510(k) Report

510(k) · Cleared

Cleared

Brainlab Compatible K2M Navigation Instruments

K192911510(k) SpecialCleared Nov 14, 201930-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

K2m, Inc. · OLO Orthopedic Stereotaxic Instrument

Cleared on Nov 14, 2019 as substantially equivalent to K181890 (K2m, 2018) after a 30-day review. Its family tree reaches back 13 generations to 1985. 1 of the 59 devices in its family, counting itself, has a Class I recall. 9 later devices descend from it.

Decided
Nov 14, 2019
Review
30 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
1

Its longest line of descent runs back 13 generations to K853033 (1985). 49 ancestors in all. 9 later devices descend from it, 1 citing it directly. 1 of the 59 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2018: 1 other ancestor2009: 2 other ancestors2011: 1 other ancestor2007: 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 ancestor2021: 1 descendant cleared2024: 3 descendants cleared2026: 4 descendants cleared2025: 1 descendant clearedK853033 · 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. · 2013K181890 · Brainlab Compatible K2M Navigation Instruments · K2m · 20181990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 2 other ancestors3 generations back: 5 other ancestors, 1 with a Class I recall14 generations back: 5 other ancestors5 generations back: 12 other ancestors6 generations back: 7 other ancestors7 generations back: 5 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant3 generations forward: 4 descendants4 generations forward: 3 descendants K181890 · Brainlab Compatible K2M Navigation Instruments · K2m · 2018K130887 · S4C Navigation Instruments · Aesculap Implant System, Inc. · 2013K062327 · Modification to S4 Spinal System · Aesculap, Inc. · 2007K060152 · Modification to S4 Spinal System · Aesculap, Inc. · 2006K050979 · S4 Spinal System · Aesculap, Inc. · 2005K041203 · Summit Oct Spinal System · Depuy Spine, Inc. · 2004K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K013222 · Summit Occipito-Cervico- Thoracic (Oct) Spinal System · Depuyacromed · 2001K002733 · Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2000K982322 · Synthes Spine Occipital-Cervical Plate/Rod and Hook System · Synthes (Usa) · 1998K965221 · Ransford Cervical Fixation System · Surgicraft, Ltd. · 1997K853033 · Hartshill Rect & Wires, Spinal Fixation System · A.W. Showell (Surgicraft), Ltd. · 1985−10−50
  1. Root · 13 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 9 generations between
  3. 3 generations backK062327 Modification to S4 Spinal SystemAesculap, Inc. · 2007
  4. 2 generations backK130887 S4C Navigation InstrumentsAesculap Implant System, Inc. · 2013
  5. 1 generation backK181890 Brainlab Compatible K2M Navigation InstrumentsK2m · 2018
  6. This deviceK192911 Brainlab Compatible K2M Navigation InstrumentsK2m, Inc. · 2019
  7. Descendant · cites it directly · 8 of its ownK203205 Navigated Spine InstrumentsStryker Spine · 2021
  8. Descendant · 2 generations on · 7 of its ownK240662 Spine Guidance Software (version 5.0); Xia 3/ Serrato Q Instruments…Stryker Leibinger GmbH & Co KG · 2024
  9. Descendant · 3 generations on · 4 of its ownK241171 Spine Guidance Software (Version 5.1); Consolidated Operating Room…Stryker Leibinger GmbH & Co KG · 2024
  10. Descendant · 4 generations on · 2 of its ownK241517 Q Guidance System; Mako Spine System;Stryker Leibinger GmbH & Co KG · 2024
  11. Descendant · 3 generations on · 1 of its ownK252871 Spine Guidance 5.3 Software; Q Interbody Instruments; Elite Q…Stryker Leibinger GmbH & Co KG · 2026
Show all 13 generations
  1. Root · 13 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 12 generations backK965221 Ransford Cervical Fixation SystemSurgicraft, Ltd. · 1997
  3. 11 generations backK982322 Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa) · 1998
  4. 10 generations backK002733 Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2000
  5. 9 generations backK013222 Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed · 2001
  6. 8 generations backK022190 Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2002
  7. 7 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
  8. 6 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
  9. 5 generations backK050979 S4 Spinal SystemAesculap, Inc. · 2005
  10. 4 generations backK060152 Modification to S4 Spinal SystemAesculap, Inc. · 2006
  11. 3 generations backK062327 Modification to S4 Spinal SystemAesculap, Inc. · 2007
  12. 2 generations backK130887 S4C Navigation InstrumentsAesculap Implant System, Inc. · 2013
  13. 1 generation backK181890 Brainlab Compatible K2M Navigation InstrumentsK2m · 2018
  14. This deviceK192911 Brainlab Compatible K2M Navigation InstrumentsK2m, Inc. · 2019

