510(k) Report

510(k) · Cleared

Cleared

SambaScrew 3D SI Fusion System

K183342510(k) TraditionalCleared Apr 30, 2019148-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

Orthofix, Inc. · OUR Sacroiliac Joint Fixation

Cleared on Apr 30, 2019 as substantially equivalent to K121148 (Medical Design, LLC, 2012) and 3 other predicates after a 148-day review. Its family tree reaches back 14 generations to 1993. 31 later devices descend from it.

Decided
Apr 30, 2019
Review
148 days
Class
Class II
Product code
OUR
Recalls
None
Predicates
4

Its longest line of descent runs back 14 generations to K930834 (1993). 34 ancestors in all, the oldest K903810 (1990). 31 later devices descend from it, 2 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2015: 3 other ancestors2012: 1 other ancestor2011: 3 other ancestors2002: 2 other ancestors2013: 1 other ancestor2010: 2 other ancestors2009: 1 other ancestor2005: 1 other ancestor1996: 1 other ancestor2001: 2 other ancestors2000: 1 other ancestor1990: 1 other ancestor1995: 1 other ancestor2020: 3 descendants cleared2021: 4 descendants cleared2022: 6 descendants cleared2023: 7 descendants cleared2024: 2 descendants cleared2025: 5 descendants cleared2026: 4 descendants clearedReference device: K172437 · CONSTRUX® Mini PTC Spacer System, FORZA® PTC Spacer System, PILLAR® SA PTC Spacer System · Orthofix, Inc. · 2017 · recalledK930834 · Acutract · Acu Med, Inc. · 1993K051309 · Roi Fusion Rods & Plates · Reiley Orthopaedics, Inc. · 2005 · recalledK080398 · SI Joint Fusion System · SI-BONE, Inc. · 2008K110838 · Ifuse Implant System · SI-BONE, Inc. · 2011K122074 · Ifuse Implant System · SI-BONE, Inc. · 2012K123850 · Ifuse Implant System · SI-BONE, Inc. · 2013K131405 · Ifuse Implant System · SI-BONE, Inc. · 2013K141049 · Ifuse Implant System · SI-BONE, Inc. · 2014K150714 · SI-BONE iFuse Implant System · SI-BONE, Inc. · 2015×3: 3 generations cleared close together, K151718 (2015), K152681 (2016), K160652 (2016) K162733 · iFuse Implant System® - iFuse-3D implant · SI-BONE, Inc. · 2017K182983 · iFuse Implant System® · SI-BONE, Inc. · 20181990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 3 other ancestors3 generations back: 8 other ancestors4 generations back: 5 other ancestors5 generations back: 2 other ancestors 1 generation forward: 2 descendants2 generations forward: 2 descendants3 generations forward: 3 descendants4 generations forward: 5 descendants5 generations forward: 7 descendants6 generations forward: 3 descendants7 generations forward: 4 descendants8 generations forward: 3 descendants9 generations forward: 2 descendants K182983 · iFuse Implant System® · SI-BONE, Inc. · 2018K162733 · iFuse Implant System® - iFuse-3D implant · SI-BONE, Inc. · 2017K160652 · iFUSE Implant System · SI-BONE, Inc. · 