510(k) Report

510(k) · Cleared

Cleared

Acu-Sinch Repair System and Acumed Suture Anchor

K112111510(k) TraditionalCleared Nov 14, 2011112-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

Acumed, LLC · HTN Washer, Bolt Nut

Cleared on Nov 14, 2011 as substantially equivalent to K082095 (Smith & Nephew Endoscopy, Inc., 2008) and 3 other predicates after a 112-day review. Its family tree reaches back 8 generations to 1979. 49 later devices descend from it.

Decided
Nov 14, 2011
Review
112 days
Class
Class II
Product code
HTN
Recalls
None
Predicates
4

Its longest line of descent runs back 8 generations to K792022 (1979). 52 ancestors in all. 49 later devices descend from it, 5 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2006: 1 other ancestor2001: 7 other ancestors2004: 3 other ancestors2002: 1 other ancestor2000: 3 other ancestors1995: 4 other ancestors1991: 1 other ancestor1989: 1 other ancestor1999: 3 other ancestors1996: 7 other ancestors2003: 1 other ancestor1998: 2 other ancestors1997: 4 other ancestors1994: 2 other ancestors1992: 1 other ancestor1990: 2 other ancestors1993: 1 other ancestor2012: 1 descendant cleared2022: 6 descendants cleared2021: 3 descendants cleared2020: 2 descendants cleared2018: 4 descendants cleared2013: 2 descendants cleared2014: 2 descendants cleared2024: 10 descendants cleared2019: 3 descendants cleared2023: 3 descendants cleared2026: 4 descendants cleared2017: 4 descendants cleared2025: 5 descendants clearedReference device: K063778 · Force Fiber Polyethylene Nonabsorbable Suture · Teleflex Medical · 2007 · recalledK792022 · 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. · 2005K082095 · Ultraslide Acromioclavicular and Syndesmotic Repair Device · Smith & Nephew Endoscopy, Inc. · 200819801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 10 other ancestors3 generations back: 6 other ancestors4 generations back: 8 other ancestors5 generations back: 9 other ancestors6 generations back: 6 other ancestors7 generations back: 3 other ancestors 1 generation forward: 5 descendants2 generations forward: 7 descendants3 generations forward: 7 descendants4 generations forward: 5 descendants5 generations forward: 7 descendants6 generations forward: 8 descendants7 generations forward: 5 descendants8 generations forward: 5 descendants K082095 · Ultraslide Acromioclavicular and Syndesmotic Repair Device · Smith & Nephew Endoscopy, Inc. · 2008K052776 · 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 backK082095 Ultraslide Acromioclavicular and Syndesmotic Repair DeviceSmith & Nephew Endoscopy, Inc. · 2008
  9. This deviceK112111 Acu-Sinch Repair System and Acumed Suture AnchorAcumed, LLC · 2011
  10. Descendant · cites it directly · 40 of its ownK113760 Variax Superior and Anterior, Lateral and Midshaft Clavicle Plates…Howmedica Osteonics Corp., Dba Stryker Orthopaedics · 2012
  11. Descendant · 2 generations on · 21 of its ownK132502 Variax 2 SystemStryker Trauma AG · 2013
  12. Descendant · 3 generations on · 19 of its ownK140769 Variax 2 SystemStryker Trauma AG · 2014
  13. Descendant · 2 generations on · 16 of its ownK130116 Superior Lateral Variax Clavicle PlateStryker Trauma AG · 2013
  14. Descendant · 4 generations on · 13 of its ownK173135 VariAx 2 SystemStryker GmbH · 2017

Showing 5 of 49 descendants. See all descendants

Descendants cleared per year

2012: 12013: 22014: 22017: 42018: 42019: 32020: 22021: 32022: 62023: 32024: 102025: 52026: 4
2012high 10 (2024) · low 0 (2015)2026

