510(k) Report

510(k) · Cleared

Cleared

Frameless Neuromate

K991081510(k) TraditionalCleared Jun 25, 199986-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

Integrated Surgical Systems, Inc. · HAW Neurological Stereotaxic Instrument

Cleared on Jun 25, 1999 as substantially equivalent to K963256 (Integrated Surgical Systems, S.A., 1997) after an 86-day review. Its family tree reaches back 2 generations to 1981. 5 of the 184 devices in its family, counting itself, have a Class I recall. 180 later devices descend from it.

Decided
Jun 25, 1999
Review
86 days
Class
Class II
Product code
HAW
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K811452 (1981). 3 ancestors in all. 180 later devices descend from it, 6 citing it directly. 5 of the 184 devices in this family, counting this one, have a Class I recall.

Other ancestors, by year clearedDescendants, by year cleared 1987: 1 other ancestor2009: 1 descendant cleared2004: 2 descendants cleared2014: 4 descendants cleared2008: 2 descendants cleared2010: 2 descendants cleared2007: 1 descendant cleared2005: 1 descendant cleared2011: 4 descendants cleared2017: 4 descendants cleared2015: 4 descendants cleared, 1 with a Class I recall12016: 3 descendants cleared2018: 8 descendants cleared, 1 with a Class I recall12013: 2 descendants cleared2019: 11 descendants cleared, 1 with a Class I recall12021: 10 descendants cleared, 1 with a Class I recall12025: 29 descendants cleared2024: 21 descendants cleared2026: 29 descendants cleared2023: 23 descendants cleared2020: 7 descendants cleared, 1 with a Class I recall12022: 11 descendants cleared2012: 1 descendant clearedK811452 · Brown-Roberts-Wells Stereotaxic Sytem · Trent Wells, Inc. · 1981K963256 · Neuromate Stereotactic System · Integrated Surgical Systems, S.A. · 199719801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 1 other ancestor 1 generation forward: 6 descendants2 generations forward: 11 descendants, 1 with a Class I recall13 generations forward: 9 descendants, 1 with a Class I recall14 generations forward: 48 descendants, 2 with a Class I recall25 generations forward: 28 descendants, 1 with a Class I recall16 generations forward: 25 descendants7 generations forward: 19 descendants8 generations forward: 10 descendants9 generations forward: 4 descendants10 generations forward: 4 descendants11 generations forward: 2 descendants12 generations forward: 3 descendants13 generations forward: 6 descendants14 generations forward: 4 descendants15 generations forward: 1 descendant K963256 · Neuromate Stereotactic System · Integrated Surgical Systems, S.A. · 1997K811452 · Brown-Roberts-Wells Stereotaxic Sytem · Trent Wells, Inc. · 19810+5+10+15
  1. Root · 2 generations backK811452 Brown-Roberts-Wells Stereotaxic SytemTrent Wells, Inc. · 1981
  2. 1 generation backK963256 Neuromate Stereotactic SystemIntegrated Surgical Systems, S.A. · 1997
  3. This deviceK991081 Frameless NeuromateIntegrated Surgical Systems, Inc. · 1999
  4. Descendant · cites it directly · 127 of its ownK092239 Rosa Surgical Device, Model Rosa 1.1Medtech S.A · 2009 · Recalled
  5. Descendant · cites it directly · 126 of its ownK101791 Rosa Surgical DeviceMedtech S.A.S · 2010 · Recalled
  6. Descendant · 2 generations on · 109 of its ownK151511 ROSA SpineMedtech S.A · 2016 · Recalled
  7. Descendant · 3 generations on · 69 of its ownK171651 Excelsius GPSGlobus Medical, Inc. · 2017 · Recalled
  8. Descendant · 4 generations on · 42 of its ownK191100 ExcelsiusGPS Spine 1.1 Interbody ModuleGlobus Medical, Inc. · 2019

Showing 5 of 180 descendants. See all descendants

Descendants cleared per year

2004: 22005: 12007: 12008: 22009: 12010: 22011: 42012: 12013: 22014: 42015: 42016: 32017: 42018: 82019: 112020: 72021: 102022: 112023: 232024: 212025: 292026: 29
2004high 29 (2025) · low 0 (2006)2026

Class I recalls in this family

Most influential descendants

Showing 5 of 180 · See all
  • K092239Rosa Surgical Device, Model Rosa 1.1Medtech S.A · 2009 · cites it directly127descendants
  • K101791Rosa Surgical DeviceMedtech S.A.S · 2010 · cites it directly126descendants
  • K151511ROSA SpineMedtech S.A · 2016 · 2 generations on109descendants
  • K171651Excelsius GPSGlobus Medical, Inc. · 2017 · 3 generations on69descendants
  • K191100ExcelsiusGPS Spine 1.1 Interbody ModuleGlobus Medical, Inc. · 2019 · 4 generations on42descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K811452Brown-Roberts-Wells Stereotaxic SytemTrent Wells, Inc.1981—
−1K963256Neuromate Stereotactic SystemIntegrated Surgical Systems, S.A.1997—
0 (this device)K991081Frameless NeuromateIntegrated Surgical Systems, Inc.1999—
+1K092239Rosa Surgical Device, Model Rosa 1.1Medtech S.A20099
+1K101791Rosa Surgical DeviceMedtech S.A.S201012
+2K151511ROSA SpineMedtech S.A20163
+3K171651Excelsius GPSGlobus Medical, Inc.20171
+4K191100ExcelsiusGPS Spine 1.1 Interbody ModuleGlobus Medical, Inc.2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200420
200510
200710
200820
200910
201020
201140
201210
201320
201440
201541
201630
201740
201881
2019111
202071
2021101
2022110
2023230
2024210
2025290
2026290
FIG. 1 — Lineage of K991081, 1981–2026Source: 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.

