510(k) Report

510(k) · Cleared

Cleared

Pre-Threaded Endobutton

K984550510(k) TraditionalCleared Mar 1, 199969-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 Mar 1, 1999 as substantially equivalent to K933948 (Acufex Microsurgical, Inc., 1994) and 2 other predicates after a 69-day review. Its family tree reaches back 2 generations to 1992. 310 later devices descend from it.

Decided
Mar 1, 1999
Review
69 days
Class
Class II
Product code
GAT
Recalls
None
Predicates
3

Its longest line of descent runs back 2 generations to K922559 (1992). 4 ancestors in all. 310 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 1996: 1 other ancestor1994: 1 other ancestor2005: 2 descendants cleared2004: 2 descendants cleared2008: 4 descendants cleared2006: 2 descendants cleared2013: 7 descendants cleared2018: 15 descendants cleared2019: 26 descendants cleared2017: 15 descendants cleared2011: 5 descendants cleared2020: 22 descendants cleared2024: 35 descendants cleared2025: 30 descendants cleared2015: 9 descendants cleared2014: 18 descendants cleared2021: 22 descendants cleared2012: 3 descendants cleared2022: 22 descendants cleared2026: 34 descendants cleared2016: 6 descendants cleared2023: 26 descendants cleared2007: 2 descendants cleared2009: 3 descendants clearedK922559 · Acufex Endofix Button · Acufex Microsurgical, Inc. · 1992K980155 · Endobutton Continuous Loop · Smith & Nephew, Inc. · 19981990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors 1 generation forward: 2 descendants2 generations forward: 28 descendants3 generations forward: 45 descendants4 generations forward: 63 descendants5 generations forward: 60 descendants6 generations forward: 55 descendants7 generations forward: 20 descendants8 generations forward: 23 descendants9 generations forward: 9 descendants10 generations forward: 3 descendants11 generations forward: 2 descendants K980155 · Endobutton Continuous Loop · Smith & Nephew, Inc. · 1998K922559 · Acufex Endofix Button · Acufex Microsurgical, Inc. · 19920+5+10
  1. Root · 2 generations backK922559 Acufex Endofix ButtonAcufex Microsurgical, Inc. · 1992
  2. 1 generation backK980155 Endobutton Continuous LoopSmith & Nephew, Inc. · 1998
  3. This deviceK984550 Pre-Threaded EndobuttonSmith & Nephew, Inc. · 1999
  4. Descendant · cites it directly · 306 of its ownK043248 Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS…Arthrex, Inc. · 2005
  5. Descendant · 2 generations on · 217 of its ownK052776 Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel…Arthrex, Inc. · 2005
  6. Descendant · cites it directly · 97 of its ownK033838 Titanium Toggle Button (S)Biomet Manufacturing, Inc. · 2004 · Recalled
  7. Descendant · 2 generations on · 94 of its ownK083070 Toggleloc SystemBiomet Sports Medicine · 2008 · Recalled
  8. Descendant · 2 generations on · 91 of its ownK112437 Arthrex Fracture SystemArthrex, Inc. · 2011

Showing 5 of 310 descendants. See all descendants

Descendants cleared per year

2004: 22005: 22006: 22007: 22008: 42009: 32011: 52012: 32013: 72014: 182015: 92016: 62017: 152018: 152019: 262020: 222021: 222022: 222023: 262024: 352025: 302026: 34
2004high 35 (2024) · low 0 (2010)2026

Most influential descendants

Showing 5 of 310 · See all
  • K043248Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel. Model…Arthrex, Inc. · 2005 · cites it directly306descendants
  • K052776Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models AR-2257…Arthrex, Inc. · 2005 · 2 generations on217descendants
  • K033838Titanium Toggle Button (S)Biomet Manufacturing, Inc. · 2004 · cites it directly97descendants
  • K083070Toggleloc SystemBiomet Sports Medicine · 2008 · 2 generations on94descendants
  • K112437Arthrex Fracture SystemArthrex, Inc. · 2011 · 2 generations on91descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−2K922559Acufex Endofix ButtonAcufex Microsurgical, Inc.1992—
−1K980155Endobutton Continuous LoopSmith & Nephew, Inc.1998—
0 (this device)K984550Pre-Threaded EndobuttonSmith & Nephew, Inc.1999—
+1K043248Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel.…Arthrex, Inc.2005—
+2K052776Tightrope Acromioclavicular (AC) Device, Titanium, Stainless Steel , Models…Arthrex, Inc.2005—
+1K033838Titanium Toggle Button (S)Biomet Manufacturing, Inc.20041
+2K083070Toggleloc SystemBiomet Sports Medicine20086
+2K112437Arthrex Fracture SystemArthrex, Inc.2011—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199410
199610

Descendants by year cleared

Year clearedDevicesWith a Class I recall
200420
200520
200620
200720
200840
200930
201150
201230
201370
2014180
201590
201660
2017150
2018150
2019260
2020220
2021220
2022220
2023260
2024350
2025300
2026340
FIG. 1 — Lineage of K984550, 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? (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
*K933948Acufex Endobutton System
Summary page 1
…508) 261-3772 6.4 . Proprietary Name: Pre-Threaded EndoButton Device Name Common Name: Surgical Button Classification Name: Surgical Button 6.5 Predicate EndoButton (K933948), EndoButton Tape (K952535), EndoButton Continuous Legally Loop (K980155) Marketed Smith and Nephew Endoscopy, Inc. Devices Man…
Acufex Microsurgical, Inc.1994—
*K952535Acufex Endobutton Tape
Summary page 1
…etary Name: Pre-Threaded EndoButton Device Name Common Name: Surgical Button Classification Name: Surgical Button 6.5 Predicate EndoButton (K933948), EndoButton Tape (K952535), EndoButton Continuous Legally Loop (K980155) Marketed Smith and Nephew Endoscopy, Inc. Devices Mansfield, Ma. 6.6 The Pre-Th…
Acufex Microsurgical, Inc.19962
*K980155Endobutton Continuous Loop
Summary page 1
…e Common Name: Surgical Button Classification Name: Surgical Button 6.5 Predicate EndoButton (K933948), EndoButton Tape (K952535), EndoButton Continuous Legally Loop (K980155) Marketed Smith and Nephew Endoscopy, Inc. Devices Mansfield, Ma. 6.6 The Pre-Threaded EndoButton is & titanium suture retenti…
Smith & Nephew, Inc.1998—

Also cleared against K933948: 1 other device →

What descends from it? (310)

See all 310

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

NumberDeviceApplicantDecidedDescendants
K043248Tightrope Syndesmosis Repair Kit, Titanium, Model AR-8920DS; Stainless Steel. Model…Arthrex, Inc.2005306
K033838Titanium Toggle Button (S)Biomet Manufacturing, Inc.200497

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 7 years and passes through 2 companies; a new generation was cleared every 5.3 years on median.
  • 1 of the 4 ancestors has a recall of any class.
  • Of its descendants, K043248 (Arthrex, Inc., 2005) has gone furthest, with 306 descendants of its own.
  • 1 other device also cites its predicate K933948.

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 Pre-Threaded EndoButton is used for fixation of tendons and ligaments during orthopedic reconstructive 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. “K984550: Pre-Threaded Endobutton.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K984550

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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