510(k) Report

510(k) · Cleared

Cleared

Universal Pilot Guidance Instrument System

K213491510(k) TraditionalCleared May 12, 2022192-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

Ctl Medical Corporation · OLO Orthopedic Stereotaxic Instrument

Cleared on May 12, 2022 as substantially equivalent to K172115 (Orthofix, Inc., 2018) and 1 other predicate after a 192-day review. Its family tree reaches back 17 generations to 2004. 1 of the 388 devices in its family, counting itself, has a Class I recall.

Decided
May 12, 2022
Review
192 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
2

Its longest line of descent runs back 17 generations to K040583 (2004). 387 ancestors in all, the oldest K781443 (1978). No later device cites it as a predicate yet. 1 of the 388 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2016: 1 other ancestor2017: 1 other ancestor2015: 2 other ancestors2014: 4 other ancestors2013: 3 other ancestors2012: 5 other ancestors2011: 10 other ancestors2007: 12 other ancestors, 1 with a Class I recall12005: 26 other ancestors2010: 10 other ancestors2008: 21 other ancestors2006: 20 other ancestors2004: 33 other ancestors2003: 25 other ancestors2002: 26 other ancestors2009: 6 other ancestors2001: 32 other ancestors2000: 26 other ancestors1999: 16 other ancestors1998: 21 other ancestors1997: 12 other ancestors1996: 12 other ancestors1994: 7 other ancestors1995: 15 other ancestors1988: 2 other ancestors1987: 1 other ancestor1992: 7 other ancestors1989: 1 other ancestor1986: 2 other ancestors1984: 2 other ancestors1978: 1 other ancestor1993: 3 other ancestors1985: 2 other ancestors1990: 3 other ancestors×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) K121630 · Range Spinal System · K2m, Inc. · 2012K130932 · Firebird Spinal Fixation System · Orthofix, Inc. · 2013 · recalledK151488 · Firebird Spinal Fixation System/Phoenix MIS Spinal Fixation System · Orthofix, Inc. · 2015 · recalledK153428 · Firebird Spinal Fixation System, Phoenix MIS Spinal Fixation System · Orthofix, Inc. · 2016 · recalledK172115 · Navigated Instrument System · Orthofix, Inc. · 201819801990200020102020
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 9 other ancestors, 1 with a Class I recall13 generations back: 18 other ancestors4 generations back: 61 other ancestors5 generations back: 83 other ancestors6 generations back: 77 other ancestors7 generations back: 57 other ancestors8 generations back: 32 other ancestors9 generations back: 24 other ancestors10 generations back: 6 other ancestors11 generations back: 2 other ancestors K172115 · Navigated Instrument System · Orthofix, Inc. · 2018K153428 · Firebird Spinal Fixation System, Phoenix MIS Spinal Fixation System · Orthofix, Inc. · 2016 · recalledK151488 · Firebird Spinal Fixation System/Phoenix MIS Spinal Fixation System · Orthofix, Inc. · 2015 · recalledK130932 · Firebird Spinal Fixation System · Orthofix, Inc. · 2013 · recalledK121630 · Range Spinal System · K2m, 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 · 17 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 13 generations between
  3. 3 generations backK151488 Firebird Spinal Fixation System/Phoenix MIS Spinal Fixation SystemOrthofix, Inc. · 2015 · Recalled
  4. 2 generations backK153428 Firebird Spinal Fixation System, Phoenix MIS Spinal Fixation SystemOrthofix, Inc. · 2016 · Recalled
  5. 1 generation backK172115 Navigated Instrument SystemOrthofix, Inc. · 2018
  6. This deviceK213491 Universal Pilot Guidance Instrument SystemCtl Medical Corporation · 2022
Show all 17 generations
  1. Root · 17 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 16 generations backK041118 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  3. 15 generations backK042025 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2004 · Recalled
  4. 14 generations backK043151 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  5. 13 generations backK050809 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005
  6. 12 generations backK052187 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  7. 11 generations backK053101 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2006
  8. 10 generations backK091442 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2009
  9. 9 generations backK091974 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2009 · Recalled
  10. 8 generations backK102555 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2010
  11. 7 generations backK112473 CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2011
  12. 6 generations backK113174 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011 · Recalled
  13. 5 generations backK121630 Range Spinal SystemK2m, Inc. · 2012
  14. 4 generations backK130932 Firebird Spinal Fixation SystemOrthofix, Inc. · 2013 · Recalled
  15. 3 generations backK151488 Firebird Spinal Fixation System/Phoenix MIS Spinal Fixation SystemOrthofix, Inc. · 2015 · Recalled
  16. 2 generations backK153428 Firebird Spinal Fixation System, Phoenix MIS Spinal Fixation SystemOrthofix, Inc. · 2016 · Recalled
  17. 1 generation backK172115 Navigated Instrument SystemOrthofix, Inc. · 2018
  18. This deviceK213491 Universal Pilot Guidance Instrument SystemCtl Medical Corporation · 2022

