Zimmer Natural Nail SystemRecalls & reported problems across all models
Zimmer GmbH · 57 models in the FDA device registry
Data updated Oct 16, 2026 from official FDA records · Editorial policy
- Adverse event reports
- 187
- Deaths reported
- 0
- Injuries reported
- 142
- Recalls
- 0
We found 57 models of Zimmer Natural Nail System by Zimmer GmbH in the FDA's device registry (GUDID). Together they are named in 187 adverse event reports in the FDA's MAUDE database, received between Nov 26, 2018 and Sep 28, 2026 — classified as 142 injuries, 45 malfunctions.
The most frequently reported specific device problem is “Fracture” (119 reports).
Reports come from manufacturers, hospitals and patients and are not verified by the FDA. A report does not prove the device caused the event. Widely used products collect more reports, so totals can't be used to compare products or estimate failure rates. Only reports that name a model's exact device identifier are counted. What reports can and can't tell you · How this data works
Reports received per month, all models
Most reported Zimmer Natural Nail System problems
Device problems
- Fracture119
- Mechanical Jam14
- Insufficient Device Problem Information10
- Adverse Event Without Identified Device or Use Problem9
- Material Integrity Problem7
- Break6
- Manufacturing, Packaging or Shipping Problem6
- Appropriate Device Problem Term/Code Not Available5
Patient problems
- Failure of Implant50
- No Clinical Signs, Symptoms or Conditions43
- Foreign Body In Patient38
- Insufficient Information20
- No Code Available18
- Pain18
- Bone Fracture(s)16
- No Information10
Zimmer Natural Nail System models
57 models, most reported first. Each model has its own page with its reports, recalls and device details.
- Zimmer® Natural Nail™ System 00-2490-003-64ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES54 reports
- Zimmer® Natural Nail® System 47-2485-090-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES10 reports
- Zimmer® Natural Nail® System 47-2485-095-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES9 reports
- Zimmer® Natural Nail® System 47-2493-211-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES9 reports
- Zimmer® Natural Nail® System 47-2485-100-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES8 reports
- Zimmer® Natural Nail® System 47-2485-105-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES6 reports
- Zimmer® Natural Nail® System 47-2493-000-00ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES5 reports
- Zimmer® Natural Nail® System 47-2493-210-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES4 reports
- Zimmer® Natural Nail® System 47-2493-210-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES4 reports
- Zimmer® Natural Nail® System 47-2493-212-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES4 reports
- Zimmer® Natural Nail® System 47-2493-212-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES4 reports
- Zimmer® Natural Nail® System 47-2493-213-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES4 reports
- Zimmer® Natural Nail® System 47-2485-110-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES3 reports
- Zimmer® Natural Nail® System 47-2485-115-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES3 reports
- Zimmer® Natural Nail® System 47-2485-120-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES3 reports
- Zimmer® Natural Nail® System 47-2493-180-09ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES3 reports
- Zimmer® Natural Nail® System 47-2493-342-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES3 reports
- Zimmer® Natural Nail® System 47-2493-380-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES3 reports
- Zimmer® Natural Nail® System 47-2493-383-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES3 reports
- Zimmer® Natural Nail® System 47-2485-080-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES2 reports
- Zimmer® Natural Nail® System 47-2493-211-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES2 reports
- Zimmer® Natural Nail® System 47-2493-212-13ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES2 reports
- Zimmer® Natural Nail® System 47-2493-361-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES2 reports
- Zimmer® Natural Nail® System 47-2493-381-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES2 reports
- Zimmer® Natural Nail® System 47-2493-382-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES2 reports
- Zimmer® Natural Nail® System 47-2493-402-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES2 reports
- Zimmer® Natural Nail™ System 00-2485-110-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail™ System 00-2490-003-04ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail™ System 00-2490-003-08ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail™ System 00-2490-003-68ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail™ System 00-2490-046-43ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail™ System 00-2490-375-32ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2485-085-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-180-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-210-13ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-211-13ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-213-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-213-13ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-214-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-214-13ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-301-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-302-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-321-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-322-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-323-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-341-13ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-342-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-343-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-343-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-343-13ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-360-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-361-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-381-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-382-13ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-401-11ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-420-13ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
- Zimmer® Natural Nail® System 47-2493-421-10ROD, FIXATION, INTRAMEDULLARY AND ACCESSORIES1 report
Recent Zimmer Natural Nail System adverse event reports
The 15 most recent reports across all models, in the reporter's own words as published by the FDA.
