510(k) Report

510(k) · Cleared

Cleared

Arthrex TightRope II

K241235510(k) SpecialCleared May 29, 202427-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 May 29, 2024 as substantially equivalent to K231857 (Arthrex, Inc., 2023) and 3 other predicates after a 27-day review. Its family tree reaches back 15 generations to 1996. 3 later devices descend from it.

Decided
May 29, 2024
Review
27 days
Class
Class II
Product code
MBI
Recalls
None
Predicates
4

Its longest line of descent runs back 15 generations to K961555 (1996). 121 ancestors in all, the oldest K792022 (1979). 3 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2023: 3 other ancestors2022: 1 other ancestor2020: 1 other ancestor2018: 1 other ancestor2013: 1 other ancestor2017: 2 other ancestors2016: 1 other ancestor2015: 1 other ancestor2011: 6 other ancestors2008: 1 other ancestor2012: 1 other ancestor2010: 1 other ancestor2007: 2 other ancestors2006: 6 other ancestors2005: 6 other ancestors2004: 4 other ancestors1998: 6 other ancestors2014: 1 other ancestor2009: 1 other ancestor2003: 3 other ancestors2001: 10 other ancestors1999: 9 other ancestors1997: 7 other ancestors1996: 8 other ancestors1992: 1 other ancestor1982: 1 other ancestor2002: 3 other ancestors2000: 7 other ancestors1994: 2 other ancestors1993: 2 other ancestors1995: 4 other ancestors1990: 2 other ancestors1979: 1 other ancestor2025: 2 descendants cleared2026: 1 descendant clearedReference device: K221128 · Arthrex ACL TightRope®, PCL TightRope®, and TightRope® II · Arthrex, Inc. · 2022Reference device: K202581 · Arthrex TightRope II · Arthrex, Inc. · 2020K961555 · Acufex Tag Bioabsorbable Anchors · Acufex Microsurgical, Inc. · 1996K031685 · Tag Rod Bioraptor Suture Anchor 7209317, 7209318 · Smith & Nephew, Inc. · 2003 · recalledK053344 · Bioraptor Suture Anchor, Twinfix 2.8 MM Suture Anchor, Twinfix 3.5 MM Suture Anchor · Smith & Nephew, Inc. · 2006K061863 · Arthrex Corkscrew Suture Anchor, Tak, and Pushlock Family · Arthrex, Inc. · 2006K071177 · Arthrex Bio- Composite Suture Anchors: Bio-Composite Pushlock, Bio-Composite Tak, Bio-Composite Corkscrew · Arthrex, Inc. · 2007K091844 · Arthrex Bio-Composite Suturetak Anchors · Arthrex, Inc. · 2009K112237 · Microsuture Anchors · Arthrex, Inc. · 2011K140476 · Arthrex Fibertak Suture Anchor · Arthrex, Inc. · 2014K151230 · Arthrex FiberTak Anchors · Arthrex, Inc. · 2015K181769 · Arthrex FiberTak Suture Anchor · Arthrex, Inc. · 2018K200341 · Arthrex FiberTak Suture Anchor · Arthrex, Inc. · 2020K203268 · Arthrex FiberTak Suture Anchor · Arthrex, Inc. · 2020×3: 3 generations cleared close together, K230568 (2023), K231330 (2023), K232973 (2023) 19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 3 other ancestors2 generations back: 4 other ancestors3 generations back: 8 other ancestors4 generations back: 10 other ancestors5 generations back: 20 other ancestors6 generations back: 26 other ancestors7 generations back: 26 other ancestors8 generations back: 9 other ancestors 1 generation forward: 3 descendants K232973 · Arthrex Knee FiberTak® Button Suture Anchor · Arthrex, Inc. · 2023K231330 · FiberTak® Suture Anchor · Arthrex, Inc. · 2023K230568 · FiberTak Suture Anchor · Arthrex, Inc. · 