510(k) Report

510(k) · Cleared

Cleared

Integrity-SI® Fusion System

K230226510(k) SpecialCleared Sep 21, 2023237-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

OsteoCentric Technologies · OUR Sacroiliac Joint Fixation

Cleared on Sep 21, 2023 as substantially equivalent to K222512 (OsteoCentric Technologies, 2022) and 4 other predicates after a 237-day review. Its family tree reaches back 20 generations to 1993.

Decided
Sep 21, 2023
Review
237 days
Class
Class II
Product code
OUR
Recalls
None
Predicates
5

Its longest line of descent runs back 20 generations to K930834 (1993). 276 ancestors in all, the oldest K792022 (1979). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2022: 1 other ancestor2021: 2 other ancestors2016: 2 other ancestors2002: 13 other ancestors2020: 2 other ancestors2019: 3 other ancestors2017: 1 other ancestor2015: 5 other ancestors2012: 1 other ancestor2014: 5 other ancestors2013: 6 other ancestors2011: 8 other ancestors2010: 6 other ancestors2009: 6 other ancestors2005: 14 other ancestors2001: 19 other ancestors2000: 16 other ancestors1998: 10 other ancestors1996: 17 other ancestors1991: 2 other ancestors2018: 1 other ancestor2008: 8 other ancestors2007: 8 other ancestors2006: 10 other ancestors2003: 15 other ancestors1993: 3 other ancestors1990: 2 other ancestors1987: 3 other ancestors2004: 14 other ancestors1997: 7 other ancestors1995: 13 other ancestors1979: 1 other ancestor1994: 9 other ancestors1992: 5 other ancestors1999: 9 other ancestors1988: 2 other ancestors1989: 2 other ancestors1986: 2 other ancestors1985: 1 other ancestor1984: 2 other ancestorsK930834 · 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. · 2021K223819 · SI-Cure Sacroiliac Joint Fusion System · Alevio, LLC · 2023K231951 · SI-Cure Sacroiliac Joint Fusion System · Alevio, LLC · 202319801990200020102020
Other ancestors, by generation 1 generation back: 4 other ancestors2 generations back: 6 other ancestors3 generations back: 23 other ancestors4 generations back: 23 other ancestors5 generations back: 28 other ancestors6 generations back: 23 other ancestors7 generations back: 27 other ancestors8 generations back: 37 other ancestors9 generations back: 27 other ancestors10 generations back: 22 other ancestors11 generations back: 17 other ancestors12 generations back: 8 other ancestors13 generations back: 7 other ancestors14 generations back: 4 other ancestors K231951 · SI-Cure Sacroiliac Joint Fusion System · Alevio, LLC · 2023K223819 · SI-Cure Sacroiliac Joint Fusion System · Alevio, LLC · 2023K212903 · 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. · 1993−20−15−10−50
  1. Root · 20 generations backK930834 AcutractAcu Med, Inc. · 1993
  2. 16 generations between
  3. 3 generations backK212903 SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc. · 2021
  4. 2 generations backK223819 SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC · 2023
  5. 1 generation backK231951 SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC · 2023
  6. This deviceK230226 Integrity-SI® Fusion SystemOsteoCentric Technologies · 2023
Show all 20 generations
  1. Root · 20 generations backK930834 AcutractAcu Med, Inc. · 1993
  2. 19 generations backK051309 Roi Fusion Rods & PlatesReiley Orthopaedics, Inc. · 2005 · Recalled
  3. 18 generations backK080398 SI Joint Fusion SystemSI-BONE, Inc. · 2008
  4. 17 generations backK110838 Ifuse Implant SystemSI-BONE, Inc. · 2011
  5. 16 generations backK122074 Ifuse Implant SystemSI-BONE, Inc. · 2012
  6. 15 generations backK123850 Ifuse Implant SystemSI-BONE, Inc. · 2013
  7. 14 generations backK131405 Ifuse Implant SystemSI-BONE, Inc. · 2013
  8. 13 generations backK141049 Ifuse Implant SystemSI-BONE, Inc. · 2014
  9. 12 generations backK150714 SI-BONE iFuse Implant SystemSI-BONE, Inc. · 2015
  10. 11 generations backK151718 iFuse Implant SystemSI-BONE, Inc. · 2015
  11. 10 generations backK152681 iFuse Implant System (R)SI-BONE, Inc. · 2016
  12. 9 generations backK160652 iFUSE Implant SystemSI-BONE, Inc. · 2016
  13. 8 generations backK162733 iFuse Implant System® - iFuse-3D implantSI-BONE, Inc. · 2017
  14. 7 generations backK182983 iFuse Implant System®SI-BONE, Inc. · 2018
  15. 6 generations backK190230 iFuse Implant System®SI-BONE, Inc. · 2019
  16. 5 generations backK193524 SI-BONE iFuse Implant System®SI-BONE, Inc. · 2020
  17. 4 generations backK201538 Life Spine SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc. · 2020
  18. 3 generations backK212903 SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc. · 2021
