AccessGUDID - DEVICE: Integrity-SI Fusion System (B57112521012081D0)

GUDID

Device Identifier (DI) Information

Brand Name: Integrity-SI Fusion System
Version or Model: 1252-1012-081
Commercial Distribution Status: Not in Commercial Distribution
Catalog Number: 1252-1012-081
Company Name: Lincotek Medical LLC

Primary DI Number: B57112521012081D0
Issuing Agency: HIBCC
Commercial Distribution End Date: January 24, 2022
Device Count: 1
Labeler D-U-N-S® Number*: 117021487 *Terms of Use

Device Description: 12 x 80 mm SI Implant with HA Coating

Device Characteristics

What MRI safety information does the labeling contain?	Labeling does not contain MRI Safety Information
Device required to be labeled as containing natural rubber latex or dry natural rubber (21 CFR 801.437):	No
Device labeled as "Not made with natural rubber latex":	No
For Single-Use:	Yes
Prescription Use (Rx):	Yes
Over the Counter (OTC):	No
Kit:	No
Combination Product:	No
Human Cell, Tissue or Cellular or Tissue-Based Product (HCT/P):	No

GMDN

[?]

GMDN Term Code	GMDN Term Name	GMDN Term Definition	GMDN Term Status [?]	Implantable?
58808	Sacroiliac joint transarticular fixation/arthrodesis implant, coated	An implantable device designed to be inserted across the sacroiliac joint to provide temporary stabilization and to encourage long-term joint fusion, typically to alleviate pain from the joint. It is made of metal [e.g., titanium (Ti)] with a porous plasma spray coating, and typically in the form of a cylinder or rod, possibly with a triangular cross-section. It is typically surgically implanted under fluoroscopic guidance and may include dedicated disposable implantation instruments.	Active	true

FDA Product Code

[?]

Product Code	Product Code Name
OUR	Sacroiliac Joint Fixation

FDA Premarket Submission

FDA Premarket Submission Number [?]	Supplement Number [?]
Premarket Submission Number Not Available/Not Released

Device Exempt from Premarket Submission: No CLOSE

Sterilization

Device Packaged as Sterile: No
Requires Sterilization Prior to Use: Yes

Sterilization Method [?]
Moist Heat or Steam Sterilization

Storage and Handling

[?]

Storage and Handling
No storage/handling found

Clinically Relevant Size

[?]

Size Type Text
No Device Sizes

Device Record Status

Public Device Record Key: 882f02b0-e8bb-4926-946a-198e2acaee48
Public Version Date: November 16, 2023
Public Version Number: 4
DI Record Publish Date: July 09, 2018