DC.Human_AE_A4_e.inddTHE BENEFICIAL EFFECTS OFEXTRACORPOREAL SHOCKWAVE THERAPYARE WIDELY KNOWN. SCIENTISTSRECOGNIZE THAT SHOCKWAVES CANTRIGGERA VARIETY OF EFFECTIVEACTIONS}RELEASES MORE SUBSTANCE P> One of these messenger substances is substance P, a pain mediator and growth factor.On the one hand, the release of substance P by shockwaves has an analgesic effect.On the other, it dilates the blood vessels, stimulates blood circulation and contributesto the formation of new bone tissue.NO (nitric oxide) also has a vasodilatory effect and plays an important role in angiogenesis.> In short, when applied where pain occurs, we know why shockwaves producean analgesic effect, increase blood circulation and facilitate the repair process.INHIBITS THE COX II ENZYME> By inhibiting inflammatory mediators such as COX II, shockwaves producean anti-inflammatory effect. This weakens any inflammatory process.ACTIVATES CELLULAR DEFENSES> By contributing to the release of free radicals, shockwaves help strengthenthe body’s endogenous cellular defense mechanisms to protect it from disease.HYPERSTIMULATES NERVE FIBRES> Scientific studies also show that shockwaves act in another way. Overstimulatingthe nerve fibres blocks an increase in pain stimuli and therefore intensifies the analgesic effect(Gate Control Theory).SWISS DOLORCLAST®ERGONOMIC HANDPIECESIMPLE, FLEXIBLE ANDERGONOMICSWISS DOLORCLAST®TECHNOLOGYRADIALSHOCKWAVESGENERATEHIGH PNEUMATICENERGY –FOR RELIEFFROM PAIN}A TEXTBOOK LAW OF PHYSICS> Kinetic energy is converted into impact energy,as illustrated by Newton’s Cradle.SWISS DOLORCLAST®TECHNOLOGYGENERATING PNEUMATIC ENERGY WITH SWISSPRECISION – FOR CONTROL AND RELIABILITY3121 APPLICATOR2 PROJECTILE3 COMPRESSED-AIR CONNECTOR}THE PRECISION COMPRESSED-AIR IMPULSE ACCELERATES THE PROJECTILE IN THE HANDPIECE}THE IMPACT OF THE PROJECTILE ON THE APPLICATOR GENERATES THE SHOCKWAVE}THE SHOCKWAVE IS DELIVERED TO THE TISSUE> The advantage of radial shockwaves is that theygenerally produce an extensive analgesic area.By radiating out, shockwaves extend to the entire areawhere pain occurs.EXTRACORPOREAL SHOCKWAVE THERAPY WITHTHE SWISS DOLORCLAST® METHOD}PATENTED FOR SUCCESSTHE RADIAL SHOCKWAVE}RADIAL SHOCKWAVEDEMONSTRATED BY CAVITATIONCAVITATION BUBBLES}SECONDARY SHOCKWAVESOF THE CAVITATION BUBBLES}SWISS DOLORCLAST®BENEFITS FOR ALLSUCCESSFULTREATMENTS,A SUCCESSFULPRACTICE}BENEFITS FOR THE PATIENT}OUTPATIENT TREATMENT}NO ANESTHESIA} NON-INVASIVE}VIRTUALLY PAINLESS AFTER TREATMENT}NO MEDICATION}QUICK RESULTS}HIGH SUCCESS RATES}IMPROVED QUALITY OF LIFEBENEFITS FOR THE PRACTITIONER}SHORT APPLICATION TIME}HIGH PATIENT ACCEPTANCE}BROAD RANGE OF INDICATIONS}UPDATED APPLICATION INFORMATION}OUTSTANDING PRODUCT QUALITY}LOW MAINTENANCE}FAST AMORTIZATION}LOW OPERATING COSTSSWISS DOLORCLAST®APPLICATION1 Locating pain by palpation 2 Marking the treatment area3 Applying the contact gel 4 Delivering the shockwaves}PER SESSION: APPROX. 2000 IMPULSES AT APPROX. 2.5 BAR}UP TO 4000 IMPULSES FOR TRIGGER POINT TREATMENTS}AS A RULE WITHOUT ANESTHESIA DUE TO A FAST ADJUSTMENTTO THE PAIN AND THE ANALGESIC EFFECT OF THE TREATMENT ITSELF}USUALLY NO MORE THAN THREE OR FOUR SESSIONS NEEDED}NO OTHER THERAPY, NO X-RAYS, NO PAINKILLERS REQUIRED}NO SURGERYFAST, GENTLE, EFFECTIVESWISS DOLORCLAST®INDICATIONS1  EPICONDYLITIS HUMERI RADIALISPainful inflammation of the tendon attachment on the medial elbow2  TENDINOSIS CALCAREAPainful limitation of shoulder movement due to calcification3  EPICONDYLITIS HUMERI ULNARISPainful inflammation of the tendon attachment on the lateral elbow (golfer’s