  19. 2 generations backK223819 SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC · 2023
  20. 1 generation backK231951 SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC · 2023
  21. This deviceK230226 Integrity-SI® Fusion SystemOsteoCentric Technologies · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−20K930834AcutractAcu Med, Inc.1993—
−19K051309Roi Fusion Rods & PlatesReiley Orthopaedics, Inc.20052
−18K080398SI Joint Fusion SystemSI-BONE, Inc.2008—
−17K110838Ifuse Implant SystemSI-BONE, Inc.2011—
−16K122074Ifuse Implant SystemSI-BONE, Inc.2012—
−15K123850Ifuse Implant SystemSI-BONE, Inc.2013—
−14K131405Ifuse Implant SystemSI-BONE, Inc.2013—
−13K141049Ifuse Implant SystemSI-BONE, Inc.2014—
−12K150714SI-BONE iFuse Implant SystemSI-BONE, Inc.2015—
−11K151718iFuse Implant SystemSI-BONE, Inc.2015—
−10K152681iFuse Implant System (R)SI-BONE, Inc.2016—
−9K160652iFUSE Implant SystemSI-BONE, Inc.2016—
−8K162733iFuse Implant System® - iFuse-3D implantSI-BONE, Inc.2017—
−7K182983iFuse Implant System®SI-BONE, Inc.2018—
−6K190230iFuse Implant System®SI-BONE, Inc.2019—
−5K193524SI-BONE iFuse Implant System®SI-BONE, Inc.2020—
−4K201538Life Spine SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc.2020—
−3K212903SIMPACT Sacroiliac Joint Fixation SystemLife Spine, Inc.2021—
−2K223819SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC2023—
−1K231951SI-Cure Sacroiliac Joint Fusion SystemAlevio, LLC2023—
0 (this device)K230226Integrity-SI® Fusion SystemOsteoCentric Technologies2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198420
198510
198620
198730
198820
198920
199020
199120
199250
199330
199490
1995130
1996170
199770
1998100
199990
2000160
2001190
2002130
2003150
2004140
2005140
2006100
200780
200880
200960
201060
201180
201210
201360
201450
201550
201620
201710
201810
201930
202020
202120
202210
FIG. 1 — Lineage of K230226, 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 30.8 · 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
*K222512Integrity-SI Fusion System
Summary page 4
…21 CFR 888.3040 Product Code: OUR Device Classification Class II III. Predicate Device Primary predicate: • Integrity-SI® Fusion System, K222512, OsteoCentric Technologies Additional predicates: • CoorsTek Integrity-SI Fusion System, K161755, CoorsTek Medical, LLC •…
OsteoCentric Technologies2022—
*K161755Integrity-SI TM Fusion System
Summary page 4
…edicate Device Primary predicate: • Integrity-SI® Fusion System, K222512, OsteoCentric Technologies Additional predicates: • CoorsTek Integrity-SI Fusion System, K161755, CoorsTek Medical, LLC • Cannulated Fasteners and Nuts, K211290, OsteoCentric Technologies • Synthes 6.5 mm Cannulated Scre…
Coorstek Medical2016—
*K211290Cannulated Fasteners and Nuts
Summary page 4
…, K222512, OsteoCentric Technologies Additional predicates: • CoorsTek Integrity-SI Fusion System, K161755, CoorsTek Medical, LLC • Cannulated Fasteners and Nuts, K211290, OsteoCentric Technologies • Synthes 6.5 mm Cannulated Screw, K021932, Synthes (USA) • SI-Cure Sacroiliac Joint Fusion Syst…
OsteoCentric Technologies2021—
*K021932Synthes 6.5 MM Cannulated Screw
Summary page 4
…k Integrity-SI Fusion System, K161755, CoorsTek Medical, LLC • Cannulated Fasteners and Nuts, K211290, OsteoCentric Technologies • Synthes 6.5 mm Cannulated Screw, K021932, Synthes (USA) • SI-Cure Sacroiliac Joint Fusion System, K231951, Alevio, LLC IV. Device Description The Integrity-SI® Fu…
Synthes (Usa)20027
*K231951SI-Cure Sacroiliac Joint Fusion System
Cleared while this submission was under review
Summary page 4
…nnulated Fasteners and Nuts, K211290, OsteoCentric Technologies • Synthes 6.5 mm Cannulated Screw, K021932, Synthes (USA) • SI-Cure Sacroiliac Joint Fusion System, K231951, Alevio, LLC IV. Device Description The Integrity-SI® Fusion System consists of partially and fully threaded, self-tapping c…
Alevio, LLC2023—

What descends from it?

No later submission names this one as a predicate yet.

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 6 companies; a new generation was cleared every 9 months on median.
  • 39 of the 276 ancestors have a recall of any class.

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 Integrity-SI Fusion System is intended for sacroiliac joint 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 read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K230226: Integrity-SI® Fusion System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 4, 2026. https://510kreport.com/device/K230226

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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