BUILT ON

FUTURE TECHNOLOGY

PERISO mission is that of conjugating innovative

ideas with the development of modern technologies,

which effectively support the diagnostic and rehabi-

litative medicine, without any invasive approach.

DIAMAGNETIC THERAPY

HEALTH AND SCIENCE

ANTONIO SANTOLI - CEO

PERISO SA means interdisciplinary research,

effectively combined with the applied

research of different science field.

our strength lies on

Research, as a strategic

resource for physicians and

healthcare professional

dedicated to the therapy and

rehabilitation of patients.

Successful applied science is

our priority.

Technology, developed in

complete synergy with the

operator’s experience, which

leads us to create new tools that

guarantee rapid and successful

treatment in complete safety.

Innovation, carefully designed

in support of human experience,

and for the enrichment of

training processes within the

medical field, for a better

relationship therapist - patient.

SHOCKWAVE THERAPY

Applied diamagnetism

The CTU S Wave system represents an authentic

innovation in the shockwave generator field that

combines therapeutic safety and efficiency with the

possibility for active interaction between the generator

and the tissue being treated.

The CTU Shockwave is the

first shockwave generator with

DIAMAGNETIC TECHNOLOGY

A shockwave is an acoustic pulse

of brief duration generated by a

rapid rise in pressure to a very high

level known as peak pressure that

subsequently descends to initial

values in a negative pressure

phase.

The alternation of positive and negative pressures

that characterize the shockwave subjects exposed

tissue to the effects of alternating compression

and traction forces.

Traditional shockwave generators produce only one single wave

shape and do not permit the modulation and adaptation of

pressure space and time gradients to the effective needs of

treatment.

A shockwave’s therapeutic effectiveness depends on the mecha-

nical loads produced by the positive half wave on the acoustic

interface of the biological tissue (of variable density) and the ca-

vitation forces induced by the negative half wave:

Reduction of local inflammation

Formation of new blood vessels

Reactivation of repair processes

Restoration of articular mobility

Wavefront of pressure

Half wave with positive

pressure

Half wave with

negative pressure

The effectiveness and validity of a shockwave

generator depend primarily on the characteristics

of focalization of the acoustic pulse, the variation

of which usually CANNOT usually be programmed

by the operator.

therapeutic effect

The CTU Shockwave generator

applies the physics principle of

diamagnetism, the characteristics

of negative magnetization vaunted

by certain materials which when

exposed to an electromagnetic

field undergo a repulsive force in

proportion to the intensity of such

field.

dIAMAGNETIC SHOCKWAVE

Of course, but...

It is widely known that the limit to these devices lies in the difficulty of

simultaneously modulating the focused wave’s space/time gradients

as required on the tissue’s acoustic characteristics.

Ye s , the CTU S Wave is equipped with a

so-called diamagnetic generator that permits

shockwave space/time gradients to be modified,

in this way enabling the variation of both temporal

and spatial focusing to therapeutic needs.

The CTU S Wave system produces a shockwave created by the

interaction of the electromagnetic coil’s field flow and an acoustic

lens made from a highly diamagnetic alloy. The lens undergoes

a sharp acceleration that generates an acoustic pulse that lasts

for approximately 0.1 µsec. This type of shockwave is known as a

DIAMAGNETIC SHOCKWAVE.

The visibility of the diamagnetic effect requires a high-intensity

magnetic field, and the CTU Shockwave generator ensures the

maximum benefit of the biological effects of the electric field

induced by a high-intensity current of very short duration.

Does the CTU S Wave system permit this

limit to be overcome?

Fresnel Lenses

made of diamagnetic material

Electromagnetic Coil

The CTU S Wave is built of

wear-proof components unlike

similar devices on sale. It also

features an added pair of settable

dials with two different focuses

to emit energy suited to different

aesthetic treatments.

