The Dornier Delta III Pro is a next-generation extracorporeal shock wave lithotripsy system designed to improve treatment efficiency, imaging quality, and workflow. Powered by EMSE 180 technology, it achieves effective stone fragmentation with 170 mm penetration depth, accommodating diverse patient needs including higher BMI. OptiCouple technology enhances energy transmission, reducing required shock wave energy while maintaining performance. Imaging features include a flat panel detector with a larger field of view, ultrasound-guided ESWL for radiation-free targeting, and dual imaging with simultaneous X-ray and ultrasound. OptiVision image processing improves stone visibility. Smart connectivity and ergonomic workflow systems streamline high-volume stone management.