510(k) Report

510(k) · Cleared

Recalled · Class II · 2012

Itotal Cruciate Retaining (CR) Knee Replacement System

K103117510(k) SpecialCleared Jan 7, 201178-day reviewClass II21 CFR 888.3560Recalls 1

Data to Oct 25, 2026 (FDA decisions) Oct 12, 2026 (recalls) Sep 30, 2026 (MAUDE) refreshed weekly, last Nov 3, 2026

Conformis, Inc. · JWH Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer

Cleared on Jan 7, 2011 as substantially equivalent to K094050 (Conformis, Inc., 2010) after a 78-day review. Its family tree reaches back 5 generations to 1992. 40 later devices descend from it. It has been recalled once.

Decided
Jan 7, 2011
Review
78 days
Class
Class II
Product code
JWH
Recalls
1
Predicates
1

Its longest line of descent runs back 5 generations to K911802 (1992). 26 ancestors in all, the oldest K880155 (1988). 40 later devices descend from it, 7 citing it directly.

Other ancestors, by year clearedDescendants, by year cleared 2005: 1 other ancestor2004: 3 other ancestors2002: 2 other ancestors2000: 1 other ancestor1999: 2 other ancestors1998: 2 other ancestors1996: 2 other ancestors1995: 1 other ancestor2001: 2 other ancestors1997: 2 other ancestors1993: 2 other ancestors1988: 1 other ancestor2012: 5 descendants cleared2013: 4 descendants cleared2011: 1 descendant cleared2014: 6 descendants cleared2016: 5 descendants cleared2018: 1 descendant cleared2020: 3 descendants cleared2015: 1 descendant cleared2021: 5 descendants cleared2019: 1 descendant cleared2023: 5 descendants cleared2022: 2 descendants cleared2025: 1 descendant clearedK911802 · Pmi (Patient Matched Implants) Hip Femoral Comp · Biomet, Inc. · 1992K033242 · Knee Interpositional Mini-Repair System (Kimrs) · Imaging Therapeutics, Inc. · 2003K043570 · Unicondylar Knee Repair System / Conformis Ucd · Conformis, Inc. · 2005 · recalledK052687 · Conformis, Inc. Total Knee Repair System · Conformis, Inc. · 2006K094050 · Itotal CR Knee Replacement System · Conformis, Inc. · 20101990200020102020
Other ancestors, by generationDescendants, by generation 2 generations back: 2 other ancestors3 generations back: 6 other ancestors4 generations back: 7 other ancestors5 generations back: 6 other ancestors 1 generation forward: 7 descendants2 generations forward: 6 descendants3 generations forward: 4 descendants4 generations forward: 8 descendants5 generations forward: 5 descendants6 generations forward: 2 descendants7 generations forward: 3 descendants8 generations forward: 3 descendants9 generations forward: 2 descendants K094050 · Itotal CR Knee Replacement System · Conformis, Inc. · 2010K052687 · Conformis, Inc. Total Knee Repair System · Conformis, Inc. · 2006K043570 · Unicondylar Knee Repair System / Conformis Ucd · Conformis, Inc. · 2005 · recalledK033242 · Knee Interpositional Mini-Repair System (Kimrs) · Imaging Therapeutics, Inc. · 2003K911802 · Pmi (Patient Matched Implants) Hip Femoral Comp · Biomet, Inc. · 1992−50+5
  1. Root · 5 generations backK911802 Pmi (Patient Matched Implants) Hip Femoral CompBiomet, Inc. · 1992
  2. 4 generations backK033242 Knee Interpositional Mini-Repair System (Kimrs)Imaging Therapeutics, Inc. · 2003
  3. 3 generations backK043570 Unicondylar Knee Repair System / Conformis UcdConformis, Inc. · 2005 · Recalled
  4. 2 generations backK052687 Conformis, Inc. Total Knee Repair SystemConformis, Inc. · 2006
  5. 1 generation backK094050 Itotal CR Knee Replacement SystemConformis, Inc. · 2010
  6. This deviceK103117 Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc. · 2011
  7. Descendant · cites it directly · 38 of its ownK112780 Conformis Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc. · 2011
  8. Descendant · cites it directly · 36 of its ownK120316 Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc. · 2012
  9. Descendant · cites it directly · 36 of its ownK113378 Conformis Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc. · 2012
  10. Descendant · cites it directly · 36 of its ownK120068 Conformis Itotal CR Knee Replacement System (KRS)Conformis, Inc. · 2012
  11. Descendant · cites it directly · 33 of its ownK122870 Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc. · 2013

