NA 04.043.255SRecalls & reported problems
Synthes GmbH · TIBIAL NAIL-ADVANCED / 10MM 405MM / STERILE · Class 2 · Implant
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 4
- Deaths reported
- 0
- Injuries reported
- 4
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 4 adverse event reports that list this exact device (DI 10886982297822), received between Jun 19, 2023 and Mar 28, 2025 — classified as 4 injuries.
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
- Adverse Event Without Identified Device or Use Problem4
Patient problems
- Nonunion/Delayed-union Bone Fracture2
- Unspecified Infection2
- Extraskeletal ossification1
- Impaired Healing1
Recent adverse event reports
The 4 most recent of 4 reports, in the reporter's own words as published by the FDA.
InjuryMar 28, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT ON (B)(6) 2025, PATIENT UNDERWENT HARDWARE REMOVAL (TIBIAL NAIL ADVANCED) ON THE RIGHT TIBIA DUE TO NON-UNION. NO FRAGMENTS WERE GENERATED.
Patient problems: Nonunion/Delayed-union Bone Fracture
MAUDE report 21722448 ↗InjuryJan 22, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
STUDY ID: DEPUY - (B)(4). SUBJECT ID: (B)(4). IT WAS REPORTED THAT THE PATIENT EXPERIENCED DELAYED WOUND HEALING WITH POSSIBLE RELATION TO STUDY DEVICE AND POSSIBLE RELATION TO STUDY PROCEDURE. SURGICAL INTERVENTION OF INCISION AND DEBRIDEMENT WAS PERFORMED. THIS REPORT IS FOR ONE (1) TIBIAL NAIL-ADVANCED / 10 405 / STERILE. THIS IS REPORT 1 OF 5 FOR COMPLAINT (B)(4).
Patient problems: Impaired Healing; Unspecified Infection
MAUDE report 18554132 ↗InjuryJan 3, 2024Adverse 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: TYPE I OR II OPEN FRACTURE OF LEFT TIBIA WITH DELAYED HEALING. THIS IS NOT A WORSENING OF AN EXISTING EVENT. TYPE OF EVENT: LOCAL/FRACTURE SITE. DEVICE: TNA. THERE WAS SERIOUS ADVERSE EVENT. SEVERITY: SEVERE. THIS REPORT IS FOR ONE (1) TIBIAL NAIL-ADVANCED / 10 405 / STERILE. THIS IS REPORT 1 OF 5 FOR COMPLAINT (B)(4).
Patient problems: Nonunion/Delayed-union Bone Fracture; Unspecified Infection
MAUDE report 18434864 ↗InjuryJun 19, 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: HETEROTOPIC OSSIFICATION OF LEFT TIBIA DEVICE: TNA SEVERITY: MODERATE TYPE OF EVENT: LOCAL/FRACTURE SITE IS THIS A WORSENING OF AN EXISTING EVENT? NO OUTCOME: RECOVERED/RESOLVED THIS REPORT IS FOR A TIBIAL NAIL-ADVANCED / 10MM 405MM / STERILE. THIS IS REPORT 1 OF 12 FOR (B)(4).
Patient problems: Extraskeletal ossification
MAUDE report 17153986 ↗
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-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
- 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
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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