Modus Focused Portable / Products / İnceler Medikal Ltd.

The Modus F Portable is equipped with a focusing mechanism that directs each shock to a specific point on the body. Specialized headgear devices are used to tailor the energy depth, and the focused shockwaves deliver their full energy to the tissue, precisely targeting deeper tissues. These features allow for the most effective treatment of localized painful areas, chronic insertional tendinopathies, bone stress injuries, and deep trigger points. Furthermore, patients who cannot tolerate radial treatments for acute injuries may also benefit from focused shockwave therapy. This shockwave therapy method is widely preferred in many areas, including orthopedics and physical therapy, as well as veterinary medicine, neurology, urology, cardiology, sports medicine, dermatology, and aesthetics.

This therapy method using shock waves is widely preferred in many fields such as orthopedics and physical therapy, as well as veterinary medicine, neurology, urology, cardiology, sports medicine, dermatology and aesthetics.

Modus F Portable's non-invasive working principle eliminates the need for anesthesia or surgical intervention. Patients can easily resume their daily activities after each session, making the treatment process more comfortable.

Modus F Portable Product Features

Penetration depths range from 0 to 95 mm, with various handpiece options.
25-level power adjustments provide precision and control.
Portability allows for treatment anytime, anywhere.
Pre-made treatment programs include visual, text, and video-supported guides.
A patient record and follow-up menu provides comprehensive archive support.
Ability to change frequency and power settings during treatment.
Easy-to-view parameters on the device screen.
Maintenance-free design ensures long-lasting operation of the generator and handpiece.
Color touchscreen for ease of use.
Ergonomic design provides lightweight and comfortable use.
50% quieter operation; comfortable use for both patient and specialist.

FREQUENCY

STAGE

The Modus F Portable device provides ease of use by allowing you to adjust the "Frequency" and "Stage" settings during patient treatment. This feature allows you to adjust the device's frequency and power level up to 25 levels, tailored to the individual patient.

Modus F Portable Handpiece Features

Deep energy delivery to the selected anatomical area
Easy and fast operation without tiring the hand
On/Off button
Easy maneuverability
Maintenance-free handle
Easy-to-change headgear options depending on use

UltraFocus (UF) headgear with the highest focus energy

Penetration Depths 64.25 mm 22.75 mm 10.25 mm

Penetration Depths

Penetration Depths 71.45 mm 29.95 mm 16.45 mm

PenetraMax (PM) Head with deep penetration and a wide treatment area

Penetration Depths 79.00 mm 54.00 mm 31.00 mm

Modus F Portable offers professional treatment in any environment thanks to its portable structure and quick installation.

Effectiveness of Shock Wave Therapy

What is Focused Shock Wave Therapy?

There are two types of shockwaves: focused and radial. Focused shockwaves have a higher energy density and a faster pulse rate than radial devices. By delivering all of their energy within the tissue, focused shockwaves can target deeper tissues more precisely.

Myofascial Trigger Points
Carpal Tunnel Syndrome
Plantar Fasciitis
Calcified Tendonitis of the Shoulder
Bursitis Trochanterica
Epin Calcanei
Patellar Type Syndrome
Tibial Syndrome
Tennis and Golfer's Elbow
Achillodynia
Bone and Stress Fractures
Delayed Bone Nonunion/Bone Healing
Knee and Joint Arthritis/Medial Knee OA
Osteitis Pubis/Groin Pain
Hip Avascular Necrosis
Carpal Tunnel Syndrome
Chronic Pelvic Pain
Wound Healing
Other Dermatological and Aesthetic Indications

Higher Energy Output

Depth of Impact up to 84.5 mm

Fast and Effective Treatments

PAIN TREATMENT IN 4 STEPS

PEAK

Find the painful area.

MARK

Mark the painful area.

APPLY GEL

Apply the gel to allow the shock waves to bond with the tissue.

APPLY SHOCK WAVES

While delivering shock waves to the painful area with the Radial or Focused device, apply the applicator firmly on the skin to the painful area.

Clinical Advantages of Focused Shock Wave Therapy

Higher energy output
Higher comfort level with higher tolerance
Faster results for some indications
Effective treatment for men's sexual health conditions
Used in conjunction with other treatments
Delivering more energy at a deeper level

TENDON INFLAMMATION

PSEUDORADICULAR LOW BACK PAIN

MYOFASCIAL PAIN SYNDROME

Chronic myofascial pain is a longer-lasting type of pain that can affect one or multiple muscle groups in the connective tissue.

This syndrome typically occurs after muscle overuse. As a result, pressure on sensitive points in the muscles causes pain in the muscle and sometimes in different parts of the body.

Symptoms of Myofascial Pain

The most basic symptom of myofascial pain syndrome is tissue stiffness in the affected area. Stiffness, along with pain or tenderness in the areas where myofascial pain occurs, are common symptoms.

