510(k) Report

510(k) · Cleared

Cleared

Iovera

K133453510(k) TraditionalCleared Mar 24, 2014132-day reviewClass II21 CFR 882.4250

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

Myoscience, Inc. · GXH Device, Surgical, Cryogenic

Cleared on Mar 24, 2014 as substantially equivalent to K123516 (Myoscience, Inc., 2013) after a 132-day review. Its family tree reaches back 7 generations to 1978. 6 later devices descend from it.

Decided
Mar 24, 2014
Review
132 days
Class
Class II
Product code
GXH
Recalls
None
Predicates
1

Its longest line of descent runs back 7 generations to K781302 (1978). 12 ancestors in all. 6 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2009: 1 other ancestor2006: 1 other ancestor2003: 1 other ancestor1986: 1 other ancestor1983: 1 other ancestor2015: 1 descendant cleared2017: 1 descendant cleared2021: 1 descendant cleared2018: 1 descendant cleared2022: 1 descendant cleared2024: 1 descendant clearedK781302 · Neurostat, Lloyd · Spembly Medical, Ltd. · 1978K031482 · Cryostar System, Comprising: a) Cryostar Console, B) Cryostar 1MM Cryoprobe, C) Cryostar 2MM Cryoprobe, D) Convenience · Cryomedical Instruemts, Ltd. · 2003K050272 · Cryomedical Instruments Cryo-Pac Systems · Cryomedical Instruments, Ltd. · 2005×2: 2 generations cleared close together, K100447 (2010), K102021 (2010) K120415 · Cryo-Touch Iii · Myoscience, Inc. · 2012K123516 · Cryo-Touch IV · Myoscience, Inc. · 2013 · recalled19801990200020102020
  1. Root · 7 generations backK781302 Neurostat, LloydSpembly Medical, Ltd. · 1978
  2. 6 generations backK031482 Cryostar System, Comprising: a) Cryostar Console, B) Cryostar 1MM…Cryomedical Instruemts, Ltd. · 2003
  3. 5 generations backK050272 Cryomedical Instruments Cryo-Pac SystemsCryomedical Instruments, Ltd. · 2005
  4. 4 generations backK100447 Myoscience Cryo-TouchMyoscience, Inc. · 2010
  5. 3 generations backK102021 Cryo-Touch IIMyoscience, Inc. · 2010
  6. 2 generations backK120415 Cryo-Touch IiiMyoscience, Inc. · 2012
  7. 1 generation backK123516 Cryo-Touch IVMyoscience, Inc. · 2013 · Recalled
  8. This deviceK133453 IoveraMyoscience, Inc. · 2014
  9. Descendant · cites it directly · 5 of its ownK142866 Myoscience iovera systemMyoscience, Inc. · 2015 · Recalled
  10. Descendant · 2 generations on · 4 of its ownK161835 iovera systemMyoscience, Inc. · 2017
  11. Descendant · 3 generations on · 2 of its ownK211334 Iovera SystemPacira Pharmaceuticals, Inc. · 2021
  12. Descendant · 3 generations on · 2 of its ownK173763 iovera systemMyoscience, Inc. · 2018
  13. Descendant · 4 generations on · 1 of its ownK220656 iovera SystemPacira Biosciences, Inc. · 2022

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2015: 12017: 12018: 12021: 12022: 12024: 1
2015high 1 (2015) · low 0 (2016)2026

Most influential descendants

Showing 5 of 6 · See all
  • K142866Myoscience iovera systemMyoscience, Inc. · 2015 · cites it directly5descendants
  • K161835iovera systemMyoscience, Inc. · 2017 · 2 generations on4descendants
  • K211334Iovera SystemPacira Pharmaceuticals, Inc. · 2021 · 3 generations on2descendants
  • K173763iovera systemMyoscience, Inc. · 2018 · 3 generations on2descendants
  • K220656iovera SystemPacira Biosciences, Inc. · 2022 · 4 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K781302Neurostat, LloydSpembly Medical, Ltd.1978—
−6K031482Cryostar System, Comprising: a) Cryostar Console, B) Cryostar 1MM Cryoprobe…Cryomedical Instruemts, Ltd.2003—
−5K050272Cryomedical Instruments Cryo-Pac SystemsCryomedical Instruments, Ltd.2005—
−4K100447Myoscience Cryo-TouchMyoscience, Inc.2010—
−3K102021Cryo-Touch IIMyoscience, Inc.2010—
−2K120415Cryo-Touch IiiMyoscience, Inc.2012—
−1K123516Cryo-Touch IVMyoscience, Inc.20131
0 (this device)K133453IoveraMyoscience, Inc.2014—
+1K142866Myoscience iovera systemMyoscience, Inc.20151
+2K161835iovera systemMyoscience, Inc.2017—
+3K211334Iovera SystemPacira Pharmaceuticals, Inc.2021—
+3K173763iovera systemMyoscience, Inc.2018—
+4K220656iovera SystemPacira Biosciences, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198310
198610
200310
200610
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201510
201710
201810
202110
202210
202410
FIG. 1 — Lineage of K133453, 1978–2024Source: 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 GXH? 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 GXH device

  1. #1 K250371 cryoICE cryoXT cryoablation probe (cryoXT)score 13.9 · 17 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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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
*K123516Cryo-Touch IV
Summary page 1
…e iovera0 device issubstantially equivalent to the following currently leally marketed devices: 510(k) Number Product Sponsor K1 23516 Cryo-Touch IV myoscience, Inc b. Date Summary Prepared November 07, 2013 c. Des…
Myoscience, Inc.20131

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K142866Myoscience iovera systemMyoscience, Inc.20155

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 36 years and passes through 4 companies; a new generation was cleared every 1.7 years on median.
  • 1 of the 12 ancestors has a recall of any class.
  • Of its descendants, K142866 (Myoscience, Inc., 2015) has gone furthest, with 5 descendants of its own.

How does its category compare?

All GXH devices

GXH Device, Surgical, Cryogenic: FDA decisions, review times, recalls and adverse event reports over 20 years. 2014, this device’s year, is highlighted.

FDA decisions per year · GXH

1in 2025

2010: 22012: 12013: 12014: 22015: 12017: 12018: 32020: 12021: 12022: 12023: 12024: 22025: 1
2007high 3 (2018) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GXH

52in 2018

2018: 52 days median
2007high 52 (2018)2026

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

Recalls per year · GXH

No recall names GXH since 2007.

Adverse event reports per year · GXH

5in 2025

2015: 12016: 12017: 22018: 142019: 62020: 42021: 62022: 32023: 42024: 22025: 5
2007high 14 (2018) · low 0 (2007)2025

MAUDE reports naming product code GXH, 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
20070—00
20080—00
20090—00
20102—00
20110—00
20121—00
20131—00
20142—00
20151—01
20160—01
20171—02
2018352014
20190—06
20201—04
20211—06
20221—03
20231—04
20242—02
20251—05
20260—0—

What is it indicated for?

The myoscience iovera0 device is used to destroy tissue during surgical procedures by applying freezing cold. It can also be used to produce lesions in peripheral nervous tissue by the application of cold to the selected site for the blocking of pain. The iovera0 device is not indicated for treatment of central nervous system tissue.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K133453: Iovera.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K133453

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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