510(k) Report

510(k) · Cleared

Cleared

CoolTone

K253408510(k) TraditionalCleared Jan 16, 2026108-day reviewClass II21 CFR 890.5850

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

Zimmer Medizinsysteme GmbH · NGX Stimulator, Muscle, Powered, For Muscle Conditioning

Cleared on Jan 16, 2026 as substantially equivalent to K240234 (BTL Industries, Inc., 2024) after a 108-day review. Its family tree reaches back 10 generations to 2001.

Decided
Jan 16, 2026
Review
108 days
Class
Class II
Product code
NGX
Recalls
None
Predicates
1

Its longest line of descent runs back 10 generations to K010335 (2001). 47 ancestors in all, the oldest K872976 (1987). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2021: 2 other ancestors2017: 2 other ancestors2016: 1 other ancestor2015: 1 other ancestor1998: 1 other ancestor1995: 3 other ancestors2018: 1 other ancestor2014: 1 other ancestor2013: 3 other ancestors2012: 1 other ancestor2011: 2 other ancestors2010: 1 other ancestor2008: 1 other ancestor2007: 3 other ancestors2005: 3 other ancestors2004: 2 other ancestors2002: 1 other ancestor1997: 1 other ancestor1993: 1 other ancestor1992: 2 other ancestors1987: 1 other ancestor2003: 1 other ancestor1994: 2 other ancestorsReference device: K251378 · CoolTone · Zimmer Medizinsysteme GmbH · 2025Reference device: K182963 · emFieldPro · Zimmer Medizinsysteme GmbH · 2019K010335 · Slendertone Flex, Model, 512 · Bio-Medical Research, Ltd. · 2001K022855 · Slendertone Flex Bottom & Thigh Toning System, Type 511 · Bio-Medical Research, Ltd. · 2003K070142 · Slendertone System Abs, Models 390, E10, X10; Slendertone System Shorts, Models 390, E20 · Bio-Medical Research Corp. · 2007K072553 · System-Arms, Model 390,E60 · Bio-Medical Research, Ltd. · 2007K091865 · Sport-Elec Body Control System · Sport-Elec · 2009K092476 · Sport-Elec Body Control System, Model 4M · Sport-Elec · 2010K182106 · BTL 799-2T · BTL Industries, Inc. · 2018K190456 · BTL 799-2L · BTL Industries, Inc. · 2019K200382 · BTL-703-2 · Btl · 2021K240234 · BTL-899MS · BTL Industries, Inc. · 20241990200020102020
  1. Root · 10 generations backK010335 Slendertone Flex, Model, 512Bio-Medical Research, Ltd. · 2001
  2. 6 generations between
  3. 3 generations backK190456 BTL 799-2LBTL Industries, Inc. · 2019
  4. 2 generations backK200382 BTL-703-2Btl · 2021
  5. 1 generation backK240234 BTL-899MSBTL Industries, Inc. · 2024
  6. This deviceK253408 CoolToneZimmer Medizinsysteme GmbH · 2026
Show all 10 generations
  1. Root · 10 generations backK010335 Slendertone Flex, Model, 512Bio-Medical Research, Ltd. · 2001
  2. 9 generations backK022855 Slendertone Flex Bottom & Thigh Toning System, Type 511Bio-Medical Research, Ltd. · 2003
  3. 8 generations backK070142 Slendertone System Abs, Models 390, E10, X10; Slendertone System…Bio-Medical Research Corp. · 2007
  4. 7 generations backK072553 System-Arms, Model 390,E60Bio-Medical Research, Ltd. · 2007
  5. 6 generations backK091865 Sport-Elec Body Control SystemSport-Elec · 2009
  6. 5 generations backK092476 Sport-Elec Body Control System, Model 4MSport-Elec · 2010
  7. 4 generations backK182106 BTL 799-2TBTL Industries, Inc. · 2018
  8. 3 generations backK190456 BTL 799-2LBTL Industries, Inc. · 2019
  9. 2 generations backK200382 BTL-703-2Btl · 2021
  10. 1 generation backK240234 BTL-899MSBTL Industries, Inc. · 2024
  11. This deviceK253408 CoolToneZimmer Medizinsysteme GmbH · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K010335Slendertone Flex, Model, 512Bio-Medical Research, Ltd.2001—
−9K022855Slendertone Flex Bottom & Thigh Toning System, Type 511Bio-Medical Research, Ltd.2003—
−8K070142Slendertone System Abs, Models 390, E10, X10; Slendertone System Shorts…Bio-Medical Research Corp.2007—
−7K072553System-Arms, Model 390,E60Bio-Medical Research, Ltd.2007—
−6K091865Sport-Elec Body Control SystemSport-Elec2009—
−5K092476Sport-Elec Body Control System, Model 4MSport-Elec2010—
−4K182106BTL 799-2TBTL Industries, Inc.2018—
−3K190456BTL 799-2LBTL Industries, Inc.2019—
−2K200382BTL-703-2Btl2021—
−1K240234BTL-899MSBTL Industries, Inc.2024—
0 (this device)K253408CoolToneZimmer Medizinsysteme GmbH2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710
199220
199310
199420
199530
199710
199810
200210
200310
200420
200530
200730
200810
201010
201120
201210
201330
201410
201510
201610
201720
201810
202120
FIG. 1 — Lineage of K253408, 2001–2026Source: 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 NGX? 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 NGX device