elbow)4  BURSITIS TROCHANTERICAPainful periostitis of the outer femur5  PATELLA TIP SYNDROMEInflammation of the point of attachment of the patellar ligament6  TIBIALIS ANTERIOR SYNDROMEInflammation of the tibial edge due to excessive strain7  ACHILLODYNIAPainful irritation of the Achilles tendon8  FASCIITIS PLANTARISPainful, mostly chronic inflammation of the plantar fasciaCHRONIC ENTHESOPATHIESPainful irritation of tendon attachments due to overexertion or improper strain,or due to degenerative processesACUPUNCTURE POINTSPain therapy via treatment of acupuncture pointsPAINFUL TRIGGER POINTSAcute and chronic pain in the back, shoulder, neck, etc. due to permanentlyshortened and thickened musclesMANY INDICATIONS, ONE THERAPY15678423SWISS DOLORCLAST®TRIGGER POINTS/ MYOGELOSESA MODERN METHOD FORTREATING TRIGGER POINTS}WHAT ARE TRIGGER POINTS}> Trigger points are fibrous areas in the muscle that are permanently shortened or thickened.Also called myogeloses, they are often caused by poor body posture, overexertion or excessive strain.WHAT CAUSES TRIGGER POINTS}> Poor body posture, improper strain or excessive stress may adversely affect muscles, cartilage,bones and tendons. The result? Painful trigger points within the muscle and peripheral trigger pointswhere tendons attach to the bones (tendonitis).WHERE ARE TRIGGER POINTS FOUND}> Trigger points may form anywhere in the body’s muscular tissue and often cause pain inplaces far away from the root of the problem. This explains why many conventional treatmentsaddress the symptoms, not the cause.HOW ARE TRIGGER POINTS TREATED}> Locating trigger points is done via palpation. The Swiss DolorClast® method using TST –Trigger Shockwave Therapy® delivers a particularly gentle and effective treatment. Repeatsessions allow improved posture and help modify improper body movement patterns by treatingthe trigger points. Important: With the Swiss DolorClast® method, there is no risk of nerveinjury due to injection or dry needling.POSSIBLE INDICATIONS}}RECALCITRANT LUMBAGO}LUMBOISCHIALGIA}SHOULDER PAIN}NECK PAIN}KNEE PROBLEMS}IMPROPER POSITIONING OF VERTEBRAE}EXCESSIVE STRAIN ON VERTEBRAE}HEADACHES/MIGRAINES}WHIPLASH}DIZZINESS> The Swiss DolorClast® method has been proven effective when treating acute and chronicpain caused by trigger points. Just three or four sessions at short intervals are enough to treat evenparticularly problematic cases. Swiss DolorClast® treats causes, not symptoms.SWISS DOLORCLAST®SPORTS MEDICINETHE RIGHT METHOD FORMODERN SPORTS MEDICINE}THE IMPORTANCE OF SWISS DOLORCLAST® IN SPORTS MEDICINE}> A number of leading sports physicians use the Swiss DolorClast® method to successfullytreat professional and amateur athletes.THE SWISS DOLORCLAST® METHOD DURING COMPETITIONS}> In between competitions, the Swiss DolorClast® method is successfully used, for example,to treat acute pain due to overexertion. An effective, gentle and modern type of treatment.No needles, no risk of violating doping regulations, no medication, a significant improvementin health and fitness.THIS IS WHERE THE SWISS DOLORCLAST® METHOD IS USED}}TEAM DOCTORS OF INTERNATIONAL FOOTBALL LEAGUES}SKI AND OTHER NATIONAL WINTER SPORTS TEAMS}SPORTS CENTERS AND OLYMPIC TRAINING CENTERS}OLYMPIC GAMES}MEDICAL SUPPORT AT ATP TENNIS TOURNAMENTS> The Swiss DolorClast® method is used effectively by sports organizers, at major sports events,by many international sports organizations and top athletes.BY PROS, FOR PROSSWISS DOLORCLAST®BEFORE/AFTERVISIBLY SUCCESSFUL}Clearly visible calcific deposits in shoulder> 40-year-old