510(k) Report

510(k) · Cleared

Cleared

Endobutton Continuous Loop

K980155510(k) TraditionalCleared Apr 1, 199875-day reviewClass II21 CFR 878.5000

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

Smith & Nephew, Inc. · GAT Suture, Nonabsorbable, Synthetic, Polyethylene

Cleared on Apr 1, 1998 as substantially equivalent to K922559 (Acufex Microsurgical, Inc., 1992) and 1 other predicate after a 75-day review. Its family tree reaches back 1 generation to 1992. 347 later devices descend from it.

Decided
Apr 1, 1998
Review
75 days
Class
Class II
Product code
GAT
Recalls
None
Predicates
2

Its longest line of descent runs back 1 generation to K922559 (1992). 2 ancestors in all. 347 later devices descend from it, 14 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1996: 1 other ancestor2019: 28 descendants cleared2011: 8 descendants cleared2024: 35 descendants cleared2013: 10 descendants cleared2009: 3 descendants cleared2008: 5 descendants cleared2005: 4 descendants cleared2015: 11 descendants cleared1999: 1 descendant cleared2004: 2 descendants cleared2003: 1 descendant cleared2007: 2 descendants cleared2006: 3 descendants cleared2010: 1 descendant cleared2012: 4 descendants cleared2023: 27 descendants cleared2014: 18 descendants cleared2016: 8 descendants cleared2022: 26 descendants cleared2021: 24 descendants cleared2018: 15 descendants cleared2017: 18 descendants cleared2020: 24 descendants cleared2025: 32 descendants cleared2026: 37 descendants clearedK922559 · Acufex Endofix Button · Acufex Microsurgical, Inc. · 19921990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor 1 generation forward: 14 descendants2 generations forward: 22 descendants3 generations forward: 67 descendants4 generations forward: 64 descendants5 generations forward: 58 descendants6 generations forward: 50 descendants7 generations forward: 42 descendants8 generations forward: 12 descendants9 generations forward: 7 descendants10 generations forward: 6 descendants11 generations forward: 3 descendants12 generations forward: 2 descendants K922559 · Acufex Endofix Button · Acufex Microsurgical, Inc. · 19920+5+10
  1. Root · 1 generation backK922559 Acufex Endofix ButtonAcufex Microsurgical, Inc. · 1992
  2. This deviceK980155 Endobutton Continuous LoopSmith & Nephew, Inc. · 1998
  3. Descendant · cites it directly · 310 of its ownK984550 Pre-Threaded EndobuttonSmith & Nephew, Inc. · 1999
  4. Descendant · 2 generations on · 306 of its ownK043248 Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS…Arthrex, Inc. · 2005
  5. Descendant · 3 generations on · 217 of its ownK052776 Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel…Arthrex, Inc. · 2005
  6. Descendant · cites it directly · 161 of its ownK031666 Arthrex Fiberwire Button Repair Kit, Model AR-8920DS/AR-8921DSArthrex, Inc. · 2003 · Recalled
  7. Descendant · 2 generations on · 143 of its ownK062747 Arthrex Retrobutton, 15MM, 60MM, Retrobutton, Long, 15MM, 60MMArthrex, Inc. · 2006

Showing 5 of 347 descendants. See all descendants

Descendants cleared per year

1999: 12003: 12004: 22005: 42006: 32007: 22008: 52009: 32010: 12011: 82012: 42013: 102014: 182015: 112016: 82017: 182018: 152019: 282020: 242021: 242022: 262023: 272024: 352025: 322026: 37
1999high 37 (2026) · low 0 (2000)2026

Most influential descendants

Showing 5 of 347 · See all
  • K984550Pre-Threaded EndobuttonSmith & Nephew, Inc. · 1999 · cites it directly310descendants
  • K043248Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel. Model…Arthrex, Inc. · 2005 · 2 generations on306descendants
  • K052776Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models AR-2257…Arthrex, Inc. · 2005 · 3 generations on217descendants
  • K031666Arthrex Fiberwire Button Repair Kit, Model AR-8920DS/AR-8921DSArthrex, Inc. · 2003 · cites it directly161descendants
  • K062747Arthrex Retrobutton, 15MM, 60MM, Retrobutton, Long, 15MM, 60MMArthrex, Inc. · 2006 · 2 generations on143descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−1K922559Acufex Endofix ButtonAcufex Microsurgical, Inc.1992—
0 (this device)K980155Endobutton Continuous LoopSmith & Nephew, Inc.1998—
+1K984550Pre-Threaded EndobuttonSmith & Nephew, Inc.1999—
+2K043248Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel.…Arthrex, Inc.2005—
+3K052776Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models…Arthrex, Inc.2005—
+1K031666Arthrex Fiberwire Button Repair Kit, Model AR-8920DS/AR-8921DSArthrex, Inc.20031
+2K062747Arthrex Retrobutton, 15MM, 60MM, Retrobutton, Long, 15MM, 60MMArthrex, Inc.2006—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
199910
200310
200420
200540
200630
200720
200850
200930
201010
201180
201240
2013100
2014180
2015110
201680
2017180
2018150
2019280
2020240
2021240
2022260
2023270
2024350
2025320
2026370
FIG. 1 — Lineage of K980155, 1992–2026Source: 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 GAT? 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 GAT device

