510(k) Report

510(k) · Cleared

Cleared

Endobutton Continuous Loop (CL)

K081098510(k) TraditionalCleared Jul 16, 200890-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

Smith & Nephew Inc., Endoscopy Division · JDR Staple, Fixation, Bone

Cleared on Jul 16, 2008 as substantially equivalent to K070780 (Conmed Linvatec, 2007) and 1 other predicate after a 90-day review. Its family tree reaches back 8 generations to 1979. 31 later devices descend from it.

Decided
Jul 16, 2008
Review
90 days
Class
Class II
Product code
JDR
Recalls
None
Predicates
2

Its longest line of descent runs back 8 generations to K792022 (1979). 54 ancestors in all. 31 later devices descend from it, 6 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2006: 1 other ancestor2004: 2 other ancestors2002: 3 other ancestors2001: 7 other ancestors1998: 3 other ancestors2003: 2 other ancestors1999: 5 other ancestors1996: 7 other ancestors1992: 1 other ancestor1997: 4 other ancestors1994: 2 other ancestors2000: 3 other ancestors1995: 3 other ancestors1990: 2 other ancestors1993: 1 other ancestor2011: 1 descendant cleared2013: 1 descendant cleared2009: 1 descendant cleared2014: 3 descendants cleared2020: 4 descendants cleared2015: 2 descendants cleared2016: 2 descendants cleared2024: 3 descendants cleared2021: 2 descendants cleared2023: 3 descendants cleared2019: 4 descendants cleared2017: 1 descendant cleared2022: 2 descendants cleared2025: 1 descendant cleared2026: 1 descendant clearedK792022 · Herbert Bone Screw · Zimmer, Inc. · 1979 · recalledK974876 · Bionx Distal Radius Screw · Bionx Implants, Inc. · 1998K992947 · Cannulated Smartscrew Models 224540C, 224570C · Bionx Implants, Ltd. · 1999K012001 · Smartscrew · Bionx Implants, Ltd. · 2001K030900 · Inion Otps Biodegradable Fixaton System · Inion, Ltd. · 2003K043248 · Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel. Model AR-8921DS · Arthrex, Inc. · 2005K052776 · Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models AR-2257, AR-TBD · Arthrex, Inc. · 2005K070780 · Conmed Linvatec XO Button · Conmed Linvatec · 200719801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 5 other ancestors3 generations back: 7 other ancestors4 generations back: 12 other ancestors5 generations back: 13 other ancestors6 generations back: 6 other ancestors7 generations back: 3 other ancestors 1 generation forward: 6 descendants2 generations forward: 6 descendants3 generations forward: 6 descendants4 generations forward: 6 descendants5 generations forward: 6 descendants6 generations forward: 1 descendant K070780 · Conmed Linvatec XO Button · Conmed Linvatec · 2007K052776 · Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models AR-2257, AR-TBD · Arthrex, Inc. · 2005K043248 · Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel. Model AR-8921DS · Arthrex, Inc. · 2005K030900 · Inion Otps Biodegradable Fixaton System · Inion, Ltd. · 2003K012001 · Smartscrew · Bionx Implants, Ltd. · 2001K992947 · Cannulated Smartscrew Models 224540C, 224570C · Bionx Implants, Ltd. · 1999K974876 · Bionx Distal Radius Screw · Bionx Implants, Inc. · 1998K792022 · Herbert Bone Screw · Zimmer, Inc. · 1979 · recalled−50+5
  1. Root · 8 generations backK792022 Herbert Bone ScrewZimmer, Inc. · 1979 · Recalled
  2. 7 generations backK974876 Bionx Distal Radius ScrewBionx Implants, Inc. · 1998
  3. 6 generations backK992947 Cannulated Smartscrew Models 224540C, 224570CBionx Implants, Ltd. · 1999
  4. 5 generations backK012001 SmartscrewBionx Implants, Ltd. · 2001
  5. 4 generations backK030900 Inion Otps Biodegradable Fixaton SystemInion, Ltd. · 2003
  6. 3 generations backK043248 Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS…Arthrex, Inc. · 2005
  7. 2 generations backK052776 Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel…Arthrex, Inc. · 2005
  8. 1 generation backK070780 Conmed Linvatec XO ButtonConmed Linvatec · 2007
  9. This deviceK081098 Endobutton Continuous Loop (CL)Smith & Nephew Inc., Endoscopy Division · 2008
  10. Descendant · cites it directly · 21 of its ownK090923 Parcus Graft Fixation SystemParcus Medical, LLC · 2009
  11. Descendant · 2 generations on · 16 of its ownK133757 GFS II Standard, GFS II Large, GFS MimiParcus Medical, LLC · 2014
  12. Descendant · 3 generations on · 9 of its ownK160655 OrthoButton CLRiverpoint Medical · 2016
  13. Descendant · 4 generations on · 8 of its ownK171060 OrthoButton ALRiverpoint Medical · 2017
  14. Descendant · 2 generations on · 8 of its ownK162198 GFS UltimateParcus Medical, LLC · 2016

Showing 5 of 31 descendants. See all descendants

Descendants cleared per year

2009: 12011: 12013: 12014: 32015: 22016: 22017: 12019: 42020: 42021: 22022: 22023: 32024: 32025: 12026: 1
2009high 4 (2019) · low 0 (2010)2026

