510(k) Report

510(k) · Cleared

Cleared

Arthrex TightRope II

K202581510(k) TraditionalCleared Nov 4, 202057-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 Nov 4, 2020 as substantially equivalent to K112990 (Arthrex, Inc., 2011) after a 57-day review. Its family tree reaches back 8 generations to 1990. 9 later devices descend from it.

Decided
Nov 4, 2020
Review
57 days
Class
Class II
Product code
MBI
Recalls
None
Predicates
1

Its longest line of descent runs back 8 generations to K904436 (1990). 28 ancestors in all. 9 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2002: 2 other ancestors2001: 3 other ancestors1999: 2 other ancestors1998: 2 other ancestors2000: 3 other ancestors1997: 1 other ancestor1996: 3 other ancestors1992: 1 other ancestor1993: 1 other ancestor1995: 1 other ancestor1994: 1 other ancestor2023: 2 descendants cleared2022: 1 descendant cleared2026: 2 descendants cleared2024: 2 descendants cleared2025: 2 descendants clearedK904436 · Quickanchor (TM) · Mitek Surgical Products, Inc. · 1990K962397 · Statak Soft Tissue Attachment Device · Zimmer, Inc. · 1996K973015 · Multitak SS Suture System · Bonutti Research · 1997K990156 · Multitak SS Buttons · Bonutti Research · 1999K031666 · Arthrex Fiberwire Button Repair Kit, Model AR-8920DS/AR-8921DS · Arthrex, Inc. · 2003 · recalledK062747 · Arthrex Retrobutton, 15MM, 60MM, Retrobutton, Long, 15MM, 60MM · Arthrex, Inc. · 2006K100652 · Acl Tightrope · Arthrex, Inc. · 2010K112990 · Acl Tightrope,Acl Tightrope Duuble Bundle · Arthrex, Inc. · 20111990200020102020
  1. Root · 8 generations backK904436 Quickanchor (TM)Mitek Surgical Products, Inc. · 1990
  2. 7 generations backK962397 Statak Soft Tissue Attachment DeviceZimmer, Inc. · 1996
  3. 6 generations backK973015 Multitak SS Suture SystemBonutti Research · 1997
  4. 5 generations backK990156 Multitak SS ButtonsBonutti Research · 1999
  5. 4 generations backK031666 Arthrex Fiberwire Button Repair Kit, Model AR-8920DS/AR-8921DSArthrex, Inc. · 2003 · Recalled
  6. 3 generations backK062747 Arthrex Retrobutton, 15MM, 60MM, Retrobutton, Long, 15MM, 60MMArthrex, Inc. · 2006
  7. 2 generations backK100652 Acl TightropeArthrex, Inc. · 2010
  8. 1 generation backK112990 Acl Tightrope,Acl Tightrope Duuble BundleArthrex, Inc. · 2011
  9. This deviceK202581 Arthrex TightRope IIArthrex, Inc. · 2020
  10. Descendant · cites it directly · 6 of its ownK221128 Arthrex ACL TightRope®, PCL TightRope®, and TightRope® IIArthrex, Inc. · 2022
  11. Descendant · cites it directly · 4 of its ownK231857 Arthrex TightRope IIArthrex, Inc. · 2023
  12. Descendant · 2 generations on · 3 of its ownK241235 Arthrex TightRope IIArthrex, Inc. · 2024
  13. Descendant · cites it directly · 0 of its ownK253693 Strut Suture; No-Tie ButtonRiverpoint Medical, LLC · 2026
  14. Descendant · 3 generations on · 0 of its ownK260405 FiberTape ButtonArthrex, Inc. · 2026

Showing 5 of 9 descendants. See all descendants

Descendants cleared per year

2022: 12023: 22024: 22025: 22026: 2
2022high 2 (2023) · low 1 (2022)2026

Most influential descendants

Showing 5 of 9 · See all
  • K221128Arthrex ACL TightRope®, PCL TightRope®, and TightRope® IIArthrex, Inc. · 2022 · cites it directly6descendants
  • K231857Arthrex TightRope IIArthrex, Inc. · 2023 · cites it directly4descendants
  • K241235Arthrex TightRope IIArthrex, Inc. · 2024 · 2 generations on3descendants
  • K253693Strut Suture; No-Tie ButtonRiverpoint Medical, LLC · 2026 · cites it directly0descendants
  • K260405FiberTape ButtonArthrex, Inc. · 2026 · 3 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−8K904436Quickanchor (TM)Mitek Surgical Products, Inc.1990—
−7K962397Statak Soft Tissue Attachment DeviceZimmer, Inc.1996—
−6K973015Multitak SS Suture SystemBonutti Research1997—
−5K990156Multitak SS ButtonsBonutti Research1999—
−4K031666Arthrex Fiberwire Button Repair Kit, Model AR-8920DS/AR-8921DSArthrex, Inc.20031
−3K062747Arthrex Retrobutton, 15MM, 60MM, Retrobutton, Long, 15MM, 60MMArthrex, Inc.2006—
−2K100652Acl TightropeArthrex, Inc.2010—
−1K112990Acl Tightrope,Acl Tightrope Duuble BundleArthrex, Inc.2011—
0 (this device)K202581Arthrex TightRope IIArthrex, Inc.2020—
+1K221128Arthrex ACL TightRope®, PCL TightRope®, and TightRope® IIArthrex, Inc.2022—
+1K231857Arthrex TightRope IIArthrex, Inc.2023—
+2K241235Arthrex TightRope IIArthrex, Inc.2024—
+1K253693Strut Suture; No-Tie ButtonRiverpoint Medical, LLC2026—
+3K260405FiberTape ButtonArthrex, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199210
199310
199410
199510
199630
199710
199820
199920
200030
200130
200220

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202210
202320
202420
202520
202620
FIG. 1 — Lineage of K202581, 1990–2026Source: 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
*K112990Acl Tightrope,Acl Tightrope Duuble Bundle
Summary page 4
…appliances and accessories Classification Name 21 CFR 888.3040: Smooth or threaded metallic bone fixation fastener Regulatory Class II Predicate Device K112990: ACL TightRope and ACL TightRope Double Bundle Purpose of Submission This Traditional 510(k) premarket notification is submitte…
Arthrex, Inc.2011—

Also cleared against K112990: 9 other devices →

What descends from it? (9)

4 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K221128Arthrex ACL TightRope®, PCL TightRope®, and TightRope® IIArthrex, Inc.20226
K231857Arthrex TightRope IIArthrex, Inc.20234
K253693Strut Suture; No-Tie ButtonRiverpoint Medical, LLC20260
K242091Bolo Button SystemFusion Orthopedics20240

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 30 years and passes through 4 companies; a new generation was cleared every 3.7 years on median.
  • 4 of the 28 ancestors have a recall of any class.
  • Of its descendants, K221128 (Arthrex, Inc., 2022) has gone furthest, with 6 descendants of its own.
  • 9 other devices also cite its predicate K112990.

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 Arthrex TightRope II is intended to be used for fixation of bone to bone or soft tissue to bone, and is intended as fixation posts, a distribution bridge, or for distributing suture tension over areas of ligament or tendon repair. Specifically, Arthrex will be offering these for ACL/PCL Repair and Reconstruction.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K202581: Arthrex TightRope II.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K202581

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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