510(k) Report

510(k) · Cleared

Cleared

EXPERT - Flexible Joint Fixation System

K242311510(k) TraditionalCleared Nov 1, 202488-day reviewClass II21 CFR 888.3030

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

GM Dos Reis Industria e Comercio Ltda. · HTN Washer, Bolt Nut

Cleared on Nov 1, 2024 as substantially equivalent to K200332 (GM Dos Reis Industria e Comercio Ltda., 2020) and 2 other predicates after an 88-day review. Its family tree reaches back 12 generations to 1979.

Decided
Nov 1, 2024
Review
88 days
Class
Class II
Product code
HTN
Recalls
None
Predicates
3

Its longest line of descent runs back 12 generations to K792022 (1979). 62 ancestors in all. No later device cites it as a predicate yet.

Other ancestors, by year cleared 2010: 1 other ancestor2006: 1 other ancestor2004: 3 other ancestors2003: 2 other ancestors2002: 3 other ancestors2001: 7 other ancestors2009: 1 other ancestor1999: 5 other ancestors1998: 3 other ancestors1996: 7 other ancestors2008: 1 other ancestor2000: 3 other ancestors1997: 4 other ancestors1994: 2 other ancestors1992: 1 other ancestor1995: 3 other ancestors1993: 1 other ancestor1990: 2 other ancestorsReference device: K223114 · Suture Anchors - HTA Headless Titanium Anchor and Zip Anchors · Gm Dos Reis Industria E Comerico Ltda. · 2023K792022 · Herbert Bone Screw · Zimmer, Inc. · 1979 · recalledK974876 · Bionx Distal Radius Screw · Bionx Implants, Inc. · 1998K992947 · Cannulated Smartscrew Models 224540C, 224570C · Bionx Implants, Ltd. · 1999K012001 · Smartscrew · Bionx Implants, Ltd. · 2001K030900 · Inion Otps Biodegradable Fixaton System · Inion, Ltd. · 2003K043248 · Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel. Model AR-8921DS · Arthrex, Inc. · 2005K052776 · Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models AR-2257, AR-TBD · Arthrex, Inc. · 2005K061925 · Mini Tightrope Repair Kit, Model AR-8911DS · Arthrex, Inc. · 2006K071978 · Mini Tightrope FT Repair Kit · Arthrex, Inc. · 2007K090107 · Mini Tightrope · Arthrex, Inc. · 2009K111032 · CMC Cable Fix · Instratek, Inc. · 2011K200332 · EXPERT - Joint Fixation System · GM Dos Reis Industria e Comercio Ltda. · 202019801990200020102020
  1. Root · 12 generations backK792022 Herbert Bone ScrewZimmer, Inc. · 1979 · Recalled
  2. 8 generations between
  3. 3 generations backK090107 Mini TightropeArthrex, Inc. · 2009
  4. 2 generations backK111032 CMC Cable FixInstratek, Inc. · 2011
  5. 1 generation backK200332 EXPERT - Joint Fixation SystemGM Dos Reis Industria e Comercio Ltda. · 2020
  6. This deviceK242311 EXPERT - Flexible Joint Fixation SystemGM Dos Reis Industria e Comercio Ltda. · 2024
Show all 12 generations
  1. Root · 12 generations backK792022 Herbert Bone ScrewZimmer, Inc. · 1979 · Recalled
  2. 11 generations backK974876 Bionx Distal Radius ScrewBionx Implants, Inc. · 1998
  3. 10 generations backK992947 Cannulated Smartscrew Models 224540C, 224570CBionx Implants, Ltd. · 1999
  4. 9 generations backK012001 SmartscrewBionx Implants, Ltd. · 2001
  5. 8 generations backK030900 Inion Otps Biodegradable Fixaton SystemInion, Ltd. · 2003
  6. 7 generations backK043248 Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS…Arthrex, Inc. · 2005
  7. 6 generations backK052776 Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel…Arthrex, Inc. · 2005
  8. 5 generations backK061925 Mini Tightrope Repair Kit, Model AR-8911DSArthrex, Inc. · 2006
  9. 4 generations backK071978 Mini Tightrope FT Repair KitArthrex, Inc. · 2007
  10. 3 generations backK090107 Mini TightropeArthrex, Inc. · 2009
  11. 2 generations backK111032 CMC Cable FixInstratek, Inc. · 2011
  12. 1 generation backK200332 EXPERT - Joint Fixation SystemGM Dos Reis Industria e Comercio Ltda. · 2020
  13. This deviceK242311 EXPERT - Flexible Joint Fixation SystemGM Dos Reis Industria e Comercio Ltda. · 2024
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−12K792022Herbert Bone ScrewZimmer, Inc.19796
−11K974876Bionx Distal Radius ScrewBionx Implants, Inc.1998—
−10K992947Cannulated Smartscrew Models 224540C, 224570CBionx Implants, Ltd.1999—
−9K012001SmartscrewBionx Implants, Ltd.2001—
−8K030900Inion Otps Biodegradable Fixaton SystemInion, Ltd.2003—
−7K043248Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel.…Arthrex, Inc.2005—
−6K052776Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models…Arthrex, Inc.2005—
−5K061925Mini Tightrope Repair Kit, Model AR-8911DSArthrex, Inc.2006—
−4K071978Mini Tightrope FT Repair KitArthrex, Inc.2007—
−3K090107Mini TightropeArthrex, Inc.2009—
−2K111032CMC Cable FixInstratek, Inc.2011—
−1K200332EXPERT - Joint Fixation SystemGM Dos Reis Industria e Comercio Ltda.2020—
0 (this device)K242311EXPERT - Flexible Joint Fixation SystemGM Dos Reis Industria e Comercio Ltda.2024—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199020
199210
199310
199420
199530
199670
199740
199830
199950
200030
200170
200230
200320
200430
200610
200810
200910
201010
FIG. 1 — Lineage of K242311, 1979–2024Source: 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 HTN? 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 HTN device