Power supply

50-60 Hz 230 Vac

power consumption

0,37A - 85VA

stored energy

70J

protection 1

magneto-thermal circuit breaker

protection 2

internal fuse

inter-pulse time

minimum 10 sec

corrent consumption

130vA (75W)

weight

25 kg (30 kg with accessories) c.a.

dimensions

48x45x121 cm

atmospheric pressure

from 700 toa 1000 hPa

room temperature

from 10 °C to 30 °C

operating environment humidity

from 30 to 75% (non-condensed)

technical

features

Digital Display

Touch Screen

Handpiece

with Fresnel lenses

DIAMAGNETIC GENERATOR

Temporal focusing | Spatial focusing

TEMPORAL FOCUSING

Variation of the quantity of energy that

can be emitted per unit of time on the

basis of the characteristics of the tissue’s

acoustic impedance, elasticity, and

absorbance.

SPATIAL FOCUSING

Variation of the quantity of energy that

can be obtained on the basis of the

distance from the therapeutic treatment

target.

Pulse adaptation. The CTU S

Wave system permits the modifi-

cation of the space-time profile of

the pulses emitted as required by

the anatomopathological lesion

and the acoustic impedance cha-

racteristics of the tissue being tre-

ated.

technological innovation

Temporal focusing adjustment possibility brings shockwave

therapy higher efficiency. After determining the therapeutic

target and therefore the characteristics of the tissue to be

energized with precision, the CTU S Wave permits the

generation of a pulse adequate to the biological tissues’

acoustic impedance. This innovation promotes better energy

absorption and greater biostimulation of cellular components

as a result.

The possibility to adjust the wavefront, in other words, the

time required for the pulse to rise to peak values - known as

its rise time - permits the modification of the shockwave’s time

gradients.

Spatial focusing permits the specific energization of targeted

tissue sections, or rather specific pressure to be applied to spe-

cific areas, in this way preventing any part of the energy

applied from interfering with the structural equilibrium of

adjacent healthy areas.

The CTU S Wave diamagnetic generator permits intervention

on shockwave space gradients through the use of special acou-

stic lenses with pulse focalization capacity that recalls the Fre-

snel lens principle.

Temporal

Focusing

Spatial

Focusing

The CTU S Wave system uses

flat lenses, whose concentric

sections produce different depths

of focus, apertures, and spatial

geometry while maintaining the

characteristics of rotating solids.

Fresnel lenses permit the construction

of optics with arbitrary aperture and

particular focal lengths whose dioptric

power is equivalent to that of a spherical

lens. This is possible by splitting the

spherical lens into a series of concentric

ring sections.

Pulse focalization takes place without

aberrations in a three-dimensional

energization area that depends on the

specific shape and dimensions of the

lens.

Fresnel

lens

Normal

convex lens

65 - focalization

depth: 5,5-6,5

40 - focalization

depth: 3,5-4,5

30 - focalization

depth: 2,5-3,5

20 - focalization

depth: 2cm

00-defocalized

fresnel lenses

The CTU S Wave system lets

the operator control the acoustic

wavefront, in this way reducing

the negative pressure phase. This

permits the shockwave’s negative

effects to be minimized and

treatment to be given completely

without pain.

CTU S Wave significantly reduces the following collateral effects

of the half wave negative phase on biological tissue typical of

traditional shockwave machines, in this way eliminating pain during

treatment:

COMPLETELY PAIN-FREE THERAPY

Excessive cavitation effect: formation of bubbles of gas above the the-

rapeutic effect threshold with a simultaneous increase in the cell’s per-

meability and consequent cellular edema, potential micro-lesions and

transitory damage to cellular membrane and endocellular structures.

Wavefront of pressure

Overheating: part of energy is turned into heat, which is generated by

the friction of shockwaves passing through cellular liquids.

Micro-streaming phenomena: the formation of eddies and flows inbio-

logical tissues that may damage them.

Operation in diamagnetic mode

permits shockwaves and their

draining-repulsive effect to be applied

also in acute stages and not only for

chronic pathologies.

1 ACUTE PATHOLOGY

TREATMENT

2 EMITTED ENERGY CONTROL

3 PAIN-FREE

The CTU S Wave system permits the

simultaneous modification of the

quantity and speed of the energy

transferred, in this way adjusting both

energy flow and shockwave rise time.

As in all shockwave treatments, the

important thing is to correctly focus

the energy in the tissue on the basis of

the depth and energy of the tissue to

be energized.

