510(k) Report

510(k) · Cleared

Cleared

Endius Atavi System

K022199510(k) TraditionalCleared Oct 2, 200289-day reviewClass II21 CFR 888.1100

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

Endius, Inc. · HRX Arthroscope

Cleared on Oct 2, 2002 as substantially equivalent to K002931 (Medtronic Sofamor Danek, Inc., 2000) after an 89-day review. Its family tree reaches back 1 generation to 2000. 43 later devices descend from it.

Decided
Oct 2, 2002
Review
89 days
Class
Class II
Product code
HRX
Recalls
None
Predicates
1

Its longest line of descent runs back 1 generation to K002931 (2000). 43 later devices descend from it, 2 citing it directly.

Descendants, by year cleared 2006: 4 descendants cleared2008: 1 descendant cleared2012: 8 descendants cleared2013: 3 descendants cleared2009: 3 descendants cleared2010: 1 descendant cleared2011: 2 descendants cleared2014: 1 descendant cleared2018: 3 descendants cleared2021: 1 descendant cleared2024: 3 descendants cleared2015: 3 descendants cleared2017: 1 descendant cleared2019: 1 descendant cleared2025: 3 descendants cleared2026: 5 descendants clearedK002931 · Metrx System · Medtronic Sofamor Danek, Inc. · 2000200020052010201520202025
Descendants, by generation 1 generation forward: 2 descendants2 generations forward: 4 descendants3 generations forward: 8 descendants4 generations forward: 11 descendants5 generations forward: 10 descendants6 generations forward: 6 descendants7 generations forward: 2 descendants K002931 · Metrx System · Medtronic Sofamor Danek, Inc. · 20000+5
  1. Root · 1 generation backK002931 Metrx SystemMedtronic Sofamor Danek, Inc. · 2000
  2. This deviceK022199 Endius Atavi SystemEndius, Inc. · 2002
  3. Descendant · cites it directly · 42 of its ownK053267 Endius Atavi SystemEndius, Inc. · 2006 · Recalled
  4. Descendant · 2 generations on · 25 of its ownK061246 Endoscopic Spine SystemArthro Kinetics, Inc. · 2006
  5. Descendant · cites it directly · 17 of its ownK061345 Modification to Endius Atavi SystemEndius, Inc. · 2006 · Recalled
  6. Descendant · 2 generations on · 16 of its ownK081051 Spinevu Endoscopic Spine System (Sess), Spinevu MiniscopeSpine View, Inc. · 2008
  7. Descendant · 2 generations on · 14 of its ownK062038 X-Sten Mild Tool Kit, Model MTK-0001X-Sten Corp. · 2006

Showing 5 of 43 descendants. See all descendants

Descendants cleared per year

2006: 42008: 12009: 32010: 12011: 22012: 82013: 32014: 12015: 32017: 12018: 32019: 12021: 12024: 32025: 32026: 5
2006high 8 (2012) · low 0 (2007)2026

Most influential descendants

Showing 5 of 43 · See all
  • K053267Endius Atavi SystemEndius, Inc. · 2006 · cites it directly42descendants
  • K061246Endoscopic Spine SystemArthro Kinetics, Inc. · 2006 · 2 generations on25descendants
  • K061345Modification to Endius Atavi SystemEndius, Inc. · 2006 · cites it directly17descendants
  • K081051Spinevu Endoscopic Spine System (Sess), Spinevu MiniscopeSpine View, Inc. · 2008 · 2 generations on16descendants
  • K062038X-Sten Mild Tool Kit, Model MTK-0001X-Sten Corp. · 2006 · 2 generations on14descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K002931Metrx SystemMedtronic Sofamor Danek, Inc.2000—
0 (this device)K022199Endius Atavi SystemEndius, Inc.2002—
+1K053267Endius Atavi SystemEndius, Inc.20061
+2K061246Endoscopic Spine SystemArthro Kinetics, Inc.2006—
+1K061345Modification to Endius Atavi SystemEndius, Inc.20061
+2K081051Spinevu Endoscopic Spine System (Sess), Spinevu MiniscopeSpine View, Inc.2008—
+2K062038X-Sten Mild Tool Kit, Model MTK-0001X-Sten Corp.2006—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200640
200810
200930
201010
201120
201280
201330
201410
201530
201710
201830
201910
202110
202430
202530
202650
FIG. 1 — Lineage of K022199, 2000–2026Source: 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 HRX? 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 HRX device

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  2. #2 Held for the reportin the report
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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
*K002931Metrx SystemMedtronic Sofamor Danek, Inc.2000—
*—Sofamor Danek Microendoscopic Discectomy System
Named without a submission number
—

Also cleared against K002931: 7 other devices →

What descends from it? (43)

See all 43

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

NumberDeviceApplicantDecidedDescendants
K053267Endius Atavi SystemEndius, Inc.200642
K061345Modification to Endius Atavi SystemEndius, Inc.200617

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?

  • Its one ancestor has no recall.
  • Of its descendants, K053267 (Endius, Inc., 2006) has gone furthest, with 42 descendants of its own.
  • 7 other devices also cite its predicate K002931.

How does its category compare?

All HRX devices

HRX Arthroscope: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · HRX

9in 2025

2007: 72008: 92009: 112010: 92011: 32012: 112013: 122014: 92015: 42016: 82017: 42018: 122019: 122020: 72021: 72022: 32023: 42024: 62025: 92026 (partial year): 7
2007high 12 (2013) · low 3 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HRX

107in 2025

2007: 89 days median2008: 115 days median2009: 139 days median2010: 114 days median2011: 84 days median2012: 102 days median2013: 90 days median2014: 140 days median2015: 132 days median2016: 89 days median2017: 97 days median2018: 101 days median2019: 45 days median2020: 141 days median2021: 57 days median2022: 89 days median2023: 249 days median2024: 110 days median2025: 107 days median2026 (partial year): 217 days median
2007high 249 (2023) · low 45 (2019)2026

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

Recalls per year · HRX

1in 2024

2007: 32008: 132009: 232010: 122011: 62013: 42015: 72018: 12021: 32024: 1
2007high 23 (2009) · low 0 (2012)2026

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

Adverse event reports per year · HRX

2,076in 2025

2007: 4212008: 4412009: 5582010: 6122011: 6312012: 7782013: 6782014: 8022015: 7632016: 4692017: 9342018: 1,5812019: 1,6762020: 1,7062021: 1,9082022: 1,4062023: 1,8522024: 2,4272025: 2,076
2007high 2,427 (2024) · low 421 (2007)2025

MAUDE reports naming product code HRX, 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
20077893421
2008911513441
20091113923558
2010911412612
20113846631
2012111020778
201312904678
201491400802
201541327763
20168890469
20174970934
20181210111,581
2019124501,676
2020714101,706
202175731,908
202238901,406
2023424901,852
2024611012,427
2025910702,076
202672170—

What is it indicated for?

The Endius@AtaviTMSystem is indicated for use for posterior or anterior access and visualization in the surgical area of the cervical, thoracic, or lumbar spine allowing the surgeon to perform any type of surgical spinal procedures such as discectomy, nucleotomy, spinal fusion, spinal decompression, and insertion of spinal implants. Other examples of generic surgical use of the Endius@AtaviTMSystem would be for use in the knee, ankle, shoulder, hand, wrist, and temporomandibular joint (TMJ).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K022199: Endius Atavi System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K022199

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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