510(k) Report

510(k) · Cleared

Cleared

TriALTIS Navigation Enabled Instruments

K231527510(k) TraditionalCleared Sep 29, 2023126-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 Sàrl · OLO Orthopedic Stereotaxic Instrument

Cleared on Sep 29, 2023 as substantially equivalent to K200791 (Medos International SARL, 2020) after a 126-day review. Its family tree reaches back 13 generations to 1986. 3 later devices descend from it.

Decided
Sep 29, 2023
Review
126 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
1

Its longest line of descent runs back 13 generations to K862807 (1986). 66 ancestors in all, the oldest K842956 (1984). 3 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2013: 1 other ancestor2008: 2 other ancestors2006: 3 other ancestors2005: 4 other ancestors2001: 2 other ancestors2000: 5 other ancestors1999: 1 other ancestor1997: 3 other ancestors1994: 4 other ancestors2004: 2 other ancestors2003: 2 other ancestors2002: 3 other ancestors1998: 3 other ancestors1995: 7 other ancestors1988: 2 other ancestors1987: 1 other ancestor1992: 2 other ancestors1989: 1 other ancestor1986: 1 other ancestor1996: 1 other ancestor1985: 1 other ancestor1990: 1 other ancestor1984: 1 other ancestor2024: 2 descendants cleared2026: 1 descendant clearedReference device: K162309 · StealthStation S8 System Platforms and StealthStation Cranial Software · Medtronic Navigation, Inc. · 2017 · Class I recallReference device: K170011 · StealthStation S8 Spine Software v1.0.0 · Medtronic Navigation · 2017Reference device: K231479 · TriALTIS Spine System · Medos International SARL · 2023K862807 · Treace Drill System · Treace Medical, Inc. · 1986×2: 2 generations cleared close together, K964548 (1997), K971059 (1997) K981637 · Integrated Drive/Pump System for Otolaryngology · Linvatec Corp. · 1998K990524 · E9000 System · Linvatec Corp. · 1999K012456 · Sodem High Speed System (Electric) (Ear, Nose, and Throat) · Sodemsystems · 2001K081277 · XPS 4000 System, Midas Rex Legend Ehs System, Integrated Power CONS0LE (Ipc) · Medtronic Xomed, Inc. · 2008 · recalledK111520 · Ipc Powerease System · Medtronic Xomed, Inc. · 2011 · recalledK123270 · Powerease System · Medtronic Sofamor Danek USA, Inc. · 2013K140454 · Navigated CD Horizon Solera Screwdriver/Taps · Medtronic Sofamor Danek USA, Inc. · 2014 · recalledK143628 · Navigated Vertex Select Instruments · Medtronic Sofamor Danek USA, Inc. · 2015K173338 · Navigated INFINITY™ Instruments · Medtronic Sofamor Danek USA, Inc. · 2018K200791 · Navigation Enabled Intruments · Medos International SARL · 202019801990200020102020
