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The recent introduction of extra-corporeal shock-waves therapy changed the general approach to several pathologies of musculoskeletal system. EXPERT is particularly effective into the treatment of tendons, muscles where a poor vascularization of the joint is present; it is also successfully applied over the treatment of calcifications.

Very good effects have been demonstrated into the improvement of elasticity of the superficial tissues, where it seems to improve aesthetic and collagen stimulation and it is capable to reduce oedema and cellulite.

Patented shock-waves applicators “LARGE-FOCUS” shock-waves applicator developed from PAGANI is capable to generate and transfer mid and high energy density shock-waves into the different cellular layers, by respecting the patient’s comfort. This special feature allows the operator to perform every treatment without any special collateral effect and without provoking pain to the patient. The special “LARGE FOCUS” probe is using a wide range of energy levels for transmitting the proper energy to the different cellular layers.

Solutions that combine versatility and efficiency

The new extra-corporeal shockwaves device mod. EXPERT belonging to the re-designed R2 Opera Design is provided with innovative functions and software solutions which are the result of more than ten years’ experience and meet the best requirements in terms of versatility and effectiveness. On this purposes, EXPERT is provided with the new comfortable hand-piece with controls on board for setting pressure and switching the unit on and off; also the arm with the relevant holder for the above mentioned hand-piece may grant more comfortable applications for making each application easier; last but not least the innovative software is very simple and intuitive allowing the operator to perform every treatment with care.

Furthermore, EXPERT is offering manual setting, a wide range of pre-set programs with body pictures, free memories and the new therapeutic objectives for treating symptoms and phases where it is useful to use extra corporeal shock waves.

Always well up to your best expectations

The clinical introduction of extracorporeal shock waves has proved to be of great interest in musculoskeletal pathology in three specific areas of application:

1. a) in restoring bone repair processes where there is a delay in consolidation or evident pseudoarthrosis;
2. B) in the case of fibrotic and / or calcific muscle lesions such as tearing and crushing or

cutting injuries;

1. C) in pathologies of tendons, particularly chronic tendon diseases resistant to

other therapies, with clear and circumscribed anatomic-functional localization.

Further to the experimentation on biological tissues, the conception of physical effect of shock waves in destroying calcifications has been jumped, since it became more interesting to stimulate neovascular localized activity for re-activating cellular action.

TECHNICAL FEATURES

Dimensions:  cm 40 x 30 x 90 h

Display: Graphic and coloured LCD with touch screen

Pre-set protocols with body pictures

Free memories for customized protocols

Max. 5 Bar electropneumatic device

Emission mode: “Large Focus and “Unfocused”

Max. penetration of focus: around 55 mm

Max. penetration of shock-waves: around 70 mm

Power supply: 115 - 230, 50/60 Hz, +/- 10%

Arm with hand-piece holder: on inquiry

Electro-pneumatic system: “oil free”type

Max pressure: 8 bar

Working pressure: 5 bar

Frequency: 1 – 15 Hz

Enlargeable frequency to 22 Hz: On inquiry

Target functions: Yes

Interactive functions: Suggesting useful treatments

Hand-piece with keyboards on board : Yes

Applicator LARGE FOCUS Ø. 36 mm : As standard

Applicator CONTROLLED UNFOCUSED Ø 30 mm : As standard.

An advanced shockwaves therapy device, able to deliver both large focused and controlled unfocused shock waves.

This innovation is protected from a patented procedure. Large focused shock waves, are delivered to a quite wide area, avoiding very small focus for which it should require a pointing system, such as sonography or RX. The large focused emission mode, grants more homogeneous and in- depth transfer to the different tissues than radial shock waves.

Controlled unfocused shock waves are an innovative approach, which differentiates from radial shockwaves since it is more comfortable for the patient and without so many collateral effects, as well as more deep.

HC SWT enables to reach the deepest cellular layers where spherical shock waves are capable to provoke direct and indirect effects. All those mechanisms of shock waves, are useful for lowering muscular tension, faster and functional recovery, pain relief and improvement of physiological conditions.

Patented shock-waves applicators

“LARGE-FOCUS” shock-waves applicator developed from Elettronica PAGANI is capable to generate and transfer mid and high energy density shock-waves into the different cellular layers, by respecting the patient’s comfort.

