Combination · Versatile. Precise. Adaptable.
DUOLITH® + D-ACTOR® Combination System
Musculoskeletal problems rarely fit neatly into one treatment approach. Pairing radial and focused shockwave gives clinicians the freedom to work broadly through muscle and fascia, then precisely address deeper or more defined tendon, enthesis, calcific, and bone-related targets when the clinical picture calls for it. Instead of choosing one technology for every patient, the Combination System lets the treatment strategy follow the tissue, depth, and pathology in front of you.
- Two Technologies with One Goal
- Broad Treatment + Precise Targeting
- Comprehensive Patient Care
Clinical Use
Indications for the Combination System
Complex Tendinopathy
Treat the surrounding muscle and soft tissue with radial shockwave while retaining focused capability for a defined tendon, insertion, or deeper symptomatic target.
Plantar Fasciitis & Heel Pain
Adapt treatment across the plantar fascia, calf, and surrounding tissue while using focused energy when the clinical target calls for more precise treatment at depth.
Calcific Shoulder Conditions
Use focused shockwave for a defined calcific or tendon target while radial treatment provides another option for the surrounding shoulder musculature and soft tissue.
Myofascial + Deep Pain Presentations
Work broadly through muscle, fascia, and trigger points with radial energy, then address a more localized or deeper pain generator with focused shockwave when appropriate.
Bone & Enthesis Applications
Focused shockwave expands the treatment strategy into bone-related and enthesis applications where controlled energy delivery to a defined target is important.
Sports & Multi-Tissue Injuries
Address the reality of athletic injuries that involve more than one structure, giving sports medicine teams flexibility to work across muscle, tendon, fascia, and deeper anatomical targets within the same technology platform.
Specifications
Built for daily clinical use
| Technology | Radial Shockwave / Radial Pressure Wave + Focused Extracorporeal Shockwave Therapy |
|---|---|
| Radial Pressure Range | 0.3–5.0 bar eff |
| Radial Frequency | 1–21 Hz |
| Focused Energy Range | 0.01–0.55 mJ/mm² |
| Focused Frequency | Up to 8 Hz |
| Focused Focal Depth | 0–65 mm depending on stand-off |
| Focused Penetration Depth | Up to 125 mm |
| Display | Handpiece-based treatment controls with touchscreen options depending on configuration |
| Who It Is For | Orthopedic and sports medicine physicians, physiatrists, podiatrists, physical therapists, chiropractors, athletic trainers, and multidisciplinary MSK practices that want the flexibility to choose radial, focused, or both based on the patient and pathology |
| What is Included | D-ACTOR® 100 ultra radial system with FALCON® handpiece and DUOLITH® focused system with SEPIA® handpiece and stand-offs, 9-set tip case for radial treatment versatility, V-ACTOR® handpiece, plus marketing and implementation support, technology training, and more! |
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