The CAT EX Chiropractic Adjustment Tool is designed for clinicians who require greater thrust than traditional adjusting tools. It is the perfect solution for clinicians trained in and performing Sacro Occipital Technique (SOT), Physiotherapy Instrument Mobilization (PIM), the Activator Method, and other adjusting techniques. CAT EX is a high thrust device and exceeds the thrust force of the CAT. CAT EX is intended for use by licensed physicians trained in mechanical thrust instrument use and has a maximum rated output of 52 lbf. Includes CAT palm and finger pads.