510(k) Report

510(k) · Cleared

Cleared

Arthrex Self Punching SwiveLock Suture Anchors

K222263510(k) SpecialCleared Aug 26, 202229-day reviewClass II21 CFR 888.3030

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Arthrex, Inc. · MAI Fastener, Fixation, Biodegradable, Soft Tissue

Cleared on Aug 26, 2022 as substantially equivalent to K191226 (Arthrex, Inc., 2019) after a 29-day review. Its family tree reaches back 11 generations to 1979.

Decided
Aug 26, 2022
Review
29 days
Class
Class II
Product code
MAI
Recalls
None
Predicates
1

Its longest line of descent runs back 11 generations to K792022 (1979). 89 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2006: 5 other ancestors2017: 1 other ancestor2016: 1 other ancestor2011: 2 other ancestors2007: 3 other ancestors2003: 3 other ancestors1998: 5 other ancestors2009: 1 other ancestor2005: 3 other ancestors2004: 3 other ancestors2001: 8 other ancestors1996: 9 other ancestors2002: 3 other ancestors2000: 6 other ancestors1999: 8 other ancestors1997: 5 other ancestors1982: 1 other ancestor1993: 2 other ancestors1992: 1 other ancestor1995: 4 other ancestors1994: 2 other ancestors1990: 2 other ancestorsReference device: K203495 · Arthrex SwiveLock Anchor · Arthrex, Inc. · 2021 · recalledReference device: K193503 · Arthrex SwiveLock Suture Anchor · Arthrex, Inc. · 2020K792022 · 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. · 2012K150768 · JuggerKnot Soft Anchors · Biomet Manufacturing Corp · 2015×2: 2 generations cleared close together, K180768 (2018), K191226 (2019) 19801990200020102020
  1. Root · 11 generations backK792022 Herbert Bone ScrewZimmer, Inc. · 1979 · Recalled
  2. 7 generations between
  3. 3 generations backK150768 JuggerKnot Soft AnchorsBiomet Manufacturing Corp · 2015
  4. 2 generations backK180768 Arthrex SwiveLock AnchorsArthrex, Inc. · 2018
  5. 1 generation backK191226 Arthrex SwiveLock Suture AnchorArthrex, Inc. · 2019
  6. This deviceK222263 Arthrex Self Punching SwiveLock Suture AnchorsArthrex, Inc. · 2022
Show all 11 generations
  1. Root · 11 generations backK792022 Herbert Bone ScrewZimmer, Inc. · 1979 · Recalled
  2. 10 generations backK974876 Bionx Distal Radius ScrewBionx Implants, Inc. · 1998
  3. 9 generations backK992947 Cannulated Smartscrew Models 224540C, 224570CBionx Implants, Ltd. · 1999
  4. 8 generations backK012001 SmartscrewBionx Implants, Ltd. · 2001
  5. 7 generations backK030900 Inion Otps Biodegradable Fixaton SystemInion, Ltd. · 2003
  6. 6 generations backK043248 Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS…Arthrex, Inc. · 2005
  7. 5 generations backK083070 Toggleloc SystemBiomet Sports Medicine · 2008 · Recalled
  8. 4 generations backK123341 Arthrex Pec Repair Button, Arthrex Large Pec Button, Arthrex Biceps…Arthrex, Inc. · 2012
  9. 3 generations backK150768 JuggerKnot Soft AnchorsBiomet Manufacturing Corp · 2015
  10. 2 generations backK180768 Arthrex SwiveLock AnchorsArthrex, Inc. · 2018
  11. 1 generation backK191226 Arthrex SwiveLock Suture AnchorArthrex, Inc. · 2019
  12. This deviceK222263 Arthrex Self Punching SwiveLock Suture AnchorsArthrex, Inc. · 2022
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−11K792022Herbert Bone ScrewZimmer, Inc.19796
−10K974876Bionx Distal Radius ScrewBionx Implants, Inc.1998—
−9K992947Cannulated Smartscrew Models 224540C, 224570CBionx Implants, Ltd.1999—
−8K012001SmartscrewBionx Implants, Ltd.2001—
−7K030900Inion Otps Biodegradable Fixaton SystemInion, Ltd.2003—
−6K043248Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel.…Arthrex, Inc.2005—
−5K083070Toggleloc SystemBiomet Sports Medicine20086
−4K123341Arthrex Pec Repair Button, Arthrex Large Pec Button, Arthrex Biceps Button…Arthrex, Inc.2012—
−3K150768JuggerKnot Soft AnchorsBiomet Manufacturing Corp2015—
−2K180768Arthrex SwiveLock AnchorsArthrex, Inc.2018—
−1K191226Arthrex SwiveLock Suture AnchorArthrex, Inc.2019—
0 (this device)K222263Arthrex Self Punching SwiveLock Suture AnchorsArthrex, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198210
199020
199210
199320
199420
199540
199690
199750
199850
199980
200060
200180
200230
200330
200430
200530
200650
200730
200910
201120
201610
201710
FIG. 1 — Lineage of K222263, 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 MAI? 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 MAI device

