DUOLITH SD1 T-TOP »ultra«: Evidence-Based Shockwave Therapy for Physicians
- Just Healthy
- 6 days ago
- 10 min read
The DUOLITH® SD1 T-TOP »ultra« is a portable, FDA-cleared focused shockwave therapy system that provides precise, evidence-based treatment to relieve pain, stimulate healing, and support tissue regeneration in clinical practice.
Key Features
Versatile, non-invasive therapy – Treats musculoskeletal pain, erectile dysfunction, wound healing, and even veterinary cases.
Portable and upgradeable – Compact, comfortable to use, and designed with add-on options like radial shockwave, keeping it adaptable for future clinic needs.
Clinically proven results – FDA-cleared and supported by research showing faster healing, reduced pain, and strong patient satisfaction across a range of conditions.
Table of Contents
The DUOLITH SD1 T-TOP »ultra«
The DUOLITH SD1 T-TOP »ultra« from STORZ MEDICAL AG is a focused extracorporeal shock wave therapy (ESWT) device designed for non-invasive treatment of musculoskeletal conditions and other medical applications.
It delivers high-energy acoustic pulses, which are short bursts of sound waves, to targeted tissues, promoting blood flow, healing, and pain relief.
The T-TOP model is portable and ergonomically designed for ease of use, making it ideal for clinics, mobile practices, and veterinary care. Its modular system supports upgrades or integration with radial shockwave modules, expanding treatment options.
The device is FDA-cleared in the U.S. for conditions such as chronic proximal plantar fasciitis and diabetic foot ulcers, and it has seen global application in orthopedics, urology, dermatology, and veterinary medicine.
User-friendly operation, reliable performance, and cost-effective maintenance make the DUOLITH SD1 T-TOP »ultra« a versatile and practical choice for clinics seeking an advanced shock wave therapy solution.
Technical Specifications
Category | Details |
Shock Wave Generation | Electromagnetic (focused ESWT) |
Handpiece Options | - SEPIA® (blue ring): For deeper orthopedic and urological treatments. - C-ACTOR® SEPIA® (red ring): For near-surface applications like wounds. |
Focal Zone Depth | - SEPIA®: 0–65 mm (up to 125 mm penetration depth). - C-ACTOR®: 0–40 mm (up to 65 mm penetration depth). |
Energy Levels | - SEPIA®: 0.01–0.55 mJ/mm² (constant). - C-ACTOR®: 0.03–1.24 mJ/mm² (constant). - Extended range in modular setups: 0.3–5 bar (eff). |
Frequency | Adjustable via handpiece (typically 1–8 Hz, depending on application). |
Connections | Up to 4 (e.g., 2x radial shock wave, 1x vibration therapy, 1x vacuum therapy in modular versions). |
Power Supply | Standard electrical outlet (110–240V, 50/60 Hz). |
Dimensions and Weight | Compact tabletop design. Portable with transport case (vet model). |
Accessories | Stand-offs, gel for coupling, optional touch screen, anatomy atlas software. |
These specs ensure dynamic energy adjustment and selectable focus depths for treating deep or superficial areas effectively.
Applications and Indications
With its different applicators, the DUOLITH SD1 T-TOP »ultra« can treat a wide range of conditions:
Orthopedics and Musculoskeletal Disorders - Treats tendinopathies (e.g., Achilles tendonitis), myofascial pain syndrome, calcified shoulder tendons, bone stress injuries, sports injuries, and chronic proximal plantar fasciitis.
Urology and Urogynaecology (URO Variant) - Low-intensity ESWT (Li-ESWT) is used for vascular erectile dysfunction (ED), induratio penis plastica (IPP/Peyronie's disease), chronic pelvic pain syndrome (CPPS), vulvodynia, and dyspareunia.
Dermatology and Wound Healing (DERMA Variant) - Accelerates healing of chronic wounds, burns, open wounds, and lymphoedema.
