510(k) Report

510(k) · Cleared

Cleared

Ortho Guidance Precision Knee Software; Ortho Guidance Express Knee Software; Ortho Guidance Versatile Hip Software; Q Guidance System

K233542510(k) TraditionalCleared Mar 14, 2024132-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

Stryker Leibinger GmbH & Co KG · OLO Orthopedic Stereotaxic Instrument

Cleared on Mar 14, 2024 as substantially equivalent to K223767 (Stryker Leibinger GmbH & Co KG, 2023) and 1 other predicate after a 132-day review. Its family tree reaches back 8 generations to 2000. 4 of the 34 devices in its family, counting itself, have a Class I recall.

Decided
Mar 14, 2024
Review
132 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
2

Its longest line of descent runs back 8 generations to K993239 (2000). 33 ancestors in all, the oldest K971247 (1997). No later device cites it as a predicate yet. 4 of the 34 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year cleared 2023: 1 other ancestor2021: 2 other ancestors, 1 with a Class I recall12017: 3 other ancestors, 1 with a Class I recall12015: 4 other ancestors, 1 with a Class I recall12016: 1 other ancestor, 1 with a Class I recall12014: 2 other ancestors2013: 2 other ancestors2005: 1 other ancestor2003: 3 other ancestors2000: 2 other ancestors1997: 1 other ancestor2020: 1 other ancestor2001: 1 other ancestor1999: 1 other ancestorK993239 · Stryker Navigation System - Neuro Module, Model 6000-XXX-XXX · Stryker Corp. · 2000 · recalledK062640 · Stryker Navigation System - Cranial Module, Model 6000-650-000 · Stryker Instruments · 2006 · recalledK141551 · Profess Software, Profess Curved 70 (Degrees) Suction, Profess Curved 70 (Degrees) Suction, Profess Curved 90 (Degrees) · Stryker Corporate · 2014 · recalled×2: 2 generations cleared close together, K153240 (2016), K162341 (2016) K172034 · Stryker Spine Navigation System with SpineMap 3D software application, OrthoLock, nGenius Spine Clamp, Navigated Drill Guide Set, Navigated Xia 3 Awl Tap, Navigated Xia 3 Serrato Tap · Stryker Corporation · 2017K220593 · Spine Guidance Software, Stryker Q Guidance System · Stryker Leibinger GmbH & Co KG · 2022K223767 · Ortho Guidance Precision Knee Software, Ortho Guidance Express Knee Software, Ortho Guidance Versatile Hip Software, Ortho Q Guidance System · Stryker Leibinger GmbH & Co KG · 20231995200020052010201520202025
  1. Root · 8 generations backK993239 Stryker Navigation System - Neuro Module, Model 6000-XXX-XXXStryker Corp. · 2000 · Recalled
  2. 7 generations backK062640 Stryker Navigation System - Cranial Module, Model 6000-650-000Stryker Instruments · 2006 · Recalled
  3. 6 generations backK141551 Profess Software, Profess Curved 70 (Degrees) Suction, Profess…Stryker Corporate · 2014 · Recalled
  4. 5 generations backK153240 Styrker OrthoMap Express Knee SystemStryker Corporate · 2016
  5. 4 generations backK162341 Stryker OrthoMap Precision Knee systemStryker Leibinger GmbH & Co KG · 2016
  6. 3 generations backK172034 Stryker Spine Navigation System with SpineMap 3D software…Stryker Corporation · 2017
  7. 2 generations backK220593 Spine Guidance Software, Stryker Q Guidance SystemStryker Leibinger GmbH & Co KG · 2022
  8. 1 generation backK223767 Ortho Guidance Precision Knee Software, Ortho Guidance Express Knee…Stryker Leibinger GmbH & Co KG · 2023
  9. This deviceK233542 Ortho Guidance Precision Knee Software; Ortho Guidance Express Knee…Stryker Leibinger GmbH & Co KG · 2024

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K993239Stryker Navigation System - Neuro Module, Model 6000-XXX-XXXStryker Corp.20006
−7K062640Stryker Navigation System - Cranial Module, Model 6000-650-000Stryker Instruments200619
−6K141551Profess Software, Profess Curved 70 (Degrees) Suction, Profess Curved 70…Stryker Corporate20141
−5K153240Styrker OrthoMap Express Knee SystemStryker Corporate2016—
−4K162341Stryker OrthoMap Precision Knee systemStryker Leibinger GmbH & Co KG2016—
−3K172034Stryker Spine Navigation System with SpineMap 3D software application…Stryker Corporation2017—
−2K220593Spine Guidance Software, Stryker Q Guidance SystemStryker Leibinger GmbH & Co KG2022—
−1K223767Ortho Guidance Precision Knee Software, Ortho Guidance Express Knee Software…Stryker Leibinger GmbH & Co KG2023—
0 (this device)K233542Ortho Guidance Precision Knee Software; Ortho Guidance Express Knee Software…Stryker Leibinger GmbH & Co KG2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199710
199910
200020
200110
200330
200510
201320
201420
201541
201611
201731
202010
202121
202310
FIG. 1 — Lineage of K233542, 2000–2024Source: 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.

