510(k) Report

510(k) · Cleared

Cleared

NextAR™ Spine Platform

K223769510(k) TraditionalCleared Jul 21, 2023218-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

Medacta International S.A. · SBF Orthopedic Augmented Reality

Cleared on Jul 21, 2023 as substantially equivalent to K210859 (Medacta International S.A., 2021) after a 218-day review. Its family tree reaches back 13 generations to 1994. 2 of the 110 devices in its family, counting itself, have a Class I recall. 2 later devices descend from it.

Decided
Jul 21, 2023
Review
218 days
Class
Class II
Product code
SBF
Recalls
None
Predicates
1

Its longest line of descent runs back 13 generations to K941847 (1994). 108 ancestors in all, the oldest K840643 (1984). 2 later devices descend from it, 1 citing it directly. 2 of the 110 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2017: 1 other ancestor2019: 1 other ancestor2016: 1 other ancestor, 1 with a Class I recall12010: 1 other ancestor2009: 1 other ancestor2005: 3 other ancestors2015: 1 other ancestor, 1 with a Class I recall12008: 1 other ancestor2006: 3 other ancestors1999: 4 other ancestors2007: 3 other ancestors2002: 11 other ancestors2001: 11 other ancestors2003: 4 other ancestors2000: 7 other ancestors1997: 4 other ancestors1996: 8 other ancestors1995: 5 other ancestors2004: 3 other ancestors1993: 3 other ancestors1998: 5 other ancestors1994: 5 other ancestors1992: 2 other ancestors1991: 1 other ancestor1990: 1 other ancestor1987: 2 other ancestors1984: 1 other ancestor1985: 1 other ancestor2024: 1 descendant cleared2025: 1 descendant clearedReference device: K211188 · xvision Spine system (XVS) · Augmedics, Ltd. · 2021 · recalledK941847 · 5/8 Porocoat Aml Hip Porocoat Porous Coating · Depuy, Inc. · 1994K964650 · TCP-Coated Porocoat Aml Femoral Hip Prosthesis · Depuy, Inc. · 1997K980711 · Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic Coating · Zimmer, Inc. · 1998 · recalledK001277 · Triflange Acetabular Cup System · DePuy Orthopaedics, Inc. · 2000K031495 · Pinnacle Duofix HA Acetabular Cup Prosthesis · DePuy Orthopaedics, Inc. · 2003K042344 · Excia Total Hip System · Aesculap, Inc. · 2005 · recalledK070981 · Search Evolution (LC) Total Knee System (Plasmapore) · Aesculap Implant Systems, Inc. · 2007K081023 · Evolis Total Knee System · Medacta International S.A. · 2008 · recalledK090988 · GMK Total Knee System · Medacta International S.A. · 2009 · recalledK093806 · Myknee Cutting Blocks · Medacta International S.A. · 2010×2: 2 generations cleared close together, K193559 (2020), K202152 (2020) K210859 · NextAR™ Spine Platform · Medacta International S.A. · 202119801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor3 generations back: 5 other ancestors, 1 with a Class I recall14 generations back: 4 other ancestors, 1 with a Class I recall15 generations back: 8 other ancestors6 generations back: 16 other ancestors7 generations back: 7 other ancestors8 generations back: 15 other ancestors9 generations back: 17 other ancestors10 generations back: 13 other ancestors11 generations back: 8 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant K210859 · NextAR™ Spine Platform · Medacta International S.A. · 2021K202152 · NextAR TKA Platform · Medacta International S.A. · 2020K193559 · NextAR TKA Platform · Medacta Inernational SA · 2020K093806 · Myknee Cutting Blocks · Medacta International S.A. · 2010K090988 · GMK Total Knee System · Medacta International S.A. · 2009 · recalledK081023 · Evolis Total Knee System · Medacta International S.A. · 2008 · recalledK070981 · Search Evolution (LC) Total Knee System (Plasmapore) · Aesculap Implant Systems, Inc. · 2007K042344 · Excia Total Hip System · Aesculap, Inc. · 2005 · recalledK031495 · Pinnacle Duofix HA Acetabular Cup Prosthesis · DePuy Orthopaedics, Inc. · 2003K001277 · Triflange Acetabular Cup System · DePuy Orthopaedics, Inc. · 2000K980711 · Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic Coating · Zimmer, Inc. · 1998 · recalledK964650 · TCP-Coated Porocoat Aml Femoral Hip Prosthesis · Depuy, Inc. · 1997K941847 · 5/8 Porocoat Aml Hip Porocoat Porous Coating · Depuy, Inc. · 1994−10−50
  1. Root · 13 generations backK941847 5/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc. · 1994
  2. 9 generations between
  3. 3 generations backK193559 NextAR TKA PlatformMedacta Inernational SA · 2020
  4. 2 generations backK202152 NextAR TKA PlatformMedacta International S.A. · 2020
  5. 1 generation backK210859 NextAR™ Spine PlatformMedacta International S.A. · 2021
  6. This deviceK223769 NextAR™ Spine PlatformMedacta International S.A. · 2023
  7. Descendant · cites it directly · 1 of its ownK233172 NextAR™ Spine PlatformMedacta International S.A. · 2024
  8. Descendant · 2 generations on · 0 of its ownK250477 NextAR (TM) SpineMedacta International S.A. · 2025
Show all 13 generations
  1. Root · 13 generations backK941847 5/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc. · 1994
  2. 12 generations backK964650 TCP-Coated Porocoat Aml Femoral Hip ProsthesisDepuy, Inc. · 1997
  3. 11 generations backK980711 Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic…Zimmer, Inc. · 1998 · Recalled
  4. 10 generations backK001277 Triflange Acetabular Cup SystemDePuy Orthopaedics, Inc. · 2000
  5. 9 generations backK031495 Pinnacle Duofix HA Acetabular Cup ProsthesisDePuy Orthopaedics, Inc. · 2003
  6. 8 generations backK042344 Excia Total Hip SystemAesculap, Inc. · 2005 · Recalled
  7. 7 generations backK070981 Search Evolution (LC) Total Knee System (Plasmapore)Aesculap Implant Systems, Inc. · 2007
  8. 6 generations backK081023 Evolis Total Knee SystemMedacta International S.A. · 2008 · Recalled
  9. 5 generations backK090988 GMK Total Knee SystemMedacta International S.A. · 2009 · Recalled
  10. 4 generations backK093806 Myknee Cutting BlocksMedacta International S.A. · 2010
  11. 3 generations backK193559 NextAR TKA PlatformMedacta Inernational SA · 2020
  12. 2 generations backK202152 NextAR TKA PlatformMedacta International S.A. · 2020
  13. 1 generation backK210859 NextAR™ Spine PlatformMedacta International S.A. · 2021
  14. This deviceK223769 NextAR™ Spine PlatformMedacta International S.A. · 2023

