510(k) Report

510(k) · Cleared

Cleared

BTL-754FF

K252561510(k) TraditionalCleared Feb 18, 2026189-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

BTL Industries, Inc. · GEX Powered Laser Surgical Instrument

Cleared on Feb 18, 2026 as substantially equivalent to K241270 (BTL Industries, Inc., 2025) and 6 other predicates after a 189-day review. Its family tree reaches back 27 generations to 1995.

Decided
Feb 18, 2026
Review
189 days
Class
Class II
Product code
GEX
Recalls
None
Predicates
7

Its longest line of descent runs back 27 generations to K943450 (1995). 612 ancestors in all, the oldest K771218 (1978). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2025: 1 other ancestor2022: 1 other ancestor2016: 1 other ancestor2015: 4 other ancestors2003: 50 other ancestors2021: 1 other ancestor2017: 2 other ancestors2014: 2 other ancestors2011: 9 other ancestors2009: 14 other ancestors2008: 23 other ancestors2007: 21 other ancestors2002: 44 other ancestors2001: 36 other ancestors2000: 37 other ancestors1997: 31 other ancestors2018: 1 other ancestor2010: 6 other ancestors2006: 19 other ancestors2005: 33 other ancestors2004: 40 other ancestors1998: 34 other ancestors1996: 30 other ancestors1993: 12 other ancestors1991: 11 other ancestors1982: 2 other ancestors2013: 2 other ancestors1999: 30 other ancestors1995: 28 other ancestors1994: 27 other ancestors1990: 7 other ancestors1989: 5 other ancestors1988: 4 other ancestors1986: 2 other ancestors1984: 1 other ancestor1992: 6 other ancestors2012: 2 other ancestors1980: 1 other ancestor1987: 2 other ancestors1985: 1 other ancestor1981: 1 other ancestor1978: 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. · 2003K041959 · Polaris DS/Comet · Syneron Medical, Ltd. · 2004K053540 · Intermedic Diode Laser Family 810NM and 980NM (and the Delivery Accessories That Are Used with Them to Deliver Laser Ene · Intermedic Arfran, SA · 2006×2: 2 generations cleared close together, K071295 (2007), K072106 (2007) K083682 · 180W Cerelas D 980NM Diode Laser, Model D180 · Biolitec, Inc. · 2009K082230 · Vectra Plus Laser System and Accessories · Xintec Corporation · 2010K101916 · Joule Multi-Platform System · Sciton, Inc · 2011K132806 · Fotona F-22 Laser Handpiece (F-Runner), Fotona FS-01 Laser Handpiece · Fotona D.D. · 2014K143723 · SP Dynamis, SP Spectro, XS Dynamis, XP Dynamis, XP Spectro · Fotona D.D. · 2015K153671 · Family of CoolGlide Aesthetic Lasers · Cutera, Inc. · 2016K170626 · Modified Alma Lasers Soprano XL Family of Multi-Application & Multi-Technology Platform, Soprano YAG Hand piece · Alma Lasers, Inc. · 2017K172193 · Modified Alma Lasers Soprano XL™ Family ofMulti-Application & Multi-Technology Platforms [SopranoXL, SopranoXLi, SopranoICE and Soprano ICE Platinum] with Duo and Trio Diode Laser Modules., Soprano Duo and Trio Diode Laser Modules · Alma Lasers, Inc. · 2018×2: 2 generations cleared close together, K222064 (2022), K230308 (2023) K233024 · Alma Harmony · Alma Lasers, Inc. · 202419801990200020102020
Other ancestors, by generation 1 generation back: 6 other ancestors2 generations back: 17 other ancestors3 generations back: 51 other ancestors4 generations back: 113 other ancestors5 generations back: 124 other ancestors6 generations back: 101 other ancestors7 generations back: 73 other ancestors8 generations back: 63 other ancestors9 generations back: 19 other ancestors10 generations back: 6 other ancestors11 generations back: 3 other ancestors12 generations back: 8 other ancestors13 generations back: 1 other ancestor K233024 · Alma Harmony · Alma Lasers, Inc. · 2024K230308 · Alma Harmony · Alma Lasers, Inc. · 2023K222064 · The Alma Soprano Titanium · Alma Lasers, Inc. · 2022K172193 · Modified Alma Lasers Soprano XL™ Family ofMulti-Application & Multi-Technology Platforms [SopranoXL, SopranoXLi, SopranoICE and Soprano ICE Platinum] with Duo and Trio Diode Laser Modules., Soprano Duo and Trio Diode Laser Modules · Alma Lasers, Inc. · 2018K170626 · Modified Alma Lasers Soprano XL Family of Multi-Application & Multi-Technology Platform, Soprano YAG Hand piece · Alma Lasers, Inc. · 2017K153671 · Family of CoolGlide Aesthetic Lasers · Cutera, Inc. · 2016K143723 · SP Dynamis, SP Spectro, XS Dynamis, XP