510(k) Report

510(k) · Cleared

Cleared

Sacrix® Sacroiliac Joint Fusion Device System, Inspan® ScrewLES Fusion System, Invue® MAX™ + Invue Inset Anterior Cervical Plate System, and FacetFuse® Screw Fixation System

K232605510(k) SpecialCleared Sep 28, 202331-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

Lesspine Innovations · OUR Sacroiliac Joint Fixation

Cleared on Sep 28, 2023 as substantially equivalent to K150017 (Spinefrontier, Inc., 2015) and 10 other predicates after a 31-day review. Its family tree reaches back 22 generations to 1993.

Decided
Sep 28, 2023
Review
31 days
Class
Class II
Product code
OUR
Recalls
None
Predicates
11

Its longest line of descent runs back 22 generations to K930834 (1993). 329 ancestors in all, the oldest K792352 (1979). No later device cites it as a predicate yet.

Other ancestors, by year cleared 2022: 2 other ancestors2021: 5 other ancestors2017: 4 other ancestors2015: 7 other ancestors2013: 11 other ancestors2012: 7 other ancestors2010: 11 other ancestors2008: 13 other ancestors2002: 15 other ancestors2001: 16 other ancestors2016: 4 other ancestors2009: 4 other ancestors2006: 11 other ancestors2005: 23 other ancestors2003: 18 other ancestors2000: 17 other ancestors2020: 2 other ancestors2019: 4 other ancestors2018: 3 other ancestors2014: 2 other ancestors2007: 9 other ancestors2004: 23 other ancestors1999: 11 other ancestors1998: 11 other ancestors2011: 6 other ancestors1997: 14 other ancestors1995: 13 other ancestors1992: 9 other ancestors1991: 1 other ancestor1996: 5 other ancestors1993: 4 other ancestors1990: 4 other ancestors1994: 7 other ancestors1980: 1 other ancestor1979: 1 other ancestor1988: 2 other ancestors1987: 1 other ancestor1989: 1 other ancestor1986: 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), K183342 (2019) ×4: 4 generations cleared close together, K200696 (2020), K201664 (2020), K203138 (2020), K210667 (2021) ×3: 3 generations cleared close together, K213667 (2022), K222605 (2022), K223708 (2023) 19801990200020102020
Other ancestors, by generation 1 generation back: 10 other ancestors2 generations back: 20 other ancestors3 generations back: 40 other ancestors4 generations back: 48 other ancestors5 generations back: 44 other ancestors6 generations back: 32 other ancestors7 generations back: 36 other ancestors8 generations back: 23 other ancestors9 generations back: 27 other ancestors10 generations back: 14 other ancestors11 generations back: 6 other ancestors12 generations back: 5 other ancestors13 generations back: 2 other ancestors K223708 · Entasis 3D Dual-Lead Sacroiliac Implant System · Corelink, LLC · 2023K222605 · 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 · 22 generations backK930834 AcutractAcu Med, Inc. · 1993
  2. 18 generations between
  3. 3 generations backK213667 iFuse-TORQ® Implant SystemSI-BONE, Inc. · 2022
  4. 2 generations backK222605 iFuse TORQ® Implant SystemSI-BONE, Inc. · 2022
  5. 1 generation backK223708 Entasis 3D Dual-Lead Sacroiliac Implant SystemCorelink, LLC · 2023
  6. This deviceK232605 Sacrix® Sacroiliac Joint Fusion Device System, Inspan® ScrewLES…Lesspine Innovations · 2023
Show all 22 generations
  1. Root · 22 generations backK930834 AcutractAcu Med, Inc. · 1993
  2. 21 generations backK051309 Roi Fusion Rods & PlatesReiley Orthopaedics, Inc. · 2005 · Recalled
  3. 20 generations backK080398 SI Joint Fusion SystemSI-BONE, Inc. · 2008
  4. 19 generations backK110838 Ifuse Implant SystemSI-BONE, Inc. · 2011
  5. 18 generations backK122074 Ifuse Implant SystemSI-BONE, Inc. · 2012
  6. 17 generations backK123850 Ifuse Implant SystemSI-BONE, Inc. · 2013
  7. 16 generations backK131405 Ifuse Implant SystemSI-BONE, Inc. · 2013
  8. 15 generations backK141049 Ifuse Implant SystemSI-BONE, Inc. · 2014
  9. 14 generations backK150714 SI-BONE iFuse Implant SystemSI-BONE, Inc. · 2015
  10. 13 generations backK151718 iFuse Implant SystemSI-BONE, Inc. · 2015
  11. 12 generations backK152681 iFuse Implant System (R)SI-BONE, Inc. · 2016
  12. 11 generations backK160652 iFUSE Implant SystemSI-BONE, Inc. · 2016
  13. 10 generations backK162733 iFuse Implant System® - iFuse-3D implantSI-BONE, Inc. · 2017
  14. 9 generations backK182983 iFuse Implant System®SI-BONE, Inc. · 2018
  15. 8 generations backK183342 SambaScrew 3D SI Fusion SystemOrthofix, Inc. · 2019
  16. 7 generations backK200696 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020 · Recalled
  17. 6 generations backK201664 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020
  18. 5 generations backK203138 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2020
  19. 4 generations backK210667 FIREBIRD SI Fusion SystemOrthofix, Inc. · 2021
  20. 3 generations backK213667 iFuse-TORQ® Implant SystemSI-BONE, Inc. · 2022
  21. 2 generations backK222605 iFuse TORQ® Implant SystemSI-BONE, Inc. · 2022
  22. 1 generation backK223708 Entasis 3D Dual-Lead Sacroiliac Implant SystemCorelink, LLC · 2023
  23. This deviceK232605 Sacrix® Sacroiliac Joint Fusion Device System, Inspan® ScrewLES…Lesspine Innovations · 2023
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−22K930834AcutractAcu Med, Inc.1993—
−21K051309Roi Fusion Rods & PlatesReiley Orthopaedics, Inc.20052
−20K080398SI Joint Fusion SystemSI-BONE, Inc.2008—
−19K110838Ifuse Implant SystemSI-BONE, Inc.2011—
−18K122074Ifuse Implant SystemSI-BONE, Inc.2012—
−17K123850Ifuse Implant SystemSI-BONE, Inc.2013—
−16K131405Ifuse Implant SystemSI-BONE, Inc.2013—
−15K141049Ifuse Implant SystemSI-BONE, Inc.2014—
−14K150714SI-BONE iFuse Implant SystemSI-BONE, Inc.2015—
−13K151718iFuse Implant SystemSI-BONE, Inc.2015—
−12K152681iFuse Implant System (R)SI-BONE, Inc.2016—
−11K160652iFUSE Implant SystemSI-BONE, Inc.2016—
−10K162733iFuse Implant System® - iFuse-3D implantSI-BONE, Inc.2017—
−9K182983iFuse Implant System®SI-BONE, Inc.2018—
−8K183342SambaScrew 3D SI Fusion SystemOrthofix, Inc.2019—
−7K200696FIREBIRD SI Fusion SystemOrthofix, Inc.20201
−6K201664FIREBIRD SI Fusion SystemOrthofix, Inc.2020—
−5K203138FIREBIRD SI Fusion SystemOrthofix, Inc.2020—
−4K210667FIREBIRD SI Fusion SystemOrthofix, Inc.2021—
−3K213667iFuse-TORQ® Implant SystemSI-BONE, Inc.2022—
−2K222605iFuse TORQ® Implant SystemSI-BONE, Inc.2022—
−1K223708Entasis 3D Dual-Lead Sacroiliac Implant SystemCorelink, LLC2023—
0 (this device)K232605Sacrix® Sacroiliac Joint Fusion Device System, Inspan® ScrewLES Fusion System…Lesspine Innovations2023—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
197910
198010
198420
198510
198620
198710
198820
198910
199040
199110
199290
199340
199470
1995130
199650
1997140
1998110
1999110
2000170
2001160
2002150
2003180
2004230
2005230
2006110
200790
2008130
200940
2010110
201160
201270
2013110
201420
201570
201640
201740
201830
201940
202020
202150
202220
FIG. 1 — Lineage of K232605, 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? (11)

