510(k) Report

510(k) · Cleared

Cleared

BTL-094

K221865510(k) TraditionalCleared Apr 14, 2023291-day reviewClass I21 CFR 890.5660

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

BTL Industries, Inc. · ISA Massager, Therapeutic, Electric

Cleared on Apr 14, 2023 as substantially equivalent to K173692 (Storz Medical AG, 2018) and 1 other predicate after a 291-day review. Its family tree reaches back 16 generations to 1995.

Decided
Apr 14, 2023
Review
291 days
Class
Class I
Product code
ISA
Recalls
None
Predicates
2

Its longest line of descent runs back 16 generations to K943450 (1995). 193 ancestors in all, the oldest K800617 (1980). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2009: 2 other ancestors2011: 1 other ancestor2007: 2 other ancestors2005: 4 other ancestors2008: 2 other ancestors2004: 8 other ancestors2003: 13 other ancestors2006: 2 other ancestors2002: 22 other ancestors2001: 14 other ancestors2000: 18 other ancestors1998: 11 other ancestors1999: 7 other ancestors1997: 18 other ancestors1996: 16 other ancestors1995: 10 other ancestors1994: 10 other ancestors1993: 5 other ancestors1991: 4 other ancestors1990: 1 other ancestor1980: 1 other ancestor1992: 3 other ancestors1988: 1 other ancestor1985: 1 other ancestor1982: 1 other ancestorK943450 · 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. · 2005K112669 · Tattoostar Effect Y · Asclepion Laser Technologies GmbH · 2012K173692 · D-Actor 200 Vibration Massage System · Storz Medical AG · 2018K220538 · DolorClast Radial · E.M.S Electro Medical Systems S.A · 202219801990200020102020
Other ancestors, by generation 2 generations back: 1 other ancestor3 generations back: 3 other ancestors4 generations back: 7 other ancestors5 generations back: 17 other ancestors6 generations back: 50 other ancestors7 generations back: 40 other ancestors8 generations back: 31 other ancestors9 generations back: 18 other ancestors10 generations back: 10 other ancestors K220538 · DolorClast Radial · E.M.S Electro Medical Systems S.A · 2022K173692 · D-Actor 200 Vibration Massage System · Storz Medical AG · 2018K112669 · Tattoostar Effect Y · Asclepion Laser Technologies GmbH · 2012K051214 · 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 · 16 generations backK943450 Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp. · 1995
  2. 12 generations between
  3. 3 generations backK112669 Tattoostar Effect YAsclepion Laser Technologies GmbH · 2012
  4. 2 generations backK173692 D-Actor 200 Vibration Massage SystemStorz Medical AG · 2018
  5. 1 generation backK220538 DolorClast RadialE.M.S Electro Medical Systems S.A · 2022
  6. This deviceK221865 BTL-094BTL Industries, Inc. · 2023
Show all 16 generations
  1. Root · 16 generations backK943450 Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp. · 1995
  2. 15 generations backK961069 Arthrocare Urologic Multi-Electrode Electrosurgery SystemArthrocare Corp. · 1996
  3. 14 generations backK962445 Arthrocare Dental Electrosurgery SystemArthrocare Corp. · 1996
  4. 13 generations backK964849 Arthrocare Dermatologic Electrosurgery SystemArthrocare Corp. · 1997
  5. 12 generations backK973478 Arthrocare Sinus Electrosurgery SystemArthrocare Corp. · 1998
  6. 11 generations backK981870 Visage Cosmetic Surgery SystemArthrocare Corp. · 1998
  7. 10 generations backK000944 Thermage Thermacool SystemThermage, Inc. · 2000
  8. 9 generations backK013034 Modification to: Thermacool IiaThermage, Inc. · 2001
  9. 8 generations backK013639 Thermage Thermacool TC SystemThermage, Inc. · 2002
  10. 7 generations backK021402 Thermage Thermacool TC SystemThermage, Inc. · 2002
  11. 6 generations backK030142 Thermacool TC SystemThermage, Inc. · 2003
  12. 5 generations backK031671 Polaris WRSyneron Medical, Ltd. · 2003
  13. 4 generations backK051214 Aluma Skin Renewal SystemLumenis, Inc. · 2005
  14. 3 generations backK112669 Tattoostar Effect YAsclepion Laser Technologies GmbH · 2012
  15. 2 generations backK173692 D-Actor 200 Vibration Massage SystemStorz Medical AG · 2018
  16. 1 generation backK220538 DolorClast RadialE.M.S Electro Medical Systems S.A · 2022
  17. This deviceK221865 BTL-094BTL Industries, Inc. · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−16K943450Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp.1995—
−15K961069Arthrocare Urologic Multi-Electrode Electrosurgery SystemArthrocare Corp.1996—
−14K962445Arthrocare Dental Electrosurgery SystemArthrocare Corp.1996—
−13K964849Arthrocare Dermatologic Electrosurgery SystemArthrocare Corp.1997—
−12K973478Arthrocare Sinus Electrosurgery SystemArthrocare Corp.1998—
−11K981870Visage Cosmetic Surgery SystemArthrocare Corp.1998—
−10K000944Thermage Thermacool SystemThermage, Inc.2000—
−9K013034Modification to: Thermacool IiaThermage, Inc.2001—
−8K013639Thermage Thermacool TC SystemThermage, Inc.2002—
−7K021402Thermage Thermacool TC SystemThermage, Inc.2002—
−6K030142Thermacool TC SystemThermage, Inc.2003—
−5K031671Polaris WRSyneron Medical, Ltd.2003—
−4K051214Aluma Skin Renewal SystemLumenis, Inc.2005—
−3K112669Tattoostar Effect YAsclepion Laser Technologies GmbH2012—
−2K173692D-Actor 200 Vibration Massage SystemStorz Medical AG2018—
−1K220538DolorClast RadialE.M.S Electro Medical Systems S.A2022—
0 (this device)K221865BTL-094BTL Industries, Inc.2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010
198210
198510
198810
199010
199140
199230
199350
1994100
1995100
1996160
1997180
1998110
199970
2000180
2001140
2002220
2003130
200480
200540
200620
200720
200820
200920
201110
FIG. 1 — Lineage of K221865, 1995–2023Source: 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 ISA? 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 ISA device

