510(k) Report

510(k) · Cleared

Cleared

CATAMARAN SI Joint Fusion System

K231944510(k) TraditionalCleared Aug 24, 202355-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

Tenon Medical, Inc. · OUR Sacroiliac Joint Fixation

Cleared on Aug 24, 2023 as substantially equivalent to K180818 (Tenon Medical, Inc., 2018) after a 55-day review. Its family tree reaches back 16 generations to 1984. 4 later devices descend from it.

Decided
Aug 24, 2023
Review
55 days
Class
Class II
Product code
OUR
Recalls
None
Predicates
1

Its longest line of descent runs back 16 generations to K841189 (1984). 123 ancestors in all. 4 later devices descend from it, 3 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2013: 4 other ancestors2012: 2 other ancestors2002: 8 other ancestors2014: 1 other ancestor2011: 6 other ancestors2010: 2 other ancestors2009: 1 other ancestor2008: 5 other ancestors2005: 7 other ancestors1991: 1 other ancestor2006: 3 other ancestors2001: 8 other ancestors2000: 7 other ancestors1996: 4 other ancestors1990: 2 other ancestors1999: 4 other ancestors1997: 5 other ancestors1995: 8 other ancestors1994: 4 other ancestors1993: 1 other ancestor2004: 6 other ancestors2003: 4 other ancestors1998: 4 other ancestors1988: 2 other ancestors1987: 1 other ancestor1992: 2 other ancestors1989: 1 other ancestor1986: 2 other ancestors1985: 1 other ancestor1984: 1 other ancestor2025: 2 descendants cleared2026: 1 descendant cleared2024: 1 descendant clearedK841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001×2: 2 generations cleared close together, K022793 (2003), K031757 (2003) ×2: 2 generations cleared close together, K041888 (2004), K042930 (2004) K062759 · Paramount VBR System · Innovative Spinal Technologies, Inc. · 2007K072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007K073291 · Capstone Spinal System · Medtronic Sofamor Danek USA, Inc. · 2008K100175 · Clydesdale Spinal System · Medtronic Sofamor Danek · 2010K112405 · Clydesdales Spinal System · Medtronic Sofamor Danek USA, Inc. · 2011K131425 · Navigated Capstone Trials, Clydesdale Trials, Capstone & Clydesdale Inserter · Medtronic Navigation, Inc. · 2013 · recalledK150231 · Navigated Disc Prep Instruments and CAPSTONE Trials · Medtronic Sofamor Danek USA, Inc. · 2015K161210 · RIALTO (TM) SI Fusion System, Medtronic Reusable Instruments for Use with the IPC (TM) Powerease (TM) System, and Medtronic Navigated Manual Reusable Instruments for use with the StealthStation (TM) and IPC (TM) Powerease (TM) Systems · Medtronic Sofamor Danek · 2016K180818 · Catamaran Sacroiliac Joint Fixation System (CAT SIJ Fixation System) · Tenon Medical, Inc. · 201819801990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 3 other ancestors3 generations back: 13 other ancestors4 generations back: 14 other ancestors5 generations back: 17 other ancestors6 generations back: 23 other ancestors7 generations back: 9 other ancestors8 generations back: 9 other ancestors9 generations back: 11 other ancestors10 generations back: 5 other ancestors11 generations back: 2 other ancestors12 generations back: 1 other ancestor 1 generation forward: 3 descendants2 generations forward: 1 descendant K180818 · Catamaran Sacroiliac Joint Fixation System (CAT SIJ Fixation System) · Tenon Medical, Inc. · 2018K161210 · RIALTO (TM) SI Fusion System, Medtronic Reusable Instruments for Use with the IPC (TM) Powerease (TM) System, and Medtronic Navigated Manual Reusable Instruments for use with the StealthStation (TM) and IPC (TM) Powerease (TM) Systems · Medtronic Sofamor Danek · 2016K150231 · Navigated Disc Prep Instruments and CAPSTONE Trials · Medtronic Sofamor Danek USA, Inc. · 2015K131425 · Navigated Capstone Trials, Clydesdale