The Intelect Focus Shockwave Set is a focused extracorporeal shockwave system that generates its waves electromagnetically and couples them into the patient through a water bag on the handpiece head. Energy is selected in steps from 0.01 to 0.55 mJ/mm2, at 1 to 8 Hz, in single shock or continuous shock mode. Chattanooga classes the device FDA Class III, and its instructions for use carry a single cleared indication that the operator is expected to work inside; the wording ships with the machine. The set comprises the control device, the handpiece, the stand-offs, the water bag and the consumables needed to run it.

The two platforms differ in how the wave is generated and how it is metered. The Focus is an electromagnetic focused shockwave device, set in energy steps of 0.01 to 0.55 mJ/mm2 at 1 to 8 Hz, and it couples through a water bag on the handpiece head with a focal zone 35 to 65 mm deep before any stand-off is fitted. The Intelect RPW 2 and the Intelect Mobile 2 RPW are pneumatic radial units metered in bar, with transmitters that thread onto the applicator. No handpiece, transmitter, stand-off or water bag crosses between the two platforms, so a clinic that already owns a radial unit is buying the Focus as a complete second system with its own consumable list and its own training course.

Yes, and the requirement is device-specific. Treatment should be run by an operator who has completed a training course on the use of the Chattanooga Intelect F-SW USA, and the course is specific to this machine rather than to shockwave in general. Neither radial Intelect unit carries a condition anything like it, so build course availability into the ordering timeline and speak to Chattanooga before you commit to an install date.

Six contraindications apply, and each one is a reason to keep the handpiece away from the area: treatment over or near a bone growth center until bone growth is complete; where a malignant disease is known to be present in or near the treatment area; infection in the area to be treated; a patient with a coagulation disorder or taking anti-coagulant medications; a patient with a prosthetic device in the area to be treated; and over ischemic tissue in individuals with vascular disease effects, for example foot ulcers or venous stasis. One precaution travels with that list: patients may experience pain or discomfort during and after treatment, and treatment with analgesics may be appropriate.

Depth of the focal zone is 35 to 65 mm with no stand-off, 15 to 45 mm with Stand-off I and 0 to 30 mm with Stand-off II. Therapeutically effective penetration depth at 5 MPa runs 0 to 125 mm, 0 to 105 mm and 0 to 90 mm across those same three configurations. A headline number of 4.7 in. penetration with pinpoint focus is also quoted for the Focus, but the millimetre figures name both a pressure threshold and a stand-off, which is what a clinician needs to set the machine up against.

The Intelect Focus uses electromagnetic technology to generate focused extracorporeal shockwaves, and the water bag on the handpiece head couples them into the patient. The coil that produces them is a wear part, exchanged at 2 million shocks. A radial unit works the other way, firing a pneumatic projectile down a guiding tube into a transmitter, which is why a setting in bar has no equivalent in mJ/mm2 and why the two ranges share no hardware.

The standard accessories are Stand-off I (Short), Stand-off II (Long), closing ring transparent for Stand-off I and II, Focus Shockwave Handpiece, Focus Shockwave Water Bag, Focus Shockwave Silicone Oil, operating manual, US power cord and handpiece holder. A shorter configuration is also built and shipped, running the handpiece set, water bag, silicone oil, transmission gel, manual and cord, with the two stand-offs and the closing ring supplied as separate accessories. Confirm which list applies to your order before you rely on the stand-offs being in the crate, because without them the focal zone cannot be brought toward the surface.

No, and not one of them. The Focus is electromagnetic and focused, with no pneumatic projectile, no guiding tube and no transmitter thread for a transmitter to screw into. The nine D-ACTOR family transmitters, the FALCON handpiece, the R-SW handpiece set, the V-ACTOR sets, both revision kits, the water reservoir and the carry bag all belong to the radial Intelect RPW 2 or Intelect Mobile 2 RPW. The traffic runs the other way too, so no Focus part fits a radial unit either.

Energy is selected in steps from 0.01 to 0.55 mJ/mm2, and the repetition rate available to you falls as the energy step rises. At 0.01 mJ/mm2 the Focus runs to 8 Hz; at 0.05 it runs to 7 Hz, at 0.10 to 6 Hz, at 0.20 to 5 Hz, at 0.35 to 4 Hz and at 0.55 to 3 Hz. Peak compressional pressure climbs across the same span, 14 MPa at 0.10 mJ/mm2, 36 MPa at 0.35 and 62 MPa at 0.55, with peak rarefactional pressure of 9, 13 and 15 MPa at those three settings. A session planned at the top of the energy range therefore takes longer on the clock than the same pulse count taken at the bottom of it, which is worth knowing when you are costing a treatment room by the appointment.

The one that puts the focal zone at the working depth you need. With no stand-off the focal zone sits 35 to 65 mm below the coupling surface, Stand-off I, at 15 mm, brings it to 15 to 45 mm, and Stand-off II, at 30 mm, brings it to 0 to 30 mm, with an anatomical stand-off available alongside them. Therapeutically effective penetration depth at 5 MPa runs 0 to 125 mm, 0 to 105 mm and 0 to 90 mm across those same three configurations. Whichever you fit is retained on the handpiece head by the transparent closing ring, so keep a spare ring with the machine, because a damaged ring takes both stand-offs out of service at once.

The water bag, the silicone oil, the transmission gel and the coil. We stock the water bag and a Coil Revision Kit FSW; we do not currently stock the silicone oil or the stand-offs themselves, so source those alongside the machine and keep a spare water bag in the room, since the bag is the part that fails first on a handpiece in daily use.

After 2 million shocks the coil needs to be exchanged. The handpiece itself carries a 5 million shock service life and the control device is rated for 15,000 hours of operation per IEC 60601-1, so in a busy room the coil is the first scheduled service item you will meet. We supply the exchange as the Coil Revision Kit FSW, and it is worth giving us the serial number of your control device when you order so we can confirm the kit against the machine on your floor.

Enovis backs the Intelect Focus Shockwave control device for 2 years from the date of original consumer purchase, and the LT Sepia F-SW and C-Actor Sepia F-SW handpieces for 1 year or 1 million shocks, whichever occurs first. The Focus takes no shock transmitters, so nothing on the transmitter side of a radial warranty applies here. The coil exchange at 2 million shocks is scheduled maintenance and sits outside the warranty term, which makes it a running cost to budget for separately.

Yes. While applying focused shockwaves at maximum adjustment, do not use more than 6.000 subsequent shocks and stick to a consecutive break of 5 minutes. Working pressure should also be raised slowly to a level of 0.25 mJ/mm2 across the first 500 impulses of a session. Both figures sit in the instructions supplied with the device, and both are worth writing into a room protocol so that every operator runs the machine the same way.

Chattanooga recommends wearing suitable ear protection during treatment in order to minimise exposure to noise. Plan for it in a small treatment room, where the operator stands beside the handpiece for the whole session and hears every shock at close range, and keep a set of protectors with the machine so nobody has to go looking for them mid-session.

The housing is 18 x 6.5 x 21 in. (450 x 165 x 530 mm) and runs on 100 to 240 VAC at 50/60 Hz, maximum 450 VA, through a T5AL/250 VAC fuse. Operating conditions are 10 to 30 deg C, 800 to 1060 hPa and 5 to 90 percent humidity, non-condensing, and the control device is rated IPX1. The siting constraint that catches clinics out is the EMI separation: install and operate the unit no closer than 1 m to sources such as electrosurgery or diathermy equipment. If you also run an Intelect SWD100, plan the room before the crate arrives.