510(k) Report

510(k) · Cleared

Recalled · Class II · 2012

Mako Surgical Tactile Guidance System Version 2.0

K081867510(k) TraditionalCleared Nov 25, 2008147-day reviewClass II21 CFR 882.4560Recalls 2

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

Mako Surgical Corp. · HAW Neurological Stereotaxic Instrument

Cleared on Nov 25, 2008 as substantially equivalent to K072806 (Mako Surgical Corp., 2008) and 3 other predicates after a 147-day review. Its family tree reaches back 8 generations to 1991. 76 later devices descend from it. It has been recalled 2 times.

Decided
Nov 25, 2008
Review
147 days
Class
Class II
Product code
HAW
Recalls
2
Predicates
4

Its longest line of descent runs back 8 generations to K905070 (1991). 37 ancestors in all, the oldest K861692 (1986). 76 later devices descend from it, 5 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2005: 4 other ancestors2004: 2 other ancestors2007: 1 other ancestor2006: 3 other ancestors2002: 4 other ancestors2003: 1 other ancestor2000: 3 other ancestors1999: 2 other ancestors1997: 1 other ancestor1996: 2 other ancestors2001: 3 other ancestors1986: 1 other ancestor1995: 1 other ancestor1994: 1 other ancestor2012: 3 descendants cleared2014: 2 descendants cleared2009: 1 descendant cleared2010: 1 descendant cleared2013: 1 descendant cleared2015: 4 descendants cleared2017: 7 descendants cleared2025: 12 descendants cleared2021: 3 descendants cleared2016: 1 descendant cleared2023: 9 descendants cleared2019: 3 descendants cleared2024: 10 descendants cleared2018: 1 descendant cleared2022: 8 descendants cleared2026: 6 descendants cleared2020: 4 descendants clearedK905070 · Vistar · Philips Medical Systems (Cleveland), Inc. · 1991K961168 · Viewpoint · Philips Medical Systems (Cleveland), Inc. · 1996×2: 2 generations cleared close together, K963221 (1997), K970604 (1997) K984298 · Z Kat Flurotactic Guidance System Mki · Z-Kat, Inc. · 1999K013025 · Modification to Flourolab Plus · Z-Kat, Inc. · 2001K031337 · Acumen Surgical Navigation System · Biomet, Inc. · 2003K072806 · Mako Surgical Tactile Guidance System (TGS) · Mako Surgical Corp. · 2008 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 5 other ancestors3 generations back: 9 other ancestors4 generations back: 6 other ancestors5 generations back: 7 other ancestors 1 generation forward: 5 descendants2 generations forward: 6 descendants3 generations forward: 6 descendants4 generations forward: 5 descendants5 generations forward: 4 descendants6 generations forward: 10 descendants7 generations forward: 9 descendants8 generations forward: 6 descendants9 generations forward: 5 descendants10 generations forward: 3 descendants11 generations forward: 3 descendants12 generations forward: 4 descendants13 generations forward: 3 descendants14 generations forward: 5 descendants15 generations forward: 1 descendant16 generations forward: 1 descendant K072806 · Mako Surgical Tactile Guidance System (TGS) · Mako Surgical Corp. · 2008 · recalledK031337 · Acumen Surgical Navigation System · Biomet, Inc. · 2003K013025 · Modification to Flourolab Plus · Z-Kat, Inc. · 2001K984298 · Z Kat Flurotactic Guidance System Mki · Z-Kat, Inc. · 1999K970604 · Viewpoint - 3.0 Software · Philips Medical Systems (Cleveland), Inc. · 1997K963221 · Optical Digitizer Option for View Point · Philips Medical Systems (Cleveland), Inc. · 1997K961168 · Viewpoint · Philips Medical Systems (Cleveland), Inc. · 1996K905070 · Vistar · Philips Medical Systems (Cleveland), Inc. · 1991−50+5+10+15
  1. Root · 8 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 7 generations backK961168 ViewpointPhilips Medical Systems (Cleveland), Inc. · 1996
  3. 6 generations backK963221 Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc. · 1997
  4. 5 generations backK970604 Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc. · 1997
  5. 4 generations backK984298 Z Kat Flurotactic Guidance System MkiZ-Kat, Inc. · 1999
  6. 3 generations backK013025 Modification to Flourolab PlusZ-Kat, Inc. · 2001
  7. 2 generations backK031337 Acumen Surgical Navigation SystemBiomet, Inc. · 2003
  8. 1 generation backK072806 Mako Surgical Tactile Guidance System (TGS)Mako Surgical Corp. · 2008 · Recalled
  9. This deviceK081867 Mako Surgical Tactile Guidance System Version 2.0Mako Surgical Corp. · 2008
  10. Descendant · cites it directly · 46 of its ownK112507 Restoris Partial Knee Application (Pka), Rio Standard SystemMako Surgical Corporation · 2012 · Recalled
  11. Descendant · 2 generations on · 44 of its ownK143752 Total Knee Application (TKA)Mako Surgical Corp. · 2015 · Recalled
  12. Descendant · 3 generations on · 38 of its ownK170581 Mako Total Knee ApplicationMako Surgical Corp. · 2017 · Recalled
  13. Descendant · 4 generations on · 37 of its ownK172219 Mako Total Knee ApplicationMako Surgical Corp. · 2017
  14. Descendant · 5 generations on · 29 of its ownK182964 ROSA Knee SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2019