Showing 5 of 40 descendants. See all descendants

Descendants cleared per year

2011: 12012: 52013: 42014: 62015: 12016: 52018: 12019: 12020: 32021: 52022: 22023: 52025: 1
2011high 6 (2014) · low 0 (2017)2026

Most influential descendants

Showing 5 of 40 · See all
  • K112780Conformis Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc. · 2011 · cites it directly38descendants
  • K120316Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc. · 2012 · cites it directly36descendants
  • K113378Conformis Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc. · 2012 · cites it directly36descendants
  • K120068Conformis Itotal CR Knee Replacement System (KRS)Conformis, Inc. · 2012 · cites it directly36descendants
  • K122870Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc. · 2013 · cites it directly33descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
−5K911802Pmi (Patient Matched Implants) Hip Femoral CompBiomet, Inc.1992—
−4K033242Knee Interpositional Mini-Repair System (Kimrs)Imaging Therapeutics, Inc.2003—
−3K043570Unicondylar Knee Repair System / Conformis UcdConformis, Inc.20053
−2K052687Conformis, Inc. Total Knee Repair SystemConformis, Inc.2006—
−1K094050Itotal CR Knee Replacement SystemConformis, Inc.2010—
0 (this device)K103117Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc.2011—
+1K112780Conformis Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc.2011—
+1K120316Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc.2012—
+1K113378Conformis Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc.2012—
+1K120068Conformis Itotal CR Knee Replacement System (KRS)Conformis, Inc.2012—
+1K122870Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc.2013—

Other ancestors by year cleared

Year clearedDevicesWith a Class I recall
198810
199320
199510
199620
199720
199820
199920
200010
200120
200220
200430
200510

Descendants by year cleared

Year clearedDevicesWith a Class I recall
201110
201250
201340
201460
201510
201650
201810
201910
202030
202150
202220
202350
202510
FIG. 1 — Lineage of K103117, 1992–2025Source: 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 JWH? 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 JWH device

  1. #1 K221479 Persona Personalized Knee Systemscore 22.4 · 11 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? (1)

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
*K094050Itotal CR Knee Replacement System
Summary page 2
…The product subject of this premarket notification is substantially quivalence: equivalent to the iTotal Cruciate Retaining Knee Replacement System (K094050 cleared September 16, 2010) and other currently marketed, cemented total knee replacement systems. The following…
Conformis, Inc.2010—

Also cleared against K094050: 7 other devices →

What descends from it? (40)

See all 40

7 later devices cite it directly; ranked here by how many devices descend from each in turn.

NumberDeviceApplicantDecidedDescendants
K112780Conformis Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc.201138
K120316Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc.201236
K113378Conformis Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc.201236
K120068Conformis Itotal CR Knee Replacement System (KRS)Conformis, Inc.201236
K122870Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc.201333
K122991Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc.201226
K122033Itotal Cruciate Retaining (CR) Knee Replacement SystemConformis, Inc.201226

Has anything in its family been recalled? (0 Class I)

Recalls of this device

DateClassRecallRoot causeReason
Jul 17, 2012Class IIZ-2222-2012Device DesignAddendum Labeling iTotal CR Surgical Technique with Detailed Instructions of Total CR Poly Insertion Technique

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • The line of descent spans 19 years and passes through 3 companies; a new generation was cleared every 1.5 years on median.
  • 11 of the 26 ancestors have a recall of any class.
  • Of its descendants, K112780 (Conformis, Inc., 2011) has gone furthest, with 38 descendants of its own.
  • 7 other devices also cite its predicate K094050.

