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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

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SI-BONE, Inc. (SIBN) announces FDA 510(k) premarket clearance for the iFuse Bedrock Granite Implant System, expanding its indication in pediatric patients and application in the S1 trajectory. The Granite implant provides sacroiliac fusion and sacropelvic fixation, with a smaller 9.5 mm diameter option. The system was also awarded Breakthrough Device Designation and New Technology Add-on Payment. Medical professionals express excitement about the potential benefits of the new implant system.
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The clearance of SI-BONE's iFuse Bedrock Granite Implant System by the FDA represents a significant advancement in the field of medical devices, particularly those aimed at addressing musculoskeletal disorders. The smaller diameter implant (9.5 mm) not only broadens the patient demographic to include pediatric patients but also enhances the system's applicability in complex spinal surgeries. This development is poised to improve surgical outcomes by reducing the high screw loosening rates historically observed in sacropelvic procedures.

From an industry perspective, the implementation of a smaller diameter implant aligns with the trend towards minimally invasive surgical techniques, which aim to reduce recovery times and improve patient comfort. Moreover, the system's Breakthrough Device Designation and New Technology Add-on Payment by CMS underscore its potential for rapid adoption and reimbursement support, which are critical for driving sales and market penetration.

The FDA's 510(k) clearance for the expanded use of SI-BONE's Granite implant system signifies a potential increase in market share for the company within the spinal device sector. Given the high incidence of sacropelvic disorders and the challenges associated with current treatment options, SI-BONE's product could address a substantial unmet need. The company's stock may experience positive movement as investors and stakeholders recognize the potential for increased revenue streams.

It's crucial to understand the competitive landscape in which SI-BONE operates. The company's ability to secure both FDA clearance and CMS's NTAP for the Granite system may provide a competitive advantage, enhancing its attractiveness to medical facilities and surgeons. This could lead to strategic partnerships and increased adoption rates, further solidifying SI-BONE's position in the market.

The technical innovation of the iFuse Bedrock Granite Implant System, especially with the introduction of a 9.5 mm diameter implant, is expected to significantly impact surgical practices. The smaller implant size offers a more versatile solution for sacropelvic fixation, which is crucial for patients with smaller anatomies, such as children and for procedures requiring precision and stability in challenging spinal segments like S1.

The expanded indication for pediatric patients opens new avenues for treatment where options were previously limited. Moreover, the reduced diameter may lead to less invasive procedures with potentially fewer complications, which is a substantial step forward in patient care. The clinical implications of this advancement could lead to a paradigm shift in how surgeons approach sacropelvic disorders, potentially setting a new standard of care.

SI-BONE, Inc.

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.”

About SI-BONE, Inc.

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.

iFuse Bedrock Granite, iFuse-TORQ and SI-BONE are registered trademarks of SI-BONE, Inc. ©2024 SI-BONE, Inc. All Rights Reserved.

Investor Contact: Saqib Iqbal investors@si-bone.com

References

  1. 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.
  2. 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. 
  3. 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:
https://www.globenewswire.com/NewsRoom/AttachmentNg/d881faa0-5a12-49b0-8f66-1d802e65cebd


FAQ

What is the FDA 510(k) premarket clearance announced by SI-BONE, Inc.?

SI-BONE, Inc. announced the FDA 510(k) premarket clearance for the iFuse Bedrock Granite Implant System, expanding its indication in pediatric patients and application in the S1 trajectory.

What are the key features of the Granite implant system?

The Granite implant provides sacroiliac fusion and sacropelvic fixation, with a smaller 9.5 mm diameter option.

What designations and payments were awarded to the Granite implant system?

The system was awarded Breakthrough Device Designation and New Technology Add-on Payment.

What are medical professionals saying about the new implant system?

Medical professionals express excitement about the potential benefits of the new implant system.

SI-BONE, Inc.

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