InjurySep 28, 2026Fracture
It was reported that approximately 12 months post implantation of a CM nail, the patient required revision surgery due to ambulation and imaging demonstrated a fractured nail at the lag screw interface. Attempts have been made and no further information has been provided.
Patient problems: Ambulation or Postural Difficulties
MAUDE report 50916944 ↗InjuryJul 1, 2026Difficult to Insert; Malposition of Device
IT WAS REPORTED THAT A LAG SCREW AND INSERTER COULD NOT FULLY THREAD DURING A PROCEDURE. THERE WAS A SMALL GAP BETWEEN THE INSERTER AND LAG SCREW. THE LAG SCREW WAS ABLE TO BE IMPLANTED BUT FULL COMPRESSION WAS NOT ACHIEVED. THEREFORE THE LAG SCREW IS NOT SERVING ITS INTENDED PURPOSE AND IS CONSIDERED A FOREIGN BODY. THE ISSUE WAS IDENTIFIED INTRA-OPERATIVELY DURING SCREW PLACEMENT. ATTEMPTS HAVE BEEN MADE, AND NO FURTHER INFORMATION HAS BEEN PROVIDED.
Patient problems: Foreign Body In Patient
MAUDE report 25677339 ↗InjuryFeb 24, 2026Fracture
DILIGENCE IS COMPLETED AND NO FURTHER INFORMATION ON THE REPORTED EVENT HAS BEEN PROVIDED.
Patient problems: Insufficient Information; Nonunion/Delayed-union Bone Fracture
MAUDE report 24428925 ↗MalfunctionAug 20, 2025Fracture; Fracture
IT WAS REPORTED THAT ONE OF THE REAMERS BROKE BUT NOBODY KNOWS WHEN. ATTEMPTS HAVE BEEN MADE AND ADDITIONAL INFORMATION ON THE REPORTED EVENT IS UNAVAILABLE AT THIS TIME.
Patient problems: Insufficient Information; No Clinical Signs, Symptoms or Conditions
MAUDE report 22851114 ↗MalfunctionJul 16, 2025Fracture; Fracture
IT WAS REPORTED THAT DURING AN INITIAL PROCEDURE WITH CM NAIL, WHEN THE INSTRUMENTS WERE RECEIVED THE AFTER THE CASE AND ONCE CLEANED, IT WAS NOTICED THE SCREW REAMER HAD A BROKEN TIP. NO RETAINED PRODUCT OR HARM WAS REPORTED. DILIGENCE IS COMPLETED AND NO FURTHER INFORMATION ON THE REPORTED EVENT HAS BEEN PROVIDED.
Patient problems: Insufficient Information
MAUDE report 22521038 ↗InjuryJun 19, 2025Fracture; Fracture
IT WAS REPORTED THAT DURING AN INITIAL HIP PROCEDURE, THE TIP OF THE REAMER BROKE OFF INSIDE THE PATIENT DURING ROUTINE CM NAIL. NO HARM WAS REPORTED. DILIGENCE IS COMPLETED AND NO FURTHER INFORMATION ON THE REPORTED EVENT HAS BEEN PROVIDED.
Patient problems: Foreign Body In Patient
MAUDE report 22289678 ↗InjuryMar 20, 2025Fracture; Fracture
DILIGENCE IS COMPLETED AND NO FURTHER INFORMATION ON THE REPORTED EVENT HAS BEEN PROVIDED.
Patient problems: Foreign Body In Patient
MAUDE report 21653766 ↗InjuryMar 17, 2025Fracture; Fracture
IT WAS REPORTED THAT AFTER 7 MONTHS POST IMPLANTATION, THE PATIENT WENT TO A FOLLOW-UP APPOINTMENT WHERE IT WAS DISCOVERED THAT THE NAIL FRACTURED AT THE JUNCTURE OF THE LAG SCREW AND WILL REQUIRE A REVISION SURGERY. ATTEMPTS HAVE BEEN MADE AND ADDITIONAL INFORMATION ON THE REPORTED EVENT IS UNAVAILABLE AT THIS TIME.
