The aim of the study was to control the number of inertial cavitation bubbl
es in the focal area of an electromagnetic lithotripter in water independen
tly of peak intensity, averaged intensity or pressure waveform. To achieve
this, the shockwave pulses were applied in double pulse sequences, which we
re administered at a fixed pulse repetition frequency (PRF) of 0.33 Hz. The
two pulses of a double pulse were separated by a variable short pulse sepa
ration time (PST) ranging from 200 mu s to 1500 ms. The number and size of
the cavitation bubbles were monitored by scattered laser light and strobosc
opic photographs. We found that the number of inertial cavitation bubbles a
s a measure of cavitation dose was substantially influenced by variation of
the PST, while the pressure pulse waveform, averaged acoustic intensity an
d bubble size were kept constant. The second pulse of each double pulse gen
erated more cavitation bubbles than the first. At 14 kV capacitor voltage,
the total number of cavitation bubbles generated by the double pulses incre
ased with shorter PST down to approximately 400 mu s, the cavitation lifesp
an. The results can be explained by cavitation nuclei generated by the viol
ently imploding inertial cavitation bubbles. This method of pulse administr
ation and cavitation monitoring could be useful to establish a cavitation d
ose-effect relationship independently of other acoustic parameters.