DELTA XTEND 2307-74-002Recalls & reported problems
Depuy (Ireland) · DELTA Xtend INTERNAL ROD FOR REAMING GUIDE HOLDER · Class 1
All models of DELTA XTEND (194)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
Quick summary
This DePuy Delta Xtend surgical instrument is a rod used to guide reaming during joint replacement surgery. The 182 reports mention parts breaking off or bending during surgery, sometimes causing delays, and most report no patient consequences. The reports include 181 malfunctions, 1 injury and no deaths. 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
- 182
- Deaths reported
- 0
- Injuries reported
- 1
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 182 adverse event reports that list this exact device (DI 10603295116134), received between Jul 10, 2017 and Apr 14, 2026 — classified as 1 injury, 181 malfunctions.
The most frequently reported specific device problem is “Break” (64 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. What reports can and can't tell you · How this data works · Data updated Oct 18, 2026.
Reports received per month
Most reported problems
Device problems
- Break64
- Material Twisted/Bent50
- Material Deformation42
- Device-Device Incompatibility37
- Naturally Worn12
- Bent5
- Material Integrity Problem5
- Difficult to Remove4
Patient problems
- No Consequences Or Impact To Patient74
- No Clinical Signs, Symptoms or Conditions69
- Not Applicable17
- No Information11
- No Code Available10
- Insufficient Information7
- Bone Notching1
Recent adverse event reports
The 25 most recent of 182 reports, in the reporter's own words as published by the FDA.
MalfunctionApr 14, 2026Break; Mechanical Jam
IT WAS REPORTED THAT A JAMMED INSTRUMENT CAUSED A PART TO BREAK OFF INTRAOPERATIVELY. THE EVENT RESULTED IN MINOR BONE DEFECTS DUE TO THE USE OF FOREIGN INSTRUMENTS TO REMOVE THE REAMING GUIDE FROM THE DISTAL BONE. THERE WAS A SIGNIFICANT DELAY IN THE PROCEDURE, BUT NO REPORTED PATIENT OR USER HARM.
Patient problems: Bone Notching
MAUDE report 24875057 ↗MalfunctionOct 21, 2025Break; Break
IT WAS REPORTED THAT INTRAOPERATIVELY THE INNER PART OF THE TRIAL STEM HOLDER BROKE OFF. NO ADVERSE PATIENT CONSEQUENCES, NO INSTRUMENT FRAGMENT REMAINED IN PATIENT. SURGERY WAS PROLONGED DUE TO THE DIFFICULT EXTRACTION OF THE TRIAL STEM.
Patient problems: Insufficient Information
MAUDE report 23349722 ↗MalfunctionJul 29, 2025Device-Device Incompatibility; Device-Device Incompatibility
IT WAS REPORTED THAT THE REAMING GUIDE HANDLE WAS NOT SCREWING IN PROPERLY AND WAS NOT LOCKING INTO REAMER. THERE WAS NO SURGICAL DELAY. NO FRAGMENTS WERE GENERATED. THE PROCEDURE WAS SUCCESSFULLY COMPLETED. THERE WERE NO PATIENT CONSEQUENCES.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22642003 ↗MalfunctionApr 25, 2025Break; Break
IT WAS REPORTED THAT THE INSERTER TIP WAS BROKEN OFF WHILE TRYING TO REMOVE REAMING GUIDE. IT DID NOT AFFECT PATIENT OUTCOME.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21910858 ↗MalfunctionApr 4, 2025Device-Device Incompatibility; Material Deformation; Device-Device Incompatibility; Material Deformation
IT WAS REPORTED THAT THE SURGEON WAS PERFORMING RIGHT REVERSE SHOULDER REPLACEMENT USING THE DELTA XTEND INSTRUMENTS. THE PROXIMAL REAMING GUIDE HOLDER AND REAMING GUIDE ROD WERE VERY DIFFICULT TO PUT TOGETHER. THE INTERNAL THREADS WERE DAMAGED CAUSING IT TO CROSS THREAD. THERE WAS NO SURGICAL DELAY. THERE WERE NO FRAGMENTS GENERATED. THE PROCEDURE WAS COMPLETED SUCCESSFULLY.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21772734 ↗MalfunctionFeb 21, 2025Break; Material Deformation; Break; Material Deformation
PLEASE CONFIRM IF THERE IS ANY ALLEGATION AGAINST THE 2 UNK INSERTION DEVICES -> AS PER SALES REP THE ANSWER IS "NO".
