Physical
External Counterpulsation (ECP): Non-invasive circulatory therapy with synchronized pneumatic cuffs
March 6, 2026 • 5 min read
What the External Counterpulsation (ECP) is
External Counterpulsation uses three sets of pneumatic cuffs around the upper legs, lower legs and buttocks. The cuffs inflate and deflate in a precisely timed sequence during the resting phase of the heart cycle to increase oxygenated blood returned to the heart and support circulation throughout the body.
ECP is FDA-cleared and Medicare-approved for qualifying patients with ischemic or circulatory disorders. More than 200 clinical publications have examined its use for symptoms such as chest pain, shortness of breath and chronic fatigue, as well as vascular function and exercise tolerance.
The ECP system is $40,000 plus $2,000 shipping within the United States. It includes a one-year parts-and-labor warranty, on-site setup and one day of on-site training.
What stands out
The points below are the ones clients ask about most often when they are shortlisting this device.
- $40,000 plus $2,000 shipping within the United States
- One-year parts-and-labor warranty
- On-site setup and one day of on-site training included
- FDA-cleared and Medicare-approved for qualifying indications
- Typical prescribed course: 35 supervised sessions
Specifications at a glance
Configurations differ, so confirm the exact figures for your unit with us before ordering.
- Price: $40,000
- US shipping: $2,000
- Included support: On-site setup and one day of on-site training
- Warranty: One year for all parts and labor
- Recommended room: 8 × 10 ft to 10 × 10 ft
- Bed platform: 35 × 86 in
- Console footprint: Approximately 2 × 2.5 ft
- Head clearance: 18 in from wall
- Side clearance: 36 in from wall on both sides
- Foot clearance: 24 in from wall
- Electrical: 20 A, 240 V outlet within 8 ft of the head of the bed
- Receptacle: Hubbell HBL2410, NEMA L14-20R, 3-pole grounded twist-lock
- Connectivity: Ethernet CAT5 connection for updates
Is it the right fit?
We source, install and support the External Counterpulsation (ECP) ourselves, so the conversation usually starts with where the device will live, who will operate it and what you want it to do. From there we can advise on the configuration, the accessories worth having on day one and what ongoing service looks like.
If you are weighing this device against another in the same category, tell us both and we will give you a straight comparison rather than a sales pitch.
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