510(k) Report

510(k) · Cleared

Cleared

BTL-785S

K233604510(k) TraditionalCleared Mar 28, 2024140-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

BTL Industries, Inc. · GEI Electrosurgical, Cutting & Coagulation & Accessories

Cleared on Mar 28, 2024 as substantially equivalent to K222556 (BTL Industries, Inc., 2023) after a 140-day review. Its family tree reaches back 25 generations to 1995. 3 later devices descend from it.

Decided
Mar 28, 2024
Review
140 days
Class
Class II
Product code
GEI
Recalls
None
Predicates
1

Its longest line of descent runs back 25 generations to K943450 (1995). 289 ancestors in all, the oldest K800617 (1980). 3 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2009: 4 other ancestors2020: 1 other ancestor2005: 6 other ancestors2004: 10 other ancestors2018: 1 other ancestor2015: 2 other ancestors2000: 22 other ancestors2013: 2 other ancestors2010: 1 other ancestor2003: 22 other ancestors1999: 11 other ancestors1996: 21 other ancestors1994: 17 other ancestors2014: 1 other ancestor2008: 2 other ancestors2007: 5 other ancestors2002: 28 other ancestors2001: 24 other ancestors1998: 15 other ancestors1997: 22 other ancestors1980: 1 other ancestor2012: 1 other ancestor1995: 18 other ancestors1992: 3 other ancestors1990: 2 other ancestors2006: 2 other ancestors1988: 2 other ancestors1982: 2 other ancestors1993: 8 other ancestors1991: 5 other ancestors1986: 1 other ancestor1989: 1 other ancestor1985: 1 other ancestor2026: 2 descendants cleared2024: 1 descendant clearedReference device: K182741 · SculpSure · Cynosure · 2019K943450 · 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. · 2005×2: 2 generations cleared close together, K070004 (2007), K072699 (2007) ×3: 3 generations cleared close together, K101967 (2010), K102368 (2010), K102698 (2011) K132665 · Pelleve Glidesafe 10MM, 15MM & 20MM Handpiece, Pelleve S5 - Iec · Ellman International, Inc. · 2013K171262 · TempSure · Cynosure, Inc. · 2017K182365 · TempSure System · Cynosure, Inc. · 2018K190678 · TempSure · Cynosure, Inc. · 2019K200241 · TempSure System · Cynosure, LLC · 2020K211639 · BTL-785W · BTL Industries, Inc. · 2022K222556 · BTL-785X · BTL Industries, Inc. · 202319801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor3 generations back: 5 other ancestors4 generations back: 3 other ancestors5 generations back: 9 other ancestors6 generations back: 26 other ancestors7 generations back: 34 other ancestors8 generations back: 58 other ancestors9 generations back: 59 other ancestors10 generations back: 43 other ancestors11 generations back: 20 other ancestors12 generations back: 5 other ancestors13 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 1 descendant K222556 · BTL-785X · BTL Industries, Inc. · 2023K211639 · BTL-785W · BTL Industries, Inc. · 2022K200241 · TempSure System · Cynosure, LLC · 2020K190678 · TempSure · Cynosure, Inc. · 2019K182365 · TempSure System · Cynosure, Inc. · 2018K171262 · TempSure · Cynosure, Inc. · 2017K132665 · Pelleve Glidesafe 10MM, 15MM & 20MM Handpiece, Pelleve S5 - Iec · Ellman International, Inc. · 2013K102698 · Pelleve Glidesafe Non-Ablative Wrinkle Treatment System Model Pelleve Glidesafe · Ellman Int'L, Inc. · 2011K102368 · Non-Ablative Wrinkle Treatment Handpiece · Ellman Int'L, Inc. · 2010K101967 · Non-Ablative Wrinkle Treatent Handpiece Modle Pelleve' · Ellman Int'L, Inc. · 2010K072699 · Alma Lasers Family of Accent Radiofrequency (RF) Systems, Models: Accent, Accent XL · Alma Lasers, Ltd. · 2007K070004 · Accent · Alma Lasers, Ltd. · 2007K051214 · 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. · 1995−25−20−15−10−50