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21432416 ↗MalfunctionDec 30, 2024Break; Break
IT WAS REPORTED THAT PATIENT UNDERWENT ARTHROPLASTY ON (B)(6) 2024. DURING THE PROCEDURE, THE INNER ROD FOR THE REAMER GUIDE BROKE INTO TWO PIECES. PROCEDURE WAS COMPLETED WITH FIVE MINUTES DELAY. THERE WAS NO PATIENT CONSEQUENCE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 21039579 ↗MalfunctionOct 18, 2024No Apparent Adverse Event; No Apparent Adverse Event
THE INSTRUMENT WAS REPORTED FOR AN UNKNOWN REASON.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20480910 ↗MalfunctionOct 4, 2024Break; Break
ADDITIONAL INFORMATION WAS RECEIVED AND STATES THAT: A. WAS THERE A SURGICAL DELAY? IF YES, WHAT IS THE DURATION OF THE DELAY? - YES B. WAS/WERE THERE ANY ADVERSE CONSEQUENCE/S THAT AFFECTED THE PATIENT BECAUSE OF THE REPORTED EVENT? - NO.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20372659 ↗MalfunctionSep 25, 2024Device-Device Incompatibility; Material Deformation; Device-Device Incompatibility; Material Deformation
IT WAS REPORTED ON SEPTEMBER 18, 2024 THAT THE TRIAL INSERTER WAS BENT AND WOULD NOT ADEQUATELY LOCK ONTO TO TRIAL. THE SCREWDRIVER WAS BEGINNING TO ROUND OFF IN SCREW HEAD.
Patient problems: Insufficient Information
MAUDE report 20303056 ↗MalfunctionSep 3, 2024Device-Device Incompatibility; Material Deformation; Device-Device Incompatibility; Material Deformation
IT WAS REPORTED THAT THE TIP OF THE ROD IS BENT AND MAKING IT HARD TO SCREW INTO THE TIP OF THE HOLDER.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20125372 ↗MalfunctionJul 1, 2024Device-Device Incompatibility; Material Deformation; Device-Device Incompatibility; Material Deformation
IT WAS REPORTED THAT THE FRONT PART OF THE ROD FOR REAMING GUIDE HOLDER INSTRUMENT IS BENT AND WOULD NOT THREAD INTO THE HOLDER FOR REAMING GUIDE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 19646125 ↗MalfunctionMar 28, 2024Device-Device Incompatibility; Material Deformation; Device-Device Incompatibility; Material Deformation
INTRAOPERATIVELY THE BOTH INSTRUMENTS GOT JAMMED AND THE THREADS BENT. SURGERY WAS FINISHED WITHOUT ANY DELAY AND WITHOUT ANY ADVERSE PATIENT CONSEQUENCES.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18992667 ↗MalfunctionMar 15, 2024Device-Device Incompatibility; Material Deformation; Device-Device Incompatibility; Material Deformation
PROXIMAL REAMING GUIDE HOLDER INTERNAL ROD IS BENT - DIFFICULT TO SCREW INTO THE PROXIMAL REAMING GUIDE HOLDER.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18916816 ↗MalfunctionMar 12, 2024Material Deformation; Material Deformation
IT WAS REPORTED THAT THE HOLDER IS BENT. WERE FRAGMENTS GENERATED? NO, IF YES, WERE THEY REMOVED EASILY WITHOUT ADDITIONAL INTERVENTION? UNKNOWN, PATIENT STATUS/ OUTCOME / CONSEQUENCES NO PATIENT INVOLVEMENT, WAS OTHER MEDICAL INTERVENTION (E.G. X-RAYS, ADDITIONAL PROCEDURES, PRESCRIPTIONS, OTC, REVISION) REQUIRED: UNKNOWN, IS THE PATIENT PART OF A CLINICAL STUDY UNKNOWN, (B)(4) DEVICE PROPERTY OF NONE, DEVICE IN POSSESSION OF NONE, (B)(4) DEVICE PROPERTY OF NONE, DEVICE IN POSSESSION OF NONE, (B)(4) DEVICE PROPERTY OF NONE, DEVICE IN POSSESSION OF NONE BY CHECKING THIS BOX I CERTIFY THAT ALL INFORMATION THAT ARE KNOWN/AVAILABLE HAS BEEN DISCLOSED. IF ANY NEW INFORMATION WILL BE MADE AVAILABLE, THE ADDITIONAL INFORMATION WILL BE SUBMITTED THROUGH CST. TRUE
