510(k) Report

510(k) · Cleared

Cleared

Anteralign™ LS Spinal System with Titan nanoLOCK™ Surface Technology MAZORX Stealth (TM) Edition

K222383510(k) SpecialCleared Sep 29, 202255-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

Medtronic Sofamor Danek USA, Inc. · OLO Orthopedic Stereotaxic Instrument

Cleared on Sep 29, 2022 as substantially equivalent to K214011 (Medtronic Sofamor Danek USA, Inc., 2022) after a 55-day review. Its family tree reaches back 30 generations to 1984. 1 of the 601 devices in its family, counting itself, has a Class I recall.

Decided
Sep 29, 2022
Review
55 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
1

Its longest line of descent runs back 30 generations to K841189 (1984). 600 ancestors in all, the oldest K792352 (1979). No later device cites it as a predicate yet. 1 of the 601 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2021: 3 other ancestors2019: 3 other ancestors2018: 6 other ancestors2017: 19 other ancestors2015: 32 other ancestors2014: 35 other ancestors2013: 34 other ancestors2010: 28 other ancestors2009: 39 other ancestors2020: 5 other ancestors2016: 20 other ancestors2012: 30 other ancestors2011: 45 other ancestors2008: 54 other ancestors, 1 with a Class I recall12007: 19 other ancestors2005: 33 other ancestors1999: 6 other ancestors1996: 4 other ancestors2006: 17 other ancestors2004: 41 other ancestors2003: 22 other ancestors2002: 16 other ancestors2001: 14 other ancestors2000: 9 other ancestors1997: 5 other ancestors1994: 4 other ancestors1993: 1 other ancestor1998: 6 other ancestors1995: 7 other ancestors1988: 2 other ancestors1987: 1 other ancestor1992: 2 other ancestors1989: 1 other ancestor1986: 2 other ancestors1980: 1 other ancestor1979: 1 other ancestor1985: 1 other ancestor1990: 1 other ancestor1984: 1 other ancestorK841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001×2: 2 generations cleared close together, K022793 (2003), K031757 (2003) ×2: 2 generations cleared close together, K041888 (2004), K042930 (2004) K062759 · Paramount VBR System · Innovative Spinal Technologies, Inc. · 2007K072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007K073291 · Capstone Spinal System · Medtronic Sofamor Danek USA, Inc. · 2008K094025 · Crescent Spinal System · Medtronic Sofamor Danek · 2010K110543 · Crescent (R) Spinal System Titanium · Medtronic Sofamor Danek USA, Inc. · 2011K121683 · Acculif TL Cage · Coalign Innovations, Inc. · 2012K123752 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013K132505 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013 · recalledK141217 · Acculif TL and PL Cage · Stryker Corporation · 2014 · recalled×2: 2 generations cleared close together, K143163 (2015), K143616 (2015) K152304 · Tritanium PL Cage · Stryker · 2015 · recalled×2: 2 generations cleared close together, K160955 (2016), K162262 (2016) K171496 · Tritanium C Anterior Cervical Cage · Stryker Spine · 2017K180364 · HD LifeSciences Cervical IBFD System · Hd Lifesciences, LLC · 2018K183557 · Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion Device, Endoskeleton® TO Interbody Fusion Device, Endoskeleton® TT Interbody Fusion Device, Endoskeleton® TC Interbody Fusion Device, Endoskeleton® TCS Interbody Fusion Device, Endoskeleton® TL Interbody Fusion Device, Endoskeleton® TA Vertebral Body Replacement (VBR) Device · Titan Spine, Inc. · 2019 · recalled×2: 2 generations cleared close together, K192018 (2019), K191581 (2020) K201267 · Adaptix Interbody System with Titan nanoLOCK Surface Technology · Medtronic Sofamor Danek · 2020K210425 · Catalyft PL Expandable Interbody System · Medtronic Sofamor Danek USA, Inc. · 2021 · recalled×2: 2 generations cleared close together, K212524 (2021), K214011 (2022) 19801990200020102020
Other ancestors, by generation 2 generations back: 1 other ancestor3 generations back: 17 other ancestors4 generations back: 36 other ancestors5 generations back: 68 other ancestors6 generations back: 111 other ancestors7 generations back: 131 other ancestors, 1 with a Class I recall18 generations back: 102 other ancestors9 generations back: 56 other ancestors10 generations back: 26 other ancestors11 generations back: 16 other ancestors12 generations back: 5 other ancestors13 generations back: 1 other ancestor K214011 · Catalyft™ PL Expandable Interbody System Navigated Instruments, Anteralign™ TL Spinal System with Titan nanoLOCK™ Surface Technology Navigated Instruments, and CD Horizon™ Solera™ Voyager™ Spinal System Navigated, Guided, and Powered Drivers · Medtronic Sofamor Danek USA, Inc. · 2022K212524 · Anteralign Spinal System with Titan nanoLOCK Surface Technology · Medtronic Sofamor Danek USA, Inc. · 2021K210425 · Catalyft PL Expandable Interbody System · Medtronic Sofamor Danek USA, Inc. · 2021 · recalledK201267 · Adaptix Interbody System with Titan nanoLOCK Surface Technology · Medtronic Sofamor Danek · 2020K191581 · Endoskeleton TL Interbody Fusion Device, Endoskeleton TL Hyperlordotic Interbody Fusion Device · Titan Spine, Inc. · 2020K192018 · Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS Hyperlordotic Interbody Fusion Device, Endoskeleton TO Interbody Fusion Device, Endoskeleton TT