  1. Root · 25 generations backK943450 Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp. · 1995
  2. 21 generations between
  3. 3 generations backK200241 TempSure SystemCynosure, LLC · 2020
  4. 2 generations backK211639 BTL-785WBTL Industries, Inc. · 2022
  5. 1 generation backK222556 BTL-785XBTL Industries, Inc. · 2023
  6. This deviceK233604 BTL-785SBTL Industries, Inc. · 2024
  7. Descendant · cites it directly · 1 of its ownK242532 BTL-785BNF-EBTL Industries, Inc. · 2024
  8. Descendant · 2 generations on · 0 of its ownK260945 Ultima System (UL-800);Ultimate Face Package…Fit-Pro KFT (Ltd.) - DBA E-Fit · 2026
  9. Descendant · cites it directly · 0 of its ownK253750 BTL-785NEHBTL Industries, Inc. · 2026
Show all 25 generations
  1. Root · 25 generations backK943450 Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp. · 1995
  2. 24 generations backK961069 Arthrocare Urologic Multi-Electrode Electrosurgery SystemArthrocare Corp. · 1996
  3. 23 generations backK962445 Arthrocare Dental Electrosurgery SystemArthrocare Corp. · 1996
  4. 22 generations backK964849 Arthrocare Dermatologic Electrosurgery SystemArthrocare Corp. · 1997
  5. 21 generations backK973478 Arthrocare Sinus Electrosurgery SystemArthrocare Corp. · 1998
  6. 20 generations backK981870 Visage Cosmetic Surgery SystemArthrocare Corp. · 1998
  7. 19 generations backK000944 Thermage Thermacool SystemThermage, Inc. · 2000
  8. 18 generations backK013034 Modification to: Thermacool IiaThermage, Inc. · 2001
  9. 17 generations backK013639 Thermage Thermacool TC SystemThermage, Inc. · 2002
  10. 16 generations backK021402 Thermage Thermacool TC SystemThermage, Inc. · 2002
  11. 15 generations backK030142 Thermacool TC SystemThermage, Inc. · 2003
  12. 14 generations backK031671 Polaris WRSyneron Medical, Ltd. · 2003
  13. 13 generations backK051214 Aluma Skin Renewal SystemLumenis, Inc. · 2005
  14. 12 generations backK070004 AccentAlma Lasers, Ltd. · 2007
  15. 11 generations backK072699 Alma Lasers Family of Accent Radiofrequency (RF) Systems, Models…Alma Lasers, Ltd. · 2007
  16. 10 generations backK101967 Non-Ablative Wrinkle Treatent Handpiece Modle Pelleve'Ellman Int'L, Inc. · 2010
  17. 9 generations backK102368 Non-Ablative Wrinkle Treatment HandpieceEllman Int'L, Inc. · 2010
  18. 8 generations backK102698 Pelleve Glidesafe Non-Ablative Wrinkle Treatment System Model…Ellman Int'L, Inc. · 2011
  19. 7 generations backK132665 Pelleve Glidesafe 10MM, 15MM & 20MM Handpiece, Pelleve S5 - IecEllman International, Inc. · 2013
  20. 6 generations backK171262 TempSureCynosure, Inc. · 2017
  21. 5 generations backK182365 TempSure SystemCynosure, Inc. · 2018
  22. 4 generations backK190678 TempSureCynosure, Inc. · 2019
  23. 3 generations backK200241 TempSure SystemCynosure, LLC · 2020
  24. 2 generations backK211639 BTL-785WBTL Industries, Inc. · 2022
  25. 1 generation backK222556 BTL-785XBTL Industries, Inc. · 2023
  26. This deviceK233604 BTL-785SBTL Industries, Inc. · 2024