2023K203268 · Arthrex FiberTak Suture Anchor · Arthrex, Inc. · 2020K200341 · Arthrex FiberTak Suture Anchor · Arthrex, Inc. · 2020K181769 · Arthrex FiberTak Suture Anchor · Arthrex, Inc. · 2018K151230 · Arthrex FiberTak Anchors · Arthrex, Inc. · 2015K140476 · Arthrex Fibertak Suture Anchor · Arthrex, Inc. · 2014K112237 · Microsuture Anchors · Arthrex, Inc. · 2011K091844 · Arthrex Bio-Composite Suturetak Anchors · Arthrex, Inc. · 2009K071177 · Arthrex Bio- Composite Suture Anchors: Bio-Composite Pushlock, Bio-Composite Tak, Bio-Composite Corkscrew · Arthrex, Inc. · 2007K061863 · Arthrex Corkscrew Suture Anchor, Tak, and Pushlock Family · Arthrex, Inc. · 2006K053344 · Bioraptor Suture Anchor, Twinfix 2.8 MM Suture Anchor, Twinfix 3.5 MM Suture Anchor · Smith & Nephew, Inc. · 2006K031685 · Tag Rod Bioraptor Suture Anchor 7209317, 7209318 · Smith & Nephew, Inc. · 2003 · recalledK961555 · Acufex Tag Bioabsorbable Anchors · Acufex Microsurgical, Inc. · 1996−15−10−50
  1. Root · 15 generations backK961555 Acufex Tag Bioabsorbable AnchorsAcufex Microsurgical, Inc. · 1996
  2. 11 generations between
  3. 3 generations backK230568 FiberTak Suture AnchorArthrex, Inc. · 2023
  4. 2 generations backK231330 FiberTak® Suture AnchorArthrex, Inc. · 2023
  5. 1 generation backK232973 Arthrex Knee FiberTak® Button Suture AnchorArthrex, Inc. · 2023
  6. This deviceK241235 Arthrex TightRope IIArthrex, Inc. · 2024
  7. Descendant · cites it directly · 0 of its ownK260405 FiberTape ButtonArthrex, Inc. · 2026
  8. Descendant · cites it directly · 0 of its ownK250867 Dunamis Screw and Suture Locking SystemDunamis Medical, LLC · 2025
  9. Descendant · cites it directly · 0 of its ownK250424 Arthrex TightRope Soft Button, RTArthrex, Inc. · 2025
Show all 15 generations
  1. Root · 15 generations backK961555 Acufex Tag Bioabsorbable AnchorsAcufex Microsurgical, Inc. · 1996
  2. 14 generations backK031685 Tag Rod Bioraptor Suture Anchor 7209317, 7209318Smith & Nephew, Inc. · 2003 · Recalled
  3. 13 generations backK053344 Bioraptor Suture Anchor, Twinfix 2.8 MM Suture Anchor, Twinfix 3.5…Smith & Nephew, Inc. · 2006
  4. 12 generations backK061863 Arthrex Corkscrew Suture Anchor, Tak, and Pushlock FamilyArthrex, Inc. · 2006
  5. 11 generations backK071177 Arthrex Bio- Composite Suture Anchors: Bio-Composite Pushlock…Arthrex, Inc. · 2007
  6. 10 generations backK091844 Arthrex Bio-Composite Suturetak AnchorsArthrex, Inc. · 2009
  7. 9 generations backK112237 Microsuture AnchorsArthrex, Inc. · 2011
  8. 8 generations backK140476 Arthrex Fibertak Suture AnchorArthrex, Inc. · 2014
  9. 7 generations backK151230 Arthrex FiberTak AnchorsArthrex, Inc. · 2015
  10. 6 generations backK181769 Arthrex FiberTak Suture AnchorArthrex, Inc. · 2018
  11. 5 generations backK200341 Arthrex FiberTak Suture AnchorArthrex, Inc. · 2020
  12. 4 generations backK203268 Arthrex FiberTak Suture AnchorArthrex, Inc. · 2020
  13. 3 generations backK230568 FiberTak Suture AnchorArthrex, Inc. · 2023
  14. 2 generations backK231330 FiberTak® Suture AnchorArthrex, Inc. · 2023
  15. 1 generation backK232973 Arthrex Knee FiberTak® Button Suture AnchorArthrex, Inc. · 2023
  16. This deviceK241235 Arthrex TightRope IIArthrex, Inc. · 2024

