510(k) Report

510(k) · Cleared

Cleared

TitanPico Laser Workstation (PICO-450)

K233757510(k) TraditionalCleared Apr 11, 2024139-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

Rhein Laser Technologies Co., Ltd. · GEX Powered Laser Surgical Instrument

Cleared on Apr 11, 2024 as substantially equivalent to K153527 (Syneron Candela Corporation, 2016) and 1 other predicate after a 139-day review. Its family tree reaches back 27 generations to 1995.

Decided
Apr 11, 2024
Review
139 days
Class
Class II
Product code
GEX
Recalls
None
Predicates
2

Its longest line of descent runs back 27 generations to K943450 (1995). 288 ancestors in all, the oldest K800617 (1980). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2015: 1 other ancestor2014: 3 other ancestors2011: 2 other ancestors2008: 3 other ancestors2004: 17 other ancestors2002: 33 other ancestors1999: 10 other ancestors2012: 1 other ancestor2006: 6 other ancestors2005: 10 other ancestors1997: 22 other ancestors2009: 1 other ancestor2003: 23 other ancestors2001: 24 other ancestors2000: 24 other ancestors1998: 15 other ancestors1996: 17 other ancestors1995: 12 other ancestors1990: 3 other ancestors1988: 2 other ancestors2007: 1 other ancestor1994: 11 other ancestors1993: 8 other ancestors1991: 4 other ancestors1989: 2 other ancestors1992: 3 other ancestors1982: 1 other ancestor1980: 1 other ancestor1985: 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. · 2005K060448 · Lumenis One Family of Systems; Lumenis One. · Lumenis, Ltd. · 2006K072564 · Alma Lasers Harmony XL Multi-Application Platform · Alma Lasers, Ltd. · 2008K083899 · Revlite Q-Switched ND:Yag Laser System · Hoya Conbio, Inc. · 2009K103118 · Revlite Q-Switched ND: Yag Laser System with Nadpiece Adaptor · Hoya Photonics, Inc. · 2010 · recalledK121346 · Picosure Workstation · Cynosure, Inc. · 2012×3: 3 generations cleared close together, K133364 (2014), K140719 (2014), K143105 (2015) ×2: 2 generations cleared close together, K153527 (2016), K160607 (2016) ×2: 2 generations cleared close together, K162454 (2017), K170597 (2017) K191685 · PicoWay Laser System · Candela Corporation · 2019K220853 · PicoWay Laser System · Candela Corporation · 202219801990200020102020
Other ancestors, by generation 2 generations back: 3 other ancestors3 generations back: 6 other ancestors4 generations back: 4 other ancestors5 generations back: 6 other ancestors6 generations back: 35 other ancestors7 generations back: 80 other ancestors8 generations back: 72 other ancestors9 generations back: 25 other ancestors10 generations back: 19 other ancestors11 generations back: 10 other ancestors12 generations back: 1 other ancestor K220853 · PicoWay Laser System · Candela Corporation · 2022K191685 · PicoWay Laser System · Candela Corporation · 2019K170597 · PicoWay Laser System · Syneron Candela Corporation · 2017K162454 · PicoWay Laser System · Syneron Candela Corporation · 2017K160607 · PicoWay Laser System · Syneron Candela Corporation · 2016K153527 · PicoWay Laser System · Syneron Candela Corporation · 2016K143105 · Picosure Workstation · Cynosure, Inc. · 2015K140719 · Picosure Workstation · Cynosure, Inc. · 2014K133364 · Picosure Workstation · Cynosure, Inc. · 2014K121346 · Picosure Workstation · Cynosure, Inc. · 2012K103118 · Revlite Q-Switched ND: Yag Laser System with Nadpiece Adaptor · Hoya Photonics, Inc. · 2010 · recalledK083899 · Revlite Q-Switched ND:Yag Laser System · Hoya Conbio, Inc. · 2009K072564 · Alma Lasers Harmony XL Multi-Application Platform · Alma Lasers, Ltd. · 2008K060448 · Lumenis One Family of Systems; Lumenis One. · Lumenis, Ltd. · 2006K051214 · 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 · 27 generations backK943450 Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp. · 1995
