510(k) Report

510(k) · Cleared

Recalled · Class II · 2026

iFuse-TORQ™ Implant System

K203247510(k) TraditionalCleared Feb 25, 2021113-day reviewClass II21 CFR 888.3040Recalls 1

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

SI-BONE, Inc. · OUR Sacroiliac Joint Fixation

Cleared on Feb 25, 2021 as substantially equivalent to K193083 (Medacta International S.A., 2019) and 2 other predicates after a 113-day review. Its family tree reaches back 16 generations to 1984. 17 later devices descend from it. It has been recalled once.

Decided
Feb 25, 2021
Review
113 days
Class
Class II
Product code
OUR
Recalls
1
Predicates
3

Its longest line of descent runs back 16 generations to K841189 (1984). 138 ancestors in all. 17 later devices descend from it, 4 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2020: 1 other ancestor2019: 2 other ancestors2017: 2 other ancestors2015: 4 other ancestors2013: 6 other ancestors2011: 6 other ancestors2009: 1 other ancestor2008: 5 other ancestors2002: 8 other ancestors2018: 1 other ancestor2014: 2 other ancestors2012: 2 other ancestors2010: 2 other ancestors2005: 7 other ancestors2000: 7 other ancestors1996: 4 other ancestors2006: 3 other ancestors2001: 8 other ancestors1995: 8 other ancestors1993: 1 other ancestor1991: 1 other ancestor1990: 2 other ancestors2016: 2 other ancestors1999: 4 other ancestors1997: 5 other ancestors1994: 4 other ancestors2004: 6 other ancestors2003: 4 other ancestors1998: 4 other ancestors1988: 2 other ancestors1987: 1 other ancestor1992: 2 other ancestors1989: 1 other ancestor1986: 2 other ancestors1985: 1 other ancestor1984: 1 other ancestor2022: 2 descendants cleared2024: 3 descendants cleared2026: 3 descendants cleared2023: 5 descendants cleared2025: 4 descendants clearedK841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001×2: 2 generations cleared close together, K022793 (2003), K031757 (2003) ×2: 2 generations cleared close together, K041888 (2004), K042930 (2004) K062759 · Paramount VBR System · Innovative Spinal Technologies, Inc. · 2007K072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007K073291 · Capstone Spinal System · Medtronic Sofamor Danek USA, Inc. · 2008K100175 · Clydesdale Spinal System · Medtronic Sofamor Danek · 2010K112405 · Clydesdales Spinal System · Medtronic Sofamor Danek USA, Inc. · 2011K131425 · Navigated Capstone Trials, Clydesdale Trials, Capstone & Clydesdale Inserter · Medtronic Navigation, Inc. · 2013 · recalledK150231 · Navigated Disc Prep Instruments and CAPSTONE Trials · Medtronic Sofamor Danek USA, Inc. · 2015K161210 · RIALTO (TM) SI Fusion System, Medtronic Reusable Instruments for Use with the IPC (TM) Powerease (TM) System, and Medtronic Navigated Manual Reusable Instruments for use with the StealthStation (TM) and IPC (TM) Powerease (TM) Systems · Medtronic Sofamor Danek · 2016K191748 · Genesys Spine Sacroiliac Joint Fusion System · Genesys Spine · 201919801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 8 other ancestors3 generations back: 15 other ancestors4 generations back: 18 other ancestors5 generations back: 14 other ancestors6 generations back: 28 other ancestors7 generations back: 9 other ancestors8 generations back: 9 other ancestors9 generations back: 11 other ancestors10 generations back: 5 other ancestors11 generations back: 2 other ancestors12 generations back: 1 other ancestor 1 generation forward: 4 descendants2 generations forward: 5 descendants3 generations forward: 5 descendants4 generations forward: 3 descendants K191748 · Genesys Spine Sacroiliac Joint Fusion System · Genesys Spine · 2019K161210 · RIALTO (TM) SI Fusion System, Medtronic Reusable Instruments for Use with the IPC (TM) Powerease (TM) System, and Medtronic Navigated Manual Reusable Instruments for use with the StealthStation (TM) and IPC (TM) Powerease (TM) Systems · Medtronic Sofamor Danek · 2016K150231 · Navigated Disc Prep Instruments and CAPSTONE Trials · Medtronic Sofamor Danek USA, Inc. · 2015K131425 · Navigated Capstone Trials, Clydesdale Trials, Capstone & Clydesdale Inserter · Medtronic Navigation, Inc. · 2013 · recalledK112405 · Clydesdales Spinal System · Medtronic Sofamor Danek USA, Inc. · 2011K100175 · Clydesdale Spinal System · Medtronic Sofamor Danek · 2010K073291 · Capstone Spinal System · Medtronic Sofamor Danek USA, Inc. · 2008K072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007K062759 · Paramount VBR System · Innovative Spinal Technologies, Inc. · 2007K042930 · Spacevision Cage System · Spine Vision, Inc. · 2004K041888 · Curved Peek Tetris Spinal Implant · Signus Medizintechnik GmbH · 2004K031757 · Peek Tetris Spinal Implant · Signus Medical, LLC · 2003K022793 · Tetris Spinal Implant · Signus Medical, LLC · 2003K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984−15−10−50
  1. Root · 16 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 12 generations between
  3. 3 generations backK150231 Navigated Disc Prep Instruments and CAPSTONE TrialsMedtronic Sofamor Danek USA, Inc. · 2015
  4. 2 generations backK161210 RIALTO (TM) SI Fusion System, Medtronic Reusable Instruments for Use…Medtronic Sofamor Danek · 2016
  5. 1 generation backK191748 Genesys Spine Sacroiliac Joint Fusion SystemGenesys Spine · 2019
  6. This deviceK203247 iFuse-TORQ™ Implant SystemSI-BONE, Inc. · 2021
  7. Descendant · cites it directly · 15 of its ownK213667 iFuse-TORQ® Implant SystemSI-BONE, Inc. · 2022
  8. Descendant · cites it directly · 14 of its ownK222605 iFuse TORQ® Implant SystemSI-BONE, Inc. · 2022
  9. Descendant · 2 generations on · 5 of its ownK231689 iFuse TORQ® Implant SystemSI-BONE, Inc. · 2023
  10. Descendant · 2 generations on · 4 of its ownK241574 iFuse TORQ® Implant SystemSI-BONE, Inc. · 2024
  11. Descendant · 2 generations on · 3 of its ownK223708 Entasis 3D Dual-Lead Sacroiliac Implant SystemCorelink, LLC · 2023
Show all 16 generations
  1. Root · 16 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 15 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 14 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 13 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 12 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 11 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 10 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 9 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 8 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 7 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 6 generations backK100175 Clydesdale Spinal SystemMedtronic Sofamor Danek · 2010
  12. 5 generations backK112405 Clydesdales Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011
  13. 4 generations backK131425 Navigated Capstone Trials, Clydesdale Trials, Capstone & Clydesdale…Medtronic Navigation, Inc. · 2013 · Recalled
  14. 3 generations backK150231 Navigated Disc Prep Instruments and CAPSTONE TrialsMedtronic Sofamor Danek USA, Inc. · 2015
  15. 2 generations backK161210 RIALTO (TM) SI Fusion System, Medtronic Reusable Instruments for Use…Medtronic Sofamor Danek · 2016
  16. 1 generation backK191748 Genesys Spine Sacroiliac Joint Fusion SystemGenesys Spine · 2019
  17. This deviceK203247 iFuse-TORQ™ Implant SystemSI-BONE, Inc. · 2021