Trials, Capstone & Clydesdale Inserter · Medtronic Navigation, Inc. · 2013 · recalledK112405 · Clydesdales Spinal System · Medtronic Sofamor Danek USA, Inc. · 2011K100175 · Clydesdale Spinal System · Medtronic Sofamor Danek · 2010K073291 · Capstone Spinal System · Medtronic Sofamor Danek USA, Inc. · 2008K072120 · Paramount Intervertebral Body Fusion Device · Innovative Spinal Technologies, Inc. · 2007K062759 · Paramount VBR System · Innovative Spinal Technologies, Inc. · 2007K042930 · Spacevision Cage System · Spine Vision, Inc. · 2004K041888 · Curved Peek Tetris Spinal Implant · Signus Medizintechnik GmbH · 2004K031757 · Peek Tetris Spinal Implant · Signus Medical, LLC · 2003K022793 · Tetris Spinal Implant · Signus Medical, LLC · 2003K003043 · Surgical Titanium Mesh System · Depuyacromed · 2001K990148 · Stackable Cage System · Depuy Motech Acromed · 1999K841189 · Oec/Rezaian Spinal Fixator · Orthopedic Equipment Co., Inc. · 1984−15−10−50
  1. Root · 16 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 12 generations between
  3. 3 generations backK150231 Navigated Disc Prep Instruments and CAPSTONE TrialsMedtronic Sofamor Danek USA, Inc. · 2015
  4. 2 generations backK161210 RIALTO (TM) SI Fusion System, Medtronic Reusable Instruments for Use…Medtronic Sofamor Danek · 2016
  5. 1 generation backK180818 Catamaran Sacroiliac Joint Fixation System (CAT SIJ Fixation System)Tenon Medical, Inc. · 2018
  6. This deviceK231944 CATAMARAN SI Joint Fusion SystemTenon Medical, Inc. · 2023
  7. Descendant · cites it directly · 1 of its ownK250403 Catamaran SI Joint Fusion SystemTenon Medical · 2025
  8. Descendant · cites it directly · 1 of its ownK241813 SI-TECHNOLOGY® SI-DESIS® X™ Sacroiliac Joint Fusion SystemSi-Technology, LLC · 2024
  9. Descendant · cites it directly · 0 of its ownK260477 CATAMARAN™ SI Joint Fusion SystemTenon Medical · 2026
  10. Descendant · 2 generations on · 0 of its ownK251525 SI-TECHNOLOGY® SI-DESIS® X™ Sacroiliac Joint Fusion SystemSi-Technology, LLC · 2025
Show all 16 generations
  1. Root · 16 generations backK841189 Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc. · 1984
  2. 15 generations backK990148 Stackable Cage SystemDepuy Motech Acromed · 1999
  3. 14 generations backK003043 Surgical Titanium Mesh SystemDepuyacromed · 2001
  4. 13 generations backK022793 Tetris Spinal ImplantSignus Medical, LLC · 2003
  5. 12 generations backK031757 Peek Tetris Spinal ImplantSignus Medical, LLC · 2003
  6. 11 generations backK041888 Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH · 2004
  7. 10 generations backK042930 Spacevision Cage SystemSpine Vision, Inc. · 2004
  8. 9 generations backK062759 Paramount VBR SystemInnovative Spinal Technologies, Inc. · 2007
  9. 8 generations backK072120 Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc. · 2007
  10. 7 generations backK073291 Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2008
  11. 6 generations backK100175 Clydesdale Spinal SystemMedtronic Sofamor Danek · 2010
  12. 5 generations backK112405 Clydesdales Spinal SystemMedtronic Sofamor Danek USA, Inc. · 2011
  13. 4 generations backK131425 Navigated Capstone Trials, Clydesdale Trials, Capstone & Clydesdale…Medtronic Navigation, Inc. · 2013 · Recalled
  14. 3 generations backK150231 Navigated Disc Prep Instruments and CAPSTONE TrialsMedtronic Sofamor Danek USA, Inc. · 2015
  15. 2 generations backK161210 RIALTO (TM) SI Fusion System, Medtronic Reusable Instruments for Use…Medtronic Sofamor Danek · 2016
  16. 1 generation backK180818 Catamaran Sacroiliac Joint Fixation System (CAT SIJ Fixation System)Tenon Medical, Inc. · 2018
  17. This deviceK231944 CATAMARAN SI Joint Fusion SystemTenon Medical, Inc. · 2023

