510(k) Report

510(k) · Cleared

Cleared

AQrate Robotic Assistance System

K182000510(k) TraditionalCleared Jan 29, 2019187-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

Globus Medical, Inc. · HAW Neurological Stereotaxic Instrument

Cleared on Jan 29, 2019 as substantially equivalent to K171651 (Globus Medical, Inc., 2017) and 1 other predicate after a 187-day review. Its family tree reaches back 19 generations to 2004. 1 of the 430 devices in its family, counting itself, has a Class I recall. 1 later device descends from it.

Decided
Jan 29, 2019
Review
187 days
Class
Class II
Product code
HAW
Recalls
None
Predicates
2

Its longest line of descent runs back 19 generations to K040583 (2004). 428 ancestors in all, the oldest K781443 (1978). 1 later device descends from it, 1 citing it directly. 1 of the 430 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2018: 1 other ancestor2017: 1 other ancestor2016: 1 other ancestor2015: 6 other ancestors2014: 5 other ancestors2013: 6 other ancestors2011: 13 other ancestors2012: 5 other ancestors2010: 14 other ancestors, 1 with a Class I recall12009: 15 other ancestors2008: 24 other ancestors2006: 23 other ancestors2005: 34 other ancestors2002: 22 other ancestors1999: 16 other ancestors1998: 17 other ancestors1996: 15 other ancestors2007: 13 other ancestors2004: 36 other ancestors2003: 21 other ancestors2001: 32 other ancestors2000: 26 other ancestors1993: 3 other ancestors1990: 2 other ancestors1997: 12 other ancestors1995: 15 other ancestors1979: 1 other ancestor1978: 1 other ancestor1994: 7 other ancestors1989: 5 other ancestors1987: 3 other ancestors1985: 2 other ancestors1981: 2 other ancestors1992: 3 other ancestors1988: 2 other ancestors1984: 2 other ancestors1991: 1 other ancestor1986: 2 other ancestors2024: 1 descendant clearedReference device: K133444 · Stealthstation S7 / I7 / Fusion Navigation Systems, Axiem Navigation System · Medtronic Navigation, Inc. · 2014 · recalled×7: 7 generations cleared close together, K040583 (2004), K041118 (2004), K042025 (2004), K043151 (2005), K050809 (2005), K052187 (2005), K053101 (2006) ×2: 2 generations cleared close together, K091442 (2009), K091974 (2009) K102555 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2010×2: 2 generations cleared close together, K112473 (2011), K113174 (2011) ×2: 2 generations cleared close together, K121680 (2012), K122862 (2012) K141605 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2014K143375 · CD HORIZON Spinal System, Medtronic Navigated Reusable Instruments · Medtronic Sofamor Danek USA, Inc. · 2015K153203 · Navigation Instruments · Globus Medical, Inc. · 2016K161591 · QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation Instruments · Globus Medical, Inc. · 2016K171651 · Excelsius GPS · Globus Medical, Inc. · 2017 · recalled19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 9 other ancestors3 generations back: 31 other ancestors4 generations back: 62 other ancestors, 1 with a Class I recall15 generations back: 109 other ancestors6 generations back: 82 other ancestors7 generations back: 61 other ancestors8 generations back: 26 other ancestors9 generations back: 16 other ancestors10 generations back: 8 other ancestors11 generations back: 2 other ancestors12 generations back: 2 other ancestors 1 generation forward: 1 descendant K171651 · Excelsius GPS · Globus Medical, Inc. · 2017 · recalledK161591 · QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation Instruments · Globus Medical, Inc. · 2016K153203 · Navigation Instruments · Globus Medical, Inc. · 2016K143375 · CD HORIZON Spinal System, Medtronic Navigated Reusable Instruments · Medtronic Sofamor Danek USA, Inc. · 2015K141605 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2014K122862 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2012K121680 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2012K113174 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2011 · recalledK112473 · CD Horizon Spinal System · Medtronic Sofamor Danek, Inc. · 2011K102555 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2010K091974 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2009 · recalledK091442 · CD Horizon Spinal System · Medtronic Sofamor Danek · 2009K053101 · CD Horizon Spinal System · Medtronic Sofamor Danek · 2006K052187 · Modification to: CD Horizon Spinal System · Medtronic Sofamor Danek · 2005K050809 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2005K043151 · Modification to: CD Horizon Spinal System · Medtronic Sofamor Danek · 2005K042025 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek, Inc. · 2004 · recalledK041118 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek · 2004K040583 · Modification to: CD Horizon Spinal System · Medtronic Sofamor Danek · 2004−15−10−50
  1. Root · 19 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 15 generations between
  3. 3 generations backK153203 Navigation InstrumentsGlobus Medical, Inc. · 2016
  4. 2 generations backK161591 QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation…Globus Medical, Inc. · 2016
  5. 1 generation backK171651 Excelsius GPSGlobus Medical, Inc. · 2017 · Recalled
  6. This deviceK182000 AQrate Robotic Assistance SystemGlobus Medical, Inc. · 2019
  7. Descendant · cites it directly · 0 of its ownK240721 ExcelsiusFlex™Globus Medical, Inc. · 2024
Show all 19 generations
  1. Root · 19 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 18 generations backK041118 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  3. 17 generations backK042025 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2004 · Recalled
  4. 16 generations backK043151 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  5. 15 generations backK050809 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005
  6. 14 generations backK052187 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  7. 13 generations backK053101 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2006
  8. 12 generations backK091442 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2009
  9. 11 generations backK091974 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2009 · Recalled
  10. 10 generations backK102555 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2010
  11. 9 generations backK112473 CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2011
  12. 8 generations backK113174 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011 · Recalled
  13. 7 generations backK121680 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2012
  14. 6 generations backK122862 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2012
  15. 5 generations backK141605 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2014
  16. 4 generations backK143375 CD HORIZON Spinal System, Medtronic Navigated Reusable InstrumentsMedtronic Sofamor Danek USA, Inc. · 2015
  17. 3 generations backK153203 Navigation InstrumentsGlobus Medical, Inc. · 2016
  18. 2 generations backK161591 QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation…Globus Medical, Inc. · 2016
  19. 1 generation backK171651 Excelsius GPSGlobus Medical, Inc. · 2017 · Recalled
  20. This deviceK182000 AQrate Robotic Assistance SystemGlobus Medical, Inc. · 2019

