510(k) Report

510(k) · Cleared

Recalled · Class II · 2022

Makoplasty Total Hip Application, Rio Standard System

K121064510(k) SpecialCleared Jun 6, 201261-day reviewClass II21 CFR 882.4560Recalls 12

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

Mako Surgical Corporation · OLO Orthopedic Stereotaxic Instrument

Cleared on Jun 6, 2012 as substantially equivalent to K093425 (Mako Surgical Corp., 2010) after a 61-day review. Its family tree reaches back 11 generations to 1991. 9 later devices descend from it. It has been recalled 12 times.

Decided
Jun 6, 2012
Review
61 days
Class
Class II
Product code
OLO
Recalls
12
Predicates
1

Its longest line of descent runs back 11 generations to K905070 (1991). 49 ancestors in all, the oldest K861692 (1986). 9 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2007: 2 other ancestors2005: 6 other ancestors2004: 3 other ancestors2003: 3 other ancestors2001: 4 other ancestors2009: 1 other ancestor2002: 4 other ancestors2000: 4 other ancestors2006: 3 other ancestors1999: 2 other ancestors1997: 1 other ancestor1996: 2 other ancestors1986: 1 other ancestor1995: 1 other ancestor1994: 1 other ancestor2014: 1 descendant cleared2017: 1 descendant cleared2019: 1 descendant cleared2020: 2 descendants cleared2022: 1 descendant cleared2025: 1 descendant cleared2024: 1 descendant cleared2026: 1 descendant clearedReference device: K112507 · Restoris Partial Knee Application (Pka), Rio Standard System · Mako Surgical Corporation · 2012 · recalledK905070 · 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 · recalledK081867 · Mako Surgical Tactile Guidance System Version 2.0 · Mako Surgical Corp. · 2008 · recalled×2: 2 generations cleared close together, K091998 (2009), K093425 (2010) 1990200020102020
  1. Root · 11 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 7 generations between
  3. 3 generations backK081867 Mako Surgical Tactile Guidance System Version 2.0Mako Surgical Corp. · 2008 · Recalled
  4. 2 generations backK091998 Robotic Arm Interactive Orthopedic System-HipMako Surgical Corp. · 2009
  5. 1 generation backK093425 Mako Surgical Corp Robotic Arm Interactive Orthopedic System-ThaMako Surgical Corp. · 2010 · Recalled
  6. This deviceK121064 Makoplasty Total Hip Application, Rio Standard SystemMako Surgical Corporation · 2012
  7. Descendant · cites it directly · 8 of its ownK141989 Makoplasty Total Hip Allpication, Rio Standard SystemMako Surgical Corporation · 2014 · Recalled
  8. Descendant · 2 generations on · 7 of its ownK170593 Mako Total Hip ApplicationMako Surgical Corp. · 2017 · Recalled
  9. Descendant · 3 generations on · 6 of its ownK191998 Mako Total Hip Application, Mako Total Knee ApplicationMako Surgical Corp. · 2019
  10. Descendant · 4 generations on · 3 of its ownK193128 Mako Total Hip ApplicationMako Surgical Corp. · 2020
  11. Descendant · 5 generations on · 1 of its ownK243751 Mako Total Hip Application 5.0Mako Surgical Corp. · 2025
Show all 11 generations
  1. Root · 11 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 10 generations backK961168 ViewpointPhilips Medical Systems (Cleveland), Inc. · 1996
  3. 9 generations backK963221 Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc. · 1997
  4. 8 generations backK970604 Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc. · 1997
  5. 7 generations backK984298 Z Kat Flurotactic Guidance System MkiZ-Kat, Inc. · 1999
  6. 6 generations backK013025 Modification to Flourolab PlusZ-Kat, Inc. · 2001
  7. 5 generations backK031337 Acumen Surgical Navigation SystemBiomet, Inc. · 2003
  8. 4 generations backK072806 Mako Surgical Tactile Guidance System (TGS)Mako Surgical Corp. · 2008 · Recalled
  9. 3 generations backK081867 Mako Surgical Tactile Guidance System Version 2.0Mako Surgical Corp. · 2008 · Recalled
  10. 2 generations backK091998 Robotic Arm Interactive Orthopedic System-HipMako Surgical Corp. · 2009
  11. 1 generation backK093425 Mako Surgical Corp Robotic Arm Interactive Orthopedic System-ThaMako Surgical Corp. · 2010 · Recalled
  12. This deviceK121064 Makoplasty Total Hip Application, Rio Standard SystemMako Surgical Corporation · 2012

