510(k) Report

510(k) · Cleared

Cleared

TearCare MGX System

K231084510(k) TraditionalCleared Dec 27, 2023254-day reviewClass II21 CFR 886.5200

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

Sight Sciences, Inc. · ORZ Eyelid Thermal Pulsation System

Cleared on Dec 27, 2023 as substantially equivalent to K213045 (Sight Sciences, Inc., 2021) after a 254-day review. Its family tree reaches back 5 generations to 2011. 4 later devices descend from it.

Decided
Dec 27, 2023
Review
254 days
Class
Class II
Product code
ORZ
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to DEN100017 (2011). 4 later devices descend from it, 2 citing it directly.

  1. Root · 5 generations backDEN100017 Lipflow Thermal Pulsation System (Formerly Manual Mini System)Tearscience, Inc. · 2011
  2. 4 generations backK112704 Lipiflow Thermal Pulsation SystemTearscience, Inc. · 2011 · Recalled
  3. 3 generations backK133127 Lipiflow Thermal Pulsation SystemTearscience, Inc. · 2013 · Recalled
  4. 2 generations backK161357 LipiFlow Thermal Pulsation SystemTearscience, Inc. · 2016 · Recalled
  5. 1 generation backK213045 TearCare SystemSight Sciences, Inc. · 2021
  6. This deviceK231084 TearCare MGX SystemSight Sciences, Inc. · 2023
  7. Descendant · cites it directly · 2 of its ownK242786 TearCare MGX SystemSight Sciences, Inc. · 2025
  8. Descendant · 2 generations on · 1 of its ownK252409 TearCare MGX SystemSight Sciences, Inc. · 2026
  9. Descendant · 3 generations on · 0 of its ownK262479 TearCare SystemSight Sciences, Inc. · 2026
  10. Descendant · cites it directly · 0 of its ownK240512 Tixel i (TXLI0001)Novoxel, Ltd. · 2024

Most influential descendants

Showing 4 of 4 · See all
  • K242786TearCare MGX SystemSight Sciences, Inc. · 2025 · cites it directly2descendants
  • K252409TearCare MGX SystemSight Sciences, Inc. · 2026 · 2 generations on1descendant
  • K262479TearCare SystemSight Sciences, Inc. · 2026 · 3 generations on0descendants
  • K240512Tixel i (TXLI0001)Novoxel, Ltd. · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5DEN100017Lipflow Thermal Pulsation System (Formerly Manual Mini System)Tearscience, Inc.2011—
−4K112704Lipiflow Thermal Pulsation SystemTearscience, Inc.20112
−3K133127Lipiflow Thermal Pulsation SystemTearscience, Inc.20132
−2K161357LipiFlow Thermal Pulsation SystemTearscience, Inc.20161
−1K213045TearCare SystemSight Sciences, Inc.2021—
0 (this device)K231084TearCare MGX SystemSight Sciences, Inc.2023—
+1K242786TearCare MGX SystemSight Sciences, Inc.2025—
+2K252409TearCare MGX SystemSight Sciences, Inc.2026—
+3K262479TearCare SystemSight Sciences, Inc.2026—
+1K240512Tixel i (TXLI0001)Novoxel, Ltd.2024—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
202510
202620
FIG. 1 — Lineage of K231084, 2011–2026Source: 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 ORZ? 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 ORZ device

  1. #1 K252409 TearCare MGX Systemscore 16.0 · 7 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
*K213045TearCare System
Summary page 4
…ORZ Predicate Device Device Name: TearCare® System 510(k) Holder: Sight Sciences, Inc. 510(k) Number: K213045 Clearance Date: December 21, 2021 CONFIDENTIAL…
Sight Sciences, Inc.2021—

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K242786TearCare MGX SystemSight Sciences, Inc.20252
K240512Tixel i (TXLI0001)Novoxel, Ltd.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 12 years and passes through 2 companies; a new generation was cleared every 2.0 years on median.
  • 3 of the 5 ancestors have a recall of any class.
  • Of its descendants, K242786 (Sight Sciences, Inc., 2025) has gone furthest, with 2 descendants of its own.

How does its category compare?

All ORZ devices

ORZ Eyelid Thermal Pulsation System: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · ORZ

1in 2025

2011: 22013: 12016: 12017: 12019: 12020: 12021: 12023: 12024: 12025: 12026 (partial year): 2
2007high 2 (2011) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · ORZ

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

Recalls per year · ORZ

1in 2022

2016: 12022: 1
2007high 1 (2016) · low 0 (2007)2026

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

Adverse event reports per year · ORZ

1in 2025

2011: 12014: 12017: 12018: 52019: 102020: 42021: 22022: 22023: 72024: 32025: 1
2007high 10 (2019) · low 0 (2007)2025

MAUDE reports naming product code ORZ, 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
20100—00
20112—01
20120—00
20131—00
20140—01
20150—00
20161—10
20171—01
20180—05
20191—010
20201—04
20211—02
20220—12
20231—07
20241—03
20251—01
20262—0—

What is it indicated for?

The TearCare MGX™ System is intended for the application of localized heat therapy in adult patients with evaporative dry eye disease due to meibomian gland dysfunction (MGD), when used in conjunction with manual expression of the meibomian glands.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K231084: TearCare MGX System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K231084

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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