510(k) Report

510(k) · Cleared

Cleared

Fortaflex Surgical Mesh

K020049510(k) TraditionalCleared Mar 18, 200270-day reviewClass II21 CFR 878.3300

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Organogenesis, Inc. · FTM Mesh, Surgical

Cleared on Mar 18, 2002 as substantially equivalent to K011025 (Organogenesis, Inc., 2001) and 1 other predicate after a 70-day review. Its family tree reaches back 5 generations to 1992. 102 later devices descend from it.

Decided
Mar 18, 2002
Review
70 days
Class
Class II
Product code
FTM
Recalls
None
Predicates
2

Its longest line of descent runs back 5 generations to K921895 (1992). 24 ancestors in all, the oldest K830889 (1983). 102 later devices descend from it, 5 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 1 other ancestor2000: 1 other ancestor1998: 5 other ancestors1997: 1 other ancestor1996: 3 other ancestors1992: 1 other ancestor1991: 3 other ancestors1985: 1 other ancestor1983: 1 other ancestor1993: 1 other ancestor1988: 1 other ancestor2004: 1 descendant cleared2005: 3 descendants cleared2010: 7 descendants cleared2006: 5 descendants cleared2008: 8 descendants cleared2012: 8 descendants cleared2007: 6 descendants cleared2009: 7 descendants cleared2011: 8 descendants cleared2013: 4 descendants cleared2019: 2 descendants cleared2017: 6 descendants cleared2025: 7 descendants cleared2023: 3 descendants cleared2021: 3 descendants cleared2014: 5 descendants cleared2015: 2 descendants cleared2022: 4 descendants cleared2024: 5 descendants cleared2018: 1 descendant cleared2016: 3 descendants cleared2026: 4 descendants clearedK921895 · Tissue Patch, Tissue Graft · Bio-Vascular, Inc. · 1992K961810 · Supple Peri-Guard Pericardium · Bio-Vascular, Inc. · 1996K980431 · Surgisis · Cook Biotech, Inc. · 1998K992159 · Surgisis Sling · Cook Biotech, Inc. · 1999K001738 · Depuy Restore Orthobiologic Soft Tissue Implant · DePuy Orthopaedics, Inc. · 200019801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 5 other ancestors3 generations back: 10 other ancestors4 generations back: 3 other ancestors 1 generation forward: 5 descendants2 generations forward: 14 descendants3 generations forward: 23 descendants4 generations forward: 27 descendants5 generations forward: 22 descendants6 generations forward: 10 descendants7 generations forward: 1 descendant K001738 · Depuy Restore Orthobiologic Soft Tissue Implant · DePuy Orthopaedics, Inc. · 2000K992159 · Surgisis Sling · Cook Biotech, Inc. · 1999K980431 · Surgisis · Cook Biotech, Inc. · 1998K961810 · Supple Peri-Guard Pericardium · Bio-Vascular, Inc. · 1996K921895 · Tissue Patch, Tissue Graft · Bio-Vascular, Inc. · 1992−50+5
  1. Root · 5 generations backK921895 Tissue Patch, Tissue GraftBio-Vascular, Inc. · 1992
  2. 4 generations backK961810 Supple Peri-Guard PericardiumBio-Vascular, Inc. · 1996
  3. 3 generations backK980431 SurgisisCook Biotech, Inc. · 1998
  4. 2 generations backK992159 Surgisis SlingCook Biotech, Inc. · 1999
  5. 1 generation backK001738 Depuy Restore Orthobiologic Soft Tissue ImplantDePuy Orthopaedics, Inc. · 2000
  6. This deviceK020049 Fortaflex Surgical MeshOrganogenesis, Inc. · 2002
  7. Descendant · cites it directly · 72 of its ownK042809 CuffpatchOrganogenesis, Inc. · 2004
  8. Descendant · cites it directly · 49 of its ownK043388 Pegasus Biologics Orthadapt Surgical MeshPegasus Biologics, Inc. · 2005
  9. Descendant · 2 generations on · 44 of its ownK071065 Orthadapt BioimplantPegasus Biologics, Inc. · 2007
  10. Descendant · 2 generations on · 44 of its ownK052830 SportmeshArtimplant AB · 2006
  11. Descendant · 2 generations on · 41 of its ownK053562 Zimmer Collagen Repair PatchTissue Science Laboratories, Plc · 2006

Showing 5 of 102 descendants. See all descendants

Descendants cleared per year

2004: 12005: 32006: 52007: 62008: 82009: 72010: 72011: 82012: 82013: 42014: 52015: 22016: 32017: 62018: 12019: 22021: 32022: 42023: 32024: 52025: 72026: 4
2004high 8 (2008) · low 0 (2020)2026

