510(k) Report

510(k) · Cleared

Cleared

Fusion Robotic Navigation System

K232413510(k) SpecialCleared Sep 8, 202329-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 Sep 8, 2023 as substantially equivalent to K223070 (Fusion Robotics, LLC, 2022) and 1 other predicate after a 29-day review. Its family tree reaches back 22 generations to 2004. 1 of the 557 devices in its family, counting itself, has a Class I recall. 2 later devices descend from it.

Decided
Sep 8, 2023
Review
29 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
2

Its longest line of descent runs back 22 generations to K040583 (2004). 554 ancestors in all, the oldest K781443 (1978). 2 later devices descend from it, 1 citing it directly. 1 of the 557 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2022: 1 other ancestor2021: 1 other ancestor2017: 3 other ancestors2004: 47 other ancestors2016: 6 other ancestors2015: 9 other ancestors2014: 11 other ancestors2013: 9 other ancestors2012: 8 other ancestors2011: 18 other ancestors2009: 19 other ancestors2008: 27 other ancestors2006: 26 other ancestors2010: 19 other ancestors, 1 with a Class I recall12007: 21 other ancestors2005: 37 other ancestors2003: 30 other ancestors2002: 26 other ancestors2001: 39 other ancestors1999: 23 other ancestors1998: 22 other ancestors1997: 13 other ancestors1996: 18 other ancestors1994: 8 other ancestors2000: 33 other ancestors1995: 19 other ancestors1993: 6 other ancestors1990: 4 other ancestors1984: 2 other ancestors1979: 1 other ancestor1978: 1 other ancestor1992: 8 other ancestors1989: 5 other ancestors1987: 3 other ancestors1985: 2 other ancestors1981: 2 other ancestors1988: 2 other ancestors1991: 1 other ancestor1986: 2 other ancestors2026: 2 descendants cleared×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) K121680 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2012×2: 2 generations cleared close together, K131321 (2013), K132111 (2013) ×2: 2 generations cleared close together, K141604 (2014), K143684 (2015) K160989 · NuVasive® Reline® System · Nu Vasive, Incorporated · 2016K170126 · NuVasive® Reline® 4.5-5.0 System · Nu Vasive, Incorporated · 2017K190360 · LineSider™ Spinal System · Integrity Implants, Inc. · 2019K203367 · LineSider™ Spinal System · Integrity Implants, Inc. · 2020 · recalledK231098 · LineSider® Spinal System · Integrity Implants, Inc. · 202319801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 1 other ancestor3 generations back: 3 other ancestors4 generations back: 18 other ancestors5 generations back: 58 other ancestors, 1 with a Class I recall16 generations back: 109 other ancestors7 generations back: 120 other ancestors8 generations back: 81 other ancestors9 generations back: 64 other ancestors10 generations back: 32 other ancestors11 generations back: 17 other ancestors12 generations back: 13 other ancestors13 generations back: 7 other ancestors14 generations back: 6 other ancestors15 generations back: 2 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant K231098 · LineSider® Spinal System · Integrity Implants, Inc. · 2023K203367 · LineSider™ Spinal System · Integrity Implants, Inc. · 2020 · recalledK190360 · LineSider™ Spinal System · Integrity Implants, Inc. · 2019K170126 · NuVasive® Reline® 4.5-5.0 System · Nu Vasive, Incorporated · 2017K160989 · NuVasive® Reline® System · Nu Vasive, Incorporated · 2016K143684 · NuVasive Reline System · Nu Vasive, Incorporated · 2015K141604 · CD Horizon Spinal System · Medtronic Sofamor Danek USA, Inc. · 2014K132111 · CD Horizon Spinal System · Medtronic Sofamor Danek USA · 2013K131321 · CD Horizon Spinal System · Medtronic Sofamor Danek USA · 2013K121680 · 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 · 22 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 18 generations between
  3. 3 generations backK190360 LineSider™ Spinal SystemIntegrity Implants, Inc. · 2019
  4. 2 generations backK203367 LineSider™ Spinal SystemIntegrity Implants, Inc. · 2020 · Recalled
  5. 1 generation backK231098 LineSider® Spinal SystemIntegrity Implants, Inc. · 2023
  6. This deviceK232413 Fusion Robotic Navigation SystemAlphatec 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 22 generations
  1. Root · 22 generations backK040583 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  2. 21 generations backK041118 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek · 2004
  3. 20 generations backK042025 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2004 · Recalled
  4. 19 generations backK043151 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  5. 18 generations backK050809 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2005
  6. 17 generations backK052187 Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek · 2005
  7. 16 generations backK053101 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2006
  8. 15 generations backK091442 CD Horizon Spinal SystemMedtronic Sofamor Danek · 2009
  9. 14 generations backK091974 Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2009 · Recalled
