510(k) Report

510(k) · Cleared

Cleared

Isolator® Linear Pen (MLP1); Isolator® Transpolar™ Pen (MAX1, MAX5), Coolrail® Linear Pen (MCR1); Isolator® Synergy Surgical Ablation System (EMR2, EML2); Isolator® Synergy™ EnCompass Clamp (OLH, OSH) and Guide System; Isolator® Synergy Access Clamp (EMT1)

K221358510(k) TraditionalCleared Dec 30, 2022233-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

AtriCure, Inc. · OCL Surgical Device, For Cutting, Coagulation, And/Or Ablation Of Tissue, Including Cardiac Tissue

Cleared on Dec 30, 2022 as substantially equivalent to K192125 (AtriCure, Inc., 2019) and 4 other predicates after a 233-day review. Its family tree reaches back 12 generations to 1995.

Decided
Dec 30, 2022
Review
233 days
Class
Class II
Product code
OCL
Recalls
None
Predicates
5

Its longest line of descent runs back 12 generations to K942299 (1995). 78 ancestors in all, the oldest K811390 (1981). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2021: 2 other ancestors2019: 1 other ancestor2011: 1 other ancestor2018: 1 other ancestor2010: 1 other ancestor2007: 2 other ancestors2005: 2 other ancestors2012: 1 other ancestor2006: 1 other ancestor2004: 5 other ancestors2002: 5 other ancestors2001: 7 other ancestors1997: 8 other ancestors2008: 1 other ancestor2003: 4 other ancestors2000: 4 other ancestors1999: 3 other ancestors1998: 5 other ancestors1995: 4 other ancestors1994: 1 other ancestor1992: 2 other ancestors1987: 1 other ancestor1988: 1 other ancestor1981: 1 other ancestor1996: 1 other ancestor1991: 1 other ancestorK942299 · Endocare Cryotherapy System · Cytocare, Inc. · 1995K963826 · Endocare Crycare Cryosurgical System · Endocare, Inc. · 1996×2: 2 generations cleared close together, K973686 (1997), K980110 (1998) K011722 · Atricure Bipolar Coagulation System · AtriCure, Inc. · 2001K020919 · Atricure Bipolar System, Models ASU1, ASU2, ASU3, LHP1, LHP2, RHP1 · AtriCure, Inc. · 2002K050459 · Atricure Isolator Transpolar Pen · AtriCure, Inc. · 2005 · recalledK061593 · Atricure Isolator Transpolar Pen System, Models ASU2, MAX1, MAX2 and ASB1 · AtriCure, Inc. · 2006 · recalledK100501 · Multifunctional Linear Pen · AtriCure, Inc. · 2010K130521 · Isolator Linear Pen · AtriCure, Inc. · 2013K163408 · Isolator Multifunctional Linear Pen · AtriCure, Inc. · 2017K192125 · Isolator Transpolar Pen, Isolator Long Pen TT, Isolator Linear Pen · AtriCure, Inc. · 201919801990200020102020
  1. Root · 12 generations backK942299 Endocare Cryotherapy SystemCytocare, Inc. · 1995
  2. 8 generations between
  3. 3 generations backK130521 Isolator Linear PenAtriCure, Inc. · 2013
  4. 2 generations backK163408 Isolator Multifunctional Linear PenAtriCure, Inc. · 2017
  5. 1 generation backK192125 Isolator Transpolar Pen, Isolator Long Pen TT, Isolator Linear PenAtriCure, Inc. · 2019
  6. This deviceK221358 Isolator® Linear Pen (MLP1); Isolator® Transpolar™ Pen (MAX1, MAX5)…AtriCure, Inc. · 2022
Show all 12 generations
  1. Root · 12 generations backK942299 Endocare Cryotherapy SystemCytocare, Inc. · 1995
  2. 11 generations backK963826 Endocare Crycare Cryosurgical SystemEndocare, Inc. · 1996
  3. 10 generations backK973686 Endocare Cryocare Cryosurgical SystemEndocare, Inc. · 1997
  4. 9 generations backK980110 Endocre Cryocare Cryosurgical SystemEndocare, Inc. · 1998
  5. 8 generations backK011722 Atricure Bipolar Coagulation SystemAtriCure, Inc. · 2001
  6. 7 generations backK020919 Atricure Bipolar System, Models ASU1, ASU2, ASU3, LHP1, LHP2, RHP1AtriCure, Inc. · 2002
  7. 6 generations backK050459 Atricure Isolator Transpolar PenAtriCure, Inc. · 2005 · Recalled
  8. 5 generations backK061593 Atricure Isolator Transpolar Pen System, Models ASU2, MAX1, MAX2 and…AtriCure, Inc. · 2006 · Recalled
  9. 4 generations backK100501 Multifunctional Linear PenAtriCure, Inc. · 2010
  10. 3 generations backK130521 Isolator Linear PenAtriCure, Inc. · 2013
  11. 2 generations backK163408 Isolator Multifunctional Linear PenAtriCure, Inc. · 2017
  12. 1 generation backK192125 Isolator Transpolar Pen, Isolator Long Pen TT, Isolator Linear PenAtriCure, Inc. · 2019
  13. This deviceK221358 Isolator® Linear Pen (MLP1); Isolator® Transpolar™ Pen (MAX1, MAX5)…AtriCure, Inc. · 2022
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K942299Endocare Cryotherapy SystemCytocare, Inc.1995—
−11K963826Endocare Crycare Cryosurgical SystemEndocare, Inc.1996—
−10K973686Endocare Cryocare Cryosurgical SystemEndocare, Inc.1997—
−9K980110Endocre Cryocare Cryosurgical SystemEndocare, Inc.1998—
−8K011722Atricure Bipolar Coagulation SystemAtriCure, Inc.2001—
−7K020919Atricure Bipolar System, Models ASU1, ASU2, ASU3, LHP1, LHP2, RHP1AtriCure, Inc.2002—
−6K050459Atricure Isolator Transpolar PenAtriCure, Inc.20051
−5K061593Atricure Isolator Transpolar Pen System, Models ASU2, MAX1, MAX2 and ASB1AtriCure, Inc.20061
−4K100501Multifunctional Linear PenAtriCure, Inc.2010—
−3K130521Isolator Linear PenAtriCure, Inc.2013—
−2K163408Isolator Multifunctional Linear PenAtriCure, Inc.2017—
−1K192125Isolator Transpolar Pen, Isolator Long Pen TT, Isolator Linear PenAtriCure, Inc.2019—
0 (this device)K221358Isolator® Linear Pen (MLP1); Isolator® Transpolar™ Pen (MAX1, MAX5), Coolrail®…AtriCure, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198710
198810
199110
199220
199410
199540
199610
199780
199850
199930
200040
200170
200250
200340
200450
200520
200610
200720
200810
201010
201110
201210
201810
201910
202120
FIG. 1 — Lineage of K221358, 1995–2022Source: 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 OCL? 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 OCL device

