510(k) Report

510(k) · Cleared

Recalled · Class II · 2022

Visualase Thermal Therapy System

K181859510(k) SpecialCleared Mar 6, 2019237-day reviewClass II21 CFR 892.2050Recalls 1

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

Medtronic Navigation, Inc. · LLZ System, Image Processing, Radiological

Cleared on Mar 6, 2019 as substantially equivalent to K081656 (Biotex, Inc., 2008) after a 237-day review. Its family tree reaches back 5 generations to 1991. 9 later devices descend from it. It has been recalled once.

Decided
Mar 6, 2019
Review
237 days
Class
Class II
Product code
LLZ
Recalls
1
Predicates
1

Its longest line of descent runs back 5 generations to K913475 (1991). 12 ancestors in all. 9 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2006: 2 other ancestors1999: 1 other ancestor2001: 1 other ancestor1997: 1 other ancestor1995: 1 other ancestor1991: 1 other ancestor2022: 2 descendants cleared2026: 3 descendants cleared2025: 2 descendants cleared2023: 1 descendant cleared2024: 1 descendant clearedK913475 · Magnetic Resonance Diagnostic Device · GE Medical Systems · 1991K960265 · Advantage Windows with Functool Option · GE Medical Systems · 1996 · recalledK063505 · Visualase Envision Software System · Biotex, Inc. · 2006K071328 · Visualase Thermal Therapy System · Biotex, Inc. · 2007 · recalledK081656 · Visualase Thermal Therapy System · Biotex, Inc. · 2008 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 3 generations back: 3 other ancestors4 generations back: 3 other ancestors5 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 4 descendants3 generations forward: 1 descendant4 generations forward: 2 descendants K081656 · Visualase Thermal Therapy System · Biotex, Inc. · 2008 · recalledK071328 · Visualase Thermal Therapy System · Biotex, Inc. · 2007 · recalledK063505 · Visualase Envision Software System · Biotex, Inc. · 2006K960265 · Advantage Windows with Functool Option · GE Medical Systems · 1996 · recalledK913475 · Magnetic Resonance Diagnostic Device · GE Medical Systems · 1991−50
  1. Root · 5 generations backK913475 Magnetic Resonance Diagnostic DeviceGE Medical Systems · 1991
  2. 4 generations backK960265 Advantage Windows with Functool OptionGE Medical Systems · 1996 · Recalled
  3. 3 generations backK063505 Visualase Envision Software SystemBiotex, Inc. · 2006
  4. 2 generations backK071328 Visualase Thermal Therapy SystemBiotex, Inc. · 2007 · Recalled
  5. 1 generation backK081656 Visualase Thermal Therapy SystemBiotex, Inc. · 2008 · Recalled
  6. This deviceK181859 Visualase Thermal Therapy SystemMedtronic Navigation, Inc. · 2019
  7. Descendant · cites it directly · 7 of its ownK214125 TRANBERG Thermoguide Therapy SystemClinical Laserthermia Systems, AB · 2022
  8. Descendant · cites it directly · 7 of its ownK211269 Visualase MRI-Guided Laser Ablation System (SW 3.4)Medtronic Navigation, Inc. · 2022 · Recalled
  9. Descendant · 2 generations on · 6 of its ownK231061 NeuroBlate SystemMonteris Medical, · 2023
  10. Descendant · 3 generations on · 5 of its ownK240877 Monteris Medical NeuroBlate SystemMonteris Medical, · 2024
  11. Descendant · 4 generations on · 1 of its ownK260976 NeuroBlate SystemMonteris Medical · 2026

Showing 5 of 9 descendants. See all descendants

Descendants cleared per year

2022: 22023: 12024: 12025: 22026: 3
2022high 3 (2026) · low 1 (2023)2026

Most influential descendants

Showing 5 of 9 · See all
  • K214125TRANBERG Thermoguide Therapy SystemClinical Laserthermia Systems, AB · 2022 · cites it directly7descendants
  • K211269Visualase MRI-Guided Laser Ablation System (SW 3.4)Medtronic Navigation, Inc. · 2022 · cites it directly7descendants
  • K231061NeuroBlate SystemMonteris Medical, · 2023 · 2 generations on6descendants
  • K240877Monteris Medical NeuroBlate SystemMonteris Medical, · 2024 · 3 generations on5descendants
  • K260976NeuroBlate SystemMonteris Medical · 2026 · 4 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K913475Magnetic Resonance Diagnostic DeviceGE Medical Systems1991—
−4K960265Advantage Windows with Functool OptionGE Medical Systems19961
−3K063505Visualase Envision Software SystemBiotex, Inc.2006—
−2K071328Visualase Thermal Therapy SystemBiotex, Inc.20071
−1K081656Visualase Thermal Therapy SystemBiotex, Inc.20081
0 (this device)K181859Visualase Thermal Therapy SystemMedtronic Navigation, Inc.2019—
+1K214125TRANBERG Thermoguide Therapy SystemClinical Laserthermia Systems, AB2022—
+1K211269Visualase MRI-Guided Laser Ablation System (SW 3.4)Medtronic Navigation, Inc.20221
+2K231061NeuroBlate SystemMonteris Medical,2023—
+3K240877Monteris Medical NeuroBlate SystemMonteris Medical,2024—
+4K260976NeuroBlate SystemMonteris Medical2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110
199510
199710
199910
200110
200620

