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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

Nov 2023: 0 reportsDec 2023: 0 reportsJan 2024: 0 reportsFeb 2024: 0 reportsMar 2024: 0 reportsApr 2024: 0 reportsMay 2024: 1 reportsJun 2024: 0 reportsJul 2024: 1 reportsAug 2024: 0 reportsSep 2024: 0 reportsOct 2024: 0 reportsNov 2024: 0 reportsDec 2024: 0 reportsJan 2025: 0 reportsFeb 2025: 0 reportsMar 2025: 0 reportsApr 2025: 0 reportsMay 2025: 0 reportsJun 2025: 0 reportsJul 2025: 0 reportsAug 2025: 0 reportsSep 2025: 0 reportsOct 2025: 0 reportsNov 2025: 0 reportsDec 2025: 0 reportsJan 2026: 0 reportsFeb 2026: 0 reportsMar 2026: 0 reportsApr 2026: 0 reportsMay 2026: 0 reportsJun 2026: 0 reportsJul 2026: 0 reportsAug 2026: 0 reportsSep 2026: 0 reportsOct 2026: 0 reports2024202520261
Last 36 months. The most recent month may be incomplete.

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, Classified
    LOW 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, Classified
    LOW 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

All NAIL, FIXATION, BONE devices →

Sources: FDA GUDID, MAUDE and Medical Device Recalls via openFDA. openFDA data is not validated for clinical or regulatory use.