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Harmony 74016262Recalls & reported problems

Smith & Nephew, Inc. · UNIVERSAL INSERT SPACER SZ 3-4 11MM · Class 1

Quick summary

This Smith & Nephew Harmony universal insert spacer is a surgical instrument used during knee replacement operations to help size and fit the implant. The reports mostly describe the spacer cracking, snapping or breaking apart during surgery, sometimes while the surgeon was trialing it and sometimes leaving small pieces that had to be picked out of the wound. There are 50 reports, with no deaths and no injuries. No recalls name this device.

AI-generated from the FDA records on this page and checked automatically against the numbers below. Read the details before relying on it.

Adverse event reports
50
Deaths reported
0
Injuries reported
0
Recalls naming it
0

Summary

The FDA's MAUDE database contains 50 adverse event reports that list this exact device (DI 00885556746813), received between Feb 3, 2022 and Jun 7, 2026 — classified as 50 malfunctions.

The most frequently reported specific device problem is “Fracture” (38 reports).

Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event, and counts can't be used to compare devices or estimate failure rates. How this data works · Data updated Oct 13, 2026.

Reports received per month

Nov 2023: 2 reportsDec 2023: 1 reportsJan 2024: 0 reportsFeb 2024: 2 reportsMar 2024: 0 reportsApr 2024: 0 reportsMay 2024: 0 reportsJun 2024: 0 reportsJul 2024: 0 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 0 reportsNov 2024: 1 reportsDec 2024: 1 reportsJan 2025: 1 reportsFeb 2025: 1 reportsMar 2025: 3 reportsApr 2025: 5 reportsMay 2025: 3 reportsJun 2025: 3 reportsJul 2025: 0 reportsAug 2025: 1 reportsSep 2025: 0 reportsOct 2025: 0 reportsNov 2025: 1 reportsDec 2025: 5 reportsJan 2026: 0 reportsFeb 2026: 1 reportsMar 2026: 0 reportsApr 2026: 3 reportsMay 2026: 2 reportsJun 2026: 2 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520265
Last 36 months. The most recent month may be incomplete.

Most reported problems

Device problems

  • Fracture38
  • Break11
  • Crack1
  • Material Fragmentation1
  • Premature Separation1

Patient problems

  • No Clinical Signs, Symptoms or Conditions50

Recent adverse event reports

The 25 most recent of 50 reports, in the reporter's own words as published by the FDA.

  • MalfunctionJun 7, 2026Break

    IT WAS REPORTED THAT, DURING A TKA SURGERY, ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM BROKE. NOTHING FELT INTO THE PATIENT. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING AN EQUIVALENT S+N BACK-UP. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25422699 ↗
  • MalfunctionJun 1, 2026Fracture; Premature Separation

    IT WAS REPORTED THAT, DURING A TKA SURGERY, WHEN TRIALING ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM, THE SPACER BECAME UNCOUPLED FROM THE TRIAL INSERT, IT THEN WEDGED BETWEEN THE TRIAL FEMUR AND TRIAL TIBIA BASE PLATE AND BROKE INTO A FEW PIECES. PIECES WERE RETRIEVED FROM WOUND WITH A TONSIL. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING AN EQUIVALENT S+N BACK-UP. NO FURTHER COMPLICATIONS WERE REPORTED. THERE ARE NO OPERATIVE NOTES OR SURGICAL REPORTS AVAILABLE. THERE IS NO LOT NUMBER SINCE DEVICE WAS THROWN AWAY.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25354224 ↗
  • MalfunctionMay 31, 2026Fracture

    IT WAS REPORTED THAT, DURING A TKA SURGERY, ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM BROKE. IT IS UNKNOWN HOW THE PROCEDURE WAS PERFORMED; HOWEVER, THERE WAS NO DELAY. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25345417 ↗
  • MalfunctionMay 8, 2026Fracture