Most influential descendants

Showing 5 of 49 · See all
  • K113760Variax Superior and Anterior, Lateral and Midshaft Clavicle Plates Variax Aiming Blocks…Howmedica Osteonics Corp., Dba Stryker Orthopaedics · 2012 · cites it directly40descendants
  • K132502Variax 2 SystemStryker Trauma AG · 2013 · 2 generations on21descendants
  • K140769Variax 2 SystemStryker Trauma AG · 2014 · 3 generations on19descendants
  • K130116Superior Lateral Variax Clavicle PlateStryker Trauma AG · 2013 · 2 generations on16descendants
  • K173135VariAx 2 SystemStryker GmbH · 2017 · 4 generations on13descendants
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—
−1K082095Ultraslide Acromioclavicular and Syndesmotic Repair DeviceSmith & Nephew Endoscopy, Inc.2008—
0 (this device)K112111Acu-Sinch Repair System and Acumed Suture AnchorAcumed, LLC2011—
+1K113760Variax Superior and Anterior, Lateral and Midshaft Clavicle Plates Variax…Howmedica Osteonics Corp., Dba Stryker Orthopaedics2012—
+2K132502Variax 2 SystemStryker Trauma AG2013—
+3K140769Variax 2 SystemStryker Trauma AG2014—
+2K130116Superior Lateral Variax Clavicle PlateStryker Trauma AG2013—
+4K173135VariAx 2 SystemStryker GmbH2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198910
199020
199110
199210
199310
199420
199540
199670
199740
199820
199930
200030
200170
200210
200310
200430
200610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201210
201320
201420
201740
201840
201930
202020
202130
202260
202330
2024100
202550
202640
FIG. 1 — Lineage of K112111, 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 HTN? 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 HTN device

  1. #1 K201522 Arthrex Syndesmosis TightRope XP Buttress…score 16.4 · 6 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? (4)

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
*K082095Ultraslide Acromioclavicular and Syndesmotic Repair Device
Summary page 2
…mponents of the Acu-Sinch Repair System are substantially equivalent to the following devices: Smith & Nephew Ultraslide Acromioclavicular and Syndesmotic Repair Device (K082095); and Arthrex TightRopeTM Acromnioclavicular (AC) Device (K052776) with respect to indications, materials, and technological char…
Smith & Nephew Endoscopy, Inc.2008—
*K052776Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models AR-2257…
Summary page 2
…nt to the following devices: Smith & Nephew Ultraslide Acromioclavicular and Syndesmotic Repair Device (K082095); and Arthrex TightRopeTM Acromnioclavicular (AC) Device (K052776) with respect to indications, materials, and technological characteristics. The suture to be used with the Acu-Sinch Repair Syste…
Arthrex, Inc.2005—
*K012655Congruent Bone Plate System
Summary page 2
…was cleared in K063778. When the Acu-Sinch Repair System is used as an adjunct in fracture repair, the clavicle plates are substantially equivalent to plates cleared in K012655 with respect to materials and plate strength. The Acumed Suture Anchor is substantially equivalent to the Arthrex Corkscrew FT (…
Acu Med, Inc.200116
*K061665Arthrex 4.5 MM, 5.5 MM and 6.5 MM Corkscrew FT
Summary page 2
…equivalent to plates cleared in K012655 with respect to materials and plate strength. The Acumed Suture Anchor is substantially equivalent to the Arthrex Corkscrew FT (K061665) with respect to indications, materials, and technological characteristics. The suture to be used with the Acumed Suture Anchor w…
Arthrex, Inc.2006—
†K063778Force Fiber Polyethylene Nonabsorbable SutureTeleflex Medical20071

Also cleared against K082095: 2 other devices →

What descends from it? (49)

See all 49

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

NumberDeviceApplicantDecidedDescendants
K113760Variax Superior and Anterior, Lateral and Midshaft Clavicle Plates Variax Aiming Blocks…Howmedica Osteonics Corp., Dba Stryker Orthopaedics201240
K192984APTUS Clavicle SystemMedartis AG20206
K180972ARIX Clavicle SystemJeil Medical Corporation20181
K212990Acumed Ankle Syndesmosis Repair SystemAcumed, LLC20220
K210750Acumed Clavicle Hook Plating SystemAcumed, LLC20210

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 32 years and passes through 7 companies; a new generation was cleared every 1.9 years on median.
  • 6 of the 52 ancestors have a recall of any class.
  • Of its descendants, K113760 (Howmedica Osteonics Corp., Dba Stryker Orthopaedics, 2012) has gone furthest, with 40 descendants of its own.
  • 2 other devices also cite its predicate K082095.

