510(k) Report

510(k) · Cleared

Cleared

OrthAlign Plus System

K153237510(k) TraditionalCleared Mar 1, 2016113-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 Mar 1, 2016 as substantially equivalent to K140331 (Orthalign, Inc., 2014) and 1 other predicate after a 113-day review. Its family tree reaches back 11 generations to 1999. 18 later devices descend from it.

Decided
Mar 1, 2016
Review
113 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
2

Its longest line of descent runs back 11 generations to K983831 (1999). 39 ancestors in all. 18 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2015: 1 other ancestor2011: 1 other ancestor2009: 2 other ancestors2004: 2 other ancestors2008: 1 other ancestor2005: 3 other ancestors2003: 2 other ancestors2007: 1 other ancestor2006: 3 other ancestors2002: 5 other ancestors2001: 5 other ancestors2000: 2 other ancestors2017: 4 descendants cleared2020: 5 descendants cleared2024: 2 descendants cleared2026: 3 descendants cleared2021: 1 descendant 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. · 2013K140331 · Orthalign Plus System · Orthalign, Inc. · 20141995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 3 other ancestors3 generations back: 4 other ancestors4 generations back: 10 other ancestors5 generations back: 9 other ancestors6 generations back: 1 other ancestor 1 generation forward: 2 descendants2 generations forward: 3 descendants3 generations forward: 5 descendants4 generations forward: 3 descendants5 generations forward: 4 descendants6 generations forward: 1 descendant K140331 · Orthalign Plus System · Orthalign, Inc. · 2014K130387 · 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 · 11 generations backK983831 VECTORVISION2Brainlab AG · 1999
  2. 7 generations between
  3. 3 generations backK103829 Kneealign SystemOrthalign, Inc. · 2011
  4. 2 generations backK130387 Orthoalign Plus SystemOrthalign, Inc. · 2013
  5. 1 generation backK140331 Orthalign Plus SystemOrthalign, Inc. · 2014
  6. This deviceK153237 OrthAlign Plus SystemOrthalign, Inc. · 2016
  7. Descendant · cites it directly · 15 of its ownK162962 OrthAlign Plus SystemOrthalign, Inc. · 2017
  8. Descendant · 2 generations on · 12 of its ownK171780 OrthAlign Plus SystemOrthalign, Inc. · 2017
  9. Descendant · 3 generations on · 8 of its ownK172462 OrthAlign Plus SystemOrthalign, Inc. · 2017
  10. Descendant · 4 generations on · 3 of its ownK203115 ARVIS Surgical Navigation SystemInsight Medical Systems, Inc. · 2021 · Recalled
  11. Descendant · 2 generations on · 2 of its ownK200892 Harvey (R) Surgical AssistantOrthalign, Inc. · 2020 · Recalled
Show all 11 generations
  1. Root · 11 generations backK983831 VECTORVISION2Brainlab AG · 1999
  2. 10 generations backK014256 Kolibri Igs SystemsBrainlab AG · 2002
  3. 9 generations backK031770 CI TKR/UkrBrainlab AG · 2003
  4. 8 generations backK041899 Vectorvision Uni-KneeBrainlab AG · 2004
  5. 7 generations backK052966 CI Knee, CI MI TKRBrainlab AG · 2006
  6. 6 generations backK073615 Brainlab Knee Essential, Brainlab Knee Unlimited CI Knee, CI Knee…Brainlab AG · 2008
  7. 5 generations backK091411 Kneealign SystemOrthalign, Inc. · 2009
  8. 4 generations backK093998 Kneealign System with Reference SensorOrthalign, Inc. · 2010
  9. 3 generations backK103829 Kneealign SystemOrthalign, Inc. · 2011
  10. 2 generations backK130387 Orthoalign Plus SystemOrthalign, Inc. · 2013
  11. 1 generation backK140331 Orthalign Plus SystemOrthalign, Inc. · 2014
  12. This deviceK153237 OrthAlign Plus SystemOrthalign, Inc. · 2016

Showing 5 of 18 descendants. See all descendants

Descendants cleared per year

2017: 42020: 52021: 12022: 12024: 22025: 22026: 3
2017high 5 (2020) · low 0 (2018)2026