  1. #1 K252056 Isolator® Synergy™ EnCompass Clamp and Guide…score 13.0 · 12 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? (5)

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
*K192125Isolator Transpolar Pen, Isolator Long Pen TT, Isolator Linear Pen
Summary page 9
…Product Code: OCL Classification Panel: Cardiovascular Predicate Devices: • Isolator® Linear Pen (MLP1) cleared via K192125 on November 4, 2019 • Isolator® Transpolar Pen (MAX1, MAX5) cleared via K192125 on…
AtriCure, Inc.2019—
*K190587Coolrail Linear Pen
Summary page 9
…• Isolator® Transpolar Pen (MAX1, MAX5) cleared via K192125 on November 4, 2019 • Coolrail® Linear Pen (MCR1) cleared via K190587 on July 24, 2019 • Isolator® Synergy Surgical Ablation System (EMR2, EML2) cleared vi…
AtriCure, Inc.2019—
*K211311AtriCure Isolator® Synergy™ Surgical Ablation System
Summary page 9
…Linear Pen (MCR1) cleared via K190587 on July 24, 2019 • Isolator® Synergy Surgical Ablation System (EMR2, EML2) cleared via K211311 on May 28, 2021 • Isolator® Synergy EnCompass Clamp (OLH, OSH) and Guide System clear…
AtriCure, Inc.2021—
*K210477AtriCure Isolator Encompass Ablation System, GLIDEPATH Magnetic GUIDE
Summary page 9
…via K211311 on May 28, 2021 • Isolator® Synergy EnCompass Clamp (OLH, OSH) and Guide System cleared via K210477 on July 26, 2021 • Isolator® Synergy Access Clamp (EMT1) cleared via K110117 on April…
AtriCure, Inc.2021—
*K110117Atricure Bipolar System
Summary page 9
…ss Clamp (OLH, OSH) and Guide System cleared via K210477 on July 26, 2021 • Isolator® Synergy Access Clamp (EMT1) cleared via K110117 on April 8, 2011. 510(k) Summary K221358 Page 1…
AtriCure, Inc.2011—

