TFN-ADVANCE 04.038.405Recalls & reported problems
Synthes GmbH · TFNA FENESTRATED HELICAL BLADE 105MM · Class 2 · Implant
All models of TFN-ADVANCE (195)
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 5
- Deaths reported
- 0
- Injuries reported
- 5
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 5 adverse event reports that list this exact device (DI 10886982099303), received between Jul 9, 2019 and Nov 16, 2023 — classified as 5 injuries.
The most frequently reported specific device problem is “Migration” (3 reports).
2 other recalls cover devices cleared under the same FDA submission (K160167); 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.
Reports received per month
Most reported problems
Device problems
- Migration3
- Adverse Event Without Identified Device or Use Problem1
- Break1
Patient problems
- Nonunion/Delayed-union Bone Fracture2
- Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available1
- Failure of Implant1
- No Code Available1
Recent adverse event reports
The 5 most recent of 5 reports, in the reporter's own words as published by the FDA.
InjuryNov 16, 2023Break; Break
DEVICE REPORT FROM SYNTHES REPORTS AN EVENT IN CANADA AS FOLLOWS: IT WAS REPORTED THAT A PATIENT HAD A BROKEN TFNA IMPLANT. THE ORIGINAL PROCEDURE WAS DONE ON (REMOVED). THE ORIGINAL INJURY WAS A COMMINUTED INTERTROCHANTERIC AND SUBTROCHANTERIC FRACTURE RESULTING FROM A SLIP AND FALL. THE TFNA LOCKING DEVICE WAS LEFT ENGAGED. IT APPEARS THAT THE FRACTURE DID NOT HEAL PRIOR TO THE IMPLANT FAILING. NO INFORMATION IS CURRENTLY AVAILABLE AS TO WHETHER OR NOT THE PATIENT HAD ANOTHER FALL AND/OR ACCIDENT THAT MAY HAVE CAUSED THE IMPLANTS TO FAIL. THE BROKEN IMPLANTS WERE RECOVERED AND WILL BE SENT IN FOR ANALYSIS. THE PATIENT DID NOT EXPERIENCE ANY ADVERSE EVENTS. THE REASON FOR REVISION SURGERY WAS A BROKEN IMPLANT. THIS REPORT IS FOR ONE (1) TFNA FENESTRATED HELICAL BLADE 105MM. THIS IS REPORT 2 OF 2 FOR COMPLAINT (B)(4).
Patient problems: Nonunion/Delayed-union Bone Fracture
MAUDE report 18151952 ↗InjuryFeb 17, 2023Migration; Migration
IT WAS REPORTED THAT THE ORIGINAL SURGERY TO IMPLANT THE TFNA NAIL AND HELICAL BLADE OCCURRED ON (B)(6) 2022. THEN, THE TFNA HELICAL BLADE MIGRATED MEDIALLY INTO THE ACETABULUM, AND THE NAIL, HELICAL BLADE, AND DISTAL SCREW WERE REMOVED ON (B)(6) 2023. THE PATIENT WAS CONVERTED TO A TOTAL HIP ARTHROPLASTY.
Patient problems: Failure of Implant
MAUDE report 16400680 ↗InjuryJan 13, 2022Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT ON AN UNKNOWN DATE, A NONUNION FROM A PREVIOUS SURGERY IN THE FEMORAL SHAFT/PROXIMAL FEMUR WAS DISCOVERED. THE SURGEON REMOVED A TFNA DEVICE, USED THE RIA TO COLLECT BONE GRAFT, AND THEN INSERTED A 95 DEGREE BLADE PLATE TO CORRECT THE NONUNION. NO FURTHER INFORMATION WAS PROVIDED. THIS REPORT IS FOR ONE (1) TFNA FENESTRATED HELICAL BLADE 105MM. THIS IS REPORT 2 OF 5 FOR (B)(4).