Most influential descendants

Showing 3 of 3 · See all
  • K242532BTL-785BNF-EBTL Industries, Inc. · 2024 · cites it directly1descendant
  • K260945Ultima System (UL-800);Ultimate Face Package (UL-800-Face-Set);Ultimate Shape Extension…Fit-Pro KFT (Ltd.) - DBA E-Fit · 2026 · 2 generations on0descendants
  • K253750BTL-785NEHBTL Industries, Inc. · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−25K943450Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp.1995—
−24K961069Arthrocare Urologic Multi-Electrode Electrosurgery SystemArthrocare Corp.1996—
−23K962445Arthrocare Dental Electrosurgery SystemArthrocare Corp.1996—
−22K964849Arthrocare Dermatologic Electrosurgery SystemArthrocare Corp.1997—
−21K973478Arthrocare Sinus Electrosurgery SystemArthrocare Corp.1998—
−20K981870Visage Cosmetic Surgery SystemArthrocare Corp.1998—
−19K000944Thermage Thermacool SystemThermage, Inc.2000—
−18K013034Modification to: Thermacool IiaThermage, Inc.2001—
−17K013639Thermage Thermacool TC SystemThermage, Inc.2002—
−16K021402Thermage Thermacool TC SystemThermage, Inc.2002—
−15K030142Thermacool TC SystemThermage, Inc.2003—
−14K031671Polaris WRSyneron Medical, Ltd.2003—
−13K051214Aluma Skin Renewal SystemLumenis, Inc.2005—
−12K070004AccentAlma Lasers, Ltd.2007—
−11K072699Alma Lasers Family of Accent Radiofrequency (RF) Systems, Models: Accent…Alma Lasers, Ltd.2007—
−10K101967Non-Ablative Wrinkle Treatent Handpiece Modle Pelleve'Ellman Int'L, Inc.2010—
−9K102368Non-Ablative Wrinkle Treatment HandpieceEllman Int'L, Inc.2010—
−8K102698Pelleve Glidesafe Non-Ablative Wrinkle Treatment System Model Pelleve GlidesafeEllman Int'L, Inc.2011—
−7K132665Pelleve Glidesafe 10MM, 15MM & 20MM Handpiece, Pelleve S5 - IecEllman International, Inc.2013—
−6K171262TempSureCynosure, Inc.2017—
−5K182365TempSure SystemCynosure, Inc.2018—
−4K190678TempSureCynosure, Inc.2019—
−3K200241TempSure SystemCynosure, LLC2020—
−2K211639BTL-785WBTL Industries, Inc.2022—
−1K222556BTL-785XBTL Industries, Inc.2023—
0 (this device)K233604BTL-785SBTL Industries, Inc.2024—
+1K242532BTL-785BNF-EBTL Industries, Inc.2024—
+2K260945Ultima System (UL-800);Ultimate Face Package (UL-800-Face-Set);Ultimate Shape…Fit-Pro KFT (Ltd.) - DBA E-Fit2026—
+1K253750BTL-785NEHBTL Industries, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010
198220
198510
198610
198820
198910
199020
199150
199230
199380
1994170
1995180
1996210
1997220
1998150
1999110
2000220
2001240
2002280
2003220
2004100
200560
200620
200750
200820
200940
201010
201210
201320
201410
201520
201810
202010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
202620
FIG. 1 — Lineage of K233604, 1995–2026Source: 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 GEI? 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 GEI device

  1. #1 K231790 The InMode System with the Morpheus8 Applicatorsscore 32.7 · 21 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? (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
*K222556BTL-785X
Summary page 6
…ready cleared for distribution in the USA under the following 510(k) Premarket Notification numbers: BTL-785X Original 510(k) Sponsor: BTL Industries Inc. 510(k) Number: K222556 Reference device: SculpSure Original 510(k) Sponsor: Cynosure 510(k) Number: K182741 Product Description The BTL-785S is a sta…
BTL Industries, Inc.2023—
†K182741SculpSureCynosure2019—

Also cleared against K222556: 1 other device →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K242532BTL-785BNF-EBTL Industries, Inc.20241
K253750BTL-785NEHBTL Industries, Inc.20260

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 29 years and passes through 10 companies; a new generation was cleared every 10 months on median.
  • 14 of the 289 ancestors have a recall of any class.
  • Of its descendants, K242532 (BTL Industries, Inc., 2024) has gone furthest, with 1 descendant of its own.
  • 1 other device also cites its predicate K222556.

How does its category compare?

