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U.S. Department of Health and Human Services

TPLC - Total Product Life Cycle

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Device nail, fixation, bone
Regulation Description Single/multiple component metallic bone fixation appliances and accessories.
Product CodeJDS
Regulation Number 888.3030
Device Class 2


Premarket Reviews
ManufacturerDecision
NARANG MEDICAL , LTD.
  SUBSTANTIALLY EQUIVALENT 1
SMITH & NEPHEW, INC.
  SUBSTANTIALLY EQUIVALENT 4

MDR Year MDR Reports MDR Events
2021 630 632
2022 589 608
2023 357 366
2024 466 467
2025 505 505
2026 72 72

Device Problems MDRs with this Device Problem Events in those MDRs
Adverse Event Without Identified Device or Use Problem 867 881
Device-Device Incompatibility 769 775
Break 455 464
Migration 117 117
Fracture 104 105
Material Deformation 83 84
Manufacturing, Packaging or Shipping Problem 62 62
Detachment of Device or Device Component 48 49
Material Twisted/Bent 43 43
Migration or Expulsion of Device 31 32
Material Integrity Problem 21 21
Use of Device Problem 19 19
Crack 18 18
Device Slipped 17 17
Difficult to Advance 14 14
Loosening of Implant Not Related to Bone-Ingrowth 14 14
Improper or Incorrect Procedure or Method 13 13
Entrapment of Device 13 13
Delivered as Unsterile Product 13 13
Failure to Align 10 10
No Apparent Adverse Event 9 9
Device Dislodged or Dislocated 7 7
Insufficient Information 7 7
Illegible Information 6 6
Defective Device 6 6
Mechanical Jam 5 5
Device Contaminated During Manufacture or Shipping 5 5
Naturally Worn 5 5
Malposition of Device 5 5
Tear, Rip or Hole in Device Packaging 5 5
Appropriate Term/Code Not Available 4 4
Missing Information 4 4
Positioning Failure 4 4
Connection Problem 3 3
Component Missing 3 4
Difficult to Insert 3 3
Scratched Material 3 3
Unsealed Device Packaging 3 3
Device Markings/Labelling Problem 3 3
Mechanical Problem 3 3
Patient Device Interaction Problem 2 2
Product Quality Problem 2 3
Inadequacy of Device Shape and/or Size 2 2
Component Misassembled 2 2
Unintended Movement 2 2
Nonstandard Device 2 2
Loose or Intermittent Connection 2 2
Deformation Due to Compressive Stress 2 2
Fitting Problem 2 2
Loss of Osseointegration 2 2

Patient Problems MDRs with this Patient Problem Events in those MDRs
No Clinical Signs, Symptoms or Conditions 1194 1206
Non-union Bone Fracture 326 329
Insufficient Information 296 297
Failure of Implant 208 209
Unspecified Infection 139 147
Pain 131 133
Bone Fracture(s) 89 91
Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available 81 81
Physical Asymmetry 68 71
Deformity/ Disfigurement 47 48
Post Operative Wound Infection 47 47
Malunion of Bone 46 46
Discomfort 31 31
Thrombosis/Thrombus 26 26
Skin Inflammation/ Irritation 25 25
Loss of Range of Motion 23 23
Implant Pain 21 22
Impaired Healing 19 19
Necrosis 19 19
Inflammation 19 19
Perforation 19 19
Foreign Body In Patient 19 20
Ambulation Difficulties 16 16
Unspecified Tissue Injury 15 15
Fall 14 14
Limb Fracture 12 12
Hip Fracture 10 10
Swelling/ Edema 10 10
Device Embedded In Tissue or Plaque 10 10
