SWISS DOLORCLAST MASTER FROM THE INVENTOR OF RSWT



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SWISS DOLORCLAST MASTER } A new operating concept for radial shock wave therapy FROM THE INVENTOR OF RSWT

ORIGINAL METHOD SWISS DOLORCLAST MASTER ORIGINAL METHOD SWISS Touchscreen interface Swiss DolorClast Evo Blue handpiece DOLORCLAST MASTER INNOVATIVe TOUCHSCREEN interface } } Operating concept based on user-friendly interface } Efficiency demonstrated by scientific evidence } Evo Blue handpiece designed for unparalleled performance } digital display of energy flux density PIONEERING RSWT HANDPIECE

USER INTERFACE set, treat and store } Much more than just another kind of operating mode JOE BLOGG / method > Photos and videos of step-by-step demonstration of each application METHOD 01. 02. 03. 04. 01. Palpation of the painful region 02. Label the painful region 03. Apply coupling gel 04. Treat with radial handpiece WATCH VIDEO MORE INDICATIONS PRESSURE 3.0 bar IMPULSES 2000 FREQUENCY 10 Hz APPLICATOR 15 mm EVO ENERGY 136 mj / mm 2 ENERGY METHOD MED INFO PROOF RISKS READY INDICATION PATIENT SETTINGS DOcUMENTATION > Capture of the patient s entire treatment history > Easy access to personalized treatment settings SESSIONS 27.03.2012-13:14 04.04.2012-15:04 12.04.2012-09:14 20.04.2012-14:18 VIEW PATIENT VAS SCORE PRESSURE (Bar) 3.0 IMPULSES 2000 FREQUENCY (Hz) 20 NOTES JOE BLOGG (27.04.1973) HANDPIECE APPLICATOR (mm) TOTAL ENERGY (mj/mm 2 ) EVO BLUE Severe chronic foot pain, heel pain on walking, stopped jogging a year ago. Tried multiple treatments. 36 347 Settings > All individual settings at a glance > Immediate indication of energy flux density > Automatic recognition of the Evo Blue handpiece READY EDIT INDICATION Success control > Automatic display of treatment results > vas score to track pain reduction SESSIONS 27.03.2012-13:14 04.04.2012-15:04 12.04.2012-09:14 20.04.2012-14:18 CREATE PDF VAS SCORE 10 8 6 4 2 0 CREATE CSV JOE BLOGG (27.04.1973) Patient directory > Patient files alphabetically stored > Immediate access to patient files PLEASE SELECT PATIENT A B C D E F G H I J K L M N O P Q R S T U V W X Y Z Medical information > Complete therapeutic guide of clinical data, contraindications and scientific publications for each indication MED INFO Plantar fasciopathy (PF) is an acute or chronic, painful disorder of the plantar fascia that spans between the medial calcaneal tubercle and the proximal phalanges of the toes. It is the most common cause of plantar heel pain and accounts for approximately 11-15% of foot symptoms presenting to physicians. The main clinical symptom is heel pain, particularly in the morning or after a period of rest. BASSILLOT CHRISTOPHER BABAL HELMUT JAHN BERGER FRANZ BISGER JAHN BOZIN SASHA BRÜHN PHILLIP CABOUCHE MARIO SELECT TREATMENT CHARIOT ANNE-MARIE JOSEPH CHAMINI JOSEPHINE CHIANTI AMELIE MARIA DAMIR CHLEB DALERMO FRANCESCO DORNBRUN CHRISTOPHER DÜRR MAXIMILIAN KARL METHOD MED INFO PROOF RISKS

performance evo blue energy unique rswt handpiece delivering constant energy > New Swiss DolorClast EVO BLUE handpiece with constant energy transfer irrespective of the chosen frequency (blue curve) unachievable using conventional technology (red curve) Radial at 1 hz EVO BLUE at 1 Hz Energy flux density (mj/mm 2 ) 0.20 0.18 0.16 0.14 0.12 0.10 0.08 0.06 0.04 0.02 0.00 A A1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Frequency (Hz) EVO BLUE at 15 Hz B1 Radial at 15 hz B HIGHER PERFORMANCE and easy handpiece revision with NEW APPLICATOR design and piston technology } > High-precision smart-lock piston with patented valve system for unprecedented energy f lux densities at all frequencies > Easy handpiece revision by quick replacement of smart-lock piston much faster, more precise and safer than (self-) assembly of single spare parts > The latest masterpiece from the inventor of radial shock wave therapy (RSWT ) the Original Swiss DolorClast Method 6 x larger treatment area Learn more about the EVO BLUE energy High-speed photography (in degassed water) of cavitation bubbles consequent to the negative phase of the propagation of radial shock waves generated with the previous Swiss DolorClast Radial handpiece (A, B) and the new Swiss DolorClast EVO BLUE handpiece (A1, B1), operated with 4 bar pressure at 1 Hz (A, A1) and 15 Hz (B, B1). Note that at 1 Hz the cavitation fields of both handpieces are very similar. In contrast, at 15 Hz the new Swiss DolorClast EVO BLUE handpiece generates a much stronger cavitation field than the Swiss DolorClast Radial handpiece. The fact that at 15 Hz the cavitation field of the new Swiss DolorClast EVO BLUE handpiece is even stronger than at 1 Hz (compare B1 with A1) is most probably due to persisting cavitation bubbles that were generated by earlier radial shock waves. The red lines in A and B as well as the blue lines in A1 and B1 depict the surface of the 15 mm applicators of the handpieces. Cavitation is considered a central mechanism of action of shock waves on the musculoskeletal system (Schelling et al., Biophys J. 1994;66:133-140; Hausdorf et al., Brain Res. 2008;1207:96-101; Schmitz and DePace, Urol Res. 2009;37:231-234). 15 mm 36 mm radial Shock waves today