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 27 years and passes through 3 companies; a new generation was cleared every 2.8 years on median.
  • 5 of the 78 ancestors have a recall of any class.

How does its category compare?

All OCL devices

OCL Surgical Device, For Cutting, Coagulation, And/Or Ablation Of Tissue, Including Cardiac Tissue: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · OCL

1in 2025

2007: 32008: 52009: 22010: 22011: 22012: 62013: 22014: 12017: 12018: 22019: 62020: 12021: 22022: 22024: 12025: 1
2007high 6 (2012) · low 0 (2015)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OCL

85in 2019

2007: 139 days median2008: 81 days median2012: 75 days median2019: 85 days median
2007high 139 (2007) · low 75 (2012)2026

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

Recalls per year · OCL

1in 2021

2008: 12009: 12010: 22013: 12016: 12019: 42020: 42021: 1
2007high 4 (2019) · low 0 (2007)2026

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

Adverse event reports per year · OCL

46in 2025

2009: 82010: 232011: 212012: 212013: 132014: 152015: 312016: 762017: 552018: 612019: 492020: 372021: 632022: 592023: 992024: 592025: 46
2007high 99 (2023) · low 0 (2007)2025

MAUDE reports naming product code OCL, 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
2007313900
200858110
20092—18
20102—223
20112—021
2012675021
20132—113
20141—015
20150—031
20160—176
20171—055
20182—061
2019685449
20201—437
20212—163
20222—059
20230—099
20241—059
20251—046
20260—0—

What is it indicated for?

The Isolator linear pen is a sterile, single use electrosurgery device intended to ablate cardiac tissue during cardiac surgery using radiofrequency (RF) energy when connected directly to the ASU/ASB or MAG in Ablation mode. The Isolator linear pen may be used for temporary cardiac pacing, sensing, recording, and stimulation during the evaluation of cardiac arrhythmias during surgery when connected to a temporary external cardiac pacemaker or recording…

Read the full statement (191 words)

The Isolator linear pen is a sterile, single use electrosurgery device intended to ablate cardiac tissue during cardiac surgery using radiofrequency (RF) energy when connected directly to the ASU/ASB or MAG in Ablation mode.

The Isolator linear pen may be used for temporary cardiac pacing, sensing, recording, and stimulation during the evaluation of cardiac arrhythmias during surgery when connected to a temporary external cardiac pacemaker or recording device.

The Isolator Transpolar Pen is a sterile, single use electrosurgery device intended to ablate cardiac tissue during cardiac surgery using radiofrequency (RF) energy.

The Isolator Transpolar Pen may be used for temporary cardiac pacing, sensing, recording, and stimulation during the evaluation of cardiac arrhythmias during surgery when connected to a temporary external cardiac pacemaker or recording device.

The Coolrail® linear pen is a sterile, single use electrosurgery device intended to ablate cardiac tissue during cardiac surgery using radiofrequency (RF) energy.

The AtriCure Bipolar (Transpolar) System is intended to ablate cardiac tissue during surgery.

The AtriCure Isolator Synergy EnCompass Clamp and Guide system is intended to ablate cardiac tissue during surgery.

The AtriCure Bipolar (Transpolar) System is intended to ablate cardiac tissue during surgery.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K221358: Isolator® Linear Pen (MLP1); Isolator® Transpolar™ Pen (MAX1, MAX5), Coolrail® Linear Pen (MCR1); Isolator® Synergy Surgical Ablation System (EMR2, EML2); Isolator® Synergy™ EnCompass Clamp (OLH, OSH) and Guide System; Isolator® Synergy Access Clamp (EMT1).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K221358

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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