510(k) Report

510(k) · Cleared

Cleared

Aesculap (R) Implant Systems (AIS) S4 Navigation Instruments

K153700510(k) TraditionalCleared Jul 8, 2016198-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

Aesculap Implant Systems, LLC · OLO Orthopedic Stereotaxic Instrument

Cleared on Jul 8, 2016 as substantially equivalent to K130887 (Aesculap Implant System, Inc., 2013) after a 198-day review. Its family tree reaches back 12 generations to 1985. 1 of the 48 devices in its family, counting itself, has a Class I recall.

Decided
Jul 8, 2016
Review
198 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
1

Its longest line of descent runs back 12 generations to K853033 (1985). 47 ancestors in all. No later device cites it as a predicate yet. 1 of the 48 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2011: 1 other ancestor2009: 2 other ancestors2007: 3 other ancestors, 1 with a Class I recall12006: 3 other ancestors2005: 2 other ancestors2003: 2 other ancestors2002: 5 other ancestors2001: 6 other ancestors2004: 3 other ancestors2000: 2 other ancestors1999: 5 other ancestors1998: 1 other ancestorReference device: K070106 · VV Fluoro 3D · Brainlab AG · 2007 · Class I recallReference device: K053159 · Vectorvision Spine · Brainlab AG · 2006 · recalledReference device: K042721 · Kolibri Spine · Brainlab AG · 2005Reference device: K062358 · Modification to Vectorvision Trauma · Brainlab AG · 2007Reference device: K083310 · Spine & Trauma Ict · Brainlab AG · 2009Reference device: K110204 · Brainlab Trauma · Brainlab AG · 2011K853033 · Hartshill Rect & Wires, Spinal Fixation System · A.W. Showell (Surgicraft), Ltd. · 1985K965221 · Ransford Cervical Fixation System · Surgicraft, Ltd. · 1997K982322 · Synthes Spine Occipital-Cervical Plate/Rod and Hook System · Synthes (Usa) · 1998K002733 · Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2000K013222 · Summit Occipito-Cervico- Thoracic (Oct) Spinal System · Depuyacromed · 2001K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K041203 · Summit Oct Spinal System · Depuy Spine, Inc. · 2004K050979 · S4 Spinal System · Aesculap, Inc. · 2005K060152 · Modification to S4 Spinal System · Aesculap, Inc. · 2006K062327 · Modification to S4 Spinal System · Aesculap, Inc. · 2007K130887 · S4C Navigation Instruments · Aesculap Implant System, Inc. · 20131985199019952000200520102015
  1. Root · 12 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 8 generations between
  3. 3 generations backK060152 Modification to S4 Spinal SystemAesculap, Inc. · 2006
  4. 2 generations backK062327 Modification to S4 Spinal SystemAesculap, Inc. · 2007
  5. 1 generation backK130887 S4C Navigation InstrumentsAesculap Implant System, Inc. · 2013
  6. This deviceK153700 Aesculap (R) Implant Systems (AIS) S4 Navigation InstrumentsAesculap Implant Systems, LLC · 2016
Show all 12 generations
  1. Root · 12 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 11 generations backK965221 Ransford Cervical Fixation SystemSurgicraft, Ltd. · 1997
  3. 10 generations backK982322 Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa) · 1998
  4. 9 generations backK002733 Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2000
  5. 8 generations backK013222 Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed · 2001
  6. 7 generations backK022190 Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2002
  7. 6 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
  8. 5 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
  9. 4 generations backK050979 S4 Spinal SystemAesculap, Inc. · 2005
  10. 3 generations backK060152 Modification to S4 Spinal SystemAesculap, Inc. · 2006
  11. 2 generations backK062327 Modification to S4 Spinal SystemAesculap, Inc. · 2007
  12. 1 generation backK130887 S4C Navigation InstrumentsAesculap Implant System, Inc. · 2013
  13. This deviceK153700 Aesculap (R) Implant Systems (AIS) S4 Navigation InstrumentsAesculap Implant Systems, LLC · 2016

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K853033Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd.1985—
−11K965221Ransford Cervical Fixation SystemSurgicraft, Ltd.1997—
−10K982322Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa)1998—
−9K002733Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2000—
−8K013222Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed2001—
−7K022190Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2002—
−6K030103Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed2003—
−5K041203Summit Oct Spinal SystemDepuy Spine, Inc.2004—
−4K050979S4 Spinal SystemAesculap, Inc.2005—
−3K060152Modification to S4 Spinal SystemAesculap, Inc.2006—
−2K062327Modification to S4 Spinal SystemAesculap, Inc.2007—
−1K130887S4C Navigation InstrumentsAesculap Implant System, Inc.2013—
0 (this device)K153700Aesculap (R) Implant Systems (AIS) S4 Navigation InstrumentsAesculap Implant Systems, LLC2016—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199810
199950
200020
200160
200250
200320
200430
200520
200630
200731
200920
201110
FIG. 1 — Lineage of K153700, 1985–2016Source: 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.

1 device in this family has a Class I recall. 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? (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
*K130887S4C Navigation Instruments
Summary page 5
…or effectiveness issues were raised by the performance testing. Clinical data was not needed for the additional AIS S4 Navigation Instruments. PREDICATE DEVICES • K130887 – AIS S4 Cervical Navigation Instruments (Primary) Reference Predicates: • K070106 – BrainLAB VectorVision Fluro3D / Sp…
Aesculap Implant System, Inc.2013—
†K070106VV Fluoro 3DBrainlab AG2007Class I
†K053159Vectorvision SpineBrainlab AG20061
†K042721Kolibri SpineBrainlab AG2005—
†K062358Modification to Vectorvision TraumaBrainlab AG2007—
†K083310Spine & Trauma IctBrainlab AG2009—
†K110204Brainlab TraumaBrainlab AG2011—

Also cleared against K130887: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K070106VV Fluoro 3DBrainlab AG · 2007 · 2 generations back · ◆ in the 2007 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 31 years and passes through 8 companies; a new generation was cleared every 1.3 years on median.
  • 5 of the 47 ancestors have a recall of any class; 1 has a Class I recall.
  • 1 other device also cites its predicate K130887.

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 AIS S4 Navigation Instruments are intended to assist the surgeon in precisely locating anatomical structures in either open, minimally invasive, or percutancous procedures. They are indicated for use in surgical spinal procedures, in which the use of stereotactic surgery may be appropriate, and where reference to a rigid anatomical structure, such as the pelvis or a vertebrae can be identified relative to the acquired image (CT, MR, 2D fluoroscopic image or 3D fluoroscopic image reconstruction) and/or an image data based model of the anatomy. These procedures include but are not limited to spinal fusion during the navigation of polyaxial screws (T1-T3).

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. “K153700: Aesculap (R) Implant Systems (AIS) S4 Navigation Instruments.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K153700

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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