510(k) Report

510(k) · Cleared

Cleared

1) PINION™ PDO Knotless Suture - Absorbable Poly (P-Dioxanone) Knotless Suture; 2) PINION™ PGA-PCL Knotless Suture - Absorbable Polyglycolic Acid - Poly (Glycolide-Co-Caprolactone) Knotless Suture

K232246510(k) TraditionalCleared Apr 25, 2024272-day reviewClass II21 CFR 878.4840

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

M/s. Meril Endo Surgery Private Limited. · NEW Suture, Surgical, Absorbable, Polydioxanone

Cleared on Apr 25, 2024 as substantially equivalent to K182873 (ETHICON, Inc., 2019) and 2 other predicates after a 272-day review. Its family tree reaches back 15 generations to 2002. 1 later device descends from it.

Decided
Apr 25, 2024
Review
272 days
Class
Class II
Product code
NEW
Recalls
None
Predicates
3

Its longest line of descent runs back 15 generations to K014153 (2002). 47 ancestors in all, the oldest K885018 (1989). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2015: 1 other ancestor2014: 1 other ancestor2005: 2 other ancestors2013: 1 other ancestor2012: 2 other ancestors2006: 1 other ancestor2003: 2 other ancestors1996: 3 other ancestors2009: 2 other ancestors2008: 2 other ancestors2007: 1 other ancestor2004: 2 other ancestors2000: 1 other ancestor1999: 1 other ancestor1997: 1 other ancestor1994: 1 other ancestor2002: 2 other ancestors1998: 2 other ancestors1992: 2 other ancestors1995: 1 other ancestor1989: 1 other ancestor2025: 1 descendant clearedK014153 · Coapt Systmes Endotine Device · Coapt Systems, Inc. · 2002K023922 · Coapt Systems Endotine Device, Model CFD-101-00197 · Coapt Systems, Inc. · 2002K032698 · Coapt Endotine Midface-ST 4.5 Device · Coapt Systems, Inc. · 2003K041593 · Featherlift Extended Length Aptos Thread · Surgical Specialties Corp · 2004×2: 2 generations cleared close together, K050548 (2005), K051609 (2005) K072028 · Quill Self-Retaining System (SRS) Comprised of Monoderm · Surgical Specialties Corp · 2007K100257 · VLOC9ABSORBABLE Wound Closure Device · Surgical Devices, A Division of Tyco Healthcare · 2010 · recalled×3: 3 generations cleared close together, K122898 (2012), K123409 (2012), K123836 (2012) K141778 · Quill Monoderm Knotless Tissue-Closure Device, Variable Loop Design · Surgical Specialties Corporation · 2014K151200 · STRATAFIX Spiral MONOCRYL Knotless Tissue Control Device, STRATAFIX Spiral MONOCRYL Plus Knotless Tissue Control Device · ETHICON, Inc. · 2015 · recalledK182873 · STRATAFIX Symmetric PDS Plus Knotless Tissue Control Devices, STRATAFIX Spiral PDS Plus Knotless Tissue Control Devices, STRATAFIX Spiral MONOCRYL Plus Knotless Tissue Control Devices, STRATAFIX Spiral MONOCRYL Knotless Tissue Control Devices · ETHICON, Inc. · 2019 · recalledK221744 · STRATAFIX™ Spiral MONOCRYL™ Plus Knotless Tissue Control Device · ETHICON, Inc. · 20221990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 3 other ancestors3 generations back: 7 other ancestors4 generations back: 4 other ancestors5 generations back: 9 other ancestors6 generations back: 6 other ancestors7 generations back: 2 other ancestors8 generations back: 1 other ancestor 1 generation forward: 1 descendant K221744 · STRATAFIX™ Spiral MONOCRYL™ Plus Knotless Tissue Control Device · ETHICON, Inc. · 2022K182873 · STRATAFIX Symmetric PDS Plus Knotless Tissue Control Devices, STRATAFIX Spiral PDS Plus Knotless Tissue Control Devices, STRATAFIX Spiral MONOCRYL Plus Knotless Tissue Control Devices, STRATAFIX Spiral MONOCRYL Knotless Tissue Control Devices · ETHICON, Inc. · 2019 · recalledK151200 · STRATAFIX Spiral MONOCRYL Knotless Tissue Control Device, STRATAFIX Spiral MONOCRYL Plus Knotless Tissue Control Device · ETHICON, Inc. · 2015 · recalledK141778 · Quill Monoderm Knotless Tissue-Closure Device, Variable Loop Design · Surgical Specialties Corporation · 2014K123836 · Quill Monoderm Knotless Tissue-Closure