510(k) Report

510(k) · Cleared

Cleared

E-GPS Navigated Instruments

K220862510(k) TraditionalCleared Jul 14, 2022112-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

Precision Spine, Inc. · OLO Orthopedic Stereotaxic Instrument

Cleared on Jul 14, 2022 as substantially equivalent to K171651 (Globus Medical, Inc., 2017) and 2 other predicates after a 112-day review. Its family tree reaches back 20 generations to 2001. 1 of the 650 devices in its family, counting itself, has a Class I recall. 7 later devices descend from it.

Decided
Jul 14, 2022
Review
112 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
3

Its longest line of descent runs back 20 generations to K003155 (2001). 642 ancestors in all, the oldest K781443 (1978). 7 later devices descend from it, 4 citing it directly. 1 of the 650 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2020: 1 other ancestor2017: 3 other ancestors2016: 4 other ancestors2015: 9 other ancestors2014: 8 other ancestors2013: 9 other ancestors2012: 14 other ancestors2011: 25 other ancestors2010: 26 other ancestors, 1 with a Class I recall12009: 30 other ancestors2008: 38 other ancestors2007: 19 other ancestors2006: 36 other ancestors2005: 50 other ancestors2003: 32 other ancestors2002: 35 other ancestors2000: 40 other ancestors1999: 20 other ancestors1998: 28 other ancestors1996: 19 other ancestors2004: 49 other ancestors2001: 41 other ancestors1997: 16 other ancestors1993: 6 other ancestors1991: 2 other ancestors1990: 4 other ancestors1995: 21 other ancestors1994: 9 other ancestors1992: 8 other ancestors1979: 1 other ancestor1978: 1 other ancestor1989: 5 other ancestors1987: 3 other ancestors1985: 2 other ancestors1981: 2 other ancestors1988: 2 other ancestors1984: 2 other ancestors1986: 2 other ancestors2024: 2 descendants cleared2025: 2 descendants cleared2023: 1 descendant cleared2026: 2 descendants clearedK003155 · Vertebral Body Replacement · Osteotech, Inc. · 2001K012254 · VBR · Osteotech, Inc. · 2001×3: 3 generations cleared close together, K021791 (2002), K023570 (2002), K030601 (2003) ×3: 3 generations cleared close together, K040536 (2004), K041556 (2004), K043561 (2004) ×3: 3 generations cleared close together, K060719 (2006), K061938 (2006), K062427 (2006) K070742 · Modification to Vertex Reconstruction System · Medtronic Sofamor Danek · 2007K110522 · Vertex Reconstruction System, Vertex Select Reconstruction System · Medtronic Sofamor Danek USA, Inc. · 2011K113593 · Nextgen Altius Oct System · Biomet Spine (Aka Ebi, LLC) · 2012×3: 3 generations cleared close together, K123549 (2013), K131615 (2013), K133746 (2014) K143248 · Reform Pedicle Screw System · Precision Spine, Inc. · 2014K150856 · Reform Pedicle Screw System · Precision Spine, Inc. · 2015K173130 · Reform® Midline Cortical Screw System · Precision Spine, Inc. · 201719801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 12 other ancestors3 generations back: 47 other ancestors4 generations back: 100 other ancestors, 1 with a Class I recall15 generations back: 152 other ancestors6 generations back: 123 other ancestors7 generations back: 83 other ancestors8 generations back: 58 other ancestors9 generations back: 23 other ancestors10 generations back: 9 other ancestors11 generations back: 11 other ancestors12 generations back: 2 other ancestors 1 generation forward: 4 descendants2 generations forward: 1 descendant3 generations forward: 1 descendant4 generations forward: 1 descendant K173130 · Reform® Midline Cortical Screw System · Precision Spine, Inc. · 2017K150856 · Reform Pedicle Screw System · Precision Spine, Inc. · 2015K143248 · Reform Pedicle Screw System · Precision Spine, Inc. · 2014K133746 · Polaris Spinal System · Biomet Spine (Aka Ebi, LLC) · 2014 · recalledK131615 · Polaris Spinal System · Biomet Spine (Aka Ebi, LLC) · 2013K123549 · Polaris Spinal System - Ballista II Percutaneous Screw Placement System · Biomet Spine (Aka Ebi, LLC) · 2013 · recalledK113593 · Nextgen Altius Oct System · Biomet Spine (Aka Ebi, LLC) · 