510(k) Report

510(k) · Cleared

Cleared

Altus Medical Family of Coolglide Lasers, Models Coolglide I, Coolglide II, and Future Models

K022226510(k) TraditionalCleared Oct 8, 200290-day reviewClass II21 CFR 878.4810

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

Altus Medical, Inc. · GEX Powered Laser Surgical Instrument

Cleared on Oct 8, 2002 as substantially equivalent to K991798 (Altus Medical, 2000) and 13 other predicates after a 90-day review. Its family tree reaches back 6 generations to 1992. 665 later devices descend from it.

Decided
Oct 8, 2002
Review
90 days
Class
Class II
Product code
GEX
Recalls
None
Predicates
14

Its longest line of descent runs back 6 generations to K910422 (1992). 77 ancestors in all, the oldest K820106 (1982). 665 later devices descend from it, 11 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2002: 6 other ancestors2001: 7 other ancestors2000: 6 other ancestors1999: 4 other ancestors1998: 6 other ancestors1997: 9 other ancestors1996: 7 other ancestors1995: 6 other ancestors1994: 8 other ancestors1993: 5 other ancestors1991: 4 other ancestors1988: 1 other ancestor1982: 1 other ancestor1990: 1 other ancestor2005: 4 descendants cleared2011: 21 descendants cleared2014: 27 descendants cleared2004: 5 descendants cleared2003: 5 descendants cleared2025: 81 descendants cleared2007: 9 descendants cleared2022: 51 descendants cleared2006: 4 descendants cleared2008: 19 descendants cleared2012: 19 descendants cleared2010: 18 descendants cleared2015: 26 descendants cleared2013: 22 descendants cleared2023: 40 descendants cleared2018: 29 descendants cleared2017: 31 descendants cleared2009: 10 descendants cleared2020: 41 descendants cleared2016: 36 descendants cleared2019: 21 descendants cleared2026: 46 descendants cleared2024: 69 descendants cleared2021: 31 descendants clearedK910422 · Model RD-1200 Ruby Laser System · Spectrum Medical Technologies, Inc. · 1992K961279 · Sharplan Lasers, Inc. Ruby Laser System · Sharplan Lasers, Inc. · 1996K962446 · Sharplan Ruby Laser System · Sharplan Lasers, Inc. · 1997K974536 · Photoderm HR System · Esc Medical Systems, Ltd. · 1998K991935 · Epilight Hair Removal System, Photoderm HR System · Esc Medical Systems, Ltd. · 2000K014040 · Family of Altus Medical Modified Coolglide Aesthetic Lasers, Models Coolglide I, II and Future Models · Altus Medical, Inc. · 200219801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 13 other ancestors2 generations back: 19 other ancestors3 generations back: 15 other ancestors4 generations back: 9 other ancestors5 generations back: 14 other ancestors6 generations back: 1 other ancestor 1 generation forward: 11 descendants2 generations forward: 26 descendants3 generations forward: 56 descendants4 generations forward: 109 descendants5 generations forward: 121 descendants6 generations forward: 91 descendants7 generations forward: 78 descendants8 generations forward: 64 descendants9 generations forward: 60 descendants10 generations forward: 37 descendants11 generations forward: 10 descendants12 generations forward: 2 descendants K014040 · Family of Altus Medical Modified Coolglide Aesthetic Lasers, Models Coolglide I, II and Future Models · Altus Medical, Inc. · 2002K991935 · Epilight Hair Removal System, Photoderm HR System · Esc Medical Systems, Ltd. · 2000K974536 · Photoderm HR System · Esc Medical Systems, Ltd. · 1998K962446 · Sharplan Ruby Laser System · Sharplan Lasers, Inc. · 1997K961279 · Sharplan Lasers, Inc. Ruby Laser System · Sharplan Lasers, Inc. · 1996K910422 · Model RD-1200 Ruby Laser System · Spectrum Medical Technologies, Inc. · 1992−50+5+10
  1. Root · 6 generations backK910422 Model RD-1200 Ruby Laser SystemSpectrum Medical Technologies, Inc. · 1992
  2. 5 generations backK961279 Sharplan Lasers, Inc. Ruby Laser SystemSharplan Lasers, Inc. · 1996
  3. 4 generations backK962446 Sharplan Ruby Laser SystemSharplan Lasers, Inc. · 1997
  4. 3 generations backK974536 Photoderm HR SystemEsc Medical Systems, Ltd. · 1998
  5. 2 generations backK991935 Epilight Hair Removal System, Photoderm HR SystemEsc Medical Systems, Ltd. · 2000
  6. 1 generation backK014040 Family of Altus Medical Modified Coolglide Aesthetic Lasers, Models…Altus Medical, Inc. · 2002
  7. This deviceK022226 Altus Medical Family of Coolglide Lasers, Models Coolglide I…Altus Medical, Inc. · 2002
  8. Descendant · cites it directly · 519 of its ownK033251 The Friendlylight ND: Yag LasersInnotech USA, Inc. · 2004
  9. Descendant · 2 generations on · 517 of its ownK042000 Modified MSQ Family of Lovely Light/Laser SystemsMsq (M2), Ltd. · 2004
  10. Descendant · 3 generations on · 266 of its ownK072564 Alma Lasers Harmony XL Multi-Application PlatformAlma Lasers, Ltd. · 2008
  11. Descendant · cites it directly · 227 of its ownK023881 Profile 1064 Laser SystemSciton, Inc · 2003
  12. Descendant · 2 generations on · 221 of its ownK060033 Profile Multi-Platform SystemSciton, Inc · 2006