Patient problems: Failure of Implant
MAUDE report 21622719 ↗InjuryDec 26, 2024Fracture; Fracture
IT WAS REPORTED THAT A SCREW LAG REAMER WAS BROKEN DURING A SURGERY. INSTRUMENT BROKEN INTRAOPERATIVELY AND 2 PIECES WERE RECOVERED, HOWEVER, IT IS UNKNOWN IF THESE WERE ALL THE PIECES NOR THE HARM TO THE PATIENT. DUE DILIGENCE IS IN PROCESS AND TO DATE NO FURTHER INFORMATION HAS BEEN PROVIDED.
Patient problems: Foreign Body In Patient
MAUDE report 21020000 ↗InjuryDec 26, 2024Fracture; Fracture
IT WAS REPORTED THAT A SCREW LAG REAMER WAS BROKEN DURING A SURGERY. THE SURGEON DID NOT REMOVE THE NAILING GUIDE AND PIECES WERE MISSING FROM WHAT WAS RETURNED TO STERILIZATION. IT IS UNKNOWN THE HARM TO THE PATIENT. DILIGENCE IS COMPLETED AND NO FURTHER INFORMATION ON THE REPORTED EVENT HAS BEEN PROVIDED.
Patient problems: Foreign Body In Patient
MAUDE report 21019993 ↗InjuryDec 26, 2024Fracture; Fracture
IT WAS REPORTED THAT A SCREW LAG REAMER WAS BROKEN DURING A SURGERY. INSTRUMENT WAS NOTED BROKEN AT STERILIZATION TIME AND MISSING PIECES WERE NOT RECOVERED. IT IS UNKNOWN THE HARM TO THE PATIENT. DILIGENCE IS COMPLETED AND NO FURTHER INFORMATION ON THE REPORTED EVENT HAS BEEN PROVIDED.
Patient problems: Foreign Body In Patient
MAUDE report 21019989 ↗InjuryDec 10, 2024Adverse Event Without Identified Device or Use Problem; Adverse Event Without Identified Device or Use Problem
UPON REASSESSMENT OF THE REPORTED EVENT, IT WAS DETERMINED THIS MDR SHOULD NOT BE FILED UNDER THE CURRENT MFR NUMBER AND SHOULD BE VOIDED. REPORTABILITY WILL CONTINUE UNDER MFR NUMBER (B)(4).
Patient problems: Bone Fracture(s); Cardiac Arrest; Hemorrhage/Blood Loss/Bleeding
MAUDE report 20894206 ↗MalfunctionOct 23, 2024Fracture; Fracture
IT WAS REPORTED THAT DURING THE INITIATION OF A HIP REPLACEMENT BROKEN PARTS OF A NEW OPENED REAMER FROM THE ZNN CMN SYSTEM WERE FOUND. THERE WAS NO IMPACT TO PATIENT. DILIGENCE IS COMPLETE AND NO FURTHER INFORMATION ON THE REPORTED EVENT HAS BEEN PROVIDED.
Patient problems: No Clinical Signs, Symptoms or Conditions
MAUDE report 20517701 ↗InjurySep 24, 2024Fracture; Fracture
DILIGENCE IS COMPLETE AND NO FURTHER INFORMATION ON THE REPORTED EVENT HAS BEEN PROVIDED.
Patient problems: Foreign Body In Patient
MAUDE report 20294568 ↗InjurySep 24, 2024Fracture; Fracture
DILIGENCE IS COMPLETED AND NO FURTHER INFORMATION ON THE REPORTED EVENT HAS BEEN PROVIDED.
Patient problems: Foreign Body In Patient
MAUDE report 20294314 ↗
Other Zimmer GmbH products
- Affixus Natural Nail55 models · 612 reports
- Biolox delta16 models · 343 reports
- NCB78 models · 200 reports
- Biolox Option16 models · 68 reports · 2 recalls
- Avenir24 models · 57 reports · 1 recall
- Anatomical Shoulder33 models · 102 reports
- Sidus Stem-Free Shoulder9 models · 30 reports · 1 recall
- Wagner SL Revision33 models · 66 reports
Sources and updates
- Models: FDA GUDID, file dated Oct 13, 2026. Models are grouped by the brand name the manufacturer registered.
- Adverse event reports: FDA MAUDE, file dated Oct 14, 2026
- 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