510(k) Report

510(k) · Cleared

Cleared

Smith & Nephew Electrothermal 20S Spine Generator, Model 7209975

K033981510(k) TraditionalCleared Feb 25, 200464-day reviewClass II21 CFR 878.4400

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

Smith & Nephew, Inc. · GEI Electrosurgical, Cutting & Coagulation & Accessories

Cleared on Feb 25, 2004 as substantially equivalent to K993854 (Oratec Interventions, Inc., 1999) and 1 other predicate after a 64-day review. Its family tree reaches back 3 generations to 1990. 14 later devices descend from it.

Decided
Feb 25, 2004
Review
64 days
Class
Class II
Product code
GEI
Recalls
None
Predicates
2

Its longest line of descent runs back 3 generations to K896183 (1990). 8 ancestors in all. 14 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1998: 2 other ancestors1995: 1 other ancestor1994: 1 other ancestor1991: 1 other ancestor2013: 1 descendant cleared2016: 3 descendants cleared2007: 2 descendants cleared2017: 2 descendants cleared2018: 1 descendant cleared2023: 2 descendants cleared2025: 1 descendant cleared2026: 2 descendants clearedK896183 · KTP/532 Surgical Laser for Percutaneous Diskectomy · Laserscope · 1990K974464 · Oratec Spinecath Intradiscal Catheter · Oratec Interventions, Inc. · 1998K993854 · Ora-50 S Autotemp Electrothermal Spine System and Accessories · Oratec Interventions, Inc. · 19991990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor3 generations back: 4 other ancestors 1 generation forward: 4 descendants2 generations forward: 4 descendants3 generations forward: 3 descendants4 generations forward: 2 descendants5 generations forward: 1 descendant K993854 · Ora-50 S Autotemp Electrothermal Spine System and Accessories · Oratec Interventions, Inc. · 1999K974464 · Oratec Spinecath Intradiscal Catheter · Oratec Interventions, Inc. · 1998K896183 · KTP/532 Surgical Laser for Percutaneous Diskectomy · Laserscope · 19900+5
  1. Root · 3 generations backK896183 KTP/532 Surgical Laser for Percutaneous DiskectomyLaserscope · 1990
  2. 2 generations backK974464 Oratec Spinecath Intradiscal CatheterOratec Interventions, Inc. · 1998
  3. 1 generation backK993854 Ora-50 S Autotemp Electrothermal Spine System and AccessoriesOratec Interventions, Inc. · 1999
  4. This deviceK033981 Smith & Nephew Electrothermal 20S Spine Generator, Model 7209975Smith & Nephew, Inc. · 2004
  5. Descendant · cites it directly · 11 of its ownK130689 Symphony RF GeneratorThermigen, Inc. · 2013
  6. Descendant · 2 generations on · 6 of its ownK171094 Thermi Reusable Non-invasive RF ElectrodeThermgen, L.L.C · 2017
  7. Descendant · 3 generations on · 3 of its ownK222260 Capenergy C Equipment RF System - C25, C50, C100, C200, C300, C400…Capenergy Medical S.L. · 2023
  8. Descendant · cites it directly · 3 of its ownK161661 Thermi RF AccessoriesThermi · 2016
  9. Descendant · 2 generations on · 2 of its ownK170116 Thermi Injectable RF ElectrodesThermi · 2017

Showing 5 of 14 descendants. See all descendants

Descendants cleared per year

2007: 22013: 12016: 32017: 22018: 12023: 22025: 12026: 2
2007high 3 (2016) · low 0 (2008)2026

Most influential descendants

Showing 5 of 14 · See all
  • K130689Symphony RF GeneratorThermigen, Inc. · 2013 · cites it directly11descendants
  • K171094Thermi Reusable Non-invasive RF ElectrodeThermgen, L.L.C · 2017 · 2 generations on6descendants
  • K222260Capenergy C Equipment RF System - C25, C50, C100, C200, C300, C400, C500Capenergy Medical S.L. · 2023 · 3 generations on3descendants
  • K161661Thermi RF AccessoriesThermi · 2016 · cites it directly3descendants
  • K170116Thermi Injectable RF ElectrodesThermi · 2017 · 2 generations on2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K896183KTP/532 Surgical Laser for Percutaneous DiskectomyLaserscope1990—
−2K974464Oratec Spinecath Intradiscal CatheterOratec Interventions, Inc.1998—
−1K993854Ora-50 S Autotemp Electrothermal Spine System and AccessoriesOratec Interventions, Inc.1999—
0 (this device)K033981Smith & Nephew Electrothermal 20S Spine Generator, Model 7209975Smith & Nephew, Inc.2004—
+1K130689Symphony RF GeneratorThermigen, Inc.2013—
+2K171094Thermi Reusable Non-invasive RF ElectrodeThermgen, L.L.C2017—
+3K222260Capenergy C Equipment RF System - C25, C50, C100, C200, C300, C400, C500Capenergy Medical S.L.2023—
+1K161661Thermi RF AccessoriesThermi2016—
+2K170116Thermi Injectable RF ElectrodesThermi2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110
199410
199510
199820

