510(k) Report

510(k) · Cleared

Cleared

BTL-899ST

K202199510(k) TraditionalCleared Jan 26, 2021174-day reviewClass II21 CFR 878.4400

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

Btl · GEI Electrosurgical, Cutting & Coagulation & Accessories

Cleared on Jan 26, 2021 as substantially equivalent to K192224 (Btl, 2019) after a 174-day review. Its family tree reaches back 19 generations to 1995. 6 later devices descend from it.

Decided
Jan 26, 2021
Review
174 days
Class
Class II
Product code
GEI
Recalls
None
Predicates
1

Its longest line of descent runs back 19 generations to K943450 (1995). 106 ancestors in all, the oldest K800617 (1980). 6 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2007: 2 other ancestors2008: 1 other ancestor2006: 1 other ancestor2005: 2 other ancestors2004: 3 other ancestors2003: 4 other ancestors2002: 9 other ancestors2001: 6 other ancestors2000: 9 other ancestors1997: 14 other ancestors1996: 11 other ancestors1991: 1 other ancestor1985: 2 other ancestors1999: 4 other ancestors1998: 6 other ancestors1994: 2 other ancestors1995: 4 other ancestors1990: 1 other ancestor1980: 1 other ancestor1992: 3 other ancestors1993: 1 other ancestor2021: 1 descendant cleared2023: 2 descendants cleared2022: 1 descendant cleared2025: 1 descendant cleared2024: 1 descendant clearedK943450 · Arthrocare Arthroscopic Electrosurgery System Model 970 · Arthrocare Corp. · 1995×2: 2 generations cleared close together, K961069 (1996), K962445 (1996) K964849 · Arthrocare Dermatologic Electrosurgery System · Arthrocare Corp. · 1997K973478 · Arthrocare Sinus Electrosurgery System · Arthrocare Corp. · 1998K981870 · Visage Cosmetic Surgery System · Arthrocare Corp. · 1998K000944 · Thermage Thermacool System · Thermage, Inc. · 2000×2: 2 generations cleared close together, K013034 (2001), K013639 (2002) ×2: 2 generations cleared close together, K021402 (2002), K030142 (2003) K031671 · Polaris WR · Syneron Medical, Ltd. · 2003K051214 · Aluma Skin Renewal System · Lumenis, Inc. · 2005×2: 2 generations cleared close together, K070004 (2007), K072699 (2007) K082622 · Alma Lasers Accent B-Shape Massager Handpiece/Module · Alma Lasers, Ltd. · 2009K120510 · Transcend · Syneron Medical, Ltd. · 2013K163415 · SlimShape System · Syneron Medical, Ltd. · 2017K192224 · BTL-899 · Btl · 201919801990200020102020
Other ancestors, by generationDescendants, by generation 4 generations back: 1 other ancestor5 generations back: 4 other ancestors6 generations back: 8 other ancestors7 generations back: 8 other ancestors8 generations back: 23 other ancestors9 generations back: 15 other ancestors10 generations back: 17 other ancestors11 generations back: 9 other ancestors12 generations back: 2 other ancestors 1 generation forward: 2 descendants2 generations forward: 2 descendants3 generations forward: 1 descendant4 generations forward: 1 descendant K192224 · BTL-899 · Btl · 2019K163415 · SlimShape System · Syneron Medical, Ltd. · 2017K120510 · Transcend · Syneron Medical, Ltd. · 2013K082622 · Alma Lasers Accent B-Shape Massager Handpiece/Module · Alma Lasers, Ltd. · 2009K072699 · Alma Lasers Family of Accent Radiofrequency (RF) Systems, Models: Accent, Accent XL · Alma Lasers, Ltd. · 2007K070004 · Accent · Alma Lasers, Ltd. · 2007K051214 · Aluma Skin Renewal System · Lumenis, Inc. · 2005K031671 · Polaris WR · Syneron Medical, Ltd. · 2003K030142 · Thermacool TC System · Thermage, Inc. · 2003K021402 · Thermage Thermacool TC System · Thermage, Inc. · 2002K013639 · Thermage Thermacool TC System · Thermage, Inc. · 2002K013034 · Modification to: Thermacool Iia · Thermage, Inc. · 2001K000944 · Thermage Thermacool System · Thermage, Inc. · 2000K981870 · Visage Cosmetic Surgery System · Arthrocare Corp. · 1998K973478 · Arthrocare Sinus Electrosurgery System · Arthrocare Corp. · 1998K964849 · Arthrocare Dermatologic Electrosurgery System · Arthrocare Corp. · 1997K962445 · Arthrocare Dental Electrosurgery System · Arthrocare Corp. · 1996K961069 · Arthrocare Urologic Multi-Electrode Electrosurgery System · Arthrocare Corp. · 1996K943450 · Arthrocare Arthroscopic Electrosurgery System Model 970 · Arthrocare Corp. · 1995−15−10−50
  1. Root · 19 generations backK943450 Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp. · 1995
  2. 15 generations between
  3. 3 generations backK120510 TranscendSyneron Medical, Ltd. · 2013
  4. 2 generations backK163415 SlimShape SystemSyneron Medical, Ltd. · 2017
  5. 1 generation backK192224 BTL-899Btl · 2019
  6. This deviceK202199 BTL-899STBtl · 2021
  7. Descendant · cites it directly · 3 of its ownK211107 BTL-899 FPBTL Industries, Inc. · 2021
  8. Descendant · 2 generations on · 2 of its ownK213344 BTL-899ABTL Industries, Inc. · 2022
  9. Descendant · cites it directly · 1 of its ownK231495 The Evolve System with the Transform ApplicatorInMode, Ltd. · 2023
  10. Descendant · 3 generations on · 1 of its ownK230467 BTL-899FBTL Industries, Inc. · 2023
  11. Descendant · 2 generations on · 0 of its ownK250200 InbellaBody SystemInbella Medical, Inc. · 2025
Show all 19 generations
  1. Root · 19 generations backK943450 Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp. · 1995
  2. 18 generations backK961069 Arthrocare Urologic Multi-Electrode Electrosurgery SystemArthrocare Corp. · 1996
  3. 17 generations backK962445 Arthrocare Dental Electrosurgery SystemArthrocare Corp. · 1996
  4. 16 generations backK964849 Arthrocare Dermatologic Electrosurgery SystemArthrocare Corp. · 1997
  5. 15 generations backK973478 Arthrocare Sinus Electrosurgery SystemArthrocare Corp. · 1998
  6. 14 generations backK981870 Visage Cosmetic Surgery SystemArthrocare Corp. · 1998
  7. 13 generations backK000944 Thermage Thermacool SystemThermage, Inc. · 2000
  8. 12 generations backK013034 Modification to: Thermacool IiaThermage, Inc. · 2001
  9. 11 generations backK013639 Thermage Thermacool TC SystemThermage, Inc. · 2002
  10. 10 generations backK021402 Thermage Thermacool TC SystemThermage, Inc. · 2002
  11. 9 generations backK030142 Thermacool TC SystemThermage, Inc. · 2003
  12. 8 generations backK031671 Polaris WRSyneron Medical, Ltd. · 2003
  13. 7 generations backK051214 Aluma Skin Renewal SystemLumenis, Inc. · 2005
  14. 6 generations backK070004 AccentAlma Lasers, Ltd. · 2007
  15. 5 generations backK072699 Alma Lasers Family of Accent Radiofrequency (RF) Systems, Models…Alma Lasers, Ltd. · 2007
  16. 4 generations backK082622 Alma Lasers Accent B-Shape Massager Handpiece/ModuleAlma Lasers, Ltd. · 2009
  17. 3 generations backK120510 TranscendSyneron Medical, Ltd. · 2013
  18. 2 generations backK163415 SlimShape SystemSyneron Medical, Ltd. · 2017
  19. 1 generation backK192224 BTL-899Btl · 2019
  20. This deviceK202199 BTL-899STBtl · 2021

