510(k) Report

510(k) · Cleared

Cleared

Thermage Thermacool System

K043402510(k) TraditionalCleared Jan 14, 200535-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

Thermage, Inc. · GEI Electrosurgical, Cutting & Coagulation & Accessories

Cleared on Jan 14, 2005 as substantially equivalent to K040135 (Thermage, Inc., 2004) and 6 other predicates after a 35-day review. Its family tree reaches back 12 generations to 1995. 124 later devices descend from it.

Decided
Jan 14, 2005
Review
35 days
Class
Class II
Product code
GEI
Recalls
None
Predicates
7

Its longest line of descent runs back 12 generations to K943450 (1995). 28 ancestors in all, the oldest K800617 (1980). 124 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2004: 1 other ancestor2000: 2 other ancestors1999: 1 other ancestor1996: 5 other ancestors1994: 2 other ancestors1980: 1 other ancestor1995: 2 other ancestors1992: 2 other ancestors2008: 2 descendants cleared2009: 1 descendant cleared2007: 1 descendant cleared2010: 2 descendants cleared2012: 4 descendants cleared2017: 4 descendants cleared2013: 3 descendants cleared2018: 5 descendants cleared2011: 3 descendants cleared2020: 7 descendants cleared2025: 21 descendants cleared2023: 8 descendants cleared2024: 23 descendants cleared2022: 11 descendants cleared2014: 2 descendants cleared2021: 8 descendants cleared2015: 1 descendant cleared2016: 4 descendants cleared2026: 12 descendants cleared2019: 2 descendants clearedK943450 · Arthrocare Arthroscopic Electrosurgery System Model 970 · Arthrocare Corp. · 1995×2: 2 generations cleared close together, K961069 (1996), K962445 (1996) K964849 · Arthrocare Dermatologic Electrosurgery System · Arthrocare Corp. · 1997K973478 · Arthrocare Sinus Electrosurgery System · Arthrocare Corp. · 1998K981870 · Visage Cosmetic Surgery System · Arthrocare Corp. · 1998K000944 · Thermage Thermacool System · Thermage, Inc. · 2000×2: 2 generations cleared close together, K013034 (2001), K013639 (2002) ×2: 2 generations cleared close together, K021402 (2002), K030142 (2003) K033942 · Thermage Thermacool System · Thermage, Inc. · 200419801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 4 other ancestors3 generations back: 2 other ancestors4 generations back: 7 other ancestors5 generations back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 7 descendants3 generations forward: 17 descendants4 generations forward: 16 descendants5 generations forward: 14 descendants6 generations forward: 16 descendants7 generations forward: 16 descendants8 generations forward: 19 descendants9 generations forward: 12 descendants10 generations forward: 3 descendants11 generations forward: 1 descendant K033942 · Thermage Thermacool System · Thermage, Inc. · 2004K030142 · Thermacool TC System · Thermage, Inc. · 2003K021402 · Thermage Thermacool TC System · Thermage, Inc. · 2002K013639 · Thermage Thermacool TC System · Thermage, Inc. · 2002K013034 · Modification to: Thermacool Iia · Thermage, Inc. · 2001K000944 · Thermage Thermacool System · Thermage, Inc. · 2000K981870 · Visage Cosmetic Surgery System · Arthrocare Corp. · 1998K973478 · Arthrocare Sinus Electrosurgery System · Arthrocare Corp. · 1998K964849 · Arthrocare Dermatologic Electrosurgery System · Arthrocare Corp. · 1997K962445 · Arthrocare Dental Electrosurgery System · Arthrocare Corp. · 1996K961069 · Arthrocare Urologic Multi-Electrode Electrosurgery System · Arthrocare Corp. · 1996K943450 · Arthrocare Arthroscopic Electrosurgery System Model 970 · Arthrocare Corp. · 1995−10−50+5+10
  1. Root · 12 generations backK943450 Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp. · 1995
  2. 8 generations between
  3. 3 generations backK021402 Thermage Thermacool TC SystemThermage, Inc. · 2002
  4. 2 generations backK030142 Thermacool TC SystemThermage, Inc. · 2003
  5. 1 generation backK033942 Thermage Thermacool SystemThermage, Inc. · 2004
  6. This deviceK043402 Thermage Thermacool SystemThermage, Inc. · 2005
  7. Descendant · cites it directly · 103 of its ownK052936 Thermage Thermacool SystemThermage, Inc. · 2007
  8. Descendant · 2 generations on · 102 of its ownK073572 Matrix RF ApplicatorSyneron Medical, Ltd. · 2008
  9. Descendant · 3 generations on · 64 of its ownK101510 Fractional Skin Resurfacing (FSR) ApplicatorEndymed Medical, Ltd. · 2011
  10. Descendant · 4 generations on · 57 of its ownK130501 IntensifEndymed Medical, Ltd. · 2014
  11. Descendant · 5 generations on · 38 of its ownK180189 InMode System with Fractora3D/3D-90 ApplicatorsInmode MD, Ltd. · 2018
Show all 12 generations
  1. Root · 12 generations backK943450 Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp. · 1995
  2. 11 generations backK961069 Arthrocare Urologic Multi-Electrode Electrosurgery SystemArthrocare Corp. · 1996
  3. 10 generations backK962445 Arthrocare Dental Electrosurgery SystemArthrocare Corp. · 1996
  4. 9 generations backK964849 Arthrocare Dermatologic Electrosurgery SystemArthrocare Corp. · 1997
  5. 8 generations backK973478 Arthrocare Sinus Electrosurgery SystemArthrocare Corp. · 1998
  6. 7 generations backK981870 Visage Cosmetic Surgery SystemArthrocare Corp. · 1998
  7. 6 generations backK000944 Thermage Thermacool SystemThermage, Inc. · 2000
  8. 5 generations backK013034 Modification to: Thermacool IiaThermage, Inc. · 2001
  9. 4 generations backK013639 Thermage Thermacool TC SystemThermage, Inc. · 2002
  10. 3 generations backK021402 Thermage Thermacool TC SystemThermage, Inc. · 2002
  11. 2 generations backK030142 Thermacool TC SystemThermage, Inc. · 2003
  12. 1 generation backK033942 Thermage Thermacool SystemThermage, Inc. · 2004
  13. This deviceK043402 Thermage Thermacool SystemThermage, Inc. · 2005

