FAQs Archives < Medispec

What are the main advantages of Thermaspec medical device system?

Level of Energy – While most equipments’ applicator transmits a high level of energy (in some of them up to 80 Watts), Medispec’s Thermaspec uses a relatively low temperature while maintaining the application’s temperature level (applied energy). Minimum Risk for the Rectum – In the equipment cooling systems, the Temperature Sensors (“Thermocouples”) are only EVALUATING the temperature […]

Who is a candidate for Thermaspec treatment?

Patient is diagnosed with symptomatic Benign Prostatic Hyperplasia based on detailed medical history, physical examination, including a urinalysis, and the assessment of renal function, Uroflowmetry, and Post-Void Residual urine measurements (PVR). Patient has defined lower and upper size limits of the prostate (set by sponsor’s expectation of therapy) The AUA symptom Index value should be […]

Who is ineligible to receive Thermaspec treatment?

If a patient has an existing condition involving the below, then he/she is ineligible for Thermaspec treatment. Neurogenic bladder Bladder Calculi Pacemaker, Arrhythmia T.I (recent) Metal implant in the urethra Anti-coagulant treatment Symptoms of prostate cancer Urethral stricture Urination problem of patient caused by something besides benign prostate hyperplasia Untreated infection on urine path Kidney […]

If the patient is on a pacemaker, will the ESWL affect the pacemaker?

A cardiologist will decide if you can have ESWL.

What are the risks in using ESWL specifically with pediatric patients – young children or babies who have kidney stones (from infant to 2 years old)?

ESWL is a good treatment option for children because it allows for minimization of anesthesia and radiation exposure. Also, children have less flank pain than adults with kidney stones in general, because they pass the stones easier. Children 2 years and younger expel stones better than adults.

Can ESWL effectively break up stones at all levels of the ureter?

Yes, ESWL is highly effective for treating ureter stones. More than one session may be needed to completely remove the stone.

What are the risks of the ESWL procedure?

It is possible that the kidney stone may not be completely removed. You may experience bruising, grazing, or blistering of the skin where the shockwaves have passed through.

Are there any side effects following a lithotripsy procedure?

The patient may experience: Urine in the blood Some pain as you pass the pieces of kidney stones

What is the stone-free rate using ESWL compared to laser?

Lingeman and Newman indicate 95% stone-free rate for stones <1cm and 87% for stones 1-2 cm (1990). According to one studyin the Oman Medical Journal, the stone-free success rate of lithotripsy is 74% for kidney stones and 88% for ureter stones (2013).

What happens following a lithotripsy treatment?

A couple of hours after the procedure, you may be able to go home. Make sure someone can take you home. There are medicines available to ease any pain or discomfort you may have. The doctor treating you will consider how well your kidney is functioning before prescribing any medicines, as certain medicines can cause […]

What can a kidney stone patient expect during a lithotripsy procedure?

The treatment itself takes about 30-45 minutes. You will most likely wear a hospital gown and undergo the procedure in a hospital setting. You may not be awake for the procedure. The acoustic waves travel into the body, breaking up the stones into very small pieces.

Is lithotripsy treatment painful?

The treatment is not painful, especially if your doctor puts you under a light or local anesthesia.

What can a patient expect before a lithotripsy procedure?

Physical exam by a doctor or specialist, urologist X-ray , ultrasound , or CT scan to determine the thickness, depth, and location of the stone(s) The doctor needs the x-ray to be completely up-to-date before the procedure. He/she will need to review the position and type of stone being treated to ensure the most effective […]

Aside from clinical considerations, is ESWL a more cost-effective treatment for kidney stones than laser?

Dr. Ran Katz, Head of Urology at Ziv Medical Center and Bar-Ilan University, says yes. Stone per stone, laser and other treatments generally require follow-up procedures that are not necessary with ESWL.

Why choose Lithotripsy over other stone procedures such as Percutaneous Nephrolithotomy (PCNL) or Ureterorenoscopy (URS)?

ESWL requires: Few to no follow-up procedures 1-day hospital or ambulatory Effective for children & infants Less pain than other procedures Less UTIs Local or no anesthetics required Lower ER admission rate Shorter treatment time Lower to zero exposure to x-rays (since ultrasound is an option)

What are the main causes of kidney stones?

Combination of drinking insufficient water & having a modern high-sodium diet Genetic tendency to create stones Kidney stones are created when minerals and salts in urine crystalize, combine together, and form stones. They can cause pain and even infection when they block the urinary tract system.

Who is NOT a candidate for lithotripsy?

