510(k) Report

510(k) · Cleared

Cleared

SIMPACT Sacroiliac Joint Fixation System

K212903510(k) TraditionalCleared Dec 15, 202193-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

Life Spine, Inc. · OUR Sacroiliac Joint Fixation

Cleared on Dec 15, 2021 as substantially equivalent to K161210 (Medtronic Sofamor Danek, 2016) and 4 other predicates after a 93-day review. Its family tree reaches back 17 generations to 1993. 8 later devices descend from it.

Decided
Dec 15, 2021
Review
93 days
Class
Class II
Product code
OUR
Recalls
None
Predicates
5

Its longest line of descent runs back 17 generations to K930834 (1993). 137 ancestors in all, the oldest K841189 (1984). 8 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2018: 1 other ancestor2016: 1 other ancestor2015: 4 other ancestors2012: 1 other ancestor2014: 1 other ancestor2013: 4 other ancestors2011: 6 other ancestors2010: 3 other ancestors2009: 1 other ancestor2005: 6 other ancestors2002: 8 other ancestors1991: 1 other ancestor2008: 5 other ancestors2006: 3 other ancestors2001: 9 other ancestors2000: 7 other ancestors1996: 4 other ancestors1990: 2 other ancestors1999: 5 other ancestors1997: 5 other ancestors1995: 8 other ancestors1994: 4 other ancestors2007: 2 other ancestors2004: 8 other ancestors2003: 6 other ancestors1998: 4 other ancestors1988: 2 other ancestors1987: 1 other ancestor1992: 2 other ancestors1989: 1 other ancestor1986: 2 other ancestors1985: 1 other ancestor1984: 2 other ancestors2023: 5 descendants cleared2026: 1 descendant cleared2024: 1 descendant cleared2025: 1 descendant clearedK930834 · 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. · 2011×2: 2 generations cleared close together, K122074 (2012), K123850 (2013) K131405 · 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. · 2017×2: 2 generations cleared close together, K182983 (2018), K190230 (2019) ×2: 2 generations cleared close together, K193524 (2020), K201538 (2020) 19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 4 other ancestors2 generations back: 12 other ancestors3 generations back: 15 other ancestors4 generations back: 18 other ancestors5 generations back: 25 other ancestors6 generations back: 10 other ancestors7 generations back: 11 other ancestors8 generations back: 12 other ancestors9 generations back: 6 other ancestors10 generations back: 5 other ancestors11 generations back: 2 other ancestors 1 generation forward: 3 descendants2 generations forward: 3 descendants3 generations forward: 2 descendants K201538 · Life Spine SIMPACT Sacroiliac Joint Fixation System · Life Spine, Inc. · 2020K193524 · SI-BONE iFuse Implant System® · SI-BONE, Inc. · 2020K190230 · iFuse Implant System® · SI-BONE, Inc. · 2019K182983 · 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. · 1993−15−10−50
  1. Root · 17 generations backK930834 AcutractAcu Med, Inc. · 1993
  2. 13 generations between
  3. 3 generations backK190230 iFuse Implant System®SI-BONE, Inc. · 2019
  4. 2 generations backK193524 SI-BONE iFuse Implant System®SI-BONE, Inc. · 2020
  5. 1 generation backK201538 Life Spine SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc. · 2020
  6. This deviceK212903 SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc. · 2021
  7. Descendant · cites it directly · 3 of its ownK223708 Entasis 3D Dual-Lead Sacroiliac Implant SystemCorelink, LLC · 2023
  8. Descendant · cites it directly · 2 of its ownK223819 SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC · 2023
  9. Descendant · 2 generations on · 1 of its ownK240505 Eminent Spine SI Screw SystemEminent Spine, LLC · 2024
  10. Descendant · 2 generations on · 1 of its ownK231951 SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC · 2023
  11. Descendant · cites it directly · 0 of its ownK260571 SIMPACT Sacroiliac Joint Fixation System GX Navigation InstrumentsLife Spine, Inc. · 2026
Show all 17 generations
  1. Root · 17 generations backK930834 AcutractAcu Med, Inc. · 1993
  2. 16 generations backK051309 Roi Fusion Rods & PlatesReiley Orthopaedics, Inc. · 2005 · Recalled
  3. 15 generations backK080398 SI Joint Fusion SystemSI-BONE, Inc. · 2008
  4. 14 generations backK110838 Ifuse Implant SystemSI-BONE, Inc. · 2011
  5. 13 generations backK122074 Ifuse Implant SystemSI-BONE, Inc. · 2012
  6. 12 generations backK123850 Ifuse Implant SystemSI-BONE, Inc. · 2013
  7. 11 generations backK131405 Ifuse Implant SystemSI-BONE, Inc. · 2013
  8. 10 generations backK141049 Ifuse Implant SystemSI-BONE, Inc. · 2014
  9. 9 generations backK150714 SI-BONE iFuse Implant SystemSI-BONE, Inc. · 2015
  10. 8 generations backK151718 iFuse Implant SystemSI-BONE, Inc. · 2015
  11. 7 generations backK152681 iFuse Implant System (R)SI-BONE, Inc. · 2016
  12. 6 generations backK160652 iFUSE Implant SystemSI-BONE, Inc. · 2016
  13. 5 generations backK162733 iFuse Implant System® - iFuse-3D implantSI-BONE, Inc. · 2017
  14. 4 generations backK182983 iFuse Implant System®SI-BONE, Inc. · 2018
  15. 3 generations backK190230 iFuse Implant System®SI-BONE, Inc. · 2019
  16. 2 generations backK193524 SI-BONE iFuse Implant System®SI-BONE, Inc. · 2020
  17. 1 generation backK201538 Life Spine SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc. · 2020
  18. This deviceK212903 SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc. · 2021