Showing 5 of 76 descendants. See all descendants

Descendants cleared per year

2009: 12010: 12012: 32013: 12014: 22015: 42016: 12017: 72018: 12019: 32020: 42021: 32022: 82023: 92024: 102025: 122026: 6
2009high 12 (2025) · low 0 (2011)2026

Most influential descendants

Showing 5 of 76 · See all
  • K112507Restoris Partial Knee Application (Pka), Rio Standard SystemMako Surgical Corporation · 2012 · cites it directly46descendants
  • K143752Total Knee Application (TKA)Mako Surgical Corp. · 2015 · 2 generations on44descendants
  • K170581Mako Total Knee ApplicationMako Surgical Corp. · 2017 · 3 generations on38descendants
  • K172219Mako Total Knee ApplicationMako Surgical Corp. · 2017 · 4 generations on37descendants
  • K182964ROSA Knee SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2019 · 5 generations on29descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K905070VistarPhilips Medical Systems (Cleveland), Inc.1991—
−7K961168ViewpointPhilips Medical Systems (Cleveland), Inc.1996—
−6K963221Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc.1997—
−5K970604Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc.1997—
−4K984298Z Kat Flurotactic Guidance System MkiZ-Kat, Inc.1999—
−3K013025Modification to Flourolab PlusZ-Kat, Inc.2001—
−2K031337Acumen Surgical Navigation SystemBiomet, Inc.2003—
−1K072806Mako Surgical Tactile Guidance System (TGS)Mako Surgical Corp.20081
0 (this device)K081867Mako Surgical Tactile Guidance System Version 2.0Mako Surgical Corp.2008—
+1K112507Restoris Partial Knee Application (Pka), Rio Standard SystemMako Surgical Corporation20126
+2K143752Total Knee Application (TKA)Mako Surgical Corp.20152
+3K170581Mako Total Knee ApplicationMako Surgical Corp.20171
+4K172219Mako Total Knee ApplicationMako Surgical Corp.2017—
+5K182964ROSA Knee SystemOrthosoft Inc (D/B/A Zimmer Cas)2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198610
199410
199510
199620
199710
199920
200030
200130
200240
200310
200420
200540
200630
200710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200910
201010
201230
201310
201420
201540
201610
201770
201810
201930
202040
202130
202280
202390
2024100
2025120
202660
FIG. 1 — Lineage of K081867, 1991–2026Source: 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 HAW? 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 HAW device

  1. #1 K253856 Geniant Cranial (Navigated Neurosurgical…score 15.0 · 11 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? (4)

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
*K072806Mako Surgical Tactile Guidance System (TGS)
Summary page 1
…21 CFR 882.4560 Substantial Equivalence Claimed To: The Tactile Guidance System (TGS) v2.0 is substantially equivalent to the MAKO Surgical's Tactile Guidance System (K072806) and Voyager/Tactile Guidance System-CT (K052851) and Biomet's Acumen Tm Surgical Navigation System (K031454 and K031337). Descri…
Mako Surgical Corp.20081
*K052851Voyager Linux with Tactile Guidance System (TGS)
Summary page 1
…d To: The Tactile Guidance System (TGS) v2.0 is substantially equivalent to the MAKO Surgical's Tactile Guidance System (K072806) and Voyager/Tactile Guidance System-CT (K052851) and Biomet's Acumen Tm Surgical Navigation System (K031454 and K031337). Description: The TGS v2.0 is a stereotaxic instrument t…
Mako Surgical Corp.2005—
*K031454Acumen Surgical Navigation System
Summary page 1
…y equivalent to the MAKO Surgical's Tactile Guidance System (K072806) and Voyager/Tactile Guidance System-CT (K052851) and Biomet's Acumen Tm Surgical Navigation System (K031454 and K031337). Description: The TGS v2.0 is a stereotaxic instrument that includes an optical detector, computer, dedicated instru…
Biomet, Inc.2004—
*K031337Acumen Surgical Navigation System
Summary page 1
…to the MAKO Surgical's Tactile Guidance System (K072806) and Voyager/Tactile Guidance System-CT (K052851) and Biomet's Acumen Tm Surgical Navigation System (K031454 and K031337). Description: The TGS v2.0 is a stereotaxic instrument that includes an optical detector, computer, dedicated instrumentation, o…
Biomet, Inc.2003—