Most influential descendants

Showing 3 of 3 · See all
  • K260405FiberTape ButtonArthrex, Inc. · 2026 · cites it directly0descendants
  • K250867Dunamis Screw and Suture Locking SystemDunamis Medical, LLC · 2025 · cites it directly0descendants
  • K250424Arthrex TightRope Soft Button, RTArthrex, Inc. · 2025 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−15K961555Acufex Tag Bioabsorbable AnchorsAcufex Microsurgical, Inc.1996—
−14K031685Tag Rod Bioraptor Suture Anchor 7209317, 7209318Smith & Nephew, Inc.20035
−13K053344Bioraptor Suture Anchor, Twinfix 2.8 MM Suture Anchor, Twinfix 3.5 MM Suture…Smith & Nephew, Inc.2006—
−12K061863Arthrex Corkscrew Suture Anchor, Tak, and Pushlock FamilyArthrex, Inc.2006—
−11K071177Arthrex Bio- Composite Suture Anchors: Bio-Composite Pushlock, Bio-Composite…Arthrex, Inc.2007—
−10K091844Arthrex Bio-Composite Suturetak AnchorsArthrex, Inc.2009—
−9K112237Microsuture AnchorsArthrex, Inc.2011—
−8K140476Arthrex Fibertak Suture AnchorArthrex, Inc.2014—
−7K151230Arthrex FiberTak AnchorsArthrex, Inc.2015—
−6K181769Arthrex FiberTak Suture AnchorArthrex, Inc.2018—
−5K200341Arthrex FiberTak Suture AnchorArthrex, Inc.2020—
−4K203268Arthrex FiberTak Suture AnchorArthrex, Inc.2020—
−3K230568FiberTak Suture AnchorArthrex, Inc.2023—
−2K231330FiberTak® Suture AnchorArthrex, Inc.2023—
−1K232973Arthrex Knee FiberTak® Button Suture AnchorArthrex, Inc.2023—
0 (this device)K241235Arthrex TightRope IIArthrex, Inc.2024—
+1K260405FiberTape ButtonArthrex, Inc.2026—
+1K250867Dunamis Screw and Suture Locking SystemDunamis Medical, LLC2025—
+1K250424Arthrex TightRope Soft Button, RTArthrex, Inc.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198210
199020
199210
199320
199420
199540
199680
199770
199860
199990
200070
2001100
200230
200330
200440
200560
200660
200720
200810
200910
201010
201160
201210
201310
201410
201510
201610
201720
201810
202010
202210
202330

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202520
202610
FIG. 1 — Lineage of K241235, 1996–2026Source: 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? (4)

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
*K231857Arthrex TightRope II
Summary page 5
…Classification Name 21 CFR 888.3040: Smooth or threaded metallic bone fastener Regulatory Class II Primary Predicate Device K231857 Arthrex TightRope II Reference Devices K221128 Arthrex TightRope II K202581 Arthrex TightRope…
Arthrex, Inc.2023—
*K232973Arthrex Knee FiberTak® Button Suture Anchor
Summary page 5
…K231857 Arthrex TightRope II Reference Devices K221128 Arthrex TightRope II K202581 Arthrex TightRope II K232973 Arthrex FiberTak Suture Anchor K232742 Arthrex FiberTak Suture Anchor K2311…
Arthrex, Inc.2023—
*K232742Arthrex FiberTak Suture Anchor
Summary page 5
…Arthrex TightRope II K202581 Arthrex TightRope II K232973 Arthrex FiberTak Suture Anchor K232742 Arthrex FiberTak Suture Anchor K231113 Arthrex FiberTak Suture Anchor Purpose of Submission This…
Arthrex, Inc.2023—
*K231113Arthrex FiberTak Suture Anchor
Summary page 5
…ghtRope II K232973 Arthrex FiberTak Suture Anchor K232742 Arthrex FiberTak Suture Anchor K231113 Arthrex FiberTak Suture Anchor Purpose of Submission This Traditional 510(k) premarket notification is…
Arthrex, Inc.2023—
†K221128Arthrex ACL TightRope®, PCL TightRope®, and TightRope® IIArthrex, Inc.2022—
†K202581Arthrex TightRope IIArthrex, Inc.2020—

What descends from it? (3)

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

NumberDeviceApplicantDecidedDescendants
K260405FiberTape ButtonArthrex, Inc.20260
K250867Dunamis Screw and Suture Locking SystemDunamis Medical, LLC20250
K250424Arthrex TightRope Soft Button, RTArthrex, 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 28 years and passes through 3 companies; a new generation was cleared every 1.5 years on median.
  • 13 of the 121 ancestors have a recall of any class.
  • Of its descendants, K260405 (Arthrex, Inc., 2026) has gone furthest, with 0 descendants of its own.

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. 2024, 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; MCL, POL, LCL repair and reconstruction; IBT and PRT repair; and MPFL, ALL, quadriceps tendon, PLC repair and reconstruction.

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. “K241235: 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/K241235

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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