510(k) Report

510(k) · Cleared

Cleared

CoolSculpting Elite System

K233732510(k) TraditionalCleared Sep 12, 2024296-day reviewClass II21 CFR 878.4340

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

Zeltiq Aesthetics, Inc. (Acquired by Allergan Aesthetics · OOK Dermal Cooling Pack/Vacuum/Massager

Cleared on Sep 12, 2024 as substantially equivalent to K212707 (Zeltiq Aesthetics, Inc., 2021) after a 296-day review. Its family tree reaches back 3 generations to 2019.

Decided
Sep 12, 2024
Review
296 days
Class
Class II
Product code
OOK
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to K183514 (2019). No later device cites it as a predicate yet.

  1. Root · 3 generations backK183514 ZELTIQ CoolSculpting SystemZeltiq Aesthetics, Inc. · 2019
  2. 2 generations backK193566 ZELTIQ CoolSculpting SystemZeltiq Aesthetics, Inc. · 2020 · Recalled
  3. 1 generation backK212707 CoolSculpting Elite SystemZeltiq Aesthetics, Inc. · 2021
  4. This deviceK233732 CoolSculpting Elite SystemZeltiq Aesthetics, Inc. (Acquired by Allergan Aesthetics · 2024
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K183514ZELTIQ CoolSculpting SystemZeltiq Aesthetics, Inc.2019—
−2K193566ZELTIQ CoolSculpting SystemZeltiq Aesthetics, Inc.20201
−1K212707CoolSculpting Elite SystemZeltiq Aesthetics, Inc.2021—
0 (this device)K233732CoolSculpting Elite SystemZeltiq Aesthetics, Inc. (Acquired by Allergan Aesthetics2024—
FIG. 1 — Lineage of K233732, 2019–2024Source: 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 OOK? 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 OOK device

  1. #1 K212707 CoolSculpting Elite Systemscore 5.6 · 2 generations · no Class I recall
  2. #2 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
*K212707CoolSculpting Elite System
Summary page 5
…OOK Dermal Cooling Pack/Vacuum/Massager III. PREDICATE DEVICE Predicate Device CoolSculpting Elite System K212707 (cleared on November 5, 2021) IV. DEVICE DESCRIPTION The CoolSculpting Elite System is a portable thermoelectric cooling d…
Zeltiq Aesthetics, Inc.2021—

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 5 years and passes through 2 companies; a new generation was cleared every 1.8 years on median.
  • 1 of the 3 ancestors has a recall of any class.

How does its category compare?

All OOK devices

OOK Dermal Cooling Pack/Vacuum/Massager: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · OOK

1in 2024

2010: 12012: 12014: 12015: 22016: 22017: 22018: 12019: 12020: 12021: 12024: 1
2007high 2 (2015) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OOK

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

Recalls per year · OOK

No recall names OOK since 2007.

Adverse event reports per year · OOK

901in 2025

2011: 52012: 322013: 292014: 52015: 82016: 212017: 92018: 102019: 492020: 182021: 1,1612022: 1,9782023: 5,4992024: 1,2772025: 901
2007high 5,499 (2023) · low 0 (2007)2025

MAUDE reports naming product code OOK, 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
20101—00
20110—05
20121—032
20130—029
20141—05
20152—08
20162—021
20172—09
20181—010
20191—049
20201—018
20211—01,161
20220—01,978
20230—05,499
20241—01,277
20250—0901
20260—0—

What is it indicated for?

The CoolSculpting Elite System is a skin cooling or heating device. It can be used in cooling or heating mode. Cooling Mode * Indicated for cold-assisted lipolysis (breakdown of fat) of the upper arm, bra fat, back fat, banana roll, thigh, abdomen, and flank (or "love handles") in individuals with a Body Mass Index (BMI) of 30 or less. * Intended for cold-assisted lipolysis of the submental and submandibular areas in individuals with a BMI up to 46.2. *…

Read the full statement (214 words)

The CoolSculpting Elite System is a skin cooling or heating device. It can be used in cooling or heating mode.

Cooling Mode

* Indicated for cold-assisted lipolysis (breakdown of fat) of the upper arm, bra fat, back fat, banana roll, thigh, abdomen, and flank (or "love handles") in individuals with a Body Mass Index (BMI) of 30 or less.

* Intended for cold-assisted lipolysis of the submental and submandibular areas in individuals with a BMI up to 46.2.

* Intended to affect the appearance of visible fat bulges in the upper arm, bra fat, back fat, banana roll, submental and submandibular areas, thigh, abdomen, and flank.

*When used for cold-assisted lipolysis of the submental area, the device can also affect the appearance of lax tissue in the submental area.

* Can be used to minimize pain and thermal injury during laser and dermatological treatments.

* Can be used as a local anesthetic for procedures that induce minor local discomfort.

Heating or Cooling Mode

* Can be used to minimize pain post-trauma and post-surgery.

* Can be used to provide temporary relief of minor aches, pains, and muscle spasms.

* The ZELTIQ Pretreatment Skin Wipe and gel pad facilitate thermal contact of the device with a patient's skin by mitigating minor variances in device-to-skin contact.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K233732: CoolSculpting Elite System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K233732

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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