510(k) Report

510(k) · Cleared

Cleared

ActiFlip

K212739510(k) TraditionalCleared Oct 6, 202137-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

Parcus Medical, LLC · MBI Fastener, Fixation, Nondegradable, Soft Tissue

Cleared on Oct 6, 2021 as substantially equivalent to K192750 (Parcus Medical, LLC, 2020) and 3 other predicates after a 37-day review. Its family tree reaches back 14 generations to 1979.

Decided
Oct 6, 2021
Review
37 days
Class
Class II
Product code
MBI
Recalls
None
Predicates
4

Its longest line of descent runs back 14 generations to K792022 (1979). 122 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2020: 1 other ancestor2011: 1 other ancestor2019: 4 other ancestors2016: 1 other ancestor2009: 1 other ancestor2006: 4 other ancestors2000: 7 other ancestors2012: 1 other ancestor2008: 2 other ancestors2005: 2 other ancestors2003: 4 other ancestors2001: 11 other ancestors1998: 9 other ancestors2004: 4 other ancestors1999: 10 other ancestors1997: 13 other ancestors1996: 12 other ancestors2007: 1 other ancestor2002: 6 other ancestors1994: 3 other ancestors1992: 1 other ancestor1995: 5 other ancestors1991: 1 other ancestor1990: 2 other ancestors1982: 1 other ancestor1993: 1 other ancestorK792022 · 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. · 2005K070780 · Conmed Linvatec XO Button · Conmed Linvatec · 2007K081098 · Endobutton Continuous Loop (CL) · Smith & Nephew Inc., Endoscopy Division · 2008K090923 · Parcus Graft Fixation System · Parcus Medical, LLC · 2009K133757 · GFS II Standard, GFS II Large, GFS Mimi · Parcus Medical, LLC · 2014K152711 · Parcus GFS Naked · Parcus Medical, LLC · 2015K192750 · AcTiFlip Naked, AcTiFlip Cinch, AcTiFlip WHIP, GFS Ultimate Hip · Parcus Medical, LLC · 2020K202259 · Parcus GFS II and GFS Mini, GFS Naked, GFS Ultimate, GFS BTB, ATLAS, Synd-EZ Ti, Actiflip Naked, Actiflip Cinch, Actiflip Whip, and GFS Ultimate Hip · Parcus Medical, LLC · 202019801990200020102020
Other ancestors, by generation 1 generation back: 2 other ancestors2 generations back: 8 other ancestors3 generations back: 6 other ancestors4 generations back: 13 other ancestors5 generations back: 22 other ancestors6 generations back: 41 other ancestors7 generations back: 14 other ancestors8 generations back: 2 other ancestors K202259 · Parcus GFS II and GFS Mini, GFS Naked, GFS Ultimate, GFS BTB, ATLAS, Synd-EZ Ti, Actiflip Naked, Actiflip Cinch, Actiflip Whip, and GFS Ultimate Hip · Parcus Medical, LLC · 2020K192750 · AcTiFlip Naked, AcTiFlip Cinch, AcTiFlip WHIP, GFS Ultimate Hip · Parcus Medical, LLC · 2020K152711 · Parcus GFS Naked · Parcus Medical, LLC · 2015K133757 · GFS II Standard, GFS II Large, GFS Mimi · Parcus Medical, LLC · 2014K090923 · Parcus Graft Fixation System · Parcus Medical, LLC · 2009K081098 · Endobutton Continuous Loop (CL) · Smith & Nephew Inc., Endoscopy Division · 2008K070780 · Conmed Linvatec XO Button · Conmed Linvatec · 2007K052776 · Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models AR-2257, AR-TBD · Arthrex, Inc. · 2005K043248 · Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel. Model AR-8921DS · Arthrex, Inc. · 2005K030900 · Inion Otps Biodegradable Fixaton System · Inion, Ltd. · 2003K012001 · Smartscrew · Bionx Implants, Ltd. · 2001K992947 · Cannulated Smartscrew Models 224540C, 224570C · Bionx Implants, Ltd. · 1999K974876 · Bionx Distal Radius Screw · Bionx Implants, Inc. · 1998K792022 · Herbert Bone Screw · Zimmer, Inc. · 1979 · recalled−10−50
  1. Root · 14 generations backK792022 Herbert Bone ScrewZimmer, Inc. · 1979 · Recalled
  2. 10 generations between
  3. 3 generations backK152711 Parcus GFS NakedParcus Medical, LLC · 2015
  4. 2 generations backK192750 AcTiFlip Naked, AcTiFlip Cinch, AcTiFlip WHIP, GFS Ultimate HipParcus Medical, LLC · 2020
  5. 1 generation backK202259 Parcus GFS II and GFS Mini, GFS Naked, GFS Ultimate, GFS BTB, ATLAS…Parcus Medical, LLC · 2020
  6. This deviceK212739 ActiFlipParcus Medical, LLC · 2021
Show all 14 generations
  1. Root · 14 generations backK792022 Herbert Bone ScrewZimmer, Inc. · 1979 · Recalled
  2. 13 generations backK974876 Bionx Distal Radius ScrewBionx Implants, Inc. · 1998
  3. 12 generations backK992947 Cannulated Smartscrew Models 224540C, 224570CBionx Implants, Ltd. · 1999
  4. 11 generations backK012001 SmartscrewBionx Implants, Ltd. · 2001
  5. 10 generations backK030900 Inion Otps Biodegradable Fixaton SystemInion, Ltd. · 2003
  6. 9 generations backK043248 Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS…Arthrex, Inc. · 2005
  7. 8 generations backK052776 Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel…Arthrex, Inc. · 2005
  8. 7 generations backK070780 Conmed Linvatec XO ButtonConmed Linvatec · 2007
  9. 6 generations backK081098 Endobutton Continuous Loop (CL)Smith & Nephew Inc., Endoscopy Division · 2008
  10. 5 generations backK090923 Parcus Graft Fixation SystemParcus Medical, LLC · 2009
  11. 4 generations backK133757 GFS II Standard, GFS II Large, GFS MimiParcus Medical, LLC · 2014
  12. 3 generations backK152711 Parcus GFS NakedParcus Medical, LLC · 2015
  13. 2 generations backK192750 AcTiFlip Naked, AcTiFlip Cinch, AcTiFlip WHIP, GFS Ultimate HipParcus Medical, LLC · 2020
  14. 1 generation backK202259 Parcus GFS II and GFS Mini, GFS Naked, GFS Ultimate, GFS BTB, ATLAS…Parcus Medical, LLC · 2020
  15. This deviceK212739 ActiFlipParcus Medical, LLC · 2021
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−14K792022Herbert Bone ScrewZimmer, Inc.19796
−13K974876Bionx Distal Radius ScrewBionx Implants, Inc.1998—
−12K992947Cannulated Smartscrew Models 224540C, 224570CBionx Implants, Ltd.1999—
−11K012001SmartscrewBionx Implants, Ltd.2001—
−10K030900Inion Otps Biodegradable Fixaton SystemInion, Ltd.2003—
−9K043248Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel.…Arthrex, Inc.2005—
−8K052776Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models…Arthrex, Inc.2005—
−7K070780Conmed Linvatec XO ButtonConmed Linvatec2007—
−6K081098Endobutton Continuous Loop (CL)Smith & Nephew Inc., Endoscopy Division2008—
−5K090923Parcus Graft Fixation SystemParcus Medical, LLC2009—
−4K133757GFS II Standard, GFS II Large, GFS MimiParcus Medical, LLC2014—
−3K152711Parcus GFS NakedParcus Medical, LLC2015—
−2K192750AcTiFlip Naked, AcTiFlip Cinch, AcTiFlip WHIP, GFS Ultimate HipParcus Medical, LLC2020—
−1K202259Parcus GFS II and GFS Mini, GFS Naked, GFS Ultimate, GFS BTB, ATLAS, Synd-EZ…Parcus Medical, LLC2020—
0 (this device)K212739ActiFlipParcus Medical, LLC2021—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198210
199020
199110
199210
199310
199430
199550
1996120
1997130
199890
1999100
200070
2001110
200260
200340
200440
200520
200640
200710
200820
200910
201110
201210
201610
201940
202010
FIG. 1 — Lineage of K212739, 1979–2021Source: 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
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What was it cleared against? (4)

