510(k) Report

510(k) · Cleared

Cleared

Spine Guidance Software, Stryker Q Guidance System

K220593510(k) TraditionalCleared May 27, 202287-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

Stryker Leibinger GmbH & Co KG · OLO Orthopedic Stereotaxic Instrument

Cleared on May 27, 2022 as substantially equivalent to K172034 (Stryker Corporation, 2017) and 1 other predicate after an 87-day review. Its family tree reaches back 6 generations to 2000. 10 later devices descend from it.

Decided
May 27, 2022
Review
87 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
2

Its longest line of descent runs back 6 generations to K993239 (2000). 14 ancestors in all. 10 later devices descend from it, 2 citing it directly.

  1. Root · 6 generations backK993239 Stryker Navigation System - Neuro Module, Model 6000-XXX-XXXStryker Corp. · 2000 · Recalled
  2. 5 generations backK062640 Stryker Navigation System - Cranial Module, Model 6000-650-000Stryker Instruments · 2006 · Recalled
  3. 4 generations backK141551 Profess Software, Profess Curved 70 (Degrees) Suction, Profess…Stryker Corporate · 2014 · Recalled
  4. 3 generations backK153240 Styrker OrthoMap Express Knee SystemStryker Corporate · 2016
  5. 2 generations backK162341 Stryker OrthoMap Precision Knee systemStryker Leibinger GmbH & Co KG · 2016
  6. 1 generation backK172034 Stryker Spine Navigation System with SpineMap 3D software…Stryker Corporation · 2017
  7. This deviceK220593 Spine Guidance Software, Stryker Q Guidance SystemStryker Leibinger GmbH & Co KG · 2022
  8. Descendant · cites it directly · 7 of its ownK240662 Spine Guidance Software (version 5.0); Xia 3/ Serrato Q Instruments…Stryker Leibinger GmbH & Co KG · 2024
  9. Descendant · 2 generations on · 4 of its ownK241171 Spine Guidance Software (Version 5.1); Consolidated Operating Room…Stryker Leibinger GmbH & Co KG · 2024
  10. Descendant · 3 generations on · 2 of its ownK241517 Q Guidance System; Mako Spine System;Stryker Leibinger GmbH & Co KG · 2024
  11. Descendant · 2 generations on · 1 of its ownK252871 Spine Guidance 5.3 Software; Q Interbody Instruments; Elite Q…Stryker Leibinger GmbH & Co KG · 2026
  12. Descendant · cites it directly · 1 of its ownK223767 Ortho Guidance Precision Knee Software, Ortho Guidance Express Knee…Stryker Leibinger GmbH & Co KG · 2023

