EXPert Nail 04.004.000Recalls & reported problems
Synthes GmbH · TI END CAP WITH T40 STARDRIVE 0MM EXT F/TI TIBIAL NAILS-EX · Class 2 · Implant
All models of EXPert Nail (151)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 5
- Deaths reported
- 0
- Injuries reported
- 4
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 5 adverse event reports that list this exact device (DI 10886982083371), received between Oct 1, 2018 and May 27, 2021 — classified as 4 injuries, 1 malfunction.
The most frequently reported specific device problem is “Device-Device Incompatibility” (1 report).
2 other recalls cover devices cleared under the same FDA submission (K040762); they may or may not involve this specific model.
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.
Most reported problems
Device problems
- Adverse Event Without Identified Device or Use Problem3
- Device-Device Incompatibility1
- No Apparent Adverse Event1
Patient problems
- No Code Available2
- Nonunion/Delayed-union Bone Fracture2
- Unspecified Infection2
- Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available1
- Bone Fracture(s)1
- No Clinical Signs, Symptoms or Conditions1
Recent adverse event reports
The 5 most recent of 5 reports, in the reporter's own words as published by the FDA.
InjuryMay 27, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT ON (B)(6) 2021 THE PATIENT UNDERWENT A REVISION SURGERY DUE TO A NON-UNION OF THE LEFT TIBIAL SHAFT. THE IMPLANTS THAT WERE REMOVED WERE TITANIUM CANNULATED TIBIAL NAIL, END CAP, AND THREE TITANIUM LOCKING SCREWS. THERE WAS NO SURGICAL DELAY. THE PROCEDURE WAS COMPLETED SUCCESSFULLY. THIS REPORT IS FOR ONE (1) TI END CAP WITH T40 STARDRIVE 0MM EXT F/TI TIBIAL NAILS-EX. THIS IS REPORT 4 OF 5 FOR (B)(4).
Patient problems: Nonunion/Delayed-union Bone Fracture
MAUDE report 11894487 ↗InjuryMar 5, 2021Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT ON (B)(6) 2021 THE PATIENT UNDERWENT THE REMOVAL OF ONE (1) TITANIUM CANNULATED TIBIAL NAIL, TWO (2) UNKNOWN DUAL-CORE SCREWS, TWELVE (12) UNKNOWN LOCKING SCREWS, ONE (1) TI END CAP AND ONE (1) TOMOFIX P TIBIAL HEAD PLATE DUE INFECTION. THE PROCEDURE WAS SUCCESSFULLY COMPLETED. THE PATIENT OUTCOME IS UNKNOWN. THIS REPORT IS FOR ONE (1) TI END CAP WITH T40 STARDRIVE 0MM EXT F/TI TIBIAL NAILS-EX. THIS IS REPORT 3 OF 10 FOR (B)(4). THIS REPORT IS LINKED TO (B)(4).
Patient problems: Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available
MAUDE report 11425323 ↗MalfunctionFeb 9, 2021Device-Device Incompatibility; Device-Device Incompatibility
IT WAS REPORTED THAT ON (B)(6) 2021, AN ORTHOPEDIC PROCEDURE WAS PERFORMED FOR UNKNOWN REASON. END CAP WOULD NOT THREAD ONTO NAIL. REPLACED WITH A NEW END CAP. THE PROCEDURE WAS COMPLETED SUCCESSFULLY AND THERE WAS A SURGICAL DELAY OF 5 MINUTES. THERE WAS NO PATIENT CONSEQUENCE. CONCOMITANT DEVICE REPORTED: UNKNOWN SCREWS (PART# UNKNOWN; LOT# UNKNOWN; QUANTITY: UNKNOWN). THIS COMPLAINT INVOLVES TWO (2) DEVICES. THIS REPORT IS FOR (1) TI END CAP WITH T40 STARDRIVE 0MM EXT F/TI TIBIAL NAILS-EX. THIS IS REPORT 1 OF 2 (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 11303908 ↗InjuryJun 2, 2020Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT ON (B)(6) 2020, THE PATIENT