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
*K150017SpineFrontier SIJFuse Sacroiliac Joint Fusion Device System
Summary page 8
…acrix® Sacroiliac Joint Fusion System Device Predicate Devices 510k Number Trade or Proprietary or Model Name Manufacturer Predicate Type K150017 Sacrix® Sacroiliac Joint Fusion Device System LESspine Innovations Primary K021932 Synthes 6.5 mm Cannul…
Spinefrontier, Inc.2015—
*K021932Synthes 6.5 MM Cannulated Screw
Summary page 8
…odel Name Manufacturer Predicate Type K150017 Sacrix® Sacroiliac Joint Fusion Device System LESspine Innovations Primary K021932 Synthes 6.5 mm Cannulated Screw Synthes (USA) Additional K223708 Entasis 3D Dual-Le…
Synthes (Usa)20027
*K223708Entasis 3D Dual-Lead Sacroiliac Implant System
Summary page 8
…c Joint Fusion Device System LESspine Innovations Primary K021932 Synthes 6.5 mm Cannulated Screw Synthes (USA) Additional K223708 Entasis 3D Dual-Lead Sacroiliac Implant System CoreLink, LLC Additional Inspan® ScrewLES Fusion System Pr…
Corelink, LLC2023—
*K213266Inspan ScrewLES Fusion System
Summary page 8
…Additional Inspan® ScrewLES Fusion System Predicate Devices 510k Number Trade or Proprietary or Model Name Manufacturer Predicate Type K213266 InSpan ScrewLES Fusion System LESspine Innovations Primary Invue® MAX™ + Invue Inset Anterior C…
Lespine Innovations, LLC2021—
*K121060Spine Frontier Indus Acp System
Summary page 8
…+ Invue Inset Anterior Cervical Plate System Predicate Devices 510k Number Trade or Proprietary or Model Name Manufacturer Predicate Type K121060 SpineFrontier Indus™ LESspine Innovation Primary K093776 Indus™ Anterior Cervical…
Spinefrontier, Inc.20126
*K093776Indus Anterior Cervical Plate System
Summary page 8
…Model Name Manufacturer Predicate Type K121060 SpineFrontier Indus™ LESspine Innovation Primary K093776 Indus™ Anterior Cervical Plate System LESspine Innovation Additional K163104 Terrace™ Anterior Cer…
Spinefrontier, Inc.2010—
*K163104Terrace™ Anterior Cervical Plate System
Summary page 8
…LESspine Innovation Primary K093776 Indus™ Anterior Cervical Plate System LESspine Innovation Additional K163104 Terrace™ Anterior Cervical Plate System CoreLink, LLC Additional FacetFuse® Screw Fixation System…
Corelink, LLC2017—
*K071420Chameleon Fixation System
Summary page 8
…dditional FacetFuse® Screw Fixation System Predicate Devices 510k Number Trade or Proprietary or Model Name Manufacturer Predicate Type K071420 Chameleon FacetFuse MIS Screw System LESspine Innovation Primary K211855 Ion Facet Screw System…
Spinefrontier, Inc.20081
*K211855Ion Facet Screw System
Summary page 8
…odel Name Manufacturer Predicate Type K071420 Chameleon FacetFuse MIS Screw System LESspine Innovation Primary K211855 Ion Facet Screw System SurGenTec, LLC Additional K131471 Facet Fixx™…
SurGenTec, LLC2022—
*K131471Self-Compressive Screw
Summary page 8
…e MIS Screw System LESspine Innovation Primary K211855 Ion Facet Screw System SurGenTec, LLC Additional K131471 Facet Fixx™ Nexxt Spine Additional K012773 Discovery Facet Scr…
Neosteo2013—
*K012773Discovery Facet Screw Fixation System
Summary page 8
…m SurGenTec, LLC Additional K131471 Facet Fixx™ Nexxt Spine Additional K012773 Discovery Facet Screw Fixation System DePuy AcroMed™, Inc. Additional PERFORMANCE DATA The Sacrix® Sa…
Depuyacromed2001—