Most influential descendants

Showing 5 of 102 · See all
  • K042809CuffpatchOrganogenesis, Inc. · 2004 · cites it directly72descendants
  • K043388Pegasus Biologics Orthadapt Surgical MeshPegasus Biologics, Inc. · 2005 · cites it directly49descendants
  • K071065Orthadapt BioimplantPegasus Biologics, Inc. · 2007 · 2 generations on44descendants
  • K052830SportmeshArtimplant AB · 2006 · 2 generations on44descendants
  • K053562Zimmer Collagen Repair PatchTissue Science Laboratories, Plc · 2006 · 2 generations on41descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K921895Tissue Patch, Tissue GraftBio-Vascular, Inc.1992—
−4K961810Supple Peri-Guard PericardiumBio-Vascular, Inc.1996—
−3K980431SurgisisCook Biotech, Inc.1998—
−2K992159Surgisis SlingCook Biotech, Inc.1999—
−1K001738Depuy Restore Orthobiologic Soft Tissue ImplantDePuy Orthopaedics, Inc.2000—
0 (this device)K020049Fortaflex Surgical MeshOrganogenesis, Inc.2002—
+1K042809CuffpatchOrganogenesis, Inc.2004—
+1K043388Pegasus Biologics Orthadapt Surgical MeshPegasus Biologics, Inc.2005—
+2K071065Orthadapt BioimplantPegasus Biologics, Inc.2007—
+2K052830SportmeshArtimplant AB2006—
+2K053562Zimmer Collagen Repair PatchTissue Science Laboratories, Plc2006—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198310
198510
198810
199130
199210
199310
199630
199710
199850
200010
200110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200410
200530
200650
200760
200880
200970
201070
201180
201280
201340
201450
201520
201630
201760
201810
201920
202130
202240
202330
202450
202570
202640
FIG. 1 — Lineage of K020049, 1992–2026Source: 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 FTM? 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 FTM device

  1. #1 K262406 EluPro Antibiotic-Eluting BioEnvelopescore 15.1 · 12 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
*K011025Fortaflex Surgical Mesh
Summary page 1
…l Classification Name: Surgical Mesh (79FTM, 878.3300) Regulatory Class: Class I1 Predicate Device: The FortaFlex Surgical Mesh is equivalent to the material cleared in K011025 for use in surgical procedures for reinforcement of soft tissue. The relevant predicate device for the expanded indications for…
Organogenesis, Inc.2001—
*K001738Depuy Restore Orthobiologic Soft Tissue Implant
Summary page 1
…rgical procedures for reinforcement of soft tissue. The relevant predicate device for the expanded indications for use is the Restore® Orthobiologic Soft Tissue Implant (K001738) manufactured by DePuy, Inc. Statement of Substantial Equivalence: The FortaFlex Surgical Mesh is substantially equivalent to th…
DePuy Orthopaedics, Inc.2000—

Also cleared against K011025: 5 other devices →

What descends from it? (102)

See all 102

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

NumberDeviceApplicantDecidedDescendants
K042809CuffpatchOrganogenesis, Inc.200472
K043388Pegasus Biologics Orthadapt Surgical MeshPegasus Biologics, Inc.200549
K051766OrthomendTei Biosciences, Inc.200535
K094061Kensey Nash Ecm Surgical PatchKensey Nash Corporation201010
K043259Bioblanket Surgical MeshKensey Nash Corp.200510

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 10 years and passes through 4 companies; a new generation was cleared every 1.3 years on median.
  • 1 of the 24 ancestors has a recall of any class.
  • Of its descendants, K042809 (Organogenesis, Inc., 2004) has gone furthest, with 72 descendants of its own.
  • 5 other devices also cite its predicate K011025.

How does its category compare?

All FTM devices

FTM Mesh, Surgical: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · FTM

1in 2025

2007: 92008: 92009: 72010: 22011: 62012: 42013: 42014: 82015: 42016: 72017: 92018: 22019: 62020: 42021: 42023: 22024: 32025: 12026 (partial year): 1
2007high 9 (2007) · low 0 (2022)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · FTM

29in 2024

2007: 104 days median2008: 86 days median2009: 86 days median2011: 100 days median2012: 66 days median2013: 123 days median2014: 153 days median2015: 316 days median2016: 88 days median2017: 147 days median2019: 107 days median2020: 59 days median2021: 61 days median2024: 29 days median
2007high 316 (2015) · low 29 (2024)2026

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

Recalls per year · FTM

1in 2023

2007: 72008: 12010: 12011: 82018: 212019: 42020: 12021: 12023: 1
2007high 21 (2018) · low 0 (2009)2026

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

Adverse event reports per year · FTM

232in 2025

2007: 602008: 1412009: 4762010: 1972011: 2882012: 4672013: 3,3512014: 1,0932015: 9772016: 5092017: 5292018: 3572019: 4182020: 4572021: 3692022: 3752023: 4852024: 3832025: 232
2007high 3,351 (2013) · low 60 (2007)2025

MAUDE reports naming product code FTM, 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
20079104760
20089861141
20097860476
20102—1197
201161008288
20124660467
2013412303,351
2014815301,093
201543160977
20167880509
201791470529
20182—21357
201961074418
20204591457
20214611369
20220—0375
20232—1485
20243290383
20251—0232
20261—0—

What is it indicated for?

FortaFlex™ Surgical Mesh is intended to be used for implantation to reinforce soft tissue including, but not limited to: defects of the abdominal and thoracic wall, muscle flap reinforcement, rectal and vaginal prolapse, reconstruction of the pelvic floor, hernias, suture-line reinforcement and reconstructive procedures.

The device is also intended for reinforcement of the soft tissues that are repaired by suture or suture anchors, limited to the supraspinatus, during rotator cuff repair surgery.

The device is intended for one-time use.

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. “K020049: Fortaflex Surgical Mesh.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K020049

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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