510(k) Report

510(k) · Cleared

Cleared

OrthoButton AL

K230212510(k) SpecialCleared Feb 23, 202328-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

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

Cleared on Feb 23, 2023 as substantially equivalent to K171060 (Riverpoint Medical, 2017) after a 28-day review. Its family tree reaches back 13 generations to 1979. 2 later devices descend from it.

Decided
Feb 23, 2023
Review
28 days
Class
Class II
Product code
MBI
Recalls
None
Predicates
1

Its longest line of descent runs back 13 generations to K792022 (1979). 59 ancestors in all. 2 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1998: 3 other ancestors2006: 1 other ancestor1996: 7 other ancestors1992: 1 other ancestor2004: 2 other ancestors2003: 2 other ancestors2002: 3 other ancestors2001: 7 other ancestors1999: 5 other ancestors2000: 3 other ancestors1997: 4 other ancestors1994: 2 other ancestors1995: 3 other ancestors1993: 1 other ancestor1990: 2 other ancestors2024: 1 descendant cleared2023: 1 descendant clearedReference device: K100652 · Acl Tightrope · Arthrex, Inc. · 2010K792022 · 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 · 2014K160655 · OrthoButton CL · Riverpoint Medical · 2016K171060 · OrthoButton AL · Riverpoint Medical · 201719801990200020102020
  1. Root · 13 generations backK792022 Herbert Bone ScrewZimmer, Inc. · 1979 · Recalled
  2. 9 generations between
  3. 3 generations backK133757 GFS II Standard, GFS II Large, GFS MimiParcus Medical, LLC · 2014
  4. 2 generations backK160655 OrthoButton CLRiverpoint Medical · 2016
  5. 1 generation backK171060 OrthoButton ALRiverpoint Medical · 2017
  6. This deviceK230212 OrthoButton ALRiverpoint Medical, LLC · 2023
  7. Descendant · cites it directly · 0 of its ownK240194 ProCinch, QuadCinchRiverpoint Medical · 2024
  8. Descendant · cites it directly · 0 of its ownK233552 IDEAL ZiploopRiverpoint Medical · 2023
Show all 13 generations
  1. Root · 13 generations backK792022 Herbert Bone ScrewZimmer, Inc. · 1979 · Recalled
  2. 12 generations backK974876 Bionx Distal Radius ScrewBionx Implants, Inc. · 1998
  3. 11 generations backK992947 Cannulated Smartscrew Models 224540C, 224570CBionx Implants, Ltd. · 1999
  4. 10 generations backK012001 SmartscrewBionx Implants, Ltd. · 2001
  5. 9 generations backK030900 Inion Otps Biodegradable Fixaton SystemInion, Ltd. · 2003
  6. 8 generations backK043248 Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS…Arthrex, Inc. · 2005
  7. 7 generations backK052776 Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel…Arthrex, Inc. · 2005
  8. 6 generations backK070780 Conmed Linvatec XO ButtonConmed Linvatec · 2007
  9. 5 generations backK081098 Endobutton Continuous Loop (CL)Smith & Nephew Inc., Endoscopy Division · 2008
  10. 4 generations backK090923 Parcus Graft Fixation SystemParcus Medical, LLC · 2009
  11. 3 generations backK133757 GFS II Standard, GFS II Large, GFS MimiParcus Medical, LLC · 2014
  12. 2 generations backK160655 OrthoButton CLRiverpoint Medical · 2016
  13. 1 generation backK171060 OrthoButton ALRiverpoint Medical · 2017
  14. This deviceK230212 OrthoButton ALRiverpoint Medical, LLC · 2023

Most influential descendants

Showing 2 of 2 · See all
  • K240194ProCinch, QuadCinchRiverpoint Medical · 2024 · cites it directly0descendants
  • K233552IDEAL ZiploopRiverpoint Medical · 2023 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−13K792022Herbert Bone ScrewZimmer, Inc.19796
−12K974876Bionx Distal Radius ScrewBionx Implants, Inc.1998—
−11K992947Cannulated Smartscrew Models 224540C, 224570CBionx Implants, Ltd.1999—
−10K012001SmartscrewBionx Implants, Ltd.2001—
−9K030900Inion Otps Biodegradable Fixaton SystemInion, Ltd.2003—
−8K043248Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel.…Arthrex, Inc.2005—
−7K052776Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models…Arthrex, Inc.2005—
−6K070780Conmed Linvatec XO ButtonConmed Linvatec2007—
−5K081098Endobutton Continuous Loop (CL)Smith & Nephew Inc., Endoscopy Division2008—
−4K090923Parcus Graft Fixation SystemParcus Medical, LLC2009—
−3K133757GFS II Standard, GFS II Large, GFS MimiParcus Medical, LLC2014—
−2K160655OrthoButton CLRiverpoint Medical2016—
−1K171060OrthoButton ALRiverpoint Medical2017—
0 (this device)K230212OrthoButton ALRiverpoint Medical, LLC2023—
+1K240194ProCinch, QuadCinchRiverpoint Medical2024—
+1K233552IDEAL ZiploopRiverpoint Medical2023—

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

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
202410
FIG. 1 — Lineage of K230212, 1979–2024Source: 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
*K171060OrthoButton AL
Summary page 4
…T6)– Office of Orthopedic Devices Division of Restorative, Repair and Trauma Devices Predicate Device K171060 – Riverpoint Medical OrthoButton® AL Page 1…
Riverpoint Medical2017—
†K100652Acl TightropeArthrex, Inc.2010—

Also cleared against K171060: 5 other devices →

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K240194ProCinch, QuadCinchRiverpoint Medical20240
K233552IDEAL ZiploopRiverpoint Medical20230

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 44 years and passes through 10 companies; a new generation was cleared every 1.7 years on median.
  • 5 of the 59 ancestors have a recall of any class.
  • Of its descendants, K240194 (Riverpoint Medical, 2024) has gone furthest, with 0 descendants of its own.
  • 5 other devices also cite its predicate K171060.

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. 2023, 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 Riverpoint Medical OrthoButton@ AL is intended for use in the fixation of bone and soft tissue in orthopedic procedures requiring ligament or tendon reconstruction.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K230212: OrthoButton AL.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K230212

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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