510(k) Report

510(k) · Cleared

Cleared

CROSSNAV Navigation Enabled Instruments

K233255510(k) TraditionalCleared Jun 17, 2024263-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

DePuy Synthes · OLO Orthopedic Stereotaxic Instrument

Cleared on Jun 17, 2024 as substantially equivalent to K200791 (Medos International SARL, 2020) and 1 other predicate after a 263-day review. Its family tree reaches back 14 generations to 1986. 2 later devices descend from it.

Decided
Jun 17, 2024
Review
263 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
2

Its longest line of descent runs back 14 generations to K862807 (1986). 67 ancestors in all, the oldest K842956 (1984). 2 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: 1 descendant cleared2026: 1 descendant clearedK862807 · 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 · 2020K231527 · TriALTIS Navigation Enabled Instruments · Medos International Sàrl · 202319801990200020102020
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 descendant K231527 · TriALTIS Navigation Enabled Instruments · Medos International Sàrl · 2023K200791 · 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 · 14 generations backK862807 Treace Drill SystemTreace Medical, Inc. · 1986
  2. 10 generations between
  3. 3 generations backK173338 Navigated INFINITY™ InstrumentsMedtronic Sofamor Danek USA, Inc. · 2018
  4. 2 generations backK200791 Navigation Enabled IntrumentsMedos International SARL · 2020
  5. 1 generation backK231527 TriALTIS Navigation Enabled InstrumentsMedos International Sàrl · 2023
  6. This deviceK233255 CROSSNAV Navigation Enabled InstrumentsDePuy Synthes · 2024
  7. Descendant · cites it directly · 1 of its ownK241893 CROSSNAV Navigation Enabled Instruments and UNAS Navigation ArraysMedos International SARL · 2024
  8. Descendant · 2 generations on · 0 of its ownK254157 CROSSNAV Navigation Enabled Instruments for Disc Preparation and…Medos International SARL · 2026
Show all 14 generations
  1. Root · 14 generations backK862807 Treace Drill SystemTreace Medical, Inc. · 1986
  2. 13 generations backK964548 Apex Universal Drive SystemLinvatec Corp. · 1997
  3. 12 generations backK971059 Universal Drive SystemLinvatec Corp. · 1997
  4. 11 generations backK981637 Integrated Drive/Pump System for OtolaryngologyLinvatec Corp. · 1998
  5. 10 generations backK990524 E9000 SystemLinvatec Corp. · 1999
  6. 9 generations backK012456 Sodem High Speed System (Electric) (Ear, Nose, and Throat)Sodemsystems · 2001
  7. 8 generations backK081277 XPS 4000 System, Midas Rex Legend Ehs System, Integrated Power…Medtronic Xomed, Inc. · 2008 · Recalled
  8. 7 generations backK111520 Ipc Powerease SystemMedtronic Xomed, Inc. · 2011 · Recalled
  9. 6 generations backK123270 Powerease SystemMedtronic Sofamor Danek USA, Inc. · 2013
  10. 5 generations backK140454 Navigated CD Horizon Solera Screwdriver/TapsMedtronic Sofamor Danek USA, Inc. · 2014 · Recalled
  11. 4 generations backK143628 Navigated Vertex Select InstrumentsMedtronic Sofamor Danek USA, Inc. · 2015
  12. 3 generations backK173338 Navigated INFINITY™ InstrumentsMedtronic Sofamor Danek USA, Inc. · 2018
  13. 2 generations backK200791 Navigation Enabled IntrumentsMedos International SARL · 2020
  14. 1 generation backK231527 TriALTIS Navigation Enabled InstrumentsMedos International Sàrl · 2023
  15. This deviceK233255 CROSSNAV Navigation Enabled InstrumentsDePuy Synthes · 2024

Most influential descendants

Showing 2 of 2 · See all
  • K241893CROSSNAV Navigation Enabled Instruments and UNAS Navigation ArraysMedos International SARL · 2024 · cites it directly1descendant
  • K254157CROSSNAV Navigation Enabled Instruments for Disc Preparation and InterbodyMedos International SARL · 2026 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−14K862807Treace Drill SystemTreace Medical, Inc.1986—
−13K964548Apex Universal Drive SystemLinvatec Corp.1997—
−12K971059Universal Drive SystemLinvatec Corp.1997—
−11K981637Integrated Drive/Pump System for OtolaryngologyLinvatec Corp.1998—
−10K990524E9000 SystemLinvatec Corp.1999—
−9K012456Sodem High Speed System (Electric) (Ear, Nose, and Throat)Sodemsystems2001—
−8K081277XPS 4000 System, Midas Rex Legend Ehs System, Integrated Power CONS0LE (Ipc)Medtronic Xomed, Inc.20081
−7K111520Ipc Powerease SystemMedtronic Xomed, Inc.20112
−6K123270Powerease SystemMedtronic Sofamor Danek USA, Inc.2013—
−5K140454Navigated CD Horizon Solera Screwdriver/TapsMedtronic Sofamor Danek USA, Inc.20141
−4K143628Navigated Vertex Select InstrumentsMedtronic Sofamor Danek USA, Inc.2015—
−3K173338Navigated INFINITY™ InstrumentsMedtronic Sofamor Danek USA, Inc.2018—
−2K200791Navigation Enabled IntrumentsMedos International SARL2020—
−1K231527TriALTIS Navigation Enabled InstrumentsMedos International Sàrl2023—
0 (this device)K233255CROSSNAV Navigation Enabled InstrumentsDePuy Synthes2024—
+1K241893CROSSNAV Navigation Enabled Instruments and UNAS Navigation ArraysMedos International SARL2024—
+2K254157CROSSNAV 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
202410
202610
FIG. 1 — Lineage of K233255, 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? (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
*K200791Navigation Enabled Intruments
Summary page 4
…Classification Product and OLO – Neurology Panel Code D. Predicate Device Names Primary Predicate Device: Navigation Enabled Instruments (K200791) – OLO Additional Predicate Device: TriALTIS Navigation Enabled Instruments (K231527) – OLO…
Medos International SARL2020—
*K231527TriALTIS Navigation Enabled Instruments
Cleared while this submission was under review
Summary page 4
…es Primary Predicate Device: Navigation Enabled Instruments (K200791) – OLO Additional Predicate Device: TriALTIS Navigation Enabled Instruments (K231527) – OLO Page 1 of 3 K233255 E. Device Descri…
Medos International Sàrl2023—

Also cleared against K200791: 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
K241893CROSSNAV Navigation Enabled Instruments and UNAS Navigation ArraysMedos International SARL20241

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 38 years and passes through 8 companies; a new generation was cleared every 2.2 years on median.
  • 10 of the 67 ancestors have a recall of any class.
  • Of its descendants, K241893 (Medos International SARL, 2024) has gone furthest, with 1 descendant 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. 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?

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 VELYS Spine System as well as the…

Read the full statement (205 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 VELYS Spine System as well as the with the Medtronic StealthStation® System. The Navigation Enabled Instruments are indicated for use in surgical spinal procedures, in which:

* the use of EXPEDIUM, VIPER, 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 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. “K233255: CROSSNAV 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/K233255

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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