Class I recalls in this family

Most influential descendants

Showing 1 of 1 · See all
  • K240721ExcelsiusFlex™Globus Medical, Inc. · 2024 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−19K040583Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−18K041118Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−17K042025Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.20044
−16K043151Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−15K050809CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2005—
−14K052187Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−13K053101CD Horizon Spinal SystemMedtronic Sofamor Danek2006—
−12K091442CD Horizon Spinal SystemMedtronic Sofamor Danek2009—
−11K091974Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20091
−10K102555CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2010—
−9K112473CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.2011—
−8K113174CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20111
−7K121680CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2012—
−6K122862CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2012—
−5K141605CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2014—
−4K143375CD HORIZON Spinal System, Medtronic Navigated Reusable InstrumentsMedtronic Sofamor Danek USA, Inc.2015—
−3K153203Navigation InstrumentsGlobus Medical, Inc.2016—
−2K161591QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation InstrumentsGlobus Medical, Inc.2016—
−1K171651Excelsius GPSGlobus Medical, Inc.20171
0 (this device)K182000AQrate Robotic Assistance SystemGlobus Medical, Inc.2019—
+1K240721ExcelsiusFlex™Globus Medical, Inc.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
197910
198120
198420
198520
198620
198730
198820
198950
199020
199110
199230
199330
199470
1995150
1996150
1997120
1998170
1999160
2000260
2001320
2002220
2003210
2004360
2005340
2006230
2007130
2008240
2009150
2010141
2011130
201250
201360
201450
201560
201610
201710
201810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
FIG. 1 — Lineage of K182000, 2004–2024Source: 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 HAW device

  1. #1 K253856 Geniant Cranial (Navigated Neurosurgical…score 15.0 · 11 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
*K171651Excelsius GPS
Summary page 4
…§882.4560 Stereotaxic instrument Product Code(s): OLO Regulatory Class: II Primary Predicate: ExcelsiusGPS™ (K171651) Additional Predicate: Globus Navigation Instruments (K180690) Reference: Medtronic StealthStation (K133444)…
Globus Medical, Inc.20171
*K180690Navigation Instruments
Summary page 4
…Product Code(s): OLO Regulatory Class: II Primary Predicate: ExcelsiusGPS™ (K171651) Additional Predicate: Globus Navigation Instruments (K180690) Reference: Medtronic StealthStation (K133444) Purpose: The purpose of this submission is to request clearance of the…
Globus Medical, Inc.2018—
†K133444Stealthstation S7 / I7 / Fusion Navigation Systems, Axiem Navigation SystemMedtronic Navigation, Inc.20141

Also cleared against K171651: 27 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
K240721ExcelsiusFlex™Globus Medical, Inc.20240

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.

