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Description

BTL HIGH INTENSITY LASER: A HANDSFREE SOLUTION FOR EFFECTIVE HEALING

The BTL-6000 High Intensity Laser (HIL) is the first Robotic Intelligent Scanning System with the highest power approved by Health Canada. Its power of 10 Watts and ideal wavelength of 1064nm allow for effective light penetration deep into the tissues. The BTL HIL offers a powerful form of pain management, healing, and regeneration through a natural process of energy transfer. It’s effective in the treatment of a multitude of acute and chronic conditions and sport injuries including muscle strain or joint distortion, arthritis, low back pain & sciatica and impingement syndrome to name a few. Health Canada approved. Medical Device License 80111.

Watch how the therapy is done

MEDICAL EFFECTS

Pulsed

The analgesic effect of the High Intensity Laser occurs mostly when using the pulsed mode where therapy is delivered in very short pulses at a very high frequency. The pulsed mode has the ability to create actual pressure. The pressure waves are carried through the tissue where they stimulate nerve endings and activate the gate control mechanism of pain relief. The analgesic effect of the High Intensity Laser is instantaneous and long-lasting.

The mechanical waves created by the High Intensity Laser stimulate local microcirculation and lymph drainage of the area being treated. Combining biostimulation and photomechanical stimulation, the High Intensity Laser therapy actually heals the tissue while providing a non-addictive form of pain management.

The energy delivered by the High Intensity Laser speeds up cellular metabolism and increases the speed of resorption of proinflammatory mediators. Decreased concentration of proinflammatory mediators restores capillary permeability and results in elimination of inflammation.

Continuous

The term biostimulation refers to stimulation at the cellular level to facilitate and speed up healing and recovery. Faster exchange of oxygen and metabolites due to laser irradiation causes more oxygen atoms to reach the mitochondria. Mitochondria are further stimulated to increase the synthesis of ATP which leads to faster recovery.

The thermal effect of the High Intensity Laser is caused by the absorption of the 1064 nm wavelength in the superficial tissues. Warming the superficial tissues decreases of scatter and absorption coefficients and allows for even deeper light penetration. Thermal effect also causes vasodilatation. As a result, blood perfusion increases, larger amounts of oxygen are delivered to the tissues and more metabolites are resorbed.


The energy delivered with continuous High Intensity Laser therapy causes superficial hyperthermy in the tissues and consequently vasodilatation. As increased perfusion passes more blood through the treated area, the muscles relax, pain decreases and range of motion is improved. 

Learn About High Intensity
Laser Medical Effects

CLINICAL
INDICATION
VIDEOS

HIL-Ankle

MECHANISM OF ACTION

TR-Therapy transfers radiofrequency energy through tissue using either capacitive or resistive applicator. Capacitive mode is used to treat superficial structures, such as skin and muscles. Resistive way of application treats deep structures, such as deep muscles, tendons and bones. Due to natural resistivity of the body to radiofrequency energy, TR-Therapy creates pleasant selective healing that spreads through the body. TR-Therapy brings not only scientifically proven medical effects but also a great feeling of being relaxed.

MECHANISM
OF ACTION

The therapeutic effect of laser is based on biostimulation and the facilitation and acceleration of cellular processes that contribute to pain relief and faster recovery post injury. The photomechanical wave stimulates nerve endings, which leads to pain relief. Biostimulation of the affected tissue increases oxygen uptake and improves blood flow.



WAVELENGTH & POWER

Therapeutic lasers are defined by their power and wavelength. Wavelength is important as the ideal effects on tissue is light in the spectrum of approximately 650 to 1100 nm. The 1064nm wavelength of the BTL High Intensity Laser ensures an optimal ratio between penetration and absorption in the tissues. The amount of power a laser can safely deliver can decrease therapy time by more than half.  The combination of 10 W power and 1064 nm wavelength targets deep-lying tissues, eliminates pain and delivers strong thermic therapies within a short period of time.


CLASSES

Based on the wavelength and power, lasers are divided into multiple classes. Therapeutic lasers are generally of class 3B, low level laser therapy (LLLT), with power less than 500 mW whereas class 4, High Intensity Laser, delivers power of 500 mW and more.


MODES

2 modes are available on the BTL High Intensity Laser – pulsed and continuous. Pulsed mode represents turning the laser on and off at a very high frequency and it is used for pain relief. Continuous irradiation is a mode in which the laser remains turned on during the entire treatment and is used to promote biostimulation, healing and recovery.