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18885491 ↗MalfunctionMar 11, 2024Material Deformation; Material Deformation
IT WAS REPORTED THAT THE HOLDER WAS BENT. WAS SURGERY DELAYED DUE TO THE REPORTED EVENT? NO, WAS PROCEDURE SUCCESSFULLY COMPLETED? YES, WERE FRAGMENTS GENERATED? NO, IF YES, WERE THEY REMOVED EASILY WITHOUT ADDITIONAL INTERVENTION? UNKNOWN, PATIENT STATUS/ OUTCOME / CONSEQUENCES NO PATIENT INVOLVEMENT, WAS OTHER MEDICAL INTERVENTION (E.G. X-RAYS, ADDITIONAL PROCEDURES, PRESCRIPTIONS, OTC, REVISION) REQUIRED: UNKNOWN, IS THE PATIENT PART OF A CLINICAL STUDY UNKNOWN, (B)(4) DEVICE PROPERTY OF NONE, DEVICE IN POSSESSION OF NONE, (B)(4) DEVICE PROPERTY OF NONE, DEVICE IN POSSESSION OF NONE, (B)(4) DEVICE PROPERTY OF NONE, DEVICE IN POSSESSION OF NONE BY CHECKING THIS BOX I CERTIFY THAT ALL INFORMATION THAT ARE KNOWN/AVAILABLE HAS BEEN DISCLOSED. IF ANY NEW INFORMATION WILL BE MADE AVAILABLE, THE ADDITIONAL INFORMATION WILL BE SUBMITTED THROUGH CST. TRUE
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18874407 ↗MalfunctionMar 11, 2024Material Deformation; Material Deformation
IT WAS REPORTED THAT THE HOLDER IS BENT. WAS SURGERY DELAYED DUE TO THE REPORTED EVENT? NO, WAS PROCEDURE SUCCESSFULLY COMPLETED? YES, WERE FRAGMENTS GENERATED? NO, IF YES, WERE THEY REMOVED EASILY WITHOUT ADDITIONAL INTERVENTION? UNKNOWN, PATIENT STATUS/ OUTCOME / CONSEQUENCES NO PATIENT INVOLVEMENT, WAS OTHER MEDICAL INTERVENTION (E.G. X-RAYS, ADDITIONAL PROCEDURES, PRESCRIPTIONS, OTC, REVISION) REQUIRED: UNKNOWN, IS THE PATIENT PART OF A CLINICAL STUDY UNKNOWN, (B)(4) DEVICE PROPERTY OF NONE, DEVICE IN POSSESSION OF NONE, (B)(4) DEVICE PROPERTY OF NONE, DEVICE IN POSSESSION OF NONE, (B)(4) DEVICE PROPERTY OF NONE, DEVICE IN POSSESSION OF NONE BY CHECKING THIS BOX I CERTIFY THAT ALL INFORMATION THAT ARE KNOWN/AVAILABLE HAS BEEN DISCLOSED. IF ANY NEW INFORMATION WILL BE MADE AVAILABLE, THE ADDITIONAL INFORMATION WILL BE SUBMITTED THROUGH CST. TRUE
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18874352 ↗MalfunctionMar 7, 2024Break; Break
IT LOOKS LIKE THE TIP OF ROD FOR REAMING GUIDE HOLDER HAS SNAPPED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18857342 ↗MalfunctionFeb 27, 2024Device-Device Incompatibility; Material Deformation; Device-Device Incompatibility; Material Deformation
IT WAS REPORTED THAT THIS WAS A REVERSE TOTAL SHOULDER JOINT REPLACEMENT FOR SHOULDER ROTATOR CUFF TEAR ARTHRITIS PERFORMED ON (B)(6) 2024. THE ROD FOR REAMING GUIDE HOLDER IN QUESTION WAS INSERTED INTO THE HOLDER FOR REAMING GUIDES, AND IT WAS ATTACHED TO THE PROXIMAL REAMING GUIDE 12 MM. THEN, IT WAS INSERTED INTO THE HUMERUS. AFTER REAMING THE PROXIMAL HUMERUS, THE SURGEON ATTACHED THE ROD AND THE HOLDER AND ATTEMPTED TO REMOVE THE PROXIMAL REAMING GUIDE. ALTHOUGH IT WAS CONNECTED TO THE PROXIMAL REAMING GUIDE BY TIGHTENING THE SCREWS IN THE ROD, IT WAS NOT INSTALLED PROPERLY. IT SLIPPED, AND THE PROXIMAL REAMING GUIDE COULD NOT BE REMOVED. THE ROD TIP WAS DEFORMED AND COULD NOT ATTACHED TO THE PROXIMAL REAMING GUIDE. THE SURGEON MANAGED TO EXTRACT THE PROXIMAL REAMING ROD BY USING PLIERS AND HITTING IT WITH A HAMMER. THE SURGEON PROCEEDED TO THE NEXT PROCEDURE, AND ALL IMPLANTS WERE INSERTED. THERE WERE NO BREAKAGES AND NO METAL FRAGMENTS. THE SURGERY WAS COMPLETED SUCCESSFULLY WITHIN 30 MINUTES DELAY. THERE WAS NO HARM TO THE PATIENT. NO FURTHER INFORMATION IS AVAILABLE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18787696 ↗MalfunctionNov 17, 2023Break; Break
