Lithotripsy device (101, 201) for fragmenting body stones, wherein the lithotripsy device (101, 201) has a hand-held device (231) with an ultrasonic vibration exciter (103, 203) with an ultrasonic vibration exciter outer diameter and a sonotrode (107, 207) with a longitudinal central axis (117) and a sonotrode outer diameter (108, 208), which can be connected to the hand-held device (231) on the distal side, wherein the sonotrode (107, 207) can be excited to a first vibration by means of the ultrasonic vibration exciter (103, 203), and the lithotripsy device (101, 201) has a vibration excitation element (113, 213) with a through-opening (114, 214), wherein the vibration excitation element (113, 213) with the through-opening (114, 214) is arranged around the sonotrode outer diameter (108, 208) and/or around the ultrasonic vibration exciter outer diameter, characterized in that the through-opening (114, 214) of the vibration excitation element (113, 213) has a larger diameter than the sonotrode outer diameter (108, 208) and/or than the ultrasonic vibration exciter outer diameter so that the vibration excitation element (113, 213) is freely movable, and the vibration excitation element (113, 213) has an imbalance so that, in the event of a rotation of the vibration excitation element (113, 213) about the sonotrode (107, 207) and/or the ultrasonic vibration exciter, the sonotrode (107, 207) can be excited to a second vibration by means of the imbalance.