510(k) Report

510(k) · Cleared

Cleared

KneeAlign 2 System

K163379510(k) TraditionalCleared Mar 2, 201791-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 2, 2017 as substantially equivalent to K103829 (Orthalign, Inc., 2011) and 1 other predicate after a 91-day review. Its family tree reaches back 12 generations to 1999. 1 later device descends from it.

Decided
Mar 2, 2017
Review
91 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
2

Its longest line of descent runs back 12 generations to K983831 (1999). 40 ancestors in all. 1 later device descends from it, 1 citing it directly.

  1. Root · 12 generations backK983831 VECTORVISION2Brainlab AG · 1999
  2. 8 generations between
  3. 3 generations backK130387 Orthoalign Plus SystemOrthalign, Inc. · 2013
  4. 2 generations backK140331 Orthalign Plus SystemOrthalign, Inc. · 2014
  5. 1 generation backK153237 OrthAlign Plus SystemOrthalign, Inc. · 2016
  6. This deviceK163379 KneeAlign 2 SystemOrthalign, Inc. · 2017
  7. Descendant · cites it directly · 0 of its ownK192653 PerseusOrthokey Italia S.R.L. · 2020
Show all 12 generations
  1. Root · 12 generations backK983831 VECTORVISION2Brainlab AG · 1999
  2. 11 generations backK014256 Kolibri Igs SystemsBrainlab AG · 2002
  3. 10 generations backK031770 CI TKR/UkrBrainlab AG · 2003
  4. 9 generations backK041899 Vectorvision Uni-KneeBrainlab AG · 2004
  5. 8 generations backK052966 CI Knee, CI MI TKRBrainlab AG · 2006
  6. 7 generations backK073615 Brainlab Knee Essential, Brainlab Knee Unlimited CI Knee, CI Knee…Brainlab AG · 2008
  7. 6 generations backK091411 Kneealign SystemOrthalign, Inc. · 2009
  8. 5 generations backK093998 Kneealign System with Reference SensorOrthalign, Inc. · 2010
  9. 4 generations backK103829 Kneealign SystemOrthalign, Inc. · 2011
  10. 3 generations backK130387 Orthoalign Plus SystemOrthalign, Inc. · 2013
  11. 2 generations backK140331 Orthalign Plus SystemOrthalign, Inc. · 2014
  12. 1 generation backK153237 OrthAlign Plus SystemOrthalign, Inc. · 2016
  13. This deviceK163379 KneeAlign 2 SystemOrthalign, Inc. · 2017

Most influential descendants

Showing 1 of 1 · See all
  • K192653PerseusOrthokey Italia S.R.L. · 2020 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K983831VECTORVISION2Brainlab AG1999—
−11K014256Kolibri Igs SystemsBrainlab AG2002—
−10K031770CI TKR/UkrBrainlab AG2003—
−9K041899Vectorvision Uni-KneeBrainlab AG2004—
−8K052966CI Knee, CI MI TKRBrainlab AG2006—
−7K073615Brainlab Knee Essential, Brainlab Knee Unlimited CI Knee, CI Knee UnlimitedBrainlab AG2008—
−6K091411Kneealign SystemOrthalign, Inc.2009—
−5K093998Kneealign System with Reference SensorOrthalign, Inc.2010—
−4K103829Kneealign SystemOrthalign, Inc.2011—
−3K130387Orthoalign Plus SystemOrthalign, Inc.2013—
−2K140331Orthalign Plus SystemOrthalign, Inc.2014—
−1K153237OrthAlign Plus SystemOrthalign, Inc.2016—
0 (this device)K163379KneeAlign 2 SystemOrthalign, Inc.2017—
+1K192653PerseusOrthokey Italia S.R.L.2020—

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
202010
FIG. 1 — Lineage of K163379, 1999–2020Source: 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
*K103829Kneealign System
Summary page 4
…PRODUCT CODES OLO: Orthopedic Stereotaxic Instrument PREDICATE OrthAlign Plus® System (K153237) DEVICES KneeAlign® 2 System (K103829) SUBMISSION TYPE Traditional 510(k). The subject device is a modification to the previously cl…
Orthalign, Inc.2011—
*K153237OrthAlign Plus System
Summary page 4
…Class II, 21 CFR §882.4560 CLASSIFICATION PRODUCT CODES OLO: Orthopedic Stereotaxic Instrument PREDICATE OrthAlign Plus® System (K153237) DEVICES KneeAlign® 2 System (K103829) SUBMISSION TYPE Traditional 510(k). The subject device is a mod…
Orthalign, Inc.2016—

Also cleared against K103829: 3 other devices →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K192653PerseusOrthokey Italia S.R.L.20200

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 18 years and passes through 2 companies; a new generation was cleared every 1.2 years on median.
  • 4 of the 40 ancestors have a recall of any class.
  • Of its descendants, K192653 (Orthokey Italia S.R.L., 2020) has gone furthest, with 0 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. 2017, 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 KneeAlign® system is a computer-controlled system intended to assist the surgeon in determining reference alignment axes in relation to anatomical structures during stereotactic orthopedic surgical procedures. The KneeAlign system facilitates the accurate positioning of implants and instrumentation, relative to these alignment axes.

Orthopedic surgical procedures include but are not limited to:

* Total Knee Arthroplasty

* 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. “K163379: KneeAlign 2 System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K163379

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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