ELvation PiezoWave2T vs Medispec Orthospec

Both the ELvation PiezoWave2T and the Medispec Orthospec concentrate their energy at a focal point inside tissue, so they are built for the same clinical job and compare fairly. The ELvation PiezoWave2T uses piezoelectric wave generation; the Medispec Orthospec uses electrohydraulic. Neither publishes a purchase price, so both need a written quote. FDA records located: for the ELvation PiezoWave2T, an establishment listing only, which is not a clearance; for the Medispec Orthospec, no record located.

Specs and prices are estimates based on publicly available data as of September 2026. Confirm details with the manufacturer or seller before you buy.

Side by side

SpecificationFocusedELvation PiezoWave2TBroad-focused & specialtyMedispec Orthospec
Technology
CategoryFocused systemsBroad-focused, urology and specialty
Wave generationPiezoelectricdirect focusing, no reflectorElectrohydraulicspark gap, marketed as Multi-Wave
Energy fieldWhere the peak energy landsPeaks at a focal pointPeaks at a focal point
Technology as publishedFocused piezoelectric, direct focusingFocused ESWT, proprietary Multi-Wave
Stated use or positioningAcoustic compression therapy for minor aches and painsthe US intended use, per ELvationNot stated
Energy outputPressure in bar, energy flux density in mJ/mm² and energy per pulse in mJ are different quantities. A figure in one row never stands in for another.
Energy flux densitymJ/mm²Up to 0.82 mJ/mm²on ELvation's European therapy sourcesNot published
FrequencyHzUp to 12 Hzcapped at 8 Hz at the highest intensitiesNot published
Depth and treatment fieldFocal depth, penetration and focus volume measure three different things. Compare like with like.
Focal depth20–60 mmfocal centre across the three US therapy sourcesNot published
Maximum penetration0.5 mm to 6 cmdepending on the therapy sourceNot published
Applicators and handpiece
Applicators and transmittersF7G3, F10G10 and FBL10x5G2 therapy sourcesthe US line-up; a replacement F7G3 lists at $6,900Not published
Handpiece life5 million pulsesguaranteed per therapy sourceNot published
Size and setup
Dimensions405 × 226 × 450 mmUS control unit, W × H × DNot published
ConfigurationControl unit on a cartfoot switch; the US Starter package adds one therapy source and gel padsWheeled or desktopOrthospec Compact and Orthospec Desktop models; touch screen
Other published detailsHigh-resolution touch screenT-Burst and T-Ramp modes; gel pads set the depth in 5 mm steps20–30 minute outpatient procedureMedispec says “up to” 20–30 minutes, with no anaesthesia or imaging needed
Price and buying
Purchase priceNot publicly listedNot publicly listed
Monthly leaseNot publicly listedNot publicly listed
Warranty and guaranteesOne yearF7G3 source one year or 3 million impulses; FBL source one year or 5 million; consumables 90 daysNot published
Sales and serviceELvation Medical LLC, Alpharetta, Georgiaexclusive US seller; Richard Wolf assembles US units in ChicagoMaryland headquarters with a demonstration programme
Regulatory recordRecord types and numbers exactly as located. A record covers one configuration and one indication, and never transfers to another product.
FDA record locatedEstablishment listing onlynot a model-specific clearanceNone located
Indication as worded in the recordListed as a therapeutic massager (product code ISA, Class I, exempt from 510(k)). Not a clearance, and carries no shockwave indication.No record to quote
Other marks and claimsEU class IIb93/42/EECSite claims “FDA Cleared” without a 510(k) number
Our notes
Where it stands outSeveral interchangeable piezoelectric therapy sources, and published US prices for replacement sources.Established Maryland headquarters with a demonstration programme.
What to checkNo 510(k), De Novo or PMA record was located. In the US it is listed as a therapeutic massager, and ELvation limits the US intended use to minor aches and pains.The manufacturer site claims “FDA Cleared” without showing a 510(k) number. Request the number directly.

9 further fields have no published figure for either machine.

ELvation PiezoWave2T vs Medispec Orthospec: common questions

What is the difference between the ELvation PiezoWave2T and the Medispec Orthospec?

Both the ELvation PiezoWave2T and the Medispec Orthospec concentrate their energy at a focal point inside tissue, so they are built for the same clinical job and compare fairly. The ELvation PiezoWave2T uses piezoelectric wave generation; the Medispec Orthospec uses electrohydraulic. The ELvation PiezoWave2T is described as “Focused piezoelectric, direct focusing”, the Medispec Orthospec as “Focused ESWT, proprietary Multi-Wave”.

Which is cheaper, the ELvation PiezoWave2T or the Medispec Orthospec?

Neither publishes a purchase price, so both need a written quote. Prices change and estimates are not quotes, so confirm both in writing.

Are the ELvation PiezoWave2T and the Medispec Orthospec FDA cleared?

FDA records located: for the ELvation PiezoWave2T, an establishment listing only, which is not a clearance; for the Medispec Orthospec, no record located. A record covers one configuration and one indication, and never transfers to another model, so check it against the exact configuration you are quoted.

How do I choose between the ELvation PiezoWave2T and the Medispec Orthospec?

Start with the clinical job, then ask both vendors for the same five things in writing: the exact model, revision, and which accessories are included at that price; contract term, APR, total payments, and the buyout option at the end; handpiece and consumable life, and what a replacement costs; warranty coverage and US service turnaround time; the exact FDA clearance number and the current labelling for the configuration being quoted.

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