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202220
202310
202410
202520
202630
FIG. 1 — Lineage of K181859, 1991–2026Source: 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 LLZ? 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 LLZ device

  1. #1 K230955 syngo Application Softwarescore 21.5 · 11 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
*K081656Visualase Thermal Therapy System
Summary page 4
…21CFR 880.5725 – Infusion Pump Predicate Device: Visualase™ Thermal Therapy System Predicate Manufacturer: Medtronic Navigation, Inc. Predicate 510(k): K081656 (Biotex, Inc) Predicate Product Code: GEX (Surgical Laser, Laser Applicator) LLZ (Image Processing Syste…
Biotex, Inc.20081

What descends from it? (9)

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K214125TRANBERG Thermoguide Therapy SystemClinical Laserthermia Systems, AB20227
K211269Visualase MRI-Guided Laser Ablation System (SW 3.4)Medtronic Navigation, Inc.20227

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Oct 14, 2022Class IIZ-0244-2023Nonconforming Material/ComponentDue to a defect in the outer pouch sterile seal

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 28 years and passes through 3 companies; a new generation was cleared every 4.7 years on median.
  • 4 of the 12 ancestors have a recall of any class.
  • Of its descendants, K214125 (Clinical Laserthermia Systems, AB, 2022) has gone furthest, with 7 descendants of its own.

How does its category compare?

All LLZ devices

LLZ System, Image Processing, Radiological: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · LLZ

58in 2025

2007: 762008: 942009: 702010: 512011: 1062012: 822013: 952014: 782015: 642016: 822017: 782018: 1042019: 742020: 812021: 832022: 652023: 872024: 622025: 582026 (partial year): 45
2007high 106 (2011) · low 51 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LLZ

173in 2025

2007: 36 days median2008: 52 days median2009: 62 days median2010: 98 days median2011: 79 days median2012: 87 days median2013: 84 days median2014: 89 days median2015: 90 days median2016: 90 days median2017: 107 days median2018: 105 days median2019: 107 days median2020: 115 days median2021: 116 days median2022: 137 days median2023: 157 days median2024: 131 days median2025: 173 days median2026 (partial year): 110 days median
2007high 173 (2025) · low 36 (2007)2026

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

Recalls per year · LLZ

11in 2025

2007: 202008: 322009: 212010: 172011: 302012: 122013: 642014: 62015: 162016: 122017: 52018: 72019: 22020: 62021: 32022: 42023: 82024: 62025: 112026 (partial year): 14
2007high 64 (2013) · low 2 (2019)2026

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

Adverse event reports per year · LLZ

116in 2025

2007: 1522008: 1542009: 1452010: 1452011: 4542012: 2662013: 1,1302014: 15,6312015: 2112016: 2902017: 1042018: 722019: 882020: 822021: 702022: 282023: 262024: 422025: 116
2007high 15,631 (2014) · low 26 (2023)2025

MAUDE reports naming product code LLZ, 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
2007763620152
2008945232154
2009706221145
2010519817145
20111067930454
2012828712266
20139584641,130
20147889615,631
2015649016211
2016829012290
2017781075104
2018104105772
201974107288
202081115682
202183116370
202265137428
202387157826
202462131642
20255817311116
20264511014—

What is it indicated for?

The Visualase™ Thermal Therapy System is indicated for use to necrotize or coagulate soft tissue through interstitial irradiation or thermal therapy under magnetic resonance imaging (MRI) guidance in medicine and surgery in cardiovascular thoracic surgery (excluding the heart and the vessels in the pericardial sac), dermatology, ear-nose-throat surgery, gastroenterology, general surgery, gynecology, head and neck surgery, neurosurgery, plastic surgery…

Read the full statement (206 words)

The Visualase™ Thermal Therapy System is indicated for use to necrotize or coagulate soft tissue through interstitial irradiation or thermal therapy under magnetic resonance imaging (MRI) guidance in medicine and surgery in cardiovascular thoracic surgery (excluding the heart and the vessels in the pericardial sac), dermatology, ear-nose-throat surgery, gastroenterology, general surgery, gynecology, head and neck surgery, neurosurgery, plastic surgery, orthopedics, pulmonology, radiology, and urology, for wavelengths 800nm through 1064nm.

When therapy is performed under MRI guidance, and when data from compatible MRI sequences is available, the Visualase™ system can process images using proton resonance-frequency (PRF) shift analysis and image subtraction to relate changes in complex phase angle back to relative changes in tissue temperature during therapy. The image data may be manipulated and viewed in a number of different ways, and the values of data at certain selected points may be monitored and/or displayed over time.

The Visualase™ Thermal Therapy System is compatible with General Electric Medical Systems Signa model MR scanners and with Siemens Medical Solutions Magnetom Espree systems. When interpreted by a trained physician, this device provides information that may be useful in the determination or assessment of thermal therapy. Patient management decisions should not be made solely on the basis of Visualase™ analysis.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K181859: Visualase Thermal Therapy System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K181859

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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