Radial Shockwave Therapy – Efficient. Easy to use. Mobile.
Mobile radial shockwave therapy system with ballistic, high-energy pulses. For treatment of biological tissues and structures in various pathologies and medical conditions. Unique, easy-to-use system offering shockwave therapy access to all therapists.
Modern technology, innovatively designed
The new enPuls user interface is highly intuitive and easy-to-use. All parameters are optimally designed for a clear layout. Ready for your therapy.
Zimmer MedizinSysteme has created something really special with this new generation of enPuls products. An entire new user experience. New capacitive touch screen technology provides even simpler operation and application.
Radial Shockwaves – Unique and powerful technology
Radial shockwave therapy (RSWT) is a method for the treatment of superficial orthopedic disorders developed over the past 20 years. A projectile accelerated in the handpiece generates a mechanical pressure wave, which is transferred to the human body by an applicator head and which radiates out in the tissue.
The mechanical energy is absorbed by the tissue and decreases as the distance from the application site increases. The mechanical stress triggers reactions in the tissue that have a positive influence on a wide range of orthopedic and neurological conditions.
The method is used by therapists all over the world with great success. With the enPuls 2.0, Zimmer MedizinSysteme now offers a system that bundles all the advantages of the application in a compact form with the lowest downstream and operating costs that is easy to operate and apply with maximum flexibility and mobility.
enPuls 2.0 is ideal as a system for radial shockwave therapy, for superficial orthopedic problems such as
Hypertonic muscle systems
softshot – pulse
enPuls 2.0 generates a special form of shockwave with a relatively heavy projectile and a comparatively low impact speed – the enPuls 2.0 softshot shockwave.
The energy is primarily generated by the volume of the pulse and not by the high amplitude and the extremely short rise characteristic of comparable compressed-air devices.
This requires that the shockwaves with rise times of approx. 3.5 µs and the typical energy settings also generated by compressed-air devices pass through the tissue without any change in the form of the wave, because the stress is within the moment of inertia and the module of elasticity of the tissue.
Different from focused shockwaves, which have rise times less than 100 ns and which results in a desired gradation of the wave in the tissue causing cavitation and tissue destruction, with radial shockwaves it is not the exponential effect but simply the amount of energy that triggers the reactive processes.
The slower rise of the wave (approx. 13.5 µs) and the significantly lower peak amplitude mean that enPuls 2.0 does not generate the typical whiplash effect of the shockwave, which makes it easier for the patient to tolerate.
Energy applied—pressure comparison
Comprehensive comparative tests in the laboratory have demonstrated that enPuls 2.0 with equivalent energy settings releases kinetic energy via the applicator comparable to that of a compressed-air-driven system, in which the air pressure applied to accelerate the projectile is the dosage.
The similarity is shown in the following table
Because the kinetic energy is applied to the tissue with similar-sized applicators, the standard units such as mJ/mm² (energy density) can be used because that closely related.
Dosage information from treatment protocols can thus be used 1:1.
Low maintenance and long life
The special technology of the enPuls 2.0 and the softshot shock source means that the system has the lowest maintenance costs and the longest handpiece and shockwave generator service life compared to compressed-air systems.
Zimmer MedizinSysteme offers a minimum guarantee of 2.000.000 shocks per generator, corresponding to about 1-000 treatments. The generator should be replaced if there is a significant reduction in performance (shock power is reduced, misfire, etc.). This is generally noticed long after the minimum guarantee period has expired.
The complete system with all required accessories fits into an easily carried aluminum case, making it very mobile.
Practical extensions and accessories
Compressor free ballistic radial shockwave therapy-system with electromagnetic generator as projectile accelerator
Power Levels / Energy
60 to 185 mJ (equivalent to 1-5 bar)
Can be precisely set in 10 mJ intervals (depending on the frequency of 60 mJ to max. 185 mJ)
Frequencies from 1 to 22 Hz
3 Burst modes (4 / 8 / 12 pulses)
7 preset programmes, adjustable
More than 25 illustrated preset treatment recommendations
Colour touch-screen for all software operations
Rotary control for Energy level and for frequency
Handpiece operation with multi-directional footswitch
Memory / Update
SD-card for indication menu memory
Favourites and adapted programmes (120 places).
Error log / Firmware-Update
32.2 cm x 23.5 cm x 13 cm (L/W/H)
2.7 kg (without handpiece)
Shockwave Applicator Hand Piece
Ergonomic, with anodized aluminium casing and fan cooling
Generator electromagnetic, integrated
Dimensions 23 cm length, 5 cm diameter (max.)
Weight 0.85 kg (without cable)
Lifetime Minimum warranty for 2.000.000 shocks
Maintenance Only necessary when performance drops, not obligatory at a certain amount of shocks. Exchange of generator by service
Applicator heads Diameters of 6 / 15 (2 pieces) / 25 mm
Tool free exchange possibility
Minimum warranty of 150.000 shocks per applicator head
100 / 240 VAC / 50/60 Hz, 5/2,5 A
Intended use and indications may not be valid for the USA.