Showing 5 of 17 descendants. See all descendants

Descendants cleared per year

2022: 22023: 52024: 32025: 42026: 3
2022high 5 (2023) · low 2 (2022)2026

Most influential descendants

Showing 5 of 17 · See all
  • K213667iFuse-TORQ® Implant SystemSI-BONE, Inc. · 2022 · cites it directly15descendants
  • K222605iFuse TORQ® Implant SystemSI-BONE, Inc. · 2022 · cites it directly14descendants
  • K231689iFuse TORQ® Implant SystemSI-BONE, Inc. · 2023 · 2 generations on5descendants
  • K241574iFuse TORQ® Implant SystemSI-BONE, Inc. · 2024 · 2 generations on4descendants
  • K223708Entasis 3D Dual-Lead Sacroiliac Implant SystemCorelink, LLC · 2023 · 2 generations on3descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−16K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−15K990148Stackable Cage SystemDepuy Motech Acromed1999—
−14K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−13K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−12K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−11K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−10K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−9K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−8K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−7K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−6K100175Clydesdale Spinal SystemMedtronic Sofamor Danek2010—
−5K112405Clydesdales Spinal SystemMedtronic Sofamor Danek USA, Inc.2011—
−4K131425Navigated Capstone Trials, Clydesdale Trials, Capstone & Clydesdale InserterMedtronic Navigation, Inc.201310
−3K150231Navigated Disc Prep Instruments and CAPSTONE TrialsMedtronic Sofamor Danek USA, Inc.2015—
−2K161210RIALTO (TM) SI Fusion System, Medtronic Reusable Instruments for Use with the…Medtronic Sofamor Danek2016—
−1K191748Genesys Spine Sacroiliac Joint Fusion SystemGenesys Spine2019—
0 (this device)K203247iFuse-TORQ™ Implant SystemSI-BONE, Inc.2021—
+1K213667iFuse-TORQ® Implant SystemSI-BONE, Inc.2022—
+1K222605iFuse TORQ® Implant SystemSI-BONE, Inc.2022—
+2K231689iFuse TORQ® Implant SystemSI-BONE, Inc.2023—
+2K241574iFuse TORQ® Implant SystemSI-BONE, Inc.2024—
+2K223708Entasis 3D Dual-Lead Sacroiliac Implant SystemCorelink, LLC2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
198510
198620
198710
198820
198910
199020
199110
199220
199310
199440
199580
199640
199750
199840
199940
200070
200180
200280
200340
200460
200570
200630
200850
200910
201020
201160
201220
201360
201420
201540
201620
201720
201810
201920
202010

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202220
202350
202430
202540
202630
FIG. 1 — Lineage of K203247, 1984–2026Source: 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? (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
*K193083M.U.S.T. Sacral Illiac Screw and Pelvic Trauma System
Summary page 5
…Primary Predicate Device Manufacturer 510(k)# Clearance Date M.U.S.T. Sacral Iliac Screw and K193083 December 3, 2019 Medacta International SA Pelvic Trauma System Addit…
Medacta International S.A.2019—
*K193524SI-BONE iFuse Implant System®
Summary page 5
…Additional Predicate Devices Manufacturer 510(k)# Clearance Date K193524 March 31, 2020 iFuse-3D Implant System SI-BONE, Inc. Genesys Spine Sacroiliac Joint…
SI-BONE, Inc.2020—
*K191748Genesys Spine Sacroiliac Joint Fusion System
Summary page 5
…2020 iFuse-3D Implant System SI-BONE, Inc. Genesys Spine Sacroiliac Joint Genesys Spine K191748 September 26, 2019 Fusion System…
Genesys Spine2019—

Also cleared against K193083: 1 other device →

What descends from it? (17)

See all 17

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

NumberDeviceApplicantDecidedDescendants
K213667iFuse-TORQ® Implant SystemSI-BONE, Inc.202215
K222605iFuse TORQ® Implant SystemSI-BONE, Inc.202214
K253488iFuse INTRA Ti™ Implant SystemSI-BONE, Inc.20260
K241504iFuse TORQ TNT™ Implant SystemSI-BONE, Inc.20240

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Aug 21, 2026Class IIZ-0146-2027PackagingThe pelvic fixation screws failed to meet acceptance criteria for tube packaging seal integrity testing; therefore, sterility assurance cannot be ensured.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 37 years and passes through 12 companies; a new generation was cleared every 1.7 years on median.
  • 19 of the 138 ancestors have a recall of any class.
  • Of its descendants, K213667 (SI-BONE, Inc., 2022) has gone furthest, with 15 descendants of its own.
  • 1 other device also cites its predicate K193083.

How does its category compare?

All OUR devices

OUR Sacroiliac Joint Fixation: FDA decisions, review times, recalls and adverse event reports over 20 years. 2021, 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 iFuse-TORQ™ Implant System is indicated for:

• Fusion of the sacroiliac joint for sacroiliac joint dysfunction including sacroiliac joint disruption and degenerative

sacroiliitis.

• Fracture fixation of small and large bones of the pelvis

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K203247: iFuse-TORQ™ Implant System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K203247

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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