Other ancestors, by generationDescendants, by generation 3 generations back: 1 other ancestor4 generations back: 5 other ancestors5 generations back: 10 other ancestors6 generations back: 18 other ancestors7 generations back: 7 other ancestors8 generations back: 6 other ancestors9 generations back: 6 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant3 generations forward: 1 descendant K200791 · Navigation Enabled Intruments · Medos International SARL · 2020K173338 · Navigated INFINITY™ Instruments · Medtronic Sofamor Danek USA, Inc. · 2018K143628 · Navigated Vertex Select Instruments · Medtronic Sofamor Danek USA, Inc. · 2015K140454 · Navigated CD Horizon Solera Screwdriver/Taps · Medtronic Sofamor Danek USA, Inc. · 2014 · recalledK123270 · Powerease System · Medtronic Sofamor Danek USA, Inc. · 2013K111520 · Ipc Powerease System · Medtronic Xomed, Inc. · 2011 · recalledK081277 · XPS 4000 System, Midas Rex Legend Ehs System, Integrated Power CONS0LE (Ipc) · Medtronic Xomed, Inc. · 2008 · recalledK012456 · Sodem High Speed System (Electric) (Ear, Nose, and Throat) · Sodemsystems · 2001K990524 · E9000 System · Linvatec Corp. · 1999K981637 · Integrated Drive/Pump System for Otolaryngology · Linvatec Corp. · 1998K971059 · Universal Drive System · Linvatec Corp. · 1997K964548 · Apex Universal Drive System · Linvatec Corp. · 1997K862807 · Treace Drill System · Treace Medical, Inc. · 1986−10−50
  1. Root · 13 generations backK862807 Treace Drill SystemTreace Medical, Inc. · 1986
  2. 9 generations between
  3. 3 generations backK143628 Navigated Vertex Select InstrumentsMedtronic Sofamor Danek USA, Inc. · 2015
  4. 2 generations backK173338 Navigated INFINITY™ InstrumentsMedtronic Sofamor Danek USA, Inc. · 2018
  5. 1 generation backK200791 Navigation Enabled IntrumentsMedos International SARL · 2020
  6. This deviceK231527 TriALTIS Navigation Enabled InstrumentsMedos International Sàrl · 2023
  7. Descendant · cites it directly · 2 of its ownK233255 CROSSNAV Navigation Enabled 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
Show all 13 generations
  1. Root · 13 generations backK862807 Treace Drill SystemTreace Medical, Inc. · 1986
  2. 12 generations backK964548 Apex Universal Drive SystemLinvatec Corp. · 1997
  3. 11 generations backK971059 Universal Drive SystemLinvatec Corp. · 1997
  4. 10 generations backK981637 Integrated Drive/Pump System for OtolaryngologyLinvatec Corp. · 1998
  5. 9 generations backK990524 E9000 SystemLinvatec Corp. · 1999
  6. 8 generations backK012456 Sodem High Speed System (Electric) (Ear, Nose, and Throat)Sodemsystems · 2001
  7. 7 generations backK081277 XPS 4000 System, Midas Rex Legend Ehs System, Integrated Power…Medtronic Xomed, Inc. · 2008 · Recalled
  8. 6 generations backK111520 Ipc Powerease SystemMedtronic Xomed, Inc. · 2011 · Recalled
  9. 5 generations backK123270 Powerease SystemMedtronic Sofamor Danek USA, Inc. · 2013
  10. 4 generations backK140454 Navigated CD Horizon Solera Screwdriver/TapsMedtronic Sofamor Danek USA, Inc. · 2014 · Recalled
  11. 3 generations backK143628 Navigated Vertex Select InstrumentsMedtronic Sofamor Danek USA, Inc. · 2015
  12. 2 generations backK173338 Navigated INFINITY™ InstrumentsMedtronic Sofamor Danek USA, Inc. · 2018
  13. 1 generation backK200791 Navigation Enabled IntrumentsMedos International SARL · 2020
  14. This deviceK231527 TriALTIS Navigation Enabled InstrumentsMedos International Sàrl · 2023

