510(k) Report

510(k) · Cleared

Cleared

Excalibur Light Therapy System, Model Sgiex-04-001

K041530510(k) TraditionalCleared Oct 14, 2004128-day reviewClass II21 CFR 890.5500

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

Stargate International, Inc. · NHN Powered Light Based Laser Non-Thermal Instrument With Non-Heating Effect For Adjunctive Use In Pain Therapy

Cleared on Oct 14, 2004 as substantially equivalent to K012580 (Tuco Innovations, Inc., 2002) and 1 other predicate after a 128-day review. Its family tree reaches back 3 generations to 2000. 12 later devices descend from it.

Decided
Oct 14, 2004
Review
128 days
Class
Class II
Product code
NHN
Recalls
None
Predicates
2

Its longest line of descent runs back 3 generations to K001179 (2000). 4 ancestors in all. 12 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2002: 1 other ancestor2008: 3 descendants cleared2006: 1 descendant cleared2005: 1 descendant cleared2025: 2 descendants cleared2015: 1 descendant cleared2016: 1 descendant cleared2009: 1 descendant cleared2011: 1 descendant cleared2010: 1 descendant clearedK001179 · Super Nova, Acubeam · Light Force Therapy, Inc. · 2000K020017 · Medx 1000 Series · Medx Electronics, Inc. · 2002K032816 · Quantum Light Therapy System · Stargate International, Inc. · 2004200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 6 descendants3 generations forward: 3 descendants K032816 · Quantum Light Therapy System · Stargate International, Inc. · 2004K020017 · Medx 1000 Series · Medx Electronics, Inc. · 2002K001179 · Super Nova, Acubeam · Light Force Therapy, Inc. · 20000
  1. Root · 3 generations backK001179 Super Nova, AcubeamLight Force Therapy, Inc. · 2000
  2. 2 generations backK020017 Medx 1000 SeriesMedx Electronics, Inc. · 2002
  3. 1 generation backK032816 Quantum Light Therapy SystemStargate International, Inc. · 2004
  4. This deviceK041530 Excalibur Light Therapy System, Model Sgiex-04-001Stargate International, Inc. · 2004
  5. Descendant · cites it directly · 9 of its ownK050668 GRT Lite, Model 8-aGrt Solutions, Inc. · 2006
  6. Descendant · cites it directly · 6 of its ownK081141 Combocare 2000Xanacare Technologies, LLC · 2008
  7. Descendant · 2 generations on · 2 of its ownK083202 Combocare 2000Xanacare Technologies, LLC · 2008
  8. Descendant · 2 generations on · 1 of its ownK241057 Enhanced Handheld Pain Relief Laser Instrument (GD-P-E)Wuhan Guangdun Technology Co.,Ltd.. · 2025
  9. Descendant · 2 generations on · 1 of its ownK083822 Laser TouchoneLaser Health Technologies, LLC · 2009

Showing 5 of 12 descendants. See all descendants

Descendants cleared per year

2005: 12006: 12008: 32009: 12010: 12011: 12015: 12016: 12025: 2
2005high 3 (2008) · low 0 (2007)2026

Most influential descendants

Showing 5 of 12 · See all
  • K050668GRT Lite, Model 8-aGrt Solutions, Inc. · 2006 · cites it directly9descendants
  • K081141Combocare 2000Xanacare Technologies, LLC · 2008 · cites it directly6descendants
  • K083202Combocare 2000Xanacare Technologies, LLC · 2008 · 2 generations on2descendants
  • K241057Enhanced Handheld Pain Relief Laser Instrument (GD-P-E)Wuhan Guangdun Technology Co.,Ltd.. · 2025 · 2 generations on1descendant
  • K083822Laser TouchoneLaser Health Technologies, LLC · 2009 · 2 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K001179Super Nova, AcubeamLight Force Therapy, Inc.2000—
−2K020017Medx 1000 SeriesMedx Electronics, Inc.2002—
−1K032816Quantum Light Therapy SystemStargate International, Inc.2004—
0 (this device)K041530Excalibur Light Therapy System, Model Sgiex-04-001Stargate International, Inc.2004—
+1K050668GRT Lite, Model 8-aGrt Solutions, Inc.2006—
+1K081141Combocare 2000Xanacare Technologies, LLC2008—
+2K083202Combocare 2000Xanacare Technologies, LLC2008—
+2K241057Enhanced Handheld Pain Relief Laser Instrument (GD-P-E)Wuhan Guangdun Technology Co.,Ltd..2025—
+2K083822Laser TouchoneLaser Health Technologies, LLC2009—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200510
200610
200830
200910
201010
201110
201510
201610
202520
FIG. 1 — Lineage of K041530, 2000–2025Source: 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 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 NHN? 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 NHN device

  1. #1 K241057 Enhanced Handheld Pain Relief Laser Instrument…score 12.9 · 5 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
*K012580Erchonia PL2000
Summary page 2
…e Excalibur System establishes equivalence to include the following: PredtcAe DeviCe 51O(kl #arature Thco Erchonia PL3000 ......... . K012580 ...... Tuco Innovations Quantum System ........................... K…
Tuco Innovations, Inc.2002—
*K032816Quantum Light Therapy System
Summary page 2
…onia PL3000 ......... . K012580 ...... Tuco Innovations Quantum System ........................... K032816 Stargate International V. Intended Use of the Device The Excalibur Light Therapy System is a non-heati…
Stargate International, Inc.2004—

Also cleared against K012580: 4 other devices →

What descends from it? (12)

See all 12

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

NumberDeviceApplicantDecidedDescendants
K050668GRT Lite, Model 8-aGrt Solutions, Inc.20069
K081141Combocare 2000Xanacare Technologies, LLC20086
K043353Omega Excel/XP Laser SystemAdvanced Medical Technologies, Inc.20051

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 4 years and passes through 3 companies; a new generation was cleared every 1.7 years on median.
  • None of the 4 ancestors has a recall.
  • Of its descendants, K050668 (Grt Solutions, Inc., 2006) has gone furthest, with 9 descendants of its own.
  • 4 other devices also cite its predicate K012580.

How does its category compare?

All NHN devices

NHN Powered Light Based Laser Non-Thermal Instrument With Non-Heating Effect For Adjunctive Use In Pain Therapy: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · NHN

2in 2025

2007: 12008: 32009: 22010: 22013: 22014: 12015: 12016: 32018: 32019: 22021: 22022: 32023: 12024: 12025: 22026 (partial year): 2
2007high 3 (2008) · low 0 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NHN

416in 2022

2008: 260 days median2016: 154 days median2018: 117 days median2022: 416 days median
2007high 416 (2022) · low 117 (2018)2026

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

Recalls per year · NHN

2in 2019

2019: 2
2007high 2 (2019) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · NHN

1in 2025

2010: 12019: 12021: 12025: 1
2007high 1 (2010) · low 0 (2007)2025

MAUDE reports naming product code NHN, 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
20071—00
2008326000
20092—00
20102—01
20110—00
20120—00
20132—00
20141—00
20151—00
2016315400
20170—00
2018311700
20192—21
20200—00
20212—01
2022341600
20231—00
20241—00
20252—01
20262—0—

What is it indicated for?

The Excalibur Light Therapy System is a non-heating lamp, infrared as described under the provisions of 21 CFR §890.5500 and is indicated for:

Adjunctive use in providing temporary relief of minor chronic neck and shoulder pain of musculoskeletal origin.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K041530: Excalibur Light Therapy System, Model Sgiex-04-001.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K041530

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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