| K-number | K253727 |
| Device name | Syndesmosis TightRope PRO |
| Applicant | Arthrex, Inc. |
| Product code | HTN |
| Device class | Class II |
| Decision date | Dec 22, 2025 |
| Decision | Substantially Equivalent |
| Regulation | 888.3030 |
The Syndesmosis TightRope PRO is a bone fixation device comprised of metal buttons (round and oblong) preloaded onto an inserter with suture and a washer or buttress plate. It is intended as an adjunct in fracture repair for small bone fragments and to provide fixation of syndesmotic disruptions in connection with Weber B and C ankle fractures during the healing process.
Compared to predicate devices, the PRO features a 2-hole oblong button with smaller width, a 4-hole round button that is thinner, a smaller drill bit diameter, a new 1-hole button extending washer, and preassembly with #2-0 FiberWire passing suture. The fundamental design, materials, button configuration, dimensions, MRI safety labeling, sterility, and shelf-life remain the same as predicates.
Cyclic shear testing and ultimate shear testing per acceptance criteria from predicate K043248; MRI safety testing per ASTM F2052, ASTM F2119, ASTM F2182, and ASTM F2213 standards; FDA guidance on Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment.
View the full FDA submission: accessdata.fda.gov