510(k) Report

510(k) · Cleared

Cleared

Spine Guidance Software (version 5.0); Xia 3/ Serrato Q Instruments; Everest Q Instruments; Mesa 2 Q Instruments; Q Pedicle Preparation Instruments; Q S2AI Drills; Q Handles; Consolidated Operating Room Equipment (CORE) 2 Console; Electric System 6 Dual Trigger Rotary Handpiece

K240662510(k) TraditionalCleared Jun 6, 202490-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 Jun 6, 2024 as substantially equivalent to K220593 (Stryker Leibinger GmbH & Co KG, 2022) and 3 other predicates after a 90-day review. Its family tree reaches back 15 generations to 1985. 1 of the 76 devices in its family, counting itself, has a Class I recall. 7 later devices descend from it.

Decided
Jun 6, 2024
Review
90 days
Class
Class II
Product code
OLO
Recalls
None
Predicates
4

Its longest line of descent runs back 15 generations to K853033 (1985). 68 ancestors in all. 7 later devices descend from it, 4 citing it directly. 1 of the 76 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 2022: 1 other ancestor2017: 2 other ancestors2016: 2 other ancestors2014: 2 other ancestors2012: 1 other ancestor2001: 7 other ancestors2013: 2 other ancestors2003: 3 other ancestors2018: 1 other ancestor2015: 1 other ancestor2009: 2 other ancestors2006: 4 other ancestors2011: 1 other ancestor2007: 3 other ancestors, 1 with a Class I recall12005: 3 other ancestors2000: 4 other ancestors2002: 5 other ancestors2004: 3 other ancestors1999: 5 other ancestors1998: 1 other ancestor2026: 4 descendants cleared2024: 2 descendants cleared2025: 1 descendant clearedK853033 · Hartshill Rect & Wires, Spinal Fixation System · A.W. Showell (Surgicraft), Ltd. · 1985K965221 · Ransford Cervical Fixation System · Surgicraft, Ltd. · 1997K982322 · Synthes Spine Occipital-Cervical Plate/Rod and Hook System · Synthes (Usa) · 1998K002733 · Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2000K013222 · Summit Occipito-Cervico- Thoracic (Oct) Spinal System · Depuyacromed · 2001K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K041203 · Summit Oct Spinal System · Depuy Spine, Inc. · 2004K050979 · S4 Spinal System · Aesculap, Inc. · 2005K060152 · Modification to S4 Spinal System · Aesculap, Inc. · 2006K062327 · Modification to S4 Spinal System · Aesculap, Inc. · 2007K130887 · S4C Navigation Instruments · Aesculap Implant System, Inc. · 2013K181890 · Brainlab Compatible K2M Navigation Instruments · K2m · 2018K192911 · Brainlab Compatible K2M Navigation Instruments · K2m, Inc. · 2019K203205 · Navigated Spine Instruments · Stryker Spine · 20211990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 4 other ancestors3 generations back: 3 other ancestors4 generations back: 6 other ancestors5 generations back: 8 other ancestors, 1 with a Class I recall16 generations back: 5 other ancestors7 generations back: 12 other ancestors8 generations back: 7 other ancestors9 generations back: 5 other ancestors 1 generation forward: 4 descendants2 generations forward: 3 descendants K203205 · Navigated Spine Instruments · Stryker Spine · 2021K192911 · Brainlab Compatible K2M Navigation Instruments · K2m, Inc. · 2019K181890 · Brainlab Compatible K2M Navigation Instruments · K2m · 2018K130887 · S4C Navigation Instruments · Aesculap Implant System, Inc. · 2013K062327 · Modification to S4 Spinal System · Aesculap, Inc. · 2007K060152 · Modification to S4 Spinal System · Aesculap, Inc. · 2006K050979 · S4 Spinal System · Aesculap, Inc. · 2005K041203 · Summit Oct Spinal System · Depuy Spine, Inc. · 2004K030103 · Summit Oct Spinal System Minipolyaxial Screws · Depuyacromed · 2003K022190 · Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2002K013222 · Summit Occipito-Cervico- Thoracic (Oct) Spinal System · Depuyacromed · 2001K002733 · Summit Occipito-Cervico-Thoracic (Oct) Spinal System · Depuyacromed · 2000K982322 · Synthes Spine Occipital-Cervical Plate/Rod and Hook System · Synthes (Usa) · 1998K965221 · Ransford Cervical Fixation System · Surgicraft, Ltd. · 1997K853033 · Hartshill Rect & Wires, Spinal Fixation System · A.W. Showell (Surgicraft), Ltd. · 1985−15−10−50
  1. Root · 15 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 11 generations between
  3. 3 generations backK181890 Brainlab Compatible K2M Navigation InstrumentsK2m · 2018
  4. 2 generations backK192911 Brainlab Compatible K2M Navigation InstrumentsK2m, Inc. · 2019
  5. 1 generation backK203205 Navigated Spine InstrumentsStryker Spine · 2021
  6. This deviceK240662 Spine Guidance Software (version 5.0); Xia 3/ Serrato Q Instruments…Stryker Leibinger GmbH & Co KG · 2024
  7. Descendant · cites it directly · 4 of its ownK241171 Spine Guidance Software (Version 5.1); Consolidated Operating Room…Stryker Leibinger GmbH & Co KG · 2024
  8. Descendant · 2 generations on · 2 of its ownK241517 Q Guidance System; Mako Spine System;Stryker Leibinger GmbH & Co KG · 2024
  9. Descendant · cites it directly · 1 of its ownK252871 Spine Guidance 5.3 Software; Q Interbody Instruments; Elite Q…Stryker Leibinger GmbH & Co KG · 2026
  10. Descendant · cites it directly · 0 of its ownK260546 Q Pedicle InstrumentsK2m, Inc. · 2026
  11. Descendant · 2 generations on · 0 of its ownK253623 Spine Guidance 5.4 Software; Spine Guidance 5.4 Upgrade; Spine…Stryker Leibinger GmbH & Co KG · 2026
Show all 15 generations
  1. Root · 15 generations backK853033 Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd. · 1985
  2. 14 generations backK965221 Ransford Cervical Fixation SystemSurgicraft, Ltd. · 1997
  3. 13 generations backK982322 Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa) · 1998
  4. 12 generations backK002733 Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2000
  5. 11 generations backK013222 Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed · 2001
  6. 10 generations backK022190 Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed · 2002
  7. 9 generations backK030103 Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed · 2003
  8. 8 generations backK041203 Summit Oct Spinal SystemDepuy Spine, Inc. · 2004
  9. 7 generations backK050979 S4 Spinal SystemAesculap, Inc. · 2005
  10. 6 generations backK060152 Modification to S4 Spinal SystemAesculap, Inc. · 2006
  11. 5 generations backK062327 Modification to S4 Spinal SystemAesculap, Inc. · 2007
  12. 4 generations backK130887 S4C Navigation InstrumentsAesculap Implant System, Inc. · 2013
  13. 3 generations backK181890 Brainlab Compatible K2M Navigation InstrumentsK2m · 2018
  14. 2 generations backK192911 Brainlab Compatible K2M Navigation InstrumentsK2m, Inc. · 2019
  15. 1 generation backK203205 Navigated Spine InstrumentsStryker Spine · 2021
  16. This deviceK240662 Spine Guidance Software (version 5.0); Xia 3/ Serrato Q Instruments…Stryker Leibinger GmbH & Co KG · 2024

