510(k) Report

510(k) · Cleared

Cleared

MultiFIX S Ultra Knotless Fixation System

K153669510(k) SpecialCleared Jan 19, 201629-day reviewClass II21 CFR 888.3040

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Arthocare Corporation · MBI Fastener, Fixation, Nondegradable, Soft Tissue

Cleared on Jan 19, 2016 as substantially equivalent to K151660 (ArthroCare Corporation, 2015) after a 29-day review. Its family tree reaches back 11 generations to 1996.

Decided
Jan 19, 2016
Review
29 days
Class
Class II
Product code
MBI
Recalls
None
Predicates
1

Its longest line of descent runs back 11 generations to K961555 (1996). 25 ancestors in all, the oldest K921873 (1992). No later device cites it as a predicate yet.

  1. Root · 11 generations backK961555 Acufex Tag Bioabsorbable AnchorsAcufex Microsurgical, Inc. · 1996
  2. 7 generations between
  3. 3 generations backK132590 5.5MM Multifix S Knotless Fixation Device, 6.5MM Multifix S Knotless…ArthroCare Corporation · 2013
  4. 2 generations backK140604 Multifix S Knotless Fixation SystemArthroCare Corporation · 2014
  5. 1 generation backK151660 MultiFIX S Knotless Fixation SystemArthroCare Corporation · 2015
  6. This deviceK153669 MultiFIX S Ultra Knotless Fixation SystemArthocare Corporation · 2016
Show all 11 generations
  1. Root · 11 generations backK961555 Acufex Tag Bioabsorbable AnchorsAcufex Microsurgical, Inc. · 1996
  2. 10 generations backK031685 Tag Rod Bioraptor Suture Anchor 7209317, 7209318Smith & Nephew, Inc. · 2003 · Recalled
  3. 9 generations backK053344 Bioraptor Suture Anchor, Twinfix 2.8 MM Suture Anchor, Twinfix 3.5…Smith & Nephew, Inc. · 2006
  4. 8 generations backK061863 Arthrex Corkscrew Suture Anchor, Tak, and Pushlock FamilyArthrex, Inc. · 2006
  5. 7 generations backK081893 Opus Magnum Speedscrew Knotless Fixation Device, Model OM-6500Arthrocare Corp. · 2008
  6. 6 generations backK100457 Opus Speedscrew SystemArthrocare Corp. · 2010
  7. 5 generations backK101448 Opus Speedscrew SystemArthrocare Corp. · 2010 · Recalled
  8. 4 generations backK131182 Multifix S Knotless Fixation DeviceArthocare Corporation · 2013
  9. 3 generations backK132590 5.5MM Multifix S Knotless Fixation Device, 6.5MM Multifix S Knotless…ArthroCare Corporation · 2013
  10. 2 generations backK140604 Multifix S Knotless Fixation SystemArthroCare Corporation · 2014
  11. 1 generation backK151660 MultiFIX S Knotless Fixation SystemArthroCare Corporation · 2015
  12. This deviceK153669 MultiFIX S Ultra Knotless Fixation SystemArthocare Corporation · 2016
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K961555Acufex Tag Bioabsorbable AnchorsAcufex Microsurgical, Inc.1996—
−10K031685Tag Rod Bioraptor Suture Anchor 7209317, 7209318Smith & Nephew, Inc.20035
−9K053344Bioraptor Suture Anchor, Twinfix 2.8 MM Suture Anchor, Twinfix 3.5 MM Suture…Smith & Nephew, Inc.2006—
−8K061863Arthrex Corkscrew Suture Anchor, Tak, and Pushlock FamilyArthrex, Inc.2006—
−7K081893Opus Magnum Speedscrew Knotless Fixation Device, Model OM-6500Arthrocare Corp.2008—
−6K100457Opus Speedscrew SystemArthrocare Corp.2010—
−5K101448Opus Speedscrew SystemArthrocare Corp.20101
−4K131182Multifix S Knotless Fixation DeviceArthocare Corporation2013—
−3K1325905.5MM Multifix S Knotless Fixation Device, 6.5MM Multifix S Knotless Fixation…ArthroCare Corporation2013—
−2K140604Multifix S Knotless Fixation SystemArthroCare Corporation2014—
−1K151660MultiFIX S Knotless Fixation SystemArthroCare Corporation2015—
0 (this device)K153669MultiFIX S Ultra Knotless Fixation SystemArthocare Corporation2016—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199210
199410
199510
199710
199810
199910
200010
200120
200410
200510
200610
200710
201210
FIG. 1 — Lineage of K153669, 1996–2016Source: 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 MBI? 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 MBI device