Showing 5 of 9 descendants. See all descendants

Descendants cleared per year

2014: 12017: 12019: 12020: 22022: 12024: 12025: 12026: 1
2014high 2 (2020) · low 0 (2015)2026

Most influential descendants

Showing 5 of 9 · See all
  • K141989Makoplasty Total Hip Allpication, Rio Standard SystemMako Surgical Corporation · 2014 · cites it directly8descendants
  • K170593Mako Total Hip ApplicationMako Surgical Corp. · 2017 · 2 generations on7descendants
  • K191998Mako Total Hip Application, Mako Total Knee ApplicationMako Surgical Corp. · 2019 · 3 generations on6descendants
  • K193128Mako Total Hip ApplicationMako Surgical Corp. · 2020 · 4 generations on3descendants
  • K243751Mako Total Hip Application 5.0Mako Surgical Corp. · 2025 · 5 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K905070VistarPhilips Medical Systems (Cleveland), Inc.1991—
−10K961168ViewpointPhilips Medical Systems (Cleveland), Inc.1996—
−9K963221Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc.1997—
−8K970604Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc.1997—
−7K984298Z Kat Flurotactic Guidance System MkiZ-Kat, Inc.1999—
−6K013025Modification to Flourolab PlusZ-Kat, Inc.2001—
−5K031337Acumen Surgical Navigation SystemBiomet, Inc.2003—
−4K072806Mako Surgical Tactile Guidance System (TGS)Mako Surgical Corp.20081
−3K081867Mako Surgical Tactile Guidance System Version 2.0Mako Surgical Corp.20082
−2K091998Robotic Arm Interactive Orthopedic System-HipMako Surgical Corp.2009—
−1K093425Mako Surgical Corp Robotic Arm Interactive Orthopedic System-ThaMako Surgical Corp.20102
0 (this device)K121064Makoplasty Total Hip Application, Rio Standard SystemMako Surgical Corporation2012—
+1K141989Makoplasty Total Hip Allpication, Rio Standard SystemMako Surgical Corporation20143
+2K170593Mako Total Hip ApplicationMako Surgical Corp.20171
+3K191998Mako Total Hip Application, Mako Total Knee ApplicationMako Surgical Corp.2019—
+4K193128Mako Total Hip ApplicationMako Surgical Corp.2020—
+5K243751Mako Total Hip Application 5.0Mako Surgical Corp.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198610
199410
199510
199620
199710
199920
200040
200140
200240
200330
200430
200560
200630
200720
200910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201410
201710
201910
202020
202210
202410
202510
202610
FIG. 1 — Lineage of K121064, 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 OLO? 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 OLO device

  1. #1 K240662 Spine Guidance Software (version 5.0); Xia 3/…score 23.7 · 15 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
*K093425Mako Surgical Corp Robotic Arm Interactive Orthopedic System-Tha
Summary page 1
…AKOplasty Total Hip Application is substantially equivalent to MAKO Surgical's (Robotic Arm Interactive Orthopedic System) RIO - (Total Hip Arthroplasty) THA cleared via K093425. Description: MAKOplasty Total Hip Application is an upgrade to RIG-THA (K093425). The features of this application are to impro…
Mako Surgical Corp.20102
†K112507Restoris Partial Knee Application (Pka), Rio Standard SystemMako Surgical Corporation20126

Also cleared against K093425: 1 other device →

What descends from it? (9)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K141989Makoplasty Total Hip Allpication, Rio Standard SystemMako Surgical Corporation20148

