Introducing iFuse Granite Onyx™ for UIV and LIV fixation. Explore Onyx

iFuse Granite Onyx™

3D-Printed Porous Threaded Implant

Designed with features to address the ~16% screw loosening rate at the UIV and ~39% screw loosening rate at the LIV 148 149

 Features

Poly-Axial Tulip

Up to 60 degrees of angulation with general rod compatibility
(5.0, 5.5, 6.0 mm Ti alloy or CoCr)

Polyaxial Tulip

Dual Diameter

Increased proximal engagement

Two Start Tip

Trabecular Lattice Surface

Mimics cancellous bone, providing a favorable environment for bone ingrowth and ongrowth

Mimics cancellous bone

iFuse Granite Onyx

Full Height Thread Stop

No thread lead out for increased proximal engagement

Threads

Anatomy Specific Design

Thin crested threads designed to reduce pull-out and thick crested threads designed to reduce toggle

Fenestrations

Vertebral Body Fenestrations

Designed to capture bone during insertion and to allow bone through growth

  • Poly-Axial Tulip Up to 60 degrees of angulation with general rod compatibility (5.0, 5.5, 6.0 mm Ti alloy or CoCr)
  • Full Height Thread Stop No thread lead out for increased proximal engagement
  • Dual Diameter Increased proximal engagement
  • Anatomy Specific Design Thin crested threads designed to reduce pull-out and thick crested threads designed to reduce toggle
  • Trabecular Lattice Surface Mimics cancellous bone, providing a favorable environment for bone ingrowth and ongrowth
  • Vertebral Body Fenestrations Designed to capture bone during insertion and to allow bone through growth

FDA: Breakthrough Device Designation

 Video

 Results

3-Week Preclinical Histology

iFuse Granite Onyx

Machined Pedicle Screw

iFuse Granite Onyx shows sheep bone ingrowth and ongrowth with its porous surface. Histologic imaging of the iFuse Granite Onyx at 3 weeks signifies through growth.

SI-BONE Technical Study 303358-TS. Sheep model data is not necessarily indicative of human clinical outcomes.

Progressive Fixation Through Osseointegration

iFuse Granite Onyx has a higher removal torque than a machined pedicle screw.

 Details

Innovative Engineering 

  • Anatomy specific design for optimal purchase in the vertebral body
  • 3D-printed porous surface and fenestrations designed for osseointegration
  • Equivalent strength to a machined pedicle screw of same diameter
Inline onyx insitu 2
Inline onyx insitu 2

 News

Latest News for iFuse Granite Onyx

NTAP Candidate
FY28

 

Candidate for FY28 New Technology Add-on Payment (NTAP)

As a current BDD holder, and prospective NTAP applicant, Onyx will be a candidate for a future FY 2028 New Technology Add-on Payment (NTAP) which may provide incremental reimbursement above the MS-DRG to which the case is already assigned, for eligible case types and patients (e.g., Traditional Medicare patients).

May qualify for
New MS-DRGs

 

May qualify for new MS-DRG: 523, 524, 525

Cases involving Onyx may be assigned to MS-DRGs 523–525 through any of the following pathways:

  • The procedure includes fusion of eight or more thoracic levels.
  • The procedure includes fusion of at least two thoracic levels and at least two lumbar levels.
  • The procedure includes iFuse Bedrock Granite® for SI joint fusion adjunctive to a multisegment spinal fusion and reported with one of the four Granite-specific ICD-10-PCS Section X codes.

Read FAQs 

  • The lattice on Onyx is designed for immediate fixation and to osseointegrate over time, that combination is exactly what we've needed for improved durability of deformity constructs”

    Jay Turner, MD, PhD.

    Jay Turner, MD, PhD
    Neurosurgeon
    Phoenix, AZ

  • Onyx incorporates our understanding of screw loosening into a novel implant designed to provide a meaningful option, especially for patients with poor bone quality.”

    O Shaughnessy

    Brian A. O'Shaughnessy, MD
    Neurosurgeon
    Nashville, TN

  • Onyx addresses fixation through an anatomy-specific thread design engineered for the unique demands of the vertebra.”

    Han jo kim headshot

    Han Jo Kim, MD
    Spine Surgeon
    New York, NY

  • SI-BONE’s thoughtful approach to the design of this implant and rigorous testing of Onyx brings something really new to market for surgeons. This product in my opinion is truly a generational leap forward."

    Zachary Tempel

    Zachary J. Tempel, MD
    Neurosurgeon
    Cincinnati, OH

  • The fenestrations provide a pathway for bone through-growth, which is an important part of achieving durable fixation.”

    Greg Mundis

    Gregory Mundis, MD
    Orthopedic Spine Surgeon
    La Jolla, CA

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Healthcare professionals should refer to the Instructions For Use for indications, contraindications, warnings, and precautions at https://si-bone.com/label.  

There are potential risks associated with iFuse procedures. They may not be appropriate for all patients and all patients may not benefit.
For information about the risks, visit https://si-bone.com/risks. 

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