510(k) Report

510(k) · Cleared

Cleared

Domain Surgical System

K121881510(k) TraditionalCleared Oct 18, 2012114-day reviewClass II21 CFR 884.4120

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

Domain Surgical, Inc. · HGI Electrocautery, Gynecologic (And Accessories)

Cleared on Oct 18, 2012 as substantially equivalent to K110439 (Domain Surgical, Inc., 2011) and 1 other predicate after a 114-day review. Its family tree reaches back 4 generations to 1994. 4 later devices descend from it.

Decided
Oct 18, 2012
Review
114 days
Class
Class II
Product code
HGI
Recalls
None
Predicates
2

Its longest line of descent runs back 4 generations to K933157 (1994). 24 ancestors in all, the oldest K780977 (1978). 4 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2011: 1 other ancestor2009: 1 other ancestor2008: 2 other ancestors1985: 1 other ancestor2005: 1 other ancestor2004: 2 other ancestors1998: 1 other ancestor1996: 3 other ancestors1994: 1 other ancestor1979: 1 other ancestor2000: 1 other ancestor1995: 2 other ancestors1991: 2 other ancestors1978: 1 other ancestor2014: 3 descendants cleared2015: 1 descendant clearedK933157 · Erbotom Icc 200 · Erbe USA, Inc. · 1994K013255 · Surgitron 120 Iec (Also Known as Surgitron 4.0 Dual RF · Ellman Intl., Inc. · 2001K061174 · Surgi-Max · Ellman Int'L, Inc. · 2006K082786 · Pulsar Generator, Peak Plasmablade; 4.0, Needle, and Ext Tissue Dissection Devices · Peak Surgical, Inc. · 2008 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 4 other ancestors3 generations back: 8 other ancestors4 generations back: 7 other ancestors 1 generation forward: 1 descendant2 generations forward: 2 descendants3 generations forward: 1 descendant K082786 · Pulsar Generator, Peak Plasmablade; 4.0, Needle, and Ext Tissue Dissection Devices · Peak Surgical, Inc. · 2008 · recalledK061174 · Surgi-Max · Ellman Int'L, Inc. · 2006K013255 · Surgitron 120 Iec (Also Known as Surgitron 4.0 Dual RF · Ellman Intl., Inc. · 2001K933157 · Erbotom Icc 200 · Erbe USA, Inc. · 19940
  1. Root · 4 generations backK933157 Erbotom Icc 200Erbe USA, Inc. · 1994
  2. 3 generations backK013255 Surgitron 120 Iec (Also Known as Surgitron 4.0 Dual RFEllman Intl., Inc. · 2001
  3. 2 generations backK061174 Surgi-MaxEllman Int'L, Inc. · 2006
  4. 1 generation backK082786 Pulsar Generator, Peak Plasmablade; 4.0, Needle, and Ext Tissue…Peak Surgical, Inc. · 2008 · Recalled
  5. This deviceK121881 Domain Surgical SystemDomain Surgical, Inc. · 2012
  6. Descendant · cites it directly · 3 of its ownK130606 Fmwand Ferromagnetic Surgical SystemDomain Surgical, Inc. · 2014
  7. Descendant · 2 generations on · 1 of its ownK141484 Open FmsealerDomain Surgical, Inc. · 2014 · Recalled
  8. Descendant · 3 generations on · 0 of its ownK142229 Laparoscopic FMsealerDomain Surgical, Inc. · 2015
  9. Descendant · 2 generations on · 0 of its ownK140384 Fmwand Handpiece SEDomain Surgical, Inc. · 2014

Most influential descendants

Showing 4 of 4 · See all
  • K130606Fmwand Ferromagnetic Surgical SystemDomain Surgical, Inc. · 2014 · cites it directly3descendants
  • K141484Open FmsealerDomain Surgical, Inc. · 2014 · 2 generations on1descendant
  • K142229Laparoscopic FMsealerDomain Surgical, Inc. · 2015 · 3 generations on0descendants
  • K140384Fmwand Handpiece SEDomain Surgical, Inc. · 2014 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−4K933157Erbotom Icc 200Erbe USA, Inc.1994—
−3K013255Surgitron 120 Iec (Also Known as Surgitron 4.0 Dual RFEllman Intl., Inc.2001—
−2K061174Surgi-MaxEllman Int'L, Inc.2006—
−1K082786Pulsar Generator, Peak Plasmablade; 4.0, Needle, and Ext Tissue Dissection…Peak Surgical, Inc.20081
0 (this device)K121881Domain Surgical SystemDomain Surgical, Inc.2012—
+1K130606Fmwand Ferromagnetic Surgical SystemDomain Surgical, Inc.2014—
+2K141484Open FmsealerDomain Surgical, Inc.20141
+3K142229Laparoscopic FMsealerDomain Surgical, Inc.2015—
+2K140384Fmwand Handpiece SEDomain Surgical, Inc.2014—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
197910
198510
199120
199410
199520
199630
199810
200010
200420
200510
200820
200910
201110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201430
201510
FIG. 1 — Lineage of K121881, 1994–2015Source: 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 HGI? 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 HGI device

  1. #1 K202915 IRIS Thermocoagulator and Digital Colposcopescore 2.1 · 4 generations · no Class I recall
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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
*K110439Domain Surgical System
Summary page 1
…previously cleared by FDA through 51 0(k) #KI 10439. Device Description The Domain Surgical System is identical to the device cleared by FDA In510(k) #K1 10439. An electrosurgical cutting and coagulation device (and accessories) is a device intended to remove tissue and cont…
Domain Surgical, Inc.2011—
*K082786Pulsar Generator, Peak Plasmablade; 4.0, Needle, and Ext Tissue Dissection Devices
Summary page 2
…l specialties to add specificity, consistent with our intended use for the device and the indications for use for the legally marketed Peak Surgery System (K082786). Safety and Biocompatibility Summar The Domain Surgical System, as originally cleared in 51 0(k) #K1 10439, is intended…
Peak Surgical, Inc.20081

What descends from it? (4)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K130606Fmwand Ferromagnetic Surgical SystemDomain Surgical, Inc.20143

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 18 years and passes through 5 companies; a new generation was cleared every 4.6 years on median.
  • 7 of the 24 ancestors have a recall of any class.
  • Of its descendants, K130606 (Domain Surgical, Inc., 2014) has gone furthest, with 3 descendants of its own.

How does its category compare?

All HGI devices

HGI Electrocautery, Gynecologic (And Accessories): FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · HGI

1in 2021

2007: 12012: 12014: 12016: 12021: 1
2007high 1 (2007) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HGI

Too few HGI 510(k)s in any year since 2007 to give a median.

Recalls per year · HGI

7in 2021

2012: 12014: 12019: 32021: 7
2007high 7 (2021) · low 0 (2007)2026

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

Adverse event reports per year · HGI

41in 2025

2008: 12009: 12010: 12011: 22013: 62014: 12015: 272016: 562017: 332018: 302019: 1272020: 1022021: 1002022: 1042023: 612024: 442025: 41
2007high 127 (2019) · low 0 (2007)2025

MAUDE reports naming product code HGI, 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
20080—01
20090—01
20100—01
20110—02
20121—10
20130—06
20141—11
20150—027
20161—056
20170—033
20180—030
20190—3127
20200—0102
20211—7100
20220—0104
20230—061
20240—044
20250—041
20260—0—

What is it indicated for?

The Domain Surgical System is Indicated for cutting and coagulation of soft tissue during surgical procedures, including Gynecologic procedures (open transabdominal only).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K121881: Domain Surgical System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K121881

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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