5 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 HAW device

  1. #1 K253856 Geniant Cranial (Navigated Neurosurgical…score 15.0 · 11 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? (1)

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
*K963256Neuromate Stereotactic System
Summary page 1
…L SYSTEMS SUMMARY OF SAFETY AND EFFECTIVENESS 1.0 DEVICE NAME (Trade, common, and classification). Frameless NeuroMate Stereotactic System. ‘ 2.0 PREDICATE DEVICE(s): K963256. 3.0 DESCRIPTION: A stereotactic system with an electromechanical, multijointed arm for spatial positioning and orientation of a…
Integrated Surgical Systems, S.A.1997—

Also cleared against K963256: 2 other devices →

What descends from it? (180)

See all 180

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

NumberDeviceApplicantDecidedDescendants
K092239Rosa Surgical Device, Model Rosa 1.1Medtech S.A2009127
K101791Rosa Surgical DeviceMedtech S.A.S2010126
K033413Spineassist DeviceMazor Surgical Technologies, Ltd.200435
K072629Digimatch Robodoc Surgical SystemIntegrated Surgical Systems, Inc.200816
K132755Neuromate Frameless Gen IIRenishaw Mayfield Sarl20141
K041477PathfinderArmstrong Healthcare Limited20040

Has anything in its family been recalled? (5 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.

  • K151359ROSA BrainMedtech S.A · 2015 · 2 generations on · ◆ in the 2015 descendants bar of FIG. 11 Class I recall
  • K172444ROSA BRAIN (v3.0.0.5)Medtech S.A · 2018 · 3 generations on · ◆ in the 2018 descendants bar of FIG. 11 Class I recall
  • K211616ExcelsiusHubGlobus Medical, Inc. · 2021 · 4 generations on · ◆ in the 2021 descendants bar of FIG. 11 Class I recall
  • K182417ROSA ONE Brain ApplicationMedtech S.A · 2019 · 4 generations on · ◆ in the 2019 descendants bar of FIG. 11 Class I recall
  • K200511ROSA ONE Brain applicationMedtech S.A · 2020 · 5 generations on · ◆ in the 2020 descendants bar of FIG. 11 Class I recall

What does this lineage say?

  • The line of descent spans 18 years and passes through 3 companies; a new generation was cleared every 15.9 years on median.
  • None of the 3 ancestors has a recall.
  • Of its descendants, K092239 (Medtech S.A, 2009) has gone furthest, with 127 descendants of its own.
  • 2 other devices also cite its predicate K963256.

How does its category compare?

All HAW devices

HAW Neurological Stereotaxic Instrument: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · HAW

9in 2025

2007: 152008: 122009: 82010: 62011: 42012: 82013: 32014: 52015: 102016: 92017: 72018: 62019: 102020: 52021: 92022: 72023: 142024: 72025: 92026 (partial year): 5
2007high 15 (2007) · low 3 (2013)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HAW

163in 2025

2007: 107 days median2008: 112 days median2009: 221 days median2010: 138 days median2011: 66 days median2012: 178 days median2013: 172 days median2014: 238 days median2015: 232 days median2016: 175 days median2017: 226 days median2018: 112 days median2019: 147 days median2020: 88 days median2021: 168 days median2022: 128 days median2023: 142 days median2024: 107 days median2025: 163 days median2026 (partial year): 162 days median
2007high 238 (2014) · low 66 (2011)2026

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

Recalls per year · HAW

2in 2025

2007: 22008: 102009: 62010: 282011: 52012: 42013: 6, 1 Class I2014: 52015: 32016: 52017: 22018: 2, 2 Class I2019: 4, 1 Class I2020: 12021: 4, 2 Class I2022: 12023: 4, 1 Class I2024: 2, 2 Class I2025: 22026 (partial year): 6
2007high 28 (2010) · low 1 (2020)2026

Class I (9 since 2007) Class II/III not classified

Adverse event reports per year · HAW

3,425in 2025

2007: 492008: 532009: 962010: 2992011: 1,7252012: 9862013: 1,2902014: 1,6062015: 1,7672016: 1,8282017: 3,5052018: 4,4392019: 6,0622020: 3,4802021: 2,8272022: 1,9292023: 2,5102024: 3,7552025: 3,425
2007high 6,062 (2019) · low 49 (2007)2025

MAUDE reports naming product code HAW, 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
200715107249
2008121121053
20098221696
2010613828299
201146651,725
201281784986
201331726 (1)1,290
2014523851,606
20151023231,767
2016917551,828
2017722623,505
201861122 (2)4,439
2019101474 (1)6,062
202058813,480
202191684 (2)2,827
2022712811,929
2023141424 (1)2,510
202471072 (2)3,755
2025916323,425
202651626—

What is it indicated for?

Stereotactic spatial positioning and orientation of an instrument holder or tool guide to be used by a surgeon to manually guide standard neurosurgical instruments.

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. “K991081: Frameless Neuromate.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K991081

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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