510(k) Report

510(k) · Cleared

Cleared

iFuse TORQ® Implant System

K231689510(k) SpecialCleared Jun 30, 202321-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

SI-BONE, Inc. · OUR Sacroiliac Joint Fixation

Cleared on Jun 30, 2023 as substantially equivalent to K222605 (SI-BONE, Inc., 2022) and 2 other predicates after a 21-day review. Its family tree reaches back 21 generations to 1993. 5 later devices descend from it.

Decided
Jun 30, 2023
Review
21 days
Class
Class II
Product code
OUR
Recalls
None
Predicates
3

Its longest line of descent runs back 21 generations to K930834 (1993). 152 ancestors in all, the oldest K841189 (1984). 5 later devices descend from it, 1 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2022: 1 other ancestor2015: 5 other ancestors2021: 1 other ancestor2019: 3 other ancestors2018: 1 other ancestor2017: 2 other ancestors2002: 8 other ancestors2020: 1 other ancestor2016: 1 other ancestor2012: 2 other ancestors2009: 1 other ancestor2014: 1 other ancestor2013: 5 other ancestors2011: 6 other ancestors2010: 3 other ancestors2005: 6 other ancestors1991: 1 other ancestor2008: 5 other ancestors2006: 3 other ancestors2001: 9 other ancestors2000: 7 other ancestors1996: 4 other ancestors1995: 8 other ancestors1990: 2 other ancestors1999: 5 other ancestors1997: 5 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 ancestors2024: 1 descendant cleared2025: 3 descendants cleared2026: 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), K183342 (2019) ×4: 4 generations cleared close together, K200696 (2020), K201664 (2020), K203138 (2020), K210667 (2021) ×2: 2 generations cleared close together, K213667 (2022), K222605 (2022) 19801990200020102020
Other ancestors, by generationDescendants, by generation 1 generation back: 2 other ancestors2 generations back: 5 other ancestors3 generations back: 6 other ancestors4 generations back: 14 other ancestors5 generations back: 19 other ancestors6 generations back: 15 other ancestors7 generations back: 25 other ancestors8 generations back: 10 other ancestors9 generations back: 10 other ancestors10 generations back: 12 other ancestors11 generations back: 6 other ancestors12 generations back: 5 other ancestors13 generations back: 2 other ancestors 1 generation forward: 1 descendant2 generations forward: 3 descendants3 generations forward: 1 descendant K222605 · iFuse TORQ® Implant System · SI-BONE, Inc. · 2022K213667 · iFuse-TORQ® Implant System · SI-BONE, Inc. · 2022K210667 · FIREBIRD SI Fusion System · Orthofix, Inc. · 2021K203138 · FIREBIRD SI Fusion System · Orthofix, Inc. · 2020K201664 · FIREBIRD SI Fusion System · Orthofix, Inc. · 2020K200696 · FIREBIRD SI Fusion System · Orthofix, Inc. · 2020 · recalledK183342 · SambaScrew 3D SI Fusion System · Orthofix, 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 · 21 generations backK930834 AcutractAcu Med, Inc. · 1993
  2. 17 generations between
  3. 3 generations backK210667 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2021
  4. 2 generations backK213667 iFuse-TORQ® Implant SystemSI-BONE, Inc. · 2022
  5. 1 generation backK222605 iFuse TORQ® Implant SystemSI-BONE, Inc. · 2022
  6. This deviceK231689 iFuse TORQ® Implant SystemSI-BONE, Inc. · 2023
  7. Descendant · cites it directly · 4 of its ownK241574 iFuse TORQ® Implant SystemSI-BONE, Inc. · 2024
  8. Descendant · 2 generations on · 1 of its ownK243565 DYNAMIS™ SI Screw SystemPromethean Restorative, LLC · 2025
  9. Descendant · 2 generations on · 0 of its ownK253488 iFuse INTRA Ti™ Implant SystemSI-BONE, Inc. · 2026
  10. Descendant · 3 generations on · 0 of its ownK251075 DYNAMIS™ Implant SystemPromethean Restorative, LLC · 2025
  11. Descendant · 2 generations on · 0 of its ownK243838 NEXXT MATRIXX® SI SystemNexxt Spine · 2025
Show all 21 generations
  1. Root · 21 generations backK930834 AcutractAcu Med, Inc. · 1993
  2. 20 generations backK051309 Roi Fusion Rods & PlatesReiley Orthopaedics, Inc. · 2005 · Recalled
  3. 19 generations backK080398 SI Joint Fusion SystemSI-BONE, Inc. · 2008
  4. 18 generations backK110838 Ifuse Implant SystemSI-BONE, Inc. · 2011
  5. 17 generations backK122074 Ifuse Implant SystemSI-BONE, Inc. · 2012
  6. 16 generations backK123850 Ifuse Implant SystemSI-BONE, Inc. · 2013
  7. 15 generations backK131405 Ifuse Implant SystemSI-BONE, Inc. · 2013
  8. 14 generations backK141049 Ifuse Implant SystemSI-BONE, Inc. · 2014
  9. 13 generations backK150714 SI-BONE iFuse Implant SystemSI-BONE, Inc. · 2015
  10. 12 generations backK151718 iFuse Implant SystemSI-BONE, Inc. · 2015
  11. 11 generations backK152681 iFuse Implant System (R)SI-BONE, Inc. · 2016
  12. 10 generations backK160652 iFUSE Implant SystemSI-BONE, Inc. · 2016
  13. 9 generations backK162733 iFuse Implant System® - iFuse-3D implantSI-BONE, Inc. · 2017
  14. 8 generations backK182983 iFuse Implant System®SI-BONE, Inc. · 2018
  15. 7 generations backK183342 SambaScrew 3D SI Fusion SystemOrthofix, Inc. · 2019
  16. 6 generations backK200696 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020 · Recalled
  17. 5 generations backK201664 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020
  18. 4 generations backK203138 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020
  19. 3 generations backK210667 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2021
  20. 2 generations backK213667 iFuse-TORQ® Implant SystemSI-BONE, Inc. · 2022
  21. 1 generation backK222605 iFuse TORQ® Implant SystemSI-BONE, Inc. · 2022
  22. This deviceK231689 iFuse TORQ® Implant SystemSI-BONE, Inc. · 2023