All GEI devices

GEI Electrosurgical, Cutting & Coagulation & Accessories: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · GEI

52in 2025

2007: 502008: 612009: 422010: 462011: 352012: 392013: 482014: 492015: 472016: 642017: 522018: 472019: 482020: 592021: 462022: 552023: 652024: 592025: 522026 (partial year): 43
2007high 65 (2023) · low 35 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GEI

113in 2025

2007: 51 days median2008: 71 days median2009: 130 days median2010: 109 days median2011: 135 days median2012: 133 days median2013: 136 days median2014: 103 days median2015: 123 days median2016: 108 days median2017: 72 days median2018: 93 days median2019: 93 days median2020: 105 days median2021: 146 days median2022: 150 days median2023: 104 days median2024: 125 days median2025: 113 days median2026 (partial year): 183 days median
2007high 183 (2026) · low 51 (2007)2026

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

Recalls per year · GEI

4in 2025

2007: 212008: 192009: 272010: 512011: 322012: 302013: 132014: 32015: 42016: 32017: 22018: 62019: 52020: 12021: 62022: 492023: 27, 4 Class I2024: 22, 10 Class I2025: 42026 (partial year): 8
2007high 51 (2010) · low 1 (2020)2026

Class I (14 since 2007) Class II/III not classified

Adverse event reports per year · GEI

7,592in 2025

2007: 2,7952008: 2,5562009: 3,5912010: 3,3772011: 4,4632012: 5,2162013: 4,8972014: 4,9082015: 4,9362016: 5,6162017: 6,0732018: 6,5452019: 7,0672020: 6,4902021: 6,3542022: 6,1032023: 7,1762024: 7,8972025: 7,592
2007high 7,897 (2024) · low 2,556 (2008)2025

MAUDE reports naming product code GEI, 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
20075051212,795
20086171192,556
200942130273,591
201046109513,377
201135135324,463
201239133305,216
201348136134,897
20144910334,908
20154712344,936
20166410835,616
2017527226,073
2018479366,545
2019489357,067
20205910516,490
20214614666,354
202255150496,103
20236510427 (4)7,176
20245912522 (10)7,897
20255211347,592
2026431838—

What is it indicated for?

The BTL-785S device has the following indications for use: The BTL-785S with BTL-785-1 applicator is intended to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The BTL-785-1-4 massage device is intended to provide a temporary reduction in the appearance of cellulite. The BTL-785S with BTL-785-2 applicator is indicated to…

Read the full statement (278 words)

The BTL-785S device has the following indications for use:

The BTL-785S with BTL-785-1 applicator is intended to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation. The BTL-785-1-4 massage device is intended to provide a temporary reduction in the appearance of cellulite.

The BTL-785S with BTL-785-2 applicator is indicated to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation.

The BTL-785S with BTL-785-3 applicator is intended to provide heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation.

The BTL-785S with BTL-785-4 applicator used with tips BTL-785-4-1, BTL-785-4-2, BTL-785-4-5 and BTL-785-4-6 is indicated for use in dermatological and general surgical procedures for electrocoagulation and hemostasis.

The Applicator BTL-785-4 of BTL-785S device used with tips BTL-785-4-3, BTL-785-4-4, BTL-785-4-7 and BTL-785-4-8 is intended for dermatological procedures requiring fractional treatment of the skin.

At higher energy levels greater than 62 mJ/pin, use of the BTL-785-4 applicator is limited to Skin Types I-IV.

The BTL-785S with BTL-785-7 Handpiece used with hands-free applicators:

BTL-785-7-1 & BTL-785-7-7, BTL-785-7-2 & BTL-785-7-8 single-use applicators are intended to provide:

- Heating for the purpose of elevating tissue temperature for selected medical conditions such as temporary relief of pain, muscle spasms, and increase in local circulation.

BTL-785-7-1 & BTL-785-7-2 single-use applicators are intended to provide:

- Non-invasive temporary reduction of facial wrinkles.

BTL-785-7-9 single-use applicator is intended to:

- Affect the appearance of lax tissue in the submental area.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K233604: BTL-785S.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K233604

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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