Most influential descendants

Showing 4 of 4 · See all
  • K250403Catamaran SI Joint Fusion SystemTenon Medical · 2025 · cites it directly1descendant
  • K241813SI-TECHNOLOGY® SI-DESIS® X™ Sacroiliac Joint Fusion SystemSi-Technology, LLC · 2024 · cites it directly1descendant
  • K260477CATAMARAN™ SI Joint Fusion SystemTenon Medical · 2026 · cites it directly0descendants
  • K251525SI-TECHNOLOGY® SI-DESIS® X™ Sacroiliac Joint Fusion SystemSi-Technology, LLC · 2025 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−16K841189Oec/Rezaian Spinal FixatorOrthopedic Equipment Co., Inc.1984—
−15K990148Stackable Cage SystemDepuy Motech Acromed1999—
−14K003043Surgical Titanium Mesh SystemDepuyacromed2001—
−13K022793Tetris Spinal ImplantSignus Medical, LLC2003—
−12K031757Peek Tetris Spinal ImplantSignus Medical, LLC2003—
−11K041888Curved Peek Tetris Spinal ImplantSignus Medizintechnik GmbH2004—
−10K042930Spacevision Cage SystemSpine Vision, Inc.2004—
−9K062759Paramount VBR SystemInnovative Spinal Technologies, Inc.2007—
−8K072120Paramount Intervertebral Body Fusion DeviceInnovative Spinal Technologies, Inc.2007—
−7K073291Capstone Spinal SystemMedtronic Sofamor Danek USA, Inc.2008—
−6K100175Clydesdale Spinal SystemMedtronic Sofamor Danek2010—
−5K112405Clydesdales Spinal SystemMedtronic Sofamor Danek USA, Inc.2011—
−4K131425Navigated Capstone Trials, Clydesdale Trials, Capstone & Clydesdale InserterMedtronic Navigation, Inc.201310
−3K150231Navigated Disc Prep Instruments and CAPSTONE TrialsMedtronic Sofamor Danek USA, Inc.2015—
−2K161210RIALTO (TM) SI Fusion System, Medtronic Reusable Instruments for Use with the…Medtronic Sofamor Danek2016—
−1K180818Catamaran Sacroiliac Joint Fixation System (CAT SIJ Fixation System)Tenon Medical, Inc.2018—
0 (this device)K231944CATAMARAN SI Joint Fusion SystemTenon Medical, Inc.2023—
+1K250403Catamaran SI Joint Fusion SystemTenon Medical2025—
+1K241813SI-TECHNOLOGY® SI-DESIS® X™ Sacroiliac Joint Fusion SystemSi-Technology, LLC2024—
+1K260477CATAMARAN™ SI Joint Fusion SystemTenon Medical2026—
+2K251525SI-TECHNOLOGY® SI-DESIS® X™ Sacroiliac Joint Fusion SystemSi-Technology, LLC2025—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198410
198510
198620
198710
198820
198910
199020
199110
199220
199310
199440
199580
199640
199750
199840
199940
200070
200180
200280
200340
200460
200570
200630
200850
200910
201020
201160
201220
201340
201410

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202410
202520
202610
FIG. 1 — Lineage of K231944, 1984–2026Source: 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? (1)

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
*K180818Catamaran Sacroiliac Joint Fixation System (CAT SIJ Fixation System)
Summary page 4
…te Code CATAMARAN™ Sacroiliac Joint Tenon Medical OUR K180818 June 13, 2018 Fixation System V. INDICATIONS FOR USE The Tenon Medical CATAMARAN™ SI Joint Fusion System…
Tenon Medical, Inc.2018—

Also cleared against K180818: 10 other devices →

What descends from it? (4)

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

NumberDeviceApplicantDecidedDescendants
K250403Catamaran SI Joint Fusion SystemTenon Medical20251
K241813SI-TECHNOLOGY® SI-DESIS® X™ Sacroiliac Joint Fusion SystemSi-Technology, LLC20241
K260477CATAMARAN™ SI Joint Fusion SystemTenon Medical20260

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 39 years and passes through 11 companies; a new generation was cleared every 1.7 years on median.
  • 19 of the 123 ancestors have a recall of any class.
  • Of its descendants, K250403 (Tenon Medical, 2025) has gone furthest, with 1 descendant of its own.
  • 10 other devices also cite its predicate K180818.

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 Tenon Medical CATAMARAN SI Joint Fusion System is intended for sacroiliac joint fusion for conditions including

sacroiliac joint disruptions and degenerative sacroiliitis.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K231944: CATAMARAN SI Joint Fusion System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 5, 2026. https://510kreport.com/device/K231944

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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