510(k) Report

510(k) · Cleared

Cleared

Orthalign Plus System

K140331510(k) TraditionalCleared Jun 10, 2014120-day reviewClass II21 CFR 882.4560

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

Orthalign, Inc. · OLO Orthopedic Stereotaxic Instrument

Cleared on Jun 10, 2014 as substantially equivalent to K130387 (Orthalign, Inc., 2013) and 2 other predicates after a 120-day review. Its family tree reaches back 10 generations to 1999. 29 later devices descend from it.

Decided
Jun 10, 2014
Review
120 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
3

Its longest line of descent runs back 10 generations to K983831 (1999). 33 ancestors in all. 29 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2011: 1 other ancestor2004: 2 other ancestors2009: 1 other ancestor2005: 3 other ancestors2003: 2 other ancestors2007: 1 other ancestor2006: 3 other ancestors2002: 4 other ancestors2001: 4 other ancestors2000: 2 other ancestors2016: 3 descendants cleared2015: 1 descendant cleared2026: 4 descendants cleared2017: 5 descendants cleared2020: 7 descendants cleared2024: 2 descendants cleared2019: 2 descendants cleared2021: 2 descendants cleared2022: 1 descendant cleared2025: 2 descendants 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. · 2011K130387 · Orthoalign Plus System · Orthalign, Inc. · 20131995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 3 other ancestors3 generations back: 9 other ancestors4 generations back: 7 other ancestors5 generations back: 2 other ancestors 1 generation forward: 3 descendants2 generations forward: 3 descendants3 generations forward: 4 descendants4 generations forward: 5 descendants5 generations forward: 4 descendants6 generations forward: 7 descendants7 generations forward: 2 descendants8 generations forward: 1 descendant K130387 · Orthoalign Plus System · Orthalign, Inc. · 2013K103829 · 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 · 1999−10−50+5
  1. Root · 10 generations backK983831 VECTORVISION2Brainlab AG · 1999
  2. 6 generations between
  3. 3 generations backK093998 Kneealign System with Reference SensorOrthalign, Inc. · 2010
  4. 2 generations backK103829 Kneealign SystemOrthalign, Inc. · 2011
  5. 1 generation backK130387 Orthoalign Plus SystemOrthalign, Inc. · 2013
  6. This deviceK140331 Orthalign Plus SystemOrthalign, Inc. · 2014
  7. Descendant · cites it directly · 18 of its ownK153237 OrthAlign Plus SystemOrthalign, Inc. · 2016
  8. Descendant · 2 generations on · 15 of its ownK162962 OrthAlign Plus SystemOrthalign, Inc. · 2017
  9. Descendant · 3 generations on · 12 of its ownK171780 OrthAlign Plus SystemOrthalign, Inc. · 2017
  10. Descendant · cites it directly · 9 of its ownK150741 TSolution One w/ACG surgical SystemTHINK Surgical, Inc. · 2015
  11. Descendant · 4 generations on · 8 of its ownK172462 OrthAlign Plus SystemOrthalign, Inc. · 2017
Show all 10 generations
  1. Root · 10 generations backK983831 VECTORVISION2Brainlab AG · 1999
  2. 9 generations backK014256 Kolibri Igs SystemsBrainlab AG · 2002
  3. 8 generations backK031770 CI TKR/UkrBrainlab AG · 2003
  4. 7 generations backK041899 Vectorvision Uni-KneeBrainlab AG · 2004
  5. 6 generations backK052966 CI Knee, CI MI TKRBrainlab AG · 2006
  6. 5 generations backK073615 Brainlab Knee Essential, Brainlab Knee Unlimited CI Knee, CI Knee…Brainlab AG · 2008
  7. 4 generations backK091411 Kneealign SystemOrthalign, Inc. · 2009
  8. 3 generations backK093998 Kneealign System with Reference SensorOrthalign, Inc. · 2010
  9. 2 generations backK103829 Kneealign SystemOrthalign, Inc. · 2011
  10. 1 generation backK130387 Orthoalign Plus SystemOrthalign, Inc. · 2013
  11. This deviceK140331 Orthalign Plus SystemOrthalign, Inc. · 2014

Showing 5 of 29 descendants. See all descendants

Descendants cleared per year

2015: 12016: 32017: 52019: 22020: 72021: 22022: 12024: 22025: 22026: 4
2015high 7 (2020) · low 0 (2018)2026

