510(k) Report

510(k) · Cleared

Cleared

Arthrex TightRope II

K231857510(k) TraditionalCleared Aug 8, 202346-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

Arthrex, Inc. · MBI Fastener, Fixation, Nondegradable, Soft Tissue

Cleared on Aug 8, 2023 as substantially equivalent to K130033 (Biomet Manufacturing Corp, 2013) and 2 other predicates after a 46-day review. Its family tree reaches back 10 generations to 1990. 4 later devices descend from it.

Decided
Aug 8, 2023
Review
46 days
Class
Class II
Product code
MBI
Recalls
None
Predicates
3

Its longest line of descent runs back 10 generations to K904436 (1990). 84 ancestors in all, the oldest K792022 (1979). 4 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2013: 1 other ancestor2011: 2 other ancestors2008: 1 other ancestor2007: 2 other ancestors2005: 3 other ancestors2004: 3 other ancestors1998: 6 other ancestors2006: 3 other ancestors2003: 3 other ancestors2001: 9 other ancestors1999: 8 other ancestors1996: 8 other ancestors1992: 1 other ancestor1982: 1 other ancestor2002: 3 other ancestors2000: 6 other ancestors1997: 4 other ancestors1994: 2 other ancestors1993: 2 other ancestors1995: 4 other ancestors1990: 1 other ancestor1979: 1 other ancestor2024: 1 descendant cleared2025: 2 descendants cleared2026: 1 descendant clearedK904436 · Quickanchor (TM) · Mitek Surgical Products, Inc. · 1990K962397 · Statak Soft Tissue Attachment Device · Zimmer, Inc. · 1996K973015 · Multitak SS Suture System · Bonutti Research · 1997K990156 · Multitak SS Buttons · Bonutti Research · 1999K031666 · Arthrex Fiberwire Button Repair Kit, Model AR-8920DS/AR-8921DS · Arthrex, Inc. · 2003 · recalledK062747 · Arthrex Retrobutton, 15MM, 60MM, Retrobutton, Long, 15MM, 60MM · Arthrex, Inc. · 2006K100652 · Acl Tightrope · Arthrex, Inc. · 2010K112990 · Acl Tightrope,Acl Tightrope Duuble Bundle · Arthrex, Inc. · 2011K202581 · Arthrex TightRope II · Arthrex, Inc. · 2020K221128 · Arthrex ACL TightRope®, PCL TightRope®, and TightRope® II · Arthrex, Inc. · 202219801990200020102020
  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 deviceK231857 Arthrex TightRope IIArthrex, Inc. · 2023
  7. Descendant · cites it directly · 3 of its ownK241235 Arthrex TightRope IIArthrex, Inc. · 2024
  8. Descendant · 2 generations on · 0 of its ownK260405 FiberTape ButtonArthrex, Inc. · 2026
  9. Descendant · 2 generations on · 0 of its ownK250867 Dunamis Screw and Suture Locking SystemDunamis Medical, LLC · 2025
  10. Descendant · 2 generations on · 0 of its ownK250424 Arthrex TightRope Soft Button, RTArthrex, Inc. · 2025
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 deviceK231857 Arthrex TightRope IIArthrex, Inc. · 2023

Most influential descendants

Showing 4 of 4 · See all
  • K241235Arthrex TightRope IIArthrex, Inc. · 2024 · cites it directly3descendants
  • K260405FiberTape ButtonArthrex, Inc. · 2026 · 2 generations on0descendants
  • K250867Dunamis Screw and Suture Locking SystemDunamis Medical, LLC · 2025 · 2 generations on0descendants
  • K250424Arthrex TightRope Soft Button, RTArthrex, Inc. · 2025 · 2 generations on0descendants
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)K231857Arthrex TightRope IIArthrex, Inc.2023—
+1K241235Arthrex TightRope IIArthrex, Inc.2024—
+2K260405FiberTape ButtonArthrex, Inc.2026—
+2K250867Dunamis Screw and Suture Locking SystemDunamis Medical, LLC2025—
+2K250424Arthrex TightRope Soft Button, RTArthrex, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198210
199010
199210
199320
199420
199540
199680
199740
199860
199980
200060
200190
200230
200330
200430
200530
200630
200720
200810
201120
201310

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
202520
202610
FIG. 1 — Lineage of K231857, 1990–2026Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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? (3)

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
*K130033Toggleloc Xtender; Toggleloc XL; Implant Kit Toggleloc; Implant Kit Toggleloc BTB…
Summary page 4
…threaded metallic bone fastener Regulatory Class II Primary Predicate Device K130033 Zimmer Biomet ToggleLoc™ Reference Devices K221128 Arthrex® TightRope II…
Biomet Manufacturing Corp20133
*K221128Arthrex ACL TightRope®, PCL TightRope®, and TightRope® II
Summary page 4
…Regulatory Class II Primary Predicate Device K130033 Zimmer Biomet ToggleLoc™ Reference Devices K221128 Arthrex® TightRope II K202581 Arthrex® TightRope II Purpose of Sub…
Arthrex, Inc.2022—
*K202581Arthrex TightRope II
Summary page 4
…edicate Device K130033 Zimmer Biomet ToggleLoc™ Reference Devices K221128 Arthrex® TightRope II K202581 Arthrex® TightRope II Purpose of Submission This Traditional 510(k) premarket notification is…
Arthrex, Inc.2020—

Also cleared against K130033: 16 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K241235Arthrex TightRope IIArthrex, Inc.20243

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 4 companies; a new generation was cleared every 2.9 years on median.
  • 11 of the 84 ancestors have a recall of any class.
  • Of its descendants, K241235 (Arthrex, Inc., 2024) has gone furthest, with 3 descendants of its own.
  • 16 other devices also cite its predicate K130033.

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 Arthrex TightRope II devices are intended 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. Specifically, Arthrex will be offering these devices for ACL/PCL repair and reconstruction for the adult and pediatric patient population; and MCL, POL, LCL repair and reconstruction, IBT, and PRT for the adult population only.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K231857: Arthrex TightRope II.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K231857

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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