510(k) Report

510(k) · Cleared

Cleared

Tensyn Plug

K150359510(k) TraditionalCleared May 7, 201584-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

Dallen Medical, Inc. · HTN Washer, Bolt Nut

Cleared on May 7, 2015 as substantially equivalent to K143092 (Dallen Medical, Inc., 2015) and 1 other predicate after an 84-day review. Its family tree reaches back 15 generations to 1996.

Decided
May 7, 2015
Review
84 days
Class
Class II
Product code
HTN
Recalls
None
Predicates
2

Its longest line of descent runs back 15 generations to K954385 (1996). 179 ancestors in all, the oldest K761228 (1976). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2005: 6 other ancestors2014: 3 other ancestors2013: 2 other ancestors2008: 2 other ancestors2006: 10 other ancestors2004: 7 other ancestors2003: 9 other ancestors2001: 14 other ancestors1999: 12 other ancestors1996: 17 other ancestors2007: 4 other ancestors1998: 16 other ancestors1997: 10 other ancestors1994: 10 other ancestors2009: 2 other ancestors2002: 7 other ancestors1995: 6 other ancestors1992: 3 other ancestors1990: 3 other ancestors1982: 1 other ancestor2011: 1 other ancestor1993: 4 other ancestors1979: 1 other ancestor2000: 7 other ancestors2010: 2 other ancestors1991: 1 other ancestor1988: 1 other ancestor1986: 2 other ancestors1976: 1 other ancestorK954385 · Synthes Mandibular Modular Fixation System · Synthes (Usa) · 1996K974555 · Synthes 2.0 MM Locking Plate System (2.0 LPS) · Synthes (Usa) · 1998K030448 · Osteomed 2.0 Locking Plates and Screws · Osteomed LP · 2003K032442 · KLS-Martin Mandibular/Reconstruction System II · KLS-Martin L.P. · 2003K040598 · KLS Martin Hand Plating System · KLS-Martin L.P. · 2004K050868 · Maxlock · Orthohelix Surgical Designs, Inc. · 2005K073624 · Modular Foot System · Orthohelix Surgical Designs, Inc. · 2008 · recalledK100618 · Maxlock Extreme Extremity Plating System with Variable Angle Technology · Orthohelix Surgical Designs, Inc. · 2010K102156 · Maxlock Extreme Extremity Plating System Distal Radius Plates and Screws · Orthohelix Surgical Designs, Inc. · 2010 · recalledK113048 · Maxlock Extreme System · Orthohelix Surgical Designs, Inc. · 2012×2: 2 generations cleared close together, K122005 (2012), K123203 (2012) K132733 · Orthohelix Syndesmosis Fixation Devices · Orthohelix Surgical Designs, Inc. · 2014K141264 · Tensyn Band, Tensyn Fracture Plates · Dallen Medical, Inc. · 2014K143092 · Tensyn Plug · Dallen Medical, Inc. · 20151980199020002010
Other ancestors, by generation 1 generation back: 1 other ancestor2 generations back: 9 other ancestors3 generations back: 15 other ancestors4 generations back: 19 other ancestors5 generations back: 16 other ancestors6 generations back: 20 other ancestors7 generations back: 13 other ancestors8 generations back: 20 other ancestors9 generations back: 21 other ancestors10 generations back: 10 other ancestors11 generations back: 9 other ancestors12 generations back: 1 other ancestor13 generations back: 3 other ancestors14 generations back: 7 other ancestors K143092 · Tensyn Plug · Dallen Medical, Inc. · 2015K141264 · Tensyn Band, Tensyn Fracture Plates · Dallen Medical, Inc. · 2014K132733 · Orthohelix Syndesmosis Fixation Devices · Orthohelix Surgical Designs, Inc. · 2014K123203 · Maxlock Extreme System Model MXL · Orthohelix Surgical Designs, Inc. · 2012K122005 · Maxlock Extreme System · Orthohelix Surgical Designs, Inc. · 2012K113048 · Maxlock Extreme System · Orthohelix Surgical Designs, Inc. · 2012K102156 · Maxlock Extreme Extremity Plating System Distal Radius Plates and Screws · Orthohelix Surgical Designs, Inc. · 2010 · recalledK100618 · Maxlock Extreme Extremity Plating System with Variable Angle Technology · Orthohelix Surgical Designs, Inc. · 2010K073624 · Modular Foot System · Orthohelix Surgical Designs, Inc. · 2008 · recalledK050868 · Maxlock · Orthohelix Surgical Designs, Inc. · 2005K040598 · KLS Martin Hand Plating System · KLS-Martin L.P. · 2004K032442 · KLS-Martin Mandibular/Reconstruction System II · KLS-Martin L.P. · 2003K030448 · Osteomed 2.0 Locking Plates and Screws · Osteomed LP · 2003K974555 · Synthes 2.0 MM Locking Plate System (2.0 LPS) · Synthes (Usa) · 1998K954385 · Synthes Mandibular Modular Fixation System · Synthes (Usa) · 1996−15−10−50
  1. Root · 15 generations backK954385 Synthes Mandibular Modular Fixation SystemSynthes (Usa) · 1996