People with bleeding disorders, infections, severe skeletal abnormalities, or who are morbidly obese are usually not good candidates. Pregnant women with stones are not treated with ESWL. Also, if your kidneys have any abnormalities, your doctor may decide you should have a different treatment.

Who is a candidate for lithotripsy?

Patients who have a kidney stone(s) smaller than 2 centimeters or 1 inch are generally the best candidates for ESWL a.k.a. lithotripsy.

What is lithotripsy?

Lithotripsy is also known as Extracorporeal Shock Wave Lithotripsy (ESWL) The Greek roots of this word lithotripsy are “litho” meaning stone, and “tripsy” meaning crushed. Extracorporeal means outside of the body, and a shockwave is a pressure wave created by high-energy acoustic waves. These waves can be generated either by hydraulic or electromagnetic power. Lithotripsy […]

What, if any, are risks of LilyCare therapy?

Medical journals and publications on EDSWT report no side-effects. Occasionally, a patient can experience mild discomfort during the treatment.

What are other effects and benefits of LilyCare?

Improve blood flow Regenerate nerve activity Increase VGF Create collateral blood vessels

What can a patient expect after a LilyCare therapy procedure?

Improved sexual function Less pain or no pain Feel more confident and comfortable during intercourse After the procedure, you may be able to go home or back to work right away without waiting. When you need a follow-up appointment, the doctor or nurse will tell you before you go home.

What shall the patient expect during a LilyCare therapy procedure?

The treatment itself takes about 30 minutes. You will most likely wear a hospital gown and undergo the procedure in a doctor’s office or clinical setting. As acoustic waves are generated and traveling into the body, you will hear a clicking sound.

Is the LilyCare Treatment painful?

The treatment is not reported painful by clinicians or medical journals. If concerned, your doctor can give you a light or local anesthesia.

What to expect before a LilyCare female sexual dysfunction treatment?

A patient will undergo a physical exam by a doctor or specialist, urologist. Your medical doctor will most likely run some other tests to rule out other conditions before suggesting this line of treatment.

Why choose LilyCare?

This women’s health treatment has many benefits, including: Easy, fast, effective No medications No surgery No hospital No anesthetics required Short treatment time Low-investment, cost-effective

Who is NOT a candidate for female sexual dysfunction low-intensity shockwave therapy treatment?

Women who are pregnant or are trying to become pregnant As a precaution, women who are already taking blood thinners must consult with their doctors prior to treatment.

Who is a candidate for LilyCare?

Typically, patients who receive LilyCare treatment are women with conditions that cause discomfort or pain during intercourse, such as: Female sexual dysfunctions: Dyspareunia Diminished vaginal lubrication Diminished sexual arousal and difficulty achieving orgasm Urological disorders: Vulvar Vestibulitis Syndrome (Provoked Vestibulodynia Disorder) Chronic Pelvic Pain Syndrome (CPPS) Stress Urinary Incontinence (SUI) Sexual dysfunction in diabetic women

What is LilyCare Treatment?

LilyCare is the revolutionary solution to intimate health issues, a therapeutic treatment for fast, non-medication and non-invasive pain relief and improvement of common female sexual dysfunctions and urological disorders. Typically, a patient may undergo 5-6 treatment sessions of 20 minutes each session.

What are the most common sports injuries?

These are the most common sports injuries that need attention in order to heal properly. Some can be treated at home and some require a trip to the doctor. Abrasions Injuries that result from a fall on a hard surface that causes outer layers of skin to rub off. Achilles Tendon Rupture The exact […]

What is the purpose of deep tissue massage?

The purpose is to “unstick” the fibers of a muscle while releasing deeply-held patterns of tension, removing toxins, while relaxing and soothing the muscle. It is both corrective and therapeutic.

Why get a deep tissue massage?

It feels good and it is beneficial to your health. When muscles are stressed, they block oxygen and nutrients, leading to inflammation that builds up toxins in the muscle tissue. A deep-tissue massage helps loosen muscle tissues, release toxins from muscles and get blood and oxygen circulating properly. Because many toxins are released, it’s important […]

What is deep tissue massage?

Deep tissue massage is a massage technique that focuses on the deeper layers of muscle tissue. It aims to release the chronic patterns of tension in the body through slow strokes and deep finger pressure on the contracted areas, either following or going across the fiber’s of the muscles, tendons and fascia. Deep tissue massage […]

What is the Purpose of Trigger Point Therapy?