Dynamis, XP Spectro · Fotona D.D. · 2015K132806 · Fotona F-22 Laser Handpiece (F-Runner), Fotona FS-01 Laser Handpiece · Fotona D.D. · 2014K101916 · Joule Multi-Platform System · Sciton, Inc · 2011K082230 · Vectra Plus Laser System and Accessories · Xintec Corporation · 2010K083682 · 180W Cerelas D 980NM Diode Laser, Model D180 · Biolitec, Inc. · 2009K072106 · 150W Ceralas D 980NM Diode Laser · Biolitec, Inc. · 2007K071295 · 100W Ceralas D 980NM Diode Laser · Biolitec, Inc. · 2007K053540 · Intermedic Diode Laser Family 810NM and 980NM (and the Delivery Accessories That Are Used with Them to Deliver Laser Ene · Intermedic Arfran, SA · 2006K041959 · Polaris DS/Comet · Syneron Medical, Ltd. · 2004K031671 · 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 backK222064 The Alma Soprano TitaniumAlma Lasers, Inc. · 2022
  4. 2 generations backK230308 Alma HarmonyAlma Lasers, Inc. · 2023
  5. 1 generation backK233024 Alma HarmonyAlma Lasers, Inc. · 2024
  6. This deviceK252561 BTL-754FFBTL Industries, Inc. · 2026
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 backK041959 Polaris DS/CometSyneron Medical, Ltd. · 2004
  14. 14 generations backK053540 Intermedic Diode Laser Family 810NM and 980NM (and the Delivery…Intermedic Arfran, SA · 2006
  15. 13 generations backK071295 100W Ceralas D 980NM Diode LaserBiolitec, Inc. · 2007
  16. 12 generations backK072106 150W Ceralas D 980NM Diode LaserBiolitec, Inc. · 2007
  17. 11 generations backK083682 180W Cerelas D 980NM Diode Laser, Model D180Biolitec, Inc. · 2009
  18. 10 generations backK082230 Vectra Plus Laser System and AccessoriesXintec Corporation · 2010
  19. 9 generations backK101916 Joule Multi-Platform SystemSciton, Inc · 2011
  20. 8 generations backK132806 Fotona F-22 Laser Handpiece (F-Runner), Fotona FS-01 Laser HandpieceFotona D.D. · 2014
  21. 7 generations backK143723 SP Dynamis, SP Spectro, XS Dynamis, XP Dynamis, XP SpectroFotona D.D. · 2015
  22. 6 generations backK153671 Family of CoolGlide Aesthetic LasersCutera, Inc. · 2016
  23. 5 generations backK170626 Modified Alma Lasers Soprano XL Family of Multi-Application &…Alma Lasers, Inc. · 2017
  24. 4 generations backK172193 Modified Alma Lasers Soprano XL™ Family ofMulti-Application &…Alma Lasers, Inc. · 2018
  25. 3 generations backK222064 The Alma Soprano TitaniumAlma Lasers, Inc. · 2022
  26. 2 generations backK230308 Alma HarmonyAlma Lasers, Inc. · 2023
  27. 1 generation backK233024 Alma HarmonyAlma Lasers, Inc. · 2024
  28. This deviceK252561 BTL-754FFBTL Industries, Inc. · 2026
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—
−15K041959Polaris DS/CometSyneron Medical, Ltd.2004—
−14K053540Intermedic Diode Laser Family 810NM and 980NM (and the Delivery Accessories…Intermedic Arfran, SA2006—
−13K071295100W Ceralas D 980NM Diode LaserBiolitec, Inc.2007—
−12K072106150W Ceralas D 980NM Diode LaserBiolitec, Inc.2007—
−11K083682180W Cerelas D 980NM Diode Laser, Model D180Biolitec, Inc.2009—
−10K082230Vectra Plus Laser System and AccessoriesXintec Corporation2010—
−9K101916Joule Multi-Platform SystemSciton, Inc2011—
−8K132806Fotona F-22 Laser Handpiece (F-Runner), Fotona FS-01 Laser HandpieceFotona D.D.2014—
−7K143723SP Dynamis, SP Spectro, XS Dynamis, XP Dynamis, XP SpectroFotona D.D.2015—
−6K153671Family of CoolGlide Aesthetic LasersCutera, Inc.2016—
−5K170626Modified Alma Lasers Soprano XL Family of Multi-Application & Multi-Technology…Alma Lasers, Inc.2017—
−4K172193Modified Alma Lasers Soprano XL™ Family ofMulti-Application & Multi-Technology…Alma Lasers, Inc.2018—
−3K222064The Alma Soprano TitaniumAlma Lasers, Inc.2022—
−2K230308Alma HarmonyAlma Lasers, Inc.2023—
−1K233024Alma HarmonyAlma Lasers, Inc.2024—
0 (this device)K252561BTL-754FFBTL Industries, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
198010
198110
198220
198410
198510
198620
198720
198840
198950
199070
1991110
199260
1993120
1994270
1995280
1996300
1997310
1998340
1999300
2000370
2001360
2002440
2003500
2004400
2005330
2006190
2007210
2008230
2009140
201060
201190
201220
201320
201420
201540
201610
201720
201810
202110
202210
202510
FIG. 1 — Lineage of K252561, 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 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? (7)