Interbody Fusion Device, Endoskeleton TC Interbody Fusion Device, Endoskeleton TCS Interbody Fusion Device, Endoskeleton TL Interbody Fusion Device · Titan Spine, Inc. · 2019 · recalledK183557 · Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion Device, Endoskeleton® TO Interbody Fusion Device, Endoskeleton® TT Interbody Fusion Device, Endoskeleton® TC Interbody Fusion Device, Endoskeleton® TCS Interbody Fusion Device, Endoskeleton® TL Interbody Fusion Device, Endoskeleton® TA Vertebral Body Replacement (VBR) Device · Titan Spine, Inc. · 2019 · recalledK180364 · HD LifeSciences Cervical IBFD System · Hd Lifesciences, LLC · 2018K171496 · Tritanium C Anterior Cervical Cage · Stryker Spine · 2017K162262 · Tritanium® PL Cage · Stryker · 2016K160955 · Tritanium® PL Cage · Stryker · 2016K152304 · Tritanium PL Cage · Stryker · 2015 · recalledK143616 · AccuLIF TL and PL Cage · Stryker Corporation · 2015 · recalledK143163 · AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK Spacer, AVS® Navigator PEEK Spacer, AVS® ARIA PEEK Spacer, AccuLIF TL and PL Cage, AVS® Anchor-L Spacer, Aero-AL Lumbar Cage System · Stryker Corporation · 2015K141217 · Acculif TL and PL Cage · Stryker Corporation · 2014 · recalledK132505 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013 · recalledK123752 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013K121683 · Acculif TL Cage · Coalign Innovations, Inc. · 2012K110543 · Crescent (R) Spinal System Titanium · Medtronic Sofamor Danek USA, Inc. · 2011K094025 · Crescent Spinal System · Medtronic Sofamor Danek · 2010K073291 · Capstone Spinal System · Medtronic Sofamor Danek USA, Inc. · 2008K072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007K062759 · Paramount VBR System · Innovative Spinal Technologies, Inc. · 2007K042930 · Spacevision Cage System · Spine Vision, Inc. · 2004K041888 · Curved Peek Tetris Spinal Implant · Signus Medizintechnik GmbH · 2004K031757 · Peek Tetris Spinal Implant · Signus Medical, LLC · 2003K022793 · Tetris Spinal Implant · Signus Medical, LLC · 2003K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984−30−25−20−15−10−50
  1. Root · 30 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 26 generations between
  3. 3 generations backK210425 Catalyft PL Expandable Interbody SystemMedtronic Sofamor Danek USA, Inc. · 2021 · Recalled
  4. 2 generations backK212524 Anteralign Spinal System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek USA, Inc. · 2021
  5. 1 generation backK214011 Catalyft™ PL Expandable Interbody System Navigated Instruments…Medtronic Sofamor Danek USA, Inc. · 2022
  6. This deviceK222383 Anteralign™ LS Spinal System with Titan nanoLOCK™ Surface Technology…Medtronic Sofamor Danek USA, Inc. · 2022
Show all 30 generations
  1. Root · 30 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 29 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 28 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 27 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 26 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 25 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 24 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 23 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 22 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 21 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 20 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 19 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 18 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 17 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 16 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 15 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 14 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 13 generations backK143616 AccuLIF TL and PL CageStryker Corporation · 2015 · Recalled
  19. 12 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  20. 11 generations backK160955 Tritanium® PL CageStryker · 2016
  21. 10 generations backK162262 Tritanium® PL CageStryker · 2016
  22. 9 generations backK171496 Tritanium C Anterior Cervical CageStryker Spine · 2017
  23. 8 generations backK180364 HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC · 2018
  24. 7 generations backK183557 Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS…Titan Spine, Inc. · 2019 · Recalled
  25. 6 generations backK192018 Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc. · 2019 · Recalled
  26. 5 generations backK191581 Endoskeleton TL Interbody Fusion Device, Endoskeleton TL…Titan Spine, Inc. · 2020
  27. 4 generations backK201267 Adaptix Interbody System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek · 2020
  28. 3 generations backK210425 Catalyft PL Expandable Interbody SystemMedtronic Sofamor Danek USA, Inc. · 2021 · Recalled
  29. 2 generations backK212524 Anteralign Spinal System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek USA, Inc. · 2021
  30. 1 generation backK214011 Catalyft™ PL Expandable Interbody System Navigated Instruments…Medtronic Sofamor Danek USA, Inc. · 2022
  31. This deviceK222383 Anteralign™ LS Spinal System with Titan nanoLOCK™ Surface Technology…Medtronic Sofamor Danek USA, Inc. · 2022