indications SWISS DOLORCLAST MASTER evidence Point-by-point evidence > Radial shock wave therapy (RSWT ) is proven safe and effective for all indications shown > Clinical studies conducted in accordance with the principles of evidence-based medicine have demonstrated the efficiency of the Original Swiss DolorClast Method 1 3 2 if pain sufferers only knew } Scientific studies support the efficiency of the Original Swiss DolorClast method indications with randomized controlled clinical trials* } 1 Tennis elbow Epicondylitis humeri radialis Literature: Mehra et al., Surgeon 2003;1:290-292 (I)* 2 subacromial pain syndrome Literature: Engebretsen et al., Brit Med J 2009;339:b3360 (I)* 3 Greater trochanteric pain syndrome Literature: Furia et al., Am J Sports Med 2009;37:1806-1813 (II-2)* Rompe et al., Am J Sports Med 2009;37:1981-1990 (I)* 4 Patella tip syndrome Literature: Furia et al., Knee Surg Sports Traumatol Arthrosc 2013;21:346-350 (II-2)* 5 Medial Tibial Stress Syndrome Literature: Rompe et al., Am J Sports Med 2010;38:125-132 (I)* 6 Insertional achilles tendinopathy Literature: Rompe et al., Am J Sports Med 2007;35:374-381 (I)* Rompe et al., Am J Sports Med 2009;37:463-470 (I)* 7 midbody achilles tendinopathy Literature: Rompe et al., Am J Bone Joint Surg 2008;90:52-61 (I)* 4 5 8 Plantar fasciitis Literature: Gerdesmeyer et al., Am J Sports Med 2008;36:2100-2109 (I)* Ibrahim et al., Foot Ankle Int 2010;31:391-397 (I)* > Randomized controlled clinical trials are ongoing regarding the following indications: rugby knee (Osgood-Schlatter disease), idiopathic low back pain, pseudoradicular syndromes and myofascial pain syndrome the results will be published online 7 8 6 other indications } > Moreover, the Swiss DolorClast is also approved for the treatment of the following indications: calcifying tendinitis of the shoulder, primary and secondary lymphedema, Peyronie s disease, acute and chronic soft tissue wounds and cellulite * Evidence levels defined by the United States Preventive Services Task Force SCIENTIFIC EVIDENCE FOR ALL INDICATIONS www.swiss-dolorclast.com

advantages ULTIMATE RADIAL SHOCK WAVE experience ALL ADVANTAGES AT A GLANCE } > Unique system that automatically displays the actual energy flux density applied to the patient (in mj/mm 2 ), calculated on the basis of the selected air pressure (in bar). This allows the user to continuously monitor the energy applied to the tissue > 17 ready treatment protocols with preset recommended settings > Possibility to create up to 200 personalized treatment protocols > Up to 3000 patient files stored with automatic treatment history storage > USB memory port to upgrade software and easily export data > With 20 inclination for ideal screen vision > Energy Flux Density mj/mm 2 - on display TECHNICal DATa Frequency 1 20 Hz Air Pressure Range 1.5 4.0 bar Impulses Range 500 10 000 Weight Approx. 6.4 Kg Dimensions (HxLxD) 136 x 356 x 391 mm REFERENcEs Swiss DolorClast Master Dedicated Cart Compressor Swiss DolorClast EVO BLUE Handpiece Cable and bottle holder FT-217 dw-039 dw-017 fr-119a FR-158/A ALL IN

EMS SA FA-427 /EN Edition 04 / 2013 EMS SWISSQUALITY.COM EMS Electro Medical Systems SA Chemin de la Vuarpillière 31 CH-1260 Nyon Tel. +41 22 99 44 700 Fax +41 22 99 44 701 welcome@ems-ch.com www.ems-medical.com