Showing 5 of 9 descendants. See all descendants

Descendants cleared per year

2021: 12024: 32025: 12026: 4
2021high 4 (2026) · low 0 (2022)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 9 · See all
  • K203205Navigated Spine InstrumentsStryker Spine · 2021 · cites it directly8descendants
  • K240662Spine Guidance Software (version 5.0); Xia 3/ Serrato Q Instruments; Everest Q…Stryker Leibinger GmbH & Co KG · 2024 · 2 generations on7descendants
  • K241171Spine Guidance Software (Version 5.1); Consolidated Operating Room Equipment (CORE) 2…Stryker Leibinger GmbH & Co KG · 2024 · 3 generations on4descendants
  • K241517Q Guidance System; Mako Spine System;Stryker Leibinger GmbH & Co KG · 2024 · 4 generations on2descendants
  • K252871Spine Guidance 5.3 Software; Q Interbody Instruments; Elite Q Attachments; Elite Cutting…Stryker Leibinger GmbH & Co KG · 2026 · 3 generations on1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K853033Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd.1985—
−12K965221Ransford Cervical Fixation SystemSurgicraft, Ltd.1997—
−11K982322Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa)1998—
−10K002733Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2000—
−9K013222Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed2001—
−8K022190Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2002—
−7K030103Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed2003—
−6K041203Summit Oct Spinal SystemDepuy Spine, Inc.2004—
−5K050979S4 Spinal SystemAesculap, Inc.2005—
−4K060152Modification to S4 Spinal SystemAesculap, Inc.2006—
−3K062327Modification to S4 Spinal SystemAesculap, Inc.2007—
−2K130887S4C Navigation InstrumentsAesculap Implant System, Inc.2013—
−1K181890Brainlab Compatible K2M Navigation InstrumentsK2m2018—
0 (this device)K192911Brainlab Compatible K2M Navigation InstrumentsK2m, Inc.2019—
+1K203205Navigated Spine InstrumentsStryker Spine2021—
+2K240662Spine Guidance Software (version 5.0); Xia 3/ Serrato Q Instruments; Everest Q…Stryker Leibinger GmbH & Co KG2024—
+3K241171Spine Guidance Software (Version 5.1); Consolidated Operating Room Equipment…Stryker Leibinger GmbH & Co KG2024—
+4K241517Q Guidance System; Mako Spine System;Stryker Leibinger GmbH & Co KG2024—
+3K252871Spine Guidance 5.3 Software; Q Interbody Instruments; Elite Q Attachments…Stryker Leibinger GmbH & Co KG2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199810
199950
200020
200160
200250
200320
200430
200520
200630
200731
200920
201110
201810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202110
202430
202510
202640
FIG. 1 — Lineage of K192911, 1985–2026Source: 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.

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
*K181890Brainlab Compatible K2M Navigation Instruments
Summary page 4
…Number: 21 CFR 882.4560 Product Code: OLO Predicate Device: Primary Predicate: Brainlab Compatible K2M Navigation Instruments (K181890) Device Description: Brainlab Compatible K2M Navigation Instruments are manual surgical instruments…
K2m2018—

Also cleared against K181890: 1 other device →

What descends from it? (9)

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

NumberDeviceApplicantDecidedDescendants
K203205Navigated Spine InstrumentsStryker Spine20218

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 · 3 generations back · ◆ in the 2007 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 34 years and passes through 9 companies; a new generation was cleared every 1.1 years on median.
  • 5 of the 49 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K203205 (Stryker Spine, 2021) has gone furthest, with 8 descendants of its own.
  • 1 other device also cites its predicate K181890.

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?

Brainlab Compatible K2M Navigation Instruments are intended to be used in the preparation and placement of K2M pedicle screws (DENALI, MESA, EVEREST, YUKON) during spinal surgery to assist the surgeon in precisely locating anatomical structures in either open or minimally invasive procedures. These instruments are designed for use with the Brainlab Navigation system, which is indicated for any medical condition in which the use of stereotactic surgery…

Read the full statement (120 words)

Brainlab Compatible K2M Navigation Instruments are intended to be used in the preparation and placement of K2M pedicle screws (DENALI, MESA, EVEREST, YUKON) during spinal surgery to assist the surgeon in precisely locating anatomical structures in either open or minimally invasive procedures. These instruments are designed for use with the Brainlab Navigation 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 Brainlab Compatible K2M Navigation Instruments are not intended for navigation of occipital screws.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K192911: Brainlab Compatible K2M 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/K192911

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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