Other effects of myofascial pain in patients are as follows:

Muscle tightness and burning,
Restricted joint movement or fatigue,
Head, back, neck, chest, lower back, shoulder, and sciatic pain.

ESWT Treatment for Myofascial Pain Syndrome

Studies suggest that ESWT breaks the cycle that causes persistent muscle spasms by creating ischemia in tight bands and trigger points and provides a 21-fold revascularization. It is also suggested that it increases the inhibitory control of descending pathways by stimulating the brainstem with serotonergic activation from the dorsal root, leading to hyperstimulation analgesia. Thus, it is stated that the release of free radicals, which provide an analgesic effect, changes the chemical composition of the cellular environment.

Advantages of ESWT Treatment for Myofascial Pain Syndrome

A study showed that the improvement in a group of patients with upper trapezius muscle myofascial pain syndrome treated with ESWT was as successful as the improvement achieved with injection or transcutaneous electrical neural stimulation treatments. It was also stated that this modality could be used for the diagnosis of myofascial pain as well as for its treatment.

Are There Any Side Effects of ESWT Treatment for Myofascial Pain Syndrome, and If So, What Are They?

ESWT is generally a safe procedure. With proper application, systemic side effects are almost non-existent. The most common unwanted effects are skin hyperemia and superficial hematomas. Other unwanted effects that may occur after treatment include local pain, numbness, and tingling.

What is the ESWT Treatment Duration and Period?

ESWT is effective in relieving pain in myofascial pain syndrome after four treatments in two weeks. However, the frequency of treatment may vary depending on the area and severity of the pain and the age group of the patient.

What is Pseudoradicular Pain?

Pseudoradicular pain does not radiate below the knee and is generally a localized proximal pain that does not affect the nerve roots. Pseudoradicular pain is also called referred pain. This means that the pain is perceived at a different location from its actual origin. In many cases of pseudoradicular low back pain, it is impossible to find the underlying disease.

ESWT Treatment for Pseudoradicular Low Back Pain

Radial shockwave therapy is a highly effective alternative treatment for pseudoradicular low back pain and is a type of treatment usually applied in 6-month periods.

Advantages of ESWT Treatment for Pseudoradicular Low Back Pain

The use of ESWT in patients with pseudoradicular low back pain or pseudoradicular pain in other areas provides significant and measurable reductions in pain at a 1-month follow-up and in disability at a 3-month follow-up.

Are There Any Side Effects of ESWT Treatment for Pseudoradicular Low Back Pain, and If So, What Are They?

Pain and discomfort during and after treatment (anesthesia is not required)
Slight redness in the treated area
Swelling and numbness of the tissue in the treated area
Side effects seen in the patient usually disappear within the first 36 hours after treatment.

What is the ESWT Treatment Duration and Period?

A single treatment usually lasts 15 to 20 minutes. Depending on the side effects seen after treatment, the patient often receives 3 to 5 treatments within a few weeks.

What is Tendon Inflammation?

Inflammation of the tissue that connects muscles and bones is called tendonitis. The tendon is responsible for opening and closing the joints in our body, i.e., for movement. Excessive strain on the tendon or repeated performance of the same movement can cause tendon inflammation.

Focused ESWT therapy provides a powerful solution for muscle and tendon disorders in four main categories. The treatment aims to create a supportive process that triggers and strengthens the body's unique healing process.

Focused ESWT Treatment for Tendon Inflammation

Focused ESWT treatment has been used for a long time to treat tendon diseases and tendon insertion problems. When a shockwave is applied in this treatment, healing of the wound is achieved by utilizing the body's activation of growth factors in the adjacent tissues. With this method, shockwaves should be understood as sound waves that spread into the tissue with a specific target. Short sound impulses with very high energy density are sent to specific tissue regions in a targeted manner, and an optimal depth effect can be achieved here.

How Long Does Shockwave Therapy Take? How Often Should It Be Applied?

A widely used method, focused shockwave therapy should be applied at intervals of five to seven days. Generally, 3 to 5 sessions are recommended for patients. The number of shockwaves delivered in a single session can change the total number of sessions to be performed, depending on the patient.

Are There Any Side Effects of Focused Extracorporeal Shockwave Therapy for Tendon Inflammation? If So, What Are They?

The healing process of the treatment is extremely fast, and no complications are observed other than minor redness or bruising. Pain or soreness after the application are not long-term side effects.

What to Expect After Focused Extracorporeal Shockwave Therapy, and What are the Advantages?

In this effective treatment method, it is often possible to see and feel the effect much more easily after the second session. After the sessions are completed, the pain significantly decreases and almost disappears from the third month onwards. The duration of the shockwave therapy's effect may also vary depending on each individual's muscle structure and skin sensitivity.