Most influential descendants

Showing 5 of 29 · See all
  • K153237OrthAlign Plus SystemOrthalign, Inc. · 2016 · cites it directly18descendants
  • K162962OrthAlign Plus SystemOrthalign, Inc. · 2017 · 2 generations on15descendants
  • K171780OrthAlign Plus SystemOrthalign, Inc. · 2017 · 3 generations on12descendants
  • K150741TSolution One w/ACG surgical SystemTHINK Surgical, Inc. · 2015 · cites it directly9descendants
  • K172462OrthAlign Plus SystemOrthalign, Inc. · 2017 · 4 generations on8descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K983831VECTORVISION2Brainlab AG1999—
−9K014256Kolibri Igs SystemsBrainlab AG2002—
−8K031770CI TKR/UkrBrainlab AG2003—
−7K041899Vectorvision Uni-KneeBrainlab AG2004—
−6K052966CI Knee, CI MI TKRBrainlab AG2006—
−5K073615Brainlab Knee Essential, Brainlab Knee Unlimited CI Knee, CI Knee UnlimitedBrainlab AG2008—
−4K091411Kneealign SystemOrthalign, Inc.2009—
−3K093998Kneealign System with Reference SensorOrthalign, Inc.2010—
−2K103829Kneealign SystemOrthalign, Inc.2011—
−1K130387Orthoalign Plus SystemOrthalign, Inc.2013—
0 (this device)K140331Orthalign Plus SystemOrthalign, Inc.2014—
+1K153237OrthAlign Plus SystemOrthalign, Inc.2016—
+2K162962OrthAlign Plus SystemOrthalign, Inc.2017—
+3K171780OrthAlign Plus SystemOrthalign, Inc.2017—
+1K150741TSolution One w/ACG surgical SystemTHINK Surgical, Inc.2015—
+4K172462OrthAlign Plus SystemOrthalign, Inc.2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200020
200140
200240
200320
200420
200530
200630
200710
200910
201110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201510
201630
201750
201920
202070
202120
202210
202420
202520
202640
FIG. 1 — Lineage of K140331, 1999–2026Source: 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
Get a 510(k) Report

What was it cleared against? (3)

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
*K130387Orthoalign Plus System
Summary page 1
…Class 11, 21 CFR §882.4560 CLASSIFICATION PRODUCT CODES OLO: Orthopedic Stereotaxic Instrument PREDICATE OrthAlign Plus® System (K1 30387) DEVICES Navitrack System - S&N Image Free Hip (K04 1369) DASH Hip (K1 10021) SU…
Orthalign, Inc.2013—
*K041369Navitrack System - S&N Image Free Hip, Model Pro-03017
Summary page 1
…S OLO: Orthopedic Stereotaxic Instrument PREDICATE OrthAlign Plus® System (K1 30387) DEVICES Navitrack System - S&N Image Free Hip (K04 1369) DASH Hip (K1 10021) SUBMISSION TYPE Traditional 510(k), K 140331. The subject device is a…
Orthosoft, Inc.20041
*K110021Dash Hip
Summary page 1
…PREDICATE OrthAlign Plus® System (K1 30387) DEVICES Navitrack System - S&N Image Free Hip (K04 1369) DASH Hip (K1 10021) SUBMISSION TYPE Traditional 510(k), K 140331. The subject device is a modification to the pre…
Brainlab AG2011—

Also cleared against K130387: 1 other device →

What descends from it? (29)

See all 29

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

NumberDeviceApplicantDecidedDescendants
K153237OrthAlign Plus SystemOrthalign, Inc.201618
K150741TSolution One w/ACG surgical SystemTHINK Surgical, Inc.20159
K262253Lantern Knee Navigation Unit (406000-03);Lantern Hip Navigation Unit (502000-03)Orthalign, Inc.20260

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 15 years and passes through 2 companies; a new generation was cleared every 1.2 years on median.
  • 4 of the 33 ancestors have a recall of any class.
  • Of its descendants, K153237 (Orthalign, Inc., 2016) has gone furthest, with 18 descendants of its own.
  • 1 other device also cites its predicate K130387.

How does its category compare?

All OLO devices

OLO Orthopedic Stereotaxic Instrument: FDA decisions, review times, recalls and adverse event reports over 20 years. 2014, 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 OrthAlign Plus® System is a computer-controlled system intended to assist the surgeon in determining reference alignment axes in relation to anatomical and instrumentation structures during stereotactic orthopedic surgical procedures. The OrthAlign Plus® System facilitates the accurate positioning of implants, relative to these alignment axes. The system aids the surgeon in controlling leg length and offset discrepancies in Total Hip Arthroplasty…

Read the full statement (215 words)

The OrthAlign Plus® System is a computer-controlled system intended to assist the surgeon in determining reference alignment axes in relation to anatomical and instrumentation structures during stereotactic orthopedic surgical procedures. The OrthAlign Plus® System facilitates the accurate positioning of implants, relative to these alignment axes. The system aids the surgeon in controlling leg length and offset discrepancies in Total Hip Arthroplasty: Posterior.

Example orthopedic surgical procedures include but are not limited to:

* Total Knee Arthroplasty

* Total Hip Arthroplasty: Anterior/Posterior

The KneeAlign® 3 System is a computer-controlled system intended to assist the surgeon in determining reference alignment axes in relation to anatomical and instrumentation structures during stereotactic orthopedic surgical procedures. The KneeAlign® 3 System facilitates the accurate positioning of implants, relative to these alignment axes.

Example orthopedic surgical procedures include but are not limited to:

Total Knee Arthroplasty

The HipAlign® System is a computer-controlled system intended to assist the surgeon in determining reference alignment axes in relation to anatomical and instrumentation structures during stereotactic orthopedic surgical procedures. The HipAlign® System facilitates the accurate positioning of implants, relative to these alignment axes. The system aids the surgeon in controlling leg length and offset discrepancies in Total Hip Arthroplasty: Posterior.

Example orthopedic surgical procedures include but are not limited to:

Total Hip Arthroplasty: Anterior / Posterior

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K140331: Orthalign Plus System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K140331

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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