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
*K241270BTL-754
Summary page 7
…oducts that are already cleared for distribution in the USA under the following 510(k) Premarket Notification numbers: Predicate device name: BTL-754 510(k) Number: K241270 Original 510(k) Sponsor: BTL Industries, Inc. Predicate device name: Arami…
BTL Industries, Inc.2025—
*K153229Superbium
Summary page 7
…Predicate device name: Aramis II Predicate device name: Superbium Dermatological Laser 510(k) Number: K153229 510(k) Number: K023734, K032260 Original 510(k) Sponsor: BIOS S.R.L Original 510(…
Bios S.R.L.2016—
*K023734Aramis II Dermatological Laser
Summary page 7
…te device name: Aramis II Predicate device name: Superbium Dermatological Laser 510(k) Number: K153229 510(k) Number: K023734, K032260 Original 510(k) Sponsor: BIOS S.R.L Original 510(k) Sponsor: Quantel Medical Predicate device name: M…
Quantel Medical2003—
*K032260Aramis II Dermatological Laser
Summary page 7
…name: Aramis II Predicate device name: Superbium Dermatological Laser 510(k) Number: K153229 510(k) Number: K023734, K032260 Original 510(k) Sponsor: BIOS S.R.L Original 510(k) Sponsor: Quantel Medical Predicate device name: MCL 31 Der…
Quantel Medical2003—
*K150140MCL 31 Dermablate
Summary page 7
…S.R.L Original 510(k) Sponsor: Quantel Medical Predicate device name: MCL 31 Dermablate Predicate device name: Alma Harmony 510(k) Number: K150140 510(k) Number: K233024 Original 510(k) Sponsor: Asclepion Laser Original 510(k) Sponso…
Asclepion Laser Technologies GmbH2015—
*K233024Alma Harmony
Summary page 7
…el Medical Predicate device name: MCL 31 Dermablate Predicate device name: Alma Harmony 510(k) Number: K150140 510(k) Number: K233024 Original 510(k) Sponsor: Asclepion Laser Original 510(k) Sponsor: Alma Lasers, Technologies GMBH…
Alma Lasers, Inc.2024—
*K210634MCL 31 Dermablate System
Summary page 18
…to be substantially equivalent to currently marketed predicate devices BTL-754 (K241270), Alma Harmony (K233024), Superbium (K153229), Dermablate (K150140), Dermablate (K210634), Aramis II (K023734) and Aramis II (K032260). 510(k) Summary…
Asclepion Laser Technologies GmbH2022—

