specification: Item Type: ED Shockwave Machine_x000D_Wide Voltage: 110-220V_x000D_Rated Frequency: 50Hz-60Hz_x000D_Shockwave:_x000D_Number of adjustment gears for number of Hits: 5_x000D_Rated Power: 180W_x000D_Maximum Energy: 250MJ_x000D_Energy Gears: 25_x000D_Frequency Gears: 16_x000D_Host Size: Approx. 33 x 30 x 26cm/13.0 x 11.8 x 10.2in_x000D_Indications: _x000D_1. Bone Tissue Diseases: Delayed union of fractures and nonunion, early adult femoral head necrosis._x000D_2. Chronic Soft Tissue Injury Diseases: Biceps long head tendinitis, calcified supraspinatus tendinitis, external humeral epicondylitis, internal humeral epicondylitis, plantar fasciitis, point-of-point Achilles tendinitis, etc._x000D_3. Relative Indications: Osteoarthritis, talus osteochondral injury, tenosynovitis, subacromial bursitis, prepatellar bursitis, patellar tendonitis, greater trochanteric bursitis, snapping hip and muscle spasm, osteonecrosis Sexual diseases, etc._x000D_Shockwave has Following Effects:_x000D_1. Cells: Enhance permeability of cell membranes by improving ion channel activity, promoting cell division, and stimulating production of cytokines._x000D_2. Blood Vessels in Tendons and Muscles: Improve blood circulation, increase growth factor B1, and enhance mitosis of osteoblasts._x000D_3. Nitrogen Oxide System: accelerate bone remodeling and healing._x000D_4. Improve microcirculation and metabolism_x000D_5. Promote dissolution of calcified fibroblasts_x000D_6. Promote synthesis of collagen_x000D_7. Reduce tissue tension._x000D_8. It has analgesic effect._x000D_9. Male sexual dysfunction (ED) treatment_x000D_Contraindications:_x000D_1. Bleeding diseases: Patients with coagulation dysfunction may cause local tissue bleeding. Patients with untreated, uncured or incurable bleeding diseases should not undergo ESWT._x000D_2. Patients with Thrombosis: ESWT is forbidden to use for this type of patients, so as not to cause the thromboembolism to fall off and cause serious consequences._x000D_3. Children with growth pain, patients with severe cognitive impairment and mental illness. Features: 1Improvement of blood circulation, increase in concentration of growth factor beta 1, chemotactic and mitogenic effect on osteoblasts. 2Influence of the shockwave causes to the dissolution of calcium deposits and leads to better vascularization, after effects are relief from the pain. 3Comes with 7 massage heads, 25 energy gears, 16 frequency gears and 250MJ maximum energy can fit different body parts and meet your needs. 4By increasing the activity of ion channels, stimulating cell division, and stimulating the production of cytokines to increase the light transmittance of the cell membrane. 5Suitable for delayed union of fractures and nonunion, early adult femoral head necrosis, chronic soft tissue injury diseases and relative indications. PackageList: 1 x Host 1 x Handle 1 x Base 1 x Power Cord 7 x Working Head 3 x Silicone Case 1 x English Manual