  1. #1 K201522 Arthrex Syndesmosis TightRope XP Buttress…score 16.4 · 6 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
*K200332EXPERT - Joint Fixation System
Summary page 5
…21 CFR 888.3030 III. Predicate Devices: Legally marketed devices to which we are claiming “Substantial Equivalence” are the following: EXPERT - Joint Fixation System (K200332) (Primary predicate device); ACL TightRope (K100652) (Additional predicate device); TightRopeTM Acromioclavicular (AC) Device (K0…
GM Dos Reis Industria e Comercio Ltda.2020—
*K100652Acl Tightrope
Summary page 5
…arketed devices to which we are claiming “Substantial Equivalence” are the following: EXPERT - Joint Fixation System (K200332) (Primary predicate device); ACL TightRope (K100652) (Additional predicate device); TightRopeTM Acromioclavicular (AC) Device (K052776) (Additional predicate device); Suture Anchors…
Arthrex, Inc.2010—
*K052776Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models AR-2257…
Summary page 5
…g: EXPERT - Joint Fixation System (K200332) (Primary predicate device); ACL TightRope (K100652) (Additional predicate device); TightRopeTM Acromioclavicular (AC) Device (K052776) (Additional predicate device); Suture Anchors - HTA Headless Titanium Anchor and ZIP Anchors (K223114) (Reference device). IV.…
Arthrex, Inc.2005—
†K223114Suture Anchors - HTA Headless Titanium Anchor and Zip AnchorsGm Dos Reis Industria E Comerico Ltda.2023—

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 45 years and passes through 7 companies; a new generation was cleared every 1.9 years on median.
  • 5 of the 62 ancestors have a recall of any class.

How does its category compare?

All HTN devices

HTN Washer, Bolt Nut: FDA decisions, review times, recalls and adverse event reports over 20 years. 2024, this device’s year, is highlighted.

FDA decisions per year · HTN

4in 2025

2007: 12008: 22009: 32011: 42013: 32014: 82015: 22016: 12017: 62018: 22019: 52020: 32021: 22022: 52023: 22024: 62025: 42026 (partial year): 2
2007high 8 (2014) · low 0 (2010)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · HTN

75in 2025

2009: 86 days median2011: 130 days median2013: 105 days median2014: 98 days median2017: 88 days median2019: 116 days median2020: 87 days median2022: 86 days median2024: 90 days median2025: 75 days median
2007high 130 (2011) · low 75 (2025)2026

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

Recalls per year · HTN

1in 2019

2013: 12019: 1
2007high 1 (2013) · low 0 (2007)2026

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

Adverse event reports per year · HTN

190in 2025

2007: 142008: 112009: 222010: 172011: 122012: 692013: 452014: 332015: 352016: 432017: 302018: 482019: 532020: 812021: 1492022: 852023: 1082024: 2692025: 190
2007high 269 (2024) · low 11 (2008)2025

MAUDE reports naming product code HTN, 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
20071—014
20082—011
2009386022
20100—017
20114130012
20120—069
20133105145
2014898033
20152—035
20161—043
2017688030
20182—048
20195116153
2020387081
20212—0149
2022586085
20232—0108
20246900269
20254750190
20262—0—

What is it indicated for?

The EXPERT - Flexible Joint Fixation System is intended as an adjunct in fracture repair involving metaphyseal and periarticular bone fragments where screws are not indicated, and as an adjunct in external and intramedullary fixation systems involving plates and nails, with fracture braces and casting. The EXPERT - Flexible Joint Fixation System are intended to provide fixation during the healing process following: EXPERT FAST - SYNDESMOSIS and EXPERT…

Read the full statement (172 words)

The EXPERT - Flexible Joint Fixation System is intended as an adjunct in fracture repair involving

metaphyseal and periarticular bone fragments where screws are not indicated, and as an adjunct in external

and intramedullary fixation systems involving plates and nails, with fracture braces and casting. The EXPERT

- Flexible Joint Fixation System are intended to provide fixation during the healing process following:

EXPERT FAST - SYNDESMOSIS and EXPERT FAST DUAL:

Syndesmotic trauma, such as fixation of syndesmosis (syndesmosis disruptions) in connection with Weber

B and C ankle fractures.

EXPERT ACL and EXPERT ACL II:

Fixation of bone to bone or soft tissue to bone, and is intended as fixation posts, a distribution bridge, or for

distributing suture tension over areas of ligament or tendon repair. Specifically, these models are offered for

Anterior Cruciate Ligament (ACL) Repair.

EXPERT FAST - CORACOID PLATE and EXPERT FAST- AC:

Specifically, these models are intended to provide fixation during the healing process following a syndesmotic

trauma, such as fixation of acromioclavicular separations due to coracoclavicular ligament disruptions.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K242311: EXPERT - Flexible Joint Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K242311

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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