PACE® Technology

Pulsed Acoustic Cellular Expression®

Transforming energy from mechanical force into programmable biological stimulus

The Foundation

Overview:

Why PACE® Exists

While shockwave therapy is often treated as a single-variable modality energy in, response out real biological systems are far more complex. Clinical outcomes are not determined by peak pressure alone, but by energy consistency, spatial distribution, temporal control, and tissue coupling.



PACE® (Pulsed Acoustic Cellular Expression™) was engineered to solve a fundamental limitation in conventional shockwave systems:

Inconsistent energy delivery produces inconsistent biological signaling.

PACE® is not simply a method of generating shockwaves — it is a system architecture designed to control how acoustic energy is produced, shaped, delivered, and biologically interpreted across diverse anatomical and clinical contexts.

What is Pace®?

PACE® is a patented acoustic delivery framework that integrates:

Controlled shockwave generation

Predictable energy flux density (EFD)

Optimized pulse consistency

Advanced applicator-tissue coupling

Scalable focal geometry

Its purpose is to maximize cellular signaling while preserving tissue integrity, enabling repeatable, non-thermal treatments across a wide range of depths, tissues, and treatment zones.

InShort

PACE transforms shockwaves from blunt mechanical force into programmable biological stimulus.

From Shockwaves to Cellular Expression

Traditional Systems Focus

Pressure amplitude

Conventional shockwave systems prioritize peak pressure as the primary metric of effectiveness.

PACE® Focus

PACE® Focus

Cellular response

Cellular response

PACE is engineered to optimize biological outcomes at the tissue level.

PACE is engineered to optimize biological outcomes at the tissue level.

At the tissue level, PACE is engineered to optimize:

Mechanotransduction efficiency

Nitric oxide signaling

Growth factor expression (e.g., VEGF pathways)

Microcirculatory response

Cellular permeability and signaling cascades

By stabilizing the mechanical input, PACE increases the probability that biological systems respond in a predictable and restorative manner rather than a chaotic or inflammatory one.

Smart-Solution Energy Generation

A Controlled Catalyst for Consistent Power

At the core of PACE is a patented Smart-Solution™ catalyst system used in acoustic wave generation.




Unlike conventional fluid-based or consumable-dependent systems, the Smart-Solution™ is engineered to:

Produce highly consistent shockwave output

Minimize pulse-to-pulse variability

Maintain predictable energy profiles across treatment sessions

Preserve waveform integrity over extended device use

From a physics perspective, this consistency is critical. Biological signaling pathways are threshold-dependent — variability in energy delivery can mean the difference between cellular activation and no response at all.

Smart-Solution™ ensures: Every pulse behaves as expected clinically and biologically.

Applicator Engineering: Tissue Coupling as a Design Priority

Stainless Steel Applicator with Silicone-Flex Membrane

Energy delivery does not stop at wave generation, it must be efficiently transferred into biological tissue.

PACE® utilizes a precision-machined stainless steel applicator combined with a silicone-flex membrane, designed to:

Maintain optimal acoustic
impedance matching

Ensures energy transfer efficiency at the tissue interface

Reduce energy loss at
the skin interface

Reduce energy loss at
the skin interface

Minimizes dissipation before reaching target tissue

Minimizes dissipation before reaching target tissue

Conform seamlessly to complex
anatomical contours

Adapts to curved and irregular body regions

Improve coupling across curved,
irregular, or sensitive regions

Improve coupling across curved,
irregular, or sensitive regions

Maintains contact quality regardless of treatment area

Maintains contact quality regardless of treatment area

This design ensures uniform energy transmission, regardless of body region. A critical requirement when treating over 150 distinct treatment zones.

Partial Ellipse Applicator Geometry

Engineering Depth Without Sacrificing Control

PACE incorporates a patented partial-ellipse stainless steel applicator head, a geometric design choice with significant clinical implications.

This focal architecture allows StemWave to:

Penetrate 3–5× deeper than many conventional acoustic therapies

Maintain therapeutic energy at depth

Target the origin of chronic and acute musculoskeletal conditions

Avoid excessive surface energy concentration

Unlike point-focused or diffusely radial systems, the partial ellipse enables distributed focal convergence, allowing energy to reach deep structures while maintaining biological safety.

X-Trode Modular Electrode System

Precision Engineered for Output Stability

At the core of PACE® is the X-Trode™ modular electrode, a meld-alloy component designed to deliver consistent, repeatable acoustic energy throughout prolonged clinical use.

Rapid in-office replacement

Simplified service and maintenance workflows

Zero operational downtime

Stable pulse characteristics over time

X-Trode preserves energy consistency across the full device lifecycle, eliminating degradation-related variability that can compromise treatment reliability and biological response.

Acoustic Field Control

Acoustic Field Control

Depth, Width, and Biological Targeting

Depth, Width, and Biological Targeting

PACE® incorporates acoustic field control — enabling precise modulation of penetration depth, focal volume, and energy distribution within tissue.




Through adjustable system parameters, clinicians can intentionally shape the therapeutic acoustic field to match anatomical complexity and biological intent.