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200720
201310
201630
201720
201810
202320
202510
202620
FIG. 1 — Lineage of K033981, 1990–2026Source: 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 GEI? 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 GEI device

  1. #1 K231790 The InMode System with the Morpheus8 Applicatorsscore 32.7 · 21 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? (2)

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
*K993854Ora-50 S Autotemp Electrothermal Spine System and Accessories
Summary page 1
…al Scientific Technology to the following legally marketed device in commercial distribution: Smith & Nephew ORA-50 S, cleared in K993854 and Radionic's RFG-3C Plus Lesion Generator, cleared in K982489.…
Oratec Interventions, Inc.1999—
*K982489RFG-3C Plus
Summary page 1
…gally marketed device in commercial distribution: Smith & Nephew ORA-50 S, cleared in K993854 and Radionic's RFG-3C Plus Lesion Generator, cleared in K982489. S &N - ET 20S Spine Generator…
Radionics, Inc.1998—

Also cleared against K993854: 1 other device →

What descends from it? (14)

See all 14

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

NumberDeviceApplicantDecidedDescendants
K130689Symphony RF GeneratorThermigen, Inc.201311
K161661Thermi RF AccessoriesThermi20163
K063489Stryker Intradiscal RF GeneratorSynergetics, Inc.20070
K063480Stryker RF Intradiscal Adaptor, Model 406-750Stryker Corp.20070

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 14 years and passes through 3 companies; a new generation was cleared every 4.2 years on median.
  • None of the 8 ancestors has a recall.
  • Of its descendants, K130689 (Thermigen, Inc., 2013) has gone furthest, with 11 descendants of its own.
  • 1 other device also cites its predicate K993854.

How does its category compare?

All GEI devices

GEI Electrosurgical, Cutting & Coagulation & Accessories: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · GEI

52in 2025

2007: 502008: 612009: 422010: 462011: 352012: 392013: 482014: 492015: 472016: 642017: 522018: 472019: 482020: 592021: 462022: 552023: 652024: 592025: 522026 (partial year): 43
2007high 65 (2023) · low 35 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GEI

113in 2025

2007: 51 days median2008: 71 days median2009: 130 days median2010: 109 days median2011: 135 days median2012: 133 days median2013: 136 days median2014: 103 days median2015: 123 days median2016: 108 days median2017: 72 days median2018: 93 days median2019: 93 days median2020: 105 days median2021: 146 days median2022: 150 days median2023: 104 days median2024: 125 days median2025: 113 days median2026 (partial year): 183 days median
2007high 183 (2026) · low 51 (2007)2026

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

Recalls per year · GEI

4in 2025

2007: 212008: 192009: 272010: 512011: 322012: 302013: 132014: 32015: 42016: 32017: 22018: 62019: 52020: 12021: 62022: 492023: 27, 4 Class I2024: 22, 10 Class I2025: 42026 (partial year): 8
2007high 51 (2010) · low 1 (2020)2026

Class I (14 since 2007) Class II/III not classified

Adverse event reports per year · GEI

7,592in 2025

2007: 2,7952008: 2,5562009: 3,5912010: 3,3772011: 4,4632012: 5,2162013: 4,8972014: 4,9082015: 4,9362016: 5,6162017: 6,0732018: 6,5452019: 7,0672020: 6,4902021: 6,3542022: 6,1032023: 7,1762024: 7,8972025: 7,592
2007high 7,897 (2024) · low 2,556 (2008)2025

MAUDE reports naming product code GEI, 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
20075051212,795
20086171192,556
200942130273,591
201046109513,377
201135135324,463
201239133305,216
201348136134,897
20144910334,908
20154712344,936
20166410835,616
2017527226,073
2018479366,545
2019489357,067
20205910516,490
20214614666,354
202255150496,103
20236510427 (4)7,176
20245912522 (10)7,897
20255211347,592
2026431838—

What is it indicated for?

The Smith & Nephew ElectroThermal® 20S Spine System is intended to create lesions in nervous tissue, and to coagulate and decompress disc material when used in combination with Smith & Nephew thermal/coagulating probes. The generator and accessories are intended for use by qualified medical personnel trained in the use of electrosurgical equipment.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K033981: Smith & Nephew Electrothermal 20S Spine Generator, Model 7209975.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K033981

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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