510(k) Report

510(k) · Cleared

Cleared

OptiVu ROSA MxR

K220733510(k) TraditionalCleared Jul 29, 2022137-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

Orthosoft Inc (D/B/A Zimmer Cas) · SBF Orthopedic Augmented Reality

Cleared on Jul 29, 2022 as substantially equivalent to K182964 (Orthosoft Inc (D/B/A Zimmer Cas), 2019) after a 137-day review. Its family tree reaches back 14 generations to 1991. 1 later device descends from it.

Decided
Jul 29, 2022
Review
137 days
Class
Class II
Product code
SBF
Recalls
None
Predicates
1

Its longest line of descent runs back 14 generations to K905070 (1991). 59 ancestors in all, the oldest K811452 (1981). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2016: 1 other ancestor2014: 1 other ancestor2010: 1 other ancestor2009: 1 other ancestor2005: 6 other ancestors2004: 5 other ancestors2000: 4 other ancestors1999: 3 other ancestors2006: 4 other ancestors2001: 3 other ancestors1997: 2 other ancestors1987: 1 other ancestor1981: 1 other ancestor2003: 2 other ancestors2002: 4 other ancestors2007: 1 other ancestor1996: 2 other ancestors1986: 1 other ancestor1995: 1 other ancestor1994: 1 other ancestor2023: 1 descendant clearedReference device: K200384 · HipXpert 3D Display and Anchoring Application · Surgical Planning Associates, Inc. · 2021K905070 · Vistar · Philips Medical Systems (Cleveland), Inc. · 1991K961168 · Viewpoint · Philips Medical Systems (Cleveland), Inc. · 1996×2: 2 generations cleared close together, K963221 (1997), K970604 (1997) K984298 · Z Kat Flurotactic Guidance System Mki · Z-Kat, Inc. · 1999K013025 · Modification to Flourolab Plus · Z-Kat, Inc. · 2001K031337 · Acumen Surgical Navigation System · Biomet, Inc. · 2003K072806 · Mako Surgical Tactile Guidance System (TGS) · Mako Surgical Corp. · 2008 · recalledK081867 · Mako Surgical Tactile Guidance System Version 2.0 · Mako Surgical Corp. · 2008 · recalledK112507 · Restoris Partial Knee Application (Pka), Rio Standard System · Mako Surgical Corporation · 2012 · recalledK143752 · Total Knee Application (TKA) · Mako Surgical Corp. · 2015 · recalled×2: 2 generations cleared close together, K170581 (2017), K172219 (2017) K182964 · ROSA Knee System · Orthosoft Inc (D/B/A Zimmer Cas) · 201919801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor3 generations back: 2 other ancestors4 generations back: 5 other ancestors5 generations back: 4 other ancestors6 generations back: 6 other ancestors7 generations back: 4 other ancestors8 generations back: 7 other ancestors9 generations back: 9 other ancestors10 generations back: 4 other ancestors11 generations back: 3 other ancestors 1 generation forward: 1 descendant K182964 · ROSA Knee System · Orthosoft Inc (D/B/A Zimmer Cas) · 2019K172219 · Mako Total Knee Application · Mako Surgical Corp. · 2017K170581 · Mako Total Knee Application · Mako Surgical Corp. · 2017 · recalledK143752 · Total Knee Application (TKA) · Mako Surgical Corp. · 2015 · recalledK112507 · Restoris Partial Knee Application (Pka), Rio Standard System · Mako Surgical Corporation · 2012 · recalledK081867 · Mako Surgical Tactile Guidance System Version 2.0 · Mako Surgical Corp. · 2008 · recalledK072806 · Mako Surgical Tactile Guidance System (TGS) · Mako Surgical Corp. · 2008 · recalledK031337 · Acumen Surgical Navigation System · Biomet, Inc. · 2003K013025 · Modification to Flourolab Plus · Z-Kat, Inc. · 2001K984298 · Z Kat Flurotactic Guidance System Mki · Z-Kat, Inc. · 1999K970604 · Viewpoint - 3.0 Software · Philips Medical Systems (Cleveland), Inc. · 1997K963221 · Optical Digitizer Option for View Point · Philips Medical Systems (Cleveland), Inc. · 1997K961168 · Viewpoint · Philips Medical Systems (Cleveland), Inc. · 1996K905070 · Vistar · Philips Medical Systems (Cleveland), Inc. · 1991−10−50
  1. Root · 14 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 10 generations between
  3. 3 generations backK170581 Mako Total Knee ApplicationMako Surgical Corp. · 2017 · Recalled
  4. 2 generations backK172219 Mako Total Knee ApplicationMako Surgical Corp. · 2017
  5. 1 generation backK182964 ROSA Knee SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2019
  6. This deviceK220733 OptiVu ROSA MxROrthosoft Inc (D/B/A Zimmer Cas) · 2022
  7. Descendant · cites it directly · 0 of its ownK230567 OptiVu™ ROSA® MxROrthosoft Inc (D/B/A Zimmer Cas) · 2023
Show all 14 generations
  1. Root · 14 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 13 generations backK961168 ViewpointPhilips Medical Systems (Cleveland), Inc. · 1996
  3. 12 generations backK963221 Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc. · 1997
  4. 11 generations backK970604 Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc. · 1997
  5. 10 generations backK984298 Z Kat Flurotactic Guidance System MkiZ-Kat, Inc. · 1999
  6. 9 generations backK013025 Modification to Flourolab PlusZ-Kat, Inc. · 2001
  7. 8 generations backK031337 Acumen Surgical Navigation SystemBiomet, Inc. · 2003
  8. 7 generations backK072806 Mako Surgical Tactile Guidance System (TGS)Mako Surgical Corp. · 2008 · Recalled
  9. 6 generations backK081867 Mako Surgical Tactile Guidance System Version 2.0Mako Surgical Corp. · 2008 · Recalled
  10. 5 generations backK112507 Restoris Partial Knee Application (Pka), Rio Standard SystemMako Surgical Corporation · 2012 · Recalled
  11. 4 generations backK143752 Total Knee Application (TKA)Mako Surgical Corp. · 2015 · Recalled
  12. 3 generations backK170581 Mako Total Knee ApplicationMako Surgical Corp. · 2017 · Recalled
  13. 2 generations backK172219 Mako Total Knee ApplicationMako Surgical Corp. · 2017
  14. 1 generation backK182964 ROSA Knee SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2019
  15. This deviceK220733 OptiVu ROSA MxROrthosoft Inc (D/B/A Zimmer Cas) · 2022