ADDITIONAL INFORMATION RECEIVED: A. WAS THERE A SURGICAL DELAY? IF YES, WHAT IS THE DURATION OF THE DELAY? LESS THAN 1 MINUTE. B. DID IT BREAK INTO TWO OR MORE PIECES? IF NO, PLEASE SPECIFY THE ALLEGED DEFICIENCY OF THE INSTRUMENTS. WERE THEY BENT, STRIPPED, CROSS THREADED, ETC.? THE PRODUCT DID NOT BREAK DURING SURGERY. THE END OF THE STILUS WAS MISSING, WHICH FASTENS THE PROXIMAL PREP GUIDE.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18160742 ↗MalfunctionNov 9, 2023Break; Break
IT WAS REPORTED THAT THE PART ARRIVED BROKEN.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18100035 ↗MalfunctionOct 27, 2023Break; Break
IT WAS REPORTED THAT THE PROXIMAL REAMING GUIDE HOLDER INTERNAL ROD BROKE WHEN ATTACHING TO REMOVE. SURGICAL DELAY UNKNOWN.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18022970 ↗MalfunctionOct 26, 2023Device-Device Incompatibility; Material Deformation; Device-Device Incompatibility; Material Deformation
IT WAS REPORTED THAT THE TIP OF THE INSTRUMENT WAS BENT AND WAS DIFFICULT TO LOOSEN.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18013035 ↗MalfunctionOct 23, 2023Naturally Worn; Naturally Worn
IT WAS REPORTED THAT THE TIP IS DAMAGED, SO YOU CANNOT LONGER SCREW THE DEVICE INTO THE REAMING GUIDES. NO IMPACT ON THE SURGERY NOR ON THE PATIENT
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17986817 ↗MalfunctionOct 18, 2023Break; Break
BOTH INSTRUMENTS BROKE DURING SURGERY, THE SURGEON WAS NOT DOING ANYTHING UNUSUAL, SAME TECHNIQUE AS ALWAYS. 230795000 HAD PLASTIC BREAK OFF WHILE INSERTING A GLENOSPHERE AND THE TIP OF 230774002 BROKE OFF WHILE TRYING TO ATTACH IT BACK ONTO THE PROXIMAL HUMERUS REAMING GUIDE - SINCE IT WAS BROKEN IT WAS NOT ABLE TO HOLD THE GUIDE AND AN ALTERNATE INSTRUMENT WAS NEEDED TO GET IT BACK OUT. PROCEDURE SUCCESSFULLY COMPLETED WITH A 5 MINUTE SURGICAL DELAY.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17961357 ↗
Other Orthopedic manual surgical instrument devices
- AML EXCEL 2001-42-000Depuy (Ireland) · ORTHOPEDIC MANUAL SURGICAL INSTRUMENT2,009 reports
- NA 03.010.523Synthes GmbH · ORTHOPEDIC MANUAL SURGICAL INSTRUMENT1,208 reports
- EXPRESSEW 214141Medos International Sàrl · ORTHOPEDIC MANUAL SURGICAL INSTRUMENT1,166 reports
- N/A 9560524Medtronic Sofamor Danek, Inc. · ORTHOPEDIC MANUAL SURGICAL INSTRUMENT866 reports
- INHANCE 6500-11-104Depuy (Ireland) · Orthopedic manual surgical instrument831 reports
- INHANCE 6500-11-102Depuy (Ireland) · Orthopedic manual surgical instrument567 reports
- R3 71364450Smith & Nephew, Inc. · ORTHOPEDIC MANUAL SURGICAL INSTRUMENT520 reports
- N/A 9561524Medtronic Sofamor Danek, Inc. · ORTHOPEDIC MANUAL SURGICAL INSTRUMENT494 reports
Sources and updates
- Device record: FDA GUDID, file dated Oct 13, 2026 · View this device in AccessGUDID ↗
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026 · each report above links to its original FDA record
- Recalls: FDA Medical Device Recalls, file dated Oct 16, 2026
- Page last rebuilt: Oct 18, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
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