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TrainingandEducation

Training & Education

Gain valuable understanding about TR Therapy and application techniques.

Loaner_2_

Trial Program

Try a unit for up to 3 weeks!
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FAQ

Yes, it is. However, there are safety measures that must be followed. High Intensity Laser can be dangerous to the eyes, opened or closed. Therapist and patient must therefore wear safety glasses provided by the supplier. Also, the therapy should be performed in a closed room.

No, it’s not.  It’s a painless therapy. 

Since the application of High Intensity Laser is dynamic, the chance of burns is very low.  Automated safety measures are in place when using the optional Intelligent Robotic Scanning System.  It includes safe distance monitoring between the system and the patient, temperature monitoring, and a thermal perception scan to determine patient heat threshold.  

This depends on the condition, it’s severity and how the body will react to treatment.  The number of treatments can range between 5 to 10. 

High Intensity Laser can be used daily.  A minimum of 2 sessions per week is recommended. 

BTL-6000 FOCUS SHOCKWAVE: AN EFFECTIVE ALTERNATIVE TO SURGERY

The BTL-6000 Focus Shockwave device is a clinically proven and effective non-invasive alternative to surgery. Ideal for fast pain relief and the restoration of mobility, the therapy enhances tissue regeneration, eliminates calcifications, relaxes muscles and trigger points, and stimulates the healing of non-union fractures. Its technology offers the highest lifespan with constant shock intensity and a perfect balance between high Energy Flux Density and optimal Focal Zone size. It has the highest frequency range on the market for a wide spectrum of indications. Health Canada approved. MDALL 102793

Watch our short introduction video

TREAT WITH SUCCESS!

FocusSW_IndicationsCircles1

Calcification

FocusSW_IndicationsCircles2

Bone non-union

FocusSW_IndicationsCircles3

Trigger points

FocusSW_IndicationsCircle4

Tendinopathy

Plantar fasciitis & heel spur

Frozen shoulder

Patellar tendinitis (jumper’s knee)

Lateral epicondylitis (tennis elbow)

Medial epicondylitis (golfer’s elbow)

Thumb basal joint arthritis

Torticollis

Non-union fractures

Tendinitis

Chronic inflammation

Bursitis

Shin splints

Morton's neuroma

Osteoarthritis

Insertion tendonopathy

Hip pain and avascular necrosis

Iliotibial band friction syndrome

Myofascial pain syndrome

Impingement syndrome

Calcifications

Patellofemoral syndrome

Tibialis anterior syndrome

Achilles tendinitis

Piriformis syndrome

MEDICAL EFFECTS

The acoustic waves with high energy peak interact with tissue resulting in accelerated tissue repair and cell growth, analgesia, and mobility restoration. Each of the following effects happen simultaneously and are used to treat chronic, sub-acute and acute (advanced users only) conditions.

New Blood Vessel Formation

Nutrient blood flow is necessary to start and maintain the repair processes of damaged tissue. The application of acoustic waves creates capillary microruptures in tendon and bone.

New Blood Vessel Formation

Nutrient blood flow is necessary to start and maintain the repair processes of damaged tissue structure. The application of acoustic waves creates capillary microruptures in tendon and bone. Due to microruptures, the expression of growth factors such as eNOS, VEGF, PCNS and BMP is significantly increased.

As a result, blood vessels are remodeled, stimulated to grow and new ones are formed improving blood supply and oxygenation of the treated area and supporting faster healing of both the tendon and the bone.

Reversal of Chronic Inflammation

Mast cells are a key components of the inflammatory process. Their activity is increased by using acoustic waves which results in the production of chemokines and cytokines.

Reversal of Chronic Inflammation

Chronic inflammation occurs when the inflammatory response is not completely halted. It can damage healthy tissue and results in chronic pain. Mast cells are a key components of the inflammatory process. Their activity is increased by using acoustic waves which results in the production of chemokines and cytokines. These pro-inflammatory compounds first enhance the inflammatory process and then help restore normal healing.

Stimulation of Collagen Production

The production of collagen is a necessary for the repair processes of the damaged myoskeletal and ligamentous structures. Shockwave therapy accelerates collagen synthesis.

