510(k) Report

510(k) · Cleared

Cleared

ATEC Posterior Navigated Disc Prep Instruments

K232345510(k) TraditionalCleared Nov 2, 202390-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

Alphatec Spine, Inc. · OLO Orthopedic Stereotaxic Instrument

Cleared on Nov 2, 2023 as substantially equivalent to K201267 (Medtronic Sofamor Danek, 2020) and 1 other predicate after a 90-day review. Its family tree reaches back 27 generations to 1984. 5 of the 578 devices in its family, counting itself, have a Class I recall. 2 later devices descend from it.

Decided
Nov 2, 2023
Review
90 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
2

Its longest line of descent runs back 27 generations to K841189 (1984). 575 ancestors in all, the oldest K792352 (1979). 2 later devices descend from it, 1 citing it directly. 5 of the 578 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2021: 1 other ancestor2020: 2 other ancestors2019: 3 other ancestors2017: 13 other ancestors, 1 with a Class I recall12015: 25 other ancestors, 1 with a Class I recall12013: 24 other ancestors2016: 18 other ancestors, 1 with a Class I recall12014: 31 other ancestors2012: 27 other ancestors2011: 43 other ancestors2009: 37 other ancestors2008: 54 other ancestors, 1 with a Class I recall12005: 28 other ancestors1999: 8 other ancestors1996: 6 other ancestors2018: 3 other ancestors2010: 30 other ancestors2007: 21 other ancestors2006: 16 other ancestors2004: 35 other ancestors2003: 26 other ancestors2002: 17 other ancestors2001: 20 other ancestors, 1 with a Class I recall12000: 10 other ancestors1997: 8 other ancestors1994: 6 other ancestors1998: 8 other ancestors1995: 10 other ancestors1988: 2 other ancestors1987: 2 other ancestors1992: 2 other ancestors1989: 1 other ancestor1986: 2 other ancestors1980: 1 other ancestor1979: 1 other ancestor1985: 1 other ancestor1990: 2 other ancestors1984: 1 other ancestor1991: 2 other ancestors1981: 1 other ancestor2026: 2 descendants clearedReference device: K161363 · Arsenal Spinal Fixation System · Alphatec Spine, Inc. · 2016Reference device: K203056 · Invictus™ Spinal Fixation System · Alphatec Spine, Inc. · 2020Reference device: K200719 · NuVasive Navigation.S Instruments · Nu Vasive, Incorporated · 2020Reference device: K223765 · ATEC Lateral Navigation Instruments · Alphatec Spine, Inc. · 2023 · recalledK841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001×2: 2 generations cleared close together, K022793 (2003), K031757 (2003) ×2: 2 generations cleared close together, K041888 (2004), K042930 (2004) K062759 · Paramount VBR System · Innovative Spinal Technologies, Inc. · 2007×2: 2 generations cleared close together, K072120 (2007), K073291 (2008) K094025 · Crescent Spinal System · Medtronic Sofamor Danek · 2010K110543 · Crescent (R) Spinal System Titanium · Medtronic Sofamor Danek USA, Inc. · 2011×2: 2 generations cleared close together, K121683 (2012), K123752 (2013) K132505 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013 · recalled×3: 3 generations cleared close together, K141217 (2014), K143163 (2015), K143616 (2015) K152304 · Tritanium PL Cage · Stryker · 2015 · recalled×2: 2 generations cleared close together, K160955 (2016), K162262 (2016) K171496 · Tritanium C Anterior Cervical Cage · Stryker Spine · 2017K180364 · HD LifeSciences Cervical IBFD System · Hd Lifesciences, LLC · 2018×3: 3 generations cleared close together, K183557 (2019), K192018 (2019), K191581 (2020) K201267 · Adaptix Interbody System with Titan nanoLOCK Surface Technology · Medtronic Sofamor Danek · 202019801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 8 other ancestors3 generations back: 31 other ancestors4 generations back: 53 other ancestors5 generations back: 83 other ancestors, 1 with a Class I recall16 generations back: 111 other ancestors, 2 with a Class I recall27 generations back: 94 other ancestors, 1 with a Class I recall18 generations back: 55 other ancestors9 generations back: 38 other ancestors10 generations back: 26 other ancestors11 generations back: 11 other ancestors12 generations back: 14 other ancestors13 generations back: 10 other ancestors, 1 with a Class I recall114 generations back: 6 other ancestors15 generations back: 4 other ancestors16 generations back: 3 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant K201267 · Adaptix Interbody System with Titan nanoLOCK Surface Technology · Medtronic Sofamor Danek · 2020K191581 · Endoskeleton TL Interbody Fusion Device, Endoskeleton TL Hyperlordotic Interbody Fusion Device · Titan Spine, Inc. · 2020K192018 · Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS Hyperlordotic Interbody Fusion Device, Endoskeleton TO Interbody Fusion Device, Endoskeleton TT Interbody Fusion Device, Endoskeleton TC Interbody Fusion Device, Endoskeleton TCS Interbody Fusion Device, Endoskeleton TL Interbody Fusion Device · Titan Spine, Inc. · 2019 · recalledK183557 · Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion