# 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

- Pathway: 510(k) (Traditional)
- Applicant: Stryker Leibinger GmbH & Co KG
- Decided: Jun 6, 2024 after 90 days
- Product code: OLO (Orthopedic Stereotaxic Instrument)
- Device class: 2
- Regulation: 21 CFR 882.4560
- Recalls of this device: none
- Data: FDA decisions to Oct 25, 2026; recalls to Oct 12, 2026

## Lineage
Longest line of descent: 15 generations back to K853033 (1985). 68 ancestors in all.
7 later devices descend from it; 4 cite it directly.
1 of 76 devices in its family (counting itself) has a Class I recall.

## Predicates on the family tree (from the FDA summary)
- K220593: Spine Guidance Software, Stryker Q Guidance System, Stryker Leibinger GmbH & Co KG (2022) Summary page 7.
- K203205: Navigated Spine Instruments, Stryker Spine (2021) Summary page 7.
- 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 (2017) Summary page 7.
- K171840: Stryker Consolidated Operating Room Equipment (CORE) 2 Console, Stryker Corporation (2017) Summary page 7.
- (no number) Instrument, Surgical, Orthopedic, AC-Powered Motor and Accessory/Attachment: named in the summary without a submission number

## Most influential descendants
- K241171: Spine Guidance Software (Version 5.1); Consolidated Operating Room Equipment (CORE) 2 Console; CORE Q Footswitch; PI Drive 2 Motors; Elite Q Attachments and Cutting Accessories (2024), 4 descendants of its own
- K241517: Q Guidance System; Mako Spine System; (2024), 2 descendants of its own
- K252871: Spine Guidance 5.3 Software; Q Interbody Instruments; Elite Q Attachments; Elite Cutting Accessories (2026), 1 descendant of its own
- K260546: Q Pedicle Instruments (2026), 0 descendants of its own
- K253623: Spine Guidance 5.4 Software; Spine Guidance 5.4 Upgrade; Spine Guidance 5.4 Update; Spine Guidance 5.4 Software Enable; Spine Guidance 5.4 Sales Demo; Q Drill Tracker; NavLock Adapter; Elite Q Attacments; Elite Cutting Accessories; Maestro Air Motor (2026), 0 descendants of its own

## Indications for use
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.

Source page: https://510kreport.com/device/K240662
Methodology: https://510kreport.com/methodology