How does its category compare?

All JWH devices

JWH Prosthesis, Knee, Patellofemorotibial, Semi-Constrained, Cemented, Polymer/Metal/Polymer: FDA decisions, review times, recalls and adverse event reports over 20 years. 2011, this device’s year, is highlighted.

FDA decisions per year · JWH

20in 2025

2007: 182008: 172009: 112010: 192011: 252012: 332013: 312014: 332015: 272016: 182017: 252018: 252019: 282020: 222021: 242022: 172023: 202024: 192025: 202026 (partial year): 12
2007high 33 (2012) · low 11 (2009)2026

2026 to Oct 25, outlined.

Median 510(k) review, days · JWH

55in 2025

2007: 74 days median2008: 81 days median2009: 168 days median2010: 85 days median2011: 87 days median2012: 85 days median2013: 128 days median2014: 98 days median2015: 87 days median2016: 88 days median2017: 118 days median2018: 90 days median2019: 133 days median2020: 59 days median2021: 61 days median2022: 56 days median2023: 57 days median2024: 89 days median2025: 55 days median2026 (partial year): 63 days median
2007high 168 (2009) · low 55 (2025)2026

Receipt to decision; years with fewer than 3 clearances left blank.

Recalls per year · JWH

2in 2025

2007: 142008: 102009: 1092010: 322011: 272012: 852013: 312014: 132015: 112016: 172017: 612018: 142019: 52020: 22021: 82022: 122023: 672024: 72025: 22026 (partial year): 4
2007high 109 (2009) · low 2 (2020)2026

Class I (0 since 2007) Class II/III not classified

Adverse event reports per year · JWH

9,306in 2025

2007: 1,3052008: 1,4832009: 1,8702010: 3,2862011: 5,1332012: 5,2032013: 6,1352014: 6,7222015: 6,8812016: 7,5862017: 12,2632018: 14,0712019: 14,9872020: 12,5922021: 9,4082022: 8,3642023: 8,9472024: 10,8282025: 9,306
2007high 14,987 (2019) · low 1,305 (2007)2025

MAUDE reports naming product code JWH, 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
20071874141,305
20081781101,483
2009111681091,870
20101985323,286
20112587275,133
20123385855,203
201331128316,135
20143398136,722
20152787116,881
20161888177,586
2017251186112,263
201825901414,071
201928133514,987
20202259212,592
2021246189,408
20221756128,364
20232057678,947
20241989710,828
2025205529,306
202612634—

What is it indicated for?

The iTotal® CR Knee Replacement System is intended for use as a total knee replacement in patients with knee joint pain and disability whose conditions cannot be solely addressed by the use of a prosthetic device that treats only one or two of the three knee compartments, such as a unicondylar, patello-femoral or bi-compartmental prosthesis. The Indications for Use include: *Painful joint disease due to osteoarthritis, traumatic arthritis, rheumatoid…

Read the full statement (120 words)

The iTotal® CR Knee Replacement System is intended for use as a total knee replacement in patients with knee joint pain and disability whose conditions cannot be solely addressed by the use of a prosthetic device that treats only one or two of the three knee compartments, such as a unicondylar, patello-femoral or bi-compartmental prosthesis. The Indications for Use include:

*Painful joint disease due to osteoarthritis, traumatic arthritis, rheumatoid arthritis or osteonecrosis of the knee.

* Post traumatic loss of joint function.

* Moderate varus, valgus or flexion deformity in which the ligamentous structures can be returned to adequate function and stability.

* Failed osteotomies, hemiarthoplasties, and unicondylar, patello-femoral or bi-compartmental implants.

The implant is intended for cemented use only.

Indications for use as stated in the FDA summary.

Cite this page

510(k) Report. “K103117: Itotal Cruciate Retaining (CR) Knee Replacement System.” Lineage record from FDA 510(k) data and the FDA summary. Updated Nov 3, 2026. Accessed Nov 6, 2026. https://510kreport.com/device/K103117

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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