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Texua Physiotherapy & Wellness Equipment

Texua R23

Product Code: PAWE-EAPD-3220

A shockwave console small enough for the worktop runs on a 15.6-inch screen.

Its caseload includes plantar heel pain and Achilles or elbow tendon pain that outlast months of conservative care. One shockwave handle works from 1 to 20 bar at up to 6 Hz, with a stated treatment depth of 65 mm.

Sections

PEMF Therapy

Categories

Physiotherapy & Wellness Equipment

Condition

New

Origin

China

Seller Type

Certified Professional Seller

Size:

430 × 390 × 430 mm

CE & ISO Certified

Global Shipping

Supplier: Medigear

In Texua's shockwave range, the R23 is a benchtop console with a single shockwave handle, made by Guangzhou Texua Electronic Technology Co., Ltd. The datasheet lists 1 to 20 bar under energy, 1 to 6 Hz, a 0 to 65 mm penetration depth, a 400 W rating, a 15.6-inch touchscreen and a 220 V/50 Hz or 110 V/60 Hz supply. The bar scale points to a radial design, but the sheet names neither wave type nor drive, and states no intended purpose, contraindications, transmitter heads, energy flux density, programmes, noise level or handpiece service life.

What sets the R23 apart is its wide pressure scale under a low-rate ceiling. Published radial protocols often work at 1.5 to 3 bar, and at 6 Hz a 2,000-impulse area takes about five and a half minutes. That points to adults whose Achilles, plantar heel, lateral elbow or outer hip pain has not settled after three to six months of conservative care, treated over several sessions under NICE's special arrangements for consent and audit.

The touchscreen is the only interface listed, and the photograph shows a body map framed by menu buttons whose programmes are not published. The 30 kg console carries its handpiece at the top right, with no stand shown. The 400 W figure is not identified as input or output, and UK use needs the 220 V/50 Hz build with a confirmed 230 V rating and a UK plug.

The console measures 430 × 390 × 430 mm and packs to 500 × 560 × 600 mm at 42 kg. Medigear.uk lists the R23 for UK business buyers. Request the declaration of conformity, instructions for use with contraindications, transmitter details, handpiece service intervals, operator noise data, UK Responsible Person details and MHRA registration evidence from the seller before ordering.

Podiatry is a natural home for the R23. NHS podiatry services already offer shockwave therapy for plantar heel pain, and a benchtop console can share a room with the podiatry chair. Patients usually reach this step after at least three to six months when physiotherapy, rest, orthotics, painkillers, or a steroid injection have not settled their symptoms, and the referral should record which of these they have tried.

Musculoskeletal physiotherapy and sports medicine services use radial shockwave for Achilles tendinopathy, lateral elbow pain and greater trochanteric pain syndrome, usually alongside a loading programme. NICE asks these services to inform their clinical governance leads, give patients clear written information about the uncertain evidence and audit every outcome. Its guidance on hip pain adds that clinicians should have specific training in the procedure and follow the manufacturer's instructions.

Orthopaedic outpatient departments that run shockwave lists work to the same arrangements, and one specialist NHS orthopaedic trust monitors every patient before and after treatment. Calcific shoulder tendinopathy is the exception, since NICE limits its use to research studies.

In England, a clinic where registered physiotherapists or podiatrists treat patients generally needs CQC registration to treat disease, disorder, or injury, while care given at a sports ground or gym solely for people taking part in sport is excluded. Both professions register with the HCPC.

Independent clinics usually buy direct, and NHS trusts apply their own medical device management checks before a console enters service. The conformity documentation those procurement routes require is issued by the manufacturer and provided by the seller.

A Console That Lives on the Worktop

The body measures 430 × 390 × 430 mm, so the R23 sits on a standard worktop or trolley and leaves the floor of a small treatment room free for the couch and the clinician.

Settings in Plain View

A 15.6-inch touchscreen gives the pressure and rate settings plenty of room. Large, readable figures make it easier to copy exact parameters into the audit record that NICE's special arrangements call for.

A Pressure Scale That Starts at 1 Bar

Treatment usually opens gently and builds towards the patient's tolerance, so a scale that begins at 1 bar leaves room for a soft start, provided the seller confirms the step size between settings.

Session Lengths That Are Easy to Plan

Because the rate tops out at 6 Hz, each area's time follows directly from the impulse count in the chosen protocol, making appointment lengths easy to set.