  2. 11 generations between
  3. 3 generations backK132733 Orthohelix Syndesmosis Fixation DevicesOrthohelix Surgical Designs, Inc. · 2014
  4. 2 generations backK141264 Tensyn Band, Tensyn Fracture PlatesDallen Medical, Inc. · 2014
  5. 1 generation backK143092 Tensyn PlugDallen Medical, Inc. · 2015
  6. This deviceK150359 Tensyn PlugDallen Medical, Inc. · 2015
Show all 15 generations
  1. Root · 15 generations backK954385 Synthes Mandibular Modular Fixation SystemSynthes (Usa) · 1996
  2. 14 generations backK974555 Synthes 2.0 MM Locking Plate System (2.0 LPS)Synthes (Usa) · 1998
  3. 13 generations backK030448 Osteomed 2.0 Locking Plates and ScrewsOsteomed LP · 2003
  4. 12 generations backK032442 KLS-Martin Mandibular/Reconstruction System IIKLS-Martin L.P. · 2003
  5. 11 generations backK040598 KLS Martin Hand Plating SystemKLS-Martin L.P. · 2004
  6. 10 generations backK050868 MaxlockOrthohelix Surgical Designs, Inc. · 2005
  7. 9 generations backK073624 Modular Foot SystemOrthohelix Surgical Designs, Inc. · 2008 · Recalled
  8. 8 generations backK100618 Maxlock Extreme Extremity Plating System with Variable Angle…Orthohelix Surgical Designs, Inc. · 2010
  9. 7 generations backK102156 Maxlock Extreme Extremity Plating System Distal Radius Plates and…Orthohelix Surgical Designs, Inc. · 2010 · Recalled
  10. 6 generations backK113048 Maxlock Extreme SystemOrthohelix Surgical Designs, Inc. · 2012
  11. 5 generations backK122005 Maxlock Extreme SystemOrthohelix Surgical Designs, Inc. · 2012
  12. 4 generations backK123203 Maxlock Extreme System Model MXLOrthohelix Surgical Designs, Inc. · 2012
  13. 3 generations backK132733 Orthohelix Syndesmosis Fixation DevicesOrthohelix Surgical Designs, Inc. · 2014
  14. 2 generations backK141264 Tensyn Band, Tensyn Fracture PlatesDallen Medical, Inc. · 2014
  15. 1 generation backK143092 Tensyn PlugDallen Medical, Inc. · 2015
  16. This deviceK150359 Tensyn PlugDallen Medical, Inc. · 2015
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−15K954385Synthes Mandibular Modular Fixation SystemSynthes (Usa)1996—
−14K974555Synthes 2.0 MM Locking Plate System (2.0 LPS)Synthes (Usa)1998—
−13K030448Osteomed 2.0 Locking Plates and ScrewsOsteomed LP2003—
−12K032442KLS-Martin Mandibular/Reconstruction System IIKLS-Martin L.P.2003—
−11K040598KLS Martin Hand Plating SystemKLS-Martin L.P.2004—
−10K050868MaxlockOrthohelix Surgical Designs, Inc.2005—
−9K073624Modular Foot SystemOrthohelix Surgical Designs, Inc.20081
−8K100618Maxlock Extreme Extremity Plating System with Variable Angle TechnologyOrthohelix Surgical Designs, Inc.2010—
−7K102156Maxlock Extreme Extremity Plating System Distal Radius Plates and ScrewsOrthohelix Surgical Designs, Inc.20101
−6K113048Maxlock Extreme SystemOrthohelix Surgical Designs, Inc.2012—
−5K122005Maxlock Extreme SystemOrthohelix Surgical Designs, Inc.2012—
−4K123203Maxlock Extreme System Model MXLOrthohelix Surgical Designs, Inc.2012—
−3K132733Orthohelix Syndesmosis Fixation DevicesOrthohelix Surgical Designs, Inc.2014—
−2K141264Tensyn Band, Tensyn Fracture PlatesDallen Medical, Inc.2014—
−1K143092Tensyn PlugDallen Medical, Inc.2015—
0 (this device)K150359Tensyn PlugDallen Medical, Inc.2015—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197610
197910
198210
198620
198810
199030
199110
199230
199340
1994100
199560
1996170
1997100
1998160
1999120
200070
2001140
200270
200390
200470
200560
2006100
200740
200820
200920
201020
201110
201320
201430
FIG. 1 — Lineage of K150359, 1996–2015Source: 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 16.5 · 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? (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
*K143092Tensyn Plug
Summary page 4
…ton / Lock / Suture CLASSIFICATION NAME: Washer, Bolt Nut, CFR 888.3030 (code HTN) DEVICE CLASSIFICATION: Class II PREDICATE DEVICES: Tensyn Plug (K143092) TightRope Syndesmosis Device (K043248) Product Description: The Tensyn Plug is a knotless system for…
Dallen Medical, Inc.2015—
*K043248Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel. Model…
Summary page 4
…Nut, CFR 888.3030 (code HTN) DEVICE CLASSIFICATION: Class II PREDICATE DEVICES: Tensyn Plug (K143092) TightRope Syndesmosis Device (K043248) Product Description: The Tensyn Plug is a knotless system for fixation of syndesmosis disruptions, acromioclavicular repair, ta…
Arthrex, Inc.2005—

