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SI-BONE, Inc. Receives FDA 510(k) Clearance for a Smaller Diameter iFuse Bedrock Granite Implant with an Expanded Indication and Application

Key Takeaway: SI-BONE, Inc. has received FDA 510(k) clearance for its iFuse Bedrock Granite Implant System in a smaller 9.5 mm diameter, expanding its use to pediatric patients and the S1 trajectory. This new size complements the existing 10.5 mm and 11.5 mm implants and addresses the challenges of screw loosening rates in the spine. The development is supported by clinical evidence and reflects growing interest among surgeons for enhanced pelvic fixation techniques in spinal procedures. The technology aims to improve surgical outcomes by providing a foundational element for multi-segment spinal fusion.
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POSITIVE FACTORS

  • FDA has granted 510(k) clearance for a smaller diameter implant.
  • Expanded indications include pediatric patients and S1 trajectory.
  • Surgeons express excitement about improved outcomes with new technology.
  • SI-BONE has a proven track record supported by clinical evidence.

Full Press Release Details

SANTA CLARA, Calif., Jan. 30, 2024 (GLOBE NEWSWIRE) -- SI-BONE, Inc., (Nasdaq: SIBN), a Silicon Valley-based medical device company dedicated to solving musculoskeletal disorders of the sacropelvic anatomy, announces FDA 510(k) premarket clearance of the iFuse Bedrock Granite® Implant System (Granite) in a smaller (9.5 mm) diameter with both an expanded indication in pediatric patients and an expanded application that includes use in the S1 trajectory. When placed across the SI joint, the Granite implant provides sacroiliac fusion and sacropelvic fixation as a foundational element for multi-segment spinal fusion.
This 510(k) clearance follows the initial clearance of the iFuse Bedrock Granite System in May 2022 that included implants of 10.5 mm and 11.5 mm in diameter. The iFuse Bedrock Granite System was also awarded a Breakthrough Device Designation (BDD) by the Food & Drug Administration (FDA) and a New Technology Add-on Payment (NTAP) by the Centers for Medicare and Medicaid Services (CMS).
According to Chris Shaffrey, MD, Chief of the Spine Division at Duke University, “The addition of a 9.5 mm diameter implant will seamlessly blend into my workflow, especially with both closed head and open head options. I’m very excited for patients to benefit from this breakthrough spinopelvic technology.”
“With the expanded sacral indication and a smaller diameter Granite implant, I can utilize the Granite technology at S1, a segment which published literature has shown to be one of the most challenging segments in the spine, with reported screw loosening rates ranging from 16-41%,”1,2,3 said Brian A. O’Shaughnessy, MD, Reconstructive Spinal Surgeon at Howell Allen Clinic in Nashville, TN.
Greg Mundis, MD, Orthopedic Spine Surgeon at Scripps Hospital mentions, “There is increasing interest among the surgeon community to include pelvic fixation in high-risk patients undergoing shorter (2-3 level) lumbar fusions. The addition of a 9.5 mm diameter to the Granite product line now offers surgeons one of the more commonly used sizes to treat these patients.”
SI-BONE (NASDAQ: SIBN) is a global leader in technology for surgical treatment of musculoskeletal disorders of the sacropelvic anatomy. Since pioneering minimally invasive surgery of the SI joint in 2009, SI-BONE has supported over 3,600 surgeons in performing a total of more than 95,000 sacropelvic procedures. A unique body of clinical evidence supports the use of SI-BONE’s technologies, including two randomized controlled trials and over 125 peer reviewed publications. SI-BONE has leveraged its leadership in minimally invasive SI joint fusion to commercialize novel solutions for adjacent markets, including adult deformity, spinopelvic fixation, and pelvic trauma.
For additional information on the company or the products including risks and benefits, please visit www.si-bone.com.
Investor Contact: Saqib Iqbal investors@si-bone.com
Xu F, Zhou S, Zou D, Li W, Sun Z, Jiang S. The relationship between S1 screw loosening and postoperative outcome in patients with degenerative lumbar scoliosis. BMC Musculoskelet Disord. 2022 Feb 28;23(1):186.
Kim JB, Park SW, Lee YS, et al. The effects of spinopelvic parameters and Paraspinal muscle degeneration on S1 screw loosening. J Korean Neurosurg Soc. 2015;58(4):357–362.
Finger T, Bayerl S, Onken J, et al. Sacropelvic fixation versus fusion to the sacrum for spondylodesis in multilevel degenerative spine disease. Eur Spine J. 2014;23(5):1013–1020.
A photo accompanying this announcement is available at:

Frequently Asked Questions

What is the iFuse Bedrock Granite® Implant System?

The iFuse Bedrock Granite® Implant System is a medical device for sacroiliac fusion and spinal fixation.

What is the new diameter of the Granite Implant?

The new diameter of the Granite Implant is 9.5 mm.

Who benefits from the expanded indications?

Pediatric patients can benefit from the expanded indications of the Granite Implant.

What does FDA 510(k) clearance mean?

FDA 510(k) clearance allows the product to be marketed after demonstrating safety and efficacy.

How many surgeons has SI-BONE supported?

SI-BONE has supported over 3,600 surgeons in performing more than 95,000 procedures.

Last updated: Jan 30, 2024