  2. 23 generations between
  3. 3 generations backK170597 PicoWay Laser SystemSyneron Candela Corporation · 2017
  4. 2 generations backK191685 PicoWay Laser SystemCandela Corporation · 2019
  5. 1 generation backK220853 PicoWay Laser SystemCandela Corporation · 2022
  6. This deviceK233757 TitanPico Laser Workstation (PICO-450)Rhein Laser Technologies Co., Ltd. · 2024
Show all 27 generations
  1. Root · 27 generations backK943450 Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp. · 1995
  2. 26 generations backK961069 Arthrocare Urologic Multi-Electrode Electrosurgery SystemArthrocare Corp. · 1996
  3. 25 generations backK962445 Arthrocare Dental Electrosurgery SystemArthrocare Corp. · 1996
  4. 24 generations backK964849 Arthrocare Dermatologic Electrosurgery SystemArthrocare Corp. · 1997
  5. 23 generations backK973478 Arthrocare Sinus Electrosurgery SystemArthrocare Corp. · 1998
  6. 22 generations backK981870 Visage Cosmetic Surgery SystemArthrocare Corp. · 1998
  7. 21 generations backK000944 Thermage Thermacool SystemThermage, Inc. · 2000
  8. 20 generations backK013034 Modification to: Thermacool IiaThermage, Inc. · 2001
  9. 19 generations backK013639 Thermage Thermacool TC SystemThermage, Inc. · 2002
  10. 18 generations backK021402 Thermage Thermacool TC SystemThermage, Inc. · 2002
  11. 17 generations backK030142 Thermacool TC SystemThermage, Inc. · 2003
  12. 16 generations backK031671 Polaris WRSyneron Medical, Ltd. · 2003
  13. 15 generations backK051214 Aluma Skin Renewal SystemLumenis, Inc. · 2005
  14. 14 generations backK060448 Lumenis One Family of Systems; Lumenis One.Lumenis, Ltd. · 2006
  15. 13 generations backK072564 Alma Lasers Harmony XL Multi-Application PlatformAlma Lasers, Ltd. · 2008
  16. 12 generations backK083899 Revlite Q-Switched ND:Yag Laser SystemHoya Conbio, Inc. · 2009
  17. 11 generations backK103118 Revlite Q-Switched ND: Yag Laser System with Nadpiece AdaptorHoya Photonics, Inc. · 2010 · Recalled
  18. 10 generations backK121346 Picosure WorkstationCynosure, Inc. · 2012
  19. 9 generations backK133364 Picosure WorkstationCynosure, Inc. · 2014
  20. 8 generations backK140719 Picosure WorkstationCynosure, Inc. · 2014
  21. 7 generations backK143105 Picosure WorkstationCynosure, Inc. · 2015
  22. 6 generations backK153527 PicoWay Laser SystemSyneron Candela Corporation · 2016
  23. 5 generations backK160607 PicoWay Laser SystemSyneron Candela Corporation · 2016
  24. 4 generations backK162454 PicoWay Laser SystemSyneron Candela Corporation · 2017
  25. 3 generations backK170597 PicoWay Laser SystemSyneron Candela Corporation · 2017
  26. 2 generations backK191685 PicoWay Laser SystemCandela Corporation · 2019
  27. 1 generation backK220853 PicoWay Laser SystemCandela Corporation · 2022
  28. This deviceK233757 TitanPico Laser Workstation (PICO-450)Rhein Laser Technologies Co., Ltd. · 2024
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−27K943450Arthrocare Arthroscopic Electrosurgery System Model 970Arthrocare Corp.1995—
−26K961069Arthrocare Urologic Multi-Electrode Electrosurgery SystemArthrocare Corp.1996—
−25K962445Arthrocare Dental Electrosurgery SystemArthrocare Corp.1996—
−24K964849Arthrocare Dermatologic Electrosurgery SystemArthrocare Corp.1997—
−23K973478Arthrocare Sinus Electrosurgery SystemArthrocare Corp.1998—
