510(k) Report

510(k) · Cleared

Cleared

Pegasus Biologics Orthadapt Surgical Mesh

K043388510(k) TraditionalCleared Aug 5, 2005239-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

Pegasus Biologics, Inc. · FTM Mesh, Surgical

Cleared on Aug 5, 2005 as substantially equivalent to K020049 (Organogenesis, Inc., 2002) and 1 other predicate after a 239-day review. Its family tree reaches back 6 generations to 1992. 49 later devices descend from it.

Decided
Aug 5, 2005
Review
239 days
Class
Class II
Product code
FTM
Recalls
None
Predicates
2

Its longest line of descent runs back 6 generations to K921895 (1992). 25 ancestors in all, the oldest K830889 (1983). 49 later devices descend from it, 4 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 ancestor2009: 3 descendants cleared2012: 7 descendants cleared2007: 3 descendants cleared2006: 1 descendant cleared2010: 4 descendants cleared2011: 4 descendants cleared2008: 2 descendants cleared2019: 1 descendant cleared2022: 3 descendants cleared2014: 3 descendants cleared2016: 2 descendants cleared2013: 2 descendants cleared2021: 1 descendant cleared2023: 2 descendants cleared2025: 5 descendants cleared2026: 3 descendants cleared2024: 2 descendants cleared2015: 1 descendant 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. · 2000K020049 · Fortaflex Surgical Mesh · Organogenesis, Inc. · 200219801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 6 other ancestors3 generations back: 10 other ancestors4 generations back: 3 other ancestors 1 generation forward: 4 descendants2 generations forward: 8 descendants3 generations forward: 10 descendants4 generations forward: 12 descendants5 generations forward: 9 descendants6 generations forward: 4 descendants7 generations forward: 2 descendants K020049 · Fortaflex Surgical Mesh · Organogenesis, Inc. · 2002K001738 · 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 · 6 generations backK921895 Tissue Patch, Tissue GraftBio-Vascular, Inc. · 1992
  2. 5 generations backK961810 Supple Peri-Guard PericardiumBio-Vascular, Inc. · 1996
  3. 4 generations backK980431 SurgisisCook Biotech, Inc. · 1998
  4. 3 generations backK992159 Surgisis SlingCook Biotech, Inc. · 1999
  5. 2 generations backK001738 Depuy Restore Orthobiologic Soft Tissue ImplantDePuy Orthopaedics, Inc. · 2000
  6. 1 generation backK020049 Fortaflex Surgical MeshOrganogenesis, Inc. · 2002
  7. This deviceK043388 Pegasus Biologics Orthadapt Surgical MeshPegasus Biologics, Inc. · 2005
  8. Descendant · cites it directly · 44 of its ownK071065 Orthadapt BioimplantPegasus Biologics, Inc. · 2007
  9. Descendant · 2 generations on · 28 of its ownK071887 Sportmesh or Artelon Tissue ReinforcementArtimplant AB · 2007
  10. Descendant · cites it directly · 17 of its ownK061892 Propatch Soft Tissue Repair MatrixCryolife, Inc. · 2006
  11. Descendant · 2 generations on · 13 of its ownK071016 Depuy Restore Orthobiologic Soft Tissue ImplantDePuy Orthopaedics, Inc. · 2007
  12. Descendant · 2 generations on · 12 of its ownK073219 WMT Collagen Dermal Matrix, 4 CM X 7 CM, Model 89XM-4X07, VMT…American Medical Systems, Inc. · 2008

Showing 5 of 49 descendants. See all descendants

Descendants cleared per year

2006: 12007: 32008: 22009: 32010: 42011: 42012: 72013: 22014: 32015: 12016: 22019: 12021: 12022: 32023: 22024: 22025: 52026: 3
2006high 7 (2012) · low 0 (2017)2026