2012K110522 · Vertex Reconstruction System, Vertex Select Reconstruction System · Medtronic Sofamor Danek USA, Inc. · 2011K070742 · Modification to Vertex Reconstruction System · Medtronic Sofamor Danek · 2007K062427 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2006K061938 · Verte-Stack Spinal System · Medtronic Sofamor Danek, Inc. · 2006K060719 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2006K043561 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004K041556 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004K040536 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2004K030601 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2003K023570 · Modification to Verte-Stack Spinal System · Medtronic Sofamor Danek · 2002K021791 · Verte-Stack Spinal System · Medtronic Sofamor Danek · 2002K012254 · VBR · Osteotech, Inc. · 2001K003155 · Vertebral Body Replacement · Osteotech, Inc. · 2001−20−15−10−50
  1. Root · 20 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
  2. 16 generations between
  3. 3 generations backK143248 Reform Pedicle Screw SystemPrecision Spine, Inc. · 2014
  4. 2 generations backK150856 Reform Pedicle Screw SystemPrecision Spine, Inc. · 2015
  5. 1 generation backK173130 Reform® Midline Cortical Screw SystemPrecision Spine, Inc. · 2017
  6. This deviceK220862 E-GPS Navigated InstrumentsPrecision Spine, Inc. · 2022
  7. Descendant · cites it directly · 3 of its ownK232044 Invictus Robotic Navigation InstrumentsAlphatec Spine, Inc. · 2023
  8. Descendant · 2 generations on · 2 of its ownK240951 Invictus Robotic Navigation InstrumentsAlphatec Spine · 2024
  9. Descendant · 3 generations on · 1 of its ownK252597 Valence Robotic Navigation System; Valence Robotic Navigation…Alphatec Spine, Inc. · 2026
  10. Descendant · 4 generations on · 0 of its ownK261284 Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal…Alphatec Spine, Inc. · 2026
  11. Descendant · cites it directly · 0 of its ownK251780 iGPS Navigation InstrumentsSI-BONE, Inc. · 2025
Show all 20 generations
  1. Root · 20 generations backK003155 Vertebral Body ReplacementOsteotech, Inc. · 2001
  2. 19 generations backK012254 VBROsteotech, Inc. · 2001
  3. 18 generations backK021791 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
  4. 17 generations backK023570 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2002
  5. 16 generations backK030601 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2003
  6. 15 generations backK040536 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  7. 14 generations backK041556 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  8. 13 generations backK043561 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2004
  9. 12 generations backK060719 Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
  10. 11 generations backK061938 Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc. · 2006
  11. 10 generations backK062427 Verte-Stack Spinal SystemMedtronic Sofamor Danek · 2006
  12. 9 generations backK070742 Modification to Vertex Reconstruction SystemMedtronic Sofamor Danek · 2007
  13. 8 generations backK110522 Vertex Reconstruction System, Vertex Select Reconstruction SystemMedtronic Sofamor Danek USA, Inc. · 2011
  14. 7 generations backK113593 Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC) · 2012
  15. 6 generations backK123549 Polaris Spinal System - Ballista II Percutaneous Screw Placement…Biomet Spine (Aka Ebi, LLC) · 2013 · Recalled
  16. 5 generations backK131615 Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC) · 2013
  17. 4 generations backK133746 Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC) · 2014 · Recalled
  18. 3 generations backK143248 Reform Pedicle Screw SystemPrecision Spine, Inc. · 2014
  19. 2 generations backK150856 Reform Pedicle Screw SystemPrecision Spine, Inc. · 2015
  20. 1 generation backK173130 Reform® Midline Cortical Screw SystemPrecision Spine, Inc. · 2017
  21. This deviceK220862 E-GPS Navigated InstrumentsPrecision Spine, Inc. · 2022

