510(k) Report

510(k) · Cleared

Cleared

MultiPulse HoPLUS

K231876510(k) TraditionalCleared Feb 22, 2024241-day reviewClass II21 CFR 878.4810

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

Asclepion Laser Technologies GmbH · GEX Powered Laser Surgical Instrument

Cleared on Feb 22, 2024 after a 241-day review. FDA’s file for it is a 510(k) statement, which names no predicate.

Decided
Feb 22, 2024
Review
241 days
Class
Class II
Product code
GEX
Recalls
None
Predicates
0

FDA’s file for it is a 510(k) statement, which names no predicate.

FIG. 1 — Lineage of K231876Source: FDA 510(k) database · 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 510(k) statement (indications), FDA recall and enforcement reports, and MAUDE; processed by 510(k) Report. Verify on FDA.gov · Methodology and accuracy.

Planning a device in GEX? 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 GEX device

  1. #1 K222064 The Alma Soprano Titaniumscore 38.1 · 24 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?

FDA’s file for it is a 510(k) statement, which names no predicate.

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.

How does its category compare?

All GEX devices

GEX Powered Laser Surgical Instrument: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · GEX

83in 2025

2007: 732008: 1072009: 692010: 502011: 412012: 452013: 462014: 612015: 472016: 512017: 672018: 512019: 412020: 522021: 532022: 602023: 522024: 822025: 832026 (partial year): 57
2007high 107 (2008) · low 41 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GEX

90in 2025

2007: 79 days median2008: 86 days median2009: 100 days median2010: 96 days median2011: 83 days median2012: 118 days median2013: 144 days median2014: 147 days median2015: 112 days median2016: 114 days median2017: 90 days median2018: 78 days median2019: 88 days median2020: 90 days median2021: 123 days median2022: 152 days median2023: 87 days median2024: 90 days median2025: 90 days median2026 (partial year): 90 days median
2007high 152 (2022) · low 78 (2018)2026

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

Recalls per year · GEX

3in 2024

2007: 92008: 22010: 42011: 182012: 52013: 32014: 62016: 12017: 5, 1 Class I2018: 52019: 62020: 12023: 62024: 32026 (partial year): 2
2007high 18 (2011) · low 0 (2009)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · GEX

2,720in 2025

2007: 3422008: 2322009: 2092010: 1,7112011: 3,0242012: 2,0002013: 2,2362014: 2,0362015: 2,0992016: 2,5852017: 2,9772018: 3,5252019: 2,7092020: 2,1832021: 3,4652022: 2,2882023: 2,3372024: 2,1872025: 2,720
2007high 3,525 (2018) · low 209 (2009)2025

MAUDE reports naming product code GEX, 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
200773799342
2008107862232
2009691000209
2010509641,711
20114183183,024
20124511852,000
20134614432,236
20146114762,036
20154711202,099
20165111412,585
201767905 (1)2,977
2018517853,525
2019418862,709
2020529012,183
20215312303,465
20226015202,288
2023528762,337
2024829032,187
2025839002,720
202657902—

What is it indicated for?

Laser Device: The MultiPulse HoPLUS Laser system and its fiber optic delivery system are intended for use in surgical procedures using open, laparoscopic and endoscopic incision, excision, resection, ablation, vaporization, coagulation and haemostasis of soft tissue in use in medical specialties including: Urology, Urinary Lithotripsy, Gastroenterology, Arthroscopy, Discectomy, Pulmonary, Gynecology, ENT, Dermatology, Plastic Surgery and General Surgery.…

Read the full statement (516 words)

Laser Device:

The MultiPulse HoPLUS Laser system and its fiber optic delivery system are intended for use in surgical procedures

using open, laparoscopic and endoscopic incision, excision, resection, ablation, vaporization, coagulation and

haemostasis of soft tissue in use in medical specialties including: Urology, Urinary Lithotripsy, Gastroenterology,

Arthroscopy, Discectomy, Pulmonary, Gynecology, ENT, Dermatology, Plastic Surgery and General Surgery.

