510(k) Report

510(k) · Cleared

Cleared

T-Button® A Adjustable Loop UHMWPE Suture PEEK Button, Close Button, T-Button® S Adjustable Loop UHMWPE Suture PEEK Button, Open Button

K231404510(k) TraditionalCleared Aug 4, 202381-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

Healthium Medtech Limited · MBI Fastener, Fixation, Nondegradable, Soft Tissue

Cleared on Aug 4, 2023 as substantially equivalent to K221128 (Arthrex, Inc., 2022) after an 81-day review. Its family tree reaches back 10 generations to 1990.

Decided
Aug 4, 2023
Review
81 days
Class
Class II
Product code
MBI
Recalls
None
Predicates
1

Its longest line of descent runs back 10 generations to K904436 (1990). 51 ancestors in all. No later device cites it as a predicate yet.

  1. Root · 10 generations backK904436 Quickanchor (TM)Mitek Surgical Products, Inc. · 1990
  2. 6 generations between
  3. 3 generations backK112990 Acl Tightrope,Acl Tightrope Duuble BundleArthrex, Inc. · 2011
  4. 2 generations backK202581 Arthrex TightRope IIArthrex, Inc. · 2020
  5. 1 generation backK221128 Arthrex ACL TightRope®, PCL TightRope®, and TightRope® IIArthrex, Inc. · 2022
  6. This deviceK231404 T-Button® A Adjustable Loop UHMWPE Suture PEEK Button, Close Button…Healthium Medtech Limited · 2023
Show all 10 generations
  1. Root · 10 generations backK904436 Quickanchor (TM)Mitek Surgical Products, Inc. · 1990
  2. 9 generations backK962397 Statak Soft Tissue Attachment DeviceZimmer, Inc. · 1996
  3. 8 generations backK973015 Multitak SS Suture SystemBonutti Research · 1997
  4. 7 generations backK990156 Multitak SS ButtonsBonutti Research · 1999
  5. 6 generations backK031666 Arthrex Fiberwire Button Repair Kit, Model AR-8920DS/AR-8921DSArthrex, Inc. · 2003 · Recalled
  6. 5 generations backK062747 Arthrex Retrobutton, 15MM, 60MM, Retrobutton, Long, 15MM, 60MMArthrex, Inc. · 2006
  7. 4 generations backK100652 Acl TightropeArthrex, Inc. · 2010
  8. 3 generations backK112990 Acl Tightrope,Acl Tightrope Duuble BundleArthrex, Inc. · 2011
  9. 2 generations backK202581 Arthrex TightRope IIArthrex, Inc. · 2020
  10. 1 generation backK221128 Arthrex ACL TightRope®, PCL TightRope®, and TightRope® IIArthrex, Inc. · 2022
  11. This deviceK231404 T-Button® A Adjustable Loop UHMWPE Suture PEEK Button, Close Button…Healthium Medtech Limited · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K904436Quickanchor (TM)Mitek Surgical Products, Inc.1990—
−9K962397Statak Soft Tissue Attachment DeviceZimmer, Inc.1996—
−8K973015Multitak SS Suture SystemBonutti Research1997—
−7K990156Multitak SS ButtonsBonutti Research1999—
−6K031666Arthrex Fiberwire Button Repair Kit, Model AR-8920DS/AR-8921DSArthrex, Inc.20031
−5K062747Arthrex Retrobutton, 15MM, 60MM, Retrobutton, Long, 15MM, 60MMArthrex, Inc.2006—
−4K100652Acl TightropeArthrex, Inc.2010—
−3K112990Acl Tightrope,Acl Tightrope Duuble BundleArthrex, Inc.2011—
−2K202581Arthrex TightRope IIArthrex, Inc.2020—
−1K221128Arthrex ACL TightRope®, PCL TightRope®, and TightRope® IIArthrex, Inc.2022—
0 (this device)K231404T-Button® A Adjustable Loop UHMWPE Suture PEEK Button, Close Button, T-Button®…Healthium Medtech Limited2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199210
199320
199410
199520
199640
199720
199830
199950
200060
200150
200230
200410
200520
200620
200710
201110
FIG. 1 — Lineage of K231404, 1990–2023Source: 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
*K221128Arthrex ACL TightRope®, PCL TightRope®, and TightRope® II
Summary page 5
…Predicate 510(k) Number Arthrex ACL TightRope ®, PCL Primary Predicate K221128* TightRope ®, and TightRope ® II ANCHORMAN Tibial Ligament Reference Predicate K170388…
Arthrex, Inc.2022—
†K170388ANCHORMAN Tibial Ligament Fixation DeviceSummit Medical, Ltd.2017—

Also cleared against K221128: 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 33 years and passes through 5 companies; a new generation was cleared every 2.9 years on median.
  • 5 of the 51 ancestors have a recall of any class.
  • 1 other device also cites its predicate K221128.

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?

T-Button® A Adjustable Loop UHMWPE Suture PEEK Button, Close Button & T-Button® S Adjustable Loop UHMWPE Suture PEEK Button, Open Button are to be used for fixation of bone to bone or soft tissue to bone, and are intended as fixation posts, a distribution bridge, or for distributing suture tension over areas of ligament or tendon repair. This device is employed in Knee ligament repair and reconstructive procedures, specifically for ACL/PCL repair and reconstruction.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K231404: T-Button® A Adjustable Loop UHMWPE Suture PEEK Button, Close Button, T-Button® S Adjustable Loop UHMWPE Suture PEEK Button, Open Button.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K231404

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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