MASTERPULS»elite edition«application BROCHURE ESWT

Transcription

1 MASTERPULS»elite edition«application BROCHURE ESWT

2 Non-invasive therapy for people Our objective Better therapies through new technologies. Established in 1987, STORZ MEDICAL AG is a Swiss member company of the KARL STORZ Group. The objective pursued by our physicists and engineers is to conduct ongoing research into shock wave technology and to develop new system concepts. Our products have proved their efficacy all over the world in the fields of urology, orthopaedics, physiotherapy, rehabilitation, gastroenterology, cardiology, dermatology and aesthetic medicine. New compact systems have recently been developed so that other medical disciplines can also gain access to the benefits of non-invasive shock wave technology. With its pioneering technological innovations, STORZ MEDICAL is setting new standards in aesthetic medicine and in the treatment of pain in close-to-bone soft tissue of the postural and locomotor systems. As a reliable partner of doctors, we are committed to making a vital contribution to medical progress in the service of new therapy methods. 02

3 Contents Non-invasive therapy for people...02 Contents...03 System functions...04 Physics of shock wave technology...05 Overview transmitters...06 V-ACTOR handpiece...07 Indications/Contraindications...08 Shock wave therapy...09 Achillodynia...10 Plantar fasciitis...11 Metatarsalgia...12 Tibial stress syndrome...13 Patellar tendinitis...14 Trochanteric tendinopathy...15 Calcific tendinitis...16 Radial/ulnar epicondylitis...17 Trigger points/myofascial pain syndrome

4 System functions Note This application brochure is not intended to replace the unit s instruction manual. Refer to the manual for more detailed information. MASTERPULS»elite edition«the MASTERPULS MP200»elite edition«, MASTERPULS MP100»elite edition + «and MASTERPULS MP50»elite edition + «offer excellent therapeutic possibilities. What s more, they are a good investment into the future: simple transmitter replacement, easy-to-install retrofit options and software updates and other convincing features ensure that the MASTERPULS»elite edition«systems always remain up to date to handle new applications or respond to clinical and technological progress. This information has been compiled in close cooperation with experienced users of radial shock waves. The treatment success achieved with the MASTERPULS will obviously increase the more experience the user gains with the operation and use of the system. MASTERPULS MP50»elite edition + «The compact shock wave therapy system Built-in»Silent«compressor with time controlled condensate drain V-ACTOR handpiece, vibration therapy: 1 21 Hz Pressure: bar, frequency: 1 15 Hz Optional battery-powered operation MASTERPULS MP100»elite edition + «The classic shock wave therapy system Built-in high-performance»silent«compressor with time controlled condensate drain V-ACTOR handpiece, vibration therapy: 1 31 Hz Pressure: bar, frequency: 1 21 Hz Optional battery-powered operation MASTERPULS MP200»elite edition«the high frequency shock wave therapy system External high-performance ENERGY II»elite edition«compressor with time controlled condensate drain V-ACTOR handpiece, vibration therapy: 1 35 Hz LCD touch screen Pressure: bar : 1 21 Hz Visual treatment guide Two handpiece connectors 04

5 Physics of shock wave technology Radial shock waves Radial shock waves (R-SW) are introduced into the body by means of a freely moved handpiece and cover the entire pain region. Radial shock waves are often referred to as radial pressure waves, which is the correct definition in physical terms. The radial handpiece of the MASTERPULS is a compressed air operated, ballistic shock wave generator. A projectile is accelerated by compressed air. As a result of this motion, the projectile gains kinetic energy, which is converted into acoustic energy in the form of long-wave pressure pulses when the projectile strikes a shock transmitter. These acoustic pulses are transmitted to the target tissue by means of gel. Radial shock waves propagate divergently into the tissue after application and lose energy as the penetration depth increases. They are characterized by long-wave lengths and cannot be focused on deep target areas. Penetration depth is approximately 3.5 cm with the standard transmitter R15. Their maximum energy flux density is at the exit point from the transmitter that means on the surface of the skin. Handpiece R-SW Development of radial shock waves and their superficial effect 05