Device, Variable Loop Design · Surgical Specialties Corp. Dba Angiotech · 2012K123409 · Quill Monoderm Knotless Tissue-Closure Device, Variable Loop Design · Surgical Specialties Corp. Dba Angiotech · 2012K122898 · Quill Monoderm Knotless Tissue-Closure Device, Variable Loop Design · Surgical Specialties Corp. Dba Angiotech · 2012 · recalledK100257 · VLOC9ABSORBABLE Wound Closure Device · Surgical Devices, A Division of Tyco Healthcare · 2010 · recalledK072028 · Quill Self-Retaining System (SRS) Comprised of Monoderm · Surgical Specialties Corp · 2007K051609 · Quill Synthetic Absorbable Barbed Suture · Quill Medical, Inc. · 2005K050548 · Contour Midface Opposing Uni-Directional Threads · Surgical Specialties Corp · 2005K041593 · Featherlift Extended Length Aptos Thread · Surgical Specialties Corp · 2004K032698 · Coapt Endotine Midface-ST 4.5 Device · Coapt Systems, Inc. · 2003K023922 · Coapt Systems Endotine Device, Model CFD-101-00197 · Coapt Systems, Inc. · 2002K014153 · Coapt Systmes Endotine Device · Coapt Systems, Inc. · 2002−15−10−50
  1. Root · 15 generations backK014153 Coapt Systmes Endotine DeviceCoapt Systems, Inc. · 2002
  2. 11 generations between
  3. 3 generations backK151200 STRATAFIX Spiral MONOCRYL Knotless Tissue Control Device, STRATAFIX…ETHICON, Inc. · 2015 · Recalled
  4. 2 generations backK182873 STRATAFIX Symmetric PDS Plus Knotless Tissue Control Devices…ETHICON, Inc. · 2019 · Recalled
  5. 1 generation backK221744 STRATAFIX™ Spiral MONOCRYL™ Plus Knotless Tissue Control DeviceETHICON, Inc. · 2022
  6. This deviceK232246 1) PINION™ PDO Knotless Suture - Absorbable Poly (P-Dioxanone)…M/s. Meril Endo Surgery Private Limited. · 2024
  7. Descendant · cites it directly · 0 of its ownK252644 PINION™ PDO Knotless Suture - Absorbable Poly (P-Dioxanone) Knotless…M/s. Meril Endo Surgery Private Limited. · 2025
Show all 15 generations
  1. Root · 15 generations backK014153 Coapt Systmes Endotine DeviceCoapt Systems, Inc. · 2002
  2. 14 generations backK023922 Coapt Systems Endotine Device, Model CFD-101-00197Coapt Systems, Inc. · 2002
  3. 13 generations backK032698 Coapt Endotine Midface-ST 4.5 DeviceCoapt Systems, Inc. · 2003
  4. 12 generations backK041593 Featherlift Extended Length Aptos ThreadSurgical Specialties Corp · 2004
  5. 11 generations backK050548 Contour Midface Opposing Uni-Directional ThreadsSurgical Specialties Corp · 2005
  6. 10 generations backK051609 Quill Synthetic Absorbable Barbed SutureQuill Medical, Inc. · 2005
  7. 9 generations backK072028 Quill Self-Retaining System (SRS) Comprised of MonodermSurgical Specialties Corp · 2007
  8. 8 generations backK100257 VLOC9ABSORBABLE Wound Closure DeviceSurgical Devices, A Division of Tyco Healthcare · 2010 · Recalled
  9. 7 generations backK122898 Quill Monoderm Knotless Tissue-Closure Device, Variable Loop DesignSurgical Specialties Corp. Dba Angiotech · 2012 · Recalled
  10. 6 generations backK123409 Quill Monoderm Knotless Tissue-Closure Device, Variable Loop DesignSurgical Specialties Corp. Dba Angiotech · 2012
  11. 5 generations backK123836 Quill Monoderm Knotless Tissue-Closure Device, Variable Loop DesignSurgical Specialties Corp. Dba Angiotech · 2012
  12. 4 generations backK141778 Quill Monoderm Knotless Tissue-Closure Device, Variable Loop DesignSurgical Specialties Corporation · 2014
  13. 3 generations backK151200 STRATAFIX Spiral MONOCRYL Knotless Tissue Control Device, STRATAFIX…ETHICON, Inc. · 2015 · Recalled
  14. 2 generations backK182873 STRATAFIX Symmetric PDS Plus Knotless Tissue Control Devices…ETHICON, Inc. · 2019 · Recalled
  15. 1 generation backK221744 STRATAFIX™ Spiral MONOCRYL™ Plus Knotless Tissue Control DeviceETHICON, Inc. · 2022
  16. This deviceK232246 1) PINION™ PDO Knotless Suture - Absorbable Poly (P-Dioxanone)…M/s. Meril Endo Surgery Private Limited. · 2024