Showing 5 of 665 descendants. See all descendants

Descendants cleared per year

2003: 52004: 52005: 42006: 42007: 92008: 192009: 102010: 182011: 212012: 192013: 222014: 272015: 262016: 362017: 312018: 292019: 212020: 412021: 312022: 512023: 402024: 692025: 812026: 46
2003high 81 (2025) · low 4 (2005)2026

Most influential descendants

Showing 5 of 665 · See all
  • K033251The Friendlylight ND: Yag LasersInnotech USA, Inc. · 2004 · cites it directly519descendants
  • K042000Modified MSQ Family of Lovely Light/Laser SystemsMsq (M2), Ltd. · 2004 · 2 generations on517descendants
  • K072564Alma Lasers Harmony XL Multi-Application PlatformAlma Lasers, Ltd. · 2008 · 3 generations on266descendants
  • K023881Profile 1064 Laser SystemSciton, Inc · 2003 · cites it directly227descendants
  • K060033Profile Multi-Platform SystemSciton, Inc · 2006 · 2 generations on221descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K910422Model RD-1200 Ruby Laser SystemSpectrum Medical Technologies, Inc.1992—
−5K961279Sharplan Lasers, Inc. Ruby Laser SystemSharplan Lasers, Inc.1996—
−4K962446Sharplan Ruby Laser SystemSharplan Lasers, Inc.1997—
−3K974536Photoderm HR SystemEsc Medical Systems, Ltd.1998—
−2K991935Epilight Hair Removal System, Photoderm HR SystemEsc Medical Systems, Ltd.2000—
−1K014040Family of Altus Medical Modified Coolglide Aesthetic Lasers, Models Coolglide…Altus Medical, Inc.2002—
0 (this device)K022226Altus Medical Family of Coolglide Lasers, Models Coolglide I, Coolglide II…Altus Medical, Inc.2002—
+1K033251The Friendlylight ND: Yag LasersInnotech USA, Inc.2004—
+2K042000Modified MSQ Family of Lovely Light/Laser SystemsMsq (M2), Ltd.2004—
+3K072564Alma Lasers Harmony XL Multi-Application PlatformAlma Lasers, Ltd.2008—
+1K023881Profile 1064 Laser SystemSciton, Inc2003—
+2K060033Profile Multi-Platform SystemSciton, Inc2006—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198210
198810
199010
199140
199350
199480
199560
199670
199790
199860
199940
200060
200170
200260

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200350
200450
200540
200640
200790
2008190
2009100
2010180
2011210
2012190
2013220
2014270
2015260
2016360
2017310
2018290
2019210
2020410
2021310
2022510
2023400
2024690
2025810
2026460
FIG. 1 — Lineage of K022226, 1992–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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

Sources: FDA 510(k) 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 GEX? 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 GEX device

  1. #1 K222064 The Alma Soprano Titaniumscore 38.1 · 24 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (14)

Devices the submitter claimed this one is substantially equivalent to (*), and reference devices cited for a specific test or feature (†), as written in the FDA summary.

