510(k) Report

510(k) · Cleared

Cleared

MTF Fascia

K120479510(k) TraditionalCleared Nov 8, 2012266-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

Musculoskeletal Transplant Foundation · OWY Mesh, Surgical, Collagen, Orthopaedics, Reinforcement Of Tendon

Cleared on Nov 8, 2012 as substantially equivalent to K090288 (Pegasus Biologics, Inc., 2009) and 1 other predicate after a 266-day review. Its family tree reaches back 13 generations to 1993. 1 of the 103 devices in its family, counting itself, has a Class I recall.

Decided
Nov 8, 2012
Review
266 days
Class
Class II
Product code
OWY
Recalls
None
Predicates
2

Its longest line of descent runs back 13 generations to K931386 (1993). 102 ancestors in all, the oldest K810428 (1981). No later device cites it as a predicate yet. 1 of the 103 devices in this family, counting this one, has a Class I recall.

Other ancestors, by year cleared 2009: 1 other ancestor2008: 3 other ancestors2007: 3 other ancestors2006: 4 other ancestors2005: 3 other ancestors2004: 9 other ancestors1981: 1 other ancestor2003: 4 other ancestors2002: 7 other ancestors2000: 6 other ancestors1998: 9 other ancestors1997: 3 other ancestors, 1 with a Class I recall11994: 3 other ancestors1992: 3 other ancestors1983: 2 other ancestors2001: 5 other ancestors1999: 4 other ancestors1996: 8 other ancestors1985: 1 other ancestor1991: 4 other ancestors1995: 1 other ancestor1993: 1 other ancestor1988: 1 other ancestor1990: 2 other ancestors1989: 1 other ancestorK931386 · Hemashield Microvel/Woven Double Velour Fabric · Meadox Medicals, Div. Boston Scientific Corp. · 1993K963611 · Vascutek Cardiovascular Fabric: Vascutek Gelseal Patch,Vascutek Gelsoft Patch,Vascutek Thin Wall Carotid Patch · Vascutek, Ltd. · 1996 · recalledK972651 · IN-Sling · Influence, Inc. · 1997K980482 · Triangle Sling · Influence, Inc. · 1998K002721 · Ams Triangle Silicone-Coated Sling and Surgical Mesh · American Medical Systems, Inc. · 2000K010931 · Ams Sacral Colpopexy Sling, Model 72403501 · American Medical Systems, Inc. · 2001×3: 3 generations cleared close together, K033636 (2003), K040521 (2004), K040623 (2004) ×2: 2 generations cleared close together, K050445 (2005), K051485 (2005) K080185 · Ams Elevate with Intepro Lite Prolapse Repair System, Ams Elevate with Intexen LP Prolapse Repair System · American Medical Systems, Inc. · 2008K090288 · Orthadapt PR · Pegasus Biologics, Inc. · 20091980198519901995200020052010
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 9 other ancestors3 generations back: 17 other ancestors, 1 with a Class I recall14 generations back: 20 other ancestors5 generations back: 22 other ancestors6 generations back: 11 other ancestors7 generations back: 3 other ancestors8 generations back: 3 other ancestors9 generations back: 3 other ancestors K090288 · Orthadapt PR · Pegasus Biologics, Inc. · 2009K080185 · Ams Elevate with Intepro Lite Prolapse Repair System, Ams Elevate with Intexen LP Prolapse Repair System · American Medical Systems, Inc. · 2008K051485 · Ams Pelvic Floor Repair System · American Medical Systems, Inc. · 2005K050445 · Ams Collagen Dermal Matrix · American Medical Systems, Inc. · 2005 · recalledK040623 · Ams Perigee System · American Medical Systems, Inc. · 2004K040521 · Modification to Ams Large Pore Polypropylene Mesh · American Medical Systems, Inc. · 2004K033636 · Ams Large Pore Polypropylene Mesh · American Medical Systems, Inc. · 2003K010931 · Ams Sacral Colpopexy Sling, Model 72403501 · American Medical Systems, Inc. · 2001K002721 · Ams Triangle Silicone-Coated Sling and Surgical Mesh · American Medical Systems, Inc. · 2000K980482 · Triangle Sling · Influence, Inc. · 1998K972651 · IN-Sling · Influence, Inc. · 1997K963611 · Vascutek Cardiovascular Fabric: Vascutek Gelseal Patch,Vascutek Gelsoft Patch,Vascutek Thin Wall Carotid Patch · Vascutek, Ltd. · 1996 · recalledK931386 · Hemashield Microvel/Woven Double Velour Fabric · Meadox Medicals, Div. Boston Scientific Corp. · 1993−10−50
  1. Root · 13 generations backK931386 Hemashield Microvel/Woven Double Velour FabricMeadox Medicals, Div. Boston Scientific Corp. · 1993
  2. 9 generations between
  3. 3 generations backK051485 Ams Pelvic Floor Repair SystemAmerican Medical Systems, Inc. · 2005
  4. 2 generations backK080185 Ams Elevate with Intepro Lite Prolapse Repair System, Ams Elevate…American Medical Systems, Inc. · 2008
  5. 1 generation backK090288 Orthadapt PRPegasus Biologics, Inc. · 2009
  6. This deviceK120479 MTF FasciaMusculoskeletal Transplant Foundation · 2012
Show all 13 generations
  1. Root · 13 generations backK931386 Hemashield Microvel/Woven Double Velour FabricMeadox Medicals, Div. Boston Scientific Corp. · 1993
  2. 12 generations backK963611 Vascutek Cardiovascular Fabric: Vascutek Gelseal Patch,Vascutek…Vascutek, Ltd. · 1996 · Recalled
  3. 11 generations backK972651 IN-SlingInfluence, Inc. · 1997
  4. 10 generations backK980482 Triangle SlingInfluence, Inc. · 1998
  5. 9 generations backK002721 Ams Triangle Silicone-Coated Sling and Surgical MeshAmerican Medical Systems, Inc. · 2000
  6. 8 generations backK010931 Ams Sacral Colpopexy Sling, Model 72403501American Medical Systems, Inc. · 2001
  7. 7 generations backK033636 Ams Large Pore Polypropylene MeshAmerican Medical Systems, Inc. · 2003
  8. 6 generations backK040521 Modification to Ams Large Pore Polypropylene MeshAmerican Medical Systems, Inc. · 2004
  9. 5 generations backK040623 Ams Perigee SystemAmerican Medical Systems, Inc. · 2004
  10. 4 generations backK050445 Ams Collagen Dermal MatrixAmerican Medical Systems, Inc. · 2005 · Recalled
  11. 3 generations backK051485 Ams Pelvic Floor Repair SystemAmerican Medical Systems, Inc. · 2005
  12. 2 generations backK080185 Ams Elevate with Intepro Lite Prolapse Repair System, Ams Elevate…American Medical Systems, Inc. · 2008
  13. 1 generation backK090288 Orthadapt PRPegasus Biologics, Inc. · 2009
  14. This deviceK120479 MTF FasciaMusculoskeletal Transplant Foundation · 2012