Also cleared against K072806: 1 other device →

What descends from it? (76)

See all 76

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

NumberDeviceApplicantDecidedDescendants
K112507Restoris Partial Knee Application (Pka), Rio Standard SystemMako Surgical Corporation201246
K121936NaviopfsBlue Belt Technologies, Inc.201222
K140596NAVIOBlue Belt Technologies, Inc.201421
K091998Robotic Arm Interactive Orthopedic System-HipMako Surgical Corp.200912
K093425Mako Surgical Corp Robotic Arm Interactive Orthopedic System-ThaMako Surgical Corp.201011

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Sep 12, 2012Class IIZ-0385-2013Software designMAKO Surgical Group recalled their RIO System software, version 2.4 and is implementing software version 2.5 to address a software functional issue with the existing version of the system's software. Loss of tactile feedback constraining…
Jul 17, 2009Not classifiedZ-0064-2010Device DesignCables fail to provide adequate transmission. MAKO Surgical Corporation is recalling 200996 Cable Assembly, Hybrid Extended Length; 200997 Cable Assembly, Hybrid, Guidance Module; and 200998 Cable Assembly, Hybrid, UI Panel. These parts…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 17 years and passes through 4 companies; a new generation was cleared every 2.1 years on median.
  • 7 of the 37 ancestors have a recall of any class.
  • Of its descendants, K112507 (Mako Surgical Corporation, 2012) has gone furthest, with 46 descendants of its own.
  • 1 other device also cites its predicate K072806.

How does its category compare?

All HAW devices

HAW Neurological Stereotaxic Instrument: FDA decisions, review times, recalls and adverse event reports over 20 years. 2008, this device’s year, is highlighted.

FDA decisions per year · HAW

9in 2025

2007: 152008: 122009: 82010: 62011: 42012: 82013: 32014: 52015: 102016: 92017: 72018: 62019: 102020: 52021: 92022: 72023: 142024: 72025: 92026 (partial year): 5
2007high 15 (2007) · low 3 (2013)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HAW

163in 2025

2007: 107 days median2008: 112 days median2009: 221 days median2010: 138 days median2011: 66 days median2012: 178 days median2013: 172 days median2014: 238 days median2015: 232 days median2016: 175 days median2017: 226 days median2018: 112 days median2019: 147 days median2020: 88 days median2021: 168 days median2022: 128 days median2023: 142 days median2024: 107 days median2025: 163 days median2026 (partial year): 162 days median
2007high 238 (2014) · low 66 (2011)2026

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

Recalls per year · HAW

2in 2025

2007: 22008: 102009: 62010: 282011: 52012: 42013: 6, 1 Class I2014: 52015: 32016: 52017: 22018: 2, 2 Class I2019: 4, 1 Class I2020: 12021: 4, 2 Class I2022: 12023: 4, 1 Class I2024: 2, 2 Class I2025: 22026 (partial year): 6
2007high 28 (2010) · low 1 (2020)2026

Class I (9 since 2007) Class II/III not classified

Adverse event reports per year · HAW

3,425in 2025

2007: 492008: 532009: 962010: 2992011: 1,7252012: 9862013: 1,2902014: 1,6062015: 1,7672016: 1,8282017: 3,5052018: 4,4392019: 6,0622020: 3,4802021: 2,8272022: 1,9292023: 2,5102024: 3,7552025: 3,425
2007high 6,062 (2019) · low 49 (2007)2025

MAUDE reports naming product code HAW, 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
200715107249
2008121121053
20098221696
2010613828299
201146651,725
201281784986
201331726 (1)1,290
2014523851,606
20151023231,767
2016917551,828
2017722623,505
201861122 (2)4,439
2019101474 (1)6,062
202058813,480
202191684 (2)2,827
2022712811,929
2023141424 (1)2,510
202471072 (2)3,755
2025916323,425
202651626—

What is it indicated for?

The Tactile Guidance System v2.0 is intended to assist the surgeon in providing software defined spatial boundaries for orientation and reference information to anatomical structures during orthopedic procedures.

The Tactile Guidance System v2.0 is indicated for use in surgical knee procedures, in which the use of stereotactic surgery may be appropriate, and where reference to rigid anatomical bony structures can be identified relative to a CT based model of the anatomy. These procedures include unicondylar knee replacement and/or patellofemoral knee replacement.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K081867: Mako Surgical Tactile Guidance System Version 2.0.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K081867

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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