510(k) Report

510(k) · Cleared

Cleared

T-FIX® 3DSI Joint Fusion System

K214123510(k) TraditionalCleared Jun 24, 2022176-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

Cutting Edge Spine, LLC · OUR Sacroiliac Joint Fixation

Cleared on Jun 24, 2022 as substantially equivalent to K203138 (Orthofix, Inc., 2020) and 2 other predicates after a 176-day review. Its family tree reaches back 18 generations to 1993. 1 later device descends from it.

Decided
Jun 24, 2022
Review
176 days
Class
Class II
Product code
OUR
Recalls
None
Predicates
3

Its longest line of descent runs back 18 generations to K930834 (1993). 43 ancestors in all, the oldest K903810 (1990). 1 later device descends from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2019: 1 other ancestor2018: 1 other ancestor2017: 1 other ancestor2015: 3 other ancestors2012: 2 other ancestors2011: 3 other ancestors2002: 2 other ancestors2013: 1 other ancestor2010: 2 other ancestors2009: 1 other ancestor2005: 1 other ancestor2000: 1 other ancestor1996: 1 other ancestor1991: 1 other ancestor2001: 2 other ancestors1990: 1 other ancestor1995: 1 other ancestor2023: 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. · 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. · 2018K183342 · SambaScrew 3D SI Fusion System · Orthofix, Inc. · 2019K200696 · FIREBIRD SI Fusion System · Orthofix, Inc. · 2020 · recalled×2: 2 generations cleared close together, K201664 (2020), K203138 (2020) 1990200020102020
  1. Root · 18 generations backK930834 AcutractAcu Med, Inc. · 1993
  2. 14 generations between
  3. 3 generations backK200696 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020 · Recalled
  4. 2 generations backK201664 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020
  5. 1 generation backK203138 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020
  6. This deviceK214123 T-FIX® 3DSI Joint Fusion SystemCutting Edge Spine, LLC · 2022
  7. Descendant · cites it directly · 0 of its ownK230689 T-FIX™ 3DSI Joint Fusion SystemCutting Edge Spine, LLC · 2023
Show all 18 generations
  1. Root · 18 generations backK930834 AcutractAcu Med, Inc. · 1993
  2. 17 generations backK051309 Roi Fusion Rods & PlatesReiley Orthopaedics, Inc. · 2005 · Recalled
  3. 16 generations backK080398 SI Joint Fusion SystemSI-BONE, Inc. · 2008
  4. 15 generations backK110838 Ifuse Implant SystemSI-BONE, Inc. · 2011
  5. 14 generations backK122074 Ifuse Implant SystemSI-BONE, Inc. · 2012
  6. 13 generations backK123850 Ifuse Implant SystemSI-BONE, Inc. · 2013
  7. 12 generations backK131405 Ifuse Implant SystemSI-BONE, Inc. · 2013
  8. 11 generations backK141049 Ifuse Implant SystemSI-BONE, Inc. · 2014
  9. 10 generations backK150714 SI-BONE iFuse Implant SystemSI-BONE, Inc. · 2015
  10. 9 generations backK151718 iFuse Implant SystemSI-BONE, Inc. · 2015
  11. 8 generations backK152681 iFuse Implant System (R)SI-BONE, Inc. · 2016
  12. 7 generations backK160652 iFUSE Implant SystemSI-BONE, Inc. · 2016
  13. 6 generations backK162733 iFuse Implant System® - iFuse-3D implantSI-BONE, Inc. · 2017
  14. 5 generations backK182983 iFuse Implant System®SI-BONE, Inc. · 2018
  15. 4 generations backK183342 SambaScrew 3D SI Fusion SystemOrthofix, Inc. · 2019
  16. 3 generations backK200696 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020 · Recalled
  17. 2 generations backK201664 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020
  18. 1 generation backK203138 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020
  19. This deviceK214123 T-FIX® 3DSI Joint Fusion SystemCutting Edge Spine, LLC · 2022