The purpose of trigger point therapy is to eliminate pain and to re-educate the muscles into pain-free habits. After several treatments, the swelling and stiffness of neuromuscular pain is reduced, range of motion is increased, tension is relieved, and circulation, flexibility and coordination are improved.

What Causes Trigger Points?

Trigger points have several causes. Some common causes are: birth trauma, an injury sustained in a fall or accident, poor posture, or overexertion.

What are Trigger Points?

Trigger points are areas of tenderness in a muscle. There are two basic types of trigger points: active and latent. Active trigger points cause muscular pain and will refer pain and tenderness to another area of the body when pressure is applied. Latent trigger points only exhibit pain when compressed, they do not refer pain […]

What is Trigger Point Therapy?

Trigger point therapy is a bodywork technique that involves the applying of pressure to tender muscle tissue in order to relieve pain and dysfunction in other parts of the body. Sometimes massage and trigger point therapy are performed together. Trigger point therapy is also called myofascial trigger point therapy. It was developed by Dr. Janet […]

Why work with Medispec?

Medispec has long been an innovator and leader in the field of medical shockwave device applications. Find out more: Become a Partner | Medispec

How long has Medispec been in business?

Medispec was established more than 25 years ago by a team of medical professionals and engineers.

How are Medispec’s shockwaves different from other shockwaves?

Medispec has developed Multi-Wave – a special proprietary wave set, engineered for optimal healing.

In cases with no significant change in patient angina, how is it possible to ensure therapy was provided as it does not have an immediate effect?

One should distinguish between technical and operational malfunction and unfavorable patient characteristics when analyzing the results. In order to reduce the chance for a malfunction, the user has to make sure the following: The shockwaves are generating sound when triggered. No presence of air bubble inside the SWA. The SWA was used within its guaranteed […]

How can I know if the improvement in perfusion is the result of the therapeutic stimulated angiogenesis or due to the natural angiogenesis process in ischemic tissues?

Several results could confirm that the effect is true therapy and not “placebo” effect. ESMR improved myocardial perfusion only in the region where SW’s were applied. Ischemic areas not treated stayed ischemic. Patients treated have chronic stable angina class III or IV without change prior to treatment. In vivo controlled studies confirm the significant increase […]

Is there a change in the medication after treatment?

Yes. There is a reduction of at least 85% in the weekly intake of nitrates after treatment.

Is there a need for special post treatment procedures?

No, but if needed, it is recommended to monitor cardiac enzymes and controlled ECG. All showed negative in the studies performed.

Is it possible to undertake repeated sessions?

Yes. Shock waves could be delivered as long as there is a clinical need for collaterals development.

Are there any side effects?

No. There were no reports of side effects during, immediately after or post treatment. There was no pain associated and no signs of local hemorrhage. Vital parameters, cardiac enzymes and ECG were unchanged. In addition, there was no indication of arrhythmias and new wall motion abnormalities.

What does the patient feel during treatment?

The patient sometimes feels a tickling sensation in the chest during treatment. Some patients feel dizziness. All these effects pass immediate or shortly after the treatment is stopped.

Can I see the treatment site during delivery of shock waves?

Yes. There is no need to move the ultra-sound probe during treatment. Shock waves can be delivered safely with real-time view of the treatment site.

What should I do if the patient has extrasystole?

The Cardiospec is equipped with two modes for delivering shock waves. Automatic mode and Manual mode. When the patient has a history of ventricle extrasystole, the Cardiospec should be in Manual mode, thus, delivery of shockwaves using the Remote control by the user. When the E.C.G. monitor shows an extrasystole then the user should delay […]

Do shock waves cause arrhythmias?

No. The delivery of shock waves is synchronized with the patient’s R-wave. During this period, the heart is in its refractory phase, thus, another action potential cannot be produced eliminating the risk for arrhythmia. The synchronization serves another purpose as well, as a means for precision in delivery of treatment as the heart will be […]

Why was this protocol chosen?

This protocol was chosen in order to maximize the effect of shock waves on the development of collaterals. Collaterals develop usually within 2-3 weeks, which is the reason for the chosen intervals between treatments. In addition, animal studies found that maximal expression of angiogenic factors occur after 4 weeks. Also, clinical data, evaluating therapy on […]

Is there a need for special pre-treatment procedure?

Patients should be at the maximum tolerable dose of two or more antianginal drugs for at least 6 weeks prior to treatment. Also, anti-coagulation medication should be monitored.

How soon after PCI/CABG can the patient undergo a shock wave therapy?

As soon as the patient is stabilized (including hemodynamic stability), it is possible to start shockwave therapy.

