Within the Application axis, Kidney Stones command roughly three-quarters of installed-unit utilisation, driven by rising calcium-oxalate prevalence and the modality’s non-invasive value proposition relative to ureteroscopy. Ureteral Stones constitute the second-largest cohort, where lithotripsy competes with holmium laser, particularly for proximal calculi >10 mm; reimbursement parity in outpatient settings sustains device demand. Pancreatic Stones and Bile Duct Stones represent emerging, high-growth micro-segments: extracorporeal shock-wave lithotripsy (ESWL) is increasingly utilised post-ERCP when endoscopic clearance fails, supported by societal guidelines that favour multimodal therapy. Adoption here is constrained by interdisciplinary workflow integration and limited coding coverage, but procedural volume is accelerating at >9 % CAGR in developed markets. Finally, Salivary Stones form a ultra-niche application where miniaturised, low-energy lithotripters are gaining traction in otolaryngology clinics; although <2 % of global procedures, unit growth exceeds 12 % as office-based treatments displace transoral surgery. These application strata collectively define utilisation intensity, replacement cycles, and accessory spend within the extracorporeal lithotripters market.