What descends from it?

No later submission names this one as a predicate yet.

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 19 years and passes through 5 companies; a new generation was cleared every 8 months on median.
  • 23 of the 179 ancestors have a recall of any class.

How does its category compare?

All HTN devices

HTN Washer, Bolt Nut: FDA decisions, review times, recalls and adverse event reports over 20 years. 2015, 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 subject device is intended as an adjunct in fracture repair involving metaphyseal and periarticular small bone fragments where screws are not indicated, and as an adjunct in external and intramedullary fixation systems involving plates and rods, with fracture braces and casting. Specifically, the Tensyn Plug is intended to provide fixation during the healing process following: - A syndesmotic trauma, such as fixation of syndesmosis (syndesmosis…

Read the full statement (218 words)

The subject device is intended as an adjunct in fracture repair involving metaphyseal and periarticular small bone fragments where screws are not indicated, and as an adjunct in external and intramedullary fixation systems involving plates and rods, with fracture braces and casting. Specifically, the Tensyn Plug is intended to provide fixation during the healing process following:

- A syndesmotic trauma, such as fixation of syndesmosis (syndesmosis disruptions) in connection with Weber B and C ankle fractures

- Acromioclavicular separations due to coracoclavicular ligament disruptions

- Syndesmotic trauma, such as fixation of dorsal distal radiolunar ligament (DRUL) disruptions;

- Tarasometatarsal (TMT) injury, such as fixation of foot soft tissue separations due to a Lisfranc injury (Midfoot Reconstruction); and

- Hallux Valgus reconstruction (correction) by providing for the reduction of 1st metatarsal -2nd metatarsal intermetatarsal angle.

The Tensyn Plug, when used for fixation of bone-to-bone or soft-tissue to- bone, is intended as a fixation post, distribution bridge, or for distributing suture tension over areas of ligament or tendon repair. Specifically, the Tensyn Plug is indicated for Carpal Metacarpal (CMC) joint arthroplasty as an adjunct in the suspension of the thumb metacarpal during the healing process of hematoma distraction arthroplasty by providing stabilization at the base of the first and second metacarpal when the trapezium has been excised due to osteoarthritis.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K150359: Tensyn Plug.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 3, 2026. https://510kreport.com/device/K150359

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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