Most influential descendants

Showing 5 of 5 · See all
  • K241574iFuse TORQ® Implant SystemSI-BONE, Inc. · 2024 · cites it directly4descendants
  • K243565DYNAMIS™ SI Screw SystemPromethean Restorative, LLC · 2025 · 2 generations on1descendant
  • K253488iFuse INTRA Ti™ Implant SystemSI-BONE, Inc. · 2026 · 2 generations on0descendants
  • K251075DYNAMIS™ Implant SystemPromethean Restorative, LLC · 2025 · 3 generations on0descendants
  • K243838NEXXT MATRIXX® SI SystemNexxt Spine · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−21K930834AcutractAcu Med, Inc.1993—
−20K051309Roi Fusion Rods & PlatesReiley Orthopaedics, Inc.20052
−19K080398SI Joint Fusion SystemSI-BONE, Inc.2008—
−18K110838Ifuse Implant SystemSI-BONE, Inc.2011—
−17K122074Ifuse Implant SystemSI-BONE, Inc.2012—
−16K123850Ifuse Implant SystemSI-BONE, Inc.2013—
−15K131405Ifuse Implant SystemSI-BONE, Inc.2013—
−14K141049Ifuse Implant SystemSI-BONE, Inc.2014—
−13K150714SI-BONE iFuse Implant SystemSI-BONE, Inc.2015—
−12K151718iFuse Implant SystemSI-BONE, Inc.2015—
−11K152681iFuse Implant System (R)SI-BONE, Inc.2016—
−10K160652iFUSE Implant SystemSI-BONE, Inc.2016—
−9K162733iFuse Implant System® - iFuse-3D implantSI-BONE, Inc.2017—
−8K182983iFuse Implant System®SI-BONE, Inc.2018—
−7K183342SambaScrew 3D SI Fusion SystemOrthofix, Inc.2019—
−6K200696FIREBIRD SI Fusion SystemOrthofix, Inc.20201
−5K201664FIREBIRD SI Fusion SystemOrthofix, Inc.2020—
−4K203138FIREBIRD SI Fusion SystemOrthofix, Inc.2020—
−3K210667FIREBIRD SI Fusion SystemOrthofix, Inc.2021—
−2K213667iFuse-TORQ® Implant SystemSI-BONE, Inc.2022—
−1K222605iFuse TORQ® Implant SystemSI-BONE, Inc.2022—
0 (this device)K231689iFuse TORQ® Implant SystemSI-BONE, Inc.2023—
+1K241574iFuse TORQ® Implant SystemSI-BONE, Inc.2024—
+2K243565DYNAMIS™ SI Screw SystemPromethean Restorative, LLC2025—
+2K253488iFuse INTRA Ti™ Implant SystemSI-BONE, Inc.2026—
+3K251075DYNAMIS™ Implant SystemPromethean Restorative, LLC2025—
+2K243838NEXXT MATRIXX® SI SystemNexxt Spine2025—

