510(k) Report

510(k) · Cleared

Cleared

Integrity Implant

K223538510(k) TraditionalCleared Aug 17, 2023267-day reviewClass II21 CFR 878.3300

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

Anika Therapeutics, Inc. · OWX Mesh, Surgical, Non-Absorbable, Orthopaedics, Reinforcement Of Tendon

Cleared on Aug 17, 2023 as substantially equivalent to K112423 (Rotation Medical, Inc., 2011) after a 267-day review. Its family tree reaches back 5 generations to 1985. 1 later device descends from it.

Decided
Aug 17, 2023
Review
267 days
Class
Class II
Product code
OWX
Recalls
None
Predicates
1

Its longest line of descent runs back 5 generations to K850785 (1985). 10 ancestors in all. 1 later device descends from it, 1 citing it directly.

Other ancestors, by generationDescendants, by generation 3 generations back: 1 other ancestor4 generations back: 2 other ancestors5 generations back: 2 other ancestors 1 generation forward: 1 descendant K112423 · Collagen Tendon Sheet · Rotation Medical, Inc. · 2011K080452 · Collagen Tendon Wrap · Collagen Matrix, Inc. · 2008K060952 · Collagen Nerve Wrap · Collagen Matrix, Inc. · 2006K012814 · Collagen Nerve Cuff · Collagen Matrix, Inc. · 2001K850785 · Fastube Nerve Regeneration Device · Research Medical, Inc. · 1985−50
  1. Root · 5 generations backK850785 Fastube Nerve Regeneration DeviceResearch Medical, Inc. · 1985
  2. 4 generations backK012814 Collagen Nerve CuffCollagen Matrix, Inc. · 2001
  3. 3 generations backK060952 Collagen Nerve WrapCollagen Matrix, Inc. · 2006
  4. 2 generations backK080452 Collagen Tendon WrapCollagen Matrix, Inc. · 2008
  5. 1 generation backK112423 Collagen Tendon SheetRotation Medical, Inc. · 2011
  6. This deviceK223538 Integrity ImplantAnika Therapeutics, Inc. · 2023
  7. Descendant · cites it directly · 0 of its ownK250997 Integrity™ ImplantAnika Therapeutics, Inc. · 2025

Most influential descendants

Showing 1 of 1 · See all
  • K250997Integrity™ ImplantAnika Therapeutics, Inc. · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K850785Fastube Nerve Regeneration DeviceResearch Medical, Inc.1985—
−4K012814Collagen Nerve CuffCollagen Matrix, Inc.2001—
−3K060952Collagen Nerve WrapCollagen Matrix, Inc.2006—
−2K080452Collagen Tendon WrapCollagen Matrix, Inc.2008—
−1K112423Collagen Tendon SheetRotation Medical, Inc.2011—
0 (this device)K223538Integrity ImplantAnika Therapeutics, Inc.2023—
+1K250997Integrity™ ImplantAnika Therapeutics, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
200020
200110
200410
200610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
FIG. 1 — Lineage of K223538, 1985–2025Source: 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 OWX? 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 OWX device

  1. #1 K241219 FiberLocker System: FiberLocker Implant…score 14.5 · 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
*K112423Collagen Tendon Sheet
Summary page 4
…Classification Name: Mesh, Surgical (878.3300) Regulatory Class: II Product Code: OWX III. PREDICATE DEVICE Collagen Tendon Sheet, K112423 IV. REFERENCE DEVICES Versawrap Tendon Protector, K160364 Tapestry Biointegrative Implant, K201572…
Rotation Medical, Inc.2011—
†K160364VersaWrap Tendon ProtectorAlafair Biosciences, Inc.2016—
†K201572TAPESTRY Biointegrative ImplantEmbody, Inc.2020—
†K073251Hyalomatrix PAFidia Advanced Biopolymers Srl20071
†K211563Pitch-PatchsXiros, Ltd.2021—

Also cleared against K112423: 2 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K250997Integrity™ ImplantAnika Therapeutics, Inc.20250

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 38 years and passes through 4 companies; a new generation was cleared every 4.8 years on median.
  • 2 of the 10 ancestors have a recall of any class.
  • Of its descendants, K250997 (Anika Therapeutics, Inc., 2025) has gone furthest, with 0 descendants of its own.
  • 2 other devices also cite its predicate K112423.

How does its category compare?

All OWX devices

OWX Mesh, Surgical, Non-Absorbable, Orthopaedics, Reinforcement Of Tendon: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, this device’s year, is highlighted.

FDA decisions per year · OWX

2in 2025

2023: 12024: 12025: 22026 (partial year): 1
2007high 2 (2025) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OWX

Too few OWX 510(k)s in any year since 2007 to give a median.

Recalls per year · OWX

No recall names OWX since 2007.

Adverse event reports per year · OWX

2in 2025

2024: 22025: 2
2007high 2 (2024) · low 0 (2007)2025

MAUDE reports naming product code OWX, 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
20070—00
20080—00
20090—00
20100—00
20110—00
20120—00
20130—00
20140—00
20150—00
20160—00
20170—00
20180—00
20190—00
20200—00
20210—00
20220—00
20231—00
20241—02
20252—02
20261—0—

What is it indicated for?

The Integrity Implant is indicated for the management and protection of tendon injuries in which there has been no substantial loss of tendon tissue.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K223538: Integrity Implant.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K223538

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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