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

Recalls of this device

DateClassRecallRoot causeReason
Aug 8, 2022Class IIZ-1735-2022Under Investigation by firmCertain units have the potential to exhibit infant failures whereby units either arrive non-functional, have the potential to become non-functional, or flash an error light while in use.
Jul 24, 2018Class IIZ-2925-2018Under Investigation by firmSpecific lots of the Vizadisc Knee Procedure Tracking Kit and Vizadisc Hip Procedure Tracking Kit have the potential to be damaged on the Vizadisc reflective material causing an inability to be detected by the camera.
Aug 7, 2017Class IIZ-3131-2017Software designSoftware discrepancy of not showing all the EE constants, when the screen is filled.
Dec 22, 2016Class IIZ-1411-2017Labeling designFive (5) AFMEA Risk Control Measures are missing from the MAKO RIO THA Application User Guides
Sep 29, 2016Class IIZ-1193-2017Component change controlFailure of the Offset Cup Reamer Handle not engaging its mating components.
Feb 23, 2016Class IIZ-1583-2016Nonconforming Material/ComponentPotential disassociation of the orientation pin.
Nov 25, 2015Class IIZ-1588-2016Component change controlStryker Orthpaedics became aware that there is the potential for the 210540 MAKOplasty Hip Array Kit Laminate 150230 to list two part numbers for the RIO Base Array, which is item #5 on the product table.
Jul 16, 2015Class IIZ-0224-2016Device DesignThe locking pin on the RIO Base Array is damaged during assembly onto the RIO Base Array Connector.
Oct 7, 2014Class IIZ-0830-2015Device DesignMAKO has identified the potential that the shell impactors may be damaged intraoperatively.
Oct 7, 2014Class IIZ-0828-2015Device DesignMAKO has identified the potential that the shell impactors may be damaged intraoperatively.
Oct 7, 2014Class IIZ-0829-2015Device DesignMAKO has identified the potential that the shell impactors may be damaged intraoperatively.
Apr 30, 2014Class IIZ-1508-2016Process controlRevision of the field manual

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 21 years and passes through 5 companies; a new generation was cleared every 1.9 years on median.
  • 11 of the 49 ancestors have a recall of any class.
  • Of its descendants, K141989 (Mako Surgical Corporation, 2014) has gone furthest, with 8 descendants of its own.
  • 1 other device also cites its predicate K093425.

How does its category compare?

All OLO devices

OLO Orthopedic Stereotaxic Instrument: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · OLO

40in 2025

2009: 112010: 92011: 112012: 72013: 72014: 102015: 102016: 142017: 332018: 242019: 352020: 342021: 282022: 402023: 452024: 442025: 402026 (partial year): 42
2007high 45 (2023) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OLO

119in 2025

2009: 126 days median2010: 113 days median2011: 138 days median2012: 129 days median2013: 137 days median2014: 119 days median2015: 176 days median2016: 120 days median2017: 91 days median2018: 97 days median2019: 95 days median2020: 89 days median2021: 91 days median2022: 89 days median2023: 90 days median2024: 90 days median2025: 119 days median2026 (partial year): 109 days median
2007high 176 (2015) · low 89 (2020)2026

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

Recalls per year · OLO

1in 2025

2010: 12011: 12012: 12014: 32015: 22016: 32017: 22018: 12019: 12020: 62022: 52023: 7, 1 Class I2024: 42025: 12026 (partial year): 6
2007high 7 (2023) · low 0 (2007)2026

Class I (1 since 2007) Class II/III not classified

Adverse event reports per year · OLO

3,306in 2025

2008: 12009: 42010: 42011: 102012: 602013: 362014: 2452015: 4662016: 7502017: 1,0762018: 1,2302019: 1,5852020: 2,7462021: 1,6962022: 1,5682023: 1,4932024: 2,3532025: 3,306
2007high 3,306 (2025) · low 0 (2007)2025

MAUDE reports naming product code OLO, 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
20070—00
20080—01
20091112604
2010911314
201111138110
20127129160
20137137036
2014101193245
2015101762466
2016141203750
2017339121,076
2018249711,230
2019359511,585
2020348962,746
2021289101,696
2022408951,568
202345907 (1)1,493
2024449042,353
20254011913,306
2026421096—

What is it indicated for?

The Robotic Arm Interactive Orthopedic System (RIO) is intended to assist the surgeon in providing software defined spatial boundaries for orientation and reference information to anatomical istructures during orthopedic procedures.

The RIO is indicated for use in surgical knee and hip 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:

o Unicondyhar knee replacement and/or patellofemoral knee replacement

o, Total hip arthroplasty (TEA)

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K121064: Makoplasty Total Hip Application, Rio Standard System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K121064

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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