510(k) Report

510(k) · Cleared

Cleared

Mako Total Knee Application

K172219510(k) TraditionalCleared Sep 21, 201759-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

Mako Surgical Corp. · OLO Orthopedic Stereotaxic Instrument

Cleared on Sep 21, 2017 as substantially equivalent to K170581 (Mako Surgical Corp., 2017) after a 59-day review. Its family tree reaches back 12 generations to 1991. 37 later devices descend from it.

Decided
Sep 21, 2017
Review
59 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
1

Its longest line of descent runs back 12 generations to K905070 (1991). 41 ancestors in all, the oldest K861692 (1986). 37 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2005: 4 other ancestors2004: 2 other ancestors2007: 1 other ancestor2006: 3 other ancestors2002: 4 other ancestors2003: 1 other ancestor2000: 3 other ancestors1999: 2 other ancestors1997: 1 other ancestor1996: 2 other ancestors2001: 3 other ancestors1986: 1 other ancestor1995: 1 other ancestor1994: 1 other ancestor2019: 2 descendants cleared2022: 5 descendants cleared2021: 2 descendants cleared2023: 7 descendants cleared2026: 5 descendants cleared2020: 2 descendants cleared2025: 8 descendants cleared2024: 6 descendants clearedK905070 · Vistar · Philips Medical Systems (Cleveland), Inc. · 1991K961168 · Viewpoint · Philips Medical Systems (Cleveland), Inc. · 1996×2: 2 generations cleared close together, K963221 (1997), K970604 (1997) K984298 · Z Kat Flurotactic Guidance System Mki · Z-Kat, Inc. · 1999K013025 · Modification to Flourolab Plus · Z-Kat, Inc. · 2001K031337 · Acumen Surgical Navigation System · Biomet, Inc. · 2003K072806 · Mako Surgical Tactile Guidance System (TGS) · Mako Surgical Corp. · 2008 · recalledK081867 · Mako Surgical Tactile Guidance System Version 2.0 · Mako Surgical Corp. · 2008 · recalledK112507 · Restoris Partial Knee Application (Pka), Rio Standard System · Mako Surgical Corporation · 2012 · recalledK143752 · Total Knee Application (TKA) · Mako Surgical Corp. · 2015 · recalledK170581 · Mako Total Knee Application · Mako Surgical Corp. · 2017 · recalled1990200020102020
Other ancestors, by generationDescendants, by generation 5 generations back: 2 other ancestors6 generations back: 5 other ancestors7 generations back: 9 other ancestors8 generations back: 6 other ancestors9 generations back: 7 other ancestors 1 generation forward: 2 descendants2 generations forward: 10 descendants3 generations forward: 9 descendants4 generations forward: 4 descendants5 generations forward: 4 descendants6 generations forward: 2 descendants7 generations forward: 1 descendant8 generations forward: 1 descendant9 generations forward: 1 descendant10 generations forward: 1 descendant11 generations forward: 1 descendant12 generations forward: 1 descendant K170581 · Mako Total Knee Application · Mako Surgical Corp. · 2017 · recalledK143752 · Total Knee Application (TKA) · Mako Surgical Corp. · 2015 · recalledK112507 · Restoris Partial Knee Application (Pka), Rio Standard System · Mako Surgical Corporation · 2012 · recalledK081867 · Mako Surgical Tactile Guidance System Version 2.0 · Mako Surgical Corp. · 2008 · recalledK072806 · Mako Surgical Tactile Guidance System (TGS) · Mako Surgical Corp. · 2008 · recalledK031337 · Acumen Surgical Navigation System · Biomet, Inc. · 2003K013025 · Modification to Flourolab Plus · Z-Kat, Inc. · 2001K984298 · Z Kat Flurotactic Guidance System Mki · Z-Kat, Inc. · 1999K970604 · Viewpoint - 3.0 Software · Philips Medical Systems (Cleveland), Inc. · 1997K963221 · Optical Digitizer Option for View Point · Philips Medical Systems (Cleveland), Inc. · 1997K961168 · Viewpoint · Philips Medical Systems (Cleveland), Inc. · 1996K905070 · Vistar · Philips Medical Systems (Cleveland), Inc. · 1991−10−50+5+10
  1. Root · 12 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 8 generations between
  3. 3 generations backK112507 Restoris Partial Knee Application (Pka), Rio Standard SystemMako Surgical Corporation · 2012 · Recalled
  4. 2 generations backK143752 Total Knee Application (TKA)Mako Surgical Corp. · 2015 · Recalled
  5. 1 generation backK170581 Mako Total Knee ApplicationMako Surgical Corp. · 2017 · Recalled
  6. This deviceK172219 Mako Total Knee ApplicationMako Surgical Corp. · 2017
  7. Descendant · cites it directly · 29 of its ownK182964 ROSA Knee SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2019
  8. Descendant · 2 generations on · 10 of its ownK230202 TMINI™ Miniature Robotic SystemTHINK Surgical, Inc. · 2023 · Recalled
  9. Descendant · 3 generations on · 9 of its ownK232802 TMINI™ Miniature Robotic SystemTHINK Surgical, Inc. · 2023
  10. Descendant · 4 generations on · 8 of its ownK241031 TMINI Miniature Robotic System (TMINI 1.1)THINK Surgical, Inc. · 2024
  11. Descendant · 2 generations on · 8 of its ownK221928 ROSA® Knee SystemOrthosoft D/B/A Zimmer Cas · 2022
Show all 12 generations
  1. Root · 12 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 11 generations backK961168 ViewpointPhilips Medical Systems (Cleveland), Inc. · 1996
  3. 10 generations backK963221 Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc. · 1997
  4. 9 generations backK970604 Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc. · 1997
  5. 8 generations backK984298 Z Kat Flurotactic Guidance System MkiZ-Kat, Inc. · 1999
  6. 7 generations backK013025 Modification to Flourolab PlusZ-Kat, Inc. · 2001
  7. 6 generations backK031337 Acumen Surgical Navigation SystemBiomet, Inc. · 2003
  8. 5 generations backK072806 Mako Surgical Tactile Guidance System (TGS)Mako Surgical Corp. · 2008 · Recalled
  9. 4 generations backK081867 Mako Surgical Tactile Guidance System Version 2.0Mako Surgical Corp. · 2008 · Recalled
  10. 3 generations backK112507 Restoris Partial Knee Application (Pka), Rio Standard SystemMako Surgical Corporation · 2012 · Recalled
  11. 2 generations backK143752 Total Knee Application (TKA)Mako Surgical Corp. · 2015 · Recalled
  12. 1 generation backK170581 Mako Total Knee ApplicationMako Surgical Corp. · 2017 · Recalled
  13. This deviceK172219 Mako Total Knee ApplicationMako Surgical Corp. · 2017

