510(k) Report

510(k) · Cleared

Cleared

TELIGEN System Navigation Ready Indications (TELIGEN Access Probe, TELIGEN Clear)

K223108510(k) TraditionalCleared Jan 19, 2023111-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

Medos International SARL · OLO Orthopedic Stereotaxic Instrument

Cleared on Jan 19, 2023 as substantially equivalent to K122211 (Synthes Spine, 2012) and 1 other predicate after a 111-day review. Its family tree reaches back 9 generations to 1999. 3 of the 28 devices in its family, counting itself, have a Class I recall. 4 later devices descend from it.

Decided
Jan 19, 2023
Review
111 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
2

Its longest line of descent runs back 9 generations to K983831 (1999). 23 ancestors in all, the oldest K981508 (1998). 4 later devices descend from it, 2 citing it directly. 3 of the 28 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2012: 1 other ancestor2022: 1 other ancestor2005: 1 other ancestor2001: 3 other ancestors2019: 1 other ancestor2017: 1 other ancestor2003: 1 other ancestor2016: 1 other ancestor, 1 with a Class I recall11998: 1 other ancestor2015: 1 other ancestor, 1 with a Class I recall11999: 1 other ancestor2000: 1 other ancestor2024: 2 descendants cleared2023: 1 descendant cleared2026: 1 descendant clearedReference device: K213978 · TELIGEN System · Medos International SARL · 2022Reference device: K212245 · Spine and Trauma Navigation System, Spine & Trauma 3D Navigation, Instrument Selection, Fluoro 3D, Registration Software Fluoro 3D, Registration Software Paired Point, Registration Software Spine Surface Matching, Spine Planning, Elements Screw Planning Spine, Elements Spine Screw Planning · Brainlab AG · 2022Reference device: K133444 · Stealthstation S7 / I7 / Fusion Navigation Systems, Axiem Navigation System · Medtronic Navigation, Inc. · 2014 · recalledK983831 · VECTORVISION2 · Brainlab AG · 1999K014256 · Kolibri Igs Systems · Brainlab AG · 2002K042721 · Kolibri Spine · Brainlab AG · 2005K053159 · Vectorvision Spine · Brainlab AG · 2006 · recalledK070106 · VV Fluoro 3D · Brainlab AG · 2007 · Class I recallK083310 · Spine & Trauma Ict · Brainlab AG · 2009K183605 · Spine & Trauma Navigation · Brainlab AG · 2019 · recalledK201661 · Symphony Navigation Ready Instruments and Universal Navigation Adaptor Set · Medos International SARL · 2020K212756 · Discectomy Navigation Ready Instruments and Universal Navigation Adaptor Set · Medos International SARL · 20221995200020052010201520202025
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 3 other ancestors3 generations back: 3 other ancestors4 generations back: 3 other ancestors, 1 with a Class I recall15 generations back: 2 other ancestors, 1 with a Class I recall16 generations back: 2 other ancestors 1 generation forward: 2 descendants2 generations forward: 1 descendant3 generations forward: 1 descendant K212756 · Discectomy Navigation Ready Instruments and Universal Navigation Adaptor Set · Medos International SARL · 2022K201661 · Symphony Navigation Ready Instruments and Universal Navigation Adaptor Set · Medos International SARL · 2020K183605 · Spine & Trauma Navigation · Brainlab AG · 2019 · recalledK083310 · Spine & Trauma Ict · Brainlab AG · 2009K070106 · VV Fluoro 3D · Brainlab AG · 2007 · Class I recallK053159 · Vectorvision Spine · Brainlab AG · 2006 · recalledK042721 · Kolibri Spine · Brainlab AG · 2005K014256 · Kolibri Igs Systems · Brainlab AG · 2002K983831 · VECTORVISION2 · Brainlab AG · 1999−50
  1. Root · 9 generations backK983831 VECTORVISION2Brainlab AG · 1999
  2. 5 generations between
  3. 3 generations backK183605 Spine & Trauma NavigationBrainlab AG · 2019 · Recalled
  4. 2 generations backK201661 Symphony Navigation Ready Instruments and Universal Navigation…Medos International SARL · 2020
  5. 1 generation backK212756 Discectomy Navigation Ready Instruments and Universal Navigation…Medos International SARL · 2022
  6. This deviceK223108 TELIGEN System Navigation Ready Indications (TELIGEN Access Probe…Medos International SARL · 2023
  7. Descendant · cites it directly · 2 of its ownK233254 TELIGEN System Navigation Ready InstrumentsDePuy Synthes · 2024
  8. Descendant · 2 generations on · 1 of its ownK241893 CROSSNAV Navigation Enabled Instruments and UNAS Navigation ArraysMedos International SARL · 2024
  9. Descendant · 3 generations on · 0 of its ownK254157 CROSSNAV Navigation Enabled Instruments for Disc Preparation and…Medos International SARL · 2026
  10. Descendant · cites it directly · 0 of its ownK223438 TELIGEN System Peripheral Motor Nerve Stimulation IndicationsMedos International SARL · 2023
Show all 9 generations
  1. Root · 9 generations backK983831 VECTORVISION2Brainlab AG · 1999
  2. 8 generations backK014256 Kolibri Igs SystemsBrainlab AG · 2002
  3. 7 generations backK042721 Kolibri SpineBrainlab AG · 2005
  4. 6 generations backK053159 Vectorvision SpineBrainlab AG · 2006 · Recalled
  5. 5 generations backK070106 VV Fluoro 3DBrainlab AG · 2007 · Recalled (Class I)
  6. 4 generations backK083310 Spine & Trauma IctBrainlab AG · 2009
  7. 3 generations backK183605 Spine & Trauma NavigationBrainlab AG · 2019 · Recalled
  8. 2 generations backK201661 Symphony Navigation Ready Instruments and Universal Navigation…Medos International SARL · 2020
  9. 1 generation backK212756 Discectomy Navigation Ready Instruments and Universal Navigation…Medos International SARL · 2022
  10. This deviceK223108 TELIGEN System Navigation Ready Indications (TELIGEN Access Probe…Medos International SARL · 2023