PACE® incorporates acoustic field control — enabling precise modulation of penetration depth, focal volume, and energy distribution within tissue.




Through adjustable system parameters, clinicians can intentionally shape the therapeutic acoustic field to match anatomical complexity and biological intent.

Penetration depth

Control how deep the acoustic energy reaches into tissue structures.

Focal width

Modulate the size and geometry of the treatment zone for targeted or broad-area coverage.

Energy distribution within the treatment zone

Optimize how therapeutic energy is dispersed throughout the focal field to ensure uniform biological stimulation.

This design ensures uniform energy transmission, regardless of body region. A critical requirement when treating over 150 distinct treatment zones.

This allows clinicians to:

Address superficial or deep structures

Treat conditions at any tissue depth

Adapt to varying tissue densities

Customize for different anatomical regions

Customize biological stimulus without changing platforms

One system, unlimited applications

Rather than being locked into a single focal profile, PACE enables adaptive energy delivery, essential for treating complex musculoskeletal and soft tissue environments.

Therapeutic Energy Density & Field Saturation

Maximizing Biologically Meaningful Energy Delivery

PACE® is engineered to deliver up to 500% greater therapeutic energy density than many other non-invasive modalities — not by increasing uncontrolled peak pressure, but by optimizing how energy is distributed, sustained, and utilized within tissue.

This is achieved through:

Sustained energy
delivery

Sustained energy
delivery

Larger effective


focal zones

Larger effective


focal zones

Consistent pulse
architecture

Consistent pulse
architecture

The result is therapeutic field saturation. A state in which biologically meaningful energy permeates the full treatment volume, rather than being concentrated at a single focal point.

Expanded Focal Zone

Without Power Dilution

A defining advantage of PACE® is its ability to generate a focal zone 23× larger than many shockwave systems without diluting therapeutic energy density or compromising treatment accuracy.


Rather than dispersing energy across a larger area at the expense of biological effect, PACE maintains meaningful energy density throughout the entire focal volume.

This has significant implications:

Efficient Treatment of Larger Tissue Volumes

Cover broader anatomical regions in less time while preserving therapeutic intensity.

Uniform Energy Distribution

Deliver consistent biological stimulus across the full treatment field, reducing edge falloff.

Sustained Clinical Efficiency

Maintain short treatment times and streamlined clinical workflows.

Expanded Clinical Versatility

Adapt to diverse anatomical regions, tissue types, and clinical applications.

From a physics standpoint, this represents a rare optimization: increased scale without energy dilution.

Engineering for Unlimited Clinical Potential

PACE was engineered not for a single indication, but for platform-level adaptability.

When energy delivery is:

Consistent

Scalable

Depth-controllable

Biologically tuned

The system becomes capable of supporting:

The system becomes capable of supporting:

Multiple anatomical regions

Multiple anatomical regions

Diverse tissue types

Diverse tissue types

Broad clinical disciplines

Broad clinical disciplines

Over 150 treatment zones

Over 150 treatment zones

This is the engineering foundation behind what we describe as Limitless Clinical Potential.

This is the engineering foundation behind what we describe as Limitless Clinical Potential.

PACE® vs Conventional
Shockwave Systems

Parameter

Conventional Systems

PACE®

Energy consistency

Variable

Highly controlled

Tissue coupling

Rigid

Conforming silicone-flex

Depth capability

Limited

3–5× deeper penetration

Focal size

Narrow

2–3× larger

Maintenance downtime

Common

Zero downtime

Platform scalability

Limited

Multi-zone, multi-application

Conclusion: PACE® as a Biological Interface

PACE® represents a shift from device-centric shockwave therapy to biology-centric acoustic engineering.

By controlling how energy is generated, shaped, delivered, and interpreted by tissue, PACE transforms shockwaves into a precision biological interface

enabling consistent outcomes, expanded applications, and a new standard for non-invasive acoustic medicine.

Frequently asked
questions

Frequently asked
questions

Is this like an ultrasound?

Common use cases

Is StemWave covered by insurance?

Do I really get to try it for 60 days?

Do you provide training?

Is StemWave easy to use?

How much do offices charge for StemWave?

How long do the treatments take?

Is this like an ultrasound?

Common use cases

Is StemWave covered by insurance?

Do I really get to try it for 60 days?

Do you provide training?

Is StemWave easy to use?

How much do offices charge for StemWave?

How long do the treatments take?

Is this like an ultrasound?

Common use cases

Is StemWave covered by insurance?

Do I really get to try it for 60 days?

Do you provide training?

Is StemWave easy to use?

How much do offices charge for StemWave?

How long do the treatments take?

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Individual results may vary. Neither StemWave nor any of its subsidiaries dispense medical advice. The contents of this website do not constitute medical, legal, or any other type of professional advice. Information related to various health, medical, and fitness conditions and their treatment is not meant to be a substitute for the advice provided by a physician or other medical professional. You should not use the information contained herein for diagnosing a health or fitness problem or disease. Rather, please consult your healthcare professional for information on the courses of treatment, if any, which may be appropriate for you. Please consult the User Manual (IFU) and all labeling provided with the product prior to use.

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