Patient problems: Nonunion/Delayed-union Bone Fracture
MAUDE report 13253452 ↗InjuryOct 18, 2021Migration; Migration
IT WAS REPORTED THAT ON (B)(6) 2021, THE PATIENT UNDERWENT FOR A TFNA REMOVAL WHERE THE BLADE HAS MIGRATED MEDIAL. IT IS UNKNOWN IF THE PROCEDURE WAS COMPLETED SUCCESSFULLY. PATIENT STATUS IS UNKNOWN. CONCOMITANT DEVICE REPORTED: UNK - LOCKING SCREW (PART#: UNKNOWN, LOT#: UNKNOWN, QUANTITY: 1). THIS COMPLAINT INVOLVES TWO (2) DEVICES. THIS REPORT IS FOR (1) TFNA FENESTRATED HELICAL BLADE 105MM. THIS REPORT IS 2 OF 2 OF (B)(4).
Patient problems: Appropriate Clinical Signs, Symptoms and Conditions Term/Code Not Available
MAUDE report 12647256 ↗InjuryJul 9, 2019Migration; Migration
IT WAS REPORTED THAT ON AN UNKNOWN DATE, THE PATIENT UNDERWENT A REVISION PROCEDURE DUE TO HELICAL BLADE CUT THROUGH THE FEMORAL HEAD. PATIENT WAS REVISED TO A TOTAL HIP. PROCEDURE AND PATIENT STATUS/OUTCOME WERE UNKNOWN. CONCOMITANT DEVICES: 11MM/130 DEG TITANIUM (TI) CANNULATED TROCHANTERIC FIXATION NAIL- ADVANCED (TFNA) 170MM (PART: 04.037.142S, LOT: UNKNOWN, QUANTITY: 1). THIS REPORT IS FOR A TFNA FENESTRATED HELICAL BLADE 105MM. THIS IS REPORT 1 OF 1 FOR (B)(4).
Patient problems: No Code Available
MAUDE report 8771387 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K160167. One submission often covers many models, so check the product and lot details in each record.
- Z-1239-2024 · Jan 24, 2024 · Open, ClassifiedTFNA Femoral Nail 9mm, right, 130, L 235mm-Intended for temporary fixation and stabilization of proximal femur fractures. Part Number: 04.037.944S
- Z-1240-2024 · Jan 24, 2024 · Open, ClassifiedTFNA Femoral Nail 11mm, right, 130, L 235mm-Intended for temporary fixation and stabilization of proximal femur fractures. Part Number: 04.037.144S
Other APPLIANCE, FIXATION, NAIL/BLADE/PLATE COMBINATION, MULTIPLE COMPONENT devices
- PRECICE® Plating System LP4.5-DLF31Nuvasive Specialized Orthopedics, Inc. · Appliance, Fixation, Nail/Blade/Plate Combination, Multiple Component3 recalls0 reports
- R3 71364451Smith & Nephew, Inc. · APPLIANCE, FIXATION, NAIL/BLADE/PLATE COMBINATION, MULTIPLE COMPONENT145 reports
- DFS HA BONE SCREWS HAA60-15020Biomet Orthopedics, LLC · APPLIANCE, FIXATION, NAIL/BLADE/PLATE COMBINATION, MULTIPLE COMPONENT2 recalls0 reports
- DFS HA BONE SCREWS HAA60-11030Biomet Orthopedics, LLC · APPLIANCE, FIXATION, NAIL/BLADE/PLATE COMBINATION, MULTIPLE COMPONENT2 recalls0 reports
- DFS HA BONE SCREWS HAB60-12040Biomet Orthopedics, LLC · APPLIANCE, FIXATION, NAIL/BLADE/PLATE COMBINATION, MULTIPLE COMPONENT2 recalls0 reports
- DFS HA BONE SCREWS HAA60-13040Biomet Orthopedics, LLC · APPLIANCE, FIXATION, NAIL/BLADE/PLATE COMBINATION, MULTIPLE COMPONENT2 recalls0 reports
- DFS HA BONE SCREWS HAA60-18030Biomet Orthopedics, LLC · APPLIANCE, FIXATION, NAIL/BLADE/PLATE COMBINATION, MULTIPLE COMPONENT2 recalls0 reports
- DFS HA BONE SCREWS HAA60-15030Biomet Orthopedics, LLC · APPLIANCE, FIXATION, NAIL/BLADE/PLATE COMBINATION, MULTIPLE COMPONENT2 recalls0 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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