Is it possible to use shock wave therapy on patients with pacemakers?

Yes. It is possible, as shock waves are delivered during the R-wave. Also, safety tests have demonstrated no effect of shock-waves on the function of the pacemakers.

Is it possible to use shock wave therapy after PCI/CABG?

Yes. It is possible if the patient has a proven ischemic zone.

I have heard that the shock wave applicator (lithotripter) in the urology department is noisy and there is a need to wear ear protection. Is it required during cardiac applications?

No. Unlike urologic applications, Cardiac shock wave therapy requires less powerful shock waves (1/10th of Lithotripsy). For that reason the Cardiospec is fitted with a smaller generator, producing less intense electrical sparks thus generating significantly less noise. There is no need to wear ear protection during treatment.

Is it necessary to hospitalize the patient?

No. Although no side effects were reported so far, patients at high risk (poor hemodynamic conditions) are recommended to stay in the hospital for monitoring following the treatment.

What are important precautions with regard to Cardiospec treatment?

The candidates of this treatment are usually taking anti-aggregates on a regular basis. There is no treatment limitation in patients treated with Aspirin or Clopidgrel. The treating physician should take into consideration the bleeding tendency resulting from their intake and might consider changing anticoagulant regimen prior to shock wave treatment to prevent local hematoma. In […]

What are the exclusion criteria for treatment?

Patients with the following conditions (selected list): Patients with intracardiac Thrombus Patients with malignancy at the area of treatment Pulmonary disease (emphysema) that blocks the acoustic window Pregnancy

What is the inclusion criteria for treatment?

Patients with documented myocardial ischemia not eligible for “conventional” treatment such as PCI or CABG or has Refractory Angina (Incomplete revascularization, CABG/PTCA failure, Disease progression in native coronary arteries, inadequate treatment of concomitant diseases (eg, hypertension), Microvascular dysfunction). Patient should have angina or angina equivalent symptoms prior to therapy. Therapy had higher success rate the […]

Who can use the Cardiospec?

The Cardiospec should be used by an echocardiography specialist. This could be a cardiologist or an echo technician supervised by the cardiologist who determined the course of treatment. All users should undergo training by Medispec or its local authorized representative to operate the Cardiospec.

Is there a change in the intake of medication after treatment?

Yes. There is a reduction in the consumption of PDE5-I after completion of all treatment sessions.

How long does the treatment effect last?

There is clinical evidence that treatment effect is lasting from 6 months and up to 18 months.

Can PDE5-I be used with EDSWT treatment?

PDE5-I and ED1000 are permitted to be used together in a combination therapy until reaching satisfactory improvement.

How soon after treatment protocol initiation shall I feel any difference in sexual performance?

Some of the patients have reported an improvement after 6 treatments already (3 weeks from initiation of therapy).

Can the patient engage in sexual activity after each session?

There is no restriction of sexual activity before or after treatments. In fact, treatment can enhance a couple’s performance during a honeymoon or vacation, as results may be immediate. The improvement in erectile functioning can be immediately effective and lasts at least 2-3 hours following each treatment under Medical Tourism Protocol.

Is there a need for special post treatment procedures?

No, there is no need for any post treatment procedures.

Is it possible to undertake repeated sessions?

Yes. Shockwaves could be delivered as long as there is a clinical need for ED therapy.

Is there any side effect of the treatment?

No. There were no reports of side effects during, immediately after or post treatment.

What does the patient feel during treatment?

The patient sometimes feels a tickling sensation in the treatment area during treatment. This effect passes immediate or shortly after the treatment is stopped.

Is the treatment painful?

The treatment is not painful and there is no need to use any kind of sedation during treatment.

What are the reasons behind choosing the suggested protocol?

This protocol was chosen based on our extensive clinical proven experience in treatment of cardiovascular ischemia, in order to maximize the effect of shockwaves on the development of collaterals. Collaterals develop usually within 2-3 weeks, which is the reason for the chosen intervals between treatments. In addition, animal studies found that maximal expression of angiogenic […]

Is there a need for special pre-treatment procedure?

There is no need for any special pre-treatment procedure.

Why should I prefer this treatment instead of PDE5-I that I take today ?

Although there is no doubt on the impact that PDE-5 inhibition medication has on the field of sexual medicine, there is a growing realization that pharmacotherapy is not sufficient, especially in such delicate and complex matter as the male sexuality. When it comes to the male sexuality, we have to attribute physiological as well as […]

Is there a significant difference between Erectile Dysfunction Shockwave Therapy and other ED treatment option?

