#  DUOLITH SD1 T-TOP ultra+

## Cost-effective focused shock wave therapy (ESWT) with Nano-Energy for the non-invasive treatment of orthopaedic disorders

The DUOLITH® SD1 T-TOP ultra+ combines Swiss precision with a clear focus on everyday practice. High-quality finish and optimised ergonomics make treatments safe and comfortable for both patients and users.

The SEPIA® handpiece is characterised by the optimised homogeneity of the focal zone, facilitating highly precise treatment of the therapy zone. All relevant parameters can be set intuitively and changed flexibly, which supports an efficient and structured course of treatment.

![DUOLITH SD1 T-TOP ultra plus – ­focused shock wave ESWT](https://www.storzmedical.com/images/duolith_sd1_tt_f-sw_ultra/duolith_sd1_tt_f-sw_ultraplus_001.jpg)

The patient is placed at the centre of attention: the targeted generation of energy, even at low levels, enables treatments to be performed in an especially gentle way that is well-tolerated, particularly by patients who are sensitive to pain.

The combination of ease of use, durable technology and precise generation of energy makes it possible to tailor therapy to patients and their needs while working efficiently.

## Highlights

- Optimised homogeneity of the focal zone with even energy distribution in the target area
- All control elements integrated into the handpiece
- Nano Energy of 0.005–0.01 mJ/mm², for especially gentle treatments for the first time
- Maximum energy: 0.55 mJ/mm²
- Optimised frequency up to 10 Hz
- Reduced service costs thanks to simple coil replacement
- Swiss quality and precise finishing
- Access to the »My STORZ MEDICAL« portal for further information

![DUOLITH® SD1 T-TOP ultra+ with focused SEPIA® handpiece and integrated touch screen](https://www.storzmedical.com/images/duolith_sd1_tt_f-sw_ultra/duolith_sd1_tt_f-sw_ultraplus_002.jpg)DUOLITH® SD1 T-TOP ultra+ with focused SEPIA® handpiece and integrated touch screen

![Focused SEPIA® handpiece with and without stand-off](https://www.storzmedical.com/images/duolith_sd1_tt_f-sw_ultra/duolith_sd1_tt_f-sw_ultraplus_003.jpg)Focused SEPIA® handpiece with and without stand-off

![Handpiece display – integrated control elements](https://www.storzmedical.com/images/duolith_sd1_tt_f-sw_ultra/duolith_sd1_tt_f-sw_ultraplus_004.jpg)Handpiece display – integrated control elements

## Indications and gentle therapy options

The DUOLITH® SD1 T-TOP ultra+ offers an effective yet gentle treatment option for a variety of musculoskeletal indications. The option to work with very low energy levels from 0.005 mJ/mm² offers a well-tolerable therapy with high acceptance, especially for patients who are sensitive to pain.

### Nano Energy – targeted, gentle treatment

The precise control of the low energy level makes it possible to plan differentiated therapy. This enables not only effective but also especially gentle treatments to be carried out.

## Highlights

- Depth of focal zone: 0–65 mm
- Penetration depth: Up to 125 mm
- For the first time, also suitable for patients especially sensitive to pain
- Individual adjustment of energy to the clinical pathology
- High level of patient comfort and good tolerability
- User-friendly handpiece ergonomics eliminates fatigue while working

![Achillodynia](https://www.storzmedical.com/images/duolith_sd1_tt_f-sw_ultra/achillodynia.jpg)Achillodynia

![Plantar fasciitis](https://www.storzmedical.com/images/duolith_sd1_tt_f-sw_ultra/plantar-fasciitis.jpg)
Plantar fasciitis

![Patellar tendinitis](https://www.storzmedical.com/images/duolith_sd1_tt_f-sw_ultra/patellar-tendinitis.jpg)
Patellar tendinitis

![Calcific tendinitis](https://www.storzmedical.com/images/duolith_sd1_tt_f-sw_ultra/calcific-tendinitis.jpg)
Calcific tendinitis

![Trigger points: Lower back pain](https://www.storzmedical.com/images/duolith_sd1_tt_f-sw_ultra/trigger-points-lower-back-pain.jpg)
Trigger points: Lower back pain

![Trigger points: Masseter muscles](https://www.storzmedical.com/images/duolith_sd1_tt_f-sw_ultra/trigger-points-masseter-muscles.jpg)
Trigger points: Masseter muscles

![Wound healing](https://www.storzmedical.com/images/duolith_sd1_tt_f-sw_ultra/eswt-wound-healing-a.jpg)
Wound healing

![Wound healing](https://www.storzmedical.com/images/duolith_sd1_tt_f-sw_ultra/eswt-wound-healing-b.jpg)
Wound healing

## Intuitive operating concept – Fully integrated

The integrated touch screen panel makes it especially easy to operate the system while receiving feedback. All relevant functions can be controlled intuitively, making treatment simple and easy to organise, while allowing functions to be used only when they need to be.

![DUOLITH SD1 T-TOP ultra plus – ­focused shock wave ESWT](https://www.storzmedical.com/images/duolith_sd1_tt_f-sw_ultra/duolith_sd1_tt_f-sw_ultraplus_005.jpg)

Parameters can be adjusted quickly and flexibly during treatment, enabling treatment to be performed smoothly without interruption. The simple user operation ensures safety and makes it possible to focus on the most important thing: the patient. In this way, the integrated operating concept supports efficient everyday practice and creates a comfortable working environment for both users and patients.

## C-ACTOR® handpiece

The optional C-ACTOR® handpiece has been specially designed for superficial treatments, making it suitable for use in dermatology and for wound healing in particular. The electromagnetically generated shock waves are characterised by a constant energy level, while its homogeneous focal zone can be adjusted with different stand-offs. This en-ables safe and effective therapy of the tissue to be treated.

## Highlights

- Integrated touch screen panel
- Extended energy range: 0.015–1.24 mJ/mm²
- Quick parameter adjustment during therapy
- Efficient and structured practice procedure
- C-ACTOR® handpiece (optional) specially for superficial treatments in orthopaedics and dermatology (such as wound healing disorders)

![Setting of the energy level, frequency and total pulses](https://www.storzmedical.com/images/duolith_sd1_tt_f-sw_ultra/duolith_sd1_tt_f-sw_ultraplus_006.jpg)
Setting of the energy level, frequency and total pulses

![C-ACTOR® handpiece](https://www.storzmedical.com/images/duolith_sd1_tt_f-sw_ultra/duolith_sd1_tt_f-sw_ultraplus_007.jpg)
C-ACTOR® handpiece

![Stand-offs for different treatment depths](https://www.storzmedical.com/images/duolith_sd1_tt_f-sw_ultra/duolith_sd1_tt_f-sw_ultraplus_008.jpg)
Stand-offs for different treatment depths

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