  1. #1 K250146 SofWave Systemscore 15.5 · 12 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? (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
*K240234BTL-899MS
Summary page 5
…Powered Muscle Stimulator REGULATORY CLASS: Class II PRODUCT CODE: NGX, IPF PREDICATE DEVICE: BTL-899MS (K240234) REFERENCE DEVICE: CoolTone (K251378) Page 1 of 9 DEVIC…
BTL Industries, Inc.2024—
†K251378CoolToneZimmer Medizinsysteme GmbH2025—
†K182963emFieldProZimmer Medizinsysteme GmbH2019—

Also cleared against K240234: 1 other device →

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 25 years and passes through 6 companies; a new generation was cleared every 1.5 years on median.
  • 1 of the 47 ancestors has a recall of any class.
  • 1 other device also cites its predicate K240234.

How does its category compare?

All NGX devices

NGX Stimulator, Muscle, Powered, For Muscle Conditioning: FDA decisions, review times, recalls and adverse event reports over 20 years. 2026, this device’s year, is highlighted.

FDA decisions per year · NGX

15in 2025

2007: 72008: 32009: 42010: 62011: 52012: 32013: 62014: 62015: 92016: 42017: 102018: 62019: 142020: 112021: 122022: 62023: 122024: 122025: 152026 (partial year): 4
2007high 15 (2025) · low 3 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NGX

93in 2025

2007: 135 days median2008: 209 days median2009: 132 days median2010: 180 days median2011: 291 days median2012: 362 days median2013: 269 days median2014: 298 days median2015: 184 days median2016: 240 days median2017: 108 days median2018: 104 days median2019: 167 days median2020: 207 days median2021: 256 days median2022: 307 days median2023: 96 days median2024: 207 days median2025: 93 days median2026 (partial year): 118 days median
2007high 362 (2012) · low 93 (2025)2026

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

Recalls per year · NGX

2in 2013

2013: 2
2007high 2 (2013) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · NGX

15in 2025

2011: 12013: 12015: 72016: 212017: 22018: 62019: 42020: 72021: 52022: 72023: 82024: 112025: 15
2007high 21 (2016) · low 0 (2007)2025

MAUDE reports naming product code NGX, 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
2007713500
2008320900
2009413200
2010618000
2011529101
2012336200
2013626921
2014629800
2015918407
20164240021
20171010802
2018610406
20191416704
20201120707
20211225605
2022630707
2023129608
202412207011
20251593015
202641180—

What is it indicated for?

CoolTone device is indicate to be used for: . Improvement of abdominal tone, strengthening of the abdominal muscles, development for firmer abdomen . Strengthening, toning and firming of buttocks and thighs When intended to stimulate healthy muscles to improve or facilitate muscle performance, CoolTone induces muscle contractions to enhance muscle function and may therefore be considered a technique of muscle training. In addition, the CoolTone is…

Read the full statement (138 words)

CoolTone device is indicate to be used for:

. Improvement of abdominal tone, strengthening of the abdominal muscles, development for firmer abdomen

. Strengthening, toning and firming of buttocks and thighs

When intended to stimulate healthy muscles to improve or facilitate muscle performance, CoolTone induces muscle contractions to enhance muscle function and may therefore be considered a technique of muscle training.

In addition, the CoolTone is indicated to be used for:

* Relaxation of muscle spasms

. Prevention or retardation of disuse atrophy

. Increasing local blood circulation

. Muscle reeducation

. Maintaining or increasing the range of motion

CoolTone may also be used under medical supervision for adjunctive therapy for the treatment of medical diseases and conditions. Furthermore, CoolTone device may be used to stimulate neuromuscular tissue for bulk muscle excitation in the legs for rehabilitative purposes.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K253408: CoolTone.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K253408

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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