Showing 5 of 124 descendants. See all descendants

Descendants cleared per year

2007: 12008: 22009: 12010: 22011: 32012: 42013: 32014: 22015: 12016: 42017: 42018: 52019: 22020: 72021: 82022: 112023: 82024: 232025: 212026: 12
2007high 23 (2024) · low 1 (2007)2026

Most influential descendants

Showing 5 of 124 · See all
  • K052936Thermage Thermacool SystemThermage, Inc. · 2007 · cites it directly103descendants
  • K073572Matrix RF ApplicatorSyneron Medical, Ltd. · 2008 · 2 generations on102descendants
  • K101510Fractional Skin Resurfacing (FSR) ApplicatorEndymed Medical, Ltd. · 2011 · 3 generations on64descendants
  • K130501IntensifEndymed Medical, Ltd. · 2014 · 4 generations on57descendants
  • K180189InMode System with Fractora3D/3D-90 ApplicatorsInmode MD, Ltd. · 2018 · 5 generations on38descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K943450Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp.1995—
−11K961069Arthrocare Urologic Multi-Electrode Electrosurgery SystemArthrocare Corp.1996—
−10K962445Arthrocare Dental Electrosurgery SystemArthrocare Corp.1996—
−9K964849Arthrocare Dermatologic Electrosurgery SystemArthrocare Corp.1997—
−8K973478Arthrocare Sinus Electrosurgery SystemArthrocare Corp.1998—
−7K981870Visage Cosmetic Surgery SystemArthrocare Corp.1998—
−6K000944Thermage Thermacool SystemThermage, Inc.2000—
−5K013034Modification to: Thermacool IiaThermage, Inc.2001—
−4K013639Thermage Thermacool TC SystemThermage, Inc.2002—
−3K021402Thermage Thermacool TC SystemThermage, Inc.2002—
−2K030142Thermacool TC SystemThermage, Inc.2003—
−1K033942Thermage Thermacool SystemThermage, Inc.2004—
0 (this device)K043402Thermage Thermacool SystemThermage, Inc.2005—
+1K052936Thermage Thermacool SystemThermage, Inc.2007—
+2K073572Matrix RF ApplicatorSyneron Medical, Ltd.2008—
+3K101510Fractional Skin Resurfacing (FSR) ApplicatorEndymed Medical, Ltd.2011—
+4K130501IntensifEndymed Medical, Ltd.2014—
+5K180189InMode System with Fractora3D/3D-90 ApplicatorsInmode MD, Ltd.2018—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010
199220
199420
199520
199650
199910
200020
200410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200710
200820
200910
201020
201130
201240
201330
201420
201510
201640
201740
201850
201920
202070
202180
2022110
202380
2024230
2025210
2026120
FIG. 1 — Lineage of K043402, 1995–2026Source: 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? (7)