Showing 5 of 10 descendants. See all descendants

Descendants cleared per year

2023: 12024: 42025: 12026: 4
2023high 4 (2024) · low 1 (2023)2026

Most influential descendants

Showing 5 of 10 · See all
  • K240662Spine Guidance Software (version 5.0); Xia 3/ Serrato Q Instruments; Everest Q…Stryker Leibinger GmbH & Co KG · 2024 · cites it directly7descendants
  • K241171Spine Guidance Software (Version 5.1); Consolidated Operating Room Equipment (CORE) 2…Stryker Leibinger GmbH & Co KG · 2024 · 2 generations on4descendants
  • K241517Q Guidance System; Mako Spine System;Stryker Leibinger GmbH & Co KG · 2024 · 3 generations on2descendants
  • K252871Spine Guidance 5.3 Software; Q Interbody Instruments; Elite Q Attachments; Elite Cutting…Stryker Leibinger GmbH & Co KG · 2026 · 2 generations on1descendant
  • K223767Ortho Guidance Precision Knee Software, Ortho Guidance Express Knee Software, Ortho…Stryker Leibinger GmbH & Co KG · 2023 · cites it directly1descendant
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K993239Stryker Navigation System - Neuro Module, Model 6000-XXX-XXXStryker Corp.20006
−5K062640Stryker Navigation System - Cranial Module, Model 6000-650-000Stryker Instruments200619
−4K141551Profess Software, Profess Curved 70 (Degrees) Suction, Profess Curved 70…Stryker Corporate20141
−3K153240Styrker OrthoMap Express Knee SystemStryker Corporate2016—
−2K162341Stryker OrthoMap Precision Knee systemStryker Leibinger GmbH & Co KG2016—
−1K172034Stryker Spine Navigation System with SpineMap 3D software application…Stryker Corporation2017—
0 (this device)K220593Spine Guidance Software, Stryker Q Guidance SystemStryker Leibinger GmbH & Co KG2022—
+1K240662Spine Guidance Software (version 5.0); Xia 3/ Serrato Q Instruments; Everest Q…Stryker Leibinger GmbH & Co KG2024—
+2K241171Spine Guidance Software (Version 5.1); Consolidated Operating Room Equipment…Stryker Leibinger GmbH & Co KG2024—
+3K241517Q Guidance System; Mako Spine System;Stryker Leibinger GmbH & Co KG2024—
+2K252871Spine Guidance 5.3 Software; Q Interbody Instruments; Elite Q Attachments…Stryker Leibinger GmbH & Co KG2026—
+1K223767Ortho Guidance Precision Knee Software, Ortho Guidance Express Knee Software…Stryker Leibinger GmbH & Co KG2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200010
200110
200310
200510
201320
201410
201510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202440
202510
202640
FIG. 1 — Lineage of K220593, 2000–2026Source: 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 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
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
*K172034Stryker Spine Navigation System with SpineMap 3D software application, OrthoLock…
Summary page 6
…10(k) Manufacturer Trade Name Code Spine Guidance 4.0 SpineMap 3D 3.1 K172034 Stryker Leibinger [Primary] OLO Softwar…
Stryker Corporation2017—
*K162341Stryker OrthoMap Precision Knee system
Summary page 6
…GmbH & Co. KG Stryker Q Guidance Stryker NAV3i Stryker Leibinger K162341 OLO System Platform GmbH & Co. KG 6.5 De…
Stryker Leibinger GmbH & Co KG2016—

Also cleared against K172034: 2 other devices →

What descends from it? (10)

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K240662Spine Guidance Software (version 5.0); Xia 3/ Serrato Q Instruments; Everest Q…Stryker Leibinger GmbH & Co KG20247
K223767Ortho Guidance Precision Knee Software, Ortho Guidance Express Knee Software, Ortho…Stryker Leibinger GmbH & Co KG20231

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 22 years and passes through 5 companies; a new generation was cleared every 4.6 years on median.
  • 6 of the 14 ancestors have a recall of any class.
  • Of its descendants, K240662 (Stryker Leibinger GmbH & Co KG, 2024) has gone furthest, with 7 descendants of its own.
  • 2 other devices also cite its predicate K172034.

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 Stryker Q Guidance System, when used with the Spine Guidance software, is intended as a planning and intraoperative guidance system to enable open or percutaneous computer assisted surgery in adult and pediatric (adolescent) patients. The system is indicated for any surgical procedure on the spine in which the use of computer assisted planning and surgery may be appropriate. The system can be used for intraoperative guidance where a reference to a…

Read the full statement (170 words)

The Stryker Q Guidance System, when used with the Spine Guidance software, is intended as a planning and intraoperative guidance system to enable open or percutaneous computer assisted surgery in adult and pediatric (adolescent) patients.

The system is indicated for any surgical procedure on the spine in which the use of computer assisted planning and surgery may be appropriate. The system can be used for intraoperative guidance where a reference to a rigid anatomical structure such as the spine, pelvis or skull can be identified.

The system assists in the positioning of instruments for procedures on the spine and pelvis, including:

- Screw Placement in the spine or pelvis

The Q Guidance System is intended as an aid for precisely locating anatomical structures in open or percutaneous computer assisted surgery. The system is indicated for any medical condition in which the use of computer assisted planning and surgery may be appropriate and where reference to a rigid anatomical structure such as the skull, vertebra, or long bone can be identified.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K220593: Spine Guidance Software, Stryker Q Guidance System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K220593

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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