Pain during shockwave therapy is

usually linked to the combined effect

of the space/time gradient of the

energy emitted by the generator used.

The CTU S Wave system lets the

operator instantly control and modify

the shockwave’s time gradient at equal

emitted energy levels. This adjustment

permits treatment pain to be reduced

while maintaining the pressures

required for the desired therapeutic

effect unaltered.

the advantages of a diamagnetic generator

DIAMAGNETIC GENERATOR

Principal actions and therapeutic applications

CTU S Wave diamagnetic technology permits a remarkable

extension of shockwave applications for both acute and

chronic pathologies, in this way offering the chance to

a make a complete intervention while also significantly

reducing therapy times and accelerating tissue receptiveness

for a faster cure of the following:

Acute tendinopathies

Calcific and other tendinopathies

Muscle pain syndromes

Epicondylitis of the humerus, radius/ulna

Arthrosis (in initial phases)

Enthesopathy

Bursitis

Carpal tunnel syndrome

Patellar syndrome

Fallen arches with or without spurs

Achillodynia

Trigger points

Tibial periostitis

Bone fracture mending delays

Cutaneous ulcers and hard-to-heal wounds

The CTU S Wave system com-

bines the biological effects of

the shockwave and those of the

electric field induced by the ma-

gnetic field increased by the re-

pulsive effect on the tissue’s liquid

components in order to shorten

treatment times.

The synergy of the effects of the shockwaves

and the magnetic field induces a pooled

biological effect by the transduction of the

physical pulse into a biological response,

which as demonstrated singularly for the two

different forms of energy, is characterized

by neo-angiogenic activation, cellular

proliferation and regeneration, and the

metabolic regeneration of the tissues

stimulated.

Diamagnetic shockwaves permit a wide extension of

shockwave applications to treat chronic and acute

pathologies through the interaction of the three ope-

rative modes below:

ENERGY (EFD)

RISE (Rise Time)

DRAINAGE (DIA)

The possibility to manually adjust the wavefront al-

lows the output of a specific pulse modulation de-

pending on the disease, its location, intensity and

the degree of energy absorption by the biological

tissues targeted by the therapy.

The adaptation of the shockwave’s

envelope (time trend) to tissue

characteristics represents a further

therapy amplification factor, especially

for the treatment of degenerative

tendinopathies (calcific and otherwise)

in fascial and apo-neurotic pathologies.

Disgregating action is part of a

wider therapy protocol with an initial

preparatory tissue stimulation phase

followed by operation in disgregation

mode, and lastly drainage mode.

The CTU S Wave system combines

the anti-inflammatory, analgesic, and

biostimulation effects of the shockwave

with the liquid drainage effect worked by

diamagnetism. The traces of the high-

intensity magnetic field that generated

the shockwave induce a repulsive force

on the tissue’s diamagnetic elements like

water and protein, in this way obtaining

a rebalancing of the intra- and extra-

cellular water and solutes that makes the

use of the CTU S Wave system advisable

also for pathologies with effusions,

swelling, and even in acute conditions.

This is possible by modulating the

Diamagnetic effect (DIA).

ENERGY (EFD)

RISE (Rise Time)

DRAINAGE (DIA)

operative mode

The CTU S Wave system makes

administering shockwave therapy

easier thanks to innovative diama-

gnetic technology that permits the

adjustment of the power of every

wave, the modulation of the wa-

vefront, and the selection of DIA

or non-DIA operative mode. The

variability of these parameters

guarantees painless, effective tre-

atment.

Non-DIA mode, the lens is impermeable to the

magnetic field, whose energy is used only to

implement the transduction of the latter into a

shockwave.

Non-DIA mode

DIA mode

DIA mode modifies the shape of the magnetic

field wave in such way that the lens is permeable

to it. The CTU S Wave is therefore available

for use in inducing a therapeutic diamagnetic

effect, and therefore drainage, pain relief, and

the reduction of inflammation.

The diamagnetic effect is used

also to enhance therapeutic tre-

atment thanks by extending the

magnetic field.

The diamagnetic effect is used

only to generate the acoustic

shockwave.

Magnetic

field

Time

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