Showing 5 of 7 descendants. See all descendants

Descendants cleared per year

2024: 22025: 12026: 4
2024high 4 (2026) · low 1 (2025)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 7 · See all
  • K241171Spine Guidance Software (Version 5.1); Consolidated Operating Room Equipment (CORE) 2…Stryker Leibinger GmbH & Co KG · 2024 · cites it directly4descendants
  • K241517Q Guidance System; Mako Spine System;Stryker Leibinger GmbH & Co KG · 2024 · 2 generations on2descendants
  • K252871Spine Guidance 5.3 Software; Q Interbody Instruments; Elite Q Attachments; Elite Cutting…Stryker Leibinger GmbH & Co KG · 2026 · cites it directly1descendant
  • K260546Q Pedicle InstrumentsK2m, Inc. · 2026 · cites it directly0descendants
  • K253623Spine Guidance 5.4 Software; Spine Guidance 5.4 Upgrade; Spine Guidance 5.4 Update…Stryker Leibinger GmbH & Co KG · 2026 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−15K853033Hartshill Rect & Wires, Spinal Fixation SystemA.W. Showell (Surgicraft), Ltd.1985—
−14K965221Ransford Cervical Fixation SystemSurgicraft, Ltd.1997—
−13K982322Synthes Spine Occipital-Cervical Plate/Rod and Hook SystemSynthes (Usa)1998—
−12K002733Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2000—
−11K013222Summit Occipito-Cervico- Thoracic (Oct) Spinal SystemDepuyacromed2001—
−10K022190Modification to Summit Occipito-Cervico-Thoracic (Oct) Spinal SystemDepuyacromed2002—
−9K030103Summit Oct Spinal System Minipolyaxial ScrewsDepuyacromed2003—
−8K041203Summit Oct Spinal SystemDepuy Spine, Inc.2004—
−7K050979S4 Spinal SystemAesculap, Inc.2005—
−6K060152Modification to S4 Spinal SystemAesculap, Inc.2006—
−5K062327Modification to S4 Spinal SystemAesculap, Inc.2007—
−4K130887S4C Navigation InstrumentsAesculap Implant System, Inc.2013—
−3K181890Brainlab Compatible K2M Navigation InstrumentsK2m2018—
−2K192911Brainlab Compatible K2M Navigation InstrumentsK2m, Inc.2019—
−1K203205Navigated Spine InstrumentsStryker Spine2021—
0 (this device)K240662Spine Guidance Software (version 5.0); Xia 3/ Serrato Q Instruments; Everest Q…Stryker Leibinger GmbH & Co KG2024—
+1K241171Spine Guidance Software (Version 5.1); Consolidated Operating Room Equipment…Stryker Leibinger GmbH & Co KG2024—
+2K241517Q Guidance System; Mako Spine System;Stryker Leibinger GmbH & Co KG2024—
+1K252871Spine Guidance 5.3 Software; Q Interbody Instruments; Elite Q Attachments…Stryker Leibinger GmbH & Co KG2026—
+1K260546Q Pedicle InstrumentsK2m, Inc.2026—
+2K253623Spine Guidance 5.4 Software; Spine Guidance 5.4 Upgrade; Spine Guidance 5.4…Stryker Leibinger GmbH & Co KG2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199810
199950
200040
200170
200250
200330
200430
200530
200640
200731
200920
201110
201210
201320
201420
201510
201620
201720
201810
202210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202420
202510
202640
FIG. 1 — Lineage of K240662, 1985–2026Source: 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 K252597 Valence Robotic Navigation System; Valence…score 23.5 · 33 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? (5)

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
*K220593Spine Guidance Software, Stryker Q Guidance System
Summary page 7
…of 7 807.92(a)(3) – Legally marketed device(s) to which equivalence is claimed Spine Guidance Software, v5.0 Spine Guidance Software, v4.0, K220593 Q Pedicle Instruments Navigated Spine Instruments, K203205, K172034 Consolidated Operating Room Eq…
Stryker Leibinger GmbH & Co KG2022—
*K203205Navigated Spine Instruments
Summary page 7
…imed Spine Guidance Software, v5.0 Spine Guidance Software, v4.0, K220593 Q Pedicle Instruments Navigated Spine Instruments, K203205, K172034 Consolidated Operating Room Equipment Stryker Consolidated Operating Room Equipment (CORE) 2 Console…
Stryker Spine2021—
*K172034Stryker Spine Navigation System with SpineMap 3D software application, OrthoLock…
Summary page 7
…e Guidance Software, v5.0 Spine Guidance Software, v4.0, K220593 Q Pedicle Instruments Navigated Spine Instruments, K203205, K172034 Consolidated Operating Room Equipment Stryker Consolidated Operating Room Equipment (CORE) 2 Console…
Stryker Corporation2017—
*K171840Stryker Consolidated Operating Room Equipment (CORE) 2 Console
Summary page 7
…Consolidated Operating Room Equipment Stryker Consolidated Operating Room Equipment (CORE) 2 Console (CORE) 2 Console, K171840 Electric System 6 Heavy Duty Dual Trigger FDA Product Code: HWE (Instrument, Surgical, Rotary Handpiece…
Stryker Corporation2017—
*—Instrument, Surgical, Orthopedic, AC-Powered Motor and Accessory/Attachment
Named without a submission number
—