Showing 5 of 8 descendants. See all descendants

Descendants cleared per year

2023: 52024: 12025: 12026: 1
2023high 5 (2023) · low 1 (2024)2026

Most influential descendants

Showing 5 of 8 · See all
  • K223708Entasis 3D Dual-Lead Sacroiliac Implant SystemCorelink, LLC · 2023 · cites it directly3descendants
  • K223819SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC · 2023 · cites it directly2descendants
  • K240505Eminent Spine SI Screw SystemEminent Spine, LLC · 2024 · 2 generations on1descendant
  • K231951SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC · 2023 · 2 generations on1descendant
  • K260571SIMPACT Sacroiliac Joint Fixation System GX Navigation InstrumentsLife Spine, Inc. · 2026 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−17K930834AcutractAcu Med, Inc.1993—
−16K051309Roi Fusion Rods & PlatesReiley Orthopaedics, Inc.20052
−15K080398SI Joint Fusion SystemSI-BONE, Inc.2008—
−14K110838Ifuse Implant SystemSI-BONE, Inc.2011—
−13K122074Ifuse Implant SystemSI-BONE, Inc.2012—
−12K123850Ifuse Implant SystemSI-BONE, Inc.2013—
−11K131405Ifuse Implant SystemSI-BONE, Inc.2013—
−10K141049Ifuse Implant SystemSI-BONE, Inc.2014—
−9K150714SI-BONE iFuse Implant SystemSI-BONE, Inc.2015—
−8K151718iFuse Implant SystemSI-BONE, Inc.2015—
−7K152681iFuse Implant System (R)SI-BONE, Inc.2016—
−6K160652iFUSE Implant SystemSI-BONE, Inc.2016—
−5K162733iFuse Implant System® - iFuse-3D implantSI-BONE, Inc.2017—
−4K182983iFuse Implant System®SI-BONE, Inc.2018—
−3K190230iFuse Implant System®SI-BONE, Inc.2019—
−2K193524SI-BONE iFuse Implant System®SI-BONE, Inc.2020—
−1K201538Life Spine SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc.2020—
0 (this device)K212903SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc.2021—
+1K223708Entasis 3D Dual-Lead Sacroiliac Implant SystemCorelink, LLC2023—
+1K223819SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC2023—
+2K240505Eminent Spine SI Screw SystemEminent Spine, LLC2024—
+2K231951SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC2023—
+1K260571SIMPACT Sacroiliac Joint Fixation System GX Navigation InstrumentsLife Spine, Inc.2026—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198420
198510
198620
198710
198820
198910
199020
199110
199220
199440
199580
199640
199750
199840
199950
200070
200190
200280
200360
200480
200560
200630
200720
200850
200910
201030
201160
201210
201340
201410
201540
201610
201810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202350
202410
202510
202610
FIG. 1 — Lineage of K212903, 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? (5)