Most influential descendants

Showing 1 of 1 · See all
  • K252644PINION™ PDO Knotless Suture - Absorbable Poly (P-Dioxanone) Knotless Suture; PINION™…M/s. Meril Endo Surgery Private Limited. · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−15K014153Coapt Systmes Endotine DeviceCoapt Systems, Inc.2002—
−14K023922Coapt Systems Endotine Device, Model CFD-101-00197Coapt Systems, Inc.2002—
−13K032698Coapt Endotine Midface-ST 4.5 DeviceCoapt Systems, Inc.2003—
−12K041593Featherlift Extended Length Aptos ThreadSurgical Specialties Corp2004—
−11K050548Contour Midface Opposing Uni-Directional ThreadsSurgical Specialties Corp2005—
−10K051609Quill Synthetic Absorbable Barbed SutureQuill Medical, Inc.2005—
−9K072028Quill Self-Retaining System (SRS) Comprised of MonodermSurgical Specialties Corp2007—
−8K100257VLOC9ABSORBABLE Wound Closure DeviceSurgical Devices, A Division of Tyco Healthcare20101
−7K122898Quill Monoderm Knotless Tissue-Closure Device, Variable Loop DesignSurgical Specialties Corp. Dba Angiotech20121
−6K123409Quill Monoderm Knotless Tissue-Closure Device, Variable Loop DesignSurgical Specialties Corp. Dba Angiotech2012—
−5K123836Quill Monoderm Knotless Tissue-Closure Device, Variable Loop DesignSurgical Specialties Corp. Dba Angiotech2012—
−4K141778Quill Monoderm Knotless Tissue-Closure Device, Variable Loop DesignSurgical Specialties Corporation2014—
−3K151200STRATAFIX Spiral MONOCRYL Knotless Tissue Control Device, STRATAFIX Spiral…ETHICON, Inc.20151
−2K182873STRATAFIX Symmetric PDS Plus Knotless Tissue Control Devices, STRATAFIX Spiral…ETHICON, Inc.20195
−1K221744STRATAFIX™ Spiral MONOCRYL™ Plus Knotless Tissue Control DeviceETHICON, Inc.2022—
0 (this device)K2322461) PINION™ PDO Knotless Suture - Absorbable Poly (P-Dioxanone) Knotless…M/s. Meril Endo Surgery Private Limited.2024—
+1K252644PINION™ PDO Knotless Suture - Absorbable Poly (P-Dioxanone) Knotless Suture…M/s. Meril Endo Surgery Private Limited.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198910
199220
199410
199510
199630
199710
199820
199910
200010
200220
200320
200420
200520
200610
200710
200820
200920
201220
201310
201410
201510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202510
FIG. 1 — Lineage of K232246, 2002–2025Source: 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 NEW? 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 NEW device