  1. #1 K243488 Vmat Proscore 13.0 · 15 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? (2)

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
*K173692D-Actor 200 Vibration Massage System
Summary page 5
…equivalent to the following products, which are already cleared for distribution in the USA under the following 510(k) Premarket Notification number: ● D-Actor 200 (K173692) ● DolorClast® Radial (K220538) Product Description The BTL-094 is a non-invasive therapeutic device, which uses acoustic w…
Storz Medical AG2018—
*K220538DolorClast Radial
Cleared while this submission was under review
Summary page 5
…, which are already cleared for distribution in the USA under the following 510(k) Premarket Notification number: ● D-Actor 200 (K173692) ● DolorClast® Radial (K220538) Product Description The BTL-094 is a non-invasive therapeutic device, which uses acoustic waves in order to stimulate a local b…
E.M.S Electro Medical Systems S.A2022—

Also cleared against K173692: 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 28 years and passes through 8 companies; a new generation was cleared every 10 months on median.
  • 8 of the 193 ancestors have a recall of any class.
  • 4 other devices also cite its predicate K173692.

How does its category compare?

All ISA devices

ISA Massager, Therapeutic, Electric: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · ISA

1in 2025

2018: 22021: 12022: 22023: 22024: 12025: 1
2007high 2 (2018) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · ISA

Too few ISA 510(k)s in any year since 2007 to give a median.

Recalls per year · ISA

2in 2025

2008: 12011: 12025: 22026 (partial year): 1
2007high 2 (2025) · low 0 (2007)2026

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

Adverse event reports per year · ISA

16in 2025

2007: 22008: 102009: 32010: 12011: 32012: 22013: 52014: 62015: 62016: 122017: 62018: 22019: 62020: 62021: 32022: 82023: 142024: 132025: 16
2007high 16 (2025) · low 1 (2010)2025

MAUDE reports naming product code ISA, 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—02
20080—110
20090—03
20100—01
20110—13
20120—02
20130—05
20140—06
20150—06
20160—012
20170—06
20182—02
20190—06
20200—06
20211—03
20222—08
20232—014
20241—013
20251—216
20260—1—

What is it indicated for?

BTL-094 is indicated to be used for:

- Relief of minor muscle aches and pains.

- Temporary increase in local blood circulation.

- Activation of connective tissue.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K221865: BTL-094.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K221865

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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