510(k) Report

510(k) · Cleared

Cleared

ROSA® Shoulder System

K233199510(k) TraditionalCleared Feb 21, 2024146-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

Orthosoft Inc (D/B/A Zimmer Cas) · OLO Orthopedic Stereotaxic Instrument

Cleared on Feb 21, 2024 as substantially equivalent to K213546 (Blue Ortho, 2022) and 1 other predicate after a 146-day review. Its family tree reaches back 16 generations to 1991. 3 later devices descend from it.

Decided
Feb 21, 2024
Review
146 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
2

Its longest line of descent runs back 16 generations to K905070 (1991). 158 ancestors in all, the oldest K800494 (1980). 3 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2022: 1 other ancestor2021: 1 other ancestor2017: 3 other ancestors2016: 3 other ancestors2015: 2 other ancestors2007: 4 other ancestors2014: 1 other ancestor2013: 5 other ancestors2010: 5 other ancestors2006: 11 other ancestors2002: 6 other ancestors2012: 3 other ancestors2011: 5 other ancestors2009: 3 other ancestors2008: 3 other ancestors2005: 12 other ancestors2004: 13 other ancestors2003: 8 other ancestors2001: 7 other ancestors2000: 8 other ancestors1999: 8 other ancestors1998: 2 other ancestors1997: 4 other ancestors1995: 3 other ancestors1993: 3 other ancestors1991: 3 other ancestors1987: 2 other ancestors1981: 1 other ancestor1996: 5 other ancestors1994: 3 other ancestors1992: 1 other ancestor1980: 2 other ancestors1986: 1 other ancestor2025: 2 descendants cleared2026: 1 descendant clearedK905070 · Vistar · Philips Medical Systems (Cleveland), Inc. · 1991K961168 · Viewpoint · Philips Medical Systems (Cleveland), Inc. · 1996×2: 2 generations cleared close together, K963221 (1997), K970604 (1997) K984298 · Z Kat Flurotactic Guidance System Mki · Z-Kat, Inc. · 1999K013025 · Modification to Flourolab Plus · Z-Kat, Inc. · 2001K031337 · Acumen Surgical Navigation System · Biomet, Inc. · 2003K072806 · Mako Surgical Tactile Guidance System (TGS) · Mako Surgical Corp. · 2008 · recalledK081867 · Mako Surgical Tactile Guidance System Version 2.0 · Mako Surgical Corp. · 2008 · recalledK112507 · Restoris Partial Knee Application (Pka), Rio Standard System · Mako Surgical Corporation · 2012 · recalledK143752 · Total Knee Application (TKA) · Mako Surgical Corp. · 2015 · recalled×2: 2 generations cleared close together, K170581 (2017), K172219 (2017) K182964 · ROSA Knee System · Orthosoft Inc (D/B/A Zimmer Cas) · 2019×2: 2 generations cleared close together, K221928 (2022), K230243 (2023) 19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 2 other ancestors3 generations back: 2 other ancestors4 generations back: 5 other ancestors5 generations back: 8 other ancestors6 generations back: 19 other ancestors7 generations back: 27 other ancestors8 generations back: 33 other ancestors9 generations back: 17 other ancestors10 generations back: 16 other ancestors11 generations back: 6 other ancestors12 generations back: 4 other ancestors13 generations back: 2 other ancestors 1 generation forward: 2 descendants2 generations forward: 1 descendant K230243 · ROSA® Knee System · Orthosoft D/B/A Zimmer Cas · 2023K221928 · ROSA® Knee System · Orthosoft D/B/A Zimmer Cas · 2022K182964 · ROSA Knee System · Orthosoft Inc (D/B/A Zimmer Cas) · 2019K172219 · Mako Total Knee Application · Mako Surgical Corp. · 2017K170581 · Mako Total Knee Application · Mako Surgical Corp. · 2017 · recalledK143752 · Total Knee Application (TKA) · Mako Surgical Corp. · 2015 · recalledK112507 · Restoris Partial Knee Application (Pka), Rio Standard System · Mako Surgical Corporation · 2012 · recalledK081867 · Mako Surgical Tactile Guidance System Version 2.0 · Mako Surgical Corp. · 2008 · recalledK072806 · Mako Surgical Tactile Guidance System (TGS) · Mako Surgical Corp. · 2008 · recalledK031337 · Acumen Surgical Navigation System · Biomet, Inc. · 2003K013025 · Modification to Flourolab Plus · Z-Kat, Inc. · 2001K984298 · Z Kat Flurotactic Guidance System Mki · Z-Kat, Inc. · 1999K970604 · Viewpoint - 3.0 Software · Philips Medical Systems (Cleveland), Inc. · 1997K963221 · Optical Digitizer Option for View Point · Philips Medical Systems (Cleveland), Inc. · 1997K961168 · Viewpoint · Philips Medical Systems (Cleveland), Inc. · 1996K905070 · Vistar · Philips Medical Systems (Cleveland), Inc. · 1991−15−10−50
  1. Root · 16 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 12 generations between
  3. 3 generations backK182964 ROSA Knee SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2019
  4. 2 generations backK221928 ROSA® Knee SystemOrthosoft D/B/A Zimmer Cas · 2022
  5. 1 generation backK230243 ROSA® Knee SystemOrthosoft D/B/A Zimmer Cas · 2023
  6. This deviceK233199 ROSA® Shoulder SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2024
  7. Descendant · cites it directly · 1 of its ownK250108 OptiVu™ ShoulderMr Surgical Solutions, LLC · 2025
  8. Descendant · cites it directly · 0 of its ownK260582 ROSA® Shoulder SystemOrthosoft Inc. (d/b/a) Zimmer CAS · 2026
  9. Descendant · 2 generations on · 0 of its ownK252170 OptiVu™ ShoulderMr Surgical Solutions, LLC · 2025
Show all 16 generations
  1. Root · 16 generations backK905070 VistarPhilips Medical Systems (Cleveland), Inc. · 1991
  2. 15 generations backK961168 ViewpointPhilips Medical Systems (Cleveland), Inc. · 1996
  3. 14 generations backK963221 Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc. · 1997
  4. 13 generations backK970604 Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc. · 1997
  5. 12 generations backK984298 Z Kat Flurotactic Guidance System MkiZ-Kat, Inc. · 1999
  6. 11 generations backK013025 Modification to Flourolab PlusZ-Kat, Inc. · 2001
  7. 10 generations backK031337 Acumen Surgical Navigation SystemBiomet, Inc. · 2003
  8. 9 generations backK072806 Mako Surgical Tactile Guidance System (TGS)Mako Surgical Corp. · 2008 · Recalled
  9. 8 generations backK081867 Mako Surgical Tactile Guidance System Version 2.0Mako Surgical Corp. · 2008 · Recalled
  10. 7 generations backK112507 Restoris Partial Knee Application (Pka), Rio Standard SystemMako Surgical Corporation · 2012 · Recalled
  11. 6 generations backK143752 Total Knee Application (TKA)Mako Surgical Corp. · 2015 · Recalled
  12. 5 generations backK170581 Mako Total Knee ApplicationMako Surgical Corp. · 2017 · Recalled
  13. 4 generations backK172219 Mako Total Knee ApplicationMako Surgical Corp. · 2017
  14. 3 generations backK182964 ROSA Knee SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2019
  15. 2 generations backK221928 ROSA® Knee SystemOrthosoft D/B/A Zimmer Cas · 2022
  16. 1 generation backK230243 ROSA® Knee SystemOrthosoft D/B/A Zimmer Cas · 2023
  17. This deviceK233199 ROSA® Shoulder SystemOrthosoft Inc (D/B/A Zimmer Cas) · 2024