6 Overview transmitters Trigger points/enthesopathies A6»Point«F15»White Soft«T10»Finger«Ø 6 mm, AkuSt transmitter Shock wave acupuncture Penetration depth: 0 20 mm Intensity: Ø 15 mm,»focus Lens«transmitter Superficial pain regions, muscles of mastication, cervical spine Penetration depth: 0 30 mm Intensity: Ø 10 mm, trigger point transmitter Penetration depth: 0 40 mm Intensity: R15»Standard«DI15»Golden Depth«C15»Ceramic Energy«Ø 15 mm, standard transmitter Any type of enthesopathy Penetration depth: 0 35 mm Intensity: Ø 15 mm, Deep Impact transmitter Deep target areas, chronic disorders, high-energy applications Penetration depth: 0 50 mm Intensity: Ø 15 mm, CERAma-x transmitter Any type of enthesopathy Penetration depth: 0 30 mm Intensity: Myofascial treatment D20-S»Standard Oscillator«D20-T»Golden Oscillator«D35-S»Large Oscillator«Ø 20 mm, D-ACTOR transmitter Muscle and connective tissue Penetration depth: 0 50 mm Intensity: Ø 20 mm, D-ACTOR transmitter For professional athletes, high-energy applications Penetration depth: 0 50 mm Intensity: Ø 35 mm, D-ACTOR transmitter Muscle and connective tissue, large muscles Penetration depth: 0 60 mm Intensity: 06

7 V-ACTOR handpiece V-ACTOR mechanism of action of vibration therapy Benefits and effects Muscle and connective tissue relaxation, elimination of adhesions Improved microcirculation Stimulation and acceleration of metabolic activity Improved neuromuscular performance Well-being through increased hormone release (serotonin) Stress reduction through lower cortisol level Revitalisation Physiological muscle vibrations at a frequency of up to 35 Hz are the strongest driving force of microcirculatory processes. The fine resonance thus produced ensures that nutrients are supplied and returned through the smallest vascular and lymphatic channels of the extracellular matrix. This function cannot be managed by the cardiovascular system. Reduced physiological muscle vibrations adversely affect the cellular supply. This may produce a convulsive tendency and cause painful muscle hardening in the form of trigger points. The V-ACTOR enables targeted application of vibration pulses to the tissue. Microcirculation is improved and metabolic waste products and toxins are removed via the blood and lymph. Elongation of fascia and muscle fibres by means of the V-ACTOR restores normal muscle tone as muscle shortening and hardening is eliminated. V10 Treatment of specific muscle points V25 Tissue massage and muscle smoothing V40 Treatment of large muscle areas Mode of action of the V-ACTOR handpiece 07

8 Indications/Contraindications The MASTERPULS systems can be used to treat the following indications, among others: Achillodynia Plantar fasciitis Metatarsalgia Tibial stress syndrome Patellar tendinitis Trochanteric tendinopathy Calcific tendinitis Radial/ulnar epicondylitis Trigger points: Plantar foot muscles Calf muscle shortening Thigh adductors Shortened thigh muscles Lumbago Dorsalgia Cervical syndrome Periarticular shoulder pain Forearm muscles Please keep track of the latest medical publications and new information published by the manufacturer for details on additional indications approved after the date of printing of this brochure. Therapists and patients should wear suitable ear protection during treatment. Patients should be offered ear plugs for use. Treatment with the MASTERPULS systems is not allowed in the following cases: Coagulation disorders (haemophilia) Use of anticoagulants, especially Marcumar Thrombosis Tumour diseases, carcinoma patients Pregnancy Children in growth (growth plates) Cortisone therapy up to 6 weeks before first ESWT treatment Generally speaking, shock waves must not be applied to target areas located above air-filled tissue (lungs), nor to large nerves, vessels, the spinal column or head. Possible side effects of treatment with the MASTERPULS systems: Swelling, reddening, haematomas Petechiae Pain Skin lesions in case of previous cortisone therapy Side effects generally abate after 2 to 5 days. Make sure they have disappeared before starting the next therapy session. 08