    IT WAS REPORTED THAT, DURING A TKA SURGERY, ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM FRACTURED. NO FRAGMENTS IN THE PATIENT. THE PROCEDURE WAS PERFORMED, WITHOUT ANY DELAY, USING THE SAME DEVICES. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25131077 ↗
  • MalfunctionApr 30, 2026Fracture

    IT WAS REPORTED THAT, DURING A TKA, ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM BROKE IN HALF. THE TWO PIECES WERE DISPOSED OF PROPERLY BY HOSPITAL STAFF. NO PART WAS LEFT IN THE PATIENT¿S ANATOMY. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING A SIMILAR S+N BACK-UP PRODUCT. NO FURTHER COMPLICATIONS WERE REPORTED AND PATIENT LEFT SURGERY IN GOOD HEALTH.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25049354 ↗
  • MalfunctionApr 28, 2026Fracture

    IT WAS REPORTED THAT, DURING A TKA SURGERY, ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM BROKE WHEN TRIALING. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING AN EQUIVALENT S+N BACK UP. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 25017825 ↗
  • MalfunctionApr 5, 2026Break

    IT WAS REPORTED THAT, DURING A TKA, AN UNIVERSAL INSERT SPACER SZ 3-4 11MM BROKE. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING AN EQUIVALENT S+N BACK UP. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24786781 ↗
  • MalfunctionFeb 2, 2026Fracture

    IT WAS REPORTED THAT, DURING A TKA SURGERY, ONE UNIVERSAL INSERT SPACER SZ 3-4 11MM SHIM SNAPPED WHILE TRIALING. THE PROCEDURE WAS RESUMED, AFTER A NON-SIGNIFICANT DELAY, USING AN EQUIVALENT S+N BACK-UP. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 24232960 ↗
  • MalfunctionDec 23, 2025Fracture; Fracture

    IT WAS REPORTED THAT DURING A TKA SURGERY, THE SHIM ON ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM SNAPPED WHEN IN USE. THE PROCEDURE WAS PERFORMED, WITHOUT ANY DELAY, USING THE SAME DEVICE. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23881289 ↗
  • MalfunctionDec 15, 2025Fracture; Fracture

    IT WAS REPORTED THAT, DURING A TKA SURGERY, A UNIVERSAL INSERT SPACER SZ 3-4 11MM SNAPPED IN HALF WHEN BEING REMOVED. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING THE SAME DEVICE. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23802969 ↗
  • MalfunctionDec 10, 2025Break; Break

    IT WAS REPORTED THAT, DURING A TKA SURGERY, ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM WAS BROKEN. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING A SIMILAR S+N BACK-UP PRODUCT. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23773639 ↗
  • MalfunctionDec 10, 2025Break; Break

    IT WAS REPORTED THAT, DURING A TKA SURGERY, ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM WAS BROKEN. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING A SIMILAR S+N BACK-UP PRODUCT. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23773615 ↗
  • MalfunctionDec 10, 2025Fracture; Fracture

    IT WAS REPORTED THAT, DURING A TKA, THE UNIVERSAL INSERT SPACER SZ 5-6 11MM BROKE. PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING AN EQUIVALENT S+N BACK-UP. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23769627 ↗
  • MalfunctionNov 3, 2025Fracture; Fracture

    IT WAS REPORTED THAT, DURING A TKA SURGERY, ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM BROKE IN HALF. IT IS UNKNOWN HOW THE PROCEDURE WAS PERFORMED; HOWEVER, THERE WAS NO DELAY. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 23459570 ↗
  • MalfunctionAug 4, 2025Fracture; Fracture

    IT WAS REPORTED THAT DURING A TKA SURGERY ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM SNAPPED IN HALF. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING A S+N BACK-UP DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22708674 ↗
  • MalfunctionJun 30, 2025Fracture; Fracture

    IT WAS REPORTED THAT, DURING TKA, ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM BROKE IN TWO WHEN TRYING TO SNAP IT ONTO THE 9 POLY. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING THE SAME DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22355246 ↗
  • MalfunctionJun 18, 2025Break; Break