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
201220
201350
201410
201550
201610
201720
201810
201930
202010
202110
202210

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
202530
202610
FIG. 1 — Lineage of K231689, 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? (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
*K222605iFuse TORQ® Implant System
Summary page 4
…e fastener Product Code: OUR, HWC and OLO III. PREDICATE AND REFERENCE DEVICES Primary Predicate: iFuse TORQ Implant System (K222605) Additional Predicates: TransLoc 3D™ (K211496) SpineFrontier® SIJFuse™ Sacroi…
SI-BONE, Inc.2022—
*K211496TransLoc 3D
Summary page 4
…OLO III. PREDICATE AND REFERENCE DEVICES Primary Predicate: iFuse TORQ Implant System (K222605) Additional Predicates: TransLoc 3D™ (K211496) SpineFrontier® SIJFuse™ Sacroiliac Joint Fusion Device…
Foundation Fusion Solutions, LLC (Dba Cornerloc)2022—
*K150017SpineFrontier SIJFuse Sacroiliac Joint Fusion Device System
Summary page 4
…s: TransLoc 3D™ (K211496) SpineFrontier® SIJFuse™ Sacroiliac Joint Fusion Device System (K150017) IV. DEVICE DESCRIPTION The iFuse TORQ Implant System consists of threaded, fenestrated, cannulated, 3D-printed…
Spinefrontier, Inc.2015—

Also cleared against K222605: 4 other devices →

What descends from it? (5)

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

NumberDeviceApplicantDecidedDescendants
K241574iFuse TORQ® Implant SystemSI-BONE, Inc.20244

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 4 companies; a new generation was cleared every 9 months on median.
  • 21 of the 152 ancestors have a recall of any class.
  • Of its descendants, K241574 (SI-BONE, Inc., 2024) has gone furthest, with 4 descendants of its own.
  • 4 other devices also cite its predicate K222605.

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 iFuse TORQ Implant System is indicated for sacroiliac joint fusion for: - Sacroiliac joint dysfunction including sacroiliac joint disruption and degenerative sacroiliitis. - Augmenting immobilization and stabilization of the sacroiliac joint in skeletally mature patients undergoing sacropelvic fixation as part of a lumbar or thoracolumbar fusion. The iFuse TORQ Implant System is also indicated for fracture fixation of the pelvis, including acute…

Read the full statement (165 words)

The iFuse TORQ Implant System is indicated for sacroiliac joint fusion for:

- Sacroiliac joint dysfunction including sacroiliac joint disruption and degenerative sacroiliitis.

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

The iFuse TORQ Implant System is also indicated for fracture fixation of the pelvis, including acute, non-acute and non-traumatic fractures.

The iFuse TORQ Navigation instruments are intended to be used with the iFuse TORQ Implant System to assist the surgeon in precisely locating anatomical structures in iFuse TORQ Implant System procedures, in which the use of stereotactic surgery may be appropriate, and where reference to a rigid anatomical structure, such as the pelvis or vertebra, can be identified relative to the acquired image (CT, MR, 2D fluoroscopic image or 3D fluoroscopic image reconstruction) and / or an image data based model of the anatomy. iFuse TORQ Navigation instruments are intended to be used with the Medtronic StealthStation System.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K231689: iFuse TORQ® Implant System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K231689

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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