This special feature allows the operator to perform every treatment without any special collateral effects and without provoking pain to the patient. The special “LARGE FOCUS” probe is using a wide range of energy levels for transmitting the proper energy to the different cellular layers.

The recent introduction of extra-corporeal shock-waves therapy changed the general approach to several pathologies of musculoskeletal system.

E-SWT is particularly effective into the treatment of tendons, muscles where a poor vascularization of the joint is present; it is also successfully applied over the treatment of calcifications. Very good effects have been demonstrated into the improvement of elasticity of the superficial tissues, where it seems to improve aesthetic and collagen stimulation and it is capable to reduce oedema and cellulite.

Technical features

Power supply: 115 - 230, 50/60 Hz, +/- 10%

Electro-pneumatic system: “oil free” type

Max pressure: 8 bar

Working pressure: 5 bar

Frequency: 1 – 15 Hz

Enlargeable to 22 Hz: On inquiry

Display: Coloured LCD with touch-screen

Pre-set programs with body pictures      

Free memories

Target functions: Not available

Interactive functions: Not available

Hand-piece with keyboards on board: Yes

Applicator CONTROLLED UNFOCUSED Ø 30 mm: As standard.

STARWAVE is a perfect combination of design, performance and creative ideas. A device with simple, elegant lines, given prestige by exquisite materials. Sculpted forms and clearly defined shapes, linked by forceful lines that generate movement. STARWAVE is the mystique Italian beauty and arts with a history of scientific development and smooth refinement. Stimulates the natural process of healing of tissue, reduces pain and inflammation

The main effects of shock-waves therapy are as follows:

Stimulation and acceleration of the soft tissue healing process (muscles and tendons)

Influence of metabolic conditions of biological tissues to stimulate anti-inflammatory and analgesic actions

Increased collagen repair process to stimulate bone reconstruction

Offer an additional therapeutic opportunity to all patients who have not obtained any benefit from all the most traditional therapeutic modalities

Offer a therapeutic opportunity to prevent surgery.

Effective in treating Pain and inflammation

Hyperaemia and vascularization

It’s reasonable to think that re-vascularization should be related to neocapillarogenesis coming from the repairing of basal membrane and due to the flow of endothelial cells into the interstitial spaces. This is why it makes easier and faster metabolic changes into the affected tissues, stimulating reparative processes and elasticity process of the soft tissue.

Effective Mechanical Energy

Mechanical energy is absorbed by the tissue and decreases as the distance from the application site increases. Mechanical stress triggers reactions in the tissue that have a positive influence on a wide range of orthopaedic and neurological conditions.

Shock Waves Therapy is used in to the physiotherapy field all over the world with great success. With STARWAVE, PAGANI now offers a system that brings together all the advantages of the applications in a compact form, with lower operating and downstream costs, easy to use and to be applied with maximum flexibility and mobility.

Technical features

Power supply: 115– 230 Vac – 50/60 Hz

Power consumption: max. 1000 VA

Protection Class: 1 BF

EEC 93/42 Classification: IIb

Display: Touch Control Plus 10’1

Pre-set programs

Free memories

Patient’s data-base

«Oil-free» compressor

Max. pressure: 5 Bar

Working pressure: 3 Bar

Frequency: Adjustable from 1 to 15 Hz

«Unfocused» mode

«Intelligent Probe» with commands on board

Standard accessories:

Hand-Piece with 3 «unfocused» applicators, 6,8 12 mm

Holder

Gel 250 gr

Cleaning Kit

Operating manual, power cord.

A  non invasive solution for erectile dysfunction

Shock Wave Therapy is a safe, tolerable and effective treatment that is drug-free, surgery-free, totally non-invasive, requires no anaesthesia and is performed at the ambulatory and provides long-lasting results. Shockwave targets the erectile mechanism so that men are more likely to have erections on their own.

Erectile Dysfunction (ED) is defined as “constant" total or partial inability to achieve and / or maintain an erection. Mostly occurring into over 50 years old patients, recently became a problem occurred also in younger people, erectile dysfunction is a pathology which is increasing and more than 20% men are currently suffering. Shockwaves have thus also entered the common protocols of Peyronie’s disease “Induratio Penis Plastica" disease characterized by penile fibrosis and subsequent curvature with considerable benefits also on the normal recovery of the erection as well as on the reduction of pain on erection and the extent of the plaque.

