510(k) Report

510(k) · Cleared

Cleared

Xtreme-Loop

K191053510(k) TraditionalCleared Jul 17, 201989-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

Xiros, Ltd. · MBI Fastener, Fixation, Nondegradable, Soft Tissue

Cleared on Jul 17, 2019 as substantially equivalent to K151601 (Xiros, Ltd., 2015) after an 89-day review. Its family tree reaches back 3 generations to 1992.

Decided
Jul 17, 2019
Review
89 days
Class
Class II
Product code
MBI
Recalls
None
Predicates
1

Its longest line of descent runs back 3 generations to K922559 (1992). 4 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 3 generations backK922559 Acufex Endofix ButtonAcufex Microsurgical, Inc. · 1992
  2. 2 generations backK980155 Endobutton Continuous LoopSmith & Nephew, Inc. · 1998
  3. 1 generation backK151601 Secure-LoopXiros, Ltd. · 2015
  4. This deviceK191053 Xtreme-LoopXiros, Ltd. · 2019
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−3K922559Acufex Endofix ButtonAcufex Microsurgical, Inc.1992—
−2K980155Endobutton Continuous LoopSmith & Nephew, Inc.1998—
−1K151601Secure-LoopXiros, Ltd.2015—
0 (this device)K191053Xtreme-LoopXiros, Ltd.2019—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199610
FIG. 1 — Lineage of K191053, 1992–2019Source: 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

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  2. #2 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
*K151601Secure-Loop
Summary page 4
…Product Code: MBI Regulation: 888.3040 Panel: Orthopaedic III. PREDICATE DEVICE SECURE-LOOP manufactured by Xiros, K151601. This predicate has not been subject to a design related recall. Reference device market leader for essentially the same indicat…
Xiros, Ltd.2015—
†K980155Endobutton Continuous LoopSmith & Nephew, Inc.1998—
†K070780Conmed Linvatec XO ButtonConmed Linvatec2007—

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 27 years and passes through 3 companies; a new generation was cleared every 5.3 years on median.
  • 1 of the 4 ancestors has 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. 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 XTREME-LOOP is used for fixation of tendons and ligaments during orthopaedic reconstruction procedures such as anterior cruciate ligament (ACL) reconstruction.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K191053: Xtreme-Loop.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K191053

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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