Also cleared against K150017: 3 other devices →

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 7 months on median.
  • 40 of the 329 ancestors have a recall of any class.
  • 3 other devices also cite its predicate K150017.

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 Sacrix® Sacroiliac Joint Fusion Device System is intended for fusion of the sacroiliac joint for conditions including sacroiliac joint disruptions and degenerative sacroiliitis. The InSpan® ScrewLES Fusion System is a posterior non-pedicle supplemental fixation system intended for use in the non-cervical spine (T1-S1). It is intended for plate fixation/attachment to the spinous process for the purpose of achieving supplemental fusion for the…

Read the full statement (342 words)

The Sacrix® Sacroiliac Joint Fusion Device System is intended for fusion of the sacroiliac joint for conditions including sacroiliac joint disruptions and degenerative sacroiliitis.

The InSpan® ScrewLES Fusion System is a posterior non-pedicle supplemental fixation system intended for use in the non-cervical spine (T1-S1). It is intended for plate fixation/attachment to the spinous process for the purpose of achieving supplemental fusion for the following indications: spondylolisthesis, trauma (fracture or dislocation), tumor, or degenerative disc disease (defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies), or lumbar spinal stenosis. The device is intended for use with bone graft material and is not intended for stand-alone use.

The Invue® MAX™ + Invue Inset Anterior Cervical Plate System is intended for anterior spine fixation for use in providing temporary stabilization during the development of cervical spinal fusions. The levels of treatment range from C2 to T1. Indications include symptomatic cervical spondylolisthesis, trauma; (fracture or dislocation), spinal stenosis, deformities or curvatures (scoliosis, kyphosis and or lordosis), tumor, pseudloarthrosis, degenerative disc disease (defined as discogenic pain with degeneration of the disc confirmed by history and radiographic studies), and re-operation for failed fusion or instability following surgery for above indications.

The FacetFuse® Screw Fixation System is intended to stabilize the spine as an aid to fusion by transfacet fixation. The subject device is indicated for posterior surgical treatment of any or all of the following at the L1 to S1 (inclusive) spinal levels including: 1) Trauma, including spinal fractures and/ or dislocations; 2) Spondylolisthesis; 3) Spondylolysis; 4) Pseudoarthrosis or failed previous fusions which are symptomatic or which may cause secondary instability or deformity; 5) Degenerative diseases which include: (a) degenerative disc disease (DDD) as defined by neck and/or back pain of discogenic origin as confirmed by patient history with degeneration of the disc as confirmed by radiographic studies and/or (b) degenerative disease of the facets with pain and/or instability on plain flexion and extension lateral radiographs where there is movement of the vertebral bodies relative to each other of more than 4mm.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K232605: Sacrix® Sacroiliac Joint Fusion Device System, Inspan® ScrewLES Fusion System, Invue® MAX™ + Invue Inset Anterior Cervical Plate System, and FacetFuse® Screw Fixation System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K232605

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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