FOCUSED ESWT FEATURES

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

Electrohydraulic devices generate shock waves through a discharge in a fluid medium due to the high voltage applied to the tips of the electrodes. This shock wave is focused with the help of a reflector. [1]

Electromagnetic shock wave devices operate on the principle of inducing a magnetic field and the shock wave is focused using acoustic lenses.

Piezoelectric ESWT devices, on the other hand, place a large number of piezo crystals inside a sphere, and a rapid electrical discharge is provided. As the crystals contract and expand, a pressure builds up in the water, and a shock wave is produced. Focusing is determined by arranging the crystals in different geometries within the sphere.

Figure 1. Different ESWT Device Mechanisms Used in Pressure and Shock Wave Production [2]

COMPARISON OF ESWT DEVICES

Waveform Characteristics

Electrohydraulic devices produce shock waves with shorter rise times than piezoelectric and electromagnetic devices. The rise time of electrohydraulic devices has been measured at approximately 35 ns, while the rise time of the Modus Focused ESWT device is 31 ns. This allows for faster energy transfer to the targeted area and less signal distortion as it reaches the target. In piezoelectric and electromagnetic devices, since the rise time is longer, more oscillations and distortions are observed in the waves they produce.

This situation can cause the shock wave to reach the treatment area later and with reduced effectiveness. For these reasons, the short rise time in electrohydraulic devices ensures effective treatment in the desired area during shock wave therapy application. [3]

       Figure 2. Pressure-Time Graph obtained from Hydrophone Measurements of an Electrohydraulic Modus Focused ESWT Device
       Figure 3. Comparison of Rise Time for Three Different ESWT Devices,
       EH (Electrohydraulic), EM (Electromagnetic), PE (Piezoelectric)

Figure 3. Comparison of Rise Time for Three Different ESWT Devices,
EH (Electrohydraulic), EM(Electromagnetic), PE(Piezoelectric)

Penetration Depth

The penetration depth of piezoelectric shock waves is generally 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 can reach up to 8.45 cm. This creates an advantage for both superficial and deep treatments.

Figure 4. Representation of Penetration Depth for the Modus Focused ESWT Device

Treatment Area

Piezoelectric devices have the smallest focal volume, which can make it difficult to target the exact area. Although electromagnetic type devices affect a wider treatment area than piezoelectric devices, they do not have as large a treatment volume as electrohydraulic devices. Electrohydraulic devices are the ones that reach the highest area in the -6 dB focal region. The high energy and strong focusing capability of electrohydraulic technology make it possible to apply treatment to larger areas [5]. Since it has a large focal volume, it has been observed that it provides more energy transfer to the treated area for a specific energy flux density (mJ/mm2), thus shortening the treatment time.

Figure 5: Representation of Focal Width and Treatment Depth for 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).

Modus Focused Potable ESWT Portable ile ilgileniyorum ve ürün katalogunu incelemek istiyorum.

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MODUS FOCUSED ESWT PORTABLE Shockwave Therapy

Modus F Portable Product Features

FREQUENCY

STAGE

Modus F Portable Handpiece Features

UltraFocus (UF) headgear with the highest focus energy

Penetration Depths

PenetraMax (PM) Head with deep penetration and a wide treatment area

Modus F Portable offers professional treatment in any environment thanks to its portable structure and quick installation.

What is Focused Shock Wave Therapy?

Higher Energy Output

Depth of Impact up to 84.5 mm

Fast and Effective Treatments

PAIN TREATMENT IN 4 STEPS

PEAK

MARK

APPLY GEL

APPLY SHOCK WAVES

Clinical Advantages of Focused Shock Wave Therapy

MYOFASCIAL PAIN SYNDROME

Symptoms of Myofascial Pain

ESWT Treatment for Myofascial Pain Syndrome

Advantages of ESWT Treatment for Myofascial Pain Syndrome

Are There Any Side Effects of ESWT Treatment for Myofascial Pain Syndrome, and If So, What Are They?

What is the ESWT Treatment Duration and Period?

PSEUDORADICULAR LOW BACK PAIN

What is Pseudoradicular Pain?

ESWT Treatment for Pseudoradicular Low Back Pain

Advantages of ESWT Treatment for Pseudoradicular Low Back Pain

Are There Any Side Effects of ESWT Treatment for Pseudoradicular Low Back Pain, and If So, What Are They?

What is the ESWT Treatment Duration and Period?

TENDON INFLAMMATION

What is Tendon Inflammation?

Focused ESWT Treatment for Tendon Inflammation

How Long Does Shockwave Therapy Take? How Often Should It Be Applied?

Are There Any Side Effects of Focused Extracorporeal Shockwave Therapy for Tendon Inflammation? If So, What Are They?

What to Expect After Focused Extracorporeal Shockwave Therapy, and What are the Advantages?

FOCUSED ESWT FEATURES

COMPARISON OF ESWT DEVICES

Waveform Characteristics

Penetration Depth

Treatment Area

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