510(k) Report

510(k) · Cleared

Cleared

Arthrex Tenodesis Button

K190288510(k) TraditionalCleared Sep 13, 2019214-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

Arthrex, Inc. · MBI Fastener, Fixation, Nondegradable, Soft Tissue

Cleared on Sep 13, 2019 as substantially equivalent to K123341 (Arthrex, Inc., 2012) after a 214-day review. Its family tree reaches back 8 generations to 1979. 4 later devices descend from it.

Decided
Sep 13, 2019
Review
214 days
Class
Class II
Product code
MBI
Recalls
None
Predicates
1

Its longest line of descent runs back 8 generations to K792022 (1979). 58 ancestors in all. 4 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2006: 2 other ancestors2003: 3 other ancestors2007: 1 other ancestor2004: 2 other ancestors2002: 2 other ancestors2001: 6 other ancestors1999: 5 other ancestors1998: 4 other ancestors2000: 3 other ancestors1997: 4 other ancestors1996: 8 other ancestors1992: 1 other ancestor1982: 1 other ancestor1994: 2 other ancestors1993: 1 other ancestor1995: 3 other ancestors1990: 2 other ancestors2020: 2 descendants cleared2021: 1 descendant cleared2022: 1 descendant clearedK792022 · 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. · 2005K083070 · Toggleloc System · Biomet Sports Medicine · 2008 · recalledK123341 · Arthrex Pec Repair Button, Arthrex Large Pec Button, Arthrex Biceps Button, Arthrex Proximal Biceps Button · Arthrex, Inc. · 201219801990200020102020
  1. Root · 8 generations backK792022 Herbert Bone ScrewZimmer, Inc. · 1979 · Recalled
  2. 7 generations backK974876 Bionx Distal Radius ScrewBionx Implants, Inc. · 1998
  3. 6 generations backK992947 Cannulated Smartscrew Models 224540C, 224570CBionx Implants, Ltd. · 1999
  4. 5 generations backK012001 SmartscrewBionx Implants, Ltd. · 2001
  5. 4 generations backK030900 Inion Otps Biodegradable Fixaton SystemInion, Ltd. · 2003
  6. 3 generations backK043248 Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS…Arthrex, Inc. · 2005
  7. 2 generations backK083070 Toggleloc SystemBiomet Sports Medicine · 2008 · Recalled
  8. 1 generation backK123341 Arthrex Pec Repair Button, Arthrex Large Pec Button, Arthrex Biceps…Arthrex, Inc. · 2012
  9. This deviceK190288 Arthrex Tenodesis ButtonArthrex, Inc. · 2019
  10. Descendant · cites it directly · 3 of its ownK192750 AcTiFlip Naked, AcTiFlip Cinch, AcTiFlip WHIP, GFS Ultimate HipParcus Medical, LLC · 2020
  11. Descendant · 2 generations on · 2 of its ownK202259 Parcus GFS II and GFS Mini, GFS Naked, GFS Ultimate, GFS BTB, ATLAS…Parcus Medical, LLC · 2020
  12. Descendant · 3 generations on · 0 of its ownK213018 Auxilock GFS Mini, GFS II Large, and GFS UltimateAuxein Medical Private Limited · 2022
  13. Descendant · 2 generations on · 0 of its ownK212739 ActiFlipParcus Medical, LLC · 2021

Most influential descendants

Showing 4 of 4 · See all
  • K192750AcTiFlip Naked, AcTiFlip Cinch, AcTiFlip WHIP, GFS Ultimate HipParcus Medical, LLC · 2020 · cites it directly3descendants
  • K202259Parcus GFS II and GFS Mini, GFS Naked, GFS Ultimate, GFS BTB, ATLAS, Synd-EZ Ti…Parcus Medical, LLC · 2020 · 2 generations on2descendants
  • K213018Auxilock GFS Mini, GFS II Large, and GFS UltimateAuxein Medical Private Limited · 2022 · 3 generations on0descendants
  • K212739ActiFlipParcus Medical, LLC · 2021 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K792022Herbert Bone ScrewZimmer, Inc.19796
−7K974876Bionx Distal Radius ScrewBionx Implants, Inc.1998—
−6K992947Cannulated Smartscrew Models 224540C, 224570CBionx Implants, Ltd.1999—
−5K012001SmartscrewBionx Implants, Ltd.2001—
−4K030900Inion Otps Biodegradable Fixaton SystemInion, Ltd.2003—
−3K043248Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel.…Arthrex, Inc.2005—
−2K083070Toggleloc SystemBiomet Sports Medicine20086
−1K123341Arthrex Pec Repair Button, Arthrex Large Pec Button, Arthrex Biceps Button…Arthrex, Inc.2012—
0 (this device)K190288Arthrex Tenodesis ButtonArthrex, Inc.2019—
+1K192750AcTiFlip Naked, AcTiFlip Cinch, AcTiFlip WHIP, GFS Ultimate HipParcus Medical, LLC2020—
+2K202259Parcus GFS II and GFS Mini, GFS Naked, GFS Ultimate, GFS BTB, ATLAS, Synd-EZ…Parcus Medical, LLC2020—
+3K213018Auxilock GFS Mini, GFS II Large, and GFS UltimateAuxein Medical Private Limited2022—
+2K212739ActiFlipParcus Medical, LLC2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198210
199020
199210
199310
199420
199530
199680
199740
199840
199950
200030
200160
200220
200330
200420
200620
200710

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202020
202110
202210
FIG. 1 — Lineage of K190288, 1979–2022Source: 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
*K123341Arthrex Pec Repair Button, Arthrex Large Pec Button, Arthrex Biceps Button, Arthrex…
Summary page 4
…roduct Code MBI Classification Name 21 CFR 888.3040: Smooth or threaded metallic bone fixation fastener Regulatory Class II Predicate Device K123341: Arthrex Pec Repair Button, Large Pec Button, Biceps Button and Proximal Biceps Button Purpose of Submiss…
Arthrex, Inc.2012—

Also cleared against K123341: 5 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K192750AcTiFlip Naked, AcTiFlip Cinch, AcTiFlip WHIP, GFS Ultimate HipParcus Medical, LLC20203

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 40 years and passes through 6 companies; a new generation was cleared every 3.8 years on median.
  • 9 of the 58 ancestors have a recall of any class.
  • Of its descendants, K192750 (Parcus Medical, LLC, 2020) has gone furthest, with 3 descendants of its own.
  • 5 other devices also cite its predicate K123341.

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. 2019, 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 Tenodesis Button is used for fixation of bone to bone or soft tissue to bone, and is intended as fixation post, a distribution bridge, or for distributing suture tension over areas of ligament or tendon repair in the knee, shoulder, and elbow and may include the following indications; anterior cruciate ligament, posterior cruciate ligament, pectoralis repair (minor/major), biceps tendon repair and reattachment (distal/proximal), acromioclavicular repair, and ulnar collateral ligament reconstruction.

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. “K190288: Arthrex Tenodesis Button.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K190288

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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