Device, Endoskeleton® TO Interbody Fusion Device, Endoskeleton® TT Interbody Fusion Device, Endoskeleton® TC Interbody Fusion Device, Endoskeleton® TCS Interbody Fusion Device, Endoskeleton® TL Interbody Fusion Device, Endoskeleton® TA Vertebral Body Replacement (VBR) Device · Titan Spine, Inc. · 2019 · recalledK180364 · HD LifeSciences Cervical IBFD System · Hd Lifesciences, LLC · 2018K171496 · Tritanium C Anterior Cervical Cage · Stryker Spine · 2017K162262 · Tritanium® PL Cage · Stryker · 2016K160955 · Tritanium® PL Cage · Stryker · 2016K152304 · Tritanium PL Cage · Stryker · 2015 · recalledK143616 · AccuLIF TL and PL Cage · Stryker Corporation · 2015 · recalledK143163 · AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK Spacer, AVS® Navigator PEEK Spacer, AVS® ARIA PEEK Spacer, AccuLIF TL and PL Cage, AVS® Anchor-L Spacer, Aero-AL Lumbar Cage System · Stryker Corporation · 2015K141217 · Acculif TL and PL Cage · Stryker Corporation · 2014 · recalledK132505 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013 · recalledK123752 · Acculif TL and PL Cage · Coalign Innovations, Inc. · 2013K121683 · Acculif TL Cage · Coalign Innovations, Inc. · 2012K110543 · Crescent (R) Spinal System Titanium · Medtronic Sofamor Danek USA, Inc. · 2011K094025 · Crescent Spinal System · Medtronic Sofamor Danek · 2010K073291 · Capstone Spinal System · Medtronic Sofamor Danek USA, Inc. · 2008K072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007K062759 · Paramount VBR System · Innovative Spinal Technologies, Inc. · 2007K042930 · Spacevision Cage System · Spine Vision, Inc. · 2004K041888 · Curved Peek Tetris Spinal Implant · Signus Medizintechnik GmbH · 2004K031757 · Peek Tetris Spinal Implant · Signus Medical, LLC · 2003K022793 · Tetris Spinal Implant · Signus Medical, LLC · 2003K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984−25−20−15−10−50
  1. Root · 27 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 23 generations between
  3. 3 generations backK192018 Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc. · 2019 · Recalled
  4. 2 generations backK191581 Endoskeleton TL Interbody Fusion Device, Endoskeleton TL…Titan Spine, Inc. · 2020
  5. 1 generation backK201267 Adaptix Interbody System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek · 2020
  6. This deviceK232345 ATEC Posterior Navigated Disc Prep InstrumentsAlphatec Spine, Inc. · 2023
  7. Descendant · cites it directly · 1 of its ownK252597 Valence Robotic Navigation System; Valence Robotic Navigation…Alphatec Spine, Inc. · 2026
  8. Descendant · 2 generations on · 0 of its ownK261284 Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal…Alphatec Spine, Inc. · 2026
Show all 27 generations
  1. Root · 27 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 26 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 25 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 24 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 23 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 22 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 21 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 20 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 19 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 18 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 17 generations backK094025 Crescent Spinal SystemMedtronic Sofamor Danek · 2010
  12. 16 generations backK110543 Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc. · 2011
  13. 15 generations backK121683 Acculif TL CageCoalign Innovations, Inc. · 2012
  14. 14 generations backK123752 Acculif TL and PL CageCoalign Innovations, Inc. · 2013
  15. 13 generations backK132505 Acculif TL and PL CageCoalign Innovations, Inc. · 2013 · Recalled
  16. 12 generations backK141217 Acculif TL and PL CageStryker Corporation · 2014 · Recalled
  17. 11 generations backK143163 AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers…Stryker Corporation · 2015
  18. 10 generations backK143616 AccuLIF TL and PL CageStryker Corporation · 2015 · Recalled
  19. 9 generations backK152304 Tritanium PL CageStryker · 2015 · Recalled
  20. 8 generations backK160955 Tritanium® PL CageStryker · 2016
  21. 7 generations backK162262 Tritanium® PL CageStryker · 2016
  22. 6 generations backK171496 Tritanium C Anterior Cervical CageStryker Spine · 2017
  23. 5 generations backK180364 HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC · 2018
  24. 4 generations backK183557 Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS…Titan Spine, Inc. · 2019 · Recalled
  25. 3 generations backK192018 Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc. · 2019 · Recalled
  26. 2 generations backK191581 Endoskeleton TL Interbody Fusion Device, Endoskeleton TL…Titan Spine, Inc. · 2020
  27. 1 generation backK201267 Adaptix Interbody System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek · 2020
  28. This deviceK232345 ATEC Posterior Navigated Disc Prep InstrumentsAlphatec Spine, Inc. · 2023