patient with chronictendinosis calcarea of the shoulder> 12 months of physiotherapy, injectionsand medication without success> Clearly painful and limited movement>>Clearly visible reduction in calcific depositsThree radial shockwave sessionsDUAL ACTION OF EXTRACORPOREAL SHOCKWAVE THERAPY}Treatment interval: 14 daysSource: Gerdesmeyer, M.D., Klinikum Rechts der Isar, MunichPAIN RELIEF AND FREEDOM OF MOVEMENTSWISS DOLORCLAST®STUDIESMEASURABLE EFFICACY}RESULT: PAIN AT NIGHT100%80%60%40%20%0%100%80%60%40%20%0%MINOR (0)MILD (1-3)MODERATE (4-7)SEVERE (8-10)CHANGE0 10 14 12 24VERUM4 12 52CONTROL12 52CHANGEWEEKSRESULT: PAIN AT REST0 14 12 24VERUM01 4 12 52CONTROL12 52CHANGEWEEKSRESULT: PAIN ON MOVEMENT100%80%60%40%20%0%0 14 12 24VERUM01 4 12 52CONTROL12 52CHANGEWEEKS> After 52 weeks, 81% of patients (66% in just 12 weeks) suffering from heelspur were free of daily discomfort. 94% were free of night pain after 12 weeks.> After 52 weeks of treatment, 94% of patients in the verum group ratedthe treatment as good (83%) or satisfactory (11%). 91% of patients responded positivelyto the question whether they would choose to repeat the treatment.[Summary from “Der niedergelassene Chirurg, 4/2002”, Prof. Dr. Haupt, with contributions by ]Dr. Diesch (orthopaedic practice, Friedrichshafen), Dr. Frölich (orthopaedic practice,Böblingen), Dres. Lohrer and Schöll (Institute for Sports Medicine, Frankfurt am Main), Dres.Straub and Penninger (orthopaedic practice, Dingolfingen)SWISS DOLORCLAST®TESTIMONIALSRAVING PATIENT REVIEWS}FELIX EGLOFF, FORMER PRESIDENT OF SWITZERLAND'S LARGEST HEALTH INSURANCE COMPANY,NOW GENERAL SECRETARY OF ATRAD} SHOULDER PAIN SUFFERERI had given up all hope. After years of suffering,Swiss DolorClast® brought me the kind of relief I no longerthought possible.JOSEF DIEBELS } RADIAL SHOCKWAVE THERAPY FOLLOWING MODERATELYSUCCESSFUL ELBOW SURGERYI felt a significant improvement in just three sessions.DR. GEORGI, TÖNNING, GERMANY } PHYSICIAN AND HEEL SPUR PATIENTFor the past four or five years I have usedRadial Shockwave Therapy in my daily work. I myselfsuffered a great deal from pain and underwent heelspur surgery. After three shockwave treatments, I feelno more pain and can play football again. In fact,I’m training my sons, who want to become professionalplayers.WOLFGANG HÄRLE, FORMER CROSS-COUNTRY SKIING WORLD CHAMPION} HEEL SPUR PATIENTWithout shockwave therapy, speedy healingwould not have been possible.DR. FRIEDER KATZ, DARMSTADT, GERMANY } HEEL SPUR PATIENTI have no more pain and successfully finished the Jungfrau marathonand the Frankfurt marathon.SWISS DOLORCLAST®TESTIMONIALSPRACTITIONER SATISFACTION}J. P. SCHAMAN, M.D., ONTARIO, CANADAEver since I began to use radial shockwaves withSwiss DolorClast® I’ve been impressed by the results.In the seven months I’ve used this therapy, this method hasnot failed once. Patients who suffered for months or evenyears are now free of pain in just one to five sessions.HARTLEY MILTCHIN, DPM (DOCTOR OF PODIATRIC MEDICINE), TORONTO, CANADAI’ve been treating heel spur since 1982. The SwissDolorClast® method is a great addition to my treatment concept.My success with this unique unit is without equal.Patient comfort and acceptance are excellent. Fortunately,the treatment is so fast and simple that I have never hadto use anesthesia.DR. JAN SCHNEIDER, UNIVERSITÄTSKLINIKUM, ULM, GERMANYATTENDING PHYSICIAN OF THE ATP TENNIS TOURSwiss DolorClast® is ourpermanent companion on ATP’s tennistournaments and has becomeincreasingly popular with players.DR. MED. R. P. MAHNKE,CHIROTHERAPY, MÖNCHENGLADBACH, GERMANYOut