Most influential descendants

Showing 3 of 3 · See all
  • K233255CROSSNAV Navigation Enabled 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
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K862807Treace Drill SystemTreace Medical, Inc.1986—
−12K964548Apex Universal Drive SystemLinvatec Corp.1997—
−11K971059Universal Drive SystemLinvatec Corp.1997—
−10K981637Integrated Drive/Pump System for OtolaryngologyLinvatec Corp.1998—
−9K990524E9000 SystemLinvatec Corp.1999—
−8K012456Sodem High Speed System (Electric) (Ear, Nose, and Throat)Sodemsystems2001—
−7K081277XPS 4000 System, Midas Rex Legend Ehs System, Integrated Power CONS0LE (Ipc)Medtronic Xomed, Inc.20081
−6K111520Ipc Powerease SystemMedtronic Xomed, Inc.20112
−5K123270Powerease SystemMedtronic Sofamor Danek USA, Inc.2013—
−4K140454Navigated CD Horizon Solera Screwdriver/TapsMedtronic Sofamor Danek USA, Inc.20141
−3K143628Navigated Vertex Select InstrumentsMedtronic Sofamor Danek USA, Inc.2015—
−2K173338Navigated INFINITY™ InstrumentsMedtronic Sofamor Danek USA, Inc.2018—
−1K200791Navigation Enabled IntrumentsMedos International SARL2020—
0 (this device)K231527TriALTIS Navigation Enabled InstrumentsMedos International Sàrl2023—
+1K233255CROSSNAV Navigation Enabled InstrumentsDePuy Synthes2024—
+2K241893CROSSNAV Navigation Enabled Instruments and UNAS Navigation ArraysMedos International SARL2024—
+3K254157CROSSNAV Navigation Enabled Instruments for Disc Preparation and InterbodyMedos International SARL2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
198510
198610
198710
198820
198910
199010
199220
199440
199570
199610
199730
199830
199910
200050
200120
200230
200320
200420
200540
200630
200820
201310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202420
202610
FIG. 1 — Lineage of K231527, 1986–2026Source: 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.

Planning a device in OLO? 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
*K200791Navigation Enabled Intruments
Summary page 5
…Classification Product and OLO – Orthopedic Panel Code D. Predicate Device Names Primary Predicate Device: Navigation Enabled Instruments (K200791) – OLO Reference devices: Medtronic StealthStation S8 Spine Hardware and Software (K162309, HAW and K170011, OLO…
Medos International SARL2020—
†K162309StealthStation S8 System Platforms and StealthStation Cranial SoftwareMedtronic Navigation, Inc.2017Class I
†K170011StealthStation S8 Spine Software v1.0.0Medtronic Navigation2017—
†K231479TriALTIS Spine SystemMedos International SARL2023—

Also cleared against K200791: 2 other devices →

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K233255CROSSNAV Navigation Enabled InstrumentsDePuy Synthes20242

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 37 years and passes through 7 companies; a new generation was cleared every 2.2 years on median.
  • 10 of the 66 ancestors have a recall of any class.
  • Of its descendants, K233255 (DePuy Synthes, 2024) has gone furthest, with 2 descendants of its own.
  • 2 other devices also cite its predicate K200791.

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?

Navigation Enabled Instruments are reusable instruments indicated to be used during the preparation and placement of DePuy Synthes screws during spinal surgery to assist the surgeon in precisely locating anatomical structures in either open or percutaneous procedures. The Navigation Enabled Instruments are designed for use with only the specific DePuy Synthes implant system(s) for which they are indicated and with the Medtronic StealthStation® System.…

Read the full statement (211 words)

Navigation Enabled Instruments are reusable instruments indicated to be used during the preparation and placement of DePuy Synthes screws during spinal surgery to assist the surgeon in precisely locating anatomical structures in either open or percutaneous procedures. The Navigation Enabled Instruments are designed for use with only the specific DePuy Synthes implant system(s) for which they are indicated and with the Medtronic StealthStation® System. The Navigation Enabled Instruments are indicated for use in surgical spinal procedures, in which:

• the use of EXPEDIUM 4.5, EXPEDIUM 5.5, EXPEDIUM 6.35, VIPER 2, VIPER SAI, EXPEDIUM VERSE, VIPER PRIME (without stylet control), SYMPHONY OCT and the TriALTIS Spine System is indicated,

• the use of stereotactic surgery may be appropriate, and

• reference to a rigid anatomical structure, such as the pelvis or a vertebra, 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.

These procedures include but are not limited to spinal fusion. The Navigation Enabled Instruments are also compatible with DePuy Synthes Power Systems and the Medtronic IPC® POWEREASE System.

The Navigation Enabled Instruments used in conjunction with the SYMPHONY OCT System are intended to support indicated cervical and thoracic polyaxial screw placement only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K231527: TriALTIS Navigation Enabled Instruments.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K231527

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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