NA 04.043.150SRecalls & reported problems
Synthes GmbH · TIBIAL NAIL-ADVANCED / 9MM 390MM / STERILE · Class 2 · Implant
- Adverse event reports
- 4
- Deaths reported
- 0
- Injuries reported
- 2
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 4 adverse event reports that list this exact device (DI 10886982297662), received between Jan 27, 2022 and Jul 23, 2024 — classified as 2 injuries, 2 malfunctions.
The most frequently reported specific device problem is “Device-Device Incompatibility” (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. How this data works · Data updated Oct 13, 2026.
Reports received per month
Most reported problems
Device problems
- Device-Device Incompatibility2
- Adverse Event Without Identified Device or Use Problem1
- Break1
- Detachment of Device or Device Component1
Patient problems
- No Clinical Signs, Symptoms or Conditions2
- Failure of Implant1
- Nonunion/Delayed-union Bone Fracture1
Recent adverse event reports
The 4 most recent of 4 reports, in the reporter's own words as published by the FDA.
MalfunctionJul 23, 2024Detachment of Device or Device Component; Device-Device Incompatibility; Detachment of Device or Device Component; Device-Device Incompatibility
IT WAS REPORTED THAT DURING A PROCEDURE ON (B)(6) 2024, THE POLY INLAY IN THE TIBIAL NAIL WAS DISLODGED AND CAUSED A BLOCKAGE WITHIN THE NAIL. THIS MADE IT UNABLE TO PASS THE BALL TO GUIDE WIRE DOWN THE CANNULATION OF THE NAIL. SURGERY WAS SUCCESSFUL COMPLETED WITH NO DELAY. THIS REPORT IS FOR A TIBIAL NAIL-ADVANCED / 9MM 390MM / STERILE. THIS IS REPORT 1 OF 1 FOR (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 19806528 ↗InjuryMay 6, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
SUBJECT (B)(6). AE1: POSTOPERATIVE ADVERSE EVENT: " NONUNION". IS THE AE RELATED TO THE TREATMENT OF FRACTURE? "YES".. IS THE AE RELATED TO THE DEVICE? "YES". DPS IMPLANT WAS USED. PATIENT UNDERWENT REVISION SURGERY. PATIENT IS RECOVERING. THIS REPORT IS FOR A TIBIAL NAIL-ADVANCED / 9MM 390MM / STERILE. THIS IS REPORT 1 OF 2 FOR (B)(4).
Patient problems: Nonunion/Delayed-union Bone Fracture
MAUDE report 19253886 ↗InjurySep 29, 2022Break; Break
IT WAS REPORTED THAT ON AN UNKNOWN DATE, THE PATIENT UNDERWENT REVISION SURGERY FOR A BROKEN TIBIAL NAIL THAT HAD BEEN IMPLANTED THREE MONTHS PRIOR. THE PATIENT HAD HYPERTROPHIC NONUNION, AND THE NAIL WAS BROKEN THROUGH THE DISTAL/PROXIMAL SCREW HOLE OF THE ANS TIBIAL NAIL 9-390MM. THE SURGEON REMOVED ALL THE SCREWS INTACT AND UTILIZED AN EXTRACTION HOOK TO REMOVE THE ENTIRE NAIL INCLUDING THE DISTAL PORTION BELOW THE NAIL BREAKAGE. IT WAS A DIFFICULT PROCEDURE. THE NAIL WAS REPLACED WITH A TIBIAL NAIL EX10X390MM WITH MULTIPLE SCREWS AND BLOCKING SCREWS. IT WAS REPORTED THAT THE PATIENT WEIGHED 300 POUNDS AND HAD MULTIPLE COMORBIDITIES. NO FURTHER INFORMATION IS AVAILABLE. THIS REPORT INVOLVES ONE TIBIAL NAIL-ADVANCED / 9MM 390MM / STERILE. THIS IS REPORT 1 OF 1 FOR (B)(4).
Patient problems: Failure of Implant
MAUDE report 15501499 ↗MalfunctionJan 27, 2022Device-Device Incompatibility; Device-Device Incompatibility
IT WAS REPORTED THAT ON (B)(6) 2021 DURING A TIBIA PROCEDURE, THE SURGEON IMPLANTED THE TIBIAL NAIL IN QUESTION. THE NAIL WAS INSERTED PER NORMAL TECHNIQUE AND WAS THEN SUBSEQUENTLY REMOVED TO PERFORM ADDITIONAL INTRAMEDULLARY REAMING. UPON REMOVAL, WE NOTICED THE DISTAL POLY INLAY HAD PARTIALLY POPPED OUT OF THE END OF THE NAIL. THE SURGEON WAS ABLE TO PUSH IT BACK IN MANUALLY AND RE-INSERT THE NAIL AND COMPLETE THE PROCEDURE SUCCESSFULLY. THERE WAS AN UNSPECIFIC AMOUNT OF SURGICAL DELAY. THERE IS NO FURTHER INFORMATION AVAILABLE. THIS REPORT IS FOR ONE (1) TIBIAL NAIL-ADVANCED / 9MM 390MM / STERILE. THIS IS REPORT 1 OF 1 FOR (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 13366780 ↗
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 Adva
- 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 Adva
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: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.