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
*K040135Thermage Thermacool System
Summary page 1
…ol TC System and Accessories: Device Premarket Notification ThermaCool System K040135, Cleared 6/21/04 ThermaCool System K033942, Cleared 2/4/04 ThermaCool TC Sys…
Thermage, Inc.2004—
*K033942Thermage Thermacool System
Summary page 1
…Premarket Notification ThermaCool System K040135, Cleared 6/21/04 ThermaCool System K033942, Cleared 2/4/04 ThermaCool TC System (Model TC) K021402, Cleared 11/5/02 ThermaCool TC Syst…
Thermage, Inc.2004—
*K021402Thermage Thermacool TC System
Summary page 1
…K040135, Cleared 6/21/04 ThermaCool System K033942, Cleared 2/4/04 ThermaCool TC System (Model TC) K021402, Cleared 11/5/02 ThermaCool TC System (Model TC) K013639, Cleared 1/29/02 Thermage ThermaCo…
Thermage, Inc.2002—
*K013639Thermage Thermacool TC System
Summary page 1
…K033942, Cleared 2/4/04 ThermaCool TC System (Model TC) K021402, Cleared 11/5/02 ThermaCool TC System (Model TC) K013639, Cleared 1/29/02 Thermage ThermaCool IIA System K013034, Cleared 10/4/01 Thermage ThermaCo…
Thermage, Inc.2002—
*K013034Modification to: Thermacool Iia
Summary page 1
…K021402, Cleared 11/5/02 ThermaCool TC System (Model TC) K013639, Cleared 1/29/02 Thermage ThermaCool IIA System K013034, Cleared 10/4/01 Thermage ThermaCool il System K003183, Cleared 12/8/00 Thermage ThermaCo…
Thermage, Inc.2001—
*K003183Thermage Thermacool II System
Summary page 1
…K013639, Cleared 1/29/02 Thermage ThermaCool IIA System K013034, Cleared 10/4/01 Thermage ThermaCool il System K003183, Cleared 12/8/00 Thermage ThermaCool System K000944, Cleared 7/19/00 C. Device Desc…
Thermage, Inc.2000—
*K000944Thermage Thermacool System
Summary page 1
…K013034, Cleared 10/4/01 Thermage ThermaCool il System K003183, Cleared 12/8/00 Thermage ThermaCool System K000944, Cleared 7/19/00 C. Device Description The Thermage ThermaCool System consists of the following co…
Thermage, Inc.2000—

Also cleared against K040135: 5 other devices →

What descends from it? (124)

See all 124

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

NumberDeviceApplicantDecidedDescendants
K052936Thermage Thermacool SystemThermage, Inc.2007103
K090580Thermage Thermacool NXT System and AccessoriesSolta Medical, Inc.200919
K082956Alpha Orthopaedics AT2 SystemAlpha Orthopaedics20081

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 2 companies; a new generation was cleared every 9 months on median.
  • 3 of the 28 ancestors have a recall of any class.
  • Of its descendants, K052936 (Thermage, Inc., 2007) has gone furthest, with 103 descendants of its own.
  • 5 other devices also cite its predicate K040135.

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 Thermage ThermaCool System is indicated for use in:

The Thermage ThermaCool System is indicated for use in Dermatologic and General Surgical procedures for electrocoagulation and hemostasis.

Non-invasive treatment of periorbital wrinkles and rhytids.

Non-invasive treatment of facial wrinkles and rhytids.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K043402: Thermage Thermacool System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K043402

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