Showing 5 of 7 descendants. See all descendants

Descendants cleared per year

2023: 12024: 22025: 22026: 2
2023high 2 (2024) · low 1 (2023)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 7 · See all
  • K232044Invictus Robotic Navigation InstrumentsAlphatec Spine, Inc. · 2023 · cites it directly3descendants
  • K240951Invictus Robotic Navigation InstrumentsAlphatec Spine · 2024 · 2 generations on2descendants
  • K252597Valence Robotic Navigation System; Valence Robotic Navigation Instruments (For Use with…Alphatec Spine, Inc. · 2026 · 3 generations on1descendant
  • K261284Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal Fixation SystemAlphatec Spine, Inc. · 2026 · 4 generations on0descendants
  • K251780iGPS Navigation InstrumentsSI-BONE, Inc. · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−20K003155Vertebral Body ReplacementOsteotech, Inc.2001—
−19K012254VBROsteotech, Inc.2001—
−18K021791Verte-Stack Spinal SystemMedtronic Sofamor Danek2002—
−17K023570Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2002—
−16K030601Verte-Stack Spinal SystemMedtronic Sofamor Danek2003—
−15K040536Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−14K041556Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−13K043561Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2004—
−12K060719Modification to Verte-Stack Spinal SystemMedtronic Sofamor Danek2006—
−11K061938Verte-Stack Spinal SystemMedtronic Sofamor Danek, Inc.2006—
−10K062427Verte-Stack Spinal SystemMedtronic Sofamor Danek2006—
−9K070742Modification to Vertex Reconstruction SystemMedtronic Sofamor Danek2007—
−8K110522Vertex Reconstruction System, Vertex Select Reconstruction SystemMedtronic Sofamor Danek USA, Inc.2011—
−7K113593Nextgen Altius Oct SystemBiomet Spine (Aka Ebi, LLC)2012—
−6K123549Polaris Spinal System - Ballista II Percutaneous Screw Placement SystemBiomet Spine (Aka Ebi, LLC)20132
−5K131615Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC)2013—
−4K133746Polaris Spinal SystemBiomet Spine (Aka Ebi, LLC)20141
−3K143248Reform Pedicle Screw SystemPrecision Spine, Inc.2014—
−2K150856Reform Pedicle Screw SystemPrecision Spine, Inc.2015—
−1K173130Reform® Midline Cortical Screw SystemPrecision Spine, Inc.2017—
0 (this device)K220862E-GPS Navigated InstrumentsPrecision Spine, Inc.2022—
+1K232044Invictus Robotic Navigation InstrumentsAlphatec Spine, Inc.2023—
+2K240951Invictus Robotic Navigation InstrumentsAlphatec Spine2024—
+3K252597Valence Robotic Navigation System; Valence Robotic Navigation Instruments (For…Alphatec Spine, Inc.2026—
+4K261284Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal Fixation…Alphatec Spine, Inc.2026—
+1K251780iGPS Navigation InstrumentsSI-BONE, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
197910
198120
198420
198520
198620
198730
198820
198950
199040
199120
199280
199360
199490
1995210
1996190
1997160
1998280
1999200
2000400
2001410
2002350
2003320
2004490
2005500
2006360
2007190
2008380
2009300
2010261
2011250
2012140
201390
201480
201590
201640
201730
202010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202420
202520
202620
FIG. 1 — Lineage of K220862, 2001–2026Source: 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.

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 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? (3)

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
*K171651Excelsius GPS
Summary page 5
…anufacturer Product Predicate Number Code Type K171651 EXCELSIUS GPS™ Globus Medical Inc. OLO Primary K200303 Reform Pedicle Screw…
Globus Medical, Inc.20171
*K200303Reform Pedicle Screw System
Summary page 5
…Code Type K171651 EXCELSIUS GPS™ Globus Medical Inc. OLO Primary K200303 Reform Pedicle Screw System Precision Spine NKB, KWP Additional K173130 Reform® Midline C…
Precision Spine2020—
*K173130Reform® Midline Cortical Screw System
Summary page 5
…s Medical Inc. OLO Primary K200303 Reform Pedicle Screw System Precision Spine NKB, KWP Additional K173130 Reform® Midline Cortical Screw System Precision Spine, Inc. NKB Additional PERFORMANCE DATA The E-GP…
Precision Spine, Inc.2017—

Also cleared against K171651: 27 other devices →

What descends from it? (7)

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

NumberDeviceApplicantDecidedDescendants
K232044Invictus Robotic Navigation InstrumentsAlphatec Spine, Inc.20233
K251780iGPS Navigation InstrumentsSI-BONE, Inc.20250
K243514Salvo® Robotic Navigation InstrumentsSpine Wave, Inc.20250
K233256Robotic Integration InstrumentsDePuy Synthes20240

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.

  • K100952Modification to Synthes Matrix SystemSynthes Spine · 2010 · 4 generations back · ◆ in the 2010 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 21 years and passes through 6 companies; a new generation was cleared every 9 months on median.
  • 82 of the 642 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K232044 (Alphatec Spine, Inc., 2023) has gone furthest, with 3 descendants of its own.
  • 27 other devices also cite its predicate K171651.

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 E-GPS Navigated Instruments are indicated for use during the preparation and placement of Precision Spine screws during spinal surgery to assist the surgeon in precisely locating anatomical structures in either open or minimally invasive procedures. The E-GPS Navigated Instruments are reusable and are specifically designed for use with the Globus Medical Excelsius GPS® Robotic Navigation Platform which is intended for use as an aid for precisely…

Read the full statement (152 words)

The E-GPS Navigated Instruments are indicated for use during the preparation and placement of Precision Spine screws during spinal surgery to assist the surgeon in precisely locating anatomical structures in either open or minimally invasive procedures. The E-GPS Navigated Instruments are reusable and are specifically designed for use with the Globus Medical Excelsius GPS® Robotic Navigation Platform which is intended for use as an aid for precisely locating anatomical structures and for the special positioning and orientation of an instrument holder or guide tube to be used by surgeons for navigating and/or guiding compatible surgical instruments in open or percutaneous procedures provided that the required fiducial markers and rigid patient anatomy can be identified on CT scans or fluoroscopy. Use of the E-GPS Navigated Instrument System is limited to use only with the Reform® Spinal Fixation System (Reform® Ti, Reform® Ti Modular, Reform® Ti CT Modular MIS, Reform® Modular, and Reform® MC).

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K220862: E-GPS Navigated Instruments.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K220862

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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