  1. #1 K252047 STRATAFIX™ Symmetric PDS™ Plus Knotless Tissue…score 15.3 · 14 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
*K182873STRATAFIX Symmetric PDS Plus Knotless Tissue Control Devices, STRATAFIX Spiral PDS Plus…
Summary page 6
…Trade Name Manufacturer 510 (K) No. STRATAFIX™ Symmetric Ethicon Inc. K182873 PINION™ PDO PDS™ Plus Knotless Tissue Knotless Suture Control Device…
ETHICON, Inc.20195
*K151200STRATAFIX Spiral MONOCRYL Knotless Tissue Control Device, STRATAFIX Spiral MONOCRYL Plus…
Summary page 6
…s Knotless Tissue Knotless Suture Control Device STRATAFIX™ Spiral K151200 MONOCRYL™ Knotless Tissue Control PINION™ PGA-PCL Device(Primary…
ETHICON, Inc.20151
*K221744STRATAFIX™ Spiral MONOCRYL™ Plus Knotless Tissue Control Device
Summary page 6
…cate) Ethicon Inc. Knotless Suture STRATAFIX™ Spiral K221744 MONOCRYL™ Plus Unidirectional Knotless…
ETHICON, Inc.2022—

Also cleared against K182873: 5 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
K252644PINION™ PDO Knotless Suture - Absorbable Poly (P-Dioxanone) Knotless Suture; PINION™…M/s. Meril Endo Surgery Private Limited.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 22 years and passes through 8 companies; a new generation was cleared every 1.0 years on median.
  • 17 of the 47 ancestors have a recall of any class.
  • Of its descendants, K252644 (M/s. Meril Endo Surgery Private Limited., 2025) has gone furthest, with 0 descendants of its own.
  • 5 other devices also cite its predicate K182873.

How does its category compare?

All NEW devices

NEW Suture, Surgical, Absorbable, Polydioxanone: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · NEW

6in 2025

2007: 22008: 52010: 32011: 12012: 32013: 52014: 12015: 22016: 32017: 12018: 32019: 42020: 32021: 12022: 12023: 12024: 32025: 62026 (partial year): 5
2007high 6 (2025) · low 0 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · NEW

146in 2025

2008: 22 days median2010: 270 days median2012: 113 days median2013: 32 days median2016: 254 days median2018: 441 days median2019: 144 days median2020: 230 days median2024: 48 days median2025: 146 days median2026 (partial year): 264 days median
2007high 441 (2018) · low 22 (2008)2026

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

Recalls per year · NEW

1in 2022

2008: 12009: 42012: 12013: 12014: 12019: 22022: 1
2007high 4 (2009) · low 0 (2007)2026

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

Adverse event reports per year · NEW

2,504in 2025

2007: 72008: 292009: 422010: 1152011: 592012: 822013: 1852014: 2742015: 2802016: 3212017: 4612018: 9002019: 1,1222020: 1,0102021: 1,4662022: 1,5372023: 1,9752024: 2,1142025: 2,504
2007high 2,504 (2025) · low 7 (2007)2025

MAUDE reports naming product code NEW, 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
20072—07
2008522129
20090—442
201032700115
20111—059
20123113182
20135321185
20141—1274
20152—0280
201632540321
20171—0461
201834410900
2019414421,122
2020323001,010
20211—01,466
20221—11,537
20231—01,975
202434802,114
2025614602,504
202652640—

What is it indicated for?

1. PINIONTM PDO Knotless Sutures are indicated for use in general soft tissue approximation where use of an absorbable suture is appropriate.

2. PINIONT M PGA-PCL Knotless Sutures are indicated for use in general soft tissue approximation where use of an absorbable suture is appropriate.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K232246: 1) PINION™ PDO Knotless Suture - Absorbable Poly (P-Dioxanone) Knotless Suture; 2) PINION™ PGA-PCL Knotless Suture - Absorbable Polyglycolic Acid - Poly (Glycolide-Co-Caprolactone) Knotless Suture.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K232246

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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