Also cleared against K220593: 1 other device →

What descends from it? (7)

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

NumberDeviceApplicantDecidedDescendants
K241171Spine Guidance Software (Version 5.1); Consolidated Operating Room Equipment (CORE) 2…Stryker Leibinger GmbH & Co KG20244
K252871Spine Guidance 5.3 Software; Q Interbody Instruments; Elite Q Attachments; Elite Cutting…Stryker Leibinger GmbH & Co KG20261
K260546Q Pedicle InstrumentsK2m, Inc.20260
K252873Q Interbody InstrumentsK2m, Inc.20260

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.

  • K070106VV Fluoro 3DBrainlab AG · 2007 · 5 generations back · ◆ in the 2007 ancestors bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 39 years and passes through 11 companies; a new generation was cleared every 1.3 years on median.
  • 11 of the 68 ancestors have a recall of any class; 1 has a Class I recall.
  • Of its descendants, K241171 (Stryker Leibinger GmbH & Co KG, 2024) has gone furthest, with 4 descendants of its own.
  • 1 other device also cites its predicate K220593.

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 Q Guidance System, when used with the Spine Guidance Software, is intended as a planning and intraoperative guidance system to enable open or percutaneous computer assisted surgery in adult and pediatric (adolescent) patients. The system is indicated for any surgical procedure on the spine in which the use of computer assisted planning and surgery may be appropriate. The system can be used for intraoperative guidance where a reference to a rigid…

Read the full statement (407 words)

The Q Guidance System, when used with the Spine Guidance Software, is intended as a planning and intraoperative guidance system to enable open or percutaneous computer assisted surgery in adult and pediatric (adolescent) patients. The system is indicated for any surgical procedure on the spine in which the use of computer assisted planning and surgery may be appropriate. The system can be used for intraoperative guidance where a reference to a rigid anatomical structure such as the skull, pelvis or spine can be identified. The system assists in the positioning of instruments for procedures on the pelvis and spine, including: Screw and Needle placement in the spine or pelvis.

Stryker Spine Q Pedicle Instruments are intended to be used as accessories to the Stryker Spine Guidance System to facilitate placement of Stryker Spine implants. They can be navigated instruments or non-navigated manual instruments. When navigated, Stryker Spine Q Pedicle Instruments are specifically designed for use with the Spine Guidance Software. They are intended to be used with a Q Navigation Adaptor and associated trackers manually or under power with a Stryker Rotary Handpiece to facilitate pedicle preparation and placement of Stryker Spine implants in the non-cervical spine in adult and pediatric (adolescent) patients in accordance with the Indications and contraindications of the associated Stryker Spine Implant System.

The Stryker Consolidated Operating Room Equipment (CORE) 2 Console is intended for use in the cutting, drilling, reaming, decorticating, shaping, and smoothing of bone, bone cement and teeth in a variety of surgical procedures, including but not limited to orthopedic, dental, ENT (Ear, Nose, Throat), neuro, spine, and endoscopic applications. The console is also usable in the placement or cutting of screws, metal, wires, pins, and other fixation devices. The CORE 2 Console is also indicated as an accessory to the Stryker Spine Guidance Software for stereotactic surgical procedures on the spine in adult and pediatric (adolescent) patients.

The Stryker Electric System 6 Heavy Duty Dual Trigger Rotary Handpiece is used with the Consolidated Operating Room Equipment (CORE™) System. When used with a variety of Stryker-approved attachments, the handpiece is intended for orthopedic surgical procedures involving drilling, reaming, driving wire or pins, cutting bone and hard tissue. The Stryker Electric System 6 Heavy Duty Dual Trigger Rotary Handpiece, when used in conjunction with Stryker Spine Guidance Software, is intended to be used to facilitate preparation and placement of screws of Stryker Spine implant systems in adult and pediatric (adolescent) patients.

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. “K240662: Spine Guidance Software (version 5.0); Xia 3/ Serrato Q Instruments; Everest Q Instruments; Mesa 2 Q Instruments; Q Pedicle Preparation Instruments; Q S2AI Drills; Q Handles; Consolidated Operating Room Equipment (CORE) 2 Console; Electric System 6 Dual Trigger Rotary Handpiece.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K240662

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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