510(k) Report

510(k) · Cleared

Cleared

PASCAL Synthesis Twinstar Ophthalmic Scanning Laser System

K170409510(k) TraditionalCleared Sep 12, 2017214-day reviewClass II21 CFR 878.4810

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

Topcon Medical Laser Systems, Inc. (Tmls) · GEX Powered Laser Surgical Instrument

Cleared on Sep 12, 2017 as substantially equivalent to K123542 (Topcon Medical Laser Systems, Inc., 2013) after a 214-day review. Its family tree reaches back 10 generations to 1989.

Decided
Sep 12, 2017
Review
214 days
Class
Class II
Product code
GEX
Recalls
None
Predicates
1

Its longest line of descent runs back 10 generations to K894841 (1989). 31 ancestors in all, the oldest K812219 (1981). No later device cites it as a predicate yet.

  1. Root · 10 generations backK894841 Iris Oculight (TM) SLIriderm Div. · 1989
  2. 6 generations between
  3. 3 generations backK111108 Pascal Streamline 577 (with Accessories)Topcon Medical Laser Systems, Inc. · 2011
  4. 2 generations backK121475 Txcell Scanning Laser Delivery SystemIridex Corp · 2012
  5. 1 generation backK123542 Pascal Synthesis (532NM/577NM) Opthalmic LaserTopcon Medical Laser Systems, Inc. · 2013 · Recalled
  6. This deviceK170409 PASCAL Synthesis Twinstar Ophthalmic Scanning Laser SystemTopcon Medical Laser Systems, Inc. (Tmls) · 2017
Show all 10 generations
  1. Root · 10 generations backK894841 Iris Oculight (TM) SLIriderm Div. · 1989
  2. 9 generations backK960971 Oculight GLIriderm Div. · 1996
  3. 8 generations backK020374 Oculight SL/SLXIridex Corp · 2002
  4. 7 generations backK043486 Pascal Photocoagulator, Product-Pascal-01Topcon Medical Laser Systems, Inc. · 2005
  5. 6 generations backK091666 Pascal Photocoagulator, Pascal-USOptimedica Corporation · 2009
  6. 5 generations backK092621 Pascal Streamline PhotocoagulatorTopcon Medical Laser Systems, Inc. · 2009
  7. 4 generations backK100019 Pascal Streamline PhotocoagulatorOptimedica Corporation · 2010 · Recalled
  8. 3 generations backK111108 Pascal Streamline 577 (with Accessories)Topcon Medical Laser Systems, Inc. · 2011
  9. 2 generations backK121475 Txcell Scanning Laser Delivery SystemIridex Corp · 2012
  10. 1 generation backK123542 Pascal Synthesis (532NM/577NM) Opthalmic LaserTopcon Medical Laser Systems, Inc. · 2013 · Recalled
  11. This deviceK170409 PASCAL Synthesis Twinstar Ophthalmic Scanning Laser SystemTopcon Medical Laser Systems, Inc. (Tmls) · 2017
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K894841Iris Oculight (TM) SLIriderm Div.1989—
−9K960971Oculight GLIriderm Div.1996—
−8K020374Oculight SL/SLXIridex Corp2002—
−7K043486Pascal Photocoagulator, Product-Pascal-01Topcon Medical Laser Systems, Inc.2005—
−6K091666Pascal Photocoagulator, Pascal-USOptimedica Corporation2009—
−5K092621Pascal Streamline PhotocoagulatorTopcon Medical Laser Systems, Inc.2009—
−4K100019Pascal Streamline PhotocoagulatorOptimedica Corporation20101
−3K111108Pascal Streamline 577 (with Accessories)Topcon Medical Laser Systems, Inc.2011—
−2K121475Txcell Scanning Laser Delivery SystemIridex Corp2012—
−1K123542Pascal Synthesis (532NM/577NM) Opthalmic LaserTopcon Medical Laser Systems, Inc.20131
0 (this device)K170409PASCAL Synthesis Twinstar Ophthalmic Scanning Laser SystemTopcon Medical Laser Systems, Inc. (Tmls)2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198310
198510
198920
199130
199310
199410
199610
199720
199910
200010
200220
200820
200910
201010
FIG. 1 — Lineage of K170409, 1989–2017Source: 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 GEX? 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 GEX device

  1. #1 K222064 The Alma Soprano Titaniumscore 38.1 · 24 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
*K123542Pascal Synthesis (532NM/577NM) Opthalmic Laser
Summary page 4
…GEX, HQF Device Class: Class II 3. Predicate Devices Primary Predicate Device PASCAL® Synthesis™Ophthalmic Scanning Laser System (K123542) Reference Predicate Device NOVUS Multiwavelength Omni (K932468)…
Topcon Medical Laser Systems, Inc.20131
†K932468Novus MultiwavelengthCoherent Medical Group1993—

Also cleared against K123542: 2 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 28 years and passes through 5 companies; a new generation was cleared every 2.8 years on median.
  • 2 of the 31 ancestors have a recall of any class.
  • 2 other devices also cite its predicate K123542.

How does its category compare?

All GEX devices

GEX Powered Laser Surgical Instrument: FDA decisions, review times, recalls and adverse event reports over 20 years. 2017, this device’s year, is highlighted.

FDA decisions per year · GEX

83in 2025

2007: 732008: 1072009: 692010: 502011: 412012: 452013: 462014: 612015: 472016: 512017: 672018: 512019: 412020: 522021: 532022: 602023: 522024: 822025: 832026 (partial year): 57
2007high 107 (2008) · low 41 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GEX

90in 2025

2007: 79 days median2008: 86 days median2009: 100 days median2010: 96 days median2011: 83 days median2012: 118 days median2013: 144 days median2014: 147 days median2015: 112 days median2016: 114 days median2017: 90 days median2018: 78 days median2019: 88 days median2020: 90 days median2021: 123 days median2022: 152 days median2023: 87 days median2024: 90 days median2025: 90 days median2026 (partial year): 90 days median
2007high 152 (2022) · low 78 (2018)2026

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

Recalls per year · GEX

3in 2024

2007: 92008: 22010: 42011: 182012: 52013: 32014: 62016: 12017: 5, 1 Class I2018: 52019: 62020: 12023: 62024: 32026 (partial year): 2
2007high 18 (2011) · low 0 (2009)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · GEX

2,720in 2025

2007: 3422008: 2322009: 2092010: 1,7112011: 3,0242012: 2,0002013: 2,2362014: 2,0362015: 2,0992016: 2,5852017: 2,9772018: 3,5252019: 2,7092020: 2,1832021: 3,4652022: 2,2882023: 2,3372024: 2,1872025: 2,720
2007high 3,525 (2018) · low 209 (2009)2025

MAUDE reports naming product code GEX, 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
200773799342
2008107862232
2009691000209
2010509641,711
20114183183,024
20124511852,000
20134614432,236
20146114762,036
20154711202,099
20165111412,585
201767905 (1)2,977
2018517853,525
2019418862,709
2020529012,183
20215312303,465
20226015202,288
2023528762,337
2024829032,187
2025839002,720
202657902—

What is it indicated for?

PASCAL Synthesis TwinStar Ophthalmic Scanning Laser System is intended for use to perform single-spot photocoagulation in the posterior segment (retina, choroid) and in the anterior segment (iris, trabecular meshwork) as well as pattern-scanning photocoagulation in the non-macular retina of the eye. Single-spot delivery may be performed using a slit lamp biomicroscope or an indirect ophthalmoscope. Pattern delivery may be performed using a slit lamp biomicroscope.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K170409: PASCAL Synthesis Twinstar Ophthalmic Scanning Laser System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K170409

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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