of 100 cases of calcifiedshoulder – many patients had beensuffering more than two years –the success rate was 90 percent.DR. MED. UTA STIEGLER,ORTHOPAEDICS, ACUPUNCTURE, RHEUMATOLOGY IN BERLIN, GERMANYThere are patients who sought relief from a multitude of practitioners.In just three sessions of Radial Shockwave Therapy they finally obtained relief.This may surprise even the more experienced orthopedists.ACTUAL SIZE}SWISS DOLORCLAST® CLASSIC DISPLAYSWISS DOLORCLAST®FINDINGSREVIEWED BY DOCTORS}GENERAL EVALUATION OF THE SWISS DOLORCLAST®METHOD BY 202 DOCTORS1%39%10%TREATMENT RESULT}FASCIITIS PLANTARIS9%83% of doctors rated treatmentefficacy as very good or good.TREATMENT RESULT}TENDINOSIS CALCAREATREATMENT RESULT}EPICONDYLITIS HUMERI RADIALIS2%>15%VERY GOODGOODMODERATESCORE 1SCORE 1,5SCORE 2SCORE 2,5SCORE 322%60%1%> 90% of doctors rated treatmentefficacy as very good or good.>6%45%3%57%28%2%87% of doctors rated treatmentefficacy as very good or good.SWISS DOLORCLAST®RESEARCHDOCTOR EVALUATION}WOULD YOUCHOOSE TO USE SWISS DOLORCLAST® AGAIN?1,5%8,4%> 90.1% of doctors surveyed would chooseto use Swiss DolorClast® again.90,1%WHEN ASKED “WOULD YOU CHOOSE TO USESWISS DOLORCLAST® AGAIN?”}182 OF 202 PRACTITIONERS SURVEYED ANSWERED “YES”}17 OF THE PRACTITIONERS SURVEYED EXPRESSED NO OPINION.}ONLY 3 OF THE 202 PRACTITIONERS SURVEYED ANSWERED “NO”> On request, EMS will provide the opinions of physicians who have taken partin this survey and of others who use the Swiss DolorClast® method. Their viewsare solid references that help build confidence in one of today’s most effective methodsto treat the causes of orthopaedic pain.YESNO RESPONSENOSWISS DOLORCLAST®MARKETINGA NEW METHODTO WINNEW PATIENTS}A METHOD FOR SUCCESS}PATIENT BROCHURES WITH DISPLAY RACK}ATTRACTIVE POSTERS FOR YOUR PRACTICE}NEWSLETTER ON PRODUCTS AND TREATMENT}INTENSIVE PRESS AND MEDIA COVERAGE}INFORMATION AND IN-SERVICE TRAINING}VIDEOS AND ANIMATIONS (CD-ROM/DVD)}CUSTOMER SERVICE AND SUPPORT FROMEMS REPRESENTATIVES AND PARTNERSSWISS DOLORCLAST® RELIEVES PAIN AND WINS NEW PATIENTS}ACQUIRE NEW PATIENTSSWISS DOLORCLAST®RETURN ON INVESTMENTIT PAYS}*RETURN ON INVESTMENT}A STRAIGHTFORWARD CALCULATIONWITH 2000 IMPULSES PER APPLICATION MANY PRACTITIONERS REACH OVER ONE MILLIONIMPULSES A YEAR. USING THE SWISS DOLORCLAST® METHOD, EXTRACORPOREAL SHOCKWAVETHERAPY PAYS OFF FOR YOUR PRACTICE FROM YEAR ONE> The number of potential patients – anyone who suffers from indications that maybe treated with the Swiss DolorClast® method – is very high.> Potential patients also include those who no longer seek therapy or who have becomeresigned to their condition.> Today, many more patients are able to afford Extracorporeal Shockwave Therapybecause the Swiss DolorClast® method is significantly more economical than shockwavetherapy with other methods.IT PAYS FOR THE PATIENT AND FOR THE ENTREPRENEURIAL PRACTITIONER>  EMS will help you calculate your return on investment for your practice.>  Find out from your EMS representative about market potential, suggested charge persession, tailored financing or leasing plan, and the number of new patients you couldacquire by offering Swiss DolorClast® treatments.> As a Swiss DolorClast® customer, you will receive quality customer service andassistance, hotline access, complete documentation, quick response to requests for repair,and personalized customer support.