510(k) Report

510(k) · Cleared

Recalled · Class II · 2026

Mako Total Knee Application

K220459510(k) TraditionalCleared Apr 15, 202257-day reviewClass II21 CFR 882.4560Recalls 7

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

Mako Surgical Corp. · OLO Orthopedic Stereotaxic Instrument

Cleared on Apr 15, 2022 after a 57-day review. FDA has not posted a summary or statement for it, so its predicates are not known. 6 later devices descend from it. It has been recalled 7 times.

Decided
Apr 15, 2022
Review
57 days
Class
Class II
Product code
OLO
Recalls
7
Predicates
0

6 later devices descend from it, 1 citing it directly.

Descendants, by year cleared 2024: 2 descendants cleared2025: 1 descendant cleared2026: 3 descendants cleared2020202220242026
  1. This deviceK220459 Mako Total Knee ApplicationMako Surgical Corp. · 2022
  2. Descendant · cites it directly · 5 of its ownK241011 Mako Total Knee ApplicationMako Surgical Corp. · 2024 · Recalled
  3. Descendant · 2 generations on · 2 of its ownK241517 Q Guidance System; Mako Spine System;Stryker Leibinger GmbH & Co KG · 2024
  4. Descendant · 3 generations on · 1 of its ownK252871 Spine Guidance 5.3 Software; Q Interbody Instruments; Elite Q…Stryker Leibinger GmbH & Co KG · 2026
  5. Descendant · 2 generations on · 1 of its ownK250608 Mako Total Knee Application (3.0); Hybrid Tip PointerMako Surgical Corp. · 2025
  6. Descendant · 3 generations on · 0 of its ownK260222 Mako Total Knee ApplicationMako Surgical Corp. · 2026

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2024: 22025: 12026: 3
2024high 3 (2026) · low 1 (2025)2026

Most influential descendants

Showing 5 of 6 · See all
  • K241011Mako Total Knee ApplicationMako Surgical Corp. · 2024 · cites it directly5descendants
  • K241517Q Guidance System; Mako Spine System;Stryker Leibinger GmbH & Co KG · 2024 · 2 generations on2descendants
  • K252871Spine Guidance 5.3 Software; Q Interbody Instruments; Elite Q Attachments; Elite Cutting…Stryker Leibinger GmbH & Co KG · 2026 · 3 generations on1descendant
  • K250608Mako Total Knee Application (3.0); Hybrid Tip PointerMako Surgical Corp. · 2025 · 2 generations on1descendant
  • K260222Mako Total Knee ApplicationMako Surgical Corp. · 2026 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K220459Mako Total Knee ApplicationMako Surgical Corp.2022—
+1K241011Mako Total Knee ApplicationMako Surgical Corp.20241
+2K241517Q 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—
+2K250608Mako Total Knee Application (3.0); Hybrid Tip PointerMako Surgical Corp.2025—
+3K260222Mako Total Knee ApplicationMako Surgical Corp.2026—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202420
202510
202630
FIG. 1 — Lineage of K220459, 2022–2026Source: 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), 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
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What was it cleared against?

FDA has not posted a summary or statement for it, so its predicates are not known.

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K241011Mako Total Knee ApplicationMako Surgical Corp.20245

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Feb 2, 2026Class IIZ-1572-2026Under Investigation by firmA potential issue was identified with the torque strength on the external screws of the MICS3 Angled Sagittal Saw Attachment. These screws, which secure the cover to the Angled Saw Housing, may loosen during use and detach from the…
Apr 15, 2024Class IIZ-1912-2024Device DesignApplication software intended to be deployed on Mako 3.0, part number 209999, and Mako 3.1, part number 219999, observed an increase in the Software Error #3 (SE3) error code when a Mako System shutdown or a Mako System restart is not…
Apr 15, 2024Class IIZ-1910-2024Device DesignApplication software intended to be deployed on Mako 3.0, part number 209999, and Mako 3.1, part number 219999, observed an increase in the Software Error #3 (SE3) error code when a Mako System shutdown or a Mako System restart is not…
Apr 15, 2024Class IIZ-1911-2024Device DesignApplication software intended to be deployed on Mako 3.0, part number 209999, and Mako 3.1, part number 219999, observed an increase in the Software Error #3 (SE3) error code when a Mako System shutdown or a Mako System restart is not…
Apr 15, 2024Class IIZ-1914-2024Device DesignApplication software intended to be deployed on Mako 3.0, part number 209999, and Mako 3.1, part number 219999, observed an increase in the Software Error #3 (SE3) error code when a Mako System shutdown or a Mako System restart is not…
Apr 15, 2024Class IIZ-1913-2024Device DesignApplication software intended to be deployed on Mako 3.0, part number 209999, and Mako 3.1, part number 219999, observed an increase in the Software Error #3 (SE3) error code when a Mako System shutdown or a Mako System restart is not…
Apr 15, 2024Class IIZ-1915-2024Device DesignApplication software intended to be deployed on Mako 3.0, part number 209999, and Mako 3.1, part number 219999, observed an increase in the Software Error #3 (SE3) error code when a Mako System shutdown or a Mako System restart is not…

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K241011 (Mako Surgical Corp., 2024) has gone furthest, with 5 descendants of its own.

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—
Cite this page

510(k) Report. “K220459: Mako Total Knee Application.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K220459

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Record history
  • FDA decision record loaded May 2, 2026
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026