Shockwave Therapy is a non-invasive therapy where we trigger natural mechanism in the patient body to address vascular problems that cause Erectile Dysfunction and not only treat the symptoms. In other therapies treatment can involve either pharmaceutical therapy using PDE5-I that have systematic load on different organs and can be accompanied with different reported side-affect […]

I have heard that the shock wave applicator (lithotripter) in the urology department is noisy and there is a need to wear ear protection. Is it required during ED treatment?

No. Unlike Urologic applications, ED treatment with shock wave requires less powerful shock waves (1/10th of Lithotripsy). For that reason the ED1000 is fitted with a smaller generator, producing less intense electrical sparks thus generating significantly less noise. There is no need to wear ear protection during treatment.

Is it necessary to hospitalize the patient?

There is no need to hospitalize the patient before or after the treatment; the treatment is a non-invasive painless and the patient is able to return to his daily routine.

Is the treatment being conducted in a discreet manner?

Typically, urological clinics and medical treatment offices are discreet. During the treatment, only the treatment administrator and the patient may be present in a private room.

What are the exclusion criteria for treatment?

Patients with the following conditions: Any cause of ED other than vascular etiology Patients with penile tumor Patients with prostatic tumor Patients with testicular tumor Patients with local tumor at the treatment area Patients with skin wound at the treatment area Patients with infection at the treatment area

What are the inclusion criteria for treatment?

Patients with documented vascular related ED and no hormonal, neurologic or psychological pathology

What are Shockwaves?

Shockwaves are acoustic waves, similar to ultra-sound waves that are generated by an underwater high-voltage spark. Shockwaves are single pulse waves with high-pressure amplitude, small pulse width and a short rise time. Shockwaves are delivered noninvasively, focused by a special ellipsoid reflector.

Who can use the ED1000?

The ED1000 should be used by a trained Personal. This could be an Urologist or a nurse with the supervision of an Urologist. All users should undergo training by Medispec or its local authorized representative to operate the ED1000.

What is the ED1000?

The ED1000 is a paradigm shift in the treatment of vascular origin Erectile Dysfunction utilizing Extracorporeal Shockwaves.

Can Slimspec be used for the treatment of pacemaker patients? How high in the upper abdomen can we treat without posing a problem in patients with heart condition?

There is no reason to refrain from treating a patient with cellulite due to the existence of a pacemaker. The electromagnetic effect on the pacemaker does not damage its function, but rather the theoretical direct mechanical insult to the pacemaker or its electrodes, should the Slimspec hit directly on it. Therefore it’s important to keep […]

Is Slimspec treatment safe?

Yes, the treatment is safe and there are no reported side effects. The amount of wave energy decreases proportional to the penetration depth. There has been no reported damage to internal organs.

How much does Slimspec treatment cost?

The cost of Slimspec treatments varies per person. Slimspec treatment price is based on: patient response to the treatment, degree of cellulite and BMI level.

What can you expect with Slimspec cellulite reduction treatment?

After the patient initial evaluation, the professional caregiver should convey agree with the patient upon realistic expectations of the treatment, according to the cellulite level at the starting point, Body Mass Index (BMI) and general skin condition. Although individual results may differ, within six weeks most treated patients will observe a significant improvement of cellulite […]

How many treatments are needed for significant cellulite reduction?

The recommended protocol is twice per week for 6 weeks and one maintenance treatment each 3 months thereafter. The Slimspec treatments are comfortable and relaxing, with each treatment lasting approximately 20 minutes. Once the treatment is over, the patient can return to normal activities without delay.

Which are the benefits of Slimspec treatment?

Gradual smoothening of skin’s surface with a noticeable reduction in cellulite Increased firmness and lifting of the skin Circumferential reduction of 1 – 3 cm

How does the impact of the pressure wave help to tighten skin? What is the impact of Slimspec Therapy on collagen formation?

The pressure wave through deep massage reduces the tissue oedema which is one of the initial phenomena of the Cellulite. Reduction of oedema causes less puffiness of the skin. In addition, due to the oedema, there is an elevation of toxins in the skin tissue which induces degeneration of collagen fibers that hold the fatty […]

How does Slimspec work?

The treatment generates an instant reaction of a butterfly-like effect. The body responds to WaveCare by increasing metabolic activity around the site of the treated area. This stimulates and accelerates the neovascularization process and induces the formation of the collagen fibers in the skin connective tissue. The tissue drainage becomes more effective so the fluids […]

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