> You’ll be astounded to see how soon the unit pays for itself. And how successfulthe treatment is.SWISS DOLORCLAST®RETURN ON INVESTMENTYOUR POTENTIAL REVENUE}Patients per month X=X=Applications per patientTotal applicationsCharge per applicationMonthly revenueFOR THE SUCCESSOF YOUR PRACTICESWISS DOLORCLAST®TECHNICAL DATA AND MODELSSWISS DOLORCLAST®CLASSIC} INDICATIONS: ALL; ADVANTAGES FORTRIGGER POINT TREATMENT} FREQUENCY: UP TO 15 HZ} PRESSURE: ADJUSTABLE UP TO 4 BAR}DISPLAY: 3 LINES}APPLICATORS: 6, 10, 15, TRIGGER}CART: WITH CABLE HOLDER,ADJUSTABLE TILT ANGLE 1} HANDPIECE: WITH IMPULSE COUNTER, 24 EXCHANGEABLE APPLICATORS 3FOR OPTIMIZED ADJUSTMENT OFTREATMENT CONFIGURATION}OPTIONAL: HANDPIECE GRIP WITHSOFT HANDLE} WARRANTY: 2 YEARS1  Display desired impulse count per treatment2  Display current impulse count3  Display operating frequency4  Increase impulse count per treatment5  Reduce impulse count per treatment6  Increase operating frequency7  Reduce operating frequency8  On/Off with indicator light9  Handpiece connection10  “Select” to activate change in preset impulse count11  “Validate” to confirm setting12  Pushbutton for single-impulse operation withindicator light13  Pushbutton for continuous impulse operation withindicator light14  Manometer for operating pressure15  Operating pressure regulator16  Handpiece17  Cable holder18  Bottle holder (gel)19  Drawer20  Compressor compartment17SWISS DOLORCLAST®TECHNICAL DATA AND MODELSSWISS DOLORCLAST®MASTER}INDICATIONS: ALL}FREQUENCY: UP TO 10 HZ}PRESSURE: ADJUSTABLE UP TO 4 BAR}DISPLAY: LED}APPLICATORS: 6, 10, 15, TRIGGER}CART: WITH CABLE HOLDER}HANDPIECE: WITH TRIGGER,IMPULSE COUNTER,4 EXCHANGEABLE APPLICATORSFOR OPTIMIZED ADJUSTMENT OFTREATMENT CONFIGURATION} WARRANTY: 2 YEARS1 Display preset and delivered impulse count2 “Reset” to change impulse count3 “Start” to activate impulse count setting4 Operating pressure manometer1845678 1011121316102953 7619115 Operating frequency regulator6 Handpiece connection7 Operating pressure regulator8 Handpiece9 Cable holder10 Bottle holder (gel)11 Drawer12 Compressor compartment201214151849S W I S SDimensions (w/d/h)Footprint, cartHeight, operating componentsWeight, totalControls PiezocontrolledD O L O R C L A S T®}C L A S S I C495x425x980mm390x350mm950mm65kg}MA S T E R470x385x852mm390 x350 mm845mm62kgPushbuttonPLUG AND TREATSWISS DOLORCLAST®EMS – HIGH TECH SINCE 1981THE GOLD STANDARDFROM EMS}> Electro Medical Systems (EMS) has been setting standards in the development and productionof medical devices since 1981. Each product is individually produced and tested in Switzerland – withSwiss precision.>  EMS is one of the world’s leading manufacturers of prophylactic dental devices.>  With over 8,000 Swiss LithoClast® devices in daily use, EMS is the world’s largest supplierof intracorporeal shockwave lithotriptors for the treatment of kidney, ureteric and bladder stones.> With its patented Swiss DolorClast®, EMS offers products that benefit from the expertise andexperience with pneumatically generated shockwaves. Since its market introduction in 1999,Swiss DolorClast® has been the reference for successful pain therapy and has made EMS the numberone in Radial Shockwave Therapy.> Product certification received by EMS: ISO 9001, EN 46001 (Medical Devices),GMP (Good Manufacturing Practice) and CE guidelines.> Like all EMS products, Swiss DolorClast® meets the highest European and internationalquality standards.> EMS is an official member of DIGEST (German and International Society for ExtracorporealShockwave Therapy) and supports ATRAD (Association for Radial Pain Therapy).EMS SACh. de la Vuarpillière 31CH-1260 NyonSwitzerlandTel. +41 22 99 44 700Fax +41 22 99 44 701welcome@ems-ch.comwww.ems-medical.comWWW.EMS–MEDICAL.COM