TypeNumberDeviceApplicantDecidedRecalls
*K991798Acme Medical Aesthetic ND:Yag Laser
Summary page 1
…Laser Powered Surgical Instrument (and Accessories) 111. Predicate Devices 0 Family of CoolGlide Aesthetic Lasers, manufactured by Altus Medical (K99 1798, K991234, KO03202 and KO14040); 0 NLite Pulsed Dye Laser, manufactured by ICN (KO0081 1, KO 14130, and KO…
Altus Medical2000—
*K991234The Acme Medical Aesthetic ND:Yag Laser
Summary page 1
…gical Instrument (and Accessories) 111. Predicate Devices 0 Family of CoolGlide Aesthetic Lasers, manufactured by Altus Medical (K99 1798, K991234, KO03202 and KO14040); 0 NLite Pulsed Dye Laser, manufactured by ICN (KO0081 1, KO 14130, and KO13461); 0 V…
Acme Medical, Inc.1999—
*K003202Family of Altus Medical Coolglide Aesthetic Lasers, Models I & IIAltus Medical2001—
*K014040Family of Altus Medical Modified Coolglide Aesthetic Lasers, Models Coolglide I, II and…Altus Medical, Inc.2002—
*K000811Nlite System, SLS Model Number A00-1025
Summary page 3
…ted Altus Medical family of CoolGlide Aesthetic Nd:YAG Lasers (K991798, K991234, KO03202 and KO14040), the m i t e Pulsed Dye Laser, manufactured by ICN (K000811, KO 14130, and KO 13461), the Vbeam and Clearbeam Pulsed Dye Lasers, manufactured Candela (KO 13043 and KO 13748)…
Sls Biophile, Ltd.2000—
*K014130Nlite System
Summary page 4
…us Medical family of CoolGlide Aesthetic Nd:YAG Lasers (K991798, K991234, KO03202 and KO14040), the NLite Pulsed Dye Laser, manufactured by ICN (K000811, K014130, and K013461), the Vbeam and Clearbeam Pulsed Dye Lasers, manufactured Candela (KO13043 and K013748), the PhotoGe…
Icn Photonics, Ltd.2002—
*K013461Nlite System,Model A00-1025
Summary page 4
…mily of CoolGlide Aesthetic Nd:YAG Lasers (K991798, K991234, KO03202 and KO14040), the NLite Pulsed Dye Laser, manufactured by ICN (K000811, K014130, and K013461), the Vbeam and Clearbeam Pulsed Dye Lasers, manufactured Candela (KO13043 and K013748), the PhotoGenica Pulsed D…
Icn Photonics, Ltd.2002—
*K013043Candela Clearbeam Pulsed Dye LaserCandela Corp.2001—
*K013748Candela Sclero Long Pulse Laser (Aka Vbeam)
Summary page 4
…NLite Pulsed Dye Laser, manufactured by ICN (K000811, K014130, and K013461), the Vbeam and Clearbeam Pulsed Dye Lasers, manufactured Candela (KO13043 and K013748), the PhotoGenica Pulsed Dye Laser, manufactured by Cynosure (K012806), the CoolTouch I and CoolTouch II Nd:YAG l…
Candela Corp.2002—
*K012806Cynosure Photogenica VL
Summary page 4
…3461), the Vbeam and Clearbeam Pulsed Dye Lasers, manufactured Candela (KO13043 and K013748), the PhotoGenica Pulsed Dye Laser, manufactured by Cynosure (K012806), the CoolTouch I and CoolTouch II Nd:YAG lasers, manufactured by ICN (KO14035 and K003715), the Smoothbeam Diode…
Cynosure, Inc.2001—
*K014035Cooltouch and Cooltouch-II ND:Yag Laser SystemsCooltouch Corp.2002—
*K003715Cooltouch ND:Yag Laser System, Cooltouch-II ND:Yag Laser System, Model Cooltouch…
Summary page 1
…PhotoGenica Pulsed Dye Laser, manufactured by Cynosure (KO 12806); CoolTouch I and CoolTouch II Nd:YAG lasers, manufactured by ICN (KO14035 and K003715); and Smoothbeam Diode Laser, manufactured by Candela (KO 13825). Lyra Surgical Laser System, manufactu…
Cooltouch Corp.2001—
*K013825Candela Smoothbeam Laser SystemCandela Corp.20021
*K020021Lyra Surgical Laser System and Accessiories (ND:Yag Configuration)
Summary page 1
…K003715); and Smoothbeam Diode Laser, manufactured by Candela (KO 13825). Lyra Surgical Laser System, manufactured by Laserscope (K020021) IV. Product Description Family of Altus Medical CoolGlide Aesthetic Lasers are comprised of the following main…
Laserscope2002—