How does its category compare?

All HTN devices

HTN Washer, Bolt Nut: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

FDA decisions per year · HTN

4in 2025

2007: 12008: 22009: 32011: 42013: 32014: 82015: 22016: 12017: 62018: 22019: 52020: 32021: 22022: 52023: 22024: 62025: 42026 (partial year): 2
2007high 8 (2014) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HTN

75in 2025

2009: 86 days median2011: 130 days median2013: 105 days median2014: 98 days median2017: 88 days median2019: 116 days median2020: 87 days median2022: 86 days median2024: 90 days median2025: 75 days median
2007high 130 (2011) · low 75 (2025)2026

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

Recalls per year · HTN

1in 2019

2013: 12019: 1
2007high 1 (2013) · low 0 (2007)2026

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

Adverse event reports per year · HTN

190in 2025

2007: 142008: 112009: 222010: 172011: 122012: 692013: 452014: 332015: 352016: 432017: 302018: 482019: 532020: 812021: 1492022: 852023: 1082024: 2692025: 190
2007high 269 (2024) · low 11 (2008)2025

MAUDE reports naming product code HTN, 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—014
20082—011
2009386022
20100—017
20114130012
20120—069
20133105145
2014898033
20152—035
20161—043
2017688030
20182—048
20195116153
2020387081
20212—0149
2022586085
20232—0108
20246900269
20254750190
20262—0—

What is it indicated for?

The Acu-Sinch Repair System is intended to be used in conjunction with a clavicle plate of the Congruent Bone Plate System to provide fixation during the healing of clavicle fractures. The Acu-Sinch Repair System also may be used as a stand-alone system for treatment of acromioclavicular and/or coracoclavicular ligament disruption. The Acumed Suture Anchor is intended for fixation of suture to bone in the shoulder, foot/ankle, knee, hand/wrist, and elbow…

Read the full statement (180 words)

The Acu-Sinch Repair System is intended to be used in conjunction with a clavicle plate of the Congruent Bone Plate System to provide fixation during the healing of clavicle fractures.

The Acu-Sinch Repair System also may be used as a stand-alone system for treatment of acromioclavicular and/or coracoclavicular ligament disruption.

The Acumed Suture Anchor is intended for fixation of suture to bone in the shoulder, foot/ankle, knee, hand/wrist, and elbow in the following procedures:

* Shoulder: Rotator Cuff Repairs, Bankart Repair, SLAP Lesion Repair, Biceps Tenodesis, Acromio-Clavicular Separation Repair, Deltoid Repair, Capsular Shift or Capsulolabral Reconstruction

* Foot/Ankle: Lateral Stabilization, Medial Stabilization, Achilles Tendon Repair, Hallux Valgus Reconstruction, Midfoot Reconstruction, Metatarsal Ligament Repair

* Knee: Anterior Cruciate Ligament Repair, Medial Collateral Ligament Repair, Lateral Collateral Ligament Repair, Patellar Tendon Repair, Posterior Oblique Ligament Repair, and Iliotibial Band Tenodesis

* Hand/Wrist: Scapholunate Ligament Reconstruction, Ulnar Collateral Ligament Reconstruction, Radial Collateral Ligament Reconstruction

* Elbow: Biceps Tendon Reattachment, Ulnar or Radial Collateral Ligament Reconstruction

Acumed's Locking Clavicle Plating System is designed to provide fixation during fractures, fusions, or osteotomies of the clavicle.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K112111: Acu-Sinch Repair System and Acumed Suture Anchor.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K112111

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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