FDA Adverse Event Injury Summary report: N

ITOTAL IDENTITY CR

MDR report key: 25116604 · Received May 7, 2026

Report

Report Number
3014833750-2026-00008
Event Type
Injury
Date Received
May 7, 2026
Date of Event
June 17, 2025
Report Date
May 7, 2026
Manufacturer
RESTOR3D, INC.
Product Code
JWH
PMA / PMN Number
K210809
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING TIGHTNESS IN EXTENSION AND LOOSENESS IN FLEXION, SUGGESTING THE TIBIAL IMPLANT HAD EXCESSIVE SLOPE. THE DEVICE IS NOT AVAILABLE FOR EVALUATION. IT IS NOT PRESENTLY AVAILABLE WHICH MODEL OR VERSION OF THE DEVICE IS IN SCOPE OF THIS ADVERSE EVENT. ADDITIONAL INFORMATION WILL BE SUBMITTED VIA FOLLOW-UP AS APPROPRIATE.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT WAS EXPERIENCING TIGHTNESS IN EXTENSION AND LOOSENESS IN FLEXION, SUGGESTING THE TIBIAL IMPLANT HAD EXCESSIVE SLOPE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
399467 ITOTAL IDENTITY CR CRUCIATE RETAINING KNEE REPLACEMENT JWH RESTOR3D, INC.

Patients

Seq Age Sex Outcome Treatment
1