Most influential descendants

Showing 1 of 1 · See all
  • K230689T-FIX™ 3DSI Joint Fusion SystemCutting Edge Spine, LLC · 2023 · cites it directly0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−18K930834AcutractAcu Med, Inc.1993—
−17K051309Roi Fusion Rods & PlatesReiley Orthopaedics, Inc.20052
−16K080398SI Joint Fusion SystemSI-BONE, Inc.2008—
−15K110838Ifuse Implant SystemSI-BONE, Inc.2011—
−14K122074Ifuse Implant SystemSI-BONE, Inc.2012—
−13K123850Ifuse Implant SystemSI-BONE, Inc.2013—
−12K131405Ifuse Implant SystemSI-BONE, Inc.2013—
−11K141049Ifuse Implant SystemSI-BONE, Inc.2014—
−10K150714SI-BONE iFuse Implant SystemSI-BONE, Inc.2015—
−9K151718iFuse Implant SystemSI-BONE, Inc.2015—
−8K152681iFuse Implant System (R)SI-BONE, Inc.2016—
−7K160652iFUSE Implant SystemSI-BONE, Inc.2016—
−6K162733iFuse Implant System® - iFuse-3D implantSI-BONE, Inc.2017—
−5K182983iFuse Implant System®SI-BONE, Inc.2018—
−4K183342SambaScrew 3D SI Fusion SystemOrthofix, Inc.2019—
−3K200696FIREBIRD SI Fusion SystemOrthofix, Inc.20201
−2K201664FIREBIRD SI Fusion SystemOrthofix, Inc.2020—
−1K203138FIREBIRD SI Fusion SystemOrthofix, Inc.2020—
0 (this device)K214123T-FIX® 3DSI Joint Fusion SystemCutting Edge Spine, LLC2022—
+1K230689T-FIX™ 3DSI Joint Fusion SystemCutting Edge Spine, LLC2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
199010
199110
199510
199610
200010
200120
200220
200510
200910
201020
201130
201220
201310
201530
201710
201810
201910

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202310
FIG. 1 — Lineage of K214123, 1993–2023Source: 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
*K203138FIREBIRD SI Fusion System
Summary page 5
…Manufacturer Number Primary FIREBIRD SI Fusion K203138 Orthofix Inc. Predicate System…
Orthofix, Inc.2020—
*K190025EVOL® -SI Joint Fusion System
Summary page 5
…System Additional EVOL® SI Joint Cutting Edge Spine, K190025 Predicate Fusion System LLC Additional…
Cutting Edge Spine, LLC2019—
*K181881Outlet Sacroiliac Joint Fusion System
Summary page 5
…Fusion System LLC Additional Outlet Sacroiliac Joint K181881 SIJ Surgical Predicate Fusion System IV.…
Sij Surgical2018—

Also cleared against K203138: 3 other devices →

What descends from it? (1)

1 later device cites it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K230689T-FIX™ 3DSI Joint Fusion SystemCutting Edge Spine, LLC20230

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 29 years and passes through 5 companies; a new generation was cleared every 9 months on median.
  • 5 of the 43 ancestors have a recall of any class.
  • Of its descendants, K230689 (Cutting Edge Spine, LLC, 2023) has gone furthest, with 0 descendants of its own.
  • 3 other devices also cite its predicate K203138.

How does its category compare?

All OUR devices

OUR Sacroiliac Joint Fixation: FDA decisions, review times, recalls and adverse event reports over 20 years. 2022, 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 T-FIX® 3DSI Joint Fusion System is intended for fixation of sacroiliac joint disruptions, and intended for sacroiliac joint fusion for conditions including;

- sacroiliac joint disruptions

- degenerative sacroiliitis

- to augment immobilization and stabilization of the sacroiliac joint in skeletally mature patients undergoing sacropelvic fixation as part of a lumbar of thoracolumbar fusion and

- 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. “K214123: T-FIX® 3DSI 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/K214123

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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