UNDERWENT A REVISION AND HARDWARE REMOVAL. THE REVISION SURGERY WAS DUE TO INFECTION AND NON-UNION OF TWO (2) CORTEX SCREWS, ONE (1) TITANIUM CANNULATED TIBIAL NAIL-EX WITH PROXIMAL BEND, FOUR (4) TITANIUM LOCKING SCREW AND ONE (1) TITANIUM END CAP. THE PROCEDURE WAS SUCCESSFULLY COMPLETED. THE PATIENT'S STATUS IS UNKNOWN. CONCOMITANT DEVICES REPORTED: 3.5MM CORTEX SCREW SELF-TAPPING 40MM (PART NUMBER 204.84, LOT UNKNOWN, QUANTITY 1), 3.5MM CORTEX SCREW SELF-TAPPING 44MM (PART NUMBER 204.844, LOT UNKNOWN, QUANTITY 1), 10MM TI CANN TIBIAL NAIL-EX W/PROX BEND 345MM-STERILE (PART NUMBER 04.034.449S, LOT 22P4336, QUANTITY 1), 5.0MM TI LOCKING SCREW W/T25 STARDRIVE 34MM FOR IM NAILS (PART NUMBER 04.005.524, LOT UNKNOWN, QUANTITY 1), 5.0MM TI LOCKING SCREW W/T25 STARDRIVE 40MM FOR IM NAILS (PART NUMBER 04.005.530, LOT UNKNOWN, QUANTITY 1), 5.0MM TI LOCKING SCREW W/T25 STARDRIVE 38MM FOR IM NAILS (PART NUMBER 04.005.528, LOT UNKNOWN, QUANTITY 1), 5.0MM TI LOCKING SCREW W/T25 STARDRIVE 36MM FOR IM NAILS (PART NUMBER 04.005.526, LOT UNKNOWN, QUANTITY 1). THIS REPORT INVOLVES ONE (1) TI END CAP WITH T40 STARDRIVE 0MM EXT F/TI TIBIAL NAILS-EX.
Patient problems: Bone Fracture(s); No Code Available; Unspecified Infection
MAUDE report 10108225 ↗InjuryOct 1, 2018No Apparent Adverse Event; No Apparent Adverse Event
IT WAS REPORTED THAT ON AN UNKNOWN DATE, PATIENT UNDERWENT IMPLANT PROCEDURE IN (B)(6). POST-OPERATIVE, ON (B)(6) 2018, PATIENT UNDERWENT HARDWARE REMOVAL DUE TO INFECTION AND NON-UNION. DURING THE REMOVAL, THE TITANIUM (TI) CANNULATED TIBIAL NAIL-EX, TI END CAP AND TWO (2) PROXIMAL SCREWS WERE REMOVED. THE TIBIA WAS REAMED, AND THEN TISSUE SPECIMENS WERE COLLECTED AND SENT TO THE LABORATORY. ANTIBIOTIC BEADS WERE APPLIED AS A TREATMENT FOR THE INFECTION. PATIENT OUTCOME WAS UNKNOWN. THE PROCEDURE WAS COMPLETED SUCCESSFULLY. THIS REPORT IS FOR ONE (1) TI END CAP WITH T40 STARDRIVE 0MM EXT F/TI TIBIAL NAILS-EX. THIS IS REPORT 2 OF 3 FOR (B)(4).
Patient problems: No Code Available; Nonunion/Delayed-union Bone Fracture; Unspecified Infection
MAUDE report 7922588 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K040762. One submission often covers many models, so check the product and lot details in each record.
- Z-2051-2015 · Jun 3, 2015 · TerminatedTITANIUM END CAP WITH T40 STARDRIVE RECESS, 0MM EXTENSION FOR TITANIUM TIBIAL NAILS-EX; Synthes Tibial Nail System EX is intended to stabilize fractures of the proximal and distal
- Z-2058-2013 · Nov 2, 2012 · TerminatedSynthes Trauma Nail System. The devices are indication for bone fixation.
Other NAIL, FIXATION, BONE devices
- NA 03.043.024Synthes GmbH · NAIL, FIXATION, BONE234 reports
- NA 03.010.440Synthes GmbH · NAIL, FIXATION, BONE70 reports
- TRIGEN 71676627Smith & Nephew, Inc. · NAIL, FIXATION, BONE1 recall2 reports
- TRIGEN 71676628Smith & Nephew, Inc. · NAIL, FIXATION, BONE1 recall0 reports
- NA 03.043.018Synthes GmbH · NAIL, FIXATION, BONE33 reports
- TRIGEN 71675383Smith & Nephew, Inc. · NAIL, FIXATION, BONE29 reports
- NA 03.010.441Synthes GmbH · NAIL, FIXATION, BONE27 reports
- NA 03.010.435Synthes GmbH · NAIL, FIXATION, BONE24 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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