510(k) Report

510(k) · Cleared

Cleared

Duet Suture Anchor, Models BXS4216, BXS4216H; Impact Suture Anchor, Models BXS4218, BXS4218H

K042966510(k) SpecialCleared Nov 19, 200422-day reviewClass II21 CFR 888.3030

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

Linvatec Biomaterials, Ltd. · MAI Fastener, Fixation, Biodegradable, Soft Tissue

Cleared on Nov 19, 2004 as substantially equivalent to K020056 (Bionx Implants, Ltd., 2002) and 1 other predicate after a 22-day review. Its family tree reaches back 6 generations to 1991. 76 later devices descend from it.

Decided
Nov 19, 2004
Review
22 days
Class
Class II
Product code
MAI
Recalls
None
Predicates
2

Its longest line of descent runs back 6 generations to K911837 (1991). 47 ancestors in all, the oldest K792022 (1979). 76 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2001: 2 other ancestors2000: 3 other ancestors1999: 4 other ancestors1998: 4 other ancestors1997: 10 other ancestors1996: 8 other ancestors1995: 5 other ancestors1994: 2 other ancestors1993: 1 other ancestor1990: 1 other ancestor1979: 1 other ancestor2009: 6 descendants cleared2006: 1 descendant cleared2008: 1 descendant cleared2010: 3 descendants cleared2011: 3 descendants cleared2017: 7 descendants cleared2018: 4 descendants cleared2023: 8 descendants cleared2012: 2 descendants cleared2013: 3 descendants cleared2019: 6 descendants cleared2026: 2 descendants cleared2020: 5 descendants cleared2016: 1 descendant cleared2014: 3 descendants cleared2015: 2 descendants cleared2022: 4 descendants cleared2021: 4 descendants cleared2025: 8 descendants cleared2024: 3 descendants clearedK911837 · Suretac Polyglyconate Absorbable Fixation Device · Acufex Microsurgical, Inc. · 1991K973849 · Bioabsorbable Bankart Tack · Hogan & Hartson · 1998K992567 · Anatomical Bankart Tack, Model 523520A · Bionx Implants, Ltd. · 1999K003970 · Contour Labral Nail, Model 533520A · Bionx Implants, Inc. · 2001K020056 · Duet Suture Anchor · Bionx Implants, Ltd. · 2002K030388 · Impact Suture Anchor. Model 433510 · Bionx Implants, Ltd. · 200319801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 19 other ancestors3 generations back: 14 other ancestors4 generations back: 8 other ancestors 1 generation forward: 2 descendants2 generations forward: 6 descendants3 generations forward: 14 descendants4 generations forward: 15 descendants5 generations forward: 21 descendants6 generations forward: 12 descendants7 generations forward: 6 descendants K030388 · Impact Suture Anchor. Model 433510 · Bionx Implants, Ltd. · 2003K020056 · Duet Suture Anchor · Bionx Implants, Ltd. · 2002K003970 · Contour Labral Nail, Model 533520A · Bionx Implants, Inc. · 2001K992567 · Anatomical Bankart Tack, Model 523520A · Bionx Implants, Ltd. · 1999K973849 · Bioabsorbable Bankart Tack · Hogan & Hartson · 1998K911837 · Suretac Polyglyconate Absorbable Fixation Device · Acufex Microsurgical, Inc. · 1991−50+5
  1. Root · 6 generations backK911837 Suretac Polyglyconate Absorbable Fixation DeviceAcufex Microsurgical, Inc. · 1991
  2. 5 generations backK973849 Bioabsorbable Bankart TackHogan & Hartson · 1998
  3. 4 generations backK992567 Anatomical Bankart Tack, Model 523520ABionx Implants, Ltd. · 1999
  4. 3 generations backK003970 Contour Labral Nail, Model 533520ABionx Implants, Inc. · 2001
  5. 2 generations backK020056 Duet Suture AnchorBionx Implants, Ltd. · 2002
  6. 1 generation backK030388 Impact Suture Anchor. Model 433510Bionx Implants, Ltd. · 2003
  7. This deviceK042966 Duet Suture Anchor, Models BXS4216, BXS4216H; Impact Suture Anchor…Linvatec Biomaterials, Ltd. · 2004
  8. Descendant · cites it directly · 75 of its ownK053561 Bio-Mini Revo Suture AnchorConmed Linvatec · 2006
  9. Descendant · 2 generations on · 56 of its ownK091549 Conmed Linvatec Soft Tissue to Bone SystemLinvatec Corp. · 2009 · Recalled
  10. Descendant · 2 generations on · 29 of its ownK111779 Y-Knot All-Suture Anchor Model HF13Conmed Linvatec · 2011
  11. Descendant · 2 generations on · 25 of its ownK072291 Conmed Linvatec Bio Mini-Revo Suture AnchorConmed Linvatec · 2008
  12. Descendant · 3 generations on · 17 of its ownK131035 Y-Knot Flex All-Suture Anchor, W/ Two #2 (5 Metric) HI-FI Sutures…Linvatec Corporation D/B/A Conmed Linvatec · 2013

