A coupling structure in combination with a shockwave generator and either a bed or just an interface surface to the generator is made of a stiff and rigid coupling surface element being in effect interposed between the shockwave generator and a patient, the coupling surface element has no opening, but is permeable to shockwaves.
An apparatus for coupling a shockwave source to the body of a patient is provided. The apparatus may include a coupling bellows that is configured to rotate about an axis of rotation. The coupling bellows may include a coupling portion that is configured to provide a coupling surface relative to the body of a patient and is transmissive to shockwaves. The coupling bellows may also include an outer portion that is sound-insulating.