Veterinary Medicine (VET Variant) - Mobile use for horses (e.g., insertional desmopathy, osteoarthritis, ligament injuries) and small animals like dogs (e.g., hip dysplasia, cauda equina syndrome, wound healing). Treatments often do not require sedation.
Clinical Evidence
Studies demonstrate that the T-TOP »ultra« is effective in treating a variety of conditions.
For example, over 50% of men with ED were able to resume sexual activity without the use of medication.
In another trial patients with tendon conditions, such as plantar fasciitis and Achilles tendinopathy, experienced significant pain reduction and improved function.
The therapy also supports faster wound healing, promoting quicker tissue recovery. For conditions such as Peyronie’s disease and CPPS, up to 88% of patients report reduced pain and symptom improvement, with only mild and transient side effects.
In sports medicine, shockwave therapy is as well increasingly used to accelerate recovery for athletes. Treatments are performed in the clinic, allowing patients to return home the same day.
Benefits & Therapy Advantages
The therapy stimulates angiogenesis, growth factor release, and anti-inflammatory responses, promoting faster tissue regeneration, effective pain relief, and improved mobility.
It is effective for a wide range of musculoskeletal conditions, including chronic tendon pathologies, soft tissue injuries, and calcifications.
The device’s modular, portable design and intuitive interface allow clinics to efficiently expand treatment capabilities. When combined with physiotherapy, it can enhance recovery, improve patient outcomes, and increase overall treatment satisfaction.
For clinics, the DUOLITH® SD1 T-TOP »ultra« offers a versatile, safe, and high-precision solution that supports evidence-based, non-invasive care while optimizing outcomes for a wide range of patients.
Cost & Pricing Breakdown
Understanding the numbers is key when planning your investment. Below is a clear breakdown of costs and pricing.
Item | Price Range | Notes |
DUOLITH SD1 T-TOP »ultra« device | $47,650 – $57,180 | Price varies depending on tariff adjustments |
Small accessories (standoffs, closing rings) | $90 – $230 per item | Basic add-ons for device setup |
Maintenance items (coil replacements) | $2,500 – $3,000 | Important for long-term device function |
Handpiece replacements (Sepia, C-Actor variants) | $10,600 – $15,170 | Key components for treatment delivery |
Carts (with optional shelves/drawers) | $145 – $2,240 | For mobility and storage convenience |
Additional Notes:
Prices may vary by manufacturer, distributor, region, tariffs, and country.
Overall, the device emphasizes low maintenance.
Discounts may be available on coil purchases.
Clinics using the DUOLITH SD1 T-TOP »ultra« generally charge between $100 and $250 per shockwave therapy session, depending on treatment type, location, and patient demographics.
This makes it possible for practices to recover the investment relatively quickly while offering patients advanced, non-invasive therapy.
Duolith SD1 T-Top Ultra vs Other Models
Model | DUOLITH SD1 T-TOP »ultra« | Storz DUOLITH SD1 Ultra (Radial/Focused Combo) | MASTERPULS | Dornier Aries® 2 | SoftWave TRT |
Shockwave Type | Focused | Radial & Focused | Radial | Electromagnetic | Broad-focused |
Portability | High | Moderate | Very High | Moderate | Moderate |
Modularity | Yes | Yes | No | No | No |
Treatment Depth | Up to 125 mm | Up to 125 mm | Up to 70 mm | Up to 60 mm | Up to 120 mm |
Patient Comfort | High | High | Moderate | High | High |
Maintenance | Low | Low | Very Low | Moderate | Low |
Ideal Use Cases | Orthopedics, Urology, Sports | General MSK, Orthopedics | Entry-level MSK | Orthopedics, Urology | Orthopedics, Wound Care |
FDA Cleared | Yes | Yes | Yes | Yes | Yes |
The T-Top Ultra stands out as the top choice for clinics seeking deep, precise, and versatile shockwave therapy.
With focused shockwaves reaching up to 125 mm, it effectively treats deep conditions such as chronic tendinopathies and urological issues, far surpassing the MasterPuls Ultra, whose radial focus is limited to surface-level treatments.
