touchscreen
technology provides
easy use.

FREQUENCY

LEVEL

Modus Focused ESWT Device provides you ease of use with its feature of changing FREQUENCY and LEVEL settings during patient treatment. You can adjust the frequency and power of the device up to 25 levels according to the patient with this feature.

Modus Focused Handpiece Features

In-depth energy delivery to the selected anatomical region
Easy and fast use that does not tire the hand;
Easy mobility;
Maintenance-free handpiece;
Head options with easy replacement according to use

Effectiveness Of Shock Wave Therapy

“As shock waves pass through different tissues, some of their energy is transmitted to the tissue and some is reflected. Micro-level changes are seen according to the physical properties of the tissue.” (Sems, Dimeﬀ & Ianotti JP., 2006).

With shock wave therapy, the therapeutic result is easily achieved by transmitting more energy to the tissue.

GIVES MORE ENERGY FURTHER

F-50 Head

Penetration Depths

68,50 mm

28,50 mm

12,50 mm

84,50 mm

Usage Area: Epin Calcanei, Achillodynia, Bone and Stress Fractures, Calcified Tendonitis Of Shoulder, Patellar Type Syndrome...
F-60 Head

Penetration Depths

74,93 mm

34,93 mm

18,93 mm

Usage Area: Myofascial Trigger Points, Plantar Fasciitis, Bone and Stress Fractures, Epin Calcanei, Patellar Type Syndrome...
F-80 Head

Penetration Depths

80,50 mm

40,50 mm

24,50 mm

Usage Area: Achillodynia, Bone and Stress Fractures, Calcified Tendonitis Of Shoulders, Patellar Type Syndrome...
F-L50 Head

Penetration Depths

69,08 mm

29,03 mm

13,03 mm

Usage Area: Achillodynia, Carpal tunnel Syndrome, Chronic Pelvic Pain, Osteitis Pubis-Inguinal Pain, Patellar Type Syndrome...

Innovations in Lipedema Treatment: Shock Wave Technology with Prof. Dr. Suat Doğancı

What is Dermo-Focused Shock Wave Therapy?

Provide support to the system of the new blood vessels are produced with the Preexisted vessels, Angiogenesis (the physiological process through which new blood vessels form from pre-existing vessels) Performs mechanic trauma effects on tissue with Vasculogenic: the process of blood vessel formation, occurring by a de novo production of endothelial cells. With the transformation of healing, the process starts with producing new vessels.

The non-invasive method provides muscle, nerve, joint, bone, tissue, and vessel renewal.

Focused Shock Wave Treatment Clinical Advantages

Higher Energy Output
Usually better tolerate with higher comfort level.
Rapid conclusions for some indications.
Able to use with other treatments.
More energy to deeper.

MAIN INDICATIONS FOR THE SYSTEM

Chronic Skin Ulcer
Diabetic Foot Wound
Venous ulceration
Scalp wounds
Leprosy
Burn Disorders
Scar
Pressure Ulcers i.e. Decubitus Ulcer Keloid
VASCULAR
Lymphoedema
Lipoedema

Higher Energy Output

High Energy Depth

Fast and Effective Treatments

FOCUSED ESWT CHARACTERISTICS

Extracorporeal Shock Wave Therapy (ESWT) is a non-invasive method and is widely used in urology as well as in various musculoskeletal diseases. There are 3 mechanisms for generating shock waves: electrohydraulic, electromagnetic, and piezoelectric.

In electrohydraulic devices, shock waves are formed as a result of the discharge of the electrode in a liquid medium due to the high voltage applied to its ends. This shock wave is focused with the help of a reflector. [1]

The working principle of electromagnetic shock wave devices is based on the induction of a magnetic field, and the shock wave is focused using acoustic lenses.

In piezoelectric ESWT devices, a large number of piezo crystals are placed inside a sphere and a rapid electrical discharge is provided. As the crystals contract and expand, a pressure is created in the water and a shock wave is produced. Focusing is determined by the geometric arrangement of the crystals inside the sphere.

igure 1. Different types of generating pressure waves and shock waves are produced by the diverse devices for ESWT [2]

ESWT DEVICE COMPARISON

Waveform Specifications

Electrohydraulic devices produce shock waves with shorter rise times than piezoelectric and electromagnetic devices. The rise times of electrohydraulic devices have been measured as approximately 35 ns, while the rise time for the Modus Focused ESWT device is 31 ns. This allows the energy to be transferred to the targeted area more quickly and the signal is less distorted while reaching the target. Since the rise time in piezoelectric and electromagnetic devices is longer, oscillations and distortions are observed more in the waves produced by these devices.

For these reasons, the short rise time in electrohydraulic devices provides effective treatment to the desired area in shock wave therapy application. [3]

Figure 2. Pressure- Time Wave of Modus Focused ESWT based on hydrophone measurements

Figure 3. Rise Time Comparison of three ESWT Mechanisms, EH (Electrohydraulic), EM(Electromagnetic), PE(Piezoelectric)

Penetration Depth

The penetration depth of the piezoelectric shock wave is usually up to 5 cm and is the device that reaches the lowest treatment depth. The penetration depth of electromagnetic shock waves is around 6 cm, providing a more effective treatment depth than piezoelectric devices [4]. While the penetration depth is higher in electrohydraulic shock wave devices, the maximum penetration depth in the Modus Focused ESWT device is up to 8.45 cm. This situation creates an advantage for both near-surface and deep treatments.

Figure 4. Penetration Depth Representation of Modus Focused ESWT

Treatment Zone

Piezoelectric devices have the smallest focal volume, which can make it difficult to precisely target the correct area. Although electromagnetic type devices affect a larger treatment zone than piezoelectric type devices, they do not have as large a treatment volume as electrohydraulic devices. The devices that reach the highest area in the -6 dB focal region are electrohydraulic devices. The high energy and strong focusing feature of electrohydraulic technology makes it possible to apply treatment to larger areas [5]. Since it has a large focal volume, it has been observed that it shortens the treatment time by providing more energy transfer to the treated area for a given energy flow density (mj/mm2).

Figure 5: Focal Zones and Treatment Depth of EH, EM and PE ESWT Devices

[1] [3] [6] Gladys L.Y. Cheing, Hua Chang. :Extracorporeal Shock Wave Therapy, Journal of Orthopaedic and Sports Physical Therapy, 2003
[2] Vinzenz Auersperg, Klemens Trieb.: Extracorporeal shock wave therapy: an update, EFORT Open Reviews, 2020
[4] Saxena, A. and Shou, L., 2019. Combined ESWT & RSW Therapy for Achilles Tendinopathy: A Prospective Study. Muscles, Ligaments & Tendons Journal (MLTJ), 9(4).