Class I recalls in this family

View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K931386Hemashield Microvel/Woven Double Velour FabricMeadox Medicals, Div. Boston Scientific Corp.1993—
−12K963611Vascutek Cardiovascular Fabric: Vascutek Gelseal Patch,Vascutek Gelsoft…Vascutek, Ltd.19961
−11K972651IN-SlingInfluence, Inc.1997—
−10K980482Triangle SlingInfluence, Inc.1998—
−9K002721Ams Triangle Silicone-Coated Sling and Surgical MeshAmerican Medical Systems, Inc.2000—
−8K010931Ams Sacral Colpopexy Sling, Model 72403501American Medical Systems, Inc.2001—
−7K033636Ams Large Pore Polypropylene MeshAmerican Medical Systems, Inc.2003—
−6K040521Modification to Ams Large Pore Polypropylene MeshAmerican Medical Systems, Inc.2004—
−5K040623Ams Perigee SystemAmerican Medical Systems, Inc.2004—
−4K050445Ams Collagen Dermal MatrixAmerican Medical Systems, Inc.20051
−3K051485Ams Pelvic Floor Repair SystemAmerican Medical Systems, Inc.2005—
−2K080185Ams Elevate with Intepro Lite Prolapse Repair System, Ams Elevate with Intexen…American Medical Systems, Inc.2008—
−1K090288Orthadapt PRPegasus Biologics, Inc.2009—
0 (this device)K120479MTF FasciaMusculoskeletal Transplant Foundation2012—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198110
198320
198510
198810
198910
199020
199140
199230
199310
199430
199510
199680
199731
199890
199940
200060
200150
200270
200340
200490
200530
200640
200730
200830
200910
FIG. 1 — Lineage of K120479, 1993–2012Source: 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.

1 device in this family has a Class I recall. 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 OWY device

  1. #1 K222501 Regeneten Bioinductive Implantscore 13.1 · 7 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
*K090288Orthadapt PR
Summary page 1
…te Devices OrthADAPT" PR Pegasus Biologics, Inc 5 10(k) K090288 Synthasome X-Repair Synthasome, Inc.…
Pegasus Biologics, Inc.2009—
*K083307Synthasome X-Repair
Summary page 1
…) K090288 Synthasome X-Repair Synthasome, Inc. 5 10(k) K083307 Description MTF Fascia is dehydrated, decellularized human allografi fascia minimally processed to preserve the extracellular ma…
Synthasome, Inc.2009—

Also cleared against K090288: 1 other device →

What descends from it?

No later submission names this one as a predicate yet.

Has anything in its family been recalled? (1 Class I)

No FDA recall names this device.

Relatives with a Class I recall

Class I is FDA’s most serious recall class. A recall in the family tree is context for this device, not evidence about it.

  • K963967Glycar Pericardial PatchGlycar, Inc. · 1997 · 3 generations back · ◆ in the 1997 ancestors bar of FIG. 12 Class I recalls

What does this lineage say?

  • The line of descent spans 19 years and passes through 6 companies; a new generation was cleared every 1.1 years on median.
  • 10 of the 102 ancestors have a recall of any class; 1 has a Class I recall.
  • 1 other device also cites its predicate K090288.

How does its category compare?

All OWY devices

OWY Mesh, Surgical, Collagen, Orthopaedics, Reinforcement Of Tendon: FDA decisions, review times, recalls and adverse event reports over 20 years. 2012, this device’s year, is highlighted.

FDA decisions per year · OWY

4in 2025

2012: 12013: 22014: 12016: 12020: 12021: 12022: 12023: 12024: 12025: 4
2007high 4 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OWY

131in 2025

2025: 131 days median
2007high 131 (2025)2026

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

Recalls per year · OWY

No recall names OWY since 2007.

Adverse event reports per year · OWY

28in 2025

2019: 102020: 142021: 252022: 152023: 352024: 242025: 28
2007high 35 (2023) · low 0 (2007)2025

MAUDE reports naming product code OWY, 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
20070—00
20080—00
20090—00
20100—00
20110—00
20121—00
20132—00
20141—00
20150—00
20161—00
20170—00
20180—00
20190—010
20201—014
20211—025
20221—015
20231—035
20241—024
20254131028
20260—0—

What is it indicated for?

MTh Fascia is 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.

MTh Fascia 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 biomnechanical strength for the tendon repair.

MTF Fascia is for single patient use only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K120479: MTF Fascia.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K120479

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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