510(k) Report

510(k) · Cleared

Cleared

SI-Cure Sacroiliac Joint Fusion System

K223819510(k) SpecialCleared Jan 18, 202328-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

Alevio, LLC · OUR Sacroiliac Joint Fixation

Cleared on Jan 18, 2023 as substantially equivalent to K141106 (Folsom Metal Products, Inc. Dba Frontier Devices, 2014) and 1 other predicate after a 28-day review. Its family tree reaches back 18 generations to 1993. 2 later devices descend from it.

Decided
Jan 18, 2023
Review
28 days
Class
Class II
Product code
OUR
Recalls
None
Predicates
2

Its longest line of descent runs back 18 generations to K930834 (1993). 140 ancestors in all, the oldest K841189 (1984). 2 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2014: 2 other ancestors2018: 1 other ancestor2016: 1 other ancestor2015: 4 other ancestors2013: 5 other ancestors2012: 1 other ancestor2011: 6 other ancestors2010: 3 other ancestors2009: 1 other ancestor2005: 6 other ancestors2002: 8 other ancestors1996: 4 other ancestors1991: 1 other ancestor2008: 5 other ancestors2006: 3 other ancestors2001: 9 other ancestors2000: 7 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: 2 descendants 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) K212903 · SIMPACT Sacroiliac Joint Fixation System · Life Spine, Inc. · 202119801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 1 other ancestor2 generations back: 6 other ancestors3 generations back: 14 other ancestors4 generations back: 13 other ancestors5 generations back: 17 other ancestors6 generations back: 25 other ancestors7 generations back: 10 other ancestors8 generations back: 11 other ancestors9 generations back: 12 other ancestors10 generations back: 6 other ancestors11 generations back: 5 other ancestors12 generations back: 2 other ancestors 1 generation forward: 1 descendant2 generations forward: 1 descendant K212903 · SIMPACT Sacroiliac Joint Fixation System · Life Spine, Inc. · 2021K201538 · 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 · 18 generations backK930834 AcutractAcu Med, Inc. · 1993
  2. 14 generations between
  3. 3 generations backK193524 SI-BONE iFuse Implant System®SI-BONE, Inc. · 2020
  4. 2 generations backK201538 Life Spine SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc. · 2020
  5. 1 generation backK212903 SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc. · 2021
  6. This deviceK223819 SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC · 2023
  7. Descendant · cites it directly · 1 of its ownK231951 SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC · 2023
  8. Descendant · 2 generations on · 0 of its ownK230226 Integrity-SI® Fusion SystemOsteoCentric Technologies · 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 backK190230 iFuse Implant System®SI-BONE, Inc. · 2019
  16. 3 generations backK193524 SI-BONE iFuse Implant System®SI-BONE, Inc. · 2020
  17. 2 generations backK201538 Life Spine SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc. · 2020
  18. 1 generation backK212903 SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc. · 2021
  19. This deviceK223819 SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC · 2023

Most influential descendants

Showing 2 of 2 · See all
  • K231951SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC · 2023 · cites it directly1descendant
  • K230226Integrity-SI® Fusion SystemOsteoCentric Technologies · 2023 · 2 generations on0descendants
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—
−4K190230iFuse Implant System®SI-BONE, Inc.2019—
−3K193524SI-BONE iFuse Implant System®SI-BONE, Inc.2020—
−2K201538Life Spine SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc.2020—
−1K212903SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc.2021—
0 (this device)K223819SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC2023—
+1K231951SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC2023—
+2K230226Integrity-SI® Fusion SystemOsteoCentric Technologies2023—

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
201350
201420
201540
201610
201810

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202320
FIG. 1 — Lineage of K223819, 1993–2023Source: FDA 510(k) summaries, read by 510(k) Report · How lineage is built

Get the monthly Device Review Tracker

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? (2)

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
*K141106Frontier Devices Fusio Screw Fuze System
Summary page 5
…cturer Predicate Number Type K141106 Frontier Devices FUSIO Screw Fuze System Folsom Metal Products, Inc. DBA Frontier Devices Primary K212903 SIMPAC…
Folsom Metal Products, Inc. Dba Frontier Devices2014—
*K212903SIMPACT Sacroiliac Joint Fixation System
Summary page 5
…Type K141106 Frontier Devices FUSIO Screw Fuze System Folsom Metal Products, Inc. DBA Frontier Devices Primary K212903 SIMPACT Sacroiliac Joint Fixation System Life Spine, Inc. Additional PERFORMANCE DATA…
Life Spine, Inc.2021—

What descends from it? (2)

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

NumberDeviceApplicantDecidedDescendants
K231951SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC20231

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 30 years and passes through 5 companies; a new generation was cleared every 9 months on median.
  • 19 of the 140 ancestors have a recall of any class.
  • Of its descendants, K231951 (Alevio, LLC, 2023) has gone furthest, with 1 descendant of its own.

How does its category compare?

All OUR devices

OUR Sacroiliac Joint Fixation: FDA decisions, review times, recalls and adverse event reports over 20 years. 2023, 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 SI-Cure Sacroiliac Joint Fusion 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 acropelvic 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. “K223819: SI-Cure 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/K223819

Report an extraction error

Tell us what is wrong; we check it against the FDA summary.

Are you the manufacturer?

Send a correction or an update to this page, for example a newer model or a public statement about a recall.

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