Stimulation of Collagen Production

The production of collagen is necessary for the repair processes of the damaged myoskeletal and ligamentous structures. Shockwave therapy accelerates collagen synthesis. The therapy stimulates the newly created collagen fibers into a longitudinal structure which makes the newly formed tendon fibers more dense and resistent.

Dissolution of Calcified Fibroblasts

Calcium build-up is most often the result of micro-tears or other trauma to a tendon. Acoustic waves successfully break up the existing calcifications.

Dissolution of Calcified Fibroblasts

Calcium build-up is most often the result of micro-tears or other trauma to a tendon. Acoustic waves successfully break up the existing calcifications, turning it into a toothpaste-like consistency which is then removed by the lymphatic system.

Dispersion of Pain Mediator “Substance P”

Substance P is a neurotransmitter that mediates pain information through the C-fibers. This neuropeptide is generally associated with intense, persistent and chronic pain.

Dispersion of Pain Mediator “Substance P”

Substance P is a neurotransmitter that mediates pain information through C-fibers and is generally associated with intense and chronic pain. It relays pain messages to the central nervous system. Decreasing the concentration of Substance P reduces the stimulation of afferent nociceptive fibers and thus reduces pain. Decreasing Substance P, histamines and other nociceptive metabolites also inhibits the development of inflammatory oedema. Acoustic waves generated by Shockwave therapy decreased Substance P concentration and trigger pain relief.

Release of Trigger Points

Trigger points are the main cause of pain in the back, neck, shoulders and limbs. Delivered acoustic energy unblocks the calcium pump and thus reverses the metabolic crisis in the myofilaments and releases the trigger points.

Release of Trigger Points

Trigger points are the main cause of pain in the back, neck, shoulders and limbs. They are associated with palpable nodules of muscle fibers and have extremely contracted sarcomeres. The sarcomeres contract so tightly that they begin to cut off their own blood supply which results in waste build up. Waste build-up irritates the sensory nerve endings which causes even more contraction. This vicious cycle is called “metabolic crisis”. The acoustic energy delivered by shockwave unblocks the calcium pump and reverses the metabolic crisis in the myofilaments which releases the trigger points.

SEEING IS BELIEVING

FocusSW_BeforeAndAfter
FocusSW_BeforeAndAfterShoulderCal
BeforeandAfterTISSUE-REGENERATIONF-RACTUREHEALING

CLINICAL INDICATION
VIDEOS

BTLFocus_Videos_1

SHEDULE A CALL WITH ONE OF OUR EXPERTS!


Karen Wright
Capital Equipment Consultant

1-800-561-0310 ext 1719
karen.wright@orthocanada.com

MOST ADVANCED
FEATURES IN THE INDUSTRY

FocusSW-ApplicatorFeatures_1

SELECT THE DEPTH OF PENETRATION OF UP TO 65MM WITH 3 DIFFERENT COUPLING PADS

BTLFocus-ApplicatorsBlack
FSWT-blockBG-forpage_1651046996

Mechanism of Action

The focused shockwave causes deep cell stimulation that releases growth factors responsible for tissue regeneration and the initiation of healing processes in the damaged tissues. 

It is a gold standard treatment for deep-lying tendinopathies, calcifications, and delayed bone healing conditions, such as pseudoarthrosis.

SCIENTIFIC RESULTS
ARE THE REASON TO BELIEVE

ESWT COMPARED WITH
SURGERY FOR
HYPERTROPHIC LONG-BONE
NONUNIONS

EXTRACORPOREAL SHOCKWAVE THERAPY COMPARED WITH SURGERY FOR HYPERTROPHIC LONG-BONE NONUNIONS


Cacchio A, Giordano L, Colafarina O, Rompe JD, Tavernese E, Ioppolo F, Flamini S, Spacca G, Santilli V.


Department of Physical Medicine and Rehabilitation; Division of Orthopaedic Surgery, Department of Surgery, “San Salvatore” Hospital of Vaquila; Physical Medicine and Rehabilitation Centre, Nomentana Hospital, Rome; Department of Physical Medicine and Rehabilitation, School of Medicine, “La Sapienza” University, Rome, Italy

Published: The Journal of Bone & Joint Surgery, 91(11), 2589–2597

HIGHLIGHTS


• 126 patients with bone nonunions.
• Compare effect of surgery and FSWT in long-bone
hypertrophic nonunions.
• FSWT comparing to surgical intervention.
• X-ray
• FSWT is as effective as a surgery at 3 and 12 month follow-ups

SuccessRateofFractureHealing

SWT FOR
CHRONIC PLANTAR
FASCIITIS IN
RUNNING ATHLETES

SHOCKWAVE APPLICATION FOR CHRONIC PLANTAR FASCIITIS IN RUNNING ATHLETES


Rompe JD, Decking J, Schoellner C, Nafe B.


