NA 04.043.140SRecalls & reported problems
Synthes GmbH · TIBIAL NAIL-ADVANCED / 9MM 360MM / STERILE · Class 2 · Implant
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 6
- Deaths reported
- 0
- Injuries reported
- 1
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 6 adverse event reports that list this exact device (DI 10886982297648), received between Jun 21, 2022 and Jan 5, 2026 — classified as 1 injury, 5 malfunctions.
The most frequently reported specific device problem is “Detachment of Device or Device Component” (2 reports).
2 other recalls cover devices cleared under the same FDA submission (K201336); 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
- Detachment of Device or Device Component2
- Device-Device Incompatibility2
- Adverse Event Without Identified Device or Use Problem1
- Break1
Patient problems
- No Clinical Signs, Symptoms or Conditions5
- Unspecified Infection1
Recent adverse event reports
The 6 most recent of 6 reports, in the reporter's own words as published by the FDA.
MalfunctionJan 5, 2026Detachment of Device or Device Component
IT WAS REPORTED THAT DURING A PROCEDURE, THE PEEK-INLAY CAME OFF THE NAIL.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23966884 ↗MalfunctionOct 31, 2025Break; Break
IT WAS REPORTED ON AN UNKNOWN DATE, THAT WHEN ADJUSTING THE NAIL THE PEEK SLEEVE CAME OUT OF THE NAIL AND SPLIT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23436780 ↗MalfunctionOct 15, 2025Device-Device Incompatibility; Device-Device Incompatibility
IT WAS REPORTED ON AN UNKNOWN DATE WHILE DRILLING THE STATIC 2 HOLE ON THE ADVANCED TIBIA NAIL THE DRILL HIT THE NAIL. USER DRILLED A DIFFERENT HOLE. IT IS UNKNOWN IF FRAGMENTS WERE GENERATED. THERE WAS NO SURGICAL DELAY DUE TO THE REPORTED EVENT AND PROCEDURE WAS COMPLETED SUCCESSFULLY. THERE WERE NO PATIENT CONSEQUENCES.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 23280513 ↗MalfunctionSep 6, 2024Detachment of Device or Device Component; Detachment of Device or Device Component
IT WAS REPORTED THAT ON (B)(6) 2024, THE TIBIAL NAIL WAS OPENED AND IT WAS NOTICED THE PEEK INLAY WAS COVERING THE WHOLE STATIC LOCKING HOLE. A NEW NAIL WAS USED AND THERE WAS NO PATIENT CONSEQUENCES.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20160548 ↗InjuryOct 23, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
STUDY ID: DEPUY - (B)(6). SUBJECT ID: (B)(6). ADVERSE EVENT TERM: INFECTED R TIBIA FRACTURE. IS THIS A WORSENING OF AN EXISTING EVENT? YES. CREATION DATE: (B)(6) 2023. SITE AWARENESS DATE: 26-09-2023. TYPE OF EVENT: LOCAL/FRACTURE SITE. DEVICE: TNA. IS THE ADVERSE EVENT SERIOUS? YES. SEVERITY: MODERATE. THIS REPORT IS FOR A TIBIAL NAIL-ADVANCED / 9MM 360MM / STERILE. THIS IS REPORT 1 OF 7 FOR (B)(4).
Patient problems: Unspecified Infection
MAUDE report 17987667 ↗MalfunctionJun 21, 2022Device-Device Incompatibility; Device-Device Incompatibility
IT WAS REPORTED THAT ON (B)(6) 2022, DURING A ROUTINE TIBIAL NAILING OF A MIDSHAFT TIBIA FRACTURE, THE SURGEON EXPERIENCED A PROBLEM WHERE THE AIMING ARM FOR THE PROXIMAL INTERLOCKS DID NOT LINE UP WITH THE MOST DISTAL HOLE IN THE NAIL, AND THE NAIL OBSTRUCTED THE PATH OF THE DRILL BIT. THE PATIENT¿S KNEE WAS BUMPED UP TO REMOVE TENSION AT THE NAIL/INSERTION HANDLE JUNCTION, AND THE CONNECTION POINT WAS INSPECTED AND CONFIRMED TO BE TIGHT, BUT THE ISSUE WAS NOT RESOLVED. THE AIMING ARM WAS REMOVED AND THE PROCEDURE WAS COMPLETED USING A FREE-HAND PERFECT CIRCLE TECHNIQUE. NO PATIENT IMPACT. THIS REPORT IS FOR A TIBIAL NAIL-ADVANCED / 9MM 360MM / STERILE. THIS IS REPORT 1 OF 3 FOR (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 14756152 ↗
Recalls under the same FDA submission
These recalls involve devices cleared under K201336. 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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