510(k) Report

510(k) · Cleared

Cleared

Grappler Interference Screw System

K241864510(k) SpecialCleared Jul 25, 202428-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

Paragon 28, Inc. · MBI Fastener, Fixation, Nondegradable, Soft Tissue

Cleared on Jul 25, 2024 as substantially equivalent to K183690 (Paragon 28, Inc., 2019) after a 28-day review. Its family tree reaches back 2 generations to 2005. 1 later device descends from it.

Decided
Jul 25, 2024
Review
28 days
Class
Class II
Product code
MBI
Recalls
None
Predicates
1

Its longest line of descent runs back 2 generations to K051726 (2005). 1 later device descends from it, 1 citing it directly.

Descendants, by year cleared 2026: 1 descendant clearedK051726 · Arthrex Tenodesis Family · Arthrex, Inc. · 2005K183690 · Tenodesis Screw System · Paragon 28, Inc. · 201920052010201520202025
Descendants, by generation 1 generation forward: 1 descendant K183690 · Tenodesis Screw System · Paragon 28, Inc. · 2019K051726 · Arthrex Tenodesis Family · Arthrex, Inc. · 20050
  1. Root · 2 generations backK051726 Arthrex Tenodesis FamilyArthrex, Inc. · 2005
  2. 1 generation backK183690 Tenodesis Screw SystemParagon 28, Inc. · 2019
  3. This deviceK241864 Grappler Interference Screw SystemParagon 28, Inc. · 2024
  4. Descendant · cites it directly · 0 of its ownK253886 Grappler Suture Anchor PCFD Tether SystemParagon 28, Inc. · 2026

Most influential descendants

Showing 1 of 1 · See all
  • K253886Grappler Suture Anchor PCFD Tether SystemParagon 28, Inc. · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K051726Arthrex Tenodesis FamilyArthrex, Inc.2005—
−1K183690Tenodesis Screw SystemParagon 28, Inc.2019—
0 (this device)K241864Grappler Interference Screw SystemParagon 28, Inc.2024—
+1K253886Grappler Suture Anchor PCFD Tether SystemParagon 28, Inc.2026—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202610
FIG. 1 — Lineage of K241864, 2005–2026Source: 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? (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
*K183690Tenodesis Screw System
Summary page 7
…are provided in multiple lengths and sizes to accommodate variations in patient anatomy. Predicate Device: Grappler Interference Screw System (K183690) Substantial The Grappler Interference Screw System is substantially Equivalence: equivalent to the primary p…
Paragon 28, Inc.2019—

Also cleared against K183690: 1 other device →

What descends from it? (1)

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

NumberDeviceApplicantDecidedDescendants
K253886Grappler Suture Anchor PCFD Tether SystemParagon 28, Inc.20260

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 19 years and passes through 2 companies; a new generation was cleared every 13.4 years on median.
  • None of the 2 ancestors has a recall.
  • Of its descendants, K253886 (Paragon 28, Inc., 2026) has gone furthest, with 0 descendants of its own.
  • 1 other device also cites its predicate K183690.

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 Grappler Interference Screw System is intended for soft tissue reattachment, i.e. fixation of ligament and tendon graft tissue and tendon transfers in surgeries of the shoulder, elbow, knee, foot/ankle, and hand/wrist. Specifically: Shoulder: » Rotator Cuff Repairs » Bankart Repair * SLAP Lesion Repair * Biceps Tenodesis » Acromio-Clavicular Separation Repair * Deltoid Repair » Capsular Shift or Capsulolabral Reconstruction. Foot/Ankle: * Lateral…

Read the full statement (209 words)

The Grappler Interference Screw System is intended for soft tissue reattachment, i.e. fixation of ligament and tendon graft tissue and tendon transfers in surgeries of the shoulder, elbow, knee, foot/ankle, and hand/wrist. Specifically:

Shoulder:

» Rotator Cuff Repairs

» Bankart Repair

* SLAP Lesion Repair

* Biceps Tenodesis

» Acromio-Clavicular Separation Repair

* Deltoid Repair

» Capsular Shift or Capsulolabral Reconstruction.

Foot/Ankle:

* Lateral Stabilization

* Medial Stabilization

* Achilles Tendon Repair

» Hallux Valgus Reconstruction

» Midfoot Reconstruction (e.g. reconstruction of the Spring Ligament to address Progressive Collapsing Flatfoot Deformity)

* Hindfoot Reconstruction (e.g. reconstruction of the Interosseous Talocalcaneal Ligament and/or Spring Ligament to address Progressive Collapsing Flatfoot Deformity)

» Metatarsal Ligament Repair

* Flexor Hallucis Longus Transfer for Achilles Tendon Reconstruction, and

* Flexor Digitorum Longus Transfer for Posterior Tibial Tendon Reconstruction.

Knee:

* Anterior Cruciate Ligament Repair

* Medial Collateral Ligament Repair

» Lateral Collateral Ligament Repair

* Patellar Tendon Repair

* Posterior Oblique Ligament Repair

* llliotibial Band Tenodesis

Elbow:

* Biceps Tendon Reattachment

* Ulnar or Radial Collateral Ligament Reconstruction

Hand/Wrist:

» Scapholunate Ligament Reconstruction

» Ulnar Collateral Ligament Reconstruction

» Radial Collateral Ligament Reconstruction

» Carpometacarpal joint arthroplasty (basal thumb joint arthroplasty)

Carpal Ligament Reconstructions and repairs

» Ligament Reconstruction and Tendon Interposition.

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. “K241864: Grappler Interference Screw System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K241864

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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