Most influential descendants

Showing 5 of 31 · See all
  • K090923Parcus Graft Fixation SystemParcus Medical, LLC · 2009 · cites it directly21descendants
  • K133757GFS II Standard, GFS II Large, GFS MimiParcus Medical, LLC · 2014 · 2 generations on16descendants
  • K160655OrthoButton CLRiverpoint Medical · 2016 · 3 generations on9descendants
  • K171060OrthoButton ALRiverpoint Medical · 2017 · 4 generations on8descendants
  • K162198GFS UltimateParcus Medical, LLC · 2016 · 2 generations on8descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K792022Herbert Bone ScrewZimmer, Inc.19796
−7K974876Bionx Distal Radius ScrewBionx Implants, Inc.1998—
−6K992947Cannulated Smartscrew Models 224540C, 224570CBionx Implants, Ltd.1999—
−5K012001SmartscrewBionx Implants, Ltd.2001—
−4K030900Inion Otps Biodegradable Fixaton SystemInion, Ltd.2003—
−3K043248Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel.…Arthrex, Inc.2005—
−2K052776Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models…Arthrex, Inc.2005—
−1K070780Conmed Linvatec XO ButtonConmed Linvatec2007—
0 (this device)K081098Endobutton Continuous Loop (CL)Smith & Nephew Inc., Endoscopy Division2008—
+1K090923Parcus Graft Fixation SystemParcus Medical, LLC2009—
+2K133757GFS II Standard, GFS II Large, GFS MimiParcus Medical, LLC2014—
+3K160655OrthoButton CLRiverpoint Medical2016—
+4K171060OrthoButton ALRiverpoint Medical2017—
+2K162198GFS UltimateParcus Medical, LLC2016—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199020
199210
199310
199420
199530
199670
199740
199830
199950
200030
200170
200230
200320
200420
200610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200910
201110
201310
201430
201520
201620
201710
201940
202040
202120
202220
202330
202430
202510
202610
FIG. 1 — Lineage of K081098, 1979–2026Source: 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 JDR? 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 JDR device

  1. #1 K243658 TMC Compression Implant Systemscore 16.7 · 18 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
*K070780Conmed Linvatec XO Button
Summary page 1
…o the currently marketed indications for use of the following legally marketed devices in commercial distribution: the ConMed Linvatec. XO B uttonTM (cleared via K070780) and the Arthrex TightropeTm Acromnioclavicular (AC) Device (cleared via K052776). E. Description of Device ENDOB UITON…
Conmed Linvatec2007—
*K052776Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models AR-2257…
Summary page 1
…vices in commercial distribution: the ConMed Linvatec. XO B uttonTM (cleared via K070780) and the Arthrex TightropeTm Acromnioclavicular (AC) Device (cleared via K052776). E. Description of Device ENDOB UITON CL…
Arthrex, Inc.2005—

Also cleared against K070780: 5 other devices →

What descends from it? (31)

See all 31

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

NumberDeviceApplicantDecidedDescendants
K090923Parcus Graft Fixation SystemParcus Medical, LLC200921
K130814Rigidloop Fixation Device (15MM, 60MM, XL, 20MM, 25MM, 30MM, 35MM, 40MM, 45MM, 50MM, 55MMDepuy Mitek, A Johnson & Johnson Company20133
K101616The Grapplr and Grapplr ExtenderTag Medical Corp.20111
K193165MectaFix CL Fixation Button with Continuous LoopMedacta International S.A.20200
K143172ACL SMART SystemSmith & Nephew, Inc.20150
K133579Multifilament Stainless Steel Sutures with CrimpsPontis Orthopaedics, LLC20140

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 29 years and passes through 7 companies; a new generation was cleared every 1.7 years on median.
  • 5 of the 54 ancestors have a recall of any class.
  • Of its descendants, K090923 (Parcus Medical, LLC, 2009) has gone furthest, with 21 descendants of its own.
  • 5 other devices also cite its predicate K070780.

How does its category compare?

All JDR devices

JDR Staple, Fixation, Bone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2008, this device’s year, is highlighted.

FDA decisions per year · JDR

3in 2025

2007: 82008: 52010: 22011: 12012: 12013: 92014: 112015: 72016: 62017: 92018: 82019: 52020: 42021: 32022: 52023: 92024: 42025: 32026 (partial year): 2
2007high 11 (2014) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JDR

65in 2025

2007: 70 days median2008: 89 days median2013: 137 days median2014: 97 days median2015: 111 days median2016: 101 days median2017: 172 days median2018: 107 days median2019: 149 days median2020: 161 days median2021: 62 days median2022: 107 days median2023: 72 days median2024: 29 days median2025: 65 days median
2007high 172 (2017) · low 29 (2024)2026

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

Recalls per year · JDR

11in 2022

2008: 12015: 12018: 12020: 12022: 112026 (partial year): 2
2007high 11 (2022) · low 0 (2007)2026

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

Adverse event reports per year · JDR

314in 2025

2007: 32008: 142009: 102010: 352011: 622012: 342013: 272014: 492015: 482016: 762017: 1162018: 2392019: 2422020: 2342021: 2102022: 2022023: 1752024: 2062025: 314
2007high 314 (2025) · low 3 (2007)2025

MAUDE reports naming product code JDR, 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
200787003
2008589114
20090—010
20102—035
20111—062
20121—034
20139137027
20141197049
20157111148
20166101076
201791720116
201881071239
201951490242
202041611234
20213620210
2022510711202
20239720175
20244290206
20253650314
20262—2—

What is it indicated for?

The Smith & Nephew ENDOBUTTON Continuous Loop is used for fixation of tendons and ligaments during orthopedic reconstruction procedures such as Anterior Cruciate Ligament (ACL) reconstruction and acromioclavicular joint separations due to coracoclavicular ligament disruptions.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K081098: Endobutton Continuous Loop (CL).” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K081098

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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