510(k) Report

510(k) · Cleared

Cleared

ATEC Alignment App

K211987510(k) TraditionalCleared Oct 29, 2021123-day reviewClass II21 CFR 892.2050

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Alphatec Spine, Inc. · LLZ System, Image Processing, Radiological

Cleared on Oct 29, 2021 as substantially equivalent to K141669 (Nemaris, Inc., 2014) and 1 other predicate after a 123-day review. Its family tree reaches back 13 generations to 1984. 2 later devices descend from it.

Decided
Oct 29, 2021
Review
123 days
Class
Class II
Product code
LLZ
Recalls
None
Predicates
2

Its longest line of descent runs back 13 generations to K842956 (1984). 87 ancestors in all. 2 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2014: 1 other ancestor2011: 2 other ancestors2008: 1 other ancestor2007: 1 other ancestor2004: 2 other ancestors2005: 5 other ancestors2003: 3 other ancestors2002: 8 other ancestors2001: 6 other ancestors2000: 3 other ancestors1994: 5 other ancestors2009: 1 other ancestor1999: 4 other ancestors1998: 3 other ancestors2012: 1 other ancestor1992: 4 other ancestors1991: 3 other ancestors1988: 1 other ancestor2006: 1 other ancestor1997: 3 other ancestors1996: 4 other ancestors1995: 4 other ancestors1993: 2 other ancestors1990: 4 other ancestors1985: 1 other ancestor1987: 1 other ancestor2024: 1 descendant cleared2026: 1 descendant clearedK842956 · Nicolet Viking · Nicolet Biomedical Instruments · 1984K971819 · Epoch 2000 Neurological Workstation · Axon Systems, Inc. · 1997K022785 · Epoch XP Neurological Workstation; Epoch XP Lite Neurological Workstation · Axon Systems, Inc. · 2002K032741 · Epochxp Neurological Workstation,Epochxp Lite Neurological Workstation · Axon Systems, Inc. · 2003K050798 · Eclipse Neurological Workstation · Axon Systems, Inc. · 2005K061113 · Orthomon · Axon Systems, Inc. · 2006K112718 · Nuvasive NVM5 System · Nuvasive, Inc. · 2012K123307 · Nuvasive NVM5 System · Nuvasive, Inc. · 2013K132694 · Nuvasive NVM5 System · Nu Vasive, Incorporated · 2014×2: 2 generations cleared close together, K141968 (2014), K143641 (2015) K152942 · NuVasiveNVM5 System · Nu Vasive, Incorporated · 2016K162647 · NuVasive NuvaLine Mobile App · Nu Vasive, Incorporated · 201719801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors3 generations back: 2 other ancestors4 generations back: 4 other ancestors5 generations back: 5 other ancestors6 generations back: 6 other ancestors7 generations back: 10 other ancestors8 generations back: 9 other ancestors9 generations back: 11 other ancestors10 generations back: 16 other ancestors11 generations back: 5 other ancestors13 generations back: 3 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant K162647 · NuVasive NuvaLine Mobile App · Nu Vasive, Incorporated · 2017K152942 · NuVasiveNVM5 System · Nu Vasive, Incorporated · 2016K143641 · NuVasive NVM5 System · Nu Vasive, Incorporated · 2015 · recalledK141968 · Nuvasive NVM5 System · Nuvasive, Inc. · 2014K132694 · Nuvasive NVM5 System · Nu Vasive, Incorporated · 2014K123307 · Nuvasive NVM5 System · Nuvasive, Inc. · 2013K112718 · Nuvasive NVM5 System · Nuvasive, Inc. · 2012K061113 · Orthomon · Axon Systems, Inc. · 2006K050798 · Eclipse Neurological Workstation · Axon Systems, Inc. · 2005K032741 · Epochxp Neurological Workstation,Epochxp Lite Neurological Workstation · Axon Systems, Inc. · 2003K022785 · Epoch XP Neurological Workstation; Epoch XP Lite Neurological Workstation · Axon Systems, Inc. · 2002K971819 · Epoch 2000 Neurological Workstation · Axon Systems, Inc. · 1997K842956 · Nicolet Viking · Nicolet Biomedical Instruments · 1984−10−50
  1. Root · 13 generations backK842956 Nicolet VikingNicolet Biomedical Instruments · 1984
  2. 9 generations between
  3. 3 generations backK143641 NuVasive NVM5 SystemNu Vasive, Incorporated · 2015 · Recalled
  4. 2 generations backK152942 NuVasiveNVM5 SystemNu Vasive, Incorporated · 2016
  5. 1 generation backK162647 NuVasive NuvaLine Mobile AppNu Vasive, Incorporated · 2017
  6. This deviceK211987 ATEC Alignment AppAlphatec Spine, Inc. · 2021
  7. Descendant · cites it directly · 1 of its ownK240199 IntraOp Alignment SystemAlphatec Spine, Inc. · 2024
  8. Descendant · 2 generations on · 0 of its ownK253216 IntraOp Alignment System; CONTOUR3D Bending SystemAlphatec Spine, Inc. · 2026
Show all 13 generations
  1. Root · 13 generations backK842956 Nicolet VikingNicolet Biomedical Instruments · 1984
  2. 12 generations backK971819 Epoch 2000 Neurological WorkstationAxon Systems, Inc. · 1997
  3. 11 generations backK022785 Epoch XP Neurological Workstation; Epoch XP Lite Neurological…Axon Systems, Inc. · 2002
  4. 10 generations backK032741 Epochxp Neurological Workstation,Epochxp Lite Neurological WorkstationAxon Systems, Inc. · 2003
  5. 9 generations backK050798 Eclipse Neurological WorkstationAxon Systems, Inc. · 2005
  6. 8 generations backK061113 OrthomonAxon Systems, Inc. · 2006
  7. 7 generations backK112718 Nuvasive NVM5 SystemNuvasive, Inc. · 2012
  8. 6 generations backK123307 Nuvasive NVM5 SystemNuvasive, Inc. · 2013
  9. 5 generations backK132694 Nuvasive NVM5 SystemNu Vasive, Incorporated · 2014
  10. 4 generations backK141968 Nuvasive NVM5 SystemNuvasive, Inc. · 2014
  11. 3 generations backK143641 NuVasive NVM5 SystemNu Vasive, Incorporated · 2015 · Recalled
  12. 2 generations backK152942 NuVasiveNVM5 SystemNu Vasive, Incorporated · 2016
  13. 1 generation backK162647 NuVasive NuvaLine Mobile AppNu Vasive, Incorporated · 2017
  14. This deviceK211987 ATEC Alignment AppAlphatec Spine, Inc. · 2021

