510(k) Report

510(k) · Cleared

Cleared

ROSA Knee System

K182964510(k) TraditionalCleared Jan 24, 201991-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

Orthosoft Inc (D/B/A Zimmer Cas) · OLO Orthopedic Stereotaxic Instrument

Cleared on Jan 24, 2019 as substantially equivalent to K151511 (Medtech S.A, 2016) and 1 other predicate after a 91-day review. Its family tree reaches back 13 generations to 1991. 29 later devices descend from it.

Decided
Jan 24, 2019
Review
91 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
2

Its longest line of descent runs back 13 generations to K905070 (1991). 58 ancestors in all, the oldest K811452 (1981). 29 later devices descend from it, 8 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2016: 1 other ancestor2014: 1 other ancestor2010: 1 other ancestor2009: 1 other ancestor2005: 6 other ancestors2004: 5 other ancestors2000: 4 other ancestors1999: 3 other ancestors2006: 4 other ancestors2001: 3 other ancestors1997: 2 other ancestors1987: 1 other ancestor1981: 1 other ancestor2003: 2 other ancestors2002: 4 other ancestors2007: 1 other ancestor1996: 2 other ancestors1986: 1 other ancestor1995: 1 other ancestor1994: 1 other ancestor2022: 4 descendants cleared2021: 2 descendants cleared2023: 7 descendants cleared2026: 4 descendants cleared2024: 5 descendants cleared2025: 7 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 · recalled×2: 2 generations cleared close together, K170581 (2017), K172219 (2017) 19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors3 generations back: 5 other ancestors4 generations back: 4 other ancestors5 generations back: 6 other ancestors6 generations back: 4 other ancestors7 generations back: 7 other ancestors8 generations back: 9 other ancestors9 generations back: 4 other ancestors10 generations back: 3 other ancestors 1 generation forward: 8 descendants2 generations forward: 6 descendants3 generations forward: 3 descendants4 generations forward: 4 descendants5 generations forward: 2 descendants6 generations forward: 1 descendant7 generations forward: 1 descendant8 generations forward: 1 descendant9 generations forward: 1 descendant10 generations forward: 1 descendant11 generations forward: 1 descendant K172219 · Mako Total Knee Application · Mako Surgical Corp. · 2017K170581 · 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 · 13 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 9 generations between
  3. 3 generations backK143752 Total Knee Application (TKA)Mako Surgical Corp. · 2015 · Recalled
  4. 2 generations backK170581 Mako Total Knee ApplicationMako Surgical Corp. · 2017 · Recalled
  5. 1 generation backK172219 Mako Total Knee ApplicationMako Surgical Corp. · 2017
  6. This deviceK182964 ROSA Knee SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2019
  7. Descendant · cites it directly · 10 of its ownK230202 TMINI™ Miniature Robotic SystemTHINK Surgical, Inc. · 2023 · Recalled
  8. Descendant · 2 generations on · 9 of its ownK232802 TMINI™ Miniature Robotic SystemTHINK Surgical, Inc. · 2023
  9. Descendant · 3 generations on · 8 of its ownK241031 TMINI Miniature Robotic System (TMINI 1.1)THINK Surgical, Inc. · 2024
  10. Descendant · cites it directly · 8 of its ownK221928 ROSA® Knee SystemOrthosoft D/B/A Zimmer Cas · 2022
  11. Descendant · 4 generations on · 7 of its ownK242264 TMINI Miniature Robotic SystemTHINK Surgical, Inc. · 2024
Show all 13 generations
  1. Root · 13 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 12 generations backK961168 ViewpointPhilips Medical Systems (Cleveland), Inc. · 1996
  3. 11 generations backK963221 Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc. · 1997
  4. 10 generations backK970604 Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc. · 1997
  5. 9 generations backK984298 Z Kat Flurotactic Guidance System MkiZ-Kat, Inc. · 1999
  6. 8 generations backK013025 Modification to Flourolab PlusZ-Kat, Inc. · 2001
  7. 7 generations backK031337 Acumen Surgical Navigation SystemBiomet, Inc. · 2003
  8. 6 generations backK072806 Mako Surgical Tactile Guidance System (TGS)Mako Surgical Corp. · 2008 · Recalled
  9. 5 generations backK081867 Mako Surgical Tactile Guidance System Version 2.0Mako Surgical Corp. · 2008 · Recalled
  10. 4 generations backK112507 Restoris Partial Knee Application (Pka), Rio Standard SystemMako Surgical Corporation · 2012 · Recalled
  11. 3 generations backK143752 Total Knee Application (TKA)Mako Surgical Corp. · 2015 · Recalled
  12. 2 generations backK170581 Mako Total Knee ApplicationMako Surgical Corp. · 2017 · Recalled
  13. 1 generation backK172219 Mako Total Knee ApplicationMako Surgical Corp. · 2017
  14. This deviceK182964 ROSA Knee SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2019