Most influential descendants

Showing 3 of 3 · See all
  • K250108OptiVu™ ShoulderMr Surgical Solutions, LLC · 2025 · cites it directly1descendant
  • K260582ROSA® Shoulder SystemOrthosoft Inc. (d/b/a) Zimmer CAS · 2026 · cites it directly0descendants
  • K252170OptiVu™ ShoulderMr Surgical Solutions, LLC · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−16K905070VistarPhilips Medical Systems (Cleveland), Inc.1991—
−15K961168ViewpointPhilips Medical Systems (Cleveland), Inc.1996—
−14K963221Optical Digitizer Option for View PointPhilips Medical Systems (Cleveland), Inc.1997—
−13K970604Viewpoint - 3.0 SoftwarePhilips Medical Systems (Cleveland), Inc.1997—
−12K984298Z Kat Flurotactic Guidance System MkiZ-Kat, Inc.1999—
−11K013025Modification to Flourolab PlusZ-Kat, Inc.2001—
−10K031337Acumen Surgical Navigation SystemBiomet, Inc.2003—
−9K072806Mako Surgical Tactile Guidance System (TGS)Mako Surgical Corp.20081
−8K081867Mako Surgical Tactile Guidance System Version 2.0Mako Surgical Corp.20082
−7K112507Restoris Partial Knee Application (Pka), Rio Standard SystemMako Surgical Corporation20126
−6K143752Total Knee Application (TKA)Mako Surgical Corp.20152
−5K170581Mako Total Knee ApplicationMako Surgical Corp.20171
−4K172219Mako Total Knee ApplicationMako Surgical Corp.2017—
−3K182964ROSA Knee SystemOrthosoft Inc (D/B/A Zimmer Cas)2019—
−2K221928ROSA® Knee SystemOrthosoft D/B/A Zimmer Cas2022—
−1K230243ROSA® Knee SystemOrthosoft D/B/A Zimmer Cas2023—
0 (this device)K233199ROSA® Shoulder SystemOrthosoft Inc (D/B/A Zimmer Cas)2024—
+1K250108OptiVu™ ShoulderMr Surgical Solutions, LLC2025—
+1K260582ROSA® Shoulder SystemOrthosoft Inc. (d/b/a) Zimmer CAS2026—
+2K252170OptiVu™ ShoulderMr Surgical Solutions, LLC2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198020
198110
198610
198720
199130
199210
199330
199430
199530
199650
199740
199820
199980
200080
200170
200260
200380
2004130
2005120
2006110
200740
200830
200930
201050
201150
201230
201350
201410
201520
201630
201730
202110
202210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202520
202610
FIG. 1 — Lineage of K233199, 1991–2026Source: 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? (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
*K213546ExactechGPS Total Shoulder Application, Equinoxe Planning Software
Summary page 5
…or Reference ExactechGPS Total Blue Ortho K213546 Primary Shoulder Application, Predicate…
Blue Ortho20221
*K230243ROSA® Knee System
Summary page 5
…Predicate Equinoxe Planning Software ROSA Knee System Zimmer CAS K230243 Secondary Predicate Purpose and Device…
Orthosoft D/B/A Zimmer Cas2023—

Also cleared against K213546: 3 other devices →

What descends from it? (3)

2 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K250108OptiVu™ ShoulderMr Surgical Solutions, LLC20251
K260582ROSA® Shoulder SystemOrthosoft Inc. (d/b/a) Zimmer CAS20260

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 33 years and passes through 7 companies; a new generation was cleared every 1.9 years on median.
  • 39 of the 158 ancestors have a recall of any class.
  • Of its descendants, K250108 (Mr Surgical Solutions, LLC, 2025) has gone furthest, with 1 descendant of its own.
  • 3 other devices also cite its predicate K213546.

How does its category compare?

All OLO devices

OLO Orthopedic Stereotaxic Instrument: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, 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 ROSA@ Shoulder System, for use with the ROSA RECON platform, is indicated as a stereotaxic instrumentation system for Total Shoulder Arthroplasty (TSA) surgery. It is used to assist the surgeon in providing software-defined spatial boundaries for orientation and reference to identifiable anatomical structures for the accurate placement of the shoulder implant components. The robotic arm placement is performed relative to anatomical landmarks and bony…

Read the full statement (192 words)

The ROSA@ Shoulder System, for use with the ROSA RECON platform, is indicated as a stereotaxic instrumentation system for Total Shoulder Arthroplasty (TSA) surgery. It is used to assist the surgeon in providing software-defined spatial boundaries for orientation and reference to identifiable anatomical structures for the accurate placement of the shoulder implant components.

The robotic arm placement is performed relative to anatomical landmarks and bony anatomy as recorded using the system intraoperatively, and based on a three-dimensional representation of the bone structures determined pre-operatively using compatible CT based imaging technology.

It includes a robotic arm, an optical sensor navigation system and accessories, software system, surgical instruments and accessories.

The ROSA Shoulder System is designed for use on a skeletally mature patient population. The target population has the same characteristics as the population targeted by the implants compatible with the ROSA Shoulder System.

The ROSA Shoulder System is to be used with the following shoulder replacement systems in accordance with their indications and contraindications:

* Humerus implants: Comprehensive@ Total Shoulder System, Comprehensive@ Reverse Shoulder System, Identity® Shoulder System and Identity® Reverse Shoulder System.

* Glenoid implants: AllianceTm Glenoid and Comprehensive@ Reverse Shoulder System.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K233199: ROSA® Shoulder System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K233199

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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