510(k) Report

510(k) · Cleared

Cleared

OSSIOfiber® Interference Screw

K252022510(k) TraditionalCleared Aug 19, 202550-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

OSSIO, Ltd. · MAI Fastener, Fixation, Biodegradable, Soft Tissue

Cleared on Aug 19, 2025 as substantially equivalent to K202535 (Arthrex, Inc., 2020) and 1 other predicate after a 50-day review. Its family tree reaches back 10 generations to 1996.

Decided
Aug 19, 2025
Review
50 days
Class
Class II
Product code
MAI
Recalls
None
Predicates
2

Its longest line of descent runs back 10 generations to K961555 (1996). 45 ancestors in all, the oldest K915424 (1993). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2020: 1 other ancestor2018: 1 other ancestor2013: 1 other ancestor2011: 1 other ancestor2009: 1 other ancestor2007: 2 other ancestors2006: 2 other ancestors2005: 4 other ancestors2004: 2 other ancestors2002: 2 other ancestors2008: 1 other ancestor2001: 3 other ancestors2000: 4 other ancestors1999: 3 other ancestors1998: 2 other ancestors1997: 2 other ancestors1996: 1 other ancestor1995: 1 other ancestor1993: 1 other ancestorReference device: K231272 · OSSIOfiber® Pin Product Family, OSSIOfiber® Compression Screw, OSSIOfiber® Trimmable Fixation Nail · OSSIO, Ltd. · 2023Reference device: K243760 · OSSIOfiber® Suture Anchor 2.5-3.5 mm · OSSIO, Ltd. · 2025Reference device: K251309 · OSSIOfiber® Suture Anchor · OSSIO, Ltd. · 2025K961555 · Acufex Tag Bioabsorbable Anchors · Acufex Microsurgical, Inc. · 1996K031685 · Tag Rod Bioraptor Suture Anchor 7209317, 7209318 · Smith & Nephew, Inc. · 2003 · recalled×2: 2 generations cleared close together, K053344 (2006), K061154 (2006) K071586 · Bioraptor 2.3 PK Suture Anchor · Smith & Nephew Inc., Endoscopy Division · 2007 · recalledK082215 · Osteoraptor Suture Anchor · Smith & Nephew Inc., Endoscopy Division · 2008 · recalledK121018 · Bioraptor 2.9, Bioraptor 2.3 PK, Osteoraptor, & Bioraptor Knotless Suture an · Smith & Nephew, Inc. · 2012K143660 · Milagro / Milagro Advance Interference Screw · Depuy Mitek, A Johnson & Johnson Company · 2015K161001 · MILAGRO ADVANCE PEEK Interference Screw · Medos International SARL · 2016K240441 · MILAGRO Interference Screw; MILAGRO ADVANCE Interference Screw · Depuy Mitek · 20241990200020102020
  1. Root · 10 generations backK961555 Acufex Tag Bioabsorbable AnchorsAcufex Microsurgical, Inc. · 1996
  2. 6 generations between
  3. 3 generations backK143660 Milagro / Milagro Advance Interference ScrewDepuy Mitek, A Johnson & Johnson Company · 2015
  4. 2 generations backK161001 MILAGRO ADVANCE PEEK Interference ScrewMedos International SARL · 2016
  5. 1 generation backK240441 MILAGRO Interference Screw; MILAGRO ADVANCE Interference ScrewDepuy Mitek · 2024
  6. This deviceK252022 OSSIOfiber® Interference ScrewOSSIO, Ltd. · 2025
Show all 10 generations
  1. Root · 10 generations backK961555 Acufex Tag Bioabsorbable AnchorsAcufex Microsurgical, Inc. · 1996
  2. 9 generations backK031685 Tag Rod Bioraptor Suture Anchor 7209317, 7209318Smith & Nephew, Inc. · 2003 · Recalled
  3. 8 generations backK053344 Bioraptor Suture Anchor, Twinfix 2.8 MM Suture Anchor, Twinfix 3.5…Smith & Nephew, Inc. · 2006
  4. 7 generations backK061154 Kinsa Suture AnchorSmith & Nephew, Inc. · 2006
  5. 6 generations backK071586 Bioraptor 2.3 PK Suture AnchorSmith & Nephew Inc., Endoscopy Division · 2007 · Recalled
  6. 5 generations backK082215 Osteoraptor Suture AnchorSmith & Nephew Inc., Endoscopy Division · 2008 · Recalled
  7. 4 generations backK121018 Bioraptor 2.9, Bioraptor 2.3 PK, Osteoraptor, & Bioraptor Knotless…Smith & Nephew, Inc. · 2012
  8. 3 generations backK143660 Milagro / Milagro Advance Interference ScrewDepuy Mitek, A Johnson & Johnson Company · 2015
  9. 2 generations backK161001 MILAGRO ADVANCE PEEK Interference ScrewMedos International SARL · 2016
  10. 1 generation backK240441 MILAGRO Interference Screw; MILAGRO ADVANCE Interference ScrewDepuy Mitek · 2024
  11. This deviceK252022 OSSIOfiber® Interference ScrewOSSIO, Ltd. · 2025
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−10K961555Acufex Tag Bioabsorbable AnchorsAcufex Microsurgical, Inc.1996—
−9K031685Tag Rod Bioraptor Suture Anchor 7209317, 7209318Smith & Nephew, Inc.20035
−8K053344Bioraptor Suture Anchor, Twinfix 2.8 MM Suture Anchor, Twinfix 3.5 MM Suture…Smith & Nephew, Inc.2006—
−7K061154Kinsa Suture AnchorSmith & Nephew, Inc.2006—
−6K071586Bioraptor 2.3 PK Suture AnchorSmith & Nephew Inc., Endoscopy Division20071
−5K082215Osteoraptor Suture AnchorSmith & Nephew Inc., Endoscopy Division20089
−4K121018Bioraptor 2.9, Bioraptor 2.3 PK, Osteoraptor, & Bioraptor Knotless Suture anSmith & Nephew, Inc.2012—
−3K143660Milagro / Milagro Advance Interference ScrewDepuy Mitek, A Johnson & Johnson Company2015—
−2K161001MILAGRO ADVANCE PEEK Interference ScrewMedos International SARL2016—
−1K240441MILAGRO Interference Screw; MILAGRO ADVANCE Interference ScrewDepuy Mitek2024—
0 (this device)K252022OSSIOfiber® Interference ScrewOSSIO, Ltd.2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199310
199510
199610
199720
199820
199930
200040
200130
200220
200420
200540
200620
200720
200810
200910
201110
201310
201810
202010
FIG. 1 — Lineage of K252022, 1996–2025Source: 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 MAI? 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 MAI device