Most influential descendants

Showing 2 of 2 · See all
  • K240199IntraOp Alignment SystemAlphatec Spine, Inc. · 2024 · cites it directly1descendant
  • K253216IntraOp Alignment System; CONTOUR3D Bending SystemAlphatec Spine, Inc. · 2026 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K842956Nicolet VikingNicolet Biomedical Instruments1984—
−12K971819Epoch 2000 Neurological WorkstationAxon Systems, Inc.1997—
−11K022785Epoch XP Neurological Workstation; Epoch XP Lite Neurological WorkstationAxon Systems, Inc.2002—
−10K032741Epochxp Neurological Workstation,Epochxp Lite Neurological WorkstationAxon Systems, Inc.2003—
−9K050798Eclipse Neurological WorkstationAxon Systems, Inc.2005—
−8K061113OrthomonAxon Systems, Inc.2006—
−7K112718Nuvasive NVM5 SystemNuvasive, Inc.2012—
−6K123307Nuvasive NVM5 SystemNuvasive, Inc.2013—
−5K132694Nuvasive NVM5 SystemNu Vasive, Incorporated2014—
−4K141968Nuvasive NVM5 SystemNuvasive, Inc.2014—
−3K143641NuVasive NVM5 SystemNu Vasive, Incorporated20151
−2K152942NuVasiveNVM5 SystemNu Vasive, Incorporated2016—
−1K162647NuVasive NuvaLine Mobile AppNu Vasive, Incorporated2017—
0 (this device)K211987ATEC Alignment AppAlphatec Spine, Inc.2021—
+1K240199IntraOp Alignment SystemAlphatec Spine, Inc.2024—
+2K253216IntraOp Alignment System; CONTOUR3D Bending SystemAlphatec Spine, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198510
198710
198810
199040
199130
199240
199320
199450
199540
199640
199730
199830
199940
200030
200160
200280
200330
200420
200550
200610
200710
200810
200910
201120
201210
201410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
202610
FIG. 1 — Lineage of K211987, 1984–2026Source: 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 LLZ? 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 LLZ device