2016K152681 · iFuse Implant System (R) · SI-BONE, Inc. · 2016K151718 · iFuse Implant System · SI-BONE, Inc. · 2015K150714 · SI-BONE iFuse Implant System · SI-BONE, Inc. · 2015K141049 · Ifuse Implant System · SI-BONE, Inc. · 2014K131405 · Ifuse Implant System · SI-BONE, Inc. · 2013K123850 · Ifuse Implant System · SI-BONE, Inc. · 2013K122074 · Ifuse Implant System · SI-BONE, Inc. · 2012K110838 · Ifuse Implant System · SI-BONE, Inc. · 2011K080398 · SI Joint Fusion System · SI-BONE, Inc. · 2008K051309 · Roi Fusion Rods & Plates · Reiley Orthopaedics, Inc. · 2005 · recalledK930834 · Acutract · Acu Med, Inc. · 1993−10−50+5
  1. Root · 14 generations backK930834 AcutractAcu Med, Inc. · 1993
  2. 10 generations between
  3. 3 generations backK160652 iFUSE Implant SystemSI-BONE, Inc. · 2016
  4. 2 generations backK162733 iFuse Implant System® - iFuse-3D implantSI-BONE, Inc. · 2017
  5. 1 generation backK182983 iFuse Implant System®SI-BONE, Inc. · 2018
  6. This deviceK183342 SambaScrew 3D SI Fusion SystemOrthofix, Inc. · 2019
  7. Descendant · cites it directly · 29 of its ownK200696 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020 · Recalled
  8. Descendant · 2 generations on · 26 of its ownK201664 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020
  9. Descendant · 3 generations on · 25 of its ownK203138 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020
  10. Descendant · 4 generations on · 19 of its ownK210667 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2021
  11. Descendant · 5 generations on · 15 of its ownK213667 iFuse-TORQ® Implant SystemSI-BONE, Inc. · 2022
Show all 14 generations
  1. Root · 14 generations backK930834 AcutractAcu Med, Inc. · 1993
  2. 13 generations backK051309 Roi Fusion Rods & PlatesReiley Orthopaedics, Inc. · 2005 · Recalled
  3. 12 generations backK080398 SI Joint Fusion SystemSI-BONE, Inc. · 2008
  4. 11 generations backK110838 Ifuse Implant SystemSI-BONE, Inc. · 2011
  5. 10 generations backK122074 Ifuse Implant SystemSI-BONE, Inc. · 2012
  6. 9 generations backK123850 Ifuse Implant SystemSI-BONE, Inc. · 2013
  7. 8 generations backK131405 Ifuse Implant SystemSI-BONE, Inc. · 2013
  8. 7 generations backK141049 Ifuse Implant SystemSI-BONE, Inc. · 2014
  9. 6 generations backK150714 SI-BONE iFuse Implant SystemSI-BONE, Inc. · 2015
  10. 5 generations backK151718 iFuse Implant SystemSI-BONE, Inc. · 2015
  11. 4 generations backK152681 iFuse Implant System (R)SI-BONE, Inc. · 2016
  12. 3 generations backK160652 iFUSE Implant SystemSI-BONE, Inc. · 2016
  13. 2 generations backK162733 iFuse Implant System® - iFuse-3D implantSI-BONE, Inc. · 2017
  14. 1 generation backK182983 iFuse Implant System®SI-BONE, Inc. · 2018
  15. This deviceK183342 SambaScrew 3D SI Fusion SystemOrthofix, Inc. · 2019

