Gentle Pro

Zimmer's dedicated erectile dysfunction device, with a CIMEG-documented protocol for female sexual functionality.

What it treats

Applications

  • Erectile dysfunction, across four severity bands on Zimmer's own dosing table.
  • Peyronie's disease (Induratio Penis Plastica).
  • Female sexual functionality, through the CIMEG-documented protocol.
The mechanism

How it works

Gentle Pro delivers radial shockwave through a water-cooled slim handpiece with a 15 mm applicator head. A dedicated ED software package runs five programmes with treatment images, and the water system holds around 1.2 litres of distilled water, filled and emptied at the push of a button.

The single-use silicone protection cap must always be fitted to the applicator head.

Zimmer's stated rationale: in more than two thirds of cases, erectile dysfunction has physical causes, and insufficient circulation is very often the cause of longer-lasting erection problems. The applicator head directs radial shock waves to the penis shaft and the surrounding area; through natural stimulation of the corpus cavernosum, existing vessels expand and new vessels form, increasing circulation. Zimmer describes this as promoting circulation of the corpus cavernosum over the long term and stimulating the formation of new blood vessels, or neoangiogenesis.

Session duration

Up to 25 minutes on Zimmer's product page; 25 to 30 minutes on Zimmer's treatment page.

Course length

In general, 5 to 8 treatments on Zimmer's product page; about 6 to 8 on Zimmer's treatment page, depending on the degree of erectile dysfunction.

Weekly cadence

Two to three sessions a week on Zimmer's product page, completing the course in two to three weeks; Zimmer's treatment page describes patients usually coming in twice a week.

Technology

Compressor-free ballistic shockwave system, with an electromagnetic generator as projectile accelerator, 1 to 22 Hz, 60 to 185 mJ.

Applicator heads

15 mm head for precise treatments and 39 mm head for treatments over a large area, each guaranteed for max. 150,000 shocks.

Interface

12 inch colour touch screen for all software operations, with knobs for energy and frequency.

Dimensions and weight

L 53 cm / W 54 cm / H 139 cm, 21 kg.

In the room

Why this system

One job, dosed against Zimmer's own table

Gentle Pro treats erectile dysfunction and Peyronie's disease, dosed against a table Zimmer publishes itself, document EN medical 10105843 BAZ 0526.

A documented protocol for women, too

A CIMEG protocol for female sexual functionality runs on the same device: six treatment points, four sessions.

A water-cooled handpiece, quieter running

A slim, water-cooled handpiece with a 15 mm applicator head, audibly quieter than Zimmer's own enPuls and ZWave Pro.

In the European Association of Urology guidelines

Zimmer cites the EAU, whose guidelines recommend low-energy shock wave therapy for erectile dysfunction. The recommendation covers the therapy, not any one device.

The detail

What to know

Practice value

  • Severe ED, IIEF 1-7: 6-8 over 4-6 weeks, max. 2, 14-16 Hz, 90-120 mJ, 1500-2000
  • Moderate ED, IIEF 8-11: 6 over 3-6 weeks, max. 2, 14-16 Hz, 90-120 mJ, 1500-2000
  • Mild-moderate ED, IIEF 12-16: 6 over 3-6 weeks, max. 2, 12-16 Hz, 90-120 mJ, 1500-2000
  • Mild ED, IIEF 17-21: 6 over 3-6 weeks, max. 2, 12-14 Hz, 90-120 mJ, 1000-1500
  • Peyronie's disease: 8-12 over 4-6 weeks, max. 2, 10-16 Hz, 90-110 mJ, Zone 1 only

Zimmer publishes its own dosing table for Gentle Pro, document EN medical 10105843 BAZ 0526. This page reproduces it in full, because it sets the course length, cadence, frequency, power and shock count for every severity band, including Peyronie's disease.

After the last treatment, Zimmer recommends a pause of at least six weeks, then reassessment with the IIEF-5 questionnaire.

The protocol for female sexual functionality is CIMEG's, written by Carlos Lopez Moreno PT MSc in December 2023: six treatment points, 100 to 120 mmj, 10 to 15 Hz, 1000 pulses per point delivered twice, four sessions once a week, applied statically then dynamically.

Grey single-use silicone caps are the only consumable on file, and the applicator cap must always be fitted. A two-million-shot guarantee covers the handpiece, separate from ZWave Pro's own generator warranty.

Clinical evidence

These are third-party studies cited on Zimmer-branded material, not Zimmer's own clinical claims, and not DNA Nexus's.

Causes of ED, per Zimmer's own training material. Vasculogenic (80% of ED cases), neurogenic (including post-prostatectomy), iatrogenic and psychogenic.

Evidence cited by CIMEG, not published as a DNA Nexus or Zimmer clinical claim. From the CIMEG rSWT protocol document, December 2023: 60% of ED cases have a vascular cause; radial pressure wave therapy reaches up to 3 cm in depth; CIMEG describes 80% effectiveness for ED as a first therapeutic option; a meta-analysis of 16 randomised controlled trials supports 0.09 mJ/mm² with 1,500 to 2,000 pulses, improvement more pronounced in moderate ED, outcomes measured by IIEF and Erectile Hardness Score. This 60% and the 80% in Zimmer's training material above are two separate documents counting vascular causes differently, not two readings of one study.

A second study cited in the same CIMEG document, by Kisch, Sorg, Forstmeier, Mailaender and Kraemer: fractionated repetitive ESWT can inhibit skin inflammation, improve skin smoothness and support wound healing, and high-energy ESWT improves blood flow and tissue oxygen saturation, an effect measurable 80 minutes after the first treatment.

New approach: Gentle Pro plus ContiCure

Zimmer's own Gentle Pro training material, presented by Dr. med. Bernhard Schoensee, a urologist in Berlin, and Michaela Wolf, Head of Zimmer Academy, pairs Gentle Pro with ContiCure for the patient who needs both: Gentle Pro treats the erectile dysfunction, ContiCure trains the pelvic floor, in the same course of care.

This is a separate pairing from ZTone's incontinence upgrade, which is a body-toning hardware path, not a clinical protocol.

Does Gentle Pro treat Peyronie's disease?

Yes, on Zimmer's own dosing table: 8 to 12 sessions over 4 to 6 weeks, zone 1 only.

Is Gentle Pro indicated for women?

Yes. A CIMEG-documented protocol for female sexual functionality runs on the same device: six treatment points, four sessions once a week.

Can Gentle Pro and ContiCure be used together?

Yes. Zimmer's own training material presents this combination: Gentle Pro treats the erectile dysfunction, ContiCure trains the pelvic floor.

What consumable does Gentle Pro use?

A single-use silicone protection cap on the applicator head, which must always be fitted.

How is Gentle Pro different from ZWave Pro?

Both are Zimmer shockwave devices, but ZWave Pro treats body contouring and skin tightening. Gentle Pro is the dedicated device for erectile dysfunction, Peyronie's disease and the documented female protocol.

Can Gentle Pro be combined with other ED treatments?

Yes. Zimmer states the shock wave effect is additionally amplified in combination with other ED treatments, such as vacuum pumps, PDE-5 inhibitors, or autologous blood therapy (platelet-rich plasma).

Is the treatment painful, and is there downtime?

No. Zimmer describes treatment with low-energy shock waves as painless, with no known side effects, and states patients can resume their normal everyday activities immediately after the session.

DNA Nexus support

DNA Nexus will handle installation and set up Gentle Pro on site. Staff training covers the dosing table and Zimmer's application recommendations, so a session starts correctly from day one.

Gentle Pro - Zimmer