NA 04.045.036SRecalls & reported problems
Synthes GmbH · LOCKING SCREW FOR IM NAIL Ø 5MM/ 36MM/ XL25/ STERILE · Class 2 · Implant
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 2
- Deaths reported
- 0
- Injuries reported
- 1
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 2 adverse event reports that list this exact device (DI 10886982294401), received between Oct 20, 2023 and Mar 18, 2024 — classified as 1 injury, 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 (K201336, K201346); 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
- Adverse Event Without Identified Device or Use Problem1
- Device-Device Incompatibility1
Patient problems
- No Clinical Signs, Symptoms or Conditions1
- Nonunion/Delayed-union Bone Fracture1
- Unspecified Infection1
Recent adverse event reports
The 2 most recent of 2 reports, in the reporter's own words as published by the FDA.
MalfunctionMar 18, 2024Device-Device Incompatibility; Device-Device Incompatibility
IT WAS REPORTED THAT ON (B)(6) 2024, THE SURGEON WAS TREATED THIS PATIENT WITH FRNA GT NAIL. WHILE IMPLANTING THE FEMORAL NAIL A 3.2X400 WIRE MISSED THE HOLE THROUGH THE NAIL. THE WIRE WAS HITTING THE NAIL AT AN INCORRECT ANGLE AND UNDER XRAY IMAGING SEE THE TRAJECTORY WASN¿T THE SAME AS THE TRACER TRAJECTORY. THIS STEP IN THE SURGICAL TECHNIQUE WAS REPEATED SEVERAL TIMES TO SEE WHY THIS STEP WASN¿T WORKING. THIS CREATED AN ISSUE BECAUSE THE SECOND RECON SCREW WASN'T ABLE TO BE IMPLANTED AS IT WOULDN¿T FIT THROUGH THE NAIL. THERE WASN¿T A DELAY IN SURGERY CAUSE BY THIS EVENT. THE FRNA IMPLANT HAS TWO DIFFERENT PROXIMAL LOCKING OPTIONS. "RECON LOCKING¿ AND THE OTHER ¿STANDARD LOCKING¿. SINCE RECON LOCKING WASN¿T WORKING THE SURGEON WAS ABLE TO PREFORM ¿STANDARD LOCKING¿ . THE SURGERY WAS COMPLETED SUCCESSFULLY. NO ADVERSE CONSEQUENCES THAT AFFECTED THE PATIENT. THIS REPORT IS FOR ONE (1) LCKNG SCR FOR IM NL 5/ 36/ XL25/ SILE THIS IS REPORT 2 OF 3 FOR COMPLAINT (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18921839 ↗InjuryOct 20, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
DEVICE REPORT FROM AUSTRALIA REPORTS AN EVENT AS FOLLOWS: IT WAS REPORTED THAT ON (B)(6) 2023, A BROKEN TNA NEEDED REMOVING AND RE-NAILING. THE NAIL HAD BROKEN AT THE DISTAL END. THE NAIL WAS ORIGINALLY IMPLANTED ON (B)(6) 2023, AND WAS REMOVED ON (B)(6) 2023 AND RE-NAILED WITH A 10X360MM TNA. ALL PREVIOUS NAIL ITEMS WERE REMOVED. THE REVISION PROCEDURE WAS PERFORMED BECAUSE OF THE BROKEN IMPLANT, THE FRACTURE HAD NOT HEALED. THE PATIENT HAD SIGNIFICANT DISTAL BONE LOSS AND A MASQUELET PROCEDURE WAS COMPLETED. THE PATIENT HAD BORNE WEIGHT AFTER BONE GRAFT HAD BEEN INSERTED, AND THIS IS WHEN THE NAIL BROKE. REAMINGS SENT OFF DURING THE CASE CAME BACK POSITIVE FOR INFECTION. THE REVISION PROCEDURE WAS COMPLETED SUCCESSFULLY AND THE PATIENT IS PROGRESSING WELL. NO FURTHER INFORMATION IS AVAILABLE. THIS REPORT IS FOR A LOCKING SCREW FOR IM NAIL Ø 5MM/ 36MM/ XL25/ STERILE. THIS IS REPORT 2 OF 7 FOR (B)(4).
Patient problems: Nonunion/Delayed-union Bone Fracture; Unspecified Infection
MAUDE report 17975192 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K201336, K201346. One submission often covers many models, so check the product and lot details in each record.
- Z-0228-2026 · Sep 26, 2025 · Open, ClassifiedLOW PROF LCKNG SCREW, F/IM NAIL 5.0MM / L, 46MM / XL25/ STER. Product Code: 04.045.346TS. Used in RFN-ADVANCEDTM Retrograde Femoral Nailing (RFNA) System and the Tibial Nail A
- Z-0229-2026 · Sep 26, 2025 · Open, ClassifiedLOW PROF LCKNG SCREW, F/IM NAIL 5.0MM / L, 42MM / XL25/ STER. Product Code: 04.045.342TS. Used in RFN-ADVANCEDTM Retrograde Femoral Nailing (RFNA) System and the Tibial Nail A
Other Screw, fixation, bone devices
- NA 03.043.029Synthes GmbH · Screw, fixation, bone503 reports
- OSTEORAPTOR 72201995Smith & Nephew, Inc. · Screw, fixation, bone253 reports
- Control 360 SK12Treace Medical Concepts, Inc. · Screw, Fixation, Bone195 reports
- HEALIX PEEK ORTHOCORD 222205Medos International Sàrl · Screw, fixation, bone186 reports
- PRECICE® Bone Transport System STP3.5-400Nuvasive Specialized Orthopedics, Inc. · Screw, Fixation, Bone3 recalls0 reports
- PRECICE® Bone Transport System STP3.5-225Nuvasive Specialized Orthopedics, Inc. · Screw, Fixation, Bone3 recalls0 reports
- PRECICE® Bone Transport System STP3.5-350Nuvasive Specialized Orthopedics, Inc. · Screw, Fixation, Bone3 recalls0 reports
- PRECICE® Bone Transport System STP3.5-300Nuvasive Specialized Orthopedics, Inc. · Screw, Fixation, Bone3 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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