510(k) Report

510(k) · Cleared

Cleared

Iovera System

K211334510(k) SpecialCleared Sep 10, 2021130-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

Pacira Pharmaceuticals, Inc. · GXH Device, Surgical, Cryogenic

Cleared on Sep 10, 2021 as substantially equivalent to K161835 (Myoscience, Inc., 2017) after a 130-day review. Its family tree reaches back 10 generations to 1978. 2 later devices descend from it.

Decided
Sep 10, 2021
Review
130 days
Class
Class II
Product code
GXH
Recalls
None
Predicates
1

Its longest line of descent runs back 10 generations to K781302 (1978). 15 ancestors in all. 2 later devices descend from it, 2 citing it directly.

  1. Root · 10 generations backK781302 Neurostat, LloydSpembly Medical, Ltd. · 1978
  2. 6 generations between
  3. 3 generations backK133453 IoveraMyoscience, Inc. · 2014
  4. 2 generations backK142866 Myoscience iovera systemMyoscience, Inc. · 2015 · Recalled
  5. 1 generation backK161835 iovera systemMyoscience, Inc. · 2017
  6. This deviceK211334 Iovera SystemPacira Pharmaceuticals, Inc. · 2021
  7. Descendant · cites it directly · 1 of its ownK220656 iovera SystemPacira Biosciences, Inc. · 2022
  8. Descendant · cites it directly · 0 of its ownK243677 iovera° SystemPacira Biosciences, Inc. · 2024
Show all 10 generations
  1. Root · 10 generations backK781302 Neurostat, LloydSpembly Medical, Ltd. · 1978
  2. 9 generations backK031482 Cryostar System, Comprising: a) Cryostar Console, B) Cryostar 1MM…Cryomedical Instruemts, Ltd. · 2003
  3. 8 generations backK050272 Cryomedical Instruments Cryo-Pac SystemsCryomedical Instruments, Ltd. · 2005
  4. 7 generations backK100447 Myoscience Cryo-TouchMyoscience, Inc. · 2010
  5. 6 generations backK102021 Cryo-Touch IIMyoscience, Inc. · 2010
  6. 5 generations backK120415 Cryo-Touch IiiMyoscience, Inc. · 2012
  7. 4 generations backK123516 Cryo-Touch IVMyoscience, Inc. · 2013 · Recalled
  8. 3 generations backK133453 IoveraMyoscience, Inc. · 2014
  9. 2 generations backK142866 Myoscience iovera systemMyoscience, Inc. · 2015 · Recalled
  10. 1 generation backK161835 iovera systemMyoscience, Inc. · 2017
  11. This deviceK211334 Iovera SystemPacira Pharmaceuticals, Inc. · 2021

Most influential descendants

Showing 2 of 2 · See all
  • K220656iovera SystemPacira Biosciences, Inc. · 2022 · cites it directly1descendant
  • K243677iovera° SystemPacira Biosciences, Inc. · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K781302Neurostat, LloydSpembly Medical, Ltd.1978—
−9K031482Cryostar System, Comprising: a) Cryostar Console, B) Cryostar 1MM Cryoprobe…Cryomedical Instruemts, Ltd.2003—
−8K050272Cryomedical Instruments Cryo-Pac SystemsCryomedical Instruments, Ltd.2005—
−7K100447Myoscience Cryo-TouchMyoscience, Inc.2010—
−6K102021Cryo-Touch IIMyoscience, Inc.2010—
−5K120415Cryo-Touch IiiMyoscience, Inc.2012—
−4K123516Cryo-Touch IVMyoscience, Inc.20131
−3K133453IoveraMyoscience, Inc.2014—
−2K142866Myoscience iovera systemMyoscience, Inc.20151
−1K161835iovera systemMyoscience, Inc.2017—
0 (this device)K211334Iovera SystemPacira Pharmaceuticals, Inc.2021—
+1K220656iovera SystemPacira Biosciences, Inc.2022—
+1K243677iovera° SystemPacira Biosciences, Inc.2024—

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
202210
202410
FIG. 1 — Lineage of K211334, 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
*K161835iovera system
Summary page 4
…ivalent to the following currently legally marketed device: 510(k) Number Product Sponsor K161835 iovera° system Pacira Pharmaceuticals…
Myoscience, Inc.2017—

Also cleared against K161835: 1 other device →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K220656iovera SystemPacira Biosciences, Inc.20221
K243677iovera° SystemPacira Biosciences, Inc.20240

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 43 years and passes through 5 companies; a new generation was cleared every 1.8 years on median.
  • 2 of the 15 ancestors have a recall of any class.
  • Of its descendants, K220656 (Pacira Biosciences, Inc., 2022) has gone furthest, with 1 descendant of its own.
  • 1 other device also cites its predicate K161835.

How does its category compare?

All GXH devices

GXH Device, Surgical, Cryogenic: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, 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 iovera® system 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. It is also indicated for the relief of pain and symptoms associated with osteoarthritis of the knee for up to 90 days. The iovera® system is not indicated for treatment of central nervous system tissue.

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. “K211334: Iovera System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K211334

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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