Most influential descendants

Showing 1 of 1 · See all
  • K230567OptiVu™ ROSA® MxROrthosoft Inc (D/B/A Zimmer Cas) · 2023 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−14K905070VistarPhilips Medical Systems (Cleveland), Inc.1991—
−13K961168ViewpointPhilips Medical Systems (Cleveland), Inc.1996—
−12K963221Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc.1997—
−11K970604Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc.1997—
−10K984298Z Kat Flurotactic Guidance System MkiZ-Kat, Inc.1999—
−9K013025Modification to Flourolab PlusZ-Kat, Inc.2001—
−8K031337Acumen Surgical Navigation SystemBiomet, Inc.2003—
−7K072806Mako Surgical Tactile Guidance System (TGS)Mako Surgical Corp.20081
−6K081867Mako Surgical Tactile Guidance System Version 2.0Mako Surgical Corp.20082
−5K112507Restoris Partial Knee Application (Pka), Rio Standard SystemMako Surgical Corporation20126
−4K143752Total Knee Application (TKA)Mako Surgical Corp.20152
−3K170581Mako Total Knee ApplicationMako Surgical Corp.20171
−2K172219Mako Total Knee ApplicationMako Surgical Corp.2017—
−1K182964ROSA Knee SystemOrthosoft Inc (D/B/A Zimmer Cas)2019—
0 (this device)K220733OptiVu ROSA MxROrthosoft Inc (D/B/A Zimmer Cas)2022—
+1K230567OptiVu™ ROSA® MxROrthosoft Inc (D/B/A Zimmer Cas)2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198610
198710
199410
199510
199620
199720
199930
200040
200130
200240
200320
200450
200560
200640
200710
200910
201010
201410
201610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
FIG. 1 — Lineage of K220733, 1991–2023Source: 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 SBF? 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
Get a 510(k) Report

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
*K182964ROSA Knee System
Summary page 4
…(21 CFR 892.2050) Predicate Device(s): 510(k) Number Device Name Manufacturer Predicate K182964 ROSA® Knee System Zimmer CAS Primary K200384 HipXpert System S…
Orthosoft Inc (D/B/A Zimmer Cas)2019—
†K200384HipXpert 3D Display and Anchoring ApplicationSurgical Planning Associates, Inc.2021—

Also cleared against K182964: 7 other devices →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K230567OptiVu™ ROSA® MxROrthosoft Inc (D/B/A Zimmer Cas)20230

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 31 years and passes through 6 companies; a new generation was cleared every 2.1 years on median.
  • 17 of the 59 ancestors have a recall of any class.
  • Of its descendants, K230567 (Orthosoft Inc (D/B/A Zimmer Cas), 2023) has gone furthest, with 0 descendants of its own.
  • 7 other devices also cite its predicate K182964.

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?

OptiVum ROSA® MxR is indicated for displaying surgical workflow images from the ROSA® RECON platform in Mixed Reality. It includes functions for viewing the same surgical workflow steps and 2D visualizations as presented on the existing ROSA RECON platform user interface. When accessing ROSA® MxR from a stereoscopic head mounted display (HMD), images viewed are for informational purposes only and are not intended for diagnostic use.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K220733: OptiVu ROSA MxR.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K220733

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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