Class I recalls in this family

Most influential descendants

Showing 2 of 2 · See all
  • K252597Valence Robotic Navigation System; Valence Robotic Navigation Instruments (For Use with…Alphatec Spine, Inc. · 2026 · cites it directly1descendant
  • K261284Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal Fixation SystemAlphatec Spine, Inc. · 2026 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−27K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−26K990148Stackable Cage SystemDepuy Motech Acromed1999—
−25K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−24K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−23K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−22K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−21K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−20K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−19K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−18K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−17K094025Crescent Spinal SystemMedtronic Sofamor Danek2010—
−16K110543Crescent (R) Spinal System TitaniumMedtronic Sofamor Danek USA, Inc.2011—
−15K121683Acculif TL CageCoalign Innovations, Inc.2012—
−14K123752Acculif TL and PL CageCoalign Innovations, Inc.2013—
−13K132505Acculif TL and PL CageCoalign Innovations, Inc.20133
−12K141217Acculif TL and PL CageStryker Corporation20143
−11K143163AVS® AL and ALign PEEK Spacers, AVS® PL and UniLIF PEEK Spacers, AVS® TL PEEK…Stryker Corporation2015—
−10K143616AccuLIF TL and PL CageStryker Corporation20154
−9K152304Tritanium PL CageStryker20151
−8K160955Tritanium® PL CageStryker2016—
−7K162262Tritanium® PL CageStryker2016—
−6K171496Tritanium C Anterior Cervical CageStryker Spine2017—
−5K180364HD LifeSciences Cervical IBFD SystemHd Lifesciences, LLC2018—
−4K183557Endoskeleton® TA Interbody Fusion Device, Endoskeleton® TAS Interbody Fusion…Titan Spine, Inc.20193
−3K192018Endoskeleton TA Interbody Fusion Device, Endoskeleton TAS and TAS…Titan Spine, Inc.20194
−2K191581Endoskeleton TL Interbody Fusion Device, Endoskeleton TL Hyperlordotic…Titan Spine, Inc.2020—
−1K201267Adaptix Interbody System with Titan nanoLOCK Surface TechnologyMedtronic Sofamor Danek2020—
0 (this device)K232345ATEC Posterior Navigated Disc Prep InstrumentsAlphatec Spine, Inc.2023—
+1K252597Valence Robotic Navigation System; Valence Robotic Navigation Instruments (For…Alphatec Spine, Inc.2026—
+2K261284Invictus® Small Stature Spinal Fixation System; Invictus® 2.0 Spinal Fixation…Alphatec Spine, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
198110
198410
198510
198620
198720
198820
198910
199020
199120
199220
199460
1995100
199660
199780
199880
199980
2000100
2001201
2002170
2003260
2004350
2005280
2006160
2007210
2008541
2009370
2010300
2011430
2012270
2013240
2014310
2015251
2016181
2017131
201830
201930
202020
202110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202620
FIG. 1 — Lineage of K232345, 1984–2026Source: 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.

