STORZ DUOLITH SD1 T-TOP ultra vs Medispec Orthospec

Both the STORZ DUOLITH SD1 T-TOP ultra 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 STORZ DUOLITH SD1 T-TOP ultra uses electromagnetic wave generation; the Medispec Orthospec uses electrohydraulic. Neither publishes a purchase price, so both need a written quote. FDA records located: for the STORZ DUOLITH SD1 T-TOP ultra, PMA P080028 (Chronic proximal plantar fasciitis in adults, after six or more months of failed conservative care) and 510(k) K202112 (Diabetic foot ulcers); 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

SpecificationFocusedSTORZ DUOLITH SD1 T-TOP ultraBroad-focused & specialtyMedispec Orthospec
Technology
CategoryFocused systemsBroad-focused, urology and specialty
Wave generationElectromagneticcylindrical coil in the SEPIA handpieceElectrohydraulicspark gap, marketed as Multi-Wave
Energy fieldWhere the peak energy landsPeaks at a focal pointPeaks at a focal point
Technology as publishedFocused electromagnetic (SEPIA)Focused ESWT, proprietary Multi-Wave
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/mm²0.01–0.55 mJ/mm²with the standard SEPIA handpieceNot published
Depth and treatment fieldFocal depth, penetration and focus volume measure three different things. Compare like with like.
Focal depth0–65 mmset with the stand-offs suppliedNot published
Maximum penetrationUp to 125 mmNot published
Applicators and handpiece
Applicators and transmittersSEPIA focused handpiece with stand-offsoptional C-ACTOR handpiece reaches 0.03–1.24 mJ/mm²Not published
Size and setup
ConfigurationTabletop T-TOP consoleoptional 10-inch touch screen; upgradeable to the DUOLITH SD1 TOWER »ultra«Wheeled or desktopOrthospec Compact and Orthospec Desktop models; touch screen
Other published detailsFrequency and energy set on the handpiececoil designed for simple replacement20–30 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
Sales and serviceSTORZ MEDICAL America, Kennesaw, Georgiaexclusive North American distributorMaryland 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 locatedPMA P080028 · 510(k) K202112None located
Indication as worded in the recordPMA P080028: Chronic proximal plantar fasciitis in adults, after six or more months of failed conservative care; 510(k) K202112: Diabetic foot ulcersNo record to quote
Other marks and claimsNone notedSite claims “FDA Cleared” without a 510(k) number
Our notes
Where it stands outThe strongest FDA paper trail in the reviewed set.Established Maryland headquarters with a demonstration programme.
What to checkThose records are configuration-specific and indication-specific. They are not a blanket clearance for the DUOLITH line.The manufacturer site claims “FDA Cleared” without showing a 510(k) number. Request the number directly.

14 further fields have no published figure for either machine.

STORZ DUOLITH SD1 T-TOP ultra vs Medispec Orthospec: common questions

What is the difference between the STORZ DUOLITH SD1 T-TOP ultra and the Medispec Orthospec?

Both the STORZ DUOLITH SD1 T-TOP ultra 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 STORZ DUOLITH SD1 T-TOP ultra uses electromagnetic wave generation; the Medispec Orthospec uses electrohydraulic. The STORZ DUOLITH SD1 T-TOP ultra is described as “Focused electromagnetic (SEPIA)”, the Medispec Orthospec as “Focused ESWT, proprietary Multi-Wave”.

Which is cheaper, the STORZ DUOLITH SD1 T-TOP ultra 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 STORZ DUOLITH SD1 T-TOP ultra and the Medispec Orthospec FDA cleared?

FDA records located: for the STORZ DUOLITH SD1 T-TOP ultra, PMA P080028 (Chronic proximal plantar fasciitis in adults, after six or more months of failed conservative care) and 510(k) K202112 (Diabetic foot ulcers); 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 STORZ DUOLITH SD1 T-TOP ultra 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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