Showing 5 of 31 descendants. See all descendants

Descendants cleared per year

2020: 32021: 42022: 62023: 72024: 22025: 52026: 4
2020high 7 (2023) · low 2 (2024)2026

Most influential descendants

Showing 5 of 31 · See all
  • K200696FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020 · cites it directly29descendants
  • K201664FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020 · 2 generations on26descendants
  • K203138FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020 · 3 generations on25descendants
  • K210667FIREBIRD SI Fusion SystemOrthofix, Inc. · 2021 · 4 generations on19descendants
  • K213667iFuse-TORQ® Implant SystemSI-BONE, Inc. · 2022 · 5 generations on15descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−14K930834AcutractAcu Med, Inc.1993—
−13K051309Roi Fusion Rods & PlatesReiley Orthopaedics, Inc.20052
−12K080398SI Joint Fusion SystemSI-BONE, Inc.2008—
−11K110838Ifuse Implant SystemSI-BONE, Inc.2011—
−10K122074Ifuse Implant SystemSI-BONE, Inc.2012—
−9K123850Ifuse Implant SystemSI-BONE, Inc.2013—
−8K131405Ifuse Implant SystemSI-BONE, Inc.2013—
−7K141049Ifuse Implant SystemSI-BONE, Inc.2014—
−6K150714SI-BONE iFuse Implant SystemSI-BONE, Inc.2015—
−5K151718iFuse Implant SystemSI-BONE, Inc.2015—
−4K152681iFuse Implant System (R)SI-BONE, Inc.2016—
−3K160652iFUSE Implant SystemSI-BONE, Inc.2016—
−2K162733iFuse Implant System® - iFuse-3D implantSI-BONE, Inc.2017—
−1K182983iFuse Implant System®SI-BONE, Inc.2018—
0 (this device)K183342SambaScrew 3D SI Fusion SystemOrthofix, Inc.2019—
+1K200696FIREBIRD SI Fusion SystemOrthofix, Inc.20201
+2K201664FIREBIRD SI Fusion SystemOrthofix, Inc.2020—
+3K203138FIREBIRD SI Fusion SystemOrthofix, Inc.2020—
+4K210667FIREBIRD SI Fusion SystemOrthofix, Inc.2021—
+5K213667iFuse-TORQ® Implant SystemSI-BONE, Inc.2022—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
199510
199610
200010
200120
200220
200510
200910
201020
201130
201210
201310
201530

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202030
202140
202260
202370
202420
202550
202640
FIG. 1 — Lineage of K183342, 1993–2026Source: 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
*K121148Samba Screw, 9MM Dia., 25MM Long, Sambia Screw, 9MM Dia., 30MM Long, Samba Screw 9MM…
Summary page 4
…e Product Code: OUR Regulatory Classification: Class II – 21 CFR § 888.3040 Review Panel: Orthopedic Device Panel Primary Predicate Device: K121148 – SAMBA Screw System – Orthofix Inc. Additional Predicate Devices: K151818 – Simmetry Sacroiliac Joint Fusion…
Medical Design, LLC2012—
*K151818SImmetry Sacroiliac Joint Fusion System
Summary page 4
…view Panel: Orthopedic Device Panel Primary Predicate Device: K121148 – SAMBA Screw System – Orthofix Inc. Additional Predicate Devices: K151818 – Simmetry Sacroiliac Joint Fusion System – Zyga Technology, Inc. K182983…
Zyga Technology, Inc.2015—
*K182983iFuse Implant System®
Summary page 4
…nal Predicate Devices: K151818 – Simmetry Sacroiliac Joint Fusion System – Zyga Technology, Inc. K182983 – iFuse Implant System – SI-Bone, Inc. Reference Devices: K172437 – CONSTRUX Mini PEEK Ti Spacer System – Orthofix…
SI-BONE, Inc.2018—
*K162733iFuse Implant System® - iFuse-3D implant
Summary page 5
…and the same principles of operation as the predicate SAMBA Screw System (K121148), the SImmentry Sacroiliac Joint Fusion System (K151818) and the iFuse Implant System (K162733).
SI-BONE, Inc.2017—
†K172437CONSTRUX® Mini PTC Spacer System, FORZA® PTC Spacer System, PILLAR® SA PTC Spacer SystemOrthofix, Inc.20173

Also cleared against K121148: 3 other devices →

What descends from it? (31)

See all 31

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

NumberDeviceApplicantDecidedDescendants
K200696FIREBIRD SI Fusion SystemOrthofix, Inc.202029
K203780Harvester SI: Sacroiliac Fixation SystemSpinus International, Inc.20210

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 26 years and passes through 4 companies; a new generation was cleared every 9 months on median.
  • 4 of the 34 ancestors have a recall of any class.
  • Of its descendants, K200696 (Orthofix, Inc., 2020) has gone furthest, with 29 descendants of its own.
  • 3 other devices also cite its predicate K121148.

How does its category compare?

All OUR devices

OUR Sacroiliac Joint Fixation: FDA decisions, review times, recalls and adverse event reports over 20 years. 2019, 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 SambaScrew 3D SI Fusion System is intended for fixation of sacroiliac joint disruptions, and 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. “K183342: SambaScrew 3D SI 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/K183342

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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