9 Shock wave therapy Treatment Make sure the patient is in a comfortable position. Always use gel for coupling to ensure perfect shock wave transmission. Position the handpiece at right angles to the skin surface. Make sure the entire transmitter surface is in contact with the skin. Start treatment at a moderate energy level. Slowly increase the energy level during the therapy session. Depending on the indication treated, up to 8000 shocks can be applied per session. Apply 300 to 500 shocks per painful spot or trigger point. In general, 3 to 6 treatment sessions are necessary at intervals of 5 to 10 days. The individual treatment steps must be performed in the correct order. Treatment steps of radial shock wave therapy Step 1: R-SW ( shocks) Select one of the following shock transmitters according to the depth of the target area and the patient s pain tolerance: F15, R15 or DI15. Apply shock waves locally to the painful spots until the nature of the pain changes (patient s biofeedback). Step 2: R-SW ( shocks) Use the D20-S transmitter for largearea dynamic muscle smoothing and mobilisation of fascia and muscle fibres. Step 3: V-ACTOR ( shocks) To round off a successful therapy, use the V-ACTOR handpiece to relax muscles and connective tissue and improve metabolic activity. Perform dynamic treatment of large target areas along the muscle, applying up to extra shocks per therapy session. Step 1: R-SW : F15, R15, DI15 Parameters: 8 15 Hz; bar Number of shocks: Step 2: R-SW : D20-S Parameters: Hz; bar Number of shocks: Step 3: V-ACTOR Parameters: Hz; bar Number of shocks: Good to know... Shock wave treatment is experienced differently by each patient. Painful spots are localised by taking a detailed medical history and by palpation of the painful regions, following the patient s indication of pain. The analgesic effect of shock waves is produced by the gate control mechanism and by the release of tissue hormones. Once the primary point of pain has been eliminated by the analgesic effect of the shock waves, other painful spots may appear that were previously covered up by the primary pain. In general, local anaesthesia should not be used. Reduce the energy level, if necessary. No strain or pressure should be exerted on the treated body regions throughout the entire therapy. 09

10 Achillodynia Step 1: R-SW Shocks/session bar R15 12 Hz C15 Step 2: R-SW Shocks/session bar D20-S 15 Hz D20-T Step 3: V-ACTOR Shocks/session bar Hz Vibration head V25 Note The specified lower energy level is the recommended energy setting at which treatment should be started. The energy level should always be selected according to the patient s pain tolerance. The specified maximum energy level should not be exceeded. The shock transmitter should be selected according to the required penetration depth. 10

11 Plantar fasciitis Step 1: R-SW Shocks/session bar R15 12 Hz DI15 Step 2: R-SW Shocks/session bar 15 Hz D20-S Step 3: V-ACTOR Shocks/session bar Hz Vibration head V25 Note The specified lower energy level is the recommended energy setting at which treatment should be started. The energy level should always be selected according to the patient s pain tolerance. The specified maximum energy level should not be exceeded. The shock transmitter should be selected according to the required penetration depth. 11

12 Metatarsalgia Step 1: R-SW Shocks/session bar R15 12 Hz DI15 Step 2: R-SW Shocks/session bar 15 Hz D20-S Step 3: V-ACTOR Shocks/session bar Hz Vibration head V25 Note The specified lower energy level is the recommended energy setting at which treatment should be started. The energy level should always be selected according to the patient s pain tolerance. The specified maximum energy level should not be exceeded. The shock transmitter should be selected according to the required penetration depth. 12

13 Tibial stress syndrome Step 1: R-SW Shocks/session bar R15 15 Hz F15 Step 2: R-SW Shocks/session bar 15 Hz D20-S Step 3: V-ACTOR Shocks/session bar Hz Vibration head V25 Note The specified lower energy level is the recommended energy setting at which treatment should be started. The energy level should always be selected according to the patient s pain tolerance. The specified maximum energy level should not be exceeded. The shock transmitter should be selected according to the required penetration depth. 13