  10. 13 generations backK102555 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2010
  11. 12 generations backK112473 CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc. · 2011
  12. 11 generations backK113174 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011 · Recalled
  13. 10 generations backK121680 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2012
  14. 9 generations backK131321 CD Horizon Spinal SystemMedtronic Sofamor Danek USA · 2013
  15. 8 generations backK132111 CD Horizon Spinal SystemMedtronic Sofamor Danek USA · 2013
  16. 7 generations backK141604 CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2014
  17. 6 generations backK143684 NuVasive Reline SystemNu Vasive, Incorporated · 2015
  18. 5 generations backK160989 NuVasive® Reline® SystemNu Vasive, Incorporated · 2016
  19. 4 generations backK170126 NuVasive® Reline® 4.5-5.0 SystemNu Vasive, Incorporated · 2017
  20. 3 generations backK190360 LineSider™ Spinal SystemIntegrity Implants, Inc. · 2019
  21. 2 generations backK203367 LineSider™ Spinal SystemIntegrity Implants, Inc. · 2020 · Recalled
  22. 1 generation backK231098 LineSider® Spinal SystemIntegrity Implants, Inc. · 2023
  23. This deviceK232413 Fusion Robotic Navigation SystemAlphatec 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
−22K040583Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−21K041118Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek2004—
−20K042025Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.20044
−19K043151Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−18K050809CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2005—
−17K052187Modification to: CD Horizon Spinal SystemMedtronic Sofamor Danek2005—
−16K053101CD Horizon Spinal SystemMedtronic Sofamor Danek2006—
−15K091442CD Horizon Spinal SystemMedtronic Sofamor Danek2009—
−14K091974Modification to CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20091
−13K102555CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2010—
−12K112473CD Horizon Spinal SystemMedtronic Sofamor Danek, Inc.2011—
−11K113174CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.20111
−10K121680CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2012—
−9K131321CD Horizon Spinal SystemMedtronic Sofamor Danek USA2013—
−8K132111CD Horizon Spinal SystemMedtronic Sofamor Danek USA2013—
−7K141604CD Horizon Spinal SystemMedtronic Sofamor Danek USA, Inc.2014—
−6K143684NuVasive Reline SystemNu Vasive, Incorporated2015—
−5K160989NuVasive® Reline® SystemNu Vasive, Incorporated2016—
−4K170126NuVasive® Reline® 4.5-5.0 SystemNu Vasive, Incorporated2017—
−3K190360LineSider™ Spinal SystemIntegrity Implants, Inc.2019—
−2K203367LineSider™ Spinal SystemIntegrity Implants, Inc.20204
−1K231098LineSider® Spinal SystemIntegrity Implants, Inc.2023—
0 (this device)K232413Fusion Robotic Navigation SystemAlphatec 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
197810
197910
198120
198420
198520
198620
198730
198820
198950
199040
199110
199280
199360
199480
1995190
1996180
1997130
1998220
1999230
2000330
2001390
2002260
2003300
2004470
2005370
2006260
2007210
2008270
2009190
2010191
2011180
201280
201390
2014110
201590
201660
201730
202110
202210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202620
FIG. 1 — Lineage of K232413, 2004–2026Source: 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.

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
…t Trade/Proprietary Name Fusion Robotic Navigation System Primary Predicate Device(s) REMI Robotic Navigation System (K223070) Additional Predicate Device Accelus LineSider Navigation Instruments…
Fusion Robotics, LLC2022—
*K231098LineSider® Spinal System
Summary page 4
…vigation System (K223070) Additional Predicate Device Accelus LineSider Navigation Instruments (K231098) The Fusion Robotic Navigation System is an image guided system primarily comprised of a computer workstation, software, a traje…
Integrity Implants, Inc.2023—

Also cleared against K223070: 1 other device →

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? (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 · 5 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 7 companies; a new generation was cleared every 7 months on median.
  • 75 of the 554 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K252597 (Alphatec Spine, Inc., 2026) has gone furthest, with 1 descendant of its own.
  • 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 Fusion Robotic Navigation System is indicated 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. The Fusion Robotic Navigation System is…

Read the full statement (115 words)

The Fusion Robotic Navigation System is indicated 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. The Fusion 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 ATEC Invictus® Spinal Fixation System.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K232413: Fusion Robotic Navigation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K232413

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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