  • K100952Modification to Synthes Matrix SystemSynthes Spine · 2010 · 4 generations back · ◆ in the 2010 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 15 years and passes through 4 companies; a new generation was cleared every 7 months on median.
  • 59 of the 428 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K240721 (Globus Medical, Inc., 2024) has gone furthest, with 0 descendants of its own.
  • 27 other devices also cite its predicate K171651.

How does its category compare?

All HAW devices

HAW Neurological Stereotaxic Instrument: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, this device’s year, is highlighted.

FDA decisions per year · HAW

9in 2025

2007: 152008: 122009: 82010: 62011: 42012: 82013: 32014: 52015: 102016: 92017: 72018: 62019: 102020: 52021: 92022: 72023: 142024: 72025: 92026 (partial year): 5
2007high 15 (2007) · low 3 (2013)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HAW

163in 2025

2007: 107 days median2008: 112 days median2009: 221 days median2010: 138 days median2011: 66 days median2012: 178 days median2013: 172 days median2014: 238 days median2015: 232 days median2016: 175 days median2017: 226 days median2018: 112 days median2019: 147 days median2020: 88 days median2021: 168 days median2022: 128 days median2023: 142 days median2024: 107 days median2025: 163 days median2026 (partial year): 162 days median
2007high 238 (2014) · low 66 (2011)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · HAW

2in 2025

2007: 22008: 102009: 62010: 282011: 52012: 42013: 6, 1 Class I2014: 52015: 32016: 52017: 22018: 2, 2 Class I2019: 4, 1 Class I2020: 12021: 4, 2 Class I2022: 12023: 4, 1 Class I2024: 2, 2 Class I2025: 22026 (partial year): 6
2007high 28 (2010) · low 1 (2020)2026

Class I (9 since 2007) Class II/III not classified

Adverse event reports per year · HAW

3,425in 2025

2007: 492008: 532009: 962010: 2992011: 1,7252012: 9862013: 1,2902014: 1,6062015: 1,7672016: 1,8282017: 3,5052018: 4,4392019: 6,0622020: 3,4802021: 2,8272022: 1,9292023: 2,5102024: 3,7552025: 3,425
2007high 6,062 (2019) · low 49 (2007)2025

MAUDE reports naming product code HAW, 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
200715107249
2008121121053
20098221696
2010613828299
201146651,725
201281784986
201331726 (1)1,290
2014523851,606
20151023231,767
2016917551,828
2017722623,505
201861122 (2)4,439
2019101474 (1)6,062
202058813,480
202191684 (2)2,827
2022712811,929
2023141424 (1)2,510
202471072 (2)3,755
2025916323,425
202651626—

What is it indicated for?

The AQrate™ Robotic Assistance System is intended to be used for spatial positioning and orientation of an instrument holder or instrument guide to be used by surgeons to guide instruments during surgery in either open or percutaneous procedures. The instruments and instrument guides are designed for use with the Medtronic StealthStation® System, which is indicated for any medical condition in which the use of stereotactic surgery may be appropriate, and…

Read the full statement (115 words)

The AQrate™ Robotic Assistance System is intended to be used for spatial positioning and orientation of an instrument holder or instrument guide to be used by surgeons to guide instruments during surgery in either open or percutaneous procedures. The instruments and instrument guides are designed for use with the Medtronic StealthStation® System, which is indicated for any medical condition in which the use of stereotactic surgery may be appropriate, and where reference to a rigid anatomical structure, such as a skull, a long bone, or vertebra, can be identified relative to a CT or MR based model, fluoroscopy images, or digitized landmarks of the anatomy. The system is indicated for the placement of spinal screws.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K182000: AQrate Robotic Assistance System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K182000

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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