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
*K161210RIALTO (TM) SI Fusion System, Medtronic Reusable Instruments for Use with the IPC (TM)…
Summary page 4
…s II Smooth or Threaded Metallic Bone Fastener Primary Predicate: Medtronic, Inc. Rialto Sacroiliac Fusion System (K161210) Life Spine Sacroiliac Joint Fixation Screw System (K201538,K180749, K141246) Additional Predicates:…
Medtronic Sofamor Danek2016—
*K201538Life Spine SIMPACT Sacroiliac Joint Fixation System
Summary page 4
…icate: Medtronic, Inc. Rialto Sacroiliac Fusion System (K161210) Life Spine Sacroiliac Joint Fixation Screw System (K201538,K180749, K141246) Additional Predicates: Medtronic, Inc. MSB Sacroiliac Joint Fusion Device (K110472)…
Life Spine, Inc.2020—
*K180749Life Spine SIMPACT Sacroiliac Joint Fixation System
Summary page 4
…Medtronic, Inc. Rialto Sacroiliac Fusion System (K161210) Life Spine Sacroiliac Joint Fixation Screw System (K201538,K180749, K141246) Additional Predicates: Medtronic, Inc. MSB Sacroiliac Joint Fusion Device (K110472) Devi…
Life Spine, Inc.2018—
*K141246Life Spine Sacroiliac Joint Fixation System
Summary page 4
…Medtronic, Inc. Rialto Sacroiliac Fusion System (K161210) Life Spine Sacroiliac Joint Fixation Screw System (K201538,K180749, K141246) Additional Predicates: Medtronic, Inc. MSB Sacroiliac Joint Fusion Device (K110472) Device Descri…
Life Spine, Inc.2015—
*K110472SI-Fix Sacroiliac Joint Fusion System
Summary page 4
…e Sacroiliac Joint Fixation Screw System (K201538,K180749, K141246) Additional Predicates: Medtronic, Inc. MSB Sacroiliac Joint Fusion Device (K110472) Device Description: The Life Spine SIMPACT Sacroiliac Joint Fixation System consists of fully threaded screws and partial…
Medtronic Sofamor Danek2012—

Also cleared against K161210: 26 other devices →

What descends from it? (8)

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

NumberDeviceApplicantDecidedDescendants
K223708Entasis 3D Dual-Lead Sacroiliac Implant SystemCorelink, LLC20233
K223819SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC20232
K260571SIMPACT Sacroiliac Joint Fixation System GX Navigation InstrumentsLife Spine, 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 4 companies; a new generation was cleared every 9 months on median.
  • 19 of the 137 ancestors have a recall of any class.
  • Of its descendants, K223708 (Corelink, LLC, 2023) has gone furthest, with 3 descendants of its own.
  • 26 other devices also cite its predicate K161210.

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 Life Spine SIMPACT Sacroiliac Joint Fixation System is intended for sacroiliac fusion for the following conditions:

• Sacroiliac joint dysfunction that is a direct result of sacroiliac joint disruption and degenerative sacroiliitis. This includes conditions whose symptoms began during pregnancy or in the peripartum period and have persisted postpartum for more than 6 months.

• To augment immobilization and stabilization of the sacroiliac joint in skeletally mature patients undergoing sacropelvic fixation as part of a lumbar or thoracolumbar fusion.

• Acute, non-acute, and non-traumatic fractures involving the sacroiliac joint.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K212903: SIMPACT Sacroiliac Joint Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K212903

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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