510(k) Report

510(k) · Cleared

Cleared

BioWick X Implant with Driver

K172186510(k) TraditionalCleared Oct 16, 201788-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

Cayenne Medical, Inc. · MBI Fastener, Fixation, Nondegradable, Soft Tissue

Cleared on Oct 16, 2017 as substantially equivalent to K151068 (Cayenne Medical, Inc., 2015) after an 88-day review. Its family tree reaches back 12 generations to 1991. 4 later devices descend from it.

Decided
Oct 16, 2017
Review
88 days
Class
Class II
Product code
MBI
Recalls
None
Predicates
1

Its longest line of descent runs back 12 generations to K911837 (1991). 99 ancestors in all, the oldest K792022 (1979). 4 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2010: 1 other ancestor2009: 1 other ancestor2007: 3 other ancestors2004: 3 other ancestors2011: 1 other ancestor1994: 3 other ancestors2008: 1 other ancestor2005: 2 other ancestors2002: 3 other ancestors1999: 6 other ancestors1996: 14 other ancestors2006: 1 other ancestor2001: 7 other ancestors2000: 6 other ancestors1998: 7 other ancestors1997: 12 other ancestors1995: 8 other ancestors1990: 1 other ancestor1982: 1 other ancestor2003: 1 other ancestor1993: 1 other ancestor1992: 3 other ancestors1979: 1 other ancestor2019: 1 descendant cleared2024: 1 descendant cleared2020: 1 descendant cleared2023: 1 descendant clearedK911837 · Suretac Polyglyconate Absorbable Fixation Device · Acufex Microsurgical, Inc. · 1991K973849 · Bioabsorbable Bankart Tack · Hogan & Hartson · 1998K992567 · Anatomical Bankart Tack, Model 523520A · Bionx Implants, Ltd. · 1999K003970 · Contour Labral Nail, Model 533520A · Bionx Implants, Inc. · 2001K020056 · Duet Suture Anchor · Bionx Implants, Ltd. · 2002K030388 · Impact Suture Anchor. Model 433510 · Bionx Implants, Ltd. · 2003K042966 · Duet Suture Anchor, Models BXS4216, BXS4216H; Impact Suture Anchor, Models BXS4218, BXS4218H · Linvatec Biomaterials, Ltd. · 2004K053561 · Bio-Mini Revo Suture Anchor · Conmed Linvatec · 2006K091549 · Conmed Linvatec Soft Tissue to Bone System · Linvatec Corp. · 2009 · recalledK111779 · Y-Knot All-Suture Anchor Model HF13 · Conmed Linvatec · 2011K132867 · Surelock All-Suture Anchor with Inserter, 1.4MM, Surelock All-Suture Anchor with Inserter, 2.2MM · Cayenne Medical, Inc. · 2013K151068 · SureLock W Suture Anchor · Cayenne Medical, Inc. · 201519801990200020102020
  1. Root · 12 generations backK911837 Suretac Polyglyconate Absorbable Fixation DeviceAcufex Microsurgical, Inc. · 1991
  2. 8 generations between
  3. 3 generations backK111779 Y-Knot All-Suture Anchor Model HF13Conmed Linvatec · 2011
  4. 2 generations backK132867 Surelock All-Suture Anchor with Inserter, 1.4MM, Surelock All-Suture…Cayenne Medical, Inc. · 2013
  5. 1 generation backK151068 SureLock W Suture AnchorCayenne Medical, Inc. · 2015
  6. This deviceK172186 BioWick X Implant with DriverCayenne Medical, Inc. · 2017
  7. Descendant · cites it directly · 3 of its ownK183236 Rotium Bioresorbable WickNanofiber Solutions, LLC · 2019
  8. Descendant · 2 generations on · 2 of its ownK201414 Rotium Bioresorbable WickNanofiber Solutions, LLC · 2020
  9. Descendant · 2 generations on · 1 of its ownK231641 Rotium Bioresorbable WickNanofiber Solutions, LLC · 2023
  10. Descendant · 2 generations on · 0 of its ownK241912 BiochargeNanofiber Solutions, LLC · 2024
Show all 12 generations
  1. Root · 12 generations backK911837 Suretac Polyglyconate Absorbable Fixation DeviceAcufex Microsurgical, Inc. · 1991
  2. 11 generations backK973849 Bioabsorbable Bankart TackHogan & Hartson · 1998
  3. 10 generations backK992567 Anatomical Bankart Tack, Model 523520ABionx Implants, Ltd. · 1999
  4. 9 generations backK003970 Contour Labral Nail, Model 533520ABionx Implants, Inc. · 2001
  5. 8 generations backK020056 Duet Suture AnchorBionx Implants, Ltd. · 2002
  6. 7 generations backK030388 Impact Suture Anchor. Model 433510Bionx Implants, Ltd. · 2003
  7. 6 generations backK042966 Duet Suture Anchor, Models BXS4216, BXS4216H; Impact Suture Anchor…Linvatec Biomaterials, Ltd. · 2004
  8. 5 generations backK053561 Bio-Mini Revo Suture AnchorConmed Linvatec · 2006
  9. 4 generations backK091549 Conmed Linvatec Soft Tissue to Bone SystemLinvatec Corp. · 2009 · Recalled
  10. 3 generations backK111779 Y-Knot All-Suture Anchor Model HF13Conmed Linvatec · 2011
  11. 2 generations backK132867 Surelock All-Suture Anchor with Inserter, 1.4MM, Surelock All-Suture…Cayenne Medical, Inc. · 2013
  12. 1 generation backK151068 SureLock W Suture AnchorCayenne Medical, Inc. · 2015
  13. This deviceK172186 BioWick X Implant with DriverCayenne Medical, Inc. · 2017

Most influential descendants

Showing 4 of 4 · See all
  • K183236Rotium Bioresorbable WickNanofiber Solutions, LLC · 2019 · cites it directly3descendants
  • K201414Rotium Bioresorbable WickNanofiber Solutions, LLC · 2020 · 2 generations on2descendants
  • K231641Rotium Bioresorbable WickNanofiber Solutions, LLC · 2023 · 2 generations on1descendant
  • K241912BiochargeNanofiber Solutions, LLC · 2024 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K911837Suretac Polyglyconate Absorbable Fixation DeviceAcufex Microsurgical, Inc.1991—
−11K973849Bioabsorbable Bankart TackHogan & Hartson1998—
−10K992567Anatomical Bankart Tack, Model 523520ABionx Implants, Ltd.1999—
−9K003970Contour Labral Nail, Model 533520ABionx Implants, Inc.2001—
−8K020056Duet Suture AnchorBionx Implants, Ltd.2002—
−7K030388Impact Suture Anchor. Model 433510Bionx Implants, Ltd.2003—
−6K042966Duet Suture Anchor, Models BXS4216, BXS4216H; Impact Suture Anchor, Models…Linvatec Biomaterials, Ltd.2004—
−5K053561Bio-Mini Revo Suture AnchorConmed Linvatec2006—
−4K091549Conmed Linvatec Soft Tissue to Bone SystemLinvatec Corp.20091
−3K111779Y-Knot All-Suture Anchor Model HF13Conmed Linvatec2011—
−2K132867Surelock All-Suture Anchor with Inserter, 1.4MM, Surelock All-Suture Anchor…Cayenne Medical, Inc.2013—
−1K151068SureLock W Suture AnchorCayenne Medical, Inc.2015—
0 (this device)K172186BioWick X Implant with DriverCayenne Medical, Inc.2017—
+1K183236Rotium Bioresorbable WickNanofiber Solutions, LLC2019—
+2K201414Rotium Bioresorbable WickNanofiber Solutions, LLC2020—
+2K231641Rotium Bioresorbable WickNanofiber Solutions, LLC2023—
+2K241912BiochargeNanofiber Solutions, LLC2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198210
199010
199230
199310
199430
199580
1996140
1997120
199870
199960
200060
200170
200230
200310
200430
200520
200610
200730
200810
200910
201010
201110

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201910
202010
202310
202410
FIG. 1 — Lineage of K172186, 1991–2024Source: 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
Get a 510(k) Report

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
*K151068SureLock W Suture Anchor
Summary page 6
…poses of FDA’s regulation of medical devices, the Biowick™ X implant is substantially equivalent in indications and performance to the legally marketed predicate device, K151068 SureLock W Suture Anchor. The substantial equivalence of Biowick™ X implant is based on similarities in indications for use, inte…
Cayenne Medical, Inc.2015—

Also cleared against K151068: 1 other device →

What descends from it? (4)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K183236Rotium Bioresorbable WickNanofiber Solutions, LLC20193

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 26 years and passes through 8 companies; a new generation was cleared every 1.6 years on median.
  • 14 of the 99 ancestors have a recall of any class.
  • Of its descendants, K183236 (Nanofiber Solutions, LLC, 2019) has gone furthest, with 3 descendants of its own.
  • 1 other device also cites its predicate K151068.

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. 2017, 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 Cayenne Medical, Inc. BioWick™ X Implant is intended to be used for the

reattachment of soft tissue to bone in rotator cuff repairs.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K172186: BioWick X Implant with Driver.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K172186

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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