Its "High" portability and "Yes" modularity enable easy transport and customization with radial, ultrasound, and vibration therapies, offering more versatility than the MasterPuls Ultra's fixed radial design with no modularity.
With "High" patient comfort and "Low" maintenance, it provides painless, reliable treatments for orthopedics, urology, and sports, outperforming the MASTERPULS Ultra's "High" applicator lifespan.
The DUOLITH is a better investment for advanced clinics because its deeper reach and flexibility are more valuable for specialized treatments, as cutting-edge solutions are increasingly in demand today.
Installation & Footprint
The DUOLITH SD1 T-TOP »ultra« is built for clinical efficiency and convenience. Its compact, portable design fits easily into standard treatment rooms, physiotherapy spaces, or mobile clinics.
Setup is simple. Just plug it into a standard electrical outlet, and it is ready for immediate use.
Intuitive controls make it easy for staff to operate, while the ergonomic design allows the device to be moved around effortlessly, making it suitable for shared or multi-purpose treatment areas.
With a smaller footprint than many combination radial and focused devices, the T-TOP is ideal for clinics with limited space. Taking care of the machine is easy. Staff can do it quickly without stopping patient treatments.
In short, the T-TOP »ultra« combines advanced shockwave therapy power with a smart, space-conscious design, making it a good choice for many types of clinics.
Operation & Maintenance
This device is designed for smooth, efficient use in clinical settings. Energy and frequency controls are integrated into the handpiece, allowing real-time adjustment during treatment.
An optional touch screen stores patient data and treatment protocols, simplifying workflow and documentation.
Taking care of the machine is easy. Changing the coil and doing small tasks, like emptying water, is quick and simple.
User Training & Certification
Clinicians using the T-TOP »ultra« should be licensed healthcare professionals trained in shockwave therapy.
Storz Medical supports this with its Storz I.C.E. Shock Wave Portal, offering instructional videos, setup guides, treatment protocols, and webinars to ensure safe and effective use.
Beyond Storz’s resources, accredited providers like Vale Medical, Venn Healthcare, and Shockwave Therapy Training offer structured courses that often combine online learning with hands-on practice.
Accessories & Add-Ons
The T-TOP »ultra« offers a range of accessories and optional add-ons to enhance versatility, precision, and workflow efficiency in clinical and veterinary settings.
These include anatomical and exchangeable stand-offs, specialized handpieces, an interactive touch screen, revision kits, applicators, and transport solutions.
Together, they allow clinicians to tailor treatments to different patient needs, improve usability, and support mobile or multi-site practices.
Accessory / Add-On | Purpose / Benefit |
Exchangeable / Anatomical Stand-offs | Adapt treatment depth and focus to different body regions or patient anatomies |
SEPIA® Handpiece | Focused therapy handpiece for precise musculoskeletal treatments |
C-ACTOR® Handpiece | Optional handpiece for specialized therapy applications |
10" Touch Screen | USB-connected interface with patient management system and Visible Body® atlas |
Revision Kits | Maintenance and replacement parts to ensure long-term device performance |
Applicators | Optimize energy delivery for specific treatment areas |
Transport Case (VET) | Facilitates mobile use and safe transport in veterinary or multi-location practice |
Coupling Gel | Ensures effective transmission of shock waves from handpiece to tissue |
Financing & Lease Options
The DUOLITH® SD1 T-TOP »ultra« is easy to bring into your clinic with flexible financing and leasing.
Partners like Remington Medical, CuraMedix, and Enovis make it possible to get started without big upfront costs, so you can treat patients and grow your practice right away.
Regulatory Compliance and Safety
This Storz Medical device is built to the highest clinical standards, ensuring safety, reliability, and proven effectiveness.
CE-Marked: Complies with European medical device regulations.
International Safety Standards:
IEC 60601-1 – Electrical safety
IEC 60601-1-2 – Electromagnetic compatibility
IEC 60601-2-36 – Standards for extracorporeal shockwave devices
These certifications matter because they prove the device has been rigorously tested, meets strict international regulations, and delivers treatment safely with minimal side effects. This gives clinics and patients confidence in every session.