Urology

Open and endoscopic surgery (incision, excision, resection, ablation, vaporization, coagulation and hemostasis) including:

Urethral Strictures

Bladder Neck Incisions (BNI)

Ablation and resection of Bladder Tumors, Urethral Tumors and Ureteral Tumors

Ablation of Benign Prostatic Hypertrophy (BHP)

Transurethral incision of the prostate (TUIP)

Holmium Laser Resection of the Prostrate (HoLRP)

Holmium Laser Enucleation of the Prostate (HoLEP)

Holmium laser Ablation of the Prostate (HoLAP)

Condylomas

Lesions of external genitalia

Lithotripsy and Percutaneous Urinary Lithotripsy

Endoscopic fragmentation of urethral, ureteral, bladder and renal calculi including cystine, calcium oxalate, monohydrate

and calcium oxalate

Dehydrate stones

Endoscopic fragmentation of kidney calculi

Treatment of distal impacted fragments of steinstrasse when guide wire cannot be passed

Gastroenterology

Open and endoscopic gastroenterology surgery (incision, excision, resection, ablation, vaporization, coagulation and

hemostasis ) including:

Appendectomy

Polyps

Biopsy

Gall Bladder calculi

Biliary/Bile duct calculi

Ulcers

Gastric ulcers

Duodenal ulcers

Non Bleeding Ulcers

Pancreatitis

Hemorrhoids

Cholecystectomy

Benign and Malignant Neoplasma

Angiodysplasia

Colorectal cancer

Telangiectasias

Telangiectasias of the Osler-Weber-Renu disease

Vascular Malformation

Gastritis

Esophagitis

Esophageal ulcers

Varices

Colitis

Mallory-Weiss tear

Gastric Erosions

Arthroscopy

Arthroscopy / Orthopedic surgery (excision, ablation and coagulation of soft and cartilaginous tissue) in small and large

joints of the body, excluding the spine but including:

Ligament and tendon Release

Contouring and sculpting of articular surfaces

Capsulectomy in the knee

Chondreoplasty in the knee

Debridement of inflamed synovial tissue

Chondromalacia Ablation

Chondromalacia and tears

Plica Removal

Meniscectomy

Loose Body Debridement

Lateral retineacular release

Ablation of soft, cartilaginous and bony tissue in Minimal Invasive Spinal Surgery including

Percutaneous Laser Disc Decompression/Discectomy of the L4-5 and L5-SI lumbar discs, including Forminoplasty

Percutaneous Cervical Disc Decompression/Discectomy Percutaneous Thoracic Disc Decompression/Discectomy

Pulmonary

Open and endoscopic pulmonary surgery (incision, excision, resection, ablation,

vaporization, coagulation and haemostasis of soft tissue)

Gynecology

Open and laparoscopic gynecological surgery (incision, excision, resection, ablation, vaporization, coagulation and

haemostasis) of soft tissue

ENT

Endoscopic endonasal surgery (incision, excision, resection, ablation, vaporization, coagulation and hemostasis of soft

tissue and cartilage) including:

Endonasal / sinus Surgery

Partial turbinectomy

Polypectomy

Dacryocystorhinostomy

Frontal sinustomy

Ethmoidectomy

Maxillary antrostomy

Functional endoscopic sinus surgery

Dermatology and Plastic Surgery

Incision, excision, resection, ablation, vaporization, coagulation and hemostasis of soft, mucosal, fatty and cartilaginous

tissue, in therapeutic plastic, dermatologic and aesthetic surgical procedures including:

Basal Cell Carcinomas

Lesions of skin and subcutaneous tissue

Skin tags

Plantar warts

Lesions of skin and subcutaneous tissue

Port Wine Stains

Papillomas

General Surgery

Open, laparoscopic and endoscopic surgery (incision, excision, resection, ablation, vaporization, coagulation and

hemostasis) including:

Appendectomy

Skin incision

Excision of external and internal lesions

Complete or partial resection of internal organs, tumors and lesions

Biopsy

Morcellator:

The MultiCut Solo Morcellator is intended for use under endoscopic visualization for the transurethral mechanical

morcellation and removal of the adenoma after enucleation of the prostate during endoscopic surgical procedures in

urology.

Indications for use as stated in the FDA 510(k) statement.

Cite this page

510(k) Report. “K231876: MultiPulse HoPLUS.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K231876

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Record history
  • FDA decision record loaded May 2, 2026
  • Summary read Oct 13, 2026 (extraction version 9eaa42aa01ed)
  • Page last updated Nov 3, 2026