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
*K192750AcTiFlip Naked, AcTiFlip Cinch, AcTiFlip WHIP, GFS Ultimate Hip
Summary page 4
…Device Class: Class ll Regulation Number: 21 CFR 888.3040 Product Code: MBI Predicate Device Information: ActiFlip - K192750 (cleared January 16, 2020), K202259 (cleared October 28, 2020) Mit…
Parcus Medical, LLC2020—
*K202259Parcus GFS II and GFS Mini, GFS Naked, GFS Ultimate, GFS BTB, ATLAS, Synd-EZ Ti…
Summary page 4
…ss ll Regulation Number: 21 CFR 888.3040 Product Code: MBI Predicate Device Information: ActiFlip - K192750 (cleared January 16, 2020), K202259 (cleared October 28, 2020) Miti Suture Anchors – K111000 (cleared…
Parcus Medical, LLC2020—
*K111000Parcus 2.0MM / 2.5MM / 3.5MM Miti Titanium Suture Anchor
Summary page 4
…n: ActiFlip - K192750 (cleared January 16, 2020), K202259 (cleared October 28, 2020) Miti Suture Anchors – K111000 (cleared July 28, 2011), K201083 (cleared July 23, 2020) Reason for 510(k) submission: The purpo…
Parcus Medical, LLC2011—
*K201083Parcus V-lox Titanium Suture Anchors, Parcus Miti Suture Anchors
Summary page 4
…nuary 16, 2020), K202259 (cleared October 28, 2020) Miti Suture Anchors – K111000 (cleared July 28, 2011), K201083 (cleared July 23, 2020) Reason for 510(k) submission: The purpose of this Traditional 510(k) is…
Parcus Medical, LLC2020—

Also cleared against K192750: 1 other device →

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 42 years and passes through 8 companies; a new generation was cleared every 1.7 years on median.
  • 12 of the 122 ancestors have a recall of any class.
  • 1 other device also cites its predicate K192750.

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. 2021, 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 Parcus Actiflip is used for fixation of bone to bone or soft tissue to bone, and is intended as a 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…

Read the full statement (115 words)

The Parcus Actiflip is used for fixation of bone to bone or soft tissue to bone, and is intended as a 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.

The Parcus ActiFlip is also intended for fixation of suture (soft tissue) to bone in the foot and ankle for midfoot reconstruction and hindfoot reconstruction with the following procedures: FHL Tendon Transfer, FDL Tendon Transfer, Posterior Tibialis Tendon Transfer, Anterior Tibialis Tendon Transfer.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K212739: ActiFlip.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K212739

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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