Also cleared against K991798: 9 other devices →

What descends from it? (665)

See all 665

11 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K033251The Friendlylight ND: Yag LasersInnotech USA, Inc.2004519
K023881Profile 1064 Laser SystemSciton, Inc2003227
K050293Fotona XP Plus ND: Yag Family of Laser Systems, Fontona Dualis XP Plus ND: Yag Family of…Fotona D.D.2005200
K032220Adept 1064/532 LaserAdept Medical Concepts2003126
K103626Cutera Genesisplus Laser SystemCutera, Inc.2011121
K032218Adept 1064/532/755 LaserAdept Medical Concepts2003104
K110370Q-ClearLight Age, Inc.201135
K133319ET Lightsheer 1060, High Speed Lightsheer 1060Lumenis, Ltd.201424
K031828Naturalase LP ND:Yag LaserFocus Medical, LLC20035
K033072Lucentlite, Model Imd 010Industrial & Medical Design, Inc.20040

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?

  • The line of descent spans 10 years and passes through 4 companies; a new generation was cleared every 1.7 years on median.
  • 2 of the 77 ancestors have a recall of any class.
  • Of its descendants, K033251 (Innotech USA, Inc., 2004) has gone furthest, with 519 descendants of its own.
  • 9 other devices also cite its predicate K991798.

How does its category compare?

All GEX devices

GEX Powered Laser Surgical Instrument: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · GEX

83in 2025

2007: 732008: 1072009: 692010: 502011: 412012: 452013: 462014: 612015: 472016: 512017: 672018: 512019: 412020: 522021: 532022: 602023: 522024: 822025: 832026 (partial year): 57
2007high 107 (2008) · low 41 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GEX

90in 2025

2007: 79 days median2008: 86 days median2009: 100 days median2010: 96 days median2011: 83 days median2012: 118 days median2013: 144 days median2014: 147 days median2015: 112 days median2016: 114 days median2017: 90 days median2018: 78 days median2019: 88 days median2020: 90 days median2021: 123 days median2022: 152 days median2023: 87 days median2024: 90 days median2025: 90 days median2026 (partial year): 90 days median
2007high 152 (2022) · low 78 (2018)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · GEX

3in 2024

2007: 92008: 22010: 42011: 182012: 52013: 32014: 62016: 12017: 5, 1 Class I2018: 52019: 62020: 12023: 62024: 32026 (partial year): 2
2007high 18 (2011) · low 0 (2009)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · GEX

2,720in 2025

2007: 3422008: 2322009: 2092010: 1,7112011: 3,0242012: 2,0002013: 2,2362014: 2,0362015: 2,0992016: 2,5852017: 2,9772018: 3,5252019: 2,7092020: 2,1832021: 3,4652022: 2,2882023: 2,3372024: 2,1872025: 2,720
2007high 3,525 (2018) · low 209 (2009)2025

MAUDE reports naming product code GEX, not matched to any one device; reports are not rates.