  1. #1 K203268 Arthrex FiberTak Suture Anchorscore 21.4 · 11 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? (1)

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
*K151660MultiFIX S Knotless Fixation System
Summary page 4
…fastener Device Class: Class II Product Code: MBI CFR Section: 21 CFR 888.3040 Predicate Device MultiFIX® S Knotless Fixation System: K151660 (cleared July 16, 2015) Description The MultiFIX S Ultra Knotless Fixation System (MultiFIX S Ultra) is an implantable bone anch…
ArthroCare Corporation2015—

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 20 years and passes through 6 companies; a new generation was cleared every 1.2 years on median.
  • 5 of the 25 ancestors have a recall of any class.

How does its category compare?

All MBI devices

MBI Fastener, Fixation, Nondegradable, Soft Tissue: FDA decisions, review times, recalls and adverse event reports over 20 years. 2016, this device’s year, is highlighted.

FDA decisions per year · MBI

27in 2025

2007: 162008: 102009: 192010: 172011: 302012: 242013: 312014: 232015: 232016: 172017: 172018: 162019: 312020: 352021: 182022: 192023: 522024: 222025: 272026 (partial year): 30
2007high 52 (2023) · low 10 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MBI

58in 2025

2007: 80 days median2008: 69 days median2009: 82 days median2010: 76 days median2011: 75 days median2012: 94 days median2013: 100 days median2014: 101 days median2015: 85 days median2016: 94 days median2017: 70 days median2018: 91 days median2019: 90 days median2020: 83 days median2021: 107 days median2022: 64 days median2023: 57 days median2024: 30 days median2025: 58 days median2026 (partial year): 63 days median
2007high 107 (2021) · low 30 (2024)2026

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

Recalls per year · MBI

1in 2025

2007: 242008: 62009: 22010: 32011: 232012: 62013: 22017: 42018: 22020: 12023: 12024: 12025: 1
2007high 24 (2007) · low 0 (2014)2026

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

Adverse event reports per year · MBI

3,826in 2025

2007: 2402008: 3382009: 3552010: 2912011: 3282012: 3712013: 4422014: 5042015: 5072016: 7952017: 6752018: 1,0722019: 1,3032020: 1,4542021: 1,8902022: 1,5912023: 2,5032024: 3,7792025: 3,826
2007high 3,826 (2025) · low 240 (2007)2025

MAUDE reports naming product code MBI, 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
2007168024240
200810696338
200919822355
201017763291
2011307523328
201224946371
2013311002442
2014231010504
201523850507
201617940795
201717704675
2018169121,072
2019319001,303
2020358311,454
20211810701,890
2022196401,591
2023525712,503
2024223013,779
2025275813,826
202630630—

What is it indicated for?

The MultiFIX S Ultra Knotless Fixation Device is indicated for use in fixation of soft tissue to bone. Examples of such procedures include: Shoulder: Bankart Repair, SLAP lesion repair, acromio-clavicular separation, rotator cuff repair, capsule shift/capsule-labral reconstruction, biceps tenodesis, and deltoid repair Ankle: Lateral instability, medial instability, Achilles tendon repair/reconstruction, and midfoot reconstruction Foot: Hallux valgus…

Read the full statement (93 words)

The MultiFIX S Ultra Knotless Fixation Device is indicated for use in fixation of soft tissue to bone.

Examples of such procedures include:

Shoulder: Bankart Repair, SLAP lesion repair, acromio-clavicular separation, rotator cuff repair, capsule shift/capsule-labral reconstruction, biceps tenodesis, and deltoid repair

Ankle: Lateral instability, medial instability, Achilles tendon repair/reconstruction, and midfoot reconstruction

Foot: Hallux valgus reconstruction

Elbow: Tennis elbow repair, biceps tendon reattachment

Knee: Extra-capsular repairs; reattachment of: medial collateral ligament, posterior oblique ligament or joint capsule closure to anterior proximal tibia; extra capsular reconstruction, I'TB tenodesis; patellar ligament and tendon avulsions

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K153669: MultiFIX S Ultra Knotless Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K153669

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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