14 Patellar tendinitis Step 1: R-SW Shocks/session bar R15 10 Hz C15 Step 2: R-SW Shocks/session bar 15 Hz D20-S Step 3: V-ACTOR Shocks/session bar Hz Vibration head V25 Note The specified lower energy level is the recommended energy setting at which treatment should be started. The energy level should always be selected according to the patient s pain tolerance. The specified maximum energy level should not be exceeded. The shock transmitter should be selected according to the required penetration depth. 14

15 Trochanteric tendinopathy Step 1: R-SW Shocks/session bar R15 15 Hz DI15 Step 2: R-SW Shocks/session bar D20-S 15 Hz D20-T Step 3: V-ACTOR Shocks/session bar Hz Vibration head V25 Note The specified lower energy level is the recommended energy setting at which treatment should be started. The energy level should always be selected according to the patient s pain tolerance. The specified maximum energy level should not be exceeded. The shock transmitter should be selected according to the required penetration depth. 15

16 Calcific tendinitis Step 1: R-SW Shocks/session bar R15 12 Hz DI15 Step 2: R-SW Shocks/session bar D20-S 15 Hz D20-T Step 3: V-ACTOR Shocks/session bar Hz Vibration head V25 Note The specified lower energy level is the recommended energy setting at which treatment should be started. The energy level should always be selected according to the patient s pain tolerance. The specified maximum energy level should not be exceeded. The shock transmitter should be selected according to the required penetration depth. 16

17 Radial/ulnar epicondylitis Step 1: R-SW Shocks/session bar R15 12 Hz F15 Step 2: R-SW Shocks/session bar 15 Hz D20-S Step 3: V-ACTOR Shocks/session bar Hz Vibration head V25 Note The specified lower energy level is the recommended energy setting at which treatment should be started. The energy level should always be selected according to the patient s pain tolerance. The specified maximum energy level should not be exceeded. The shock transmitter should be selected according to the required penetration depth. 17

18 Trigger points/myofascial pain syndrome Step 1: R-SW Step 2: R-SW Step 3: V-ACTOR Plantar foot muscles Shocks/session bar bar bar 12 Hz 15 Hz Hz /vibration head R15 or C15 D20-S V25 Calf muscle shortening Shocks/session bar bar bar 10 Hz 15 Hz Hz /vibration head R15 or DI15 D20-S or D20-T V25 Thigh adductors Shocks/session bar bar bar 10 Hz 15 Hz Hz /vibration head R15 or DI15 D20-S or D35-S V25 Shortened thigh muscles Shocks/session bar bar bar 10 Hz 15 Hz Hz /vibration head R15 or T10 D20-S or D35-S V25 Lumbago Shocks/session bar bar bar 10 Hz 15 Hz Hz /vibration head R15 or T10 D20-S V25 Dorsalgia Shocks/session bar bar bar 10 Hz 15 Hz Hz /vibration head R15 or C15 D20-S V25 18

19 Treatment guide Step 1: R-SW Step 2: R-SW Step 3: V-ACTOR Cervical syndrome Shocks/session bar bar bar 10 Hz 15 Hz Hz /vibration head R15 or T10 D20-S V25 Periarticular shoulder pain Shocks/session bar bar bar 10 Hz 15 Hz Hz /vibration head R15 or C15 D20-S V25 Forearm muscles Shocks/session bar bar bar 10 Hz 15 Hz Hz /vibration head R15 or C15 D20-S V25 Note The specified lower energy level is the recommended energy setting at which treatment should be started. The energy level should always be selected according to the patient s pain tolerance. The specified maximum energy level should not be exceeded. Generally speaking, shock waves must not be applied to target areas located above air-filled tissue (lungs), nor to large nerves, vessels, the spinal column or head. The shock transmitter should be selected according to the required penetration depth. 19

20 HUMANE TECHNOLOGY TECHNOLOGY FOR PEOPLE STORZ MEDICAL AG Lohstampfestrasse Tägerwilen Switzerland Tel. +41 (0) Fax +41 (0) Subject to change without notice. The information in this brochure is only intended for medical and healthcare professionals. The brochure provides information on products and indications that may not be available in all countries. This brochure contains treatment recommendations provided by experienced users. SM E 0115/SIH