  1. #1 K230311 HyperSuturescore 20.2 · 7 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
*K922559Acufex Endofix Button
Summary page 3
…and the substantially equivalent devices is presented in the table below. EndoButton Continuous Loop 510K bute EndoButton Continuous EndoButton EndoButton Tape y Loop K922559 K952535 Indication Fixation of tendons and Soft Tissue Fixation Soft tissue approximation ligaments during and Repair specificall…
Acufex Microsurgical, Inc.1992—
*K952535Acufex Endobutton Tape
Summary page 3
…substantially equivalent devices is presented in the table below. EndoButton Continuous Loop 510K bute EndoButton Continuous EndoButton EndoButton Tape y Loop K922559 K952535 Indication Fixation of tendons and Soft Tissue Fixation Soft tissue approximation ligaments during and Repair specifically for us…
Acufex Microsurgical, Inc.19962

Also cleared against K922559: 1 other device →

What descends from it? (347)

See all 347

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

NumberDeviceApplicantDecidedDescendants
K984550Pre-Threaded EndobuttonSmith & Nephew, Inc.1999310
K031666Arthrex Fiberwire Button Repair Kit, Model AR-8920DS/AR-8921DSArthrex, Inc.2003161
K033838Titanium Toggle Button (S)Biomet Manufacturing, Inc.200497
K070780Conmed Linvatec XO ButtonConmed Linvatec200738
K102982Endobutton DirectSmith & Nephew Inc., Endoscopy Division201136
K090923Parcus Graft Fixation SystemParcus Medical, LLC200921
K130217Orthopediatrics Acl Reconstructive SystemOrthoPediatrics Corp.20134
K130814Rigidloop Fixation Device (15MM, 60MM, XL, 20MM, 25MM, 30MM, 35MM, 40MM, 45MM, 50MM, 55MMDepuy Mitek, A Johnson & Johnson Company20133
K080974TLS Fixation SystemFournitures Hospitalieres Industrie20082
K151601Secure-LoopXiros, Ltd.20151

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?

  • 1 of the 2 ancestors has a recall of any class.
  • Of its descendants, K984550 (Smith & Nephew, Inc., 1999) has gone furthest, with 310 descendants of its own.
  • 1 other device also cites its predicate K922559.

How does its category compare?

All GAT devices

GAT Suture, Nonabsorbable, Synthetic, Polyethylene: FDA decisions, review times, recalls and adverse event reports over 20 years.

FDA decisions per year · GAT

5in 2025

2007: 62008: 42009: 92010: 112011: 12012: 62013: 42014: 42015: 72016: 102017: 62018: 62019: 42020: 52021: 42022: 52023: 82024: 32025: 52026 (partial year): 5
2007high 11 (2010) · low 1 (2011)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · GAT

30in 2025

2007: 40 days median2008: 93 days median2009: 57 days median2010: 27 days median2012: 61 days median2013: 123 days median2014: 45 days median2015: 125 days median2016: 139 days median2017: 57 days median2018: 95 days median2019: 79 days median2020: 201 days median2021: 92 days median2022: 109 days median2023: 220 days median2024: 140 days median2025: 30 days median2026 (partial year): 83 days median
2007high 220 (2023) · low 27 (2010)2026

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

Recalls per year · GAT

1in 2011

2007: 12010: 32011: 1
2007high 3 (2010) · low 0 (2008)2026

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

Adverse event reports per year · GAT

2,956in 2025

2007: 152008: 152009: 552010: 792011: 972012: 2532013: 2102014: 1652015: 6262016: 6882017: 1,1042018: 1,4532019: 1,2512020: 1,2202021: 1,6432022: 1,4192023: 2,0382024: 2,5972025: 2,956
2007high 2,956 (2025) · low 15 (2007)2025

MAUDE reports naming product code GAT, 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
2007640115
2008493015
2009957055
20101127379
20111—197
20126610253
201341230210
20144450165
201571250626
2016101390688
201765701,104
201869501,453
201947901,251
2020520101,220
202149201,643
2022510901,419
2023822002,038
2024314002,597
202553002,956
20265830—

What is it indicated for?

The EndoButton Continuous Loop is used for fixation of tendons and ligaments during orthopedic reconstruction procedures such as Anterior Cruciate Ligament (ACL) 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. “K980155: Endobutton Continuous Loop.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K980155

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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