4 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
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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
*K223767Ortho Guidance Precision Knee Software, Ortho Guidance Express Knee Software, Ortho…
Summary page 5
…The following are the legally marketed predicate devices for the subject devices included in this Traditional 510(k). The primary predicate device is K223767. Table 2: Predicate Device List Predicate Device…
Stryker Leibinger GmbH & Co KG2023—
*K212194Stryker Q Guidance System with Cranial Guidance Software, CranialMask Tracker and…
Summary page 5
…Co. KG Software Stryker Leibinger Q Guidance System Q Guidance System K212194 HAW GmbH & Co. KG…
Stryker Corporation20232

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (4 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.

  • K212397StealthStation S8 Cranial v2.0Medtronic Navigation · 2021 · 2 generations back · ◆ in the 2021 ancestors bar of FIG. 11 Class I recall
  • K162309StealthStation S8 System Platforms and StealthStation Cranial SoftwareMedtronic Navigation, Inc. · 2017 · 2 generations back · ◆ in the 2017 ancestors bar of FIG. 12 Class I recalls
  • K153660StealthStation System with Cranial SoftwareMedtronic Navigation, Inc. · 2016 · 3 generations back · ◆ in the 2016 ancestors bar of FIG. 13 Class I recalls
  • K150216Synergy CranialMedtronic Navigation, Inc. · 2015 · 4 generations back · ◆ in the 2015 ancestors bar of FIG. 13 Class I recalls

What does this lineage say?

  • The line of descent spans 24 years and passes through 5 companies; a new generation was cleared every 1.8 years on median.
  • 17 of the 33 ancestors have a recall of any class; 4 have a Class I recall.

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?

Ortho Guidance Precision Knee Software: The Stryker guidance systems, with the Ortho Guidance Precision Knee Software, are intended as a planning and intraoperative guidance system to enable open computer-assisted surgery. The systems can be used for intraoperative guidance where a reference to a rigid anatomical structure can be identified. The systems are indicated for conditions of the knee joint in which the use of computer-assisted surgery may be…

Read the full statement (325 words)

Ortho Guidance Precision Knee Software:

The Stryker guidance systems, with the Ortho Guidance Precision Knee Software, are intended as a planning and intraoperative guidance system to enable open computer-assisted surgery. The systems can be used for intraoperative guidance where a reference to a rigid anatomical structure can be identified. The systems are indicated for conditions of the knee joint in which the use of computer-assisted surgery may be appropriate.

Ortho Guidance Express Knee Software:

The Stryker guidance systems, with the Ortho Guidance Express Knee Software, are intended as a planning and intraoperative guidance system to enable open computer-assisted surgery. The systems can be used for intraoperative guidance where a reference to a rigid anatomical structure can be identified. The systems are indicated for conditions of the knee joint in which the use of computer-assisted surgery may be appropriate.

Ortho Guidance Versatile Hip Software:

The Stryker guidance systems, with the Ortho Guidance Versatile Hip Software, are intended as a planning and intraoperative guidance system to enable open computer-assisted surgery.

The systems can be used for intraoperative guidance where a reference to a rigid anatomical structure such as but not limited to the pelvis, or femur, can be identified.

The systems are indicated for conditions of the hip joint in which the use of computer-assisted surgery may be appropriate.

The system is indicated for the following surgical procedures:

- Total Hip Arthroplasty (THA)

- Precisely positioning instruments, implants, and bony tissue during orthopaedic hip surgery

- Revisions

Q Guidance System:

The Q Guidance System is intended as an aid for precisely locating anatomical structures in open or percutaneous computer assisted surgery. When used with the Ortho Guidance Precision Knee, Express Knee, or Versatile Hip Software, the Q Guidance System is indicated for any medical condition in which the use of computer assisted planning and surgery may be appropriate and where reference to a rigid anatomical structure such as the femur, tibia, or long bone can be identified.

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. “K233542: Ortho Guidance Precision Knee Software; Ortho Guidance Express Knee Software; Ortho Guidance Versatile Hip Software; Q Guidance System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K233542

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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