510(k) Report

510(k) · Cleared

Cleared

Packaged Assembly, Reusable Navigation Unit; Lantern ASC, Smart Pack kit, Knee

K253507510(k) TraditionalCleared Jun 2, 2026211-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

Orthalign, Inc. · ONN Intraoperative Orthopedic Joint Assessment Aid

Cleared on Jun 2, 2026 as substantially equivalent to K200892 (Orthalign, Inc., 2020) and 1 other predicate after a 211-day review. Its family tree reaches back 14 generations to 1999.

Decided
Jun 2, 2026
Review
211 days
Class
Class II
Product code
ONN
Recalls
None
Predicates
2

Its longest line of descent runs back 14 generations to K983831 (1999). 46 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 14 generations backK983831 VECTORVISION2Brainlab AG · 1999
  2. 10 generations between
  3. 3 generations backK153237 OrthAlign Plus SystemOrthalign, Inc. · 2016
  4. 2 generations backK162962 OrthAlign Plus SystemOrthalign, Inc. · 2017
  5. 1 generation backK200892 Harvey (R) Surgical AssistantOrthalign, Inc. · 2020 · Recalled
  6. This deviceK253507 Packaged Assembly, Reusable Navigation Unit; Lantern ASC, Smart Pack…Orthalign, Inc. · 2026
Show all 14 generations
  1. Root · 14 generations backK983831 VECTORVISION2Brainlab AG · 1999
  2. 13 generations backK014256 Kolibri Igs SystemsBrainlab AG · 2002
  3. 12 generations backK031770 CI TKR/UkrBrainlab AG · 2003
  4. 11 generations backK041899 Vectorvision Uni-KneeBrainlab AG · 2004
  5. 10 generations backK052966 CI Knee, CI MI TKRBrainlab AG · 2006
  6. 9 generations backK073615 Brainlab Knee Essential, Brainlab Knee Unlimited CI Knee, CI Knee…Brainlab AG · 2008
  7. 8 generations backK091411 Kneealign SystemOrthalign, Inc. · 2009
  8. 7 generations backK093998 Kneealign System with Reference SensorOrthalign, Inc. · 2010
  9. 6 generations backK103829 Kneealign SystemOrthalign, Inc. · 2011
  10. 5 generations backK130387 Orthoalign Plus SystemOrthalign, Inc. · 2013
  11. 4 generations backK140331 Orthalign Plus SystemOrthalign, Inc. · 2014
  12. 3 generations backK153237 OrthAlign Plus SystemOrthalign, Inc. · 2016
  13. 2 generations backK162962 OrthAlign Plus SystemOrthalign, Inc. · 2017
  14. 1 generation backK200892 Harvey (R) Surgical AssistantOrthalign, Inc. · 2020 · Recalled
  15. This deviceK253507 Packaged Assembly, Reusable Navigation Unit; Lantern ASC, Smart Pack…Orthalign, Inc. · 2026
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−14K983831VECTORVISION2Brainlab AG1999—
−13K014256Kolibri Igs SystemsBrainlab AG2002—
−12K031770CI TKR/UkrBrainlab AG2003—
−11K041899Vectorvision Uni-KneeBrainlab AG2004—
−10K052966CI Knee, CI MI TKRBrainlab AG2006—
−9K073615Brainlab Knee Essential, Brainlab Knee Unlimited CI Knee, CI Knee UnlimitedBrainlab AG2008—
−8K091411Kneealign SystemOrthalign, Inc.2009—
−7K093998Kneealign System with Reference SensorOrthalign, Inc.2010—
−6K103829Kneealign SystemOrthalign, Inc.2011—
−5K130387Orthoalign Plus SystemOrthalign, Inc.2013—
−4K140331Orthalign Plus SystemOrthalign, Inc.2014—
−3K153237OrthAlign Plus SystemOrthalign, Inc.2016—
−2K162962OrthAlign Plus SystemOrthalign, Inc.2017—
−1K200892Harvey (R) Surgical AssistantOrthalign, Inc.20202
0 (this device)K253507Packaged Assembly, Reusable Navigation Unit; Lantern ASC, Smart Pack kit, KneeOrthalign, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200030
200150
200250
200330
200420
200540
200630
200710
200810
200920
201110
201510
202510
FIG. 1 — Lineage of K253507, 1999–2026Source: 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 ONN? 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 ONN device

  1. #1 K262253 Lantern Knee Navigation Unit…score 16.0 · 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
*K200892Harvey (R) Surgical Assistant
Summary page 5
…21 CFR 807.92(a)(3) Predicate# Predicate Trade Name (Primary Predicate is listed first) Product Code IK200892 Lantern Surgical Assistant Knee (previously branded as Harvey(R) Surgical As…
Orthalign, Inc.20202
*K243387GYDER® Hip System
Summary page 6
…807.92(a)(6) The following technological characteristics are identical between the modified device, the OrthAlign predicate device and/or the Gyder Surgical Hip System (K243387): -Intended Use [Identical to OrthAlign predicate K200892 and Gyder Surgical K243387] -Indications for Use [Identical to OrthAlig…
Gyder Surgical Pty, Ltd.2025—
†K242616Lantern® HipOrthalign, Inc.2024—

Also cleared against K200892: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

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 27 years and passes through 2 companies; a new generation was cleared every 1.4 years on median.
  • 7 of the 46 ancestors have a recall of any class.
  • 1 other device also cites its predicate K200892.

How does its category compare?

All ONN devices

ONN Intraoperative Orthopedic Joint Assessment Aid: FDA decisions, review times, recalls and adverse event reports over 20 years. 2026, this device’s year, is highlighted.

FDA decisions per year · ONN

1in 2025

2007: 12009: 12011: 12013: 22014: 12016: 12017: 12018: 12020: 32022: 12024: 22025: 12026 (partial year): 2
2007high 3 (2020) · low 0 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · ONN

100in 2020

2020: 100 days median
2007high 100 (2020)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · ONN

6in 2018

2012: 12014: 12018: 6
2007high 6 (2018) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · ONN

5in 2025

2016: 12025: 5
2007high 5 (2025) · low 0 (2007)2025

MAUDE reports naming product code ONN, 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
20071—00
20080—00
20091—00
20100—00
20111—00
20120—10
20132—00
20141—10
20150—00
20161—01
20171—00
20181—60
20190—00
2020310000
20210—00
20221—00
20230—00
20242—00
20251—05
20262—0—

What is it indicated for?

The Lantern® ASC system is a computer-controlled system intended to assist the surgeon in determining reference alignment axes in relation to anatomical and instrumentation structures during stereotactic orthopedic surgical procedures. The Lantern® ASC system facilitates the accurate positioning of implants relative to these alignment axes. Ligament balancing is provided by the Lantern® ASC system in primary or revision Total Knee Arthroplasty.

Example orthopedic surgical procedures include but are not limited to:

• Total Knee Arthroplasty

• Unicompartmental Knee Arthroplasty: Tibial transverse resection

• Ligament Balancing

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. “K253507: Packaged Assembly, Reusable Navigation Unit; Lantern ASC, Smart Pack kit, Knee.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K253507

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Record history
  • FDA decision record loaded Oct 30, 2026
  • Summary read Oct 30, 2026 (extraction version 2d9447fa9ea4)
  • Lineage and recalls computed Nov 3, 2026
  • Page last updated Nov 3, 2026