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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

Nov 2023: 0 reportsDec 2023: 0 reportsJan 2024: 0 reportsFeb 2024: 1 reportsMar 2024: 1 reportsApr 2024: 0 reportsMay 2024: 0 reportsJun 2024: 0 reportsJul 2024: 0 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: 2 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 reports2024202520262
Last 36 months. The most recent month may be incomplete.

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, 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 A
  • 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 A

Other Screw, fixation, bone devices

All Screw, fixation, bone devices →

Sources and updates

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