510(k) Report

510(k) · Cleared

Cleared

Teno Fix

K023594510(k) TraditionalCleared May 15, 2003202-day reviewClass II21 CFR 878.4495

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

Ortheon Medical, LLC · GAQ Suture, Nonabsorbable, Steel, Monofilament And Multifilament, Sterile

Cleared on May 15, 2003 as substantially equivalent to K931271 (ETHICON, Inc., 1994) and 1 other predicate after a 202-day review. Its family tree reaches back 2 generations to 1994. 5 later devices descend from it.

Decided
May 15, 2003
Review
202 days
Class
Class II
Product code
GAQ
Recalls
None
Predicates
2

Its longest line of descent runs back 2 generations to K931271 (1994). 5 later devices descend from it, 2 citing it directly.

Descendants, by year cleared 2022: 1 descendant cleared2010: 1 descendant cleared2014: 2 descendants cleared2015: 1 descendant clearedK931271 · Ethi-Pack* Surgical Stainless Steel Suture · ETHICON, Inc. · 1994K991073 · Acier Sutures · Cardio Thoracic Systems · 19991990200020102020
Descendants, by generation 1 generation forward: 2 descendants2 generations forward: 2 descendants3 generations forward: 1 descendant K991073 · Acier Sutures · Cardio Thoracic Systems · 1999K931271 · Ethi-Pack* Surgical Stainless Steel Suture · ETHICON, Inc. · 19940
  1. Root · 2 generations backK931271 Ethi-Pack* Surgical Stainless Steel SutureETHICON, Inc. · 1994
  2. 1 generation backK991073 Acier SuturesCardio Thoracic Systems · 1999
  3. This deviceK023594 Teno FixOrtheon Medical, LLC · 2003
  4. Descendant · cites it directly · 3 of its ownK101126 Pontis Sutures and Suture Anchors with Optional CrimpsCore Essence Orthopaedics, Inc. · 2010
  5. Descendant · 2 generations on · 1 of its ownK140127 Ferrofibre Stainless Steel Suture with CrimpPontis Orthopaedics, LLC · 2014
  6. Descendant · cites it directly · 0 of its ownK203855 CoNextions TR Tendon Repair SystemConextions Medical · 2022
  7. Descendant · 3 generations on · 0 of its ownK143582 Mopylen, Resopren, Silk, Polyester, Nylon, Resolon, Polyamide…Resorba Medical GmbH · 2015
  8. Descendant · 2 generations on · 0 of its ownK141711 Pontis 3MM Suture Anchors with Ultra-High Molecular Weight…Pontis Orthopaeeics, LLC · 2014

Most influential descendants

Showing 5 of 5 · See all
  • K101126Pontis Sutures and Suture Anchors with Optional CrimpsCore Essence Orthopaedics, Inc. · 2010 · cites it directly3descendants
  • K140127Ferrofibre Stainless Steel Suture with CrimpPontis Orthopaedics, LLC · 2014 · 2 generations on1descendant
  • K203855CoNextions TR Tendon Repair SystemConextions Medical · 2022 · cites it directly0descendants
  • K143582Mopylen, Resopren, Silk, Polyester, Nylon, Resolon, Polyamide Pseudo, SteelResorba Medical GmbH · 2015 · 3 generations on0descendants
  • K141711Pontis 3MM Suture Anchors with Ultra-High Molecular Weight Polyethylene Suture, Pontis…Pontis Orthopaeeics, LLC · 2014 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K931271Ethi-Pack* Surgical Stainless Steel SutureETHICON, Inc.1994—
−1K991073Acier SuturesCardio Thoracic Systems1999—
0 (this device)K023594Teno FixOrtheon Medical, LLC2003—
+1K101126Pontis Sutures and Suture Anchors with Optional CrimpsCore Essence Orthopaedics, Inc.2010—
+2K140127Ferrofibre Stainless Steel Suture with CrimpPontis Orthopaedics, LLC2014—
+1K203855CoNextions TR Tendon Repair SystemConextions Medical2022—
+3K143582Mopylen, Resopren, Silk, Polyester, Nylon, Resolon, Polyamide Pseudo, SteelResorba Medical GmbH2015—
+2K141711Pontis 3MM Suture Anchors with Ultra-High Molecular Weight Polyethylene…Pontis Orthopaeeics, LLC2014—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201010
201420
201510
202210
FIG. 1 — Lineage of K023594, 1994–2022Source: 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 GAQ? 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 GAQ device

  1. #1 K203855 CoNextions TR Tendon Repair Systemscore 3.8 · 3 generations · no Class I recall
  2. #2 Held for the reportin the report
Get a 510(k) Report

What was it cleared against? (3)

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
*K931271Ethi-Pack* Surgical Stainless Steel Suture
Summary page 1
…r system is substantially equivalent to the Surgical Stainless Steel Sutures manufactured and marketed by Ethicon Incorporated, a Johnson & Johnson Company pursuant to K931271, as well as to the Surgical Stainless Steel Sutures manufactured by Peters Pharmaceutical Laboratory and marketed in the USA by…
ETHICON, Inc.1994—
*K991073Acier Sutures
Summary page 1
…tainless Steel Sutures manufactured by Peters Pharmaceutical Laboratory and marketed in the USA by CardioThoracic Systems, Inc., under the Acier brand name pursuant to K991073. The Ten0 FixTMtendon repair system is also substantially equivalent to Prolene sutures, which are also manufactured and market…
Cardio Thoracic Systems1999—
*—Prolene sutures
Named without a submission number
—

Also cleared against K931271: 18 other devices →

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K101126Pontis Sutures and Suture Anchors with Optional CrimpsCore Essence Orthopaedics, Inc.20103
K203855CoNextions TR Tendon Repair SystemConextions Medical20220

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 9 years and passes through 3 companies; a new generation was cleared every 5.6 years on median.
  • None of the 2 ancestors has a recall.
  • Of its descendants, K101126 (Core Essence Orthopaedics, Inc., 2010) has gone furthest, with 3 descendants of its own.
  • 18 other devices also cite its predicate K931271.

How does its category compare?

All GAQ devices

GAQ Suture, Nonabsorbable, Steel, Monofilament And Multifilament, Sterile: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · GAQ

1in 2022

2007: 12008: 22014: 22017: 12018: 12020: 12022: 1
2007high 2 (2008) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GAQ

Too few GAQ 510(k)s in any year since 2007 to give a median.

Recalls per year · GAQ

2so far in 2026, the most since 2007

2026 (partial year): 2
2007high 2 (2026) · low 0 (2007)2026

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

Adverse event reports per year · GAQ

83in 2025

2007: 72008: 42009: 72010: 132011: 192012: 102013: 162014: 182015: 172016: 232017: 112018: 532019: 762020: 522021: 392022: 702023: 1002024: 1762025: 83
2007high 176 (2024) · low 4 (2008)2025

MAUDE reports naming product code GAQ, 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—07
20082—04
20090—07
20100—013
20110—019
20120—010
20130—016
20142—018
20150—017
20160—023
20171—011
20181—053
20190—076
20201—052
20210—039
20221—070
20230—0100
20240—0176
20250—083
20260—2—

What is it indicated for?

The Ortheon Medical Ten0 Fixm Tendon Repair System is intended for the repair of severed or lacerated digital flexor tendons.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K023594: Teno Fix.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K023594

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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