510(k) Report

510(k) · Cleared

Cleared

Remi Robotic Navigation System

K223070510(k) SpecialCleared Oct 28, 202228-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

Fusion Robotics, LLC · OLO Orthopedic Stereotaxic Instrument

Cleared on Oct 28, 2022 as substantially equivalent to K202184 (Practical Navigation, LLC, 2021) after a 28-day review. Its family tree reaches back 20 generations to 2004. 1 of the 433 devices in its family, counting itself, has a Class I recall. 4 later devices descend from it.

Decided
Oct 28, 2022
Review
28 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
1

Its longest line of descent runs back 20 generations to K040583 (2004). 428 ancestors in all, the oldest K781443 (1978). 4 later devices descend from it, 2 citing it directly. 1 of the 433 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2017: 1 other ancestor2016: 1 other ancestor2015: 6 other ancestors2014: 5 other ancestors2013: 6 other ancestors2011: 13 other ancestors2012: 5 other ancestors2010: 14 other ancestors, 1 with a Class I recall12009: 15 other ancestors2008: 24 other ancestors2006: 23 other ancestors2005: 34 other ancestors2002: 22 other ancestors1999: 16 other ancestors1998: 17 other ancestors1996: 15 other ancestors2007: 13 other ancestors2004: 36 other ancestors2003: 21 other ancestors2001: 32 other ancestors2000: 26 other ancestors1993: 3 other ancestors1990: 2 other ancestors1997: 12 other ancestors1995: 15 other ancestors1979: 1 other ancestor1978: 1 other ancestor1994: 7 other ancestors1989: 5 other ancestors1987: 3 other ancestors1985: 2 other ancestors1981: 2 other ancestors1992: 3 other ancestors1991: 1 other ancestor1988: 2 other ancestors1984: 2 other ancestors1986: 2 other ancestors2023: 2 descendants cleared2026: 2 descendants clearedReference device: K190360 · LineSider™ Spinal System · Integrity Implants, Inc. · 2019Reference device: K203346 · OEC 3D · Ge Oec Medical Systems, Inc. · 2021 · recalledReference device: K160126 · AIRO Computed Tomography (CT) X-ray System · Mobius Imaging · 2016 · recalledReference device: K202360 · Ziehm Vision RFD 3D · Ziehm Imaging GmbH · 2020×7: 7 generations cleared close together, K040583 (2004), K041118 (2004), K042025 (2004), K043151 (2005), K050809 (2005), K052187 (2005), K053101 (2006) ×2: 2 generations cleared close together, K091442 (2009), K091974 (2009) K102555 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2010×2: 2 generations cleared close together, K112473 (2011), K113174 (2011) ×2: 2 generations cleared close together, K121680 (2012), K122862 (2012) K141605 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2014K143375 · CD HORIZON Spinal System, Medtronic Navigated Reusable Instruments · Medtronic Sofamor Danek USA, Inc. · 2015K153203 · Navigation Instruments · Globus Medical, Inc. · 2016K161591 · QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation Instruments · Globus Medical, Inc. · 2016K171651 · Excelsius GPS · Globus Medical, Inc. · 2017 · recalledK202184 · Practical Navigation Surgical Guidance System (PNSGS) · Practical Navigation, LLC · 202119801990200020102020
Other ancestors, by generationDescendants, by generation 3 generations back: 8 other ancestors4 generations back: 30 other ancestors5 generations back: 58 other ancestors, 1 with a Class I recall16 generations back: 101 other ancestors7 generations back: 75 other ancestors8 generations back: 51 other ancestors9 generations back: 45 other ancestors10 generations back: 21 other ancestors11 generations back: 8 other ancestors12 generations back: 9 other ancestors13 generations back: 2 other ancestors 1 generation forward: 2 descendants2 generations forward: 1 descendant3 generations forward: 1 descendant K202184 · Practical Navigation Surgical Guidance System (PNSGS) · Practical Navigation, LLC · 2021K171651 · Excelsius GPS · Globus Medical, Inc. · 2017 · recalledK161591 · QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation Instruments · Globus Medical, Inc. · 2016K153203 · Navigation Instruments · Globus Medical, Inc. · 2016K143375 · CD HORIZON Spinal System, Medtronic Navigated Reusable Instruments · Medtronic