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Latest ShockWave Generation

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EDAP TMS – 30 years of innovation in ESWL 1987 1984 Sonolith® 1000 LT01 LT02 Sonolith® 4000 Sonolith® 3000 Sonolith® 2000 INVENTORS INVENTORS Developped in collaboration with 1994

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EDAP TMS Electroconductive technology - INVENTORS EXCLUSIVE Electroconductive Technology Other Technologies EXCLUSIVE <ul><li>Unique technology </li></ul><ul><li>Patented EDAP TMS Electroconductive technology </li></ul><ul><li>More precise spark origin for a more accurate focal point </li></ul><ul><li>More repeatable shockwave </li></ul><ul><li>Automatic Pressure Regulator </li></ul><ul><li>Integrated hydrophone for real-time pressure monitoring </li></ul><ul><li>Automatic Regulation of Voltage in order to always deliver 100% power </li></ul><ul><li>Automatic detection of electrode usage for delivery of consistent energy and power during whole electrode lifetime </li></ul>Time MPa

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Electroconductive ® Technology Key Features <ul><li>Amazing specifications </li></ul><ul><li>160 mm penetration depth (up to 180mm for obese patients) </li></ul><ul><li>250 mm generator width </li></ul><ul><li>1440 bars at focal point </li></ul><ul><li>100 levels of energy intensity (by 1% increments) </li></ul><ul><li>Variable treatment frequency from 0,5 Hz to 3Hz (by 0.1Hz increment) </li></ul><ul><li>possibility of ECG trigger </li></ul><ul><li>Compact focal volume </li></ul><ul><li>Variable energy density & focal volume </li></ul><ul><li>Benefits </li></ul><ul><li>Optimal therapeutic strategies, energy concentration and safe for surrounding tissues with optimal and finest fragmentation capability. </li></ul><ul><li>Maximum flexibility and choice in the Treatment strategy based on power and frequency from no pain to high efficacy </li></ul><ul><li>Low energy at patient skin for pain-free treatment and optimal patient comfort </li></ul><ul><li>Adaptation to all types of patient (including pediatric and bariatric) </li></ul>

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Electroconductive Technology Electromagnetic Technology Electrohydraulic Technology + + + + + - + + - - - - + Piezoelectric Technology - + + + + - - Fragmentation (SFR) Surrounding Tissue Safety Painless treatment

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Finest fragmentation Electroconductive Technology Electromagnetic Technology 100% 2 Hz 738 shocks 6mn15s 427 shocks 3mn50s

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The best clinical results Saltutti C, Di Benedetto A, et al. Extracorporeal lithotripters : is there a gold standard ? In Vivo multifunctional comparison between 6 mobile devices. Congresso Nazionale AURO. IT, Roma, Italy, 2003 Pemberton RJ, Tolley DA. Comparison of a New-Generation Electroconductive Spark Lithotripter and the Dornier Compact Delta for Ureteral Calculi in a Quaternary Referral Center. Journal of Endourology, vol 20 (10), October 2006 (732-736) Highest Stone-Free Rate For all stone sizes With lowest retreatment rate <ul><li>With lowest retreatment rate </li></ul><ul><li>14% retreatment rate </li></ul><ul><li>For all stone sizes </li></ul><ul><li>Highest stone-free after 3 months rates whatever the stone size </li></ul><ul><li>Highest Stone - free rate </li></ul><ul><li>81.5% Efficiency Quotient after 60 days </li></ul>

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The modular concept

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Standard configuration

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Touch configuration

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Visio-Track configuration

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3 configurations with the same power

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Standard The gold standard of modular lithotriptors <ul><li>Patented Electroconductive Technology </li></ul><ul><ul><li>Proven efficient technology </li></ul></ul><ul><li>Exclusive Automatic Pressure Regulator </li></ul><ul><ul><li>Consistent fragmentation from one patient to the next </li></ul></ul><ul><li>170 mm treatment depth (up to 200mm with obese patients) </li></ul><ul><ul><li>More stones accessible </li></ul></ul><ul><li>250 mm treatment width </li></ul><ul><ul><li>More patient comfort </li></ul></ul>

16.
<ul><li>Patient and treatment database </li></ul><ul><ul><li>Keep track of stones </li></ul></ul><ul><li>User-friendly touch-screen interface </li></ul><ul><li>Simultaneous display of X-ray and U/S images (on selected C-arms) </li></ul>A touch of high-tech in modular lithotriptors Standard +

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Visio-Track <ul><li>Infrared Stereo Vision Technology </li></ul><ul><ul><li>Proven accurate and stable for surgical environments </li></ul></ul><ul><li>Feel of freedom </li></ul><ul><li>Automatic Localization </li></ul><ul><li>Real-time tracking </li></ul>The specs of a high-end lithotriptor in a modular one + Touch

18.
Viso-Track System

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Visio-Track System The revolution in UltraSound localization and Tracking PATENTED <ul><li>Infrared Stereo Vision Technology </li></ul><ul><ul><li>Proven accurate and stable in surgical environments </li></ul></ul><ul><li>Feel of freedom </li></ul><ul><li>Automatic Localization </li></ul><ul><li>Real-time tracking </li></ul>

20.
<ul><li>Inline </li></ul>The end of the inline / outline debate <ul><li>Same acoustic window </li></ul><ul><li>Always on focus </li></ul><ul><li>Bad image quality (no direct contact with skin) </li></ul><ul><li>Not practical to localize or relocalize when stone out of focus </li></ul><ul><li>Often not simultaneous with X-ray </li></ul><ul><li>Affects shockwave power </li></ul>+ - <ul><li>Direct contact with patient skin (good image quality) </li></ul><ul><li>Ability to look for the best acoustic window </li></ul><ul><li>Possibility to change viewing angle </li></ul><ul><li>Needs motorization </li></ul><ul><li>Needs complete range of isocentric movements </li></ul>+ - Outline or <ul><li>Direct contact with patient skin (good image quality) </li></ul><ul><li>Ability to look for the best acoustic window </li></ul><ul><li>Possibility to change viewing angle </li></ul><ul><li>Complete freedom of movement </li></ul>+ - Freeline

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A complete range to suit all requirements

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The system that adapts to any requirement <ul><li>Ideal for tight budgets </li></ul><ul><li>Universal clamping system (compatible with virtually any C-arm on the market) </li></ul>Visio-Track The gold standard of modular lithotriptors Standard Touch A touch of high-tech in modular lithotriptors The specs of a high-end lithotriptor in a modular one <ul><li>User friendly touch-screen interface </li></ul><ul><li>Simultaneous display of X-ray and Ultrasound image </li></ul><ul><li>Patient and treatment Database </li></ul><ul><li>Revolutionary Visio-Track system : the patented freeline ultrasound localization </li></ul><ul><li>Integration with B-K latest ultrasound module: flex FOCUS </li></ul>