Showing 5 of 76 descendants. See all descendants

Descendants cleared per year

2006: 12008: 12009: 62010: 32011: 32012: 22013: 32014: 32015: 22016: 12017: 72018: 42019: 62020: 52021: 42022: 42023: 82024: 32025: 82026: 2
2006high 8 (2023) · low 0 (2007)2026

Most influential descendants

Showing 5 of 76 · See all
  • K053561Bio-Mini Revo Suture AnchorConmed Linvatec · 2006 · cites it directly75descendants
  • K091549Conmed Linvatec Soft Tissue to Bone SystemLinvatec Corp. · 2009 · 2 generations on56descendants
  • K111779Y-Knot All-Suture Anchor Model HF13Conmed Linvatec · 2011 · 2 generations on29descendants
  • K072291Conmed Linvatec Bio Mini-Revo Suture AnchorConmed Linvatec · 2008 · 2 generations on25descendants
  • K131035Y-Knot Flex All-Suture Anchor, W/ Two #2 (5 Metric) HI-FI Sutures, 1.8MMLinvatec Corporation D/B/A Conmed Linvatec · 2013 · 3 generations on17descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K911837Suretac Polyglyconate Absorbable Fixation DeviceAcufex Microsurgical, Inc.1991—
−5K973849Bioabsorbable Bankart TackHogan & Hartson1998—
−4K992567Anatomical Bankart Tack, Model 523520ABionx Implants, Ltd.1999—
−3K003970Contour Labral Nail, Model 533520ABionx Implants, Inc.2001—
−2K020056Duet Suture AnchorBionx Implants, Ltd.2002—
−1K030388Impact Suture Anchor. Model 433510Bionx Implants, Ltd.2003—
0 (this device)K042966Duet Suture Anchor, Models BXS4216, BXS4216H; Impact Suture Anchor, Models…Linvatec Biomaterials, Ltd.2004—
+1K053561Bio-Mini Revo Suture AnchorConmed Linvatec2006—
+2K091549Conmed Linvatec Soft Tissue to Bone SystemLinvatec Corp.20091
+2K111779Y-Knot All-Suture Anchor Model HF13Conmed Linvatec2011—
+2K072291Conmed Linvatec Bio Mini-Revo Suture AnchorConmed Linvatec2008—
+3K131035Y-Knot Flex All-Suture Anchor, W/ Two #2 (5 Metric) HI-FI Sutures, 1.8MMLinvatec Corporation D/B/A Conmed Linvatec2013—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
199010
199310
199420
199550
199680
1997100
199840
199940
200030
200120

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200610
200810
200960
201030
201130
201220
201330
201430
201520
201610
201770
201840
201960
202050
202140
202240
202380
202430
202580
202620
FIG. 1 — Lineage of K042966, 1991–2026Source: 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 MAI? 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 MAI device

  1. #1 K203495 Arthrex SwiveLock Anchorscore 35.2 · 11 generations · no Class I recall
  2. #2 Held for the reportin the report
  3. #3 Held for the reportin the report
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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
*K020056Duet Suture Anchor
Summary page 1
…Linvatec Biomaterials Modification of DuetTM and ImpactTM Suture Anchor (K020056, K030388) Submitter's Name, Address, Telephone Number, and Contact Person Linvatec Biomaterials Ltd.…
Bionx Implants, Ltd.2002—
*K030388Impact Suture Anchor. Model 433510
Summary page 1
…Linvatec Biomaterials Modification of DuetTM and ImpactTM Suture Anchor (K020056, K030388) Submitter's Name, Address, Telephone Number, and Contact Person Linvatec Biomaterials Ltd.…
Bionx Implants, Ltd.2003—