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2021: 12022: 12023: 22024: 12025: 1
2021high 2 (2023) · low 0 (2026)2026

Most influential descendants

Showing 5 of 6 · See all
  • K211107BTL-899 FPBTL Industries, Inc. · 2021 · cites it directly3descendants
  • K213344BTL-899ABTL Industries, Inc. · 2022 · 2 generations on2descendants
  • K231495The Evolve System with the Transform ApplicatorInMode, Ltd. · 2023 · cites it directly1descendant
  • K230467BTL-899FBTL Industries, Inc. · 2023 · 3 generations on1descendant
  • K250200InbellaBody SystemInbella Medical, Inc. · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−19K943450Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp.1995—
−18K961069Arthrocare Urologic Multi-Electrode Electrosurgery SystemArthrocare Corp.1996—
−17K962445Arthrocare Dental Electrosurgery SystemArthrocare Corp.1996—
−16K964849Arthrocare Dermatologic Electrosurgery SystemArthrocare Corp.1997—
−15K973478Arthrocare Sinus Electrosurgery SystemArthrocare Corp.1998—
−14K981870Visage Cosmetic Surgery SystemArthrocare Corp.1998—
−13K000944Thermage Thermacool SystemThermage, Inc.2000—
−12K013034Modification to: Thermacool IiaThermage, Inc.2001—
−11K013639Thermage Thermacool TC SystemThermage, Inc.2002—
−10K021402Thermage Thermacool TC SystemThermage, Inc.2002—
−9K030142Thermacool TC SystemThermage, Inc.2003—
−8K031671Polaris WRSyneron Medical, Ltd.2003—
−7K051214Aluma Skin Renewal SystemLumenis, Inc.2005—
−6K070004AccentAlma Lasers, Ltd.2007—
−5K072699Alma Lasers Family of Accent Radiofrequency (RF) Systems, Models: Accent…Alma Lasers, Ltd.2007—
−4K082622Alma Lasers Accent B-Shape Massager Handpiece/ModuleAlma Lasers, Ltd.2009—
−3K120510TranscendSyneron Medical, Ltd.2013—
−2K163415SlimShape SystemSyneron Medical, Ltd.2017—
−1K192224BTL-899Btl2019—
0 (this device)K202199BTL-899STBtl2021—
+1K211107BTL-899 FPBTL Industries, Inc.2021—
+2K213344BTL-899ABTL Industries, Inc.2022—
+1K231495The Evolve System with the Transform ApplicatorInMode, Ltd.2023—
+3K230467BTL-899FBTL Industries, Inc.2023—
+2K250200InbellaBody SystemInbella Medical, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010
198520
199010
199110
199230
199310
199420
199540
1996110
1997140
199860
199940
200090
200160
200290
200340
200430
200520
200610
200720
200810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202110
202210
202320
202410
202510
FIG. 1 — Lineage of K202199, 1995–2025Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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 GEI? 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 GEI device