Showing 5 of 37 descendants. See all descendants

Descendants cleared per year

2019: 22020: 22021: 22022: 52023: 72024: 62025: 82026: 5
2019high 8 (2025) · low 2 (2019)2026

Most influential descendants

Showing 5 of 37 · See all
  • K182964ROSA Knee SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2019 · cites it directly29descendants
  • K230202TMINI™ Miniature Robotic SystemTHINK Surgical, Inc. · 2023 · 2 generations on10descendants
  • K232802TMINI™ Miniature Robotic SystemTHINK Surgical, Inc. · 2023 · 3 generations on9descendants
  • K241031TMINI Miniature Robotic System (TMINI 1.1)THINK Surgical, Inc. · 2024 · 4 generations on8descendants
  • K221928ROSA® Knee SystemOrthosoft D/B/A Zimmer Cas · 2022 · 2 generations on8descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K905070VistarPhilips Medical Systems (Cleveland), Inc.1991—
−11K961168ViewpointPhilips Medical Systems (Cleveland), Inc.1996—
−10K963221Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc.1997—
−9K970604Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc.1997—
−8K984298Z Kat Flurotactic Guidance System MkiZ-Kat, Inc.1999—
−7K013025Modification to Flourolab PlusZ-Kat, Inc.2001—
−6K031337Acumen Surgical Navigation SystemBiomet, Inc.2003—
−5K072806Mako Surgical Tactile Guidance System (TGS)Mako Surgical Corp.20081
−4K081867Mako Surgical Tactile Guidance System Version 2.0Mako Surgical Corp.20082
−3K112507Restoris Partial Knee Application (Pka), Rio Standard SystemMako Surgical Corporation20126
−2K143752Total Knee Application (TKA)Mako Surgical Corp.20152
−1K170581Mako Total Knee ApplicationMako Surgical Corp.20171
0 (this device)K172219Mako Total Knee ApplicationMako Surgical Corp.2017—
+1K182964ROSA Knee SystemOrthosoft Inc (D/B/A Zimmer Cas)2019—
+2K230202TMINI™ Miniature Robotic SystemTHINK Surgical, Inc.20231
+3K232802TMINI™ Miniature Robotic SystemTHINK Surgical, Inc.2023—
+4K241031TMINI Miniature Robotic System (TMINI 1.1)THINK Surgical, Inc.2024—
+2K221928ROSA® Knee SystemOrthosoft D/B/A Zimmer Cas2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198610
199410
199510
199620
199710
199920
200030
200130
200240
200310
200420
200540
200630
200710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201920
202020
202120
202250
202370
202460
202580
202650
FIG. 1 — Lineage of K172219, 1991–2026Source: 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
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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
*K170581Mako Total Knee Application
Summary page 4
…de: OLO Substantial Equivalence Claimed To: The Mako Total Knee Application is substantially equivalent to the Mako Total Knee Application cleared via K170581. Device Modification: The following changes have been made to the Mako Total Knee Application:  Compatible implants - Add…
Mako Surgical Corp.20171

What descends from it? (37)

See all 37

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

NumberDeviceApplicantDecidedDescendants
K182964ROSA Knee SystemOrthosoft Inc (D/B/A Zimmer Cas)201929
K191998Mako Total Hip Application, Mako Total Knee ApplicationMako Surgical Corp.20196

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 26 years and passes through 5 companies; a new generation was cleared every 2.1 years on median.
  • 11 of the 41 ancestors have a recall of any class.
  • Of its descendants, K182964 (Orthosoft Inc (D/B/A Zimmer Cas), 2019) has gone furthest, with 29 descendants of its own.

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 Mako System is intended to assist the surgeon in providing software defined spatial boundaries for orientation and reference information to anatomical structures during orthopedic procedures. The Mako System is indicated for use in surgical knee procedures in which the use of stereotactic surgery may be appropriate, and where reference to rigid anatomical bony structures can be identified relative to a CT based model of the anatomy. These procedures…

Read the full statement (107 words)

The Mako System is intended to assist the surgeon in providing software defined spatial boundaries for orientation and reference information to anatomical structures during orthopedic procedures.

The Mako System is indicated for use in surgical knee procedures in which the use of stereotactic surgery may be appropriate, and where reference to rigid anatomical bony structures can be identified relative to a CT based model of the anatomy. These procedures include:

• Total Knee Arthroplasty (TKA)

The implant systems compatible with the system:

• Triathlon Total Knee System (CR/CS/PS cemented and cementless primary)

• Triathlon Total Knee System (TS inserts cemented primary)

• Kinetis Total Knee System (CR/UC)

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K172219: Mako Total Knee Application.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K172219

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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