Sofamor Danek USA, Inc. · 2015K141605 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2014K122862 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2012K121680 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2012K113174 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2011 · recalledK112473 · CD Horizon Spinal System · Medtronic Sofamor Danek, Inc. · 2011K102555 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2010K091974 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2009 · recalledK091442 · CD Horizon Spinal System · Medtronic Sofamor Danek · 2009K053101 · CD Horizon Spinal System · Medtronic Sofamor Danek · 2006K052187 · Modification to: CD Horizon Spinal System · Medtronic Sofamor Danek · 2005K050809 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2005K043151 · Modification to: CD Horizon Spinal System · Medtronic Sofamor Danek · 2005K042025 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek, Inc. · 2004 · recalledK041118 · Modification to CD Horizon Spinal System · Medtronic Sofamor Danek · 2004K040583 · Modification to: CD Horizon Spinal System · Medtronic Sofamor Danek · 2004−20−15−10−50
  1. Root · 20 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 16 generations between
  3. 3 generations backK161591 QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation…Globus Medical, Inc. · 2016
  4. 2 generations backK171651 Excelsius GPSGlobus Medical, Inc. · 2017 · Recalled
  5. 1 generation backK202184 Practical Navigation Surgical Guidance System (PNSGS)Practical Navigation, LLC · 2021
  6. This deviceK223070 Remi Robotic Navigation SystemFusion Robotics, LLC · 2022
  7. Descendant · cites it directly · 2 of its ownK232413 Fusion Robotic Navigation SystemAlphatec Spine, Inc. · 2023
  8. Descendant · 2 generations on · 1 of its ownK252597 Valence Robotic Navigation System; Valence Robotic Navigation…Alphatec Spine, Inc. · 2026
  9. Descendant · 3 generations on · 0 of its ownK261284 Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal…Alphatec Spine, Inc. · 2026
  10. Descendant · cites it directly · 0 of its ownK223350 Remi Robotic Navigation SystemFusion Robotics, LLC · 2023
Show all 20 generations
  1. Root · 20 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 19 generations backK041118 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  3. 18 generations backK042025 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2004 · Recalled
  4. 17 generations backK043151 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  5. 16 generations backK050809 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005
  6. 15 generations backK052187 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  7. 14 generations backK053101 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2006
  8. 13 generations backK091442 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2009
  9. 12 generations backK091974 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2009 · Recalled
  10. 11 generations backK102555 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2010
  11. 10 generations backK112473 CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2011
  12. 9 generations backK113174 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011 · Recalled
  13. 8 generations backK121680 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2012
  14. 7 generations backK122862 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2012
  15. 6 generations backK141605 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2014
  16. 5 generations backK143375 CD HORIZON Spinal System, Medtronic Navigated Reusable InstrumentsMedtronic Sofamor Danek USA, Inc. · 2015
  17. 4 generations backK153203 Navigation InstrumentsGlobus Medical, Inc. · 2016
  18. 3 generations backK161591 QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation…Globus Medical, Inc. · 2016
  19. 2 generations backK171651 Excelsius GPSGlobus Medical, Inc. · 2017 · Recalled
  20. 1 generation backK202184 Practical Navigation Surgical Guidance System (PNSGS)Practical Navigation, LLC · 2021
  21. This deviceK223070 Remi Robotic Navigation SystemFusion Robotics, LLC · 2022

