NA 04.043.350SRecalls & reported problems
Synthes GmbH · TIBIAL NAIL-ADVANCED / 11MM 390MM / STERILE · Class 2 · Implant
Data updated Oct 18, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 5
- Deaths reported
- 0
- Injuries reported
- 2
- Recalls naming it
- 0
Summary
The FDA's MAUDE database contains 5 adverse event reports that list this exact device (DI 10886982298263), received between Aug 7, 2023 and Aug 29, 2025 — classified as 2 injuries, 3 malfunctions.
The most frequently reported specific device problem is “Detachment of Device or Device Component” (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. 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
- Detachment of Device or Device Component2
- Device-Device Incompatibility2
- Adverse Event Without Identified Device or Use Problem1
- Break1
- Device Slipped1
- Material Deformation1
- Use of Device Problem1
Patient problems
- No Clinical Signs, Symptoms or Conditions2
- Nonunion/Delayed-union Bone Fracture2
- Insufficient Information1
Recent adverse event reports
The 5 most recent of 5 reports, in the reporter's own words as published by the FDA.
InjuryAug 29, 2025Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
IT WAS REPORTED THAT THE PATIENT UNDERWENT THE INITIAL TIBIA NAIL SURGERY WITH INSERTION OF 9MM DIAMETER NAIL. THIS BECAME A NONUNION WITH TIBIA NAIL EXCHANGE TO 11MM DIAMETER.
Patient problems: Nonunion/Delayed-union Bone Fracture
MAUDE report 22921879 ↗InjuryAug 21, 2025Break; Break
ADDITIONAL INFORMATION RECEIVED STATES THAT THE TWO PROXIMAL SCREWS DID BREAK. I WAS UNABLE TO OBTAIN THOSE FOR RETURN. BOTH WERE POSITIONED IN THE TRANSVERSE LOCKING POSITIONS.
Patient problems: Nonunion/Delayed-union Bone Fracture
MAUDE report 22866596 ↗MalfunctionMar 26, 2024Use of Device Problem; Detachment of Device or Device Component; Device-Device Incompatibility; Material Deformation; Use of Device Problem; Detachment of Device or Device Component; Device-Device Incompatibility; Material Deformation
IT WAS REPORTED THAT THERE WAS NO SURGICAL DELAY. THE TIBIAL NAIL ADVANCED WITH THE POLY INLAY BECAME LOOSE.
Patient problems: Insufficient Information
MAUDE report 18979286 ↗MalfunctionFeb 12, 2024Device Slipped; Detachment of Device or Device Component; Device Slipped; Detachment of Device or Device Component
UNSURE WHAT CAUSED THE PROBLEM INITIALLY. THE POLYMER INLAY COULD HAVE BEEN LOOSE BEFORE THE INSERTION OF THE REAMING ROD, OR THE REAMING ROD COULD HAVE MADE THE POLY INLAY LOOSE. FRAGMENTS WERE GENERATED, BUT THEY WERE NOT EASILY RETRIEVED, AND FRAGMENTS WERE NOT IN THE PATIENT.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 18687894 ↗MalfunctionAug 7, 2023Device-Device Incompatibility; Device-Device Incompatibility
IT WAS REPORTED THAT ON AN UNKNOWN DATE IN 2023, DURING AN UNKNOWN PROCEDURE THE PEEK INLAY SHIFTED BY THE PROXIMAL PORTION OF THE NAIL. NO FURTHER INFORMATION IS AVAILABLE. THIS REPORT IS FOR A TIBIAL NAIL-ADVANCED / 11MM 390MM / STERILE. THIS IS REPORT 1 OF 1 FOR (B)(4).
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 17472349 ↗
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 A
- 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
Other Screw, fixation, bone devices
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- 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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