510(k) Report

510(k) · Cleared

Cleared

Brainlab Elements – Trajectory Planning (2.6), Elements Stereotaxy, Elements Lead Localization, Elements Trajectory Planning Cranial

K223552510(k) TraditionalCleared Apr 19, 2023145-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

Brainlab AG · HAW Neurological Stereotaxic Instrument

Cleared on Apr 19, 2023 as substantially equivalent to K211544 (Brainlab AG, 2021) and 1 other predicate after a 145-day review. Its family tree reaches back 6 generations to 1999.

Decided
Apr 19, 2023
Review
145 days
Class
Class II
Product code
HAW
Recalls
None
Predicates
2

Its longest line of descent runs back 6 generations to K983410 (1999). 18 ancestors in all, the oldest K854886 (1986). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2010: 1 other ancestor2008: 1 other ancestor2001: 4 other ancestors1998: 1 other ancestor1996: 1 other ancestor2004: 1 other ancestor1995: 1 other ancestor1990: 1 other ancestor1986: 1 other ancestorK983410 · @ Target · Brainlab AG · 1999K020631 · IPLAN · Brainlab AG · 2002K041703 · IPLAN! · Brainlab AG · 2004K053127 · IPLAN · Brainlab AG · 2006K101627 · IPLAN · Brainlab AG · 2011K211544 · Trajectory Planning, Elements Trajectory Planning, Elements Lead Localization · Brainlab AG · 20211990200020102020
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 4 other ancestors3 generations back: 4 other ancestors6 generations back: 3 other ancestors K211544 · Trajectory Planning, Elements Trajectory Planning, Elements Lead Localization · Brainlab AG · 2021K101627 · IPLAN · Brainlab AG · 2011K053127 · IPLAN · Brainlab AG · 2006K041703 · IPLAN! · Brainlab AG · 2004K020631 · IPLAN · Brainlab AG · 2002K983410 · @ Target · Brainlab AG · 1999−50
  1. Root · 6 generations backK983410 @ TargetBrainlab AG · 1999
  2. 5 generations backK020631 IPLANBrainlab AG · 2002
  3. 4 generations backK041703 IPLAN!Brainlab AG · 2004
  4. 3 generations backK053127 IPLANBrainlab AG · 2006
  5. 2 generations backK101627 IPLANBrainlab AG · 2011
  6. 1 generation backK211544 Trajectory Planning, Elements Trajectory Planning, Elements Lead…Brainlab AG · 2021
  7. This deviceK223552 Brainlab Elements – Trajectory Planning (2.6), Elements Stereotaxy…Brainlab AG · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K983410@ TargetBrainlab AG1999—
−5K020631IPLANBrainlab AG2002—
−4K041703IPLAN!Brainlab AG2004—
−3K053127IPLANBrainlab AG2006—
−2K101627IPLANBrainlab AG2011—
−1K211544Trajectory Planning, Elements Trajectory Planning, Elements Lead LocalizationBrainlab AG2021—
0 (this device)K223552Brainlab Elements – Trajectory Planning (2.6), Elements Stereotaxy, Elements…Brainlab AG2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198610
199010
199510
199610
199810
200140
200410
200810
201010
FIG. 1 — Lineage of K223552, 1999–2023Source: 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.

Planning a device in HAW? 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 HAW device

  1. #1 K253856 Geniant Cranial (Navigated Neurosurgical…score 15.0 · 11 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
*K211544Trajectory Planning, Elements Trajectory Planning, Elements Lead Localization
Summary page 4
…HAW Regulation Number 882.4560 Regulatory Class II Panel Neurology Primary Predicate Device (K211544) Brainlab Elements Trajectory Planning (2.5) Additional Predicate Device (K092192) Waypoint Stereotactic System…
Brainlab AG2021—
*K092192Waypoint Stereotactic System
Summary page 4
…II Panel Neurology Primary Predicate Device (K211544) Brainlab Elements Trajectory Planning (2.5) Additional Predicate Device (K092192) Waypoint Stereotactic System Contact Information Primary Contact Sadwini S…
FHC, Inc.2010—

What descends from it?

No later submission names this one as a predicate yet.

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 24 years and passes through 1 company; a new generation was cleared every 3.0 years on median.
  • 3 of the 18 ancestors have a recall of any class.

How does its category compare?

All HAW devices

HAW Neurological 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 · HAW

9in 2025

2007: 152008: 122009: 82010: 62011: 42012: 82013: 32014: 52015: 102016: 92017: 72018: 62019: 102020: 52021: 92022: 72023: 142024: 72025: 92026 (partial year): 5
2007high 15 (2007) · low 3 (2013)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HAW

163in 2025

2007: 107 days median2008: 112 days median2009: 221 days median2010: 138 days median2011: 66 days median2012: 178 days median2013: 172 days median2014: 238 days median2015: 232 days median2016: 175 days median2017: 226 days median2018: 112 days median2019: 147 days median2020: 88 days median2021: 168 days median2022: 128 days median2023: 142 days median2024: 107 days median2025: 163 days median2026 (partial year): 162 days median
2007high 238 (2014) · low 66 (2011)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · HAW

2in 2025

2007: 22008: 102009: 62010: 282011: 52012: 42013: 6, 1 Class I2014: 52015: 32016: 52017: 22018: 2, 2 Class I2019: 4, 1 Class I2020: 12021: 4, 2 Class I2022: 12023: 4, 1 Class I2024: 2, 2 Class I2025: 22026 (partial year): 6
2007high 28 (2010) · low 1 (2020)2026

Class I (9 since 2007) Class II/III not classified

Adverse event reports per year · HAW

3,425in 2025

2007: 492008: 532009: 962010: 2992011: 1,7252012: 9862013: 1,2902014: 1,6062015: 1,7672016: 1,8282017: 3,5052018: 4,4392019: 6,0622020: 3,4802021: 2,8272022: 1,9292023: 2,5102024: 3,7552025: 3,425
2007high 6,062 (2019) · low 49 (2007)2025

MAUDE reports naming product code HAW, 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
200715107249
2008121121053
20098221696
2010613828299
201146651,725
201281784986
201331726 (1)1,290
2014523851,606
20151023231,767
2016917551,828
2017722623,505
201861122 (2)4,439
2019101474 (1)6,062
202058813,480
202191684 (2)2,827
2022712811,929
2023141424 (1)2,510
202471072 (2)3,755
2025916323,425
202651626—

What is it indicated for?

Brainlab Elements Trajectory Planning software is intended for pre-, intra- and postoperative image-based planning and review of either open or minimally invasive neurosurgical and neurological procedures. Its use is indicated for any medical condition in which the use of stereotactic surgery may be appropriate for the placement of instruments/devices and where the position of the instrument/device can be identified relative to images of the anatomy.…

Read the full statement (105 words)

Brainlab Elements Trajectory Planning software is intended for pre-, intra- and postoperative image-based planning and

review of either open or minimally invasive neurosurgical and neurological procedures. Its use is indicated for any

medical condition in which the use of stereotactic surgery may be appropriate for the placement of instruments/devices

and where the position of the instrument/device can be identified relative to images of the anatomy.

This includes, but is not limited to, the following cranial procedures (including frame-based stereotaxy and frame

alternative-based stereotaxy):

• Catheter placement

• Depth electrode placement (SEEG procedures)

• Lead placement and detection (DBS procedures)

• Probe placement

• Cranial biopsies

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K223552: Brainlab Elements – Trajectory Planning (2.6), Elements Stereotaxy, Elements Lead Localization, Elements Trajectory Planning Cranial.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K223552

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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