Class I recalls in this family

Most influential descendants

Showing 4 of 4 · See all
  • K233254TELIGEN System Navigation Ready InstrumentsDePuy Synthes · 2024 · cites it directly2descendants
  • K241893CROSSNAV Navigation Enabled Instruments and UNAS Navigation ArraysMedos International SARL · 2024 · 2 generations on1descendant
  • K254157CROSSNAV Navigation Enabled Instruments for Disc Preparation and InterbodyMedos International SARL · 2026 · 3 generations on0descendants
  • K223438TELIGEN System Peripheral Motor Nerve Stimulation IndicationsMedos International SARL · 2023 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K983831VECTORVISION2Brainlab AG1999—
−8K014256Kolibri Igs SystemsBrainlab AG2002—
−7K042721Kolibri SpineBrainlab AG2005—
−6K053159Vectorvision SpineBrainlab AG20061
−5K070106VV Fluoro 3DBrainlab AG2007Class I
−4K083310Spine & Trauma IctBrainlab AG2009—
−3K183605Spine & Trauma NavigationBrainlab AG20193
−2K201661Symphony Navigation Ready Instruments and Universal Navigation Adaptor SetMedos International SARL2020—
−1K212756Discectomy Navigation Ready Instruments and Universal Navigation Adaptor SetMedos International SARL2022—
0 (this device)K223108TELIGEN System Navigation Ready Indications (TELIGEN Access Probe, TELIGEN…Medos International SARL2023—
+1K233254TELIGEN System Navigation Ready InstrumentsDePuy Synthes2024—
+2K241893CROSSNAV Navigation Enabled Instruments and UNAS Navigation ArraysMedos International SARL2024—
+3K254157CROSSNAV Navigation Enabled Instruments for Disc Preparation and InterbodyMedos International SARL2026—
+1K223438TELIGEN System Peripheral Motor Nerve Stimulation IndicationsMedos International SARL2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199810
199910
200010
200130
200310
200510
201210
201511
201611
201710
201910
202210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202420
202610
FIG. 1 — Lineage of K223108, 1999–2026Source: 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.