Department of Orthopaedics, Johannes Gutenberg University School of Medicine, Mainz, Germany Published: Am J Sports Med, 2003, 31(2), 268-275.

HIGHLIGHTS


• 145 patients with chronic intractable plantar pain.
• To achieve pain relief.
• 6 tx with FSWT compared to sham treatment.
• VAS
• Significant pain reduction maintained during
3-month follow-up.

PainReduction_FocusSWT

SWT FESWT PROMOTES CELL PROLIFERATION AND COLLAGEN SYNTHESIS OF PRIMARY CULTURED HUMAN TENOCYTES

EXTRACORPOREAL SHOCKWAVE THERAPY PROMOTES CELL PROLIFERATION AND COLLAGEN SYNTHESIS OF PRIMARY CULTURED HUMAN TENOCYTES


Vetrano M, d’Alessandro F, Torrisi MR, Ferretti A, Vulpiani MC, Visco V.


Faculty of Medicine and Psychology, Sant’Andrea Hospital, Rome, Italy Published: Knee Surgery, Sports Traumatology, Arthroscopy, 19(12), 2159–2168

HIGHLIGHTS


• Tendon from patient undergoing arthroscopy.
• To measure the amount of collagen synthesis by tenocytes.
• Samples receiving single FSWT application compared to
samples without FSWT application.
• Dye-binding method and collagen quantitation.
• FSWT strongly stimulated in vitro collagen production

CollagenProductionbyTenocytes_FocusSWT

CUSTOMER TESTIMONIALS

GermanyFocus

Gernot Seppel

“Focused Shockwave is superior to all other treatment options, and above everything else, non-invasive.”

ItalyFocus

Romano De Santis

“I used BTL-6000 FSWT on different frozen shoulder pathologies, elbows with articular block, heel spurs, Achilles tendinopathies, and sports muscle lesions. I had good results since the first therapies.”

PeruFocus

Mario William Marín Pando

“I have observed the best results in myofascial pain, tendinopathies, plantar fasciitis, epicondylitis and delayed bone healing in small bones. The treatment was side-effect free and effective in more than 85% of treated patients.”

Leasing

Lease for $3/day

Finance your success and benefit
from advanced technology for
as low as $3/day.
Learn More >

TrainingandEducation

Training & Education

Gain valuable understanding about Focus Shockwave and application techniques.

Loaner_2_

Trial Program

Try a unit for up to 3 weeks!
Learn more >

FAQ

Energy

Divergent acoustic wave

Convergent acoustic wave

Mechanism of Action

Superficial mechanical stimulation

Deep mechanical stimulation

Key tissue

Tendon, muscle

Tendon, muscle, bone

Medical effect

Activates healing process in tendinopathies, elimination of calcifications, releases tight muscles, chronic pain management

Activates healing process in tendinopathies, elimination of calcifications, releases tight muscles, chronic pain management, healing of bone non-unions

Penetration depth

Up to 5 cm, maximum Intensity at surface with superficial spread

Adjustable depth of focal zone within range 0-35 mm, 15-50 mm, 30-65 mm with maximum intensity at selected depth

Application

Manual

Manual

Patient perception

Pressure sensation to mild discomfort

Pressure sensation to mild discomfort

Consumables

Gel

Gel

Number of treatments

4 to 8

3 to 5

Application frequency

Up to twice a week

Once a week

Treatment duration

10 min

5 min

No. The BTL Focus shockwave is completely liquid free. This saves you from time consuming daily de-bubbling that is needed with other systems. Just turn it on and go!

BTL Focus Shockwave does a self-diagnostic test every time that the system is turned on.  The self-diagnostic test ensures that the BTL System is generating the highest quality acoustic wave.

Focus Shockwave generates a higher intensity acousic wave than Radial Shockwave.  Due to its higher intensity, the number of shocks and number of treatments needed to address pathololgies is less than Radial Shockwave. For the average treatment, 1000 to 3000 shocks is recommended, and the average patient will need 1 to 4 visits spaced out weekly.  For patients that want faster results, the BTL Focus Shockwave is the best option.

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