510(k) Report

510(k) · Cleared

Recalled · Class II · 2017

Smarttools Knee System

K122326510(k) TraditionalCleared Nov 30, 2012121-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

Zimmer · OLO Orthopedic Stereotaxic Instrument

Cleared on Nov 30, 2012 as substantially equivalent to K103829 (Orthalign, Inc., 2011) after a 121-day review. Its family tree reaches back 9 generations to 1999. 3 later devices descend from it. It has been recalled 2 times.

Decided
Nov 30, 2012
Review
121 days
Class
Class II
Product code
OLO
Recalls
2
Predicates
1

Its longest line of descent runs back 9 generations to K983831 (1999). 19 ancestors in all. 3 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2005: 2 other ancestors2006: 1 other ancestor2002: 2 other ancestors2001: 3 other ancestors2000: 2 other ancestors2014: 1 descendant cleared2019: 1 descendant cleared2022: 1 descendant clearedK983831 · VECTORVISION2 · Brainlab AG · 1999K014256 · Kolibri Igs Systems · Brainlab AG · 2002K031770 · CI TKR/Ukr · Brainlab AG · 2003K041899 · Vectorvision Uni-Knee · Brainlab AG · 2004K052966 · CI Knee, CI MI TKR · Brainlab AG · 2006K073615 · Brainlab Knee Essential, Brainlab Knee Unlimited CI Knee, CI Knee Unlimited · Brainlab AG · 2008K091411 · Kneealign System · Orthalign, Inc. · 2009K093998 · Kneealign System with Reference Sensor · Orthalign, Inc. · 2010K103829 · Kneealign System · Orthalign, Inc. · 20111995200020052010201520202025
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor3 generations back: 2 other ancestors4 generations back: 4 other ancestors5 generations back: 1 other ancestor7 generations back: 2 other ancestors 1 generation forward: 2 descendants2 generations forward: 1 descendant K103829 · Kneealign System · Orthalign, Inc. · 2011K093998 · Kneealign System with Reference Sensor · Orthalign, Inc. · 2010K091411 · Kneealign System · Orthalign, Inc. · 2009K073615 · Brainlab Knee Essential, Brainlab Knee Unlimited CI Knee, CI Knee Unlimited · Brainlab AG · 2008K052966 · CI Knee, CI MI TKR · Brainlab AG · 2006K041899 · Vectorvision Uni-Knee · Brainlab AG · 2004K031770 · CI TKR/Ukr · Brainlab AG · 2003K014256 · Kolibri Igs Systems · Brainlab AG · 2002K983831 · VECTORVISION2 · Brainlab AG · 1999−50
  1. Root · 9 generations backK983831 VECTORVISION2Brainlab AG · 1999
  2. 5 generations between
  3. 3 generations backK091411 Kneealign SystemOrthalign, Inc. · 2009
  4. 2 generations backK093998 Kneealign System with Reference SensorOrthalign, Inc. · 2010
  5. 1 generation backK103829 Kneealign SystemOrthalign, Inc. · 2011
  6. This deviceK122326 Smarttools Knee SystemZimmer · 2012
  7. Descendant · cites it directly · 2 of its ownK141601 Iassist Knee SystemZimmer Cas · 2014
  8. Descendant · cites it directly · 1 of its ownK192080 iASSIST Knee SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2019
  9. Descendant · 2 generations on · 0 of its ownK213033 iASSIST Knee SystemOrthosoft D/B/A Zimmer Cas · 2022
Show all 9 generations
  1. Root · 9 generations backK983831 VECTORVISION2Brainlab AG · 1999
  2. 8 generations backK014256 Kolibri Igs SystemsBrainlab AG · 2002
  3. 7 generations backK031770 CI TKR/UkrBrainlab AG · 2003
  4. 6 generations backK041899 Vectorvision Uni-KneeBrainlab AG · 2004
  5. 5 generations backK052966 CI Knee, CI MI TKRBrainlab AG · 2006
  6. 4 generations backK073615 Brainlab Knee Essential, Brainlab Knee Unlimited CI Knee, CI Knee…Brainlab AG · 2008
  7. 3 generations backK091411 Kneealign SystemOrthalign, Inc. · 2009
  8. 2 generations backK093998 Kneealign System with Reference SensorOrthalign, Inc. · 2010
  9. 1 generation backK103829 Kneealign SystemOrthalign, Inc. · 2011
  10. This deviceK122326 Smarttools Knee SystemZimmer · 2012