3 devices in this family have 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
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What was it cleared against? (2)

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
*K122211Synthes Navigable Pedicle Preparation Instruments
Summary page 4
…Panel Code HRX – Orthopedic D. Predicate Device Names Primary Predicate Device: Synthes Navigable Pedicle Preparation Instruments (K122211) – HAW, OLO Additional Predicate Devices: Discectomy Navigation Ready Instruments and Universal Navigation Adaptor Set…
Synthes Spine2012—
*K212756Discectomy Navigation Ready Instruments and Universal Navigation Adaptor Set
Summary page 4
…ation Instruments (K122211) – HAW, OLO Additional Predicate Devices: Discectomy Navigation Ready Instruments and Universal Navigation Adaptor Set (UNAS) (K212756) – OLO Page 1 of 3 Reference Device: TELIGEN System (K213978)…
Medos International SARL2022—
†K213978TELIGEN SystemMedos International SARL2022—
†K212245Spine and Trauma Navigation System, Spine & Trauma 3D Navigation, Instrument Selection…Brainlab AG2022—
†K133444Stealthstation S7 / I7 / Fusion Navigation Systems, Axiem Navigation SystemMedtronic Navigation, Inc.20141

Also cleared against K122211: 7 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K233254TELIGEN System Navigation Ready InstrumentsDePuy Synthes20242
K223438TELIGEN System Peripheral Motor Nerve Stimulation IndicationsMedos International SARL20230

Has anything in its family been recalled? (3 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.

  • K070106VV Fluoro 3DBrainlab AG · 2007 · 2 generations back · ◆ on the line of descent in FIG. 11 Class I recall
  • K153660StealthStation System with Cranial SoftwareMedtronic Navigation, Inc. · 2016 · 4 generations back · ◆ in the 2016 ancestors bar of FIG. 13 Class I recalls
  • K150216Synergy CranialMedtronic Navigation, Inc. · 2015 · 5 generations back · ◆ in the 2015 ancestors bar of FIG. 13 Class I recalls

What does this lineage say?

  • The line of descent spans 24 years and passes through 2 companies; a new generation was cleared every 1.6 years on median.
  • 8 of the 23 ancestors have a recall of any class; 3 have a Class I recall.
  • Of its descendants, K233254 (DePuy Synthes, 2024) has gone furthest, with 2 descendants of its own.
  • 7 other devices also cite its predicate K122211.

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 TELIGEN System is indicated to provide minimally invasive access, visualization, illumination, magnification and discectomy of the surgical area of the spine. The TELIGEN Access Probe and TELIGEN Clear are Navigation Ready Instruments and when used with the compatible Universal Navigation Adaptor Set (UNAS) are intended to assist the surgeon in locating anatomical structures in either open or percutaneous procedures. The navigation feature is used in…

Read the full statement (185 words)

The TELIGEN System is indicated to provide minimally invasive access, visualization, illumination, magnification and discectomy of the surgical area of the spine.

The TELIGEN Access Probe and TELIGEN Clear are Navigation Ready Instruments and when used with the compatible Universal Navigation Adaptor Set (UNAS) are intended to assist the surgeon in locating anatomical structures in either open or percutaneous procedures. The navigation feature is used in surgical spinal procedures, in which:

• the use of stereotactic surgery may be appropriate, and

• reference to a rigid anatomical structure, such as the pelvis or a vertebrae can be identified relative to the acquired image (CT, MR, 2D fluoroscopic image or 3D fluoroscopic image reconstruction) and/or an image data based model of the anatomy using a navigation system and associated tracking arrays.

These procedures include but are not limited to spinal fusion. TELIGEN Clear, when used with UNAS, can be pre-calibrated with the Brainlab Navigation System. TELIGEN Access Probe, when used with UNAS, can be pre-calibrated with the Brainlab Navigation System, where other navigation systems require manual calibration and tracking arrays supplied by the navigation system manufacturer.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K223108: TELIGEN System Navigation Ready Indications (TELIGEN Access Probe, TELIGEN Clear).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K223108

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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