In clinical practice, the low-intensity shock waves are transmitted via a hand-piece equipped with an applicator to the penile tissue, stimulating the creation of new networks of blood vessels in the penile tissue, thus restoring an erection. This mechanism of action, called neoangiogenesis, allows the patient following a certain number of treatments to obtain a lasting erection without the use of drugs.

DE, IPP, CPPS

The non-invasiveness, the high tolerability of the treatment by the patient, the absence of side effects, the possibility of totally eliminating or reducing the use of drugs, the discretion in using the therapy, make the preferential choice for the treatment of ED by physicians and patients, it is now on low-intensity shock wave therapy.

From one of our clinical study made on 78 patients it has been observed an improvement in over 82% of treated patients with a mutual improvement into the PSV (Systolic Peak Velocity). A follow-up made after 8 months from the treatment was confirming the above mentioned results.

The study has shown the efficacy of improvement on penile vascular hemodynamic and the benefit of vascular rehabilitation of erectile dysfunction. Patients were referring about the improvement of penile rigidity, increase in duration and improvement in patient’s quality of life satisfaction, understood as couple well-being, observed with the EDITS questionnaire in 72% of patients.

Treatment of erectile dysfunction

Promotes the vascularization and elasticity of penile tissues, consequently improving the quality of erection

Stimulates the regeneration of nerve structures responsible of erection control

Restores the endothelium and smooth muscles.

Treatment of induratio plastic penis (IPP)

It stimulates the production of factors that favour angiogenesis by modulating the activity of inflammatory cells that seem to be the direct ones responsible for the formation of the plaque

Stabilizes plaque with interruption of disease progression· Reduces plaque and its size· Reduces or eliminates pain caused by plaque

Treatment of chronic pelvic pain syndrome

Promotes increased vascularization

Induces increased anti-inflammatory signals

Induces a reduction in passive muscle tone

Reduces painful pelvic floor syndrome

Pain and inflammation

It’s reasonable to think that revascularization should be related to neocapillarogenesis coming from the repair of the membrane and due to the flow of endothelial cells in the interstitial spaces. This is why Shockwave Therapy makes metabolic changes in the affected tissues easier and faster, stimulating the reparative processes and the elasticity process of soft tissues. The advantages and applications of Shockwave Therapy are still expanding, for a method that has already significantly contributed to changing the therapeutic approach in different pathologies, helping to improve lives of thousands of patients around the world. Shockwave Therapy is in fact an absolutely non-invasive method, with very low side effects and with great possibilities to intervene on pain, oedema, inflammation and tissue regeneration.

Focused emission

STARWAVE is a generator of Focused Extra-Corporeal Shock waves. It’s a “controlled” shockwaves generator made for delivering appropriate focused emission energy into a certain area of the body, without using a pointing system such as sonography or RX. Energy flow is made for being effective into different layers; a special applicator is available for responding to the requirements of osteo-myo-tendineous diseases.

When technology becomes useful

STARWAVE is a medical shock-waves therapy device using electromagnetic technology. A group of coils placed into the probe would be activated from the hi-voltage circuit of the unit itself. Electromagnetic field is moving a bullet inside the gun and hammer, thanks to the mechanical pressure, creates a shock-wave inside the propagation chamber of the applicator fixed on the top of the probe.

Technical features

Power supply: 115– 230 Vac – 50/60 Hz

Power consumption: max. 1000 VA

Protection Class: 1 BF

EEC 93/42 Classification: IIb

Display: Touch, Control Plus 10’1

Pre-set programs

Free memories

Patient’s data-base

Solid state electromagnetic generator

Large focused emission mode

Delivered energy max 30 mJ/mm2

Adjustable in frequency up to 15Hz

Standard accessories:

Hand-piece with sequential electromagnetic coils

36 mm applicator

Holder

Gel 250 gr

Cleaning set of tools

Operating manual, power cord

On inquiry:

Trolley mod. lo STAR 

Carrying case 

Andro-urologic application with software and 12 mm applicator.