Most influential descendants

Showing 5 of 18 · See all
  • K162962OrthAlign Plus SystemOrthalign, Inc. · 2017 · cites it directly15descendants
  • K171780OrthAlign Plus SystemOrthalign, Inc. · 2017 · 2 generations on12descendants
  • K172462OrthAlign Plus SystemOrthalign, Inc. · 2017 · 3 generations on8descendants
  • K203115ARVIS Surgical Navigation SystemInsight Medical Systems, Inc. · 2021 · 4 generations on3descendants
  • K200892Harvey (R) Surgical AssistantOrthalign, Inc. · 2020 · 2 generations on2descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K983831VECTORVISION2Brainlab AG1999—
−10K014256Kolibri Igs SystemsBrainlab AG2002—
−9K031770CI TKR/UkrBrainlab AG2003—
−8K041899Vectorvision Uni-KneeBrainlab AG2004—
−7K052966CI Knee, CI MI TKRBrainlab AG2006—
−6K073615Brainlab Knee Essential, Brainlab Knee Unlimited CI Knee, CI Knee UnlimitedBrainlab AG2008—
−5K091411Kneealign SystemOrthalign, Inc.2009—
−4K093998Kneealign System with Reference SensorOrthalign, Inc.2010—
−3K103829Kneealign SystemOrthalign, Inc.2011—
−2K130387Orthoalign Plus SystemOrthalign, Inc.2013—
−1K140331Orthalign Plus SystemOrthalign, Inc.2014—
0 (this device)K153237OrthAlign Plus SystemOrthalign, Inc.2016—
+1K162962OrthAlign Plus SystemOrthalign, Inc.2017—
+2K171780OrthAlign Plus SystemOrthalign, Inc.2017—
+3K172462OrthAlign Plus SystemOrthalign, Inc.2017—
+4K203115ARVIS Surgical Navigation SystemInsight Medical Systems, Inc.20212
+2K200892Harvey (R) Surgical AssistantOrthalign, Inc.20202

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200020
200150
200250
200320
200420
200530
200630
200710
200810
200920
201110
201510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201740
202050
202110
202210
202420
202520
202630
FIG. 1 — Lineage of K153237, 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? (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
*K140331Orthalign Plus System
Summary page 4
…Class II, 21 CFR §882.4560 CLASSIFICATION PRODUCT CODES OLO: Orthopedic Stereotaxic Instrument PREDICATE OrthAlign Plus® System (K140331) DEVICES Aesculap OrthoPilot Next Generation (K141694) SUBMISSION TYPE Traditional 510(k). The subject…
Orthalign, Inc.2014—
*K141694Aesculap Orthopilot Next Generation
Summary page 4
…S OLO: Orthopedic Stereotaxic Instrument PREDICATE OrthAlign Plus® System (K140331) DEVICES Aesculap OrthoPilot Next Generation (K141694) SUBMISSION TYPE Traditional 510(k). The subject device is a modification to the previously cl…
Aesculap Implant Systems, LLC2015—

Also cleared against K140331: 2 other devices →

What descends from it? (18)

See all 18

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

NumberDeviceApplicantDecidedDescendants
K162962OrthAlign Plus SystemOrthalign, Inc.201715
K163379KneeAlign 2 SystemOrthalign, Inc.20171

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 17 years and passes through 2 companies; a new generation was cleared every 1.2 years on median.
  • 4 of the 39 ancestors have a recall of any class.
  • Of its descendants, K162962 (Orthalign, Inc., 2017) has gone furthest, with 15 descendants of its own.
  • 2 other devices also cite its predicate K140331.

How does its category compare?

All OLO devices

OLO Orthopedic Stereotaxic Instrument: FDA decisions, review times, recalls and adverse event reports over 20 years. 2016, 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: Posterior.

Example orthopedic surgical procedures include but are not limited to:

» Total Knee Arthroplasty

» Total Hip Arthroplasty: Anterior/Posterior

* Unicompartmental Knee Arthroplasty: Tibial transverse resection

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K153237: 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/K153237

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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