One Handpiece to Learn and Service

A single shockwave handle keeps training focused on one tool and gives the service one component to track for wear and servicing.

A Small Electrical Load

Four hundred watts is a light load for a UK 13 A socket, if that figure is the input rating. Nothing on the sheet calls for a dedicated circuit, so fitting it comes down to a socket, a firm surface and the routine electrical safety test.

A Non-Invasive Outpatient Option

NHS patient information describes radial shockwave as an outpatient treatment with no hospital stay, no cutting, and no medication for patients who have already worked through physiotherapy, orthotics, and painkillers, giving the service another option to discuss.

Back to Usual Activities After Each Session

NHS patient guidance says people can normally carry on with their usual activities after treatment, avoiding strenuous or high-impact exercise that stresses the treated area for 48 hours. A course therefore fits around most working weeks.

Single Shockwave Handle

The datasheet lists one shockwave handle, shown in the photograph at the top right of the console. Transmitter heads for it are not listed.

Pressure Range of 1 to 20 Bar

Pressure runs from 1 to 20 bar and is printed under the heading Energy. Bar measures pressure, and no energy flux density figure appears alongside it.

Pulse Frequency of 1 to 6 Hz

The published rate runs from 1 Hz to 6 Hz. The adjustment step is not stated.

Stated Penetration Depth of 0 to 65 mm

The sheet claims a penetration depth of 0 to 65 mm without naming the pressure, transmitter or method behind it.

400 W Power Rating

The power figure is 400 W, with no note of whether that is mains input or output.

15.6-Inch Touchscreen

The Touchscreen is the only interface listed. Software language, stored protocols and session logging are not described, so ask for screenshots or a demonstration before ordering.

Body Map Shown in Photography

The photograph shows a human figure on screen, surrounded by menu buttons. The programmes behind those buttons are not published, so treat them as unconfirmed until the instructions for use describe them.

Benchtop Console Format

Published dimensions are 43 × 39 × 43 cm, read here as 430 × 390 × 430 mm. The sheet doesn't specify the axis order, and no stand or trolley appears in the photograph.

30 kg Console Weight

At 30 kg, lifting the console onto a worktop requires two people or a lifting aid.

Packing Size and Weight

The console ships in a 500 × 560 × 600 mm package weighing 42 kg and measuring about 0.17 m³ in volume.

Dual-Voltage Supply

Builds are offered for 220 V/50 Hz or 110 V/60 Hz. For UK use, confirm a 230 V rating and a fitted UK plug.

Wave Type and Drive to Confirm

The bar scale suggests a radial design, possibly driven by compressed air, but neither the wave type nor the drive is named. If an internal air reservoir is fitted, its pressure and volume decide which parts of the Pressure Systems Safety Regulations 2000 apply.

Noise Output to Confirm

No sound level is published. Radial treatment measured elsewhere has reached about 88 dB, so the figure at the operator position matters for the noise assessment.

Handpiece Service Life to Confirm

No impulse rating, service interval or spare parts list is published for the handle. Ask for all three, along with the transmitter heads supplied as standard.

Podiatry and physiotherapy services with a steady flow of stubborn Achilles, heel, elbow, and hip pain can use the R23 to add radial shockwave to an existing room without sacrificing floor space. Its datasheet leaves a good deal to settle first. The wave type and drive, the transmitter heads, the handpiece service interval, the noise level and the contraindications all need to be in writing. With those in hand, and with consent and audit arrangements aligned with NICE guidance, the console can take its place on the worktop. Medigear.uk lists the R23 for UK business buyers and can arrange delivery, installation, commissioning, staff training and service cover. Request the declaration of conformity, the instructions for use, UK Responsible Person details and MHRA registration evidence from the seller at quotation.

FAQ

Frequently Asked Questions

Everything buyers need to know about sourcing medical equipment through MediGear.

The datasheet doesn't specify the wave type. Pressure is set in bar, the scale radial devices use, and NICE describes radial shockwaves as peaking at the skin and spreading out as they travel deeper, while focused shockwaves converge at a chosen depth. Ask the seller to confirm the wave type and the drive mechanism in writing, because treatment protocols differ between the two.

Bar measures pressure, although the sheet lists it under energy, and no energy flux density in mJ/mm² is published. Radial studies usually start low and rise to what the patient can tolerate, commonly within 1.5 to 3 bar, so most treatment happens near the bottom of this scale. Ask for the step size at the low end and for any data linking bar settings to delivered energy.