View these four charts as a table
YearDecisionsMedian 510(k) review, daysRecalls (Class I)MAUDE reports
200773799342
2008107862232
2009691000209
2010509641,711
20114183183,024
20124511852,000
20134614432,236
20146114762,036
20154711202,099
20165111412,585
201767905 (1)2,977
2018517853,525
2019418862,709
2020529012,183
20215312303,465
20226015202,288
2023528762,337
2024829032,187
2025839002,720
202657902—

What is it indicated for?

The family of Altus Medical CoolGlide Aesthetic Lasers are intended for use in the medical specialties of general and plastic surgery, dermatology, endoscopicAaproscopic general surgery, gastroenterology, gynecology, otorhinolaryngology (ENT), neurosurgery, oculoplastics, orthopedics, pulmonaryhhoracic surgery and urology for surgical and aesthetic applications. 1064nm: Dermatology: The Altus Medical Aesthetic CoolGlide laser systems are intended for the…

Read the full statement (446 words)

The family of Altus Medical CoolGlide Aesthetic Lasers are intended for use in the medical specialties of general and plastic surgery, dermatology, endoscopicAaproscopic general surgery, gastroenterology, gynecology, otorhinolaryngology (ENT), neurosurgery, oculoplastics, orthopedics, pulmonaryhhoracic surgery and urology for surgical and aesthetic applications.

1064nm:

Dermatology:

The Altus Medical Aesthetic CoolGlide laser systems are intended for the coagulation and hemostasis of benign vascular lesions such as, but not limited to, port wine stains, hemangiomas, warts, telangiectasia, rosacea, Venus lake, leg veins, spider veins and poikiloderma of civatte; and treatment of benign cutaneous lesions, such as warts, scars, striae, and psoriasis. The lasers are also intended for the treatment of benign pigmented lesions such as, but not limited to, lentigos (age spots), solar lentigos (sun spots), cafk au lait macules, seborrheic keratoses, nevi, chloasma, verrucae, skin tags, keratoses, tattoos (significant reduction in the intensity of black and/or blueblack tattoos) and plaques.

Additionally, the lasers are indicated for pigmented lesions to reduce lesion size, for patients with lesions that would potentially benefit from aggressive treatment, and for patients with lesions that have not responded to other laser treatments.

The CoolGlide lasers are also indicated for the treatment of wrinkles such as, but not limited to, periocular and perioral wrinkles.

The CoolGlide lasers are also indicated for the removal of unwanted hair, for stable long term, or permanent, hair reduction through selective targeting of melanin in hair follicles, and for the treatment for pseudofolliculitis barbae (PFB).

The lasers are also indicated for the reduction of red pigmentation in hypertrophic and keloid scars where vascularity is an integral part of the scar.

The CoolGlide lasers are indicated for use on all skin types (Fitzpatrick I-VI), including tanned skin.

The intended use of the integral cooling system in the Altus CoolGlide laser handpiece is to provide cooling of the skin, for the reduction of pain during laser treatment, to allow for the use of higher fluences for laser treatments such as hair removal and vascular lesions, and to reduce the potential side effects of laser treatments.

Surgical Applications:

The lasers are indicated for the incisiodexcision and cutting, ablation, coagulationhemostatis of soft tissue in the performance of surgical applications in endoscopy/laproscopy, gastroenterology, general surgery, head and necldotorhinolaryngology (ENT), neurosurgery, oculoplastics, orthopedics, plastic surgery, pulmonary/thoracic surgery, gynecology (e.g. menorrhagia) and urology.

532nm:

For coagulation and hemostasis of vascular and cutaneous lesions in dermatology including, but not limited to, the following general categories: vascular lesions [angiomas, hemangiomas (port wine), telangiectasia (facial or extremities telangiectasias, venous anomalies, leg veins)]; benign pigmented lesions (nevi, lentigines, chloasma, cafk-au-lait, tattoos (red and green ink); verrucae; slun tags; keratoses; plaques; cutaneous lesion treatment (hemostasis, color lightening, blanching, flattening, reduction of lesion size).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K022226: Altus Medical Family of Coolglide Lasers, Models Coolglide I, Coolglide II, and Future Models.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K022226

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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