5 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
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
*K201267Adaptix Interbody System with Titan nanoLOCK Surface Technology
Summary page 5
…Clearance Date Adaptix Interbody System with Titan nanoLOCK Surface Technology K201267 August 26, 2020 Navigated Disc Prep Instru…
Medtronic Sofamor Danek2020—
*K211441Navigated Anterolateral Disc Prep Instruments
Summary page 5
…510(k) Product Name Clearance Date Navigated Anterolateral Disc Prep K211441 June 09, 2021 Instruments…
Medtronic Sofamor Danek USA, Inc.2021—
†K161363Arsenal Spinal Fixation SystemAlphatec Spine, Inc.2016—
†K203056Invictus™ Spinal Fixation SystemAlphatec Spine, Inc.2020—
†K200719NuVasive Navigation.S InstrumentsNu Vasive, Incorporated2020—
†K223765ATEC Lateral Navigation InstrumentsAlphatec Spine, Inc.20232

Also cleared against K201267: 6 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
K252597Valence Robotic Navigation System; Valence Robotic Navigation Instruments (For Use with…Alphatec Spine, Inc.20261

Has anything in its family been recalled? (5 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.

  • K162309StealthStation S8 System Platforms and StealthStation Cranial SoftwareMedtronic Navigation, Inc. · 2017 · 5 generations back · ◆ in the 2017 ancestors bar of FIG. 12 Class I recalls
  • K153660StealthStation System with Cranial SoftwareMedtronic Navigation, Inc. · 2016 · 6 generations back · ◆ in the 2016 ancestors bar of FIG. 13 Class I recalls
  • K073202Ardis SpacerAbbott Spine, Inc. · 2008 · 6 generations back · ◆ in the 2008 ancestors bar of FIG. 11 Class I recall
  • K150216Synergy CranialMedtronic Navigation, Inc. · 2015 · 7 generations back · ◆ in the 2015 ancestors bar of FIG. 13 Class I recalls
  • K003837Flexiview 8800 Digital Mobile Imaging SystemGe Oec Medical Systems · 2001 · 13 generations back · ◆ in the 2001 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 39 years and passes through 16 companies; a new generation was cleared every 9 months on median.
  • 81 of the 575 ancestors have a recall of any class; 5 have a Class I recall.
  • Of its descendants, K252597 (Alphatec Spine, Inc., 2026) has gone furthest, with 1 descendant of its own.
  • 6 other devices also cite its predicate K201267.

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 ATEC Posterior Navigated Disc Prep Instruments are indicated to facilitate discectomy, bony resection, implant selection, and access during spinal surgery. Navigated instruments are specifically designed for use with the Medtronic® StealthStation™ System, which is indicated for any medical condition in which the use of stereotactic surgery may be appropriate and where reference to a rigid anatomical structure, such as vertebra, can be identified relative to a CT or MR based model, fluoroscopy images, or digitized landmarks of the anatomy.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K232345: ATEC Posterior Navigated Disc Prep Instruments.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K232345

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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