510(k) Report

510(k) · Cleared

Cleared

Outlet Sacroiliac Joint Fusion System

K181881510(k) TraditionalCleared Oct 3, 201882-day reviewClass II21 CFR 888.3040

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

Sij Surgical · OUR Sacroiliac Joint Fixation

Cleared on Oct 3, 2018 as substantially equivalent to K021932 (Synthes (Usa), 2002) and 3 other predicates after an 82-day review. Its family tree reaches back 7 generations to 1990. 4 later devices descend from it.

Decided
Oct 3, 2018
Review
82 days
Class
Class II
Product code
OUR
Recalls
None
Predicates
4

Its longest line of descent runs back 7 generations to K903810 (1990). 23 ancestors in all. 4 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2015: 1 other ancestor2002: 2 other ancestors2013: 1 other ancestor2011: 1 other ancestor2010: 1 other ancestor2009: 1 other ancestor2008: 1 other ancestor1996: 1 other ancestor1991: 1 other ancestor2005: 1 other ancestor2001: 2 other ancestors2000: 1 other ancestor1995: 1 other ancestor1993: 1 other ancestor2022: 2 descendants cleared2026: 1 descendant cleared2023: 1 descendant clearedK903810 · Ace Cannulated Self Tapping Cancellous Bone Screw · Ace Medical Co. · 1990K051296 · Sijf Cannulated Screw System · Depuy Spine, Inc. · 2005×3: 3 generations cleared close together, K102907 (2010), K110512 (2011), K111801 (2011) K112028 · SI-Lok Sacroiliac Joint Fixation System · Globus Medical, Inc. · 2011K110472 · SI-Fix Sacroiliac Joint Fusion System · Medtronic Sofamor Danek · 20121990200020102020
  1. Root · 7 generations backK903810 Ace Cannulated Self Tapping Cancellous Bone ScrewAce Medical Co. · 1990
  2. 6 generations backK051296 Sijf Cannulated Screw SystemDepuy Spine, Inc. · 2005
  3. 5 generations backK102907 Simmetry Sacroiliac Joint Fusion SystemZyga Technology, Inc. · 2010
  4. 4 generations backK110512 Simmetry Sacroiliac Joint Fusion SystemZyga Technology, Inc. · 2011
  5. 3 generations backK111801 Simmetry (TM) Sacroiliac Joint Fusion SystemZyga Technology, Inc. · 2011
  6. 2 generations backK112028 SI-Lok Sacroiliac Joint Fixation SystemGlobus Medical, Inc. · 2011
  7. 1 generation backK110472 SI-Fix Sacroiliac Joint Fusion SystemMedtronic Sofamor Danek · 2012
  8. This deviceK181881 Outlet Sacroiliac Joint Fusion SystemSij Surgical · 2018
  9. Descendant · cites it directly · 1 of its ownK214123 T-FIX® 3DSI Joint Fusion SystemCutting Edge Spine, LLC · 2022
  10. Descendant · cites it directly · 1 of its ownK213590 Blue Topaz Sacroiliac Screw SystemOsseus Fusion Systems, LLC · 2022
  11. Descendant · cites it directly · 0 of its ownK253611 Falco Fusion SystemMcnicoll Surgical, Inc. · 2026
  12. Descendant · 2 generations on · 0 of its ownK230689 T-FIX™ 3DSI Joint Fusion SystemCutting Edge Spine, LLC · 2023

Most influential descendants

Showing 4 of 4 · See all
  • K214123T-FIX® 3DSI Joint Fusion SystemCutting Edge Spine, LLC · 2022 · cites it directly1descendant
  • K213590Blue Topaz Sacroiliac Screw SystemOsseus Fusion Systems, LLC · 2022 · cites it directly1descendant
  • K253611Falco Fusion SystemMcnicoll Surgical, Inc. · 2026 · cites it directly0descendants
  • K230689T-FIX™ 3DSI Joint Fusion SystemCutting Edge Spine, LLC · 2023 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−7K903810Ace Cannulated Self Tapping Cancellous Bone ScrewAce Medical Co.1990—
−6K051296Sijf Cannulated Screw SystemDepuy Spine, Inc.2005—
−5K102907Simmetry Sacroiliac Joint Fusion SystemZyga Technology, Inc.2010—
−4K110512Simmetry Sacroiliac Joint Fusion SystemZyga Technology, Inc.2011—
−3K111801Simmetry (TM) Sacroiliac Joint Fusion SystemZyga Technology, Inc.2011—
−2K112028SI-Lok Sacroiliac Joint Fixation SystemGlobus Medical, Inc.2011—
−1K110472SI-Fix Sacroiliac Joint Fusion SystemMedtronic Sofamor Danek2012—
0 (this device)K181881Outlet Sacroiliac Joint Fusion SystemSij Surgical2018—
+1K214123T-FIX® 3DSI Joint Fusion SystemCutting Edge Spine, LLC2022—
+1K213590Blue Topaz Sacroiliac Screw SystemOsseus Fusion Systems, LLC2022—
+1K253611Falco Fusion SystemMcnicoll Surgical, Inc.2026—
+2K230689T-FIX™ 3DSI Joint Fusion SystemCutting Edge Spine, LLC2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199110
199310
199510
199610
200010
200120
200220
200510
200810
200910
201010
201110
201310
201510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202220
202310
202610
FIG. 1 — Lineage of K181881, 1990–2026Source: 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 OUR? 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 OUR device