Customer Reviews & Ratings
Doctors value the DUOLITH® SD1 T-TOP »ultra« for its reliability, versatility, and consistent results. Many report excellent outcomes for conditions such as erectile dysfunction, with over half of patients improving without medication.
Doctors like that it works well and is easy to use. They can give treatments confidently after a short time learning how to set it up.
Even veterinary highlight its portability, using it to treat horses and small animals on-site without the need for sedation.
"Bought Duolith SD1 Ultra a year ago. No problem. The device is stable, like a Swiss watch. Effective and practical."
Combined with its strong long-term value, it’s a smart choice for clinics that want to grow their services and give patients the best care.
Conclusion
The DUOLITH SD1 T-TOP »ultra« is a versatile, reliable, and clinically proven shockwave therapy machine that makes advanced care accessible for a wide range of conditions, including musculoskeletal injuries, erectile dysfunction, chronic wounds, and veterinary treatments.
Its compact, portable, and upgradeable design fits comfortably in both clinic-based and mobile practices, making it easy to integrate into daily routines.
With FDA clearance, CE marking, and strong clinical evidence, the T-TOP »ultra« delivers real results by reducing pain, supporting tissue regeneration, and improving patient satisfaction with minimal side effects.
Clinicians and veterinary professionals both praise its stability, ease of use, and positive outcomes, giving confidence that every treatment is safe and effective.
For clinics looking to expand their therapeutic options and offer cutting-edge, evidence-based care, the DUOLITH SD1 T-TOP »ultra« is more than a device; it is a smart, practical investment that supports better outcomes for patients and animals.
FAQs Specific to This Model
What medical conditions can the DUOLITH SD1 T-TOP »ultra« effectively treat?
The device is FDA-cleared for chronic proximal plantar fasciitis and diabetic foot ulcers. Clinically, it is also widely used for tendinopathies, sports injuries, erectile dysfunction, Peyronie’s disease, chronic pelvic pain syndrome, chronic wounds, burns, and veterinary applications like ligament injuries and osteoarthritis in horses and dogs.
How long is a typical treatment session, and how many sessions are required?
Outpatient sessions generally last 10–20 minutes. Most conditions respond within 3–6 sessions, depending on severity and treatment area. Sessions are non-invasive and do not require sedation in most cases.
Is training required to operate the device safely?
Yes. Storz Medical provides training resources through the Storz I.C.E. Shock Wave Portal, including instructional videos, setup guides, and treatment protocols. Additional accredited courses are available through providers like Vale Medical and Venn Healthcare. This ensures safe and effective use.
What are the main safety considerations or contraindications?
The device is very safe with minimal side effects, typically mild redness at the treatment site. Contraindications include pregnancy, coagulation disorders, and treatment of air-filled tissues (e.g., lungs). All treatments are non-invasive and controlled for safe outpatient use.
How does the DUOLITH SD1 T-TOP »ultra« compare to other shockwave devices?
It provides focused shockwave therapy with adjustable depth and energy levels, allowing precise targeting of tissues. Its modular, portable design is suitable for clinics with limited space and for mobile applications. Many users report superior reliability, versatility, and patient satisfaction compared to radial-only or broad-focused devices.
External Links
STORZ MEDICAL – Official manufacturer of shockwave therapy devices and innovations.
CuraMedix – U.S. distributor of STORZ MEDICAL technologies with clinical resources.
Venn Healthcare – UK-based supplier of shockwave and non-invasive therapy equipment.
Vale Medical– Provider of medical devices and training for shockwave therapy in the UK.
Remington Medical – North American distributor of shockwave therapy and rehab solutions.
SoftWave TRT – Manufacturer of SoftWave tissue regeneration therapy devices.
ClinicalTrials.gov – Database of ongoing and completed clinical trials worldwide.
PMC – PubMed Central, free full-text archive of biomedical and life sciences literature.
FDA – U.S. Food and Drug Administration, regulatory authority for medical devices.
