NA 04.043.220SRecalls & reported problems
Synthes GmbH · TIBIAL NAIL-ADVANCED / 10MM 300MM / STERILE · Class 2 · Implant
Data updated Oct 16, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 3
- Deaths reported
- 0
- Injuries reported
- 2
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 3 adverse event reports that list this exact device (DI 10886982297754), received between Jul 8, 2022 and Jun 1, 2023 — classified as 2 injuries, 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); 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 16, 2026.
Most reported problems
Device problems
- Adverse Event Without Identified Device or Use Problem2
- Device-Device Incompatibility1
Patient problems
- No Clinical Signs, Symptoms or Conditions1
- Nonunion/Delayed-union Bone Fracture1
- Pain1
- Post Operative Wound Infection1
- Unspecified Infection1
Recent adverse event reports
The 3 most recent of 3 reports, in the reporter's own words as published by the FDA.
InjuryJun 1, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT ON AN UNKNOWN DATE, THERE WAS A LOCAL INFECTION WORSENING OF AN EXISTING EVENT OF BLOWTORCH INJURY STAGE II. THIS REPORT IS FOR ONE (1) TIBIAL NAIL-ADVANCED / 10MM 300MM / STERILE. THIS IS REPORT 1 OF 8 FOR COMPLAINT (B)(4).
Patient problems: Unspecified Infection
MAUDE report 17041010 ↗InjuryMay 3, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
CRFS FOR SUBJECT 00164-010 FOR THE CLINICAL STUDY DST202103 WERE REVIEWED. THIS REPORT IS FOR A TIBIAL NAIL-ADVANCED / 10MM 300MM / STERILE. THIS IS REPORT 1 OF 10 FOR (B)(4).
Patient problems: Nonunion/Delayed-union Bone Fracture; Pain; Post Operative Wound Infection
MAUDE report 16861695 ↗MalfunctionJul 8, 2022Device-Device Incompatibility; Device-Device Incompatibility
DEVICE REPORT FROM JAPAN REPORTS AN EVENT AS FOLLOWS: IT WAS REPORTED THAT ON (B)(6) 2022, THE PATIENT UNDERWENT AN ORIF SURGERY FOR A TIBIAL SHAFT FRACTURE. BEFORE INSERTION OF THE NAIL, THE SURGEON CHECKED THE CONNECTION OF AN INSERTION HANDLE AND AIMING ARM AND JUDGED THAT THERE WOULD BE NO PROBLEM IN DRILLING TO THE PROXIMAL STATIC 1 HOLE. THE SURGEON TIGHTENED A CONNECTING SCREW THAT HAD LOOSENED, CONNECTED THE AIMING ARM TO THE INSERTION HANDLE, AND DRILLED AT THE PROXIMAL STATIC 1 HOLE OVER A SLEEVE. WHILE DRILLING, THE TIP OF THE DRILL BIT AND THE HOLE INTERFERED, AND THE SURGEON COULD NOT DRILL TO THE END. THE CONNECTING SCREW WAS TIGHTENED AGAIN, BUT THE INTERFERENCE OCCURRED AGAIN. THE SURGEON DRILLED MANUALLY WITHOUT THE SLEEVE AND SUCCEEDED IN INSERTING A SCREW INTO THE PROXIMAL STATIC 1 HOLE. THE SURGERY WAS COMPLETED SUCCESSFULLY WITH A 5-MINUTE DELAY. NO FURTHER INFORMATION IS AVAILABLE. THIS REPORT IS FOR A TIBIAL NAIL-ADVANCED / 10MM 300MM / STERILE. THIS IS REPORT 1 OF 2 FOR (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 14960006 ↗
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 04.043.240SSynthes GmbH · NAIL, FIXATION, BONE24 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 16, 2026. Data downloaded through openFDA, which notes it is not validated for clinical or regulatory use.
How reports and recalls are matched · Editorial policy · Report an error on this page