510(k) Report

510(k) · Cleared

Cleared

MectaFix CL Fixation Button with Continuous Loop

K193165510(k) TraditionalCleared Feb 10, 202087-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

Medacta International S.A. · MBI Fastener, Fixation, Nondegradable, Soft Tissue

Cleared on Feb 10, 2020 as substantially equivalent to K081098 (Smith & Nephew Inc., Endoscopy Division, 2008) after an 87-day review. Its family tree reaches back 9 generations to 1979.

Decided
Feb 10, 2020
Review
87 days
Class
Class II
Product code
MBI
Recalls
None
Predicates
1

Its longest line of descent runs back 9 generations to K792022 (1979). 55 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 9 generations backK792022 Herbert Bone ScrewZimmer, Inc. · 1979 · Recalled
  2. 5 generations between
  3. 3 generations backK052776 Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel…Arthrex, Inc. · 2005
  4. 2 generations backK070780 Conmed Linvatec XO ButtonConmed Linvatec · 2007
  5. 1 generation backK081098 Endobutton Continuous Loop (CL)Smith & Nephew Inc., Endoscopy Division · 2008
  6. This deviceK193165 MectaFix CL Fixation Button with Continuous LoopMedacta International S.A. · 2020
Show all 9 generations
  1. Root · 9 generations backK792022 Herbert Bone ScrewZimmer, Inc. · 1979 · Recalled
  2. 8 generations backK974876 Bionx Distal Radius ScrewBionx Implants, Inc. · 1998
  3. 7 generations backK992947 Cannulated Smartscrew Models 224540C, 224570CBionx Implants, Ltd. · 1999
  4. 6 generations backK012001 SmartscrewBionx Implants, Ltd. · 2001
  5. 5 generations backK030900 Inion Otps Biodegradable Fixaton SystemInion, Ltd. · 2003
  6. 4 generations backK043248 Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS…Arthrex, Inc. · 2005
  7. 3 generations backK052776 Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel…Arthrex, Inc. · 2005
  8. 2 generations backK070780 Conmed Linvatec XO ButtonConmed Linvatec · 2007
  9. 1 generation backK081098 Endobutton Continuous Loop (CL)Smith & Nephew Inc., Endoscopy Division · 2008
  10. This deviceK193165 MectaFix CL Fixation Button with Continuous LoopMedacta International S.A. · 2020
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−9K792022Herbert Bone ScrewZimmer, Inc.19796
−8K974876Bionx Distal Radius ScrewBionx Implants, Inc.1998—
−7K992947Cannulated Smartscrew Models 224540C, 224570CBionx Implants, Ltd.1999—
−6K012001SmartscrewBionx Implants, Ltd.2001—
−5K030900Inion Otps Biodegradable Fixaton SystemInion, Ltd.2003—
−4K043248Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel.…Arthrex, Inc.2005—
−3K052776Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models…Arthrex, Inc.2005—
−2K070780Conmed Linvatec XO ButtonConmed Linvatec2007—
−1K081098Endobutton Continuous Loop (CL)Smith & Nephew Inc., Endoscopy Division2008—
0 (this device)K193165MectaFix CL Fixation Button with Continuous LoopMedacta International S.A.2020—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199020
199210
199310
199420
199530
199670
199740
199830
199950
200030
200170
200230
200320
200420
200610
FIG. 1 — Lineage of K193165, 1979–2020Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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
*K081098Endobutton Continuous Loop (CL)
Summary page 4
…030 Device Classification II III. Predicate Device Substantial equivalence is claimed to the following device:  Endobutton Continuous Loop, K081098, Smith & Nephew, Inc., Endoscopy Division The following device is referenced in the submission:  MectaLock Ti Suture Anchor,…
Smith & Nephew Inc., Endoscopy Division2008—
†K191300MectaLock Ti Suture AnchorMedacta International S.A.2019—

Also cleared against K081098: 5 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 41 years and passes through 8 companies; a new generation was cleared every 1.7 years on median.
  • 5 of the 55 ancestors have a recall of any class.
  • 5 other devices also cite its predicate K081098.

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. 2020, 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 MectaFix CL Fixation Button with Continuous Loop is indicated for use in reconstructive treatment and extracortical femoral fixation of an implanted anterior cruciate ligament reconstruction.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K193165: MectaFix CL Fixation Button with Continuous Loop.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K193165

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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