Most influential descendants

Showing 3 of 3 · See all
  • K141601Iassist Knee SystemZimmer Cas · 2014 · cites it directly2descendants
  • K192080iASSIST Knee SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2019 · cites it directly1descendant
  • K213033iASSIST Knee SystemOrthosoft D/B/A Zimmer Cas · 2022 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K983831VECTORVISION2Brainlab AG1999—
−8K014256Kolibri Igs SystemsBrainlab AG2002—
−7K031770CI TKR/UkrBrainlab AG2003—
−6K041899Vectorvision Uni-KneeBrainlab AG2004—
−5K052966CI Knee, CI MI TKRBrainlab AG2006—
−4K073615Brainlab Knee Essential, Brainlab Knee Unlimited CI Knee, CI Knee UnlimitedBrainlab AG2008—
−3K091411Kneealign SystemOrthalign, Inc.2009—
−2K093998Kneealign System with Reference SensorOrthalign, Inc.2010—
−1K103829Kneealign SystemOrthalign, Inc.2011—
0 (this device)K122326Smarttools Knee SystemZimmer2012—
+1K141601Iassist Knee SystemZimmer Cas2014—
+1K192080iASSIST Knee SystemOrthosoft Inc (D/B/A Zimmer Cas)2019—
+2K213033iASSIST Knee SystemOrthosoft D/B/A Zimmer Cas2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200020
200130
200220
200520
200610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201410
201910
202210
FIG. 1 — Lineage of K122326, 1999–2022Source: 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
*K103829Kneealign System
Summary page 1
…Device Classification Name: Orthopedic Stereotaxic Instrument (product code OLO); 21 CFR § 882.4560 Predicate Device: KneeAlign 2 System, form OrthAlign Inc., 5 10(k) # K1 03 829 Device Description: The iASSIST Knee System consists of tracking sensors, a computer system, software, and surgical instruments…
Orthalign, Inc.2011—

Also cleared against K103829: 3 other devices →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K141601Iassist Knee SystemZimmer Cas20142
K192080iASSIST Knee SystemOrthosoft Inc (D/B/A Zimmer Cas)20191

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

Recalls of this device

DateClassRecallRoot causeReason
Feb 20, 2017Class IIZ-1868-2017OtherThere has been an increase in the number of complaints regarding bent or broken Drive Pins of the Validation Tool manufactured with drawing Revision M to P
Apr 19, 2015Class IIZ-1701-2015Device DesignZimmer CAS has determined that the potential exists for the spikes on the iASSIST Tibial Alignment Guide to bend or break during insertion or extraction from the tibia during use.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 13 years and passes through 3 companies; a new generation was cleared every 1.2 years on median.
  • 1 of the 19 ancestors has a recall of any class.
  • Of its descendants, K141601 (Zimmer Cas, 2014) has gone furthest, with 2 descendants of its own.
  • 3 other devices also cite its predicate K103829.

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 iASSIST Knee System is a computer assisted stereotaxic surgical instrument system to assist the surgeon in the positioning of orthopedic implant system components intra-operatively. It involves surgical instruments and position sensors to determine alignment axes in relation to anatomical landmarks and to precisely position alignment instruments and implant components relative to these axes.

Example orthopedic surgical procedures include but are not limited to: Total Knee Arthroplasty.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K122326: Smarttools Knee System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K122326

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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