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−30K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−29K990148Stackable Cage SystemDepuy Motech Acromed1999—
−28K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−27K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−26K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−25K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−24K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−23K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−22K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−21K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−20K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−19K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−18K121683Acculif TL CageCoalign Innovations, Inc.2012—
−17K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−16K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−15K141217Acculif TL and PL CageStryker Corporation20143
−14K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−13K143616AccuLIF TL and PL CageStryker Corporation20154
−12K152304Tritanium PL CageStryker20151
−11K160955Tritanium® PL CageStryker2016—
−10K162262Tritanium® PL CageStryker2016—
−9K171496Tritanium C Anterior Cervical CageStryker Spine2017—
−8K180364HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC2018—
−7K183557Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion…Titan Spine, Inc.20193
−6K192018Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc.20194
−5K191581Endoskeleton TL Interbody Fusion Device, Endoskeleton TL Hyperlordotic…Titan Spine, Inc.2020—
−4K201267Adaptix Interbody System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek2020—
−3K210425Catalyft PL Expandable Interbody SystemMedtronic Sofamor Danek USA, Inc.20211
−2K212524Anteralign Spinal System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek USA, Inc.2021—
−1K214011Catalyft™ PL Expandable Interbody System Navigated Instruments, Anteralign™ TL…Medtronic Sofamor Danek USA, Inc.2022—
0 (this device)K222383Anteralign™ LS Spinal System with Titan nanoLOCK™ Surface Technology MAZORX…Medtronic Sofamor Danek USA, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
198410
198510
198620
198710
198820
198910
199010
199220
199310
199440
199570
199640
199750
199860
199960
200090
2001140
2002160
2003220
2004410
2005330
2006170
2007190
2008541
2009390
2010280
2011450
2012300
2013340
2014350
2015320
2016200
2017190
201860
201930
202050
202130
FIG. 1 — Lineage of K222383, 1984–2022Source: 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 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
*K214011Catalyft™ PL Expandable Interbody System Navigated Instruments, Anteralign™ TL Spinal…
Summary page 4
…inal System with Titan nanoLOCK™ Surface Technology Navigated Instruments Compatible with MAZOR X™ system (Stealth™ Edition) (K214011, S.E. 02/09/2022) K222383, Page…
Medtronic Sofamor Danek USA, Inc.2022—

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.

  • K073202Ardis SpacerAbbott Spine, Inc. · 2008 · 7 generations back · ◆ in the 2008 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 38 years and passes through 15 companies; a new generation was cleared every 8 months on median.
  • 70 of the 600 ancestors have a recall of any class; 1 has a Class I recall.

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?

Medtronic Surgical Instruments are intended to be used during preparation and placement of Medtronic implants during spinal surgery to assist in precisely locating anatomical structures in either open, or minimally invasive, procedures. Medtronic Surgical Instruments are specifically designed for use with the Mazor X Stealth™ Edition, which is indicated for medical conditions in which the use of stereotactic surgery may be appropriate, and where…

Read the full statement (196 words)

Medtronic Surgical Instruments are intended to be used during preparation and placement of Medtronic implants during spinal surgery to assist in precisely locating anatomical structures in either open, or minimally invasive, procedures. Medtronic Surgical Instruments are specifically designed for use with the Mazor X Stealth™ Edition, which is indicated for medical conditions in which the use of stereotactic surgery may be appropriate, and where reference to a rigid anatomical structure, such as a skull, a long bone, or vertebra can be identified relative to a CT or MR-based model, fluoroscopy images, or digitized landmarks of the anatomy. Medtronic Surgical Instruments can be navigated or non-navigated manual instruments that may or may not be guided through the Mazor X Stealth™ Edition Arm Guide. Medtronic surgical drills shall only be used through the Mazor X Stealth™ Edition arm guides, Medtronic cannulas, and Medtronic drill guides. Some of the Medtronic Surgical Instruments are also compatible with the IPC™ Powerease™ System or AO* style quick connect drilling motors. An instrument may incorporate a measuring function which has uses as described on the label and the instrument. Medtronic cannulas may or may not be used with Midas Rex™ attachments and tools.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K222383: Anteralign™ LS Spinal System with Titan nanoLOCK™ Surface Technology MAZORX Stealth (TM) Edition.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K222383

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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