510(k) Report

510(k) · Cleared

Cleared

Remi Robotic Navigation System

K223350510(k) TraditionalCleared Mar 13, 2023131-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 Mar 13, 2023 as substantially equivalent to K223070 (Fusion Robotics, LLC, 2022) and 1 other predicate after a 131-day review. Its family tree reaches back 21 generations to 2004. 1 of the 430 devices in its family, counting itself, has a Class I recall.

Decided
Mar 13, 2023
Review
131 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
2

Its longest line of descent runs back 21 generations to K040583 (2004). 429 ancestors in all, the oldest K781443 (1978). No later device cites it as a predicate yet. 1 of the 430 devices in this family, counting this one, has a Class I recall.

Other ancestors, 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 ancestorsReference device: K122234 · Oec 9900 Elite · Ge Healthcare Surgery GE Oec Medical Systems, Inc. · 2012 · recalled×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 · 2021K223070 · Remi Robotic Navigation System · Fusion Robotics, LLC · 202219801990200020102020
Other ancestors, by generation 2 generations back: 8 other ancestors3 generations back: 30 other ancestors4 generations back: 58 other ancestors, 1 with a Class I recall15 generations back: 101 other ancestors6 generations back: 75 other ancestors7 generations back: 51 other ancestors8 generations back: 45 other ancestors9 generations back: 21 other ancestors10 generations back: 8 other ancestors11 generations back: 9 other ancestors12 generations back: 2 other ancestors K223070 · Remi Robotic Navigation System · Fusion Robotics, LLC · 2022K202184 · 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 · 21 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 17 generations between
  3. 3 generations backK171651 Excelsius GPSGlobus Medical, Inc. · 2017 · Recalled
  4. 2 generations backK202184 Practical Navigation Surgical Guidance System (PNSGS)Practical Navigation, LLC · 2021
  5. 1 generation backK223070 Remi Robotic Navigation SystemFusion Robotics, LLC · 2022
  6. This deviceK223350 Remi Robotic Navigation SystemFusion Robotics, LLC · 2023
Show all 21 generations
  1. Root · 21 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 20 generations backK041118 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  3. 19 generations backK042025 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2004 · Recalled
  4. 18 generations backK043151 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  5. 17 generations backK050809 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005
  6. 16 generations backK052187 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  7. 15 generations backK053101 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2006
  8. 14 generations backK091442 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2009
  9. 13 generations backK091974 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2009 · Recalled
  10. 12 generations backK102555 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2010
  11. 11 generations backK112473 CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2011
  12. 10 generations backK113174 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011 · Recalled
  13. 9 generations backK121680 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2012
  14. 8 generations backK122862 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2012
  15. 7 generations backK141605 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2014
  16. 6 generations backK143375 CD HORIZON Spinal System, Medtronic Navigated Reusable InstrumentsMedtronic Sofamor Danek USA, Inc. · 2015
  17. 5 generations backK153203 Navigation InstrumentsGlobus Medical, Inc. · 2016
  18. 4 generations backK161591 QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation…Globus Medical, Inc. · 2016
  19. 3 generations backK171651 Excelsius GPSGlobus Medical, Inc. · 2017 · Recalled
  20. 2 generations backK202184 Practical Navigation Surgical Guidance System (PNSGS)Practical Navigation, LLC · 2021
  21. 1 generation backK223070 Remi Robotic Navigation SystemFusion Robotics, LLC · 2022
  22. This deviceK223350 Remi Robotic Navigation SystemFusion Robotics, LLC · 2023

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−21K040583Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−20K041118Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−19K042025Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.20044
−18K043151Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−17K050809CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2005—
−16K052187Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−15K053101CD Horizon Spinal SystemMedtronic Sofamor Danek2006—
−14K091442CD Horizon Spinal SystemMedtronic Sofamor Danek2009—
−13K091974Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20091
−12K102555CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2010—
−11K112473CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.2011—
−10K113174CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20111
−9K121680CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2012—
−8K122862CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2012—
−7K141605CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2014—
−6K143375CD HORIZON Spinal System, Medtronic Navigated Reusable InstrumentsMedtronic Sofamor Danek USA, Inc.2015—
−5K153203Navigation InstrumentsGlobus Medical, Inc.2016—
−4K161591QUARTEX™ Occipito-Cervico-Thoracic Spinal System, Globus Navigation InstrumentsGlobus Medical, Inc.2016—
−3K171651Excelsius GPSGlobus Medical, Inc.20171
−2K202184Practical Navigation Surgical Guidance System (PNSGS)Practical Navigation, LLC2021—
−1K223070Remi Robotic Navigation SystemFusion Robotics, LLC2022—
0 (this device)K223350Remi 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
FIG. 1 — Lineage of K223350, 2004–2023Source: 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? (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
*K223070Remi Robotic Navigation System
Summary page 4
…Trade/Proprietary Name Remi Robotic Navigation System Predicate Device(s) Remi Robotic Navigation System (K223070) EXCELSIUS GPS (K171651) The Remi Robotic Navigation System (Remi) is an im…
Fusion Robotics, LLC2022—
*K171651Excelsius GPS
Summary page 4
…System Predicate Device(s) Remi Robotic Navigation System (K223070) EXCELSIUS GPS (K171651) The Remi Robotic Navigation System (Remi) is an image guided system primarily comprised of a computer workstation, software, a…
Globus Medical, Inc.20171
†K122234Oec 9900 EliteGe Healthcare Surgery GE Oec Medical Systems, Inc.20126

Also cleared against K223070: 1 other device →

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.

  • 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 19 years and passes through 6 companies; a new generation was cleared every 7 months on median.
  • 59 of the 429 ancestors have a recall of any class; 1 has a Class I recall.
  • 1 other device also cites its predicate K223070.

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 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 or 2D fluoroscopic images. The Remi Robotic…

Read the full statement (118 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 or 2D fluoroscopic images. 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 as stated in the FDA summary.

Cite this page

510(k) Report. “K223350: Remi Robotic Navigation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K223350

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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