Showing 5 of 29 descendants. See all descendants

Descendants cleared per year

2021: 22022: 42023: 72024: 52025: 72026: 4
2021high 7 (2023) · low 2 (2021)2026

Most influential descendants

Showing 5 of 29 · See all
  • K230202TMINI™ Miniature Robotic SystemTHINK Surgical, Inc. · 2023 · cites it directly10descendants
  • K232802TMINI™ Miniature Robotic SystemTHINK Surgical, Inc. · 2023 · 2 generations on9descendants
  • K241031TMINI Miniature Robotic System (TMINI 1.1)THINK Surgical, Inc. · 2024 · 3 generations on8descendants
  • K221928ROSA® Knee SystemOrthosoft D/B/A Zimmer Cas · 2022 · cites it directly8descendants
  • K242264TMINI Miniature Robotic SystemTHINK Surgical, Inc. · 2024 · 4 generations on7descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K905070VistarPhilips Medical Systems (Cleveland), Inc.1991—
−12K961168ViewpointPhilips Medical Systems (Cleveland), Inc.1996—
−11K963221Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc.1997—
−10K970604Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc.1997—
−9K984298Z Kat Flurotactic Guidance System MkiZ-Kat, Inc.1999—
−8K013025Modification to Flourolab PlusZ-Kat, Inc.2001—
−7K031337Acumen Surgical Navigation SystemBiomet, Inc.2003—
−6K072806Mako Surgical Tactile Guidance System (TGS)Mako Surgical Corp.20081
−5K081867Mako Surgical Tactile Guidance System Version 2.0Mako Surgical Corp.20082
−4K112507Restoris Partial Knee Application (Pka), Rio Standard SystemMako Surgical Corporation20126
−3K143752Total Knee Application (TKA)Mako Surgical Corp.20152
−2K170581Mako Total Knee ApplicationMako Surgical Corp.20171
−1K172219Mako Total Knee ApplicationMako Surgical Corp.2017—
0 (this device)K182964ROSA Knee SystemOrthosoft Inc (D/B/A Zimmer Cas)2019—
+1K230202TMINI™ Miniature Robotic SystemTHINK Surgical, Inc.20231
+2K232802TMINI™ Miniature Robotic SystemTHINK Surgical, Inc.2023—
+3K241031TMINI Miniature Robotic System (TMINI 1.1)THINK Surgical, Inc.2024—
+1K221928ROSA® Knee SystemOrthosoft D/B/A Zimmer Cas2022—
+4K242264TMINI Miniature Robotic SystemTHINK Surgical, Inc.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198610
198710
199410
199510
199620
199720
199930
200040
200130
200240
200320
200450
200560
200640
200710
200910
201010
201410
201610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202120
202240
202370
202450
202570
202640
FIG. 1 — Lineage of K182964, 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
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
*K151511ROSA Spine
Summary page 4
…882.4560) Predicate Device(s): Manufacturer Device Name 510(k) Number Medtech S.A. ROSA Spine K151511 MAKO Surgical Mako Total Knee K172219 Corp. Application Purpose and Device Descrip…
Medtech S.A20163
*K172219Mako Total Knee Application
Summary page 4
…Manufacturer Device Name 510(k) Number Medtech S.A. ROSA Spine K151511 MAKO Surgical Mako Total Knee K172219 Corp. Application Purpose and Device Description: The ROSA® Knee System is used t…
Mako Surgical Corp.2017—

Also cleared against K151511: 3 other devices →

What descends from it? (29)

See all 29

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

NumberDeviceApplicantDecidedDescendants
K230202TMINI™ Miniature Robotic SystemTHINK Surgical, Inc.202310
K221928ROSA® Knee SystemOrthosoft D/B/A Zimmer Cas20228
K220733OptiVu ROSA MxROrthosoft Inc (D/B/A Zimmer Cas)20221
K210998ROSA Hip SystemOrthosoft D/B/A Zimmer Cas20211
K210121ROSA Partial Knee SystemOrthosoft D/B/A Zimmer Cas20211
K252058ROSA Knee System with UltraSound Imaging Platform (USIP)Balmoral Medical, LLC20260
K213873SkyWalker Total Knee SystemMicroport Navibot International, LLC20220
K213708ROSA® Knee SystemOrthosoft Inc (D/B/A Zimmer Cas)20220

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 28 years and passes through 6 companies; a new generation was cleared every 1.9 years on median.
  • 17 of the 58 ancestors have a recall of any class.
  • Of its descendants, K230202 (THINK Surgical, Inc., 2023) has gone furthest, with 10 descendants of its own.
  • 3 other devices also cite its predicate K151511.

How does its category compare?

All OLO devices

OLO Orthopedic 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 · 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 ROSA® Knee System is indicated as a stereotaxic instrumentation system for total knee replacement (TKA) surgery. It is to assist the surgeon in providing software-defined spatial boundaries for orientation and reference information to identifiable anatomical structures for the accurate placement of knee implant components. The robotic arm placement is performed relative to anatomical landmarks as recorded using the system intraoperatively, and based…

Read the full statement (165 words)

The ROSA® Knee System is indicated as a stereotaxic instrumentation system for total knee replacement (TKA) surgery.

It is to assist the surgeon in providing software-defined spatial boundaries for orientation and reference information to identifiable anatomical structures for the accurate placement of knee implant components.

The robotic arm placement is performed relative to anatomical landmarks as recorded using the system intraoperatively, and based on a surgical plan, optionally determined pre-operatively using compatible X-ray or MRI based surgical planning tools.

It includes a robotic arm, an optical sensor navigation system and accessories, software system, surgical instruments and accessories.

The targeted population has the same characteristics as the population that is suitable for the implants compatible with the ROSA® Knee System. The ROSA® Knee System is to be used with the following fixed bearing knee replacement systems in accordance with their indications and contraindications:

NexGen® CR, NexGen CR-Flex, NexGen CR-Flex Gender, NexGen LPS, NexGen LPS-Flex, NexGen LPS-Flex Gender, Persona® CR, Persona PS, Vanguard® CR, and Vanguard PS.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K182964: ROSA Knee System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K182964

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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