I.T.S. Fibula Plate PROlock with Angular Stability with the below descriptions and corresponding article numbers. 1. Distal Tubular Plate; Article Numbers: 21602-3, 21602-4, 21602-5, 21602-6, 21602-7, 21602-8, 21603-3, 21603-4, 21603-5, 21603-6, 21603-7, 21603-8. 2. Fibula Plate 3.5mm; Article Numbers: 21225-4, 21225-6, 21225-8, 21225-10, 21225-12, 21226-4, 21226-6, 21226-8, 21226-10, 21226-12. 3. Universal Tubular Plate; Article Numbers: 21601-5, 21601-6, 21601-7, 21601-8, 21601-10, 21601-12, 21601-14, 21601-16.

Updated MRI safety testing demonstrates higher RF-induced temperature increases under certain MRI conditions than previously reflected in the Instructions for Use (IFU).

ITS initially notified its importer/distributor on about 01/23/2026 via email. Instructions were to cease distribution, and further information will be provided. An additional notification was sent to distributors and consignees on about 02/04/2026 via email. Instructions included to ensure any IFU different to the provided one is removed from systems and/or destroyed, notify clinical staff managing patients with implants, contact I.T.S. GmbH for any questions or to discuss proper scanning conditions for implanted devices in the interim while they work on labeling and IFU updates for the devices, and arrange for the return of specific originally packaged items - base plates and screws in surgery trays. Other outlined products can continue to be used upon confirmation from ITS. Consignees were also instructed to complete and return the response form. Distributors were instructed to continue to immediately halt product distribution from the U.S. office to sales groups and hospitals, remove the outdated paper IFU from packaging and add the eIFU symbol to product labeling to implement the updated IFU provided electronically - see annex "F-7.5.5-3-US_IFU_non-sterile_Rev00_DRAFT". Paper IFUs will be made available upon request. They were also requested to assist in notification of hospitals.