On its own, very little. The sheet gives no pressure setting, transmitter or measurement method behind the figure, and radial pressure is highest at the skin surface before it falls away with depth. Treat 65 mm as a manufacturer claim until the seller supplies the test report, and plan each treatment around the depth of the structure being targeted.

It fixes a minimum treatment time. At 6 Hz, 2,000 impulses take about five and a half minutes per area, and a protocol calling for 3,000 impulses takes over eight. Some published radial protocols run at 6 to 8 Hz, so check each protocol a service plans to adopt against the ceiling before setting appointment lengths.

For plantar fasciitis (HTG200), refractory tennis elbow (HTG201) and Achilles tendinopathy (HTG426), NICE finds no major safety concerns but inconsistent evidence on efficacy. For refractory greater trochanteric pain syndrome (HTG248), it rates the evidence on both safety and efficacy as limited. All four call for special arrangements for clinical governance, consent and audit or research, including clear written information for patients. For calcific tendinopathy in the shoulder, HTG645 goes further and restricts the procedure to research.

Results run both ways. A 2008 placebo-controlled multicentre trial reported radial shockwave therapy as safe and effective for chronic recalcitrant plantar fasciitis, while a 2022 double-blind trial found a full radial dose no better than a minimal dose. A 2019 meta-analysis of placebo-controlled trials found a higher success rate for high-energy treatment at three months only, with no difference in pain scores. A 2026 meta-analysis found radial shockwave no better than other electrophysical treatments for pain or function, although high heterogeneity and risk of bias limit its certainty.

The R23 datasheet publishes no contraindications, so the full list must come from the manufacturer's instructions for use. NHS patient information for shockwave therapy commonly excludes pregnancy, anticoagulant or antiplatelet medication, a recent steroid injection at the treatment site, infection or a wound at the site, and cancer at or near it. Individual trusts add under-18s, clotting disorders and a history of tendon rupture. Ask these questions at booking and again before the first impulse.

The datasheet gives no noise figure. A study of radial treatment for plantar fasciitis measured about 88 dB during sessions, and a review of shockwave noise found that operating manuals recommend hearing protection for operators and patients. Under the Control of Noise at Work Regulations 2005, an employer must assess the risk where staff are likely to reach the lower exposure action value of 80 dB(A). Request the manufacturer's sound data and set it against each operator's daily session count.

Coupling gel goes on the skin at every session, and radial handpieces contain parts that wear with use, yet the datasheet lists neither transmitter heads nor a handpiece service interval. Ask which heads come in the box, how many impulses the handpiece is rated for before servicing, and how quickly a replacement arrives. The seller sets warranty terms in the quotation. Medigear.uk can arrange delivery, installation, commissioning, familiarisation, and service cover.

It is rated at 400 W on 220 V/50 Hz or 110 V/60 Hz, which a UK 13 A socket handles easily if that is the input figure; confirm the UK build is rated for 230 V with a UK plug. This supports the provider's electrical safety testing, and PUWER 1998 covers maintenance, suitability, and operator training. If the drive uses compressed air with an internal reservoir, ask for the reservoir's pressure and volume. Under the Pressure Systems Safety Regulations 2000, systems below 250 bar litres are exempt from a written scheme of examination but still need safe operating limits and maintenance.

Used to treat musculoskeletal conditions, the R23 would sit under the UK Medical Devices Regulations 2002, typically in Class IIa or higher depending on use, and the declaration of conformity confirms the class. Because Texua is based outside the UK, a UK Responsible Person must register the device with the MHRA before it can be placed on the Great Britain market. Basic electrical safety falls under IEC/BS EN 60601-1, with electromagnetic compatibility under the IEC 60601-1-2 collateral standard. IEC 60601-2-36 is the nearest particular standard, but its scope is lithotripsy and other focused pressure pulse equipment, so ask which standards were applied to this design. The supplied sheet carries no CE mark, and while Great Britain still accepts CE-marked devices under transitional arrangements, the MHRA ran a 2026 consultation on keeping that recognition in place.

Services that need published protocols, contraindications and noise data before ordering should look for a fuller specification, because this datasheet carries none of them. Calcific shoulder work outside a research study runs against NICE guidance, and cosmetic body work, erectile dysfunction treatment and home use fall outside anything the datasheet describes. Where a fully documented specification is needed at the enquiry stage, Medigear.uk can point the buyer to an alternative specification.