510(k) Report

510(k) · Cleared

Cleared

Excalibur IV Light Therapy System, Model SGEX4-001

K051631510(k) TraditionalCleared Jul 27, 200537-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 Jul 27, 2005 as substantially equivalent to K032816 (Stargate International, Inc., 2004) after a 37-day review. Its family tree reaches back 3 generations to 2000.

Decided
Jul 27, 2005
Review
37 days
Class
Class II
Product code
NHN
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to K001179 (2000). 4 ancestors in all. No later device cites it as a predicate yet.

  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 deviceK051631 Excalibur IV Light Therapy System, Model SGEX4-001Stargate International, Inc. · 2005
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)K051631Excalibur IV Light Therapy System, Model SGEX4-001Stargate International, Inc.2005—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200210
FIG. 1 — Lineage of K051631, 2000–2005Source: 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 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? (1)

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
*K032816Quantum Light Therapy System
Summary page 2
…es equivalence to is the following: Predicate Device 510(k) # Manufacture Quantum System ........................... K032816 Stargate International V.Intended Use of the Device The Excalibur IV Light Therapy System is a n…
Stargate International, Inc.2004—

Also cleared against K032816: 3 other devices →

What descends from it?

No later submission names this one as a predicate yet.

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 5 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.
  • 3 other devices also cite its predicate K032816.

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 IV 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. “K051631: Excalibur IV Light Therapy System, Model SGEX4-001.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K051631

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