510(k) Report

510(k) · Cleared

Cleared

Poly Rejuv

K180875510(k) TraditionalCleared Sep 14, 2018164-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

Medtek Skincare, LLC · OHS Light Based Over The Counter Wrinkle Reduction

Cleared on Sep 14, 2018 as substantially equivalent to K162098 (Li-Tek Electronic Technology Corporation, 2017) after a 164-day review. Its family tree reaches back 14 generations to 1995.

Decided
Sep 14, 2018
Review
164 days
Class
Class II
Product code
OHS
Recalls
None
Predicates
1

Its longest line of descent runs back 14 generations to K943450 (1995). 149 ancestors in all, the oldest K800617 (1980). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2014: 1 other ancestor2013: 1 other ancestor2011: 1 other ancestor2010: 2 other ancestors2009: 1 other ancestor2008: 1 other ancestor2006: 1 other ancestor2007: 2 other ancestors2005: 5 other ancestors2004: 2 other ancestors2003: 10 other ancestors2002: 12 other ancestors2000: 10 other ancestors1998: 12 other ancestors1994: 9 other ancestors2001: 7 other ancestors1999: 5 other ancestors1997: 15 other ancestors1996: 12 other ancestors1995: 10 other ancestors1993: 6 other ancestors1991: 3 other ancestors1990: 1 other ancestor1989: 1 other ancestor1980: 1 other ancestor1992: 3 other ancestors1985: 1 other ancestorReference device: K150098 · LightStim Professional 2-Panel Light · Led Intellectual Properties, LLC · 2015Reference device: K170187 · Photodynamic Therapy Device · Uvbiotek, LLC · 2017K943450 · Arthrocare Arthroscopic Electrosurgery System Model 970 · Arthrocare Corp. · 1995×2: 2 generations cleared close together, K961069 (1996), K962445 (1996) ×2: 2 generations cleared close together, K964849 (1997), K971532 (1997) K974521 · Vnus Closure System · Vnus Medical Technologies, Inc. · 1998K982816 · Vnus Closure System · Vnus Medical Technologies, Inc. · 1999K022266 · Aurora SR · Syneron Medical, Ltd. · 2002K030426 · Omnilux Red · Photo Therapeutics Limited · 2003K042630 · Revlight Skin Care System · Skincare Technology, Inc. · 2005K060792 · Illumimed · Photoactif, LLC · 2006K083183 · Aklarus Phototherapy System · Hill Laboratories Co. · 2009K111286 · Quasar Calypso · Silver Bay, LLC · 2012K162098 · LED Phototherapy Device · Li-Tek Electronic Technology Corporation · 201719801990200020102020
  1. Root · 14 generations backK943450 Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp. · 1995
  2. 10 generations between
  3. 3 generations backK083183 Aklarus Phototherapy SystemHill Laboratories Co. · 2009
  4. 2 generations backK111286 Quasar CalypsoSilver Bay, LLC · 2012
  5. 1 generation backK162098 LED Phototherapy DeviceLi-Tek Electronic Technology Corporation · 2017
  6. This deviceK180875 Poly RejuvMedtek Skincare, LLC · 2018
Show all 14 generations
  1. Root · 14 generations backK943450 Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp. · 1995
  2. 13 generations backK961069 Arthrocare Urologic Multi-Electrode Electrosurgery SystemArthrocare Corp. · 1996
  3. 12 generations backK962445 Arthrocare Dental Electrosurgery SystemArthrocare Corp. · 1996
  4. 11 generations backK964849 Arthrocare Dermatologic Electrosurgery SystemArthrocare Corp. · 1997
  5. 10 generations backK971532 Arthrocare Electrosurgery SystemArthrocare Corp. · 1997
  6. 9 generations backK974521 Vnus Closure SystemVnus Medical Technologies, Inc. · 1998
  7. 8 generations backK982816 Vnus Closure SystemVnus Medical Technologies, Inc. · 1999
  8. 7 generations backK022266 Aurora SRSyneron Medical, Ltd. · 2002
  9. 6 generations backK030426 Omnilux RedPhoto Therapeutics Limited · 2003
  10. 5 generations backK042630 Revlight Skin Care SystemSkincare Technology, Inc. · 2005
  11. 4 generations backK060792 IllumimedPhotoactif, LLC · 2006
  12. 3 generations backK083183 Aklarus Phototherapy SystemHill Laboratories Co. · 2009
  13. 2 generations backK111286 Quasar CalypsoSilver Bay, LLC · 2012
  14. 1 generation backK162098 LED Phototherapy DeviceLi-Tek Electronic Technology Corporation · 2017
  15. This deviceK180875 Poly RejuvMedtek Skincare, LLC · 2018
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−14K943450Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp.1995—
−13K961069Arthrocare Urologic Multi-Electrode Electrosurgery SystemArthrocare Corp.1996—
−12K962445Arthrocare Dental Electrosurgery SystemArthrocare Corp.1996—
−11K964849Arthrocare Dermatologic Electrosurgery SystemArthrocare Corp.1997—
−10K971532Arthrocare Electrosurgery SystemArthrocare Corp.1997—
−9K974521Vnus Closure SystemVnus Medical Technologies, Inc.1998—
−8K982816Vnus Closure SystemVnus Medical Technologies, Inc.1999—
−7K022266Aurora SRSyneron Medical, Ltd.2002—
−6K030426Omnilux RedPhoto Therapeutics Limited2003—
−5K042630Revlight Skin Care SystemSkincare Technology, Inc.2005—
−4K060792IllumimedPhotoactif, LLC2006—
−3K083183Aklarus Phototherapy SystemHill Laboratories Co.2009—
−2K111286Quasar CalypsoSilver Bay, LLC2012—
−1K162098LED Phototherapy DeviceLi-Tek Electronic Technology Corporation2017—
0 (this device)K180875Poly RejuvMedtek Skincare, LLC2018—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010
198510
198910
199010
199130
199230
199360
199490
1995100
1996120
1997150
1998120
199950
2000100
200170
2002120
2003100
200420
200550
200610
200720
200810
200910
201020
201110
201310
201410
FIG. 1 — Lineage of K180875, 1995–2018Source: 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 OHS? 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 OHS device

