NA 04.043.340SRecalls & reported problems
Synthes GmbH · TIBIAL NAIL-ADVANCED / 11MM 360MM / STERILE · Class 2 · Implant
- Adverse event reports
- 7
- Deaths reported
- 0
- Injuries reported
- 4
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 7 adverse event reports that list this exact device (DI 10886982298249), received between Jul 5, 2022 and May 22, 2025 — classified as 4 injuries, 3 malfunctions.
The most frequently reported specific device problem is “Detachment of Device or Device Component” (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. How this data works · Data updated Oct 13, 2026.
Reports received per month
Most reported problems
Device problems
- Adverse Event Without Identified Device or Use Problem4
- Detachment of Device or Device Component1
- Device-Device Incompatibility1
- No Apparent Adverse Event1
Patient problems
- Nonunion/Delayed-union Bone Fracture3
- No Clinical Signs, Symptoms or Conditions2
- Insufficient Information1
- Pain1
- Post Operative Wound Infection1
- Unspecified Infection1
Recent adverse event reports
The 7 most recent of 7 reports, in the reporter's own words as published by the FDA.
MalfunctionMay 22, 2025No Apparent Adverse Event; No Apparent Adverse Event
IT WAS REPORTED THAT THE NAIL WAS NOTED TO BE DEFECTIVE. THE PEEK MATERIAL LOOSENED OUT OF THE NAIL, AND SURGEONS USED OTHER SIZE NAIL. THE SURGERY WAS COMPLETED SUCCESSFULLY WITH A FIFTEEN MINUTE DELAY. NO OTHER MEDICAL INTERVENTION WAS REQUIRED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 22072546 ↗InjuryAug 22, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
STUDY: DEPUY CLINICAL ADVERSE EVENT RECEIVED FOR INFECTED NONUNION. DEVICE RELATEDNESS: NO INFORMATION PROVIDED. PROCEDURE RELATEDNESS: NO INFORMATION PROVIDED. DATE OF EVENT: NO INFORMATION PROVIDED. DEVICE LOCATION: RIGHT. TREATMENT/IMPACT: SURGICAL INTERVENTION AT THE FRACTURE SITE. DEPUY SYNTHES PRODUCTS USED: TNA. THIS REPORT IS FOR A TIBIAL NAIL-ADVANCED / 11MM 360MM / STERILE. THIS IS REPORT 1 OF 9 FOR (B)(4).
Patient problems: Nonunion/Delayed-union Bone Fracture; Unspecified Infection
MAUDE report 20030508 ↗MalfunctionFeb 19, 2024Detachment of Device or Device Component; Detachment of Device or Device Component
IT WAS REPORTED THAT ON (B)(6) 2024, WHEN INSERTING TIBIAL NAIL ADVANCED OVER A 3.0MM REAMING ROD, THE POLYMER INLAY CAME OUT. THE SURGEON HAD TO REMOVE THE NAIL OFF OF THE INSERTION HANDLE AND IMPLANT ANOTHER TIBIAL NAIL. THE NAIL HAD TO BE TAKEN OFF INSERTION HANDLE AND POLYMER INLAY WAS REMOVED WHEN TRYING TO DETERMINE WHAT THE PROBLEM WAS. THE SURGERY WAS COMPLETED SUCCESSFULLY WITH A SURGICAL DELAY OF 10 MINUTES. THIS REPORT IS FOR ONE (1) TIBIAL NAIL-ADVANCED / 11 360 / STERILE. THIS IS REPORT 1 OF 1 FOR COMPLAINT (B)(4).
Patient problems: Insufficient Information
MAUDE report 18731063 ↗MalfunctionAug 1, 2023Device-Device Incompatibility; Device-Device Incompatibility
IT WAS REPORTED THAT ON (B)(6), 2023 THAT THE BALL TIP OF THE GUIDE WIRE WOULD NOT COME OUT OF THE NAIL. THE GUIDE WIRE WAS CAUGHT UP ON THE PROXIMAL PEEK PIECE IN THE NAIL. SURGEON HAD TO PULL OUT THE NAIL AND GET A NEW ONE. THERE WAS 30 MINUTES SURGICAL DELAY. PROCEDURE WAS COMPLETED SUCCESSFULLY. FRAGMENTS WERE GENERATED AND IT WAS REMOVED EASILY WITHOUT ADDITIONAL INTERVENTION. THERE WAS NO PATIENT CONSEQUENCES. THIS REPORT IS FOR ONE (1) TIBIAL NAIL-ADVANCED / 11 360 / STERILE. THIS IS REPORT 2 OF 2 FOR COMPLAINT (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17436072 ↗InjuryMay 3, 2023Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
SUBJECT: (B)(6). ADVERSE EVENT TERM: NONUNION. IS THIS A WORSENING OF AN EXISTING EVENT? NO. SITE AWARENESS DATE: 06-04-2023. TYPE OF EVENT: LOCAL/FRACTURE SITE. SIDE: LEFT. DEVICE: TNA. SEVERITY: MODERATE. IS THE ADVERSE EVENT SERIOUS? YES. THIS REPORT IS FOR A TIBIAL NAIL-ADVANCED / 11MM 360MM / STERILE. THIS IS REPORT 1 OF 7 FOR (B)(4).
Patient problems: Nonunion/Delayed-union Bone Fracture; Pain
MAUDE report 16863180 ↗InjurySep 13, 2022Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED ON (B)(6) 2022 THAT THE PATIENT EXPERIENCED A NONUNION AFTER TNA PROCEDURE, WHICH REQUIRED FURTHER SURGICAL INTERVENTION. THIS REPORT INVOLVES ONE TIBIAL NAIL-ADVANCED / 11MM 360MM / STERILE. THIS IS REPORT 1 OF 1 FOR (B)(4).
Patient problems: Nonunion/Delayed-union Bone Fracture
MAUDE report 15410185 ↗InjuryJul 5, 2022Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT PATIENT HAD ADVERSE EVENT OF PSEUDOMONAS. PATIENT WAS IMPLANTED WITH RFNA. THIS REPORT IS FOR ONE (1 TIBIAL NAIL-ADVANCED / 11 360 / STERILE. THIS IS REPORT 2 OF 6 FOR COMPLAINT (B)(4).
Patient problems: Post Operative Wound Infection
MAUDE report 14918864 ↗
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.