Class I recalls in this family

Most influential descendants

Showing 2 of 2 · See all
  • K233172NextAR™ Spine PlatformMedacta International S.A. · 2024 · cites it directly1descendant
  • K250477NextAR (TM) SpineMedacta International S.A. · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K9418475/8 Porocoat Aml Hip Porocoat Porous CoatingDepuy, Inc.1994—
−12K964650TCP-Coated Porocoat Aml Femoral Hip ProsthesisDepuy, Inc.1997—
−11K980711Harris/Galante Porous (HGP) Hip Prosthesis with Calcicoat Ceramic CoatingZimmer, Inc.19981
−10K001277Triflange Acetabular Cup SystemDePuy Orthopaedics, Inc.2000—
−9K031495Pinnacle Duofix HA Acetabular Cup ProsthesisDePuy Orthopaedics, Inc.2003—
−8K042344Excia Total Hip SystemAesculap, Inc.200510
−7K070981Search Evolution (LC) Total Knee System (Plasmapore)Aesculap Implant Systems, Inc.2007—
−6K081023Evolis Total Knee SystemMedacta International S.A.20081
−5K090988GMK Total Knee SystemMedacta International S.A.20091
−4K093806Myknee Cutting BlocksMedacta International S.A.2010—
−3K193559NextAR TKA PlatformMedacta Inernational SA2020—
−2K202152NextAR TKA PlatformMedacta International S.A.2020—
−1K210859NextAR™ Spine PlatformMedacta International S.A.2021—
0 (this device)K223769NextAR™ Spine PlatformMedacta International S.A.2023—
+1K233172NextAR™ Spine PlatformMedacta International S.A.2024—
+2K250477NextAR (TM) SpineMedacta International S.A.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
198510
198720
199010
199110
199220
199330
199450
199550
199680
199740
199850
199940
200070
2001110
2002110
200340
200430
200530
200630
200730
200810
200910
201010
201511
201611
201710
201910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
202510
FIG. 1 — Lineage of K223769, 1994–2025Source: 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.