  1. #1 K223544 LED light therapy mask (FM-01, FM-02, FM-03)score 48.4 · 16 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
*K162098LED Phototherapy Device
Summary page 4
…rgical Devices (DSD) General Surgery Devices Branch One - Light Based/Laser (GSDB1) 3. Predicate Device(s): 3.1 Predicate Device for Model 633: K162098-LED Phototherapy Device (Li-Tek Electronic Technology Corporation) 3.2 Reference Devices : 1. K150098 – LightStim Professiona…
Li-Tek Electronic Technology Corporation2017—
†K150098LightStim Professional 2-Panel LightLed Intellectual Properties, LLC2015—
†K170187Photodynamic Therapy DeviceUvbiotek, LLC2017—

Also cleared against K162098: 4 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 23 years and passes through 10 companies; a new generation was cleared every 1.4 years on median.
  • 4 of the 149 ancestors have a recall of any class.
  • 4 other devices also cite its predicate K162098.

How does its category compare?

All OHS devices

OHS Light Based Over The Counter Wrinkle Reduction: FDA decisions, review times, recalls and adverse event reports over 20 years. 2018, this device’s year, is highlighted.

FDA decisions per year · OHS

42in 2025

2008: 22010: 32011: 22012: 42013: 22014: 52015: 42016: 32017: 82018: 72019: 42020: 22021: 72022: 162023: 122024: 162025: 422026 (partial year): 26
2007high 42 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OHS

89in 2025

2010: 176 days median2012: 310 days median2014: 168 days median2015: 241 days median2016: 191 days median2017: 133 days median2018: 84 days median2019: 99 days median2021: 162 days median2022: 129 days median2023: 101 days median2024: 87 days median2025: 89 days median2026 (partial year): 88 days median
2007high 310 (2012) · low 84 (2018)2026

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

Recalls per year · OHS

1in 2008

2008: 1
2007high 1 (2008) · low 0 (2007)2026

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

Adverse event reports per year · OHS

34in 2025

2011: 12012: 12014: 12017: 12018: 12019: 12020: 22021: 22022: 22023: 42024: 52025: 34
2007high 34 (2025) · low 0 (2007)2025

MAUDE reports naming product code OHS, 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
20082—10
20090—00
2010317600
20112—01
2012431001
20132—00
2014516801
2015424100
2016319100
2017813301
201878401
201949901
20202—02
2021716202
20221612902
20231210104
2024168705
20254289034
202626880—

What is it indicated for?

The Poly Rejuv Model 633 is intended to emit energy in the red region of the spectrum for use in dermatology for the treatment of periorbital wrinkles.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K180875: Poly Rejuv.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K180875

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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