Frequently Asked Questions
The OrthoGold100 weighs in the case 72 lbs. Yes, so it does exceed the 50 lbs bag limit.
The applicator serial number is located on the applicators connector. Follow this link for an image - http://www.softwaveportal.com/article/where-can-i-locate-the-applicator-serial-number
For the applicator to release the softwaves continuously, the technician can either one double tap on the button located on the applicator then to stop to treatment single click on the same button, The tech can also use the supplied foot pedal and the softwaves will continue at the desired treatment settings until the football is released.
The nature of spark waves – electrohydraulic shock waves – is that each spark is different and each wave is also slightly different (no monotony wave, but variety). This positive effect is caused by minor differences of the materials, the water, metal electrode tips and shape of electrodes - changing shape during lifetime. This statistical effect of variation of the shockwave intensity can sometimes lead to multiple effects which generate some shockwaves with higher intensity from time to time. Electrohydraulic principle uses a high-energetic electrical discharge over a spark gap, similar to a lightening. The discharge of a high voltage capacitor delivers the high-energetic impulse to the tips of an electrode. When the voltage difference between the tips exceeds the breakdown limit of the material between (water) an electrical spark is formed. The water will be ionized and its electrical resistance is reduced drastically. A thin path of electricity finds its way from the one tip to the other which leads to a fast rise of current heating up its power channel. A plasma is formed in this power channel which starts spreading out with supersonic speed compressing the surrounding water is enormously. This change in pressure is spreading out in a spherical wave. Due to its generation the acoustic wave has directly all the physical characteristics of a shockwave from the beginning. The breakthrough of the spark is a statistical effect, therefore the acoustic wave varies in pressure and intensity from spark to spark. Since the beginning MTS has seeked to improve the SPARKWAVE technology by adjusting the electrode tips permanently during the generation of the shockwaves. This reduces the statistical effect of variation of the shockwave intensity as much as possible. However, depending also on the electrode state (end of life) and the water quality, it cannot be avoided to generate statistically some shockwaves with higher intensity from time to time.
The OrthoGold100 device is adjustable and able to deliver either high or low energy depending on the indication. Most orthopedic indications require a higher energy, while certain urology or cosmetic indications require a lower energy.
Treatment Protocol Questions
We are getting closer to achieving getting the treatment covered by insurance. United Health Care has issued temporary codes however at this time it does not mean they will cover treatments. This is from their website: The following list(s) of procedure and/or diagnosis codes is provided for reference purposes only and may not be all inclusive. Listing of a code in this policy does not imply that the service described by the code is a covered or noncovered health service. Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific service. The inclusion of a code does not imply any right to reimbursement or guarantee claim payment. Other Policies and Coverage Determination Guidelines may apply.
You can also follow this link as well to access the providers information and locations Provider List
It's alway best to focus on one indication at a time in the best interest of the patient. When assessing your patient and they inform you that they have multiple areas of concern, explain that you need to concentrate the treatment on one area at a time to have their body go through the complete healing cycle. Its best then to ask the patient which indication is the most painful for them. For example if the patient complains that their elbow and knee really are causing discomfort ask them which one interferes more with their daily life? If they say their elbow then proceed with the treatment on the elbow and follow the entire protocol before moving to their knee. Note its best to wait at least 1-2 week(s) after their final treatment of their elbow before moving to their knee.
Patients that have had a cortisone injection or is currently on prednisone must wait 4-6 weeks before any treatments can be done. Cortisone and or prednisone have shown to cause a adverse reaction during treatment because of their anti inflammatory effects.
Some lesions respond extremely well to just one treatment with ESWT, while others may require some additional treatments. The following is generally true: • Bones typically require only one treatment at high energy levels • Most sub-acute or chronic injuries require two treatments with a 20-40 day interval • Acute tendon injuries respond well with 2 to 4 treatments at 5-7 day intervals.
In 1969 and funded by the German Ministry of Defense, Dornier began a study of the effects of shock waves on tissue. In 1972, on the basis of preliminary studies performed by Dornier Medical Systems, an agreement was reached with Egbert Schmiedt, director of the urologic clinic at the University of Munich. The development of the Dornier lithotripter progressed through several prototypes, ultimately culminating in February 1980 with the first treatment of a human by SWL.The production and distribution of the Dornier HM3 lithotripter began in late 1983, and SWL was approved by the U.S. Food and Drug Administration in 1984. In the 1980s people using ESWT for kidney stones noticed that it appeared to increase bone density in nearby bones, leading them to explore it for orthopedic purposes that we currently use today.