−22K981870Visage Cosmetic Surgery SystemArthrocare Corp.1998—
−21K000944Thermage Thermacool SystemThermage, Inc.2000—
−20K013034Modification to: Thermacool IiaThermage, Inc.2001—
−19K013639Thermage Thermacool TC SystemThermage, Inc.2002—
−18K021402Thermage Thermacool TC SystemThermage, Inc.2002—
−17K030142Thermacool TC SystemThermage, Inc.2003—
−16K031671Polaris WRSyneron Medical, Ltd.2003—
−15K051214Aluma Skin Renewal SystemLumenis, Inc.2005—
−14K060448Lumenis One Family of Systems; Lumenis One.Lumenis, Ltd.2006—
−13K072564Alma Lasers Harmony XL Multi-Application PlatformAlma Lasers, Ltd.2008—
−12K083899Revlite Q-Switched ND:Yag Laser SystemHoya Conbio, Inc.2009—
−11K103118Revlite Q-Switched ND: Yag Laser System with Nadpiece AdaptorHoya Photonics, Inc.20101
−10K121346Picosure WorkstationCynosure, Inc.2012—
−9K133364Picosure WorkstationCynosure, Inc.2014—
−8K140719Picosure WorkstationCynosure, Inc.2014—
−7K143105Picosure WorkstationCynosure, Inc.2015—
−6K153527PicoWay Laser SystemSyneron Candela Corporation2016—
−5K160607PicoWay Laser SystemSyneron Candela Corporation2016—
−4K162454PicoWay Laser SystemSyneron Candela Corporation2017—
−3K170597PicoWay Laser SystemSyneron Candela Corporation2017—
−2K191685PicoWay Laser SystemCandela Corporation2019—
−1K220853PicoWay Laser SystemCandela Corporation2022—
0 (this device)K233757TitanPico Laser Workstation (PICO-450)Rhein Laser Technologies Co., Ltd.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198010
198210
198510
198820
198920
199030
199140
199230
199380
1994110
1995120
1996170
1997220
1998150
1999100
2000240
2001240
2002330
2003230
2004170
2005100
200660
200710
200830
200910
201120
201210
201430
201510
FIG. 1 — Lineage of K233757, 1995–2024Source: 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 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
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
*K153527PicoWay Laser System
Summary page 5
…Panel: General & Plastic Surgery Product Code: GEX Regulation Number: 21 CFR 878.4810 Device Classification: Class II 4. The Predicate Devices Primary Predicate device: K153527 PicoWay Laser System; K220853 PicoWay Laser System 5-1…
Syneron Candela Corporation2016—
*K220853PicoWay Laser System
Summary page 5
…ry Product Code: GEX Regulation Number: 21 CFR 878.4810 Device Classification: Class II 4. The Predicate Devices Primary Predicate device: K153527 PicoWay Laser System; K220853 PicoWay Laser System 5-1 Rhein Laser Technologies…
Candela Corporation2022—

Also cleared against K153527: 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 29 years and passes through 12 companies; a new generation was cleared every 10 months on median.
  • 11 of the 288 ancestors have a recall of any class.
  • 4 other devices also cite its predicate K153527.

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?

The TitanPico Laser Workstation is indicated for the following at the specified wavelength:

532nm: Removal of tattoos for Fitzpatrick skin types I-III to treat the following tattoo colors: red, yellow and orange.

1064nm: Removal of tattoos for all skin types (Fitzpatrick I-VI) to treat the following tattoo colors:

black, brown, green, blue and purple.

The TitanPico Laser Workstation is also indicated for benign pigmented lesions removal for Fitzpatrick Skin Types I-IV.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K233757: TitanPico Laser Workstation (PICO-450).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K233757

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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