  1. #1 K231790 The InMode System with the Morpheus8 Applicatorsscore 32.7 · 21 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
*K192224BTL-899
Summary page 4
…ntially equivalent to the current product that is already cleared for distribution in the USA under the following 510(k) Premarket Notification numbers: ● BTL-899 (K192224) 510(k) Summary - Page 1 of 7 K202199 Product Description The BTL-899…
Btl2019—

Also cleared against K192224: 1 other device →

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K211107BTL-899 FPBTL Industries, Inc.20213
K231495The Evolve System with the Transform ApplicatorInMode, Ltd.20231

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 26 years and passes through 6 companies; a new generation was cleared every 1.1 years on median.
  • 3 of the 106 ancestors have a recall of any class.
  • Of its descendants, K211107 (BTL Industries, Inc., 2021) has gone furthest, with 3 descendants of its own.
  • 1 other device also cites its predicate K192224.

How does its category compare?

All GEI devices

GEI Electrosurgical, Cutting & Coagulation & Accessories: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · GEI

52in 2025

2007: 502008: 612009: 422010: 462011: 352012: 392013: 482014: 492015: 472016: 642017: 522018: 472019: 482020: 592021: 462022: 552023: 652024: 592025: 522026 (partial year): 43
2007high 65 (2023) · low 35 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GEI

113in 2025

2007: 51 days median2008: 71 days median2009: 130 days median2010: 109 days median2011: 135 days median2012: 133 days median2013: 136 days median2014: 103 days median2015: 123 days median2016: 108 days median2017: 72 days median2018: 93 days median2019: 93 days median2020: 105 days median2021: 146 days median2022: 150 days median2023: 104 days median2024: 125 days median2025: 113 days median2026 (partial year): 183 days median
2007high 183 (2026) · low 51 (2007)2026

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

Recalls per year · GEI

4in 2025

2007: 212008: 192009: 272010: 512011: 322012: 302013: 132014: 32015: 42016: 32017: 22018: 62019: 52020: 12021: 62022: 492023: 27, 4 Class I2024: 22, 10 Class I2025: 42026 (partial year): 8
2007high 51 (2010) · low 1 (2020)2026

Class I (14 since 2007) Class II/III not classified

Adverse event reports per year · GEI

7,592in 2025

2007: 2,7952008: 2,5562009: 3,5912010: 3,3772011: 4,4632012: 5,2162013: 4,8972014: 4,9082015: 4,9362016: 5,6162017: 6,0732018: 6,5452019: 7,0672020: 6,4902021: 6,3542022: 6,1032023: 7,1762024: 7,8972025: 7,592
2007high 7,897 (2024) · low 2,556 (2008)2025

MAUDE reports naming product code GEI, 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
20075051212,795
20086171192,556
200942130273,591
201046109513,377
201135135324,463
201239133305,216
201348136134,897
20144910334,908
20154712344,936
20166410835,616
2017527226,073
2018479366,545
2019489357,067
20205910516,490
20214614666,354
202255150496,103
20236510427 (4)7,176
20245912522 (10)7,897
20255211347,592
2026431838—

What is it indicated for?

BTL-899ST is indicated to be used for:

* Non-invasive lipolysis (breakdown of fat) of the abdomen.

* Reduction in circumference of the abdomen.

* Non-invasive lipolysis (breakdown of fat) of the thighs.

* Reduction in circumference of the thighs .

* BTL-899ST is intended for use with Skin Type [, II and III.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K202199: BTL-899ST.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K202199

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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