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A therapeutic apparatus for treating body tissue comprises a vessel enclosing a detonation chamber into which a detonatable mixture is introduced and then detonated using an igniter to form at least one shockwave and/or acoustic wave. A wave guide assembly having a converging geometry directs the wa

A therapeutic apparatus for treating body tissue comprises a vessel enclosing a detonation chamber into which a detonatable mixture is introduced and then detonated using an igniter to form at least one shockwave and/or acoustic wave. A wave guide assembly having a converging geometry directs the wave to a tip of the wave guide assembly that is placed in contact with tissue to be treated by the wave. The wave guide assembly may include a wave focusing section surrounding the vessel, a flexible conduit connected to the wave focusing section and a needle connected to the conduit and sized for insertion into patient tissue to be treated. A cap connected to the end of the needle is formed from material permitting the wave or waves generated in the detonation chamber to pass therethrough to treat the patient tissue into which the needle is inserted.

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1. A therapeutic apparatus for treating body tissue, comprising: a vessel enclosing a detonation chamber allowing introduction a detonatable and reactive mixture into said detonation chamber through flow control valves controlled by a control system and able to contain detonation products after deto

1. A therapeutic apparatus for treating body tissue, comprising: a vessel enclosing a detonation chamber allowing introduction a detonatable and reactive mixture into said detonation chamber through flow control valves controlled by a control system and able to contain detonation products after detonation;a spark plug, laser, glow plug or plasma jet ignition system capable to ignite said detonatable mixture in said detonation chamber to form at least one shockwave and/or acoustic wave;a wave guide assembly connected to said vessel and having a wave guide passageway formed within a passageway enclosure and converging toward a distal end of said wave guide assembly;said wave guide passageway being closed at a distal end of said wave guide assembly by an end cap connected to said passageway enclosure; said end cap adapted to engage body tissue to be treated;said passageway allowing transmission of the at least one shockwave and/or acoustic wave generated in said detonation chamber to said end cap; and said end cap formed from material selected to permit the at least one shockwave and/or acoustic wave to be transmitted therethrough to act on body tissue in contact with said end cap. 2. The therapeutic apparatus as in claim 1 further including a membrane separating said detonation chamber of said vessel from said wave guide passageway in said wave guide assembly; said membrane configured for transmitting said shock wave generated in said detonation chamber into said wave guide passageway. 3. The therapeutic apparatus as in claim 1 further including a pressure relief valve or pressure relief outlet connected to said vessel and venting reaction products and detonation products out of said detonation chamber. 4. The therapeutic apparatus as in claim 1 wherein said passageway enclosure includes a flexible wave guide conduit and a needle, said wave guide conduit extending between said vessel and said needle; said needle sized for insertion into body tissue. 5. The therapeutic apparatus as in claim 1 wherein said wave guide passageway is at least partially filled with a wave transmitting media. 6. The therapeutic apparatus as in claim 1 wherein said passageway enclosure includes a wave focusing section, a flexible wave guide conduit and a needle, said wave focusing section extending from said vessel to said wave guide conduit and said wave guide conduit extending between said wave focusing section and said needle; said needle sized for insertion into body tissue. 7. The therapeutic apparatus as in claim 1 wherein the detonatable mixture introduced into the shock generation section undergoes at least one reaction selected from the group consisting of detonation, deflagration, transition from deflagration to detonation, rapid decomposition, and combinations thereof that results in rapid pressurization of the shock generation section. 8. The therapeutic apparatus as in claim 1 wherein pharmaceutical compositions are introduced into the tissue to be subjected to the shock wave in order to increase the therapeutic effects of the shock wave. 9. The therapeutic apparatus as in claim 6 wherein said wave guide passageway in said wave focusing section is at least partially filed with a first wave transmitting media and said wave guide passageway in said wave guide conduit and said needle is filled with a second wave transmitting media. 10. The therapeutic apparatus as in claim 1 wherein said passageway enclosure includes a wave focusing section connected to said vessel and a plurality of wave guide conduits connected to said wave focusing section in communication therewith and a needle connected to a distal end of each wave guide conduit; each of said needles sized for insertion into body tissue. 11. The therapeutic apparatus of claim 1, wherein said vessel is at least partially immersed in the wave transmitting media contained within the wave guide passageway. 12. The therapeutic apparatus as in claim 11 wherein said vessel includes a plurality of shock generation chambers. 13. The therapeutic apparatus as in claim 1, wherein said detonation chamber and said wave transmitting media in said wave guide assembly are not separated by a membrane allowing the at least one shockwave and/or acoustic wave generated in the vessel to directly impact said shock transmission media in said wave guide passageway. 14. The therapeutic apparatus as in claim 1 further comprising a pressure relief valve for venting detonation products from the shock generation vessel and a system controller, said system controller capable to control the sequence of valves opening and closing and detonable mixture ignition processes. 15. A therapeutic apparatus for treating body tissue, comprising: a vessel enclosing a detonation chamber allowing introduction a detonatable and reactive mixture into said detonation chamber through flow control valves controlled by a control system and containing detonation products after detonationa spark plug, laser, glow plug or plasma jet ignition system capable to ignite said detonatable mixture in said detonation chamber to form at least one shockwave and/or acoustic wave;a wave guide assembly including a guide conduit connected to said vessel and a needle connected to a distal end of said guide conduit; said needle sized for insertion into body tissue; said wave guide assembly allowing transmission of the at least one shockwave and/or acoustic wave generated in said detonation chamber to a tip of said needle and into the body tissue in which said needle is inserted. 16. The therapeutic apparatus as in claim 15 further including a membrane separating said detonation chamber of said vessel from said wave guide passageway in said wave guide assembly; said membrane configured for transmitting said shock wave generated in said detonation chamber into said wave guide assembly. 17. The therapeutic apparatus as in claim 15 wherein said guide conduit is flexible. 18. The therapeutic apparatus as in claim 15 wherein said wave guide assembly comprises a plurality of guide conduits each having a needle connected thereto and sized for insertion into body tissue, and said wave guide assembly further comprises a wave focusing section connected between said vessel and said plurality of guide conduits. 19. The therapeutic apparatus of claim 15, wherein said wave focusing section at least partially surrounds said vessel. 20. The therapeutic apparatus as in claim 15 wherein said vessel includes a plurality of shockwaves generation chambers surrounded by said wave focusing section.