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 31 years and passes through 11 companies; a new generation was cleared every 11 months on median.
  • 29 of the 612 ancestors have a recall of any class.

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. 2026, 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 BTL-754FF device with BTL-754-1 handpiece has the following indications for use: The BTL-754-1 with 2940nm is intended for use in Coagulation, vaporization, ablation or cutting of soft tissue (skin) in Dermatology, Plastic Surgery, Gynecology, General Surgery, Podiatry and Ophthalmology (skin around the eyes). Laser skin resurfacing procedures for the treatment of: o Acne scars o Wrinkles The BTL-754-1 with 1540nm is intended to be used for incision…

Read the full statement (290 words)

The BTL-754FF device with

BTL-754-1 handpiece has the following indications for use:

The BTL-754-1 with 2940nm is intended for use in Coagulation, vaporization, ablation or cutting of soft tissue (skin) in

Dermatology, Plastic Surgery, Gynecology, General Surgery, Podiatry and Ophthalmology (skin around the eyes).

Laser skin resurfacing procedures for the treatment of:

o Acne scars

o Wrinkles

The BTL-754-1 with 1540nm is intended to be used for incision, excision, ablation, and coagulation (hemostasis) of soft

tissue. The device is also indicated for the removal of pigmented lesions; photocoagulation of dermatological vascular

lesions, including photothermolysis of blood vessels (treatment of facial and leg veins), for the treatment of periorbital and

perioral wrinkles, for the treatment of back acne.

The BTL-754-1 with combined 1540nm and 2940nm is intended for dermatological procedures requiring coagulation,

resurfacing, and ablation of soft tissue. Procedures include skin resurfacing, treatment of wrinkles and textural

irregularities.

BTL-754-4 handpiece has the following indications for use:

The BTL-754-4 with 2940nm in Fractional mode is intended for use in dermatological procedures requiring coagulation,

resurfacing, and ablation of soft tissue. Procedures include skin resurfacing and treatment of wrinkles, rhytides, furrows,

fine lines, textural irregularities, pigmented lesions, and vascular dyschromia.

The BTL-754-4 with 1540nm in Fractional mode is intended for use in coagulation of soft tissue, skin resurfacing

procedures as well as treatment of melasma, striae, acne scars and surgical scars.

The BTL-754-4 with combined 1540nm and 2940nm in Fractional mode is intended for dermatological procedures

requiring coagulation, resurfacing, and ablation of soft tissue.

Procedures include skin resurfacing and treatment of wrinkles, rhytides, furrows, fine lines, textural irregularities,

dyschromia and pigmented lesions.

The BTL-754-4 with 1540nm in Macro mode is intended for use in dermatological procedures requiring skin resurfacing

and coagulation of soft tissue.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K252561: BTL-754FF.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K252561

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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