510(k) Report

De Novo · Granted

Granted

The Cooral System

DEN210027De NovoGranted Oct 14, 2022469-day reviewClass II21 CFR 872.5590

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Braincool AB · QUA Intraoral Cooling Device

Granted on Oct 14, 2022 as a new device type through De Novo after a 469-day review. 1 later device descends from it.

Decided
Oct 14, 2022
Review
469 days
Class
Class II
Product code
QUA
Recalls
None

1 later device descends from it, 1 citing it directly.

Descendants, by year cleared 2024: 1 descendant cleared2020202220242026
  1. This deviceDEN210027 The Cooral SystemBraincool AB · 2022
  2. Descendant · cites it directly · 0 of its ownK232917 Chemo MouthpieceChemo Mouthpiece, LLC · 2024

Most influential descendants

Showing 1 of 1 · See all
  • K232917Chemo MouthpieceChemo Mouthpiece, LLC · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)DEN210027The Cooral SystemBraincool AB2022—
+1K232917Chemo MouthpieceChemo Mouthpiece, LLC2024—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
FIG. 1 — Lineage of DEN210027, 2022–2024Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

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Notable FDA decisions, review times and new Class I recalls. See an issue.

Sources: FDA De Novo database (decision fields), the FDA summary (predicates and indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in QUA? A 510(k) Report weighs predicate choices, recall history and review times for a new device like this one.

Top candidate predicates for a new QUA device

  1. #1 K232917 Chemo Mouthpiecescore 6.7 · 1 generation · no Class I recall
Get a 510(k) Report

Does it have a predicate?

De Novo decisions do not claim a predicate device.

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K232917Chemo MouthpieceChemo Mouthpiece, LLC20240

Has anything in its family been recalled? (0 Class I)

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K232917 (Chemo Mouthpiece, LLC, 2024) has gone furthest, with 0 descendants of its own.

How does its category compare?

All QUA devices

QUA Intraoral Cooling Device: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · QUA

1in 2024

2022: 12024: 1
2007high 1 (2022) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · QUA

Too few QUA 510(k)s in any year since 2007 to give a median.

Recalls per year · QUA

No recall names QUA since 2007.

Adverse event reports per year · QUA

No MAUDE report names QUA since 2007.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20180—00
20190—00
20200—00
20210—00
20221—00
20230—00
20241—00
20250—00
20260—0—

What is it indicated for?

The Cooral System is intended to cool the oral mucosa during chemotherapy treatments to reduce the likelihood and severity of chemotherapy induced Oral Mucositis in adult patients.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “DEN210027: The Cooral System.” Lineage record from FDA De Novo data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/DEN210027

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026