510(k) Report

510(k) · Cleared

Cleared

Neuro Omega System, NeuroSmart System

K220553510(k) SpecialCleared Sep 16, 2022200-day reviewClass II21 CFR 882.1330

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

Alpha Omega Engineering, Ltd. · GZL Electrode, Depth

Cleared on Sep 16, 2022 as substantially equivalent to K171581 (Alpha Omega Engineering, Ltd., 2017) and 1 other predicate after a 200-day review. Its family tree reaches back 3 generations to 1993. 2 of the 9 devices in its family, counting itself, have a Class I recall. 1 later device descends from it.

Decided
Sep 16, 2022
Review
200 days
Class
Class II
Product code
GZL
Recalls
None
Predicates
2

Its longest line of descent runs back 3 generations to K924226 (1993). 7 ancestors in all. 1 later device descends from it, 1 citing it directly. 2 of the 9 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2018: 1 other ancestor2013: 1 other ancestor, 1 with a Class I recall12007: 1 other ancestor2004: 1 other ancestor2025: 1 descendant clearedK924226 · Ojemann Cortical Stimulator · Radionics, Inc. · 1993 · recalledK072964 · Nicolet Cortical Stimulator · Cardinal Health, Inc. · 2008 · recalledK171581 · Neuro Omega System · Alpha Omega Engineering, Ltd. · 2017 · Class I recall1990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors, 1 with a Class I recall13 generations back: 1 other ancestor 1 generation forward: 1 descendant K171581 · Neuro Omega System · Alpha Omega Engineering, Ltd. · 2017 · Class I recallK072964 · Nicolet Cortical Stimulator · Cardinal Health, Inc. · 2008 · recalledK924226 · Ojemann Cortical Stimulator · Radionics, Inc. · 1993 · recalled0
  1. Root · 3 generations backK924226 Ojemann Cortical StimulatorRadionics, Inc. · 1993 · Recalled
  2. 2 generations backK072964 Nicolet Cortical StimulatorCardinal Health, Inc. · 2008 · Recalled
  3. 1 generation backK171581 Neuro Omega SystemAlpha Omega Engineering, Ltd. · 2017 · Recalled (Class I)
  4. This deviceK220553 Neuro Omega System, NeuroSmart SystemAlpha Omega Engineering, Ltd. · 2022
  5. Descendant · cites it directly · 0 of its ownK250601 Neuro Omega System; NeuroSmart SystemAlpha Omega Engineering, Ltd. · 2025

Class I recalls in this family

Most influential descendants

Showing 1 of 1 · See all
  • K250601Neuro Omega System; NeuroSmart SystemAlpha Omega Engineering, Ltd. · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K924226Ojemann Cortical StimulatorRadionics, Inc.19931
−2K072964Nicolet Cortical StimulatorCardinal Health, Inc.20083
−1K171581Neuro Omega SystemAlpha Omega Engineering, Ltd.2017Class I
0 (this device)K220553Neuro Omega System, NeuroSmart SystemAlpha Omega Engineering, Ltd.2022—
+1K250601Neuro Omega System; NeuroSmart SystemAlpha Omega Engineering, Ltd.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200410
200710
201311
201810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
FIG. 1 — Lineage of K220553, 1993–2025Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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.

2 devices in this family have 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 GZL device

  1. #1 K253970 Wovyn Depth Electrodescore 13.3 · 8 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
*K171581Neuro Omega System
Summary page 6
…Page 2 of 11 1 Identification of Legally Marketed Predicate Devices • Neuro Omega system (as cleared under K171581) • NeuroSmart System (as cleared under K172042) 2 Device Description 2.1 Neuro Omega The Neuro Omega system is des…
Alpha Omega Engineering, Ltd.2017Class I
*K172042NeuroNav System, NeuroSmart System
Summary page 6
…of 11 1 Identification of Legally Marketed Predicate Devices • Neuro Omega system (as cleared under K171581) • NeuroSmart System (as cleared under K172042) 2 Device Description 2.1 Neuro Omega The Neuro Omega system is designed for different neurosurgery and neurophysiologic…
Alpha Omega Engineering, Ltd.2018—

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K250601Neuro Omega System; NeuroSmart SystemAlpha Omega Engineering, Ltd.20250

Has anything in its family been recalled? (2 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.

  • K171581Neuro Omega SystemAlpha Omega Engineering, Ltd. · 2017 · Direct predicate · ◆ on the line of descent in FIG. 11 Class I recall
  • K123796Neuro Omega SystemAlpha Omega Engineering, Ltd. · 2013 · 2 generations back · ◆ in the 2013 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 29 years and passes through 3 companies; a new generation was cleared every 9.0 years on median.
  • 4 of the 7 ancestors have a recall of any class; 2 have a Class I recall.
  • Of its descendants, K250601 (Alpha Omega Engineering, Ltd., 2025) has gone furthest, with 0 descendants of its own.

How does its category compare?

All GZL devices

GZL Electrode, Depth: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · GZL

2in 2025

2007: 32009: 12011: 12012: 12013: 12014: 12016: 22017: 42018: 32020: 12021: 32022: 32023: 32025: 22026 (partial year): 1
2007high 4 (2017) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GZL

206in 2023

2007: 166 days median2017: 222 days median2018: 58 days median2021: 262 days median2022: 90 days median2023: 206 days median
2007high 262 (2021) · low 58 (2018)2026

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

Recalls per year · GZL

3in 2024

2008: 32009: 22014: 12021: 92024: 3
2007high 9 (2021) · low 0 (2007)2026

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

Adverse event reports per year · GZL

12in 2025

2008: 82009: 52010: 62011: 42012: 82013: 252014: 72015: 142016: 92017: 32018: 22019: 132020: 242021: 132022: 102023: 302024: 162025: 12
2007high 30 (2023) · low 0 (2007)2025

MAUDE reports naming product code GZL, 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
2007316600
20080—38
20091—25
20100—06
20111—04
20121—08
20131—025
20141—17
20150—014
20162—09
2017422203
201835802
20190—013
20201—024
20213262913
2022390010
20233206030
20240—316
20252—012
20261—0—

What is it indicated for?

The Neuro Omega system with the incorporated Navigation Tool software (the improved HaGuide software), including the Drive Headstage unit, is intended to assist neurosurgeons in the operating room during functional neurosurgery and to record from and stimulate brain motor and sensory neurons and to aid in the placement of depth electrodes. The subject device, the Neuro Omega System with the incorporated Navigation Tool software is also intended: - To…

Read the full statement (278 words)

The Neuro Omega system with the incorporated Navigation Tool software (the improved HaGuide software), including the Drive Headstage unit, is intended to assist neurosurgeons in the operating room during functional neurosurgery and to record from and stimulate brain motor and sensory neurons and to aid in the placement of depth electrodes.

The subject device, the Neuro Omega System with the incorporated Navigation Tool software is also intended:

- To monitor, record, and display the bioelectric signals produced by muscles, to stimulate peripheral nerves, and to monitor, record, and display the electrical activity produced by nerves to aid the clinician in the diagnosis and prognosis of neuromuscular disease (EMG).

- To measure, record, and display the electrical activity of the patient's brain obtained from two or more electrodes on the head (EEQG).

- To measure, display and record the electrical activity of the patient's brain obtained from ECOG strip and grid electrodes.

- To provide stimulation via electrode pairs or a hand-held bipolar probe for use in functional brain mapping procedures during treatment of patients with a seizure disorder.

The Neuro Omega with the incorporated installed Navigation tool software, is intended for intraoperative use by medical personnel. Within hospitals, laboratories, clinics, or nursing home settings or outside of a medical facility under the direct supervision of a medical professional. The device may also be placed in the intensive care unit or operating room for continuous recording.

The NeuroSmart System with the incorporated Navigation Tool software, is intended to be used in assisting neurosurgeons, in the operating room during functional neurosurgery, to record from and stimulate brain motor and sensory neurons and to aid in the placement of depth electrodes.

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. “K220553: Neuro Omega System, NeuroSmart System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K220553

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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