  1. #1 K203495 Arthrex SwiveLock Anchorscore 35.2 · 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? (2)

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
*K202535Arthrex FastThread Interference Screw
Summary page 5
…appliances and accessories Regulatory Class: Class II, 21 C.F.R. § 888.3030 Product Code: MAI Primary Predicate: Arthrex FastThread Interference Screw (K202535) Additional Predicate: MILAGRO BR Interference Screws (5x23mm, 5x30mm, 6x23mm, 6x30…
Arthrex, Inc.2020—
*K240441MILAGRO Interference Screw; MILAGRO ADVANCE Interference Screw
Summary page 5
…tThread Interference Screw (K202535) Additional Predicate: MILAGRO BR Interference Screws (5x23mm, 5x30mm, 6x23mm, 6x30mm) (K240441) Reference Devices: OSSIOfiber® Pin Product Family, OSSIOfiber® Compression Screw,…
Depuy Mitek2024—
†K231272OSSIOfiber® Pin Product Family, OSSIOfiber® Compression Screw, OSSIOfiber® Trimmable…OSSIO, Ltd.2023—
†K243760OSSIOfiber® Suture Anchor 2.5-3.5 mmOSSIO, Ltd.2025—
†K251309OSSIOfiber® Suture AnchorOSSIO, Ltd.2025—

Also cleared against K202535: 1 other device →

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 29 years and passes through 7 companies; a new generation was cleared every 2.7 years on median.
  • 6 of the 45 ancestors have a recall of any class.
  • 1 other device also cites its predicate K202535.

How does its category compare?

All MAI devices

MAI Fastener, Fixation, Biodegradable, Soft Tissue: FDA decisions, review times, recalls and adverse event reports over 20 years. 2025, this device’s year, is highlighted.

FDA decisions per year · MAI

8in 2025

2007: 42008: 32009: 92010: 42011: 92012: 62013: 62014: 42015: 52016: 32017: 92018: 132019: 92020: 92021: 82022: 62023: 82024: 72025: 82026 (partial year): 5
2007high 13 (2018) · low 3 (2008)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · MAI

54in 2025

2007: 100 days median2008: 83 days median2009: 74 days median2010: 122 days median2011: 90 days median2012: 56 days median2013: 135 days median2014: 86 days median2015: 95 days median2016: 191 days median2017: 113 days median2018: 108 days median2019: 41 days median2020: 78 days median2021: 115 days median2022: 136 days median2023: 34 days median2024: 53 days median2025: 54 days median2026 (partial year): 69 days median
2007high 191 (2016) · low 34 (2023)2026

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

Recalls per year · MAI

40in 2020

2011: 52012: 102019: 22020: 402026 (partial year): 1
2007high 40 (2020) · low 0 (2007)2026

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

Adverse event reports per year · MAI

2,148in 2025

2007: 2722008: 1722009: 882010: 892011: 1292012: 1712013: 1662014: 1492015: 1822016: 3012017: 4782018: 1,5902019: 1,2482020: 9572021: 1,2672022: 1,4252023: 1,7182024: 2,3002025: 2,148
2007high 2,300 (2024) · low 88 (2009)2025

MAUDE reports naming product code MAI, 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
200741000272
20083830172
2009974088
20104122089
20119905129
201265610171
201361350166
20144860149
20155950182
201631910301
201791130478
20181310801,590
201994121,248
202097840957
2021811501,267
2022613601,425
202383401,718
202475302,300
202585402,148
20265691—

What is it indicated for?

The OSSIOfiber® Interference Screws, are indicated for fixation of tissue, including ligament or tendon to bone, or a bone/tendon to bone in adults and children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by fixation. Interference fixation is appropriate for surgeries of the knee, shoulder, elbow, ankle, foot, and hand/wrist where the sizes offered are patient appropriate…

Read the full statement (191 words)

The OSSIOfiber® Interference Screws, are indicated for fixation of tissue, including ligament or tendon to bone, or a bone/tendon to bone in adults and children (2-12 years) and adolescents (12-21 years) in which growth plates have fused or in which growth plates will not be crossed by fixation. Interference fixation is appropriate for surgeries of the knee, shoulder, elbow, ankle, foot, and hand/wrist where the sizes offered are patient appropriate; 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, Metatarsal Ligament Repair, Flexor Hallucis Longus for Achilles Tendon reconstruction, tendon transfers in the foot and ankle

• Knee: Repair/Reconstruction of the Anterior Cruciate Ligament, Posterior Cruciate Ligament, Medial Collateral Ligament, Lateral Collateral Ligament, Patellar Tendon, Posterior Oblique Ligament, Iliotibial Band Tenodesis, MPFL

• 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, tendon transfer in the hand/wrist

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K252022: OSSIOfiber® Interference Screw.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K252022

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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