510(k) Report

510(k) · Cleared

Cleared

iTotal Identity Cruciate Retaining (CR) Knee Replacement System, iTotal Identity Posterior Stabilizing (PS) Knee Replacement System

K210252510(k) SpecialCleared Feb 17, 202119-day reviewClass II21 CFR 888.3560

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 Feb 17, 2021 after a 19-day review. The summary cites 2 numbers, none of which could be confirmed as its predicate (see the table below). 6 later devices descend from it.

Decided
Feb 17, 2021
Review
19 days
Class
Class II
Product code
JWH
Recalls
None
Predicates
2

6 later devices descend from it, 3 citing it directly.

Descendants, by year cleared 2023: 4 descendants cleared2021: 1 descendant cleared2025: 1 descendant cleared2020202220242026
  1. This deviceK210252 iTotal Identity Cruciate Retaining (CR) Knee Replacement System…Conformis, Inc. · 2021
  2. Descendant · cites it directly · 4 of its ownK210809 iTotal® Identity™ Cruciate Retaining (CR) Knee Replacement System…Conformis, Inc. · 2021 · Recalled
  3. Descendant · cites it directly · 2 of its ownK230846 iTotal Identity Knee Replacement System; Identity Imprint Knee…Conformis, Inc. · 2023
  4. Descendant · 2 generations on · 1 of its ownK230844 Identity Imprint Cruciate Retaining (CR) Knee Replacement System…Conformis, Inc. · 2023
  5. Descendant · 2 generations on · 0 of its ownK243768 iTotal® Identity™ Cruciate Retaining 3DP Porous Knee Replacement…Restor3D, Inc. · 2025
  6. Descendant · 2 generations on · 0 of its ownK232426 Identity Imprint Porous Cruciate Retaining (CR) Knee Replacement…Conformis, Inc. · 2023

Showing 5 of 6 descendants. See all descendants

Descendants cleared per year

2021: 12023: 42025: 1
2021high 4 (2023) · low 0 (2022)2026

Most influential descendants

Showing 5 of 6 · See all
  • K210809iTotal® Identity™ Cruciate Retaining (CR) Knee Replacement System (KRS)Conformis, Inc. · 2021 · cites it directly4descendants
  • K230846iTotal Identity Knee Replacement System; Identity Imprint Knee Replacement SystemConformis, Inc. · 2023 · cites it directly2descendants
  • K230844Identity Imprint Cruciate Retaining (CR) Knee Replacement System (KRS) with Cruciate…Conformis, Inc. · 2023 · 2 generations on1descendant
  • K243768iTotal® Identity™ Cruciate Retaining 3DP Porous Knee Replacement SystemRestor3D, Inc. · 2025 · 2 generations on0descendants
  • K232426Identity Imprint Porous Cruciate Retaining (CR) Knee Replacement System (KRS) with…Conformis, Inc. · 2023 · 2 generations on0descendants
View FIG. 1 as a table

Line of descent and top descendants

GenerationNumberDeviceApplicantDecidedRecalls
0 (this device)K210252iTotal Identity Cruciate Retaining (CR) Knee Replacement System, iTotal…Conformis, Inc.2021—
+1K210809iTotal® Identity™ Cruciate Retaining (CR) Knee Replacement System (KRS)Conformis, Inc.20211
+1K230846iTotal Identity Knee Replacement System; Identity Imprint Knee Replacement…Conformis, Inc.2023—
+2K230844Identity Imprint Cruciate Retaining (CR) Knee Replacement System (KRS) with…Conformis, Inc.2023—
+2K243768iTotal® Identity™ Cruciate Retaining 3DP Porous Knee Replacement SystemRestor3D, Inc.2025—
+2K232426Identity Imprint Porous Cruciate Retaining (CR) Knee Replacement System (KRS)…Conformis, Inc.2023—

Descendants by year cleared

Year clearedDevicesWith a Class I recall
202110
202340
202510
FIG. 1 — Lineage of K210252, 2021–2025Source: 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? (2)

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; numbers the summary cites that cannot be its predicate are marked – and kept off the family tree.

TypeNumberDeviceApplicantDecidedRecalls
Kept off the family treeK203447FDA’s K203447 is iTotal Identity Cruciate Retaining (CR) Total Knee Replacement, iTotal…
Not matched in our reading of the summary (scans can blur digits), so it is kept off the family tree
Conformis, Inc.2020—
Kept off the family treeK193105FDA’s K193105 is iUni Unicondylar Knee Replacement System, iDuo Bicompartmental Knee Repair…
Not matched in our reading of the summary (scans can blur digits), so it is kept off the family tree
Conformis, Inc.2020—

What descends from it? (6)

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

NumberDeviceApplicantDecidedDescendants
K210809iTotal® Identity™ Cruciate Retaining (CR) Knee Replacement System (KRS)Conformis, Inc.20214
K230846iTotal Identity Knee Replacement System; Identity Imprint Knee Replacement SystemConformis, Inc.20232
K231233Identity™ Imprint™ CR KRS and Identity™ Imprint™ PS KRSConformis, Inc.20230

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

No FDA recall names this device.

No ancestor or descendant has a Class I recall.

What does this lineage say?

  • Of its descendants, K210809 (Conformis, Inc., 2021) has gone furthest, with 4 descendants of its own.

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. 2021, 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 Identity Cruciate Retaining (CR) Knee Replacement System (KRS) 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 compartments, such as a unicondylar, patellofemoral or bicompartmental prosthesis. The Indications for Use include: - Painful joint disease due to osteoarthritis…

Read the full statement (266 words)

The iTotal Identity Cruciate Retaining (CR) Knee Replacement System (KRS) 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 compartments, such as a unicondylar, patellofemoral or bicompartmental 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, hemiarthroplasties, and unicondylar, patellofemoral or bicompartmental implants.

- Revision procedures provided that anatomic landmarks necessary for alignment and positioning of the implant are identifiable on patient imaging scans.

This implant is for cemented use only.

The iTotal PS Knee Replacement System (KRS) 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 compartments, such as a unicondylar, patellofemoral or bicompartmental prosthesis.

The Indications for Use include:

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

- Post traumatic loss of joint function.

- Moderate varus, valgus or flexion deformity.

- Failed osteotomies, hemiarthroplasties, and unicondylar, patellofemoral or bicompartmental implants.

- Revision procedures provided that anatomic landmarks necessary for alignment and positioning of the implant are identifiable on patient imaging scans.

Indications for use read by OCR from a scanned FDA summary, so letters may be misread. Check the PDF before quoting it.

Cite this page

510(k) Report. “K210252: iTotal Identity Cruciate Retaining (CR) Knee Replacement System, iTotal Identity Posterior Stabilizing (PS) 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/K210252

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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