  1. #1 K230955 syngo Application Softwarescore 21.5 · 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
*K141669Surgimap
Summary page 4
…LY MARKETED PREDICATE DEVICES 510(k) Product Code Trade Name Manufacturer Primary Predicate Device K141669 LLZ Surgimap 2.0 Nemaris, Inc. Additional Predicate Device K1…
Nemaris, Inc.2014—
*K162647NuVasive NuvaLine Mobile App
Summary page 4
…Primary Predicate Device K141669 LLZ Surgimap 2.0 Nemaris, Inc. Additional Predicate Device K162647 LLZ NuVasive NuvaLine Mobile App NuVasive, Inc. IV. DEVICE DESCRIPTION The ATEC A…
Nu Vasive, Incorporated2017—

Also cleared against K141669: 10 other devices →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K240199IntraOp Alignment SystemAlphatec Spine, Inc.20241

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 37 years and passes through 5 companies; a new generation was cleared every 1.2 years on median.
  • 13 of the 87 ancestors have a recall of any class.
  • Of its descendants, K240199 (Alphatec Spine, Inc., 2024) has gone furthest, with 1 descendant of its own.
  • 10 other devices also cite its predicate K141669.

How does its category compare?

All LLZ devices

LLZ System, Image Processing, Radiological: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, this device’s year, is highlighted.

FDA decisions per year · LLZ

58in 2025

2007: 762008: 942009: 702010: 512011: 1062012: 822013: 952014: 782015: 642016: 822017: 782018: 1042019: 742020: 812021: 832022: 652023: 872024: 622025: 582026 (partial year): 45
2007high 106 (2011) · low 51 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · LLZ

173in 2025

2007: 36 days median2008: 52 days median2009: 62 days median2010: 98 days median2011: 79 days median2012: 87 days median2013: 84 days median2014: 89 days median2015: 90 days median2016: 90 days median2017: 107 days median2018: 105 days median2019: 107 days median2020: 115 days median2021: 116 days median2022: 137 days median2023: 157 days median2024: 131 days median2025: 173 days median2026 (partial year): 110 days median
2007high 173 (2025) · low 36 (2007)2026

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

Recalls per year · LLZ

11in 2025

2007: 202008: 322009: 212010: 172011: 302012: 122013: 642014: 62015: 162016: 122017: 52018: 72019: 22020: 62021: 32022: 42023: 82024: 62025: 112026 (partial year): 14
2007high 64 (2013) · low 2 (2019)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · LLZ

116in 2025

2007: 1522008: 1542009: 1452010: 1452011: 4542012: 2662013: 1,1302014: 15,6312015: 2112016: 2902017: 1042018: 722019: 882020: 822021: 702022: 282023: 262024: 422025: 116
2007high 15,631 (2014) · low 26 (2023)2025

MAUDE reports naming product code LLZ, 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
2007763620152
2008945232154
2009706221145
2010519817145
20111067930454
2012828712266
20139584641,130
20147889615,631
2015649016211
2016829012290
2017781075104
2018104105772
201974107288
202081115682
202183116370
202265137428
202387157826
202462131642
20255817311116
20264511014—

What is it indicated for?

The ATEC Alignment App assists healthcare professionals in viewing, measuring, and storing images as well as planning orthopedic surgeries. The app allows the healthcare professional to perform generic and specialty measurements of the images, and to plan surgical procedures. The app includes tools for measuring anatomical components for implant selection, and offers the possibility to share data among ATEC Alignment App users. The app is for planning use only and is not intended for primary diagnostic use.

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. “K211987: ATEC Alignment App.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K211987

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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