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−17K040583Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−16K041118Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−15K042025Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.20044
−14K043151Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−13K050809CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2005—
−12K052187Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−11K053101CD Horizon Spinal SystemMedtronic Sofamor Danek2006—
−10K091442CD Horizon Spinal SystemMedtronic Sofamor Danek2009—
−9K091974Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20091
−8K102555CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2010—
−7K112473CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.2011—
−6K113174CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20111
−5K121630Range Spinal SystemK2m, Inc.2012—
−4K130932Firebird Spinal Fixation SystemOrthofix, Inc.20131
−3K151488Firebird Spinal Fixation System/Phoenix MIS Spinal Fixation SystemOrthofix, Inc.20151
−2K153428Firebird Spinal Fixation System, Phoenix MIS Spinal Fixation SystemOrthofix, Inc.20161
−1K172115Navigated Instrument SystemOrthofix, Inc.2018—
0 (this device)K213491Universal Pilot Guidance Instrument SystemCtl Medical Corporation2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
198420
198520
198620
198710
198820
198910
199030
199270
199330
199470
1995150
1996120
1997120
1998210
1999160
2000260
2001320
2002260
2003250
2004330
2005260
2006200
2007121
2008210
200960
2010100
2011100
201250
201330
201440
201520
201610
201710
FIG. 1 — Lineage of K213491, 2004–2022Source: 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? (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
*K172115Navigated Instrument System
Summary page 4
…cation Name: OLO – Stereotaxic Instrument (21 CFR 882.4560) Predicate Device(s): Primary K172115 Navigated Instrument Orthofix System Inc.…
Orthofix, Inc.2018—
*K153442CD HORIZON Spinal System, Medtronic Navigated Manual Reusable Instruments for Use with…
Summary page 4
…Navigated Instrument Orthofix System Inc. K153442 Medtronic Navigated Medtronic Manual Reusable…
Medtronic Sofamor Danek USA, Inc.2016—

Also cleared against K172115: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

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

What does this lineage say?

  • The line of descent spans 18 years and passes through 6 companies; a new generation was cleared every 7 months on median.
  • 46 of the 387 ancestors have a recall of any class; 1 has a Class I recall.
  • 1 other device also cites its predicate K172115.

How does its category compare?

All OLO devices

OLO Orthopedic Stereotaxic Instrument: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, 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 CTL Amedica Navigation Instrument System is intended to be used during the preparation and placement of CTL Amedica screws during spinal surgery to assist the surgeon in precisely locating anatomical structures in either open or minimally invasive procedures. The CTL Amedica Navigation Instrument System is specifically 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 vertebra can be identified relative to a CT or MR based model, fluoroscopy images, or digitized landmarks for the anatomy.

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. “K213491: Universal Pilot Guidance Instrument System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K213491

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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