Also cleared against K020056: 2 other devices →

What descends from it? (76)

See all 76

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

NumberDeviceApplicantDecidedDescendants
K053561Bio-Mini Revo Suture AnchorConmed Linvatec200675
K090186Conmed Linvatec Paladin, Preloaded with Two #2 HI-FI SuturesLinvatec Corp.20090

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 13 years and passes through 5 companies; a new generation was cleared every 1.6 years on median.
  • 2 of the 47 ancestors have a recall of any class.
  • Of its descendants, K053561 (Conmed Linvatec, 2006) has gone furthest, with 75 descendants of its own.
  • 2 other devices also cite its predicate K020056.

How does its category compare?

All MAI devices

MAI Fastener, Fixation, Biodegradable, Soft Tissue: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · MAI

8in 2025

2007: 42008: 32009: 92010: 42011: 92012: 62013: 62014: 42015: 52016: 32017: 92018: 132019: 92020: 92021: 82022: 62023: 82024: 72025: 82026 (partial year): 5
2007high 13 (2018) · low 3 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MAI

54in 2025

2007: 100 days median2008: 83 days median2009: 74 days median2010: 122 days median2011: 90 days median2012: 56 days median2013: 135 days median2014: 86 days median2015: 95 days median2016: 191 days median2017: 113 days median2018: 108 days median2019: 41 days median2020: 78 days median2021: 115 days median2022: 136 days median2023: 34 days median2024: 53 days median2025: 54 days median2026 (partial year): 69 days median
2007high 191 (2016) · low 34 (2023)2026

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

Recalls per year · MAI

40in 2020

2011: 52012: 102019: 22020: 402026 (partial year): 1
2007high 40 (2020) · low 0 (2007)2026

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

Adverse event reports per year · MAI

2,148in 2025

2007: 2722008: 1722009: 882010: 892011: 1292012: 1712013: 1662014: 1492015: 1822016: 3012017: 4782018: 1,5902019: 1,2482020: 9572021: 1,2672022: 1,4252023: 1,7182024: 2,3002025: 2,148
2007high 2,300 (2024) · low 88 (2009)2025

MAUDE reports naming product code MAI, 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
200741000272
20083830172
2009974088
20104122089
20119905129
201265610171
201361350166
20144860149
20155950182
201631910301
201791130478
20181310801,590
201994121,248
202097840957
2021811501,267
2022613601,425
202383401,718
202475302,300
202585402,148
20265691—

What is it indicated for?

DuetTM and ImpactTM Suture Anchors are intended for use to reattach soft tissue to bone in orthopaedic surgical procedures. The device may be used in either arthroscopic or open surgical procedures. After the suture is anchored to the bone, it may be used to reattach soft tissue, such as ligaments, tendons, or joint capsules, to the bone. The suture anchor system thereby stabilizes the damaged soft tissue, in conjunction with appropriate postoperative…

Read the full statement (169 words)

DuetTM and ImpactTM Suture Anchors are intended for use to reattach soft tissue to bone in orthopaedic surgical procedures. The device may be used in either arthroscopic or open surgical procedures. After the suture is anchored to the bone, it may be used to reattach soft tissue, such as ligaments, tendons, or joint capsules, to the bone. The suture anchor system thereby stabilizes the damaged soft tissue, in conjunction with appropriate postoperative immobilization, throughout the healing period.

The DuetTM and Impact TM Suture Anchors are contraindicated in 1) Surgical procedures other than those listed, 2) Conditions that may compromise Anchor fixation (osteopenic, comminuted bone, pathologic conditions in the soft tissues to be attached, etc., 3) Conditions that may retard healing (poor blood supply, past or potential infection, etc), 4) Active infection, 5) Conditions that may limit the patients ability or willingness to restrict activities or follow directions during the healing period, 6) Foreign body sensitivity to materials, 7) Patients with suspected or known allergy with implant or suture materials.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K042966: Duet Suture Anchor, Models BXS4216, BXS4216H; Impact Suture Anchor, Models BXS4218, BXS4218H.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K042966

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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