EMS Swiss DolorClast Focused vs ELvation PiezoWave2T

Both the EMS Swiss DolorClast Focused and the ELvation PiezoWave2T concentrate their energy at a focal point inside tissue, so they are built for the same clinical job and compare fairly. Both use piezoelectric wave generation. Neither publishes a purchase price, so both need a written quote. FDA records located: for the EMS Swiss DolorClast Focused, 510(k) K243279 (Diabetic foot ulcers); for the ELvation PiezoWave2T, an establishment listing only, which is not a clearance.

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

SpecificationFocusedEMS Swiss DolorClast FocusedFocusedELvation PiezoWave2T
Technology
CategoryFocused systemsFocused systems
Wave generationPiezoelectricPiezoelectricdirect focusing, no reflector
Energy fieldWhere the peak energy landsPeaks at a focal pointPeaks at a focal point
Technology as publishedFocused piezoelectricFocused piezoelectric, direct focusing
Stated use or positioningNot statedAcoustic compression therapy for minor aches and painsthe US intended use, per ELvation
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/mm²Withheld: EMS's own figures conflictThe product brochure lists 0.008–0.403 mJ/mm², while EMS's therapy brochure gives 0.55 mJ/mm² at the focus point. Neither explains the measurement basis.Up to 0.82 mJ/mm²on ELvation's European therapy sources
Energy adjustmentIntensity 0.1–20Not published
FrequencyHz1–8 HzUp to 12 Hzcapped at 8 Hz at the highest intensities
Depth and treatment fieldFocal depth, penetration and focus volume measure three different things. Compare like with like.
Focal depth4 cmmidpoint focus; the gel pads shift it20–60 mmfocal centre across the three US therapy sources
Maximum penetrationUp to 6.5 cmat 5 MPa0.5 mm to 6 cmdepending on the therapy source
Applicators and handpiece
Applicators and transmitters3 gel padsto adjust the depth of the focus pointF7G3, F10G10 and FBL10x5G2 therapy sourcesthe US line-up; a replacement F7G3 lists at $6,900
Handpiece lifeOver 5 million impulses5 million pulsesguaranteed per therapy source
Applicator weight1.4 kgNot published
Size and setup
Unit weight15 kg (≈ 33.1 lb)console; the optional cart adds 18 kgNot published
Dimensions180 × 340 × 450 mmconsole405 × 226 × 450 mmUS control unit, W × H × D
ConfigurationTransportable consoleoptional cartControl unit on a cartfoot switch; the US Starter package adds one therapy source and gel pads
Other published detailsTouch-screen console; on/off and intensity buttons on the handpiecepreset protocols, plus analgesic and ramp-up modesHigh-resolution touch screenT-Burst and T-Ramp modes; gel pads set the depth in 5 mm steps
Price and buying
Purchase priceNot publicly listedNot publicly listed
Monthly leaseNot publicly listedNot publicly listed
Warranty and guaranteesNot publishedOne yearF7G3 source one year or 3 million impulses; FBL source one year or 5 million; consumables 90 days
Sales and serviceNot publishedELvation Medical LLC, Alpharetta, Georgiaexclusive US seller; Richard Wolf assembles US units in Chicago
Regulatory recordRecord types and numbers exactly as located. A record covers one configuration and one indication, and never transfers to another product.
FDA record located510(k) K243279Establishment listing onlynot a model-specific clearance
Indication as worded in the recordDiabetic foot ulcersListed as a therapeutic massager (product code ISA, Class I, exempt from 510(k)). Not a clearance, and carries no shockwave indication.
Decision dateAugust 2025Not stated
Other marks and claimsNone notedEU class IIb93/42/EEC
Our notes
Where it stands outA recent August 2025 FDA decision is on file.Several interchangeable piezoelectric therapy sources, and published US prices for replacement sources.
What to checkConfirm the current labelling before quoting broader indications than the record carries.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.

5 further fields have no published figure for either machine.

EMS Swiss DolorClast Focused vs ELvation PiezoWave2T: common questions

What is the difference between the EMS Swiss DolorClast Focused and the ELvation PiezoWave2T?

Both the EMS Swiss DolorClast Focused and the ELvation PiezoWave2T concentrate their energy at a focal point inside tissue, so they are built for the same clinical job and compare fairly. Both use piezoelectric wave generation. The EMS Swiss DolorClast Focused is described as “Focused piezoelectric”, the ELvation PiezoWave2T as “Focused piezoelectric, direct focusing”.

Which is cheaper, the EMS Swiss DolorClast Focused or the ELvation PiezoWave2T?

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 EMS Swiss DolorClast Focused and the ELvation PiezoWave2T FDA cleared?

FDA records located: for the EMS Swiss DolorClast Focused, 510(k) K243279 (Diabetic foot ulcers); for the ELvation PiezoWave2T, an establishment listing only, which is not a clearance. 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 EMS Swiss DolorClast Focused and the ELvation PiezoWave2T?

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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