Class I recalls in this family

Most influential descendants

Showing 4 of 4 · See all
  • K232413Fusion Robotic Navigation SystemAlphatec Spine, Inc. · 2023 · cites it directly2descendants
  • K252597Valence Robotic Navigation System; Valence Robotic Navigation Instruments (For Use with…Alphatec Spine, Inc. · 2026 · 2 generations on1descendant
  • K261284Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal Fixation SystemAlphatec Spine, Inc. · 2026 · 3 generations on0descendants
  • K223350Remi Robotic Navigation SystemFusion Robotics, LLC · 2023 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−20K040583Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−19K041118Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−18K042025Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.20044
−17K043151Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−16K050809CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2005—
−15K052187Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−14K053101CD Horizon Spinal SystemMedtronic Sofamor Danek2006—
−13K091442CD Horizon Spinal SystemMedtronic Sofamor Danek2009—
−12K091974Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20091
−11K102555CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2010—
−10K112473CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.2011—
−9K113174CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20111
−8K121680CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2012—
−7K122862CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2012—
−6K141605CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2014—
−5K143375CD HORIZON Spinal System, Medtronic Navigated Reusable InstrumentsMedtronic Sofamor Danek USA, Inc.2015—
−4K153203Navigation InstrumentsGlobus Medical, Inc.2016—
−3K161591QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation InstrumentsGlobus Medical, Inc.2016—
−2K171651Excelsius GPSGlobus Medical, Inc.20171
−1K202184Practical Navigation Surgical Guidance System (PNSGS)Practical Navigation, LLC2021—
0 (this device)K223070Remi Robotic Navigation SystemFusion Robotics, LLC2022—
+1K232413Fusion Robotic Navigation SystemAlphatec Spine, Inc.2023—
+2K252597Valence Robotic Navigation System; Valence Robotic Navigation Instruments (For…Alphatec Spine, Inc.2026—
+3K261284Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal Fixation…Alphatec Spine, Inc.2026—
+1K223350Remi Robotic Navigation SystemFusion Robotics, LLC2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197810
197910
198120
198420
198520
198620
198730
198820
198950
199020
199110
199230
199330
199470
1995150
1996150
1997120
1998170
1999160
2000260
2001320
2002220
2003210
2004360
2005340
2006230
2007130
2008240
2009150
2010141
2011130
201250
201360
201450
201560
201610
201710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202320
202620
FIG. 1 — Lineage of K223070, 2004–2026Source: 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? (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
*K202184Practical Navigation Surgical Guidance System (PNSGS)
Summary page 4
…igation System Predicate Device(s) Practical Navigation Surgical Guidance System (K202184) The Remi Robotic Navigation System (Remi) is an image guided system primarily comprised of a computer workstation, software, a…
Practical Navigation, LLC2021—
†K190360LineSider™ Spinal SystemIntegrity Implants, Inc.2019—
†K203346OEC 3DGe Oec Medical Systems, Inc.20213
†K160126AIRO Computed Tomography (CT) X-ray SystemMobius Imaging20162
†K202360Ziehm Vision RFD 3DZiehm Imaging GmbH2020—

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K232413Fusion Robotic Navigation SystemAlphatec Spine, Inc.20232
K223350Remi Robotic Navigation SystemFusion Robotics, LLC20230

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 · 5 generations back · ◆ in the 2010 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 18 years and passes through 6 companies; a new generation was cleared every 7 months on median.
  • 59 of the 428 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K232413 (Alphatec Spine, Inc., 2023) has gone furthest, with 2 descendants of its own.

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 REMI™ Robotic Navigation System is intended for use as an aid for precisely locating anatomical structures and for the spatial positioning and orientation of a tool holder or guide tube to be used by surgeons for navigating and/or guiding compatible surgical instruments in open or percutaneous spinal procedures in reference to rigid patient anatomy and fiducials that can be identified on a 3D imaging scan. The REMI™ Robotic Navigation System is…

Read the full statement (114 words)

The REMI™ Robotic Navigation System is intended for use as an aid for precisely locating anatomical structures and for the spatial positioning and orientation of a tool holder or guide tube to be used by surgeons for navigating and/or guiding compatible surgical instruments in open or percutaneous spinal procedures in reference to rigid patient anatomy and fiducials that can be identified on a 3D imaging scan. The REMI™ Robotic Navigation System is indicated for assisting the surgeon in placing pedicle screws in vertebrae in the posterior lumbar region (L1-S1). The system is designed for lumbar pedicle screw placement with the patient in the prone position and is compatible with the Accelus LineSider® Spinal System.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K223070: Remi Robotic Navigation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K223070

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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