
Photo: ELvation Medical
Focused piezoelectric, direct focusing
A focused piezoelectric shockwave system made by Richard Wolf in Germany and sold in the US by ELvation Medical as the PiezoWave2T MyACT.
Specs and prices are estimates based on publicly available data as of September 2026. Confirm details with the manufacturer or seller before you buy.
Piezoceramic elements on a concave transducer focus the wave directly, without a reflector. The system takes interchangeable point-focused and linear-focused therapy sources, and gel pads set the treatment depth in 5 mm steps. The 2T generation adds a touch screen, a new high-voltage generator and T-Burst and T-Ramp modes, and runs at up to 12 Hz.
In the US, the three therapy sources place the focal centre between 20 and 60 mm deep, and ELvation lists a replacement F7G3 source at $6,900. ELvation says Richard Wolf has assembled the US units in Chicago since 2022, and describes the US intended use as acoustic compression therapy for minor aches and pains.
Where it stands out. Several interchangeable piezoelectric therapy sources, and published US prices for replacement sources.
What to check. No 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.
Every figure links to the page it came from. Fields the manufacturer does not publish are left out.
Pressure 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.
Focal depth, penetration and focus volume measure three different things. Compare like with like.
No 510(k), De Novo or PMA record was located for PiezoWave. FDA's registration and listing database lists the PiezoWave 2 MyACT and 2T MyACT as therapeutic massagers (product code ISA, Class I), a category exempt from 510(k). A listing is not a clearance and carries no shockwave indication.
Side-by-side pages for the machines it competes with directly. You can also compare it with any machine in the comparison tool.
ELvation Medical does not publish a price for the ELvation PiezoWave2T. Ask for a written quote that covers accessories, warranty and handpiece replacement.
No 510(k), De Novo or PMA record was located for PiezoWave. FDA's registration and listing database lists the PiezoWave 2 MyACT and 2T MyACT as therapeutic massagers (product code ISA, Class I), a category exempt from 510(k). A listing is not a clearance and carries no shockwave indication.
The ELvation PiezoWave2T is a piezoelectric focused shockwave machine. A focused device concentrates its energy at a selected point inside tissue rather than at the skin surface. Stated use: Acoustic compression therapy for minor aches and pains.
The ELvation PiezoWave2T is made by Richard Wolf GmbH and sold by ELvation Medical, based in Kieselbronn, Germany.
We found no published lease terms for the ELvation PiezoWave2T. Ask the seller whether financing is available, and get the term, APR, total payments and buyout in writing.
The published figures for the ELvation PiezoWave2T are energy: up to 0.82 mJ/mm² on ELvation's European therapy sources; frequency: up to 12 Hz (capped at 8 Hz at the highest intensities); depth: 20–60 mm focal depth · 0.5 mm to 6 cm max penetration; handpiece life: 5 million pulses (guaranteed per therapy source). 10 of the 32 fields we track have no published figure, so ask for those in writing.
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