    IT WAS REPORTED THAT, DURING A TKA SURGERY, TWO (2) UNIVERSAL INSERT SPACER SZ 3-4 11MM WERE BROKEN. IT IS UNKNOWN HOW THE PROCEDURE WAS FINISHED; HOWEVER, NO SURGICAL DELAY WAS REPORTED. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22283534 ↗
  • MalfunctionJun 14, 2025Fracture; Fracture

    IT WAS REPORTED THAT, DURING A TKA SURGERY, ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM SNAPPED DURING USE. IT IS UNKNOWN HOW THE SURGERY WAS FINISHED. NO DELAY OR INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22208220 ↗
  • MalfunctionMay 15, 2025Fracture; Fracture

    IT WAS REPORTED THAT, DURING TKA SURGERY, ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM BROKE. IT IS UNKNOWN IF ANY PIECE FELL INSIDE THE INCISION. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING THE SAME DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22032206 ↗
  • MalfunctionMay 15, 2025Fracture; Fracture

    IT WAS REPORTED THAT, DURING A TKA SURGERY, ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM SNAPPED WHEN SURGEON PULLED OUT THE TRAIL POLY. ALL FRAGMENTS WERE EXTRACTED USING TWEEZERS AND SUCTION. NO PIECES WERE LEFT INSIDE PATIENT. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING A S+N BACK-UP DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 22023893 ↗
  • MalfunctionMay 9, 2025Fracture; Fracture

    IT WAS REPORTED THAT DURING A TOTAL KNEE ARTHROPLASTY (TKA), AFTER INSERTING THE TRIAL, A PIECE OF ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM SNAPPED OFF. ALL BROKEN PIECES WERE RETRIEVED FROM THE PATIENT BY HAND. THE PROCEDURE WAS RESUMED WITHOUT SURGICAL DELAY USING A SMITH & NEPHEW BACK-UP DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21997305 ↗
  • MalfunctionApr 28, 2025Break; Break

    IT WAS REPORTED THAT DURING A TKA SURGERY, ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM BROKE WHEN TRYING TO INSERT IT INTO THE TIBIAL BASE PLATE TO CHECK FOR REFLECTION AND EXTENSION. ALL PIECES WERE COLLECTED. THE PROCEDURE WAS RESUMED, WITHOUT ANY SURGICAL DELAY, USING THE SAME DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21920367 ↗
  • MalfunctionApr 24, 2025Fracture; Fracture

    IT WAS REPORTED THAT, DURING A TKA SURGERY, ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM FRACTURED WHEN REMOVING THE POLY AFTER TRIALING. THE PROCEDURE WAS RESUMED, WITHOUT ANY DELAY, USING A S+N BACK-UP DEVICE. NO INJURY WAS REPORTED AS A CONSEQUENCE OF THIS ISSUE.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21906142 ↗
  • MalfunctionApr 2, 2025Break; Break

    IT WAS REPORTED THAT DURING A TKA SURGERY ONE (1) UNIVERSAL INSERT SPACER SZ 3-4 11MM BROKE. IT IS UNKNOWN HOW THE PROCEDURE WAS COMPLETED AND IF THERE WAS A SURGICAL DELAYED. NO PATIENT INJURIES WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21751412 ↗
  • MalfunctionApr 1, 2025Fracture; Fracture

    IT WAS REPORTED THAT, DURING A TKA SURGERY, A UNIVERSAL INSERT SPACER SZ 3-4 11MM BROKE IN HALF. IT IS UNKNOWN HOW WAS THE PROCEDURE FINISHED. NO SURGICAL DELAY WAS REPORTED. NO FURTHER COMPLICATIONS WERE REPORTED.

    Patient problems: No Clinical Signs, Symptoms or Conditions

    MAUDE report 21749050 ↗

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Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.