510(k) Report

510(k) · Cleared

Cleared

Paradigm System

K222291510(k) TraditionalCleared Apr 21, 2023263-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

Proprio, Inc. · OLO Orthopedic Stereotaxic Instrument

Cleared on Apr 21, 2023 as substantially equivalent to K162375 (7D Surgical, Inc., 2016) after a 263-day review. Its family tree reaches back 3 generations to 2005. 3 later devices descend from it.

Decided
Apr 21, 2023
Review
263 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to K050438 (2005). 3 later devices descend from it, 1 citing it directly.

  1. Root · 3 generations backK050438 Stealthstation System UpdateMedtronic Surgical Navigation Technologies · 2005 · Recalled
  2. 2 generations backK133444 Stealthstation S7 / I7 / Fusion Navigation Systems, Axiem Navigation…Medtronic Navigation, Inc. · 2014 · Recalled
  3. 1 generation backK162375 Envision 3D: Image Guidance System7D Surgical, Inc. · 2016
  4. This deviceK222291 Paradigm SystemProprio, Inc. · 2023
  5. Descendant · cites it directly · 2 of its ownK243258 Paradigm SystemProprio, Inc. · 2025
  6. Descendant · 2 generations on · 1 of its ownK250879 Paradigm SystemProprio, Inc. · 2025
  7. Descendant · 3 generations on · 0 of its ownK252950 Paradigm SystemProprio, Inc. · 2025

Most influential descendants

Showing 3 of 3 · See all
  • K243258Paradigm SystemProprio, Inc. · 2025 · cites it directly2descendants
  • K250879Paradigm SystemProprio, Inc. · 2025 · 2 generations on1descendant
  • K252950Paradigm SystemProprio, Inc. · 2025 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K050438Stealthstation System UpdateMedtronic Surgical Navigation Technologies200511
−2K133444Stealthstation S7 / I7 / Fusion Navigation Systems, Axiem Navigation SystemMedtronic Navigation, Inc.20141
−1K162375Envision 3D: Image Guidance System7D Surgical, Inc.2016—
0 (this device)K222291Paradigm SystemProprio, Inc.2023—
+1K243258Paradigm SystemProprio, Inc.2025—
+2K250879Paradigm SystemProprio, Inc.2025—
+3K252950Paradigm SystemProprio, Inc.2025—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202530
FIG. 1 — Lineage of K222291, 2005–2025Source: 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? (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
*K162375Envision 3D: Image Guidance System
Summary page 4
…21 CFR 882.4650 Predicate Device(s): The subject device is equivalent to the following device: Envision 3D™: Image Guidance System (K162375) Device Description: The Paradigm System is a stereotaxic image guidance system intended for the…
7D Surgical, Inc.2016—

Also cleared against K162375: 4 other devices →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K243258Paradigm SystemProprio, Inc.20252

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 18 years and passes through 4 companies; a new generation was cleared every 6.3 years on median.
  • 2 of the 3 ancestors have a recall of any class.
  • Of its descendants, K243258 (Proprio, Inc., 2025) has gone furthest, with 2 descendants of its own.
  • 4 other devices also cite its predicate K162375.

How does its category compare?

All OLO devices

OLO Orthopedic Stereotaxic Instrument: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, 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 Paradigm System is a stereotaxic image guidance system intended for the spatial positioning and orientation of spinal surgical instruments used by surgeons during open surgical procedures with appropriate bone preparation. The device is indicated for posterior approach spine surgery where reference to a rigid anatomical structure that can be identified on CT derived patient images for pedicle screw cannulation of the thoracic to sacrum vertebrae.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K222291: Paradigm System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K222291

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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