  1. #1 K203495 Arthrex SwiveLock Anchorscore 35.2 · 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? (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
*K191226Arthrex SwiveLock Suture Anchor
Summary page 4
…21CFR 888.3040: Smooth or threaded metallic bone fixation fastener Regulatory Class II Primary Predicate Device K191226: Arthrex SwiveLock Suture Anchor Reference Devices K203495: Arthrex SwiveLock Anchor K193503:…
Arthrex, Inc.2019—
†K203495Arthrex SwiveLock AnchorArthrex, Inc.20211
†K193503Arthrex SwiveLock Suture AnchorArthrex, Inc.2020—

Also cleared against K191226: 3 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 43 years and passes through 7 companies; a new generation was cleared every 2.7 years on median.
  • 12 of the 89 ancestors have a recall of any class.
  • 3 other devices also cite its predicate K191226.

How does its category compare?

All MAI devices

MAI Fastener, Fixation, Biodegradable, Soft Tissue: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, this device’s year, is highlighted.

FDA decisions per year · MAI

8in 2025

2007: 42008: 32009: 92010: 42011: 92012: 62013: 62014: 42015: 52016: 32017: 92018: 132019: 92020: 92021: 82022: 62023: 82024: 72025: 82026 (partial year): 5
2007high 13 (2018) · low 3 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MAI

54in 2025

2007: 100 days median2008: 83 days median2009: 74 days median2010: 122 days median2011: 90 days median2012: 56 days median2013: 135 days median2014: 86 days median2015: 95 days median2016: 191 days median2017: 113 days median2018: 108 days median2019: 41 days median2020: 78 days median2021: 115 days median2022: 136 days median2023: 34 days median2024: 53 days median2025: 54 days median2026 (partial year): 69 days median
2007high 191 (2016) · low 34 (2023)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · MAI

40in 2020

2011: 52012: 102019: 22020: 402026 (partial year): 1
2007high 40 (2020) · low 0 (2007)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · MAI

2,148in 2025

2007: 2722008: 1722009: 882010: 892011: 1292012: 1712013: 1662014: 1492015: 1822016: 3012017: 4782018: 1,5902019: 1,2482020: 9572021: 1,2672022: 1,4252023: 1,7182024: 2,3002025: 2,148
2007high 2,300 (2024) · low 88 (2009)2025

MAUDE reports naming product code MAI, 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
200741000272
20083830172
2009974088
20104122089
20119905129
201265610171
201361350166
20144860149
20155950182
201631910301
201791130478
20181310801,590
201994121,248
202097840957
2021811501,267
2022613601,425
202383401,718
202475302,300
202585402,148
20265691—

What is it indicated for?

The Arthrex Self Punching SwiveLock® Suture Anchors are intended to be used for suture (soft tissue) fixation to bone in the shoulder in skeletally mature pediatric and adult patients. Specifically, rotator cuff repair.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K222263: Arthrex Self Punching SwiveLock Suture Anchors.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K222263

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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