Most influential descendants

Showing 5 of 49 · See all
  • K071065Orthadapt BioimplantPegasus Biologics, Inc. · 2007 · cites it directly44descendants
  • K071887Sportmesh or Artelon Tissue ReinforcementArtimplant AB · 2007 · 2 generations on28descendants
  • K061892Propatch Soft Tissue Repair MatrixCryolife, Inc. · 2006 · cites it directly17descendants
  • K071016Depuy Restore Orthobiologic Soft Tissue ImplantDePuy Orthopaedics, Inc. · 2007 · 2 generations on13descendants
  • K073219WMT Collagen Dermal Matrix, 4 CM X 7 CM, Model 89XM-4X07, VMT Collagen Dermal Matrix, 6…American Medical Systems, Inc. · 2008 · 2 generations on12descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−6K921895Tissue Patch, Tissue GraftBio-Vascular, Inc.1992—
−5K961810Supple Peri-Guard PericardiumBio-Vascular, Inc.1996—
−4K980431SurgisisCook Biotech, Inc.1998—
−3K992159Surgisis SlingCook Biotech, Inc.1999—
−2K001738Depuy Restore Orthobiologic Soft Tissue ImplantDePuy Orthopaedics, Inc.2000—
−1K020049Fortaflex Surgical MeshOrganogenesis, Inc.2002—
0 (this device)K043388Pegasus Biologics Orthadapt Surgical MeshPegasus Biologics, Inc.2005—
+1K071065Orthadapt BioimplantPegasus Biologics, Inc.2007—
+2K071887Sportmesh or Artelon Tissue ReinforcementArtimplant AB2007—
+1K061892Propatch Soft Tissue Repair MatrixCryolife, Inc.2006—
+2K071016Depuy Restore Orthobiologic Soft Tissue ImplantDePuy Orthopaedics, Inc.2007—
+2K073219WMT Collagen Dermal Matrix, 4 CM X 7 CM, Model 89XM-4X07, VMT Collagen Dermal…American Medical Systems, Inc.2008—

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
200610
200730
200820
200930
201040
201140
201270
201320
201430
201510
201620
201910
202110
202230
202320
202420
202550
202630
FIG. 1 — Lineage of K043388, 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 510(k) statement (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
*K020049Fortaflex Surgical Mesh
Summary page 1
…Surgery 3 Identification of Predicate Devices The OrthADAPT Bioimplant is substantially equivalent to the Fortaflex Surgical Mesh manufactured by Organogenesis, Inc. (K020049) and Depuy Restore Orthobiologic Soft Tissue Implant, manufactured by Depuy Orthopedic, Inc. (K001738). Page 1 0of 2 === Page 2…
Organogenesis, Inc.2002—
*K001738Depuy Restore Orthobiologic Soft Tissue Implant
Summary page 1
…to the Fortaflex Surgical Mesh manufactured by Organogenesis, Inc. (K020049) and Depuy Restore Orthobiologic Soft Tissue Implant, manufactured by Depuy Orthopedic, Inc. (K001738). Page 1 0of 2 338S page K o4 P 5/& Synovis Orthopedic and Woundcare, Inc. OnhADAPT® FX, PX, MX K043388 4 Devi…
DePuy Orthopaedics, Inc.2000—

Also cleared against K020049: 4 other devices →

What descends from it? (49)

See all 49

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

NumberDeviceApplicantDecidedDescendants
K071065Orthadapt BioimplantPegasus Biologics, Inc.200744
K061892Propatch Soft Tissue Repair MatrixCryolife, Inc.200617
K090288Orthadapt PRPegasus Biologics, Inc.20097
K113460Synergy Tissue MatrixSynovis Orthopedic & Woundcare20120

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 2.0 years on median.
  • 1 of the 25 ancestors has a recall of any class.
  • Of its descendants, K071065 (Pegasus Biologics, Inc., 2007) has gone furthest, with 44 descendants of its own.
  • 4 other devices also cite its predicate K020049.

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?

The OrthADAPT® Bioimplant (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, hernias, suture-line reinforcement, and reconstructive procedures. The device is also intended for the reinforcement of soft tissues repaired by sutures or suture anchors during tendon repair surgery including reinforcement of rotator cuff, patellar…

Read the full statement (133 words)

The OrthADAPT® Bioimplant (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, hernias, suture-line reinforcement, and reconstructive procedures. The device is also intended for the reinforcement of soft tissues repaired by sutures or suture anchors during tendon repair surgery including reinforcement of rotator cuff, patellar, Achilles, biceps, quadriceps, or other tendons.

OrthADAPT® is not intended to replace normal body structure or provide the full mechanical strength to support tendon repair of the rotator cuff, patellar, Achilles, biceps, quadriceps or other tendons. Sutures, used to repair the tear, and sutures or bone anchors, used to attach the tissue to the bone, provide biomechanical strength for the tendon repair.

OrthADAPT® is intended for one-time use only.

Indications for use read by OCR from a scanned FDA 510(k) statement, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K043388: Pegasus Biologics Orthadapt Surgical Mesh.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K043388

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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