  1. #1 K233508 iFuse Bedrock Granite® Implant Systemscore 30.7 · 31 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? (4)

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
*K021932Synthes 6.5 MM Cannulated Screw
Summary page 5
…Trade or Proprietary or Manufacturer Predicate Model Name Type K021932 6.5mm Cannulated Screw Synthes Primary K110472 MSB Sacroilia…
Synthes (Usa)20027
*K110472SI-Fix Sacroiliac Joint Fusion System
Summary page 5
…Model Name Type K021932 6.5mm Cannulated Screw Synthes Primary K110472 MSB Sacroiliac Joint Fusion Medtronic Sofamor Additional System…
Medtronic Sofamor Danek2012—
*K112028SI-Lok Sacroiliac Joint Fixation System
Summary page 5
…10472 MSB Sacroiliac Joint Fusion Medtronic Sofamor Additional System Danek, Inc K112028 SI-LOK Sacroiliac Joint Globus Medical, Additional Fixation S…
Globus Medical, Inc.2011—
*K141549SImmetry Sacroiliac Joint Fusion System
Summary page 5
…Inc K112028 SI-LOK Sacroiliac Joint Globus Medical, Additional Fixation System Inc K141549 SImmetry Sacroiliac Joint Zyga Technology, Additional Fusion Sys…
Zyga Technology, Inc.2015—

Also cleared against K021932: 61 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K214123T-FIX® 3DSI Joint Fusion SystemCutting Edge Spine, LLC20221
K213590Blue Topaz Sacroiliac Screw SystemOsseus Fusion Systems, LLC20221
K253611Falco Fusion SystemMcnicoll Surgical, Inc.20260

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 28 years and passes through 6 companies; a new generation was cleared every 6 months on median.
  • 4 of the 23 ancestors have a recall of any class.
  • Of its descendants, K214123 (Cutting Edge Spine, LLC, 2022) has gone furthest, with 1 descendant of its own.
  • 61 other devices also cite its predicate K021932.

How does its category compare?

All OUR devices

OUR Sacroiliac Joint Fixation: FDA decisions, review times, recalls and adverse event reports over 20 years. 2018, this device’s year, is highlighted.

FDA decisions per year · OUR

14in 2025

2008: 12009: 12010: 12011: 32012: 22013: 42014: 32015: 82016: 62017: 42018: 72019: 72020: 72021: 92022: 142023: 202024: 152025: 142026 (partial year): 6
2007high 20 (2023) · low 0 (2007)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · OUR

97in 2025

2011: 27 days median2013: 103 days median2014: 91 days median2015: 111 days median2016: 168 days median2017: 120 days median2018: 82 days median2019: 89 days median2020: 88 days median2021: 85 days median2022: 149 days median2023: 55 days median2024: 74 days median2025: 97 days median2026 (partial year): 98 days median
2007high 168 (2016) · low 27 (2011)2026

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

Recalls per year · OUR

1in 2025

2025: 12026 (partial year): 1
2007high 1 (2025) · low 0 (2007)2026

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

Adverse event reports per year · OUR

10in 2025

2011: 62012: 812013: 962014: 1462015: 1192016: 1222017: 1572018: 1372019: 1752020: 1482021: 1542022: 232023: 72024: 152025: 10
2007high 175 (2019) · low 0 (2007)2025

MAUDE reports naming product code OUR, 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
20070—00
20081—00
20091—00
20101—00
201132706
20122—081
20134103096
20143910146
201581110119
201661680122
201741200157
20187820137
20197890175
20207880148
20219850154
202214149023
2023205507
20241574015
20251497110
20266981—

What is it indicated for?

The Outlet Sacroiliac Joint Fusion System is intended for sacroiliac joint fusion for conditions including sacroiliac joint disruptions and degenerative sacroiliitis.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K181881: Outlet Sacroiliac Joint Fusion System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K181881

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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