510(k) Report

510(k) · Cleared

Cleared

Caduceus S

K220554510(k) TraditionalCleared Dec 16, 2022291-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

Taiwan Main Orthopaedic Biotechnology Co., Ltd. · SBF Orthopedic Augmented Reality

Cleared on Dec 16, 2022 as substantially equivalent to K183605 (Brainlab AG, 2019) after a 291-day review. Its family tree reaches back 7 generations to 1999. 1 of the 13 devices in its family, counting itself, has a Class I recall.

Decided
Dec 16, 2022
Review
291 days
Class
Class II
Product code
SBF
Recalls
None
Predicates
1

Its longest line of descent runs back 7 generations to K983831 (1999). 12 ancestors in all, the oldest K981508 (1998). No later device cites it as a predicate yet. 1 of the 13 devices in this family, counting this one, has a Class I recall.

  1. Root · 7 generations backK983831 VECTORVISION2Brainlab AG · 1999
  2. 6 generations backK014256 Kolibri Igs SystemsBrainlab AG · 2002
  3. 5 generations backK042721 Kolibri SpineBrainlab AG · 2005
  4. 4 generations backK053159 Vectorvision SpineBrainlab AG · 2006 · Recalled
  5. 3 generations backK070106 VV Fluoro 3DBrainlab AG · 2007 · Recalled (Class I)
  6. 2 generations backK083310 Spine & Trauma IctBrainlab AG · 2009
  7. 1 generation backK183605 Spine & Trauma NavigationBrainlab AG · 2019 · Recalled
  8. This deviceK220554 Caduceus STaiwan Main Orthopaedic Biotechnology Co., Ltd. · 2022

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K983831VECTORVISION2Brainlab AG1999—
−6K014256Kolibri Igs SystemsBrainlab AG2002—
−5K042721Kolibri SpineBrainlab AG2005—
−4K053159Vectorvision SpineBrainlab AG20061
−3K070106VV Fluoro 3DBrainlab AG2007Class I
−2K083310Spine & Trauma IctBrainlab AG2009—
−1K183605Spine & Trauma NavigationBrainlab AG20193
0 (this device)K220554Caduceus STaiwan Main Orthopaedic Biotechnology Co., Ltd.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199810
200010
200120
200310
FIG. 1 — Lineage of K220554, 1999–2022Source: 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 SBF device

  1. #1 K193559 NextAR TKA Platformscore 20.4 · 10 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? (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
*K183605Spine & Trauma Navigation
Summary page 4
…OLO Regulation number: 882.4560 Device Class: Ⅱ 510(k) Number: K183605 5.6 Identificationof the Reference Device: Reference Device Name: xvision Spine system (XVS)…
Brainlab AG20193
†K190929xvision Spine system (XVS)Augmedics, Ltd.2019—

Also cleared against K183605: 5 other devices →

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 · 3 generations back · ◆ on the line of descent in FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 23 years and passes through 2 companies; a new generation was cleared every 2.8 years on median.
  • 4 of the 12 ancestors have a recall of any class; 1 has a Class I recall.
  • 5 other devices also cite its predicate K183605.

How does its category compare?

All SBF devices

SBF Orthopedic Augmented Reality: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · SBF

13in 2025

2019: 12020: 22021: 42022: 72023: 72024: 62025: 132026 (partial year): 3
2007high 13 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · SBF

90in 2025

2021: 162 days median2022: 234 days median2023: 104 days median2024: 89 days median2025: 90 days median2026 (partial year): 123 days median
2007high 234 (2022) · low 89 (2024)2026

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

Recalls per year · SBF

1in 2025

2025: 12026 (partial year): 1
2007high 1 (2025) · low 0 (2007)2026

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

Adverse event reports per year · SBF

1in 2025

2025: 1
2007high 1 (2025) · low 0 (2007)2025

MAUDE reports naming product code SBF, 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—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20180—00
20191—00
20202—00
2021416200
2022723400
2023710400
202468900
2025139011
202631231—

What is it indicated for?

Caduceus S is intended as an intraoperative guidance system to enable minimally invasive surgery. Intraoperatively registered surgical Instruments are tracked by a passive marker sensor system to virtual computer image space on a patient's preoperative or intraoperative 2D or 3D image data. Caduceus S enables image-guide navigation of medical image data, which can either be acquired preoperatively CT or intraoperatively C-arm by an appropriate image…

Read the full statement (137 words)

Caduceus S is intended as an intraoperative guidance system to enable minimally invasive surgery. Intraoperatively registered surgical Instruments are tracked by a passive marker sensor system to virtual computer image space on a patient's preoperative or intraoperative 2D or 3D image data.

Caduceus S enables image-guide navigation of medical image data, which can either be acquired preoperatively CT or intraoperatively C-arm by an appropriate image acquisition system.

Caduceus S offers pedicle screw implant size planning and navigation on rigid bone structures with intraoperatively registered surgical Instruments.

Caduceus S is indicated for L5~T6 spine surgery where reference to a rigid anatomical structure can be identified relative to the acquired patient imagery (CT or C-arm).

The headset (Surglasses) of the Caduceus S system is an optional heads up display that projects the 2D stereotaxic screens of the system’s display.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K220554: Caduceus S.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K220554

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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