510(k) Report

510(k) · Cleared

Cleared

SyndesMetrics Syndesmosis Repair System

K172620510(k) TraditionalCleared Nov 8, 201769-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

Mortise Medical, LLC · HTN Washer, Bolt Nut

Cleared on Nov 8, 2017 as substantially equivalent to K043248 (Arthrex, Inc., 2005) and 1 other predicate after a 69-day review. Its family tree reaches back 12 generations to 1979.

Decided
Nov 8, 2017
Review
69 days
Class
Class II
Product code
HTN
Recalls
None
Predicates
2

Its longest line of descent runs back 12 generations to K792022 (1979). 72 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2013: 1 other ancestor2011: 3 other ancestors2004: 4 other ancestors2001: 7 other ancestors1999: 5 other ancestors1996: 8 other ancestors2008: 1 other ancestor2007: 1 other ancestor2003: 3 other ancestors1998: 4 other ancestors1997: 4 other ancestors1994: 2 other ancestors2010: 1 other ancestor2006: 2 other ancestors1995: 3 other ancestors1992: 1 other ancestor1990: 2 other ancestors1982: 1 other ancestor2002: 3 other ancestors1993: 1 other ancestor2000: 3 other ancestorsK792022 · 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. · 2005K061925 · Mini Tightrope Repair Kit, Model AR-8911DS · Arthrex, Inc. · 2006K071978 · Mini Tightrope FT Repair Kit · Arthrex, Inc. · 2007K090107 · Mini Tightrope · Arthrex, Inc. · 2009K133275 · Mini Tightrope · Arthrex, Inc. · 2014K141219 · Juggerloc Bone to Bone Implants/ Bone Instruments/ Bone Implant and Instrument Kits · Biomet Manufacturing Corp · 20141980199020002010
  1. Root · 12 generations backK792022 Herbert Bone ScrewZimmer, Inc. · 1979 · Recalled
  2. 8 generations between
  3. 3 generations backK090107 Mini TightropeArthrex, Inc. · 2009
  4. 2 generations backK133275 Mini TightropeArthrex, Inc. · 2014
  5. 1 generation backK141219 Juggerloc Bone to Bone Implants/ Bone Instruments/ Bone Implant and…Biomet Manufacturing Corp · 2014
  6. This deviceK172620 SyndesMetrics Syndesmosis Repair SystemMortise Medical, LLC · 2017
Show all 12 generations
  1. Root · 12 generations backK792022 Herbert Bone ScrewZimmer, Inc. · 1979 · Recalled
  2. 11 generations backK974876 Bionx Distal Radius ScrewBionx Implants, Inc. · 1998
  3. 10 generations backK992947 Cannulated Smartscrew Models 224540C, 224570CBionx Implants, Ltd. · 1999
  4. 9 generations backK012001 SmartscrewBionx Implants, Ltd. · 2001
  5. 8 generations backK030900 Inion Otps Biodegradable Fixaton SystemInion, Ltd. · 2003
  6. 7 generations backK043248 Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS…Arthrex, Inc. · 2005
  7. 6 generations backK052776 Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel…Arthrex, Inc. · 2005
  8. 5 generations backK061925 Mini Tightrope Repair Kit, Model AR-8911DSArthrex, Inc. · 2006
  9. 4 generations backK071978 Mini Tightrope FT Repair KitArthrex, Inc. · 2007
  10. 3 generations backK090107 Mini TightropeArthrex, Inc. · 2009
  11. 2 generations backK133275 Mini TightropeArthrex, Inc. · 2014
  12. 1 generation backK141219 Juggerloc Bone to Bone Implants/ Bone Instruments/ Bone Implant and…Biomet Manufacturing Corp · 2014
  13. This deviceK172620 SyndesMetrics Syndesmosis Repair SystemMortise Medical, LLC · 2017
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K792022Herbert Bone ScrewZimmer, Inc.19796
−11K974876Bionx Distal Radius ScrewBionx Implants, Inc.1998—
−10K992947Cannulated Smartscrew Models 224540C, 224570CBionx Implants, Ltd.1999—
−9K012001SmartscrewBionx Implants, Ltd.2001—
−8K030900Inion Otps Biodegradable Fixaton SystemInion, Ltd.2003—
−7K043248Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel.…Arthrex, Inc.2005—
−6K052776Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models…Arthrex, Inc.2005—
−5K061925Mini Tightrope Repair Kit, Model AR-8911DSArthrex, Inc.2006—
−4K071978Mini Tightrope FT Repair KitArthrex, Inc.2007—
−3K090107Mini TightropeArthrex, Inc.2009—
−2K133275Mini TightropeArthrex, Inc.2014—
−1K141219Juggerloc Bone to Bone Implants/ Bone Instruments/ Bone Implant and Instrument…Biomet Manufacturing Corp2014—
0 (this device)K172620SyndesMetrics Syndesmosis Repair SystemMortise Medical, LLC2017—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198210
199020
199210
199310
199420
199530
199680
199740
199840
199950
200030
200170
200230
200330
200440
200620
200710
200810
201010
201130
201310
FIG. 1 — Lineage of K172620, 1979–2017Source: 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? (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
*K043248Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel. Model…
Summary page 4
…lyethylene (UHMWPE) 3.5mm OrthoTape® (K150438) which is provided sterile packaged from Teleflex, Inc. Predicate Devices: The Arthrex, Inc. TightRope Syndesmosis Device (K043248) serves as the primary predicate device, and the JuggerLoc Bone to Bone System (K141219) serves as a reference predicate device.…
Arthrex, Inc.2005—
*K141219Juggerloc Bone to Bone Implants/ Bone Instruments/ Bone Implant and Instrument Kits
Summary page 4
…eleflex, Inc. Predicate Devices: The Arthrex, Inc. TightRope Syndesmosis Device (K043248) serves as the primary predicate device, and the JuggerLoc Bone to Bone System (K141219) serves as a reference predicate device. Mortise Medical LLC SyndesMetrics Syndesmosis Repair System – Tradit…
Biomet Manufacturing Corp2014—

Also cleared against K043248: 25 other devices →

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 38 years and passes through 7 companies; a new generation was cleared every 1.8 years on median.
  • 11 of the 72 ancestors have a recall of any class.
  • 25 other devices also cite its predicate K043248.

How does its category compare?

All HTN devices

HTN Washer, Bolt Nut: FDA decisions, review times, recalls and adverse event reports over 20 years. 2017, 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 SyndesMetrics Syndesmosis Repair System is intended for repair in the ankle including indications for:

Ankle syndesmosis fixation (syndesmosis disruptions), and as an adjunct in connection with trauma hardware for Weber B and C ankle fractures.

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. “K172620: SyndesMetrics Syndesmosis Repair System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K172620

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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