2 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 SBF device

  1. #1 K193559 NextAR TKA Platformscore 20.4 · 10 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? (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
*K210859NextAR™ Spine Platform
Summary page 4
…ion II III. Predicate Device Substantial equivalence is claimed to the following devices: Primary predicate device:  NextARTM Spine Platform K210859, Medacta International SA Reference devices:  Xvision Spine (XVS), K211188, Augmedics Ltd IV. Device Descript…
Medacta International S.A.2021—
†K211188xvision Spine system (XVS)Augmedics, Ltd.20211

Also cleared against K210859: 2 other devices →

What descends from it? (2)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K233172NextAR™ Spine PlatformMedacta International S.A.20241

Has anything in its family been recalled? (2 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.

  • K153660StealthStation System with Cranial SoftwareMedtronic Navigation, Inc. · 2016 · 3 generations back · ◆ in the 2016 ancestors bar of FIG. 13 Class I recalls
  • K150216Synergy CranialMedtronic Navigation, Inc. · 2015 · 4 generations back · ◆ in the 2015 ancestors bar of FIG. 13 Class I recalls

What does this lineage say?

  • The line of descent spans 29 years and passes through 7 companies; a new generation was cleared every 1.6 years on median.
  • 42 of the 107 ancestors have a recall of any class; 2 have a Class I recall.
  • Of its descendants, K233172 (Medacta International S.A., 2024) has gone furthest, with 1 descendant of its own.
  • 2 other devices also cite its predicate K210859.

How does its category compare?

All SBF devices

SBF Orthopedic Augmented Reality: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · SBF

13in 2025

2019: 12020: 22021: 42022: 72023: 72024: 62025: 132026 (partial year): 3
2007high 13 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · SBF

90in 2025

2021: 162 days median2022: 234 days median2023: 104 days median2024: 89 days median2025: 90 days median2026 (partial year): 123 days median
2007high 234 (2022) · low 89 (2024)2026

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

Recalls per year · SBF

1in 2025

2025: 12026 (partial year): 1
2007high 1 (2025) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · SBF

1in 2025

2025: 1
2007high 1 (2025) · low 0 (2007)2025

MAUDE reports naming product code SBF, 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—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20180—00
20191—00
20202—00
2021416200
2022723400
2023710400
202468900
2025139011
202631231—

What is it indicated for?

The NextAR Spine platform is intended as an aid for precisely locating anatomical structures in either open/mini-open or percutaneous spine procedures. It is indicated for any medical condition in which the use of stereotaxic surgery may be appropriate, when reference to a rigid anatomical structure, such as vertebrae or pelvis, can be identified relative to images of the anatomy. This can include posterior approach spinal procedures, such as: • Pedicle…

Read the full statement (178 words)

The NextAR Spine platform is intended as an aid for precisely locating anatomical structures in either open/mini-open or percutaneous spine procedures. It is indicated for any medical condition in which the use of stereotaxic surgery may be appropriate, when reference to a rigid anatomical structure, such as vertebrae or pelvis, can be identified relative to images of the anatomy. This can include posterior approach spinal procedures, such as:

• Pedicle Screw Placement (Thoracic and Lumbosacral spine)

• Iliosacral Screw Placement

The NextAR Spine platform is intended to be used in combination with NextAR™ Stereotaxic instruments and / or Medacta preoperative planning. In the case of pre-operative planning, surgical planning software is used pre-operatively to plan the surgical placement of pedicle screws based upon radiological images of the patient. As an optional display, the NextAR Smart Glasses can be used auxiliary to the NextAR Spine Platform to view stereotaxic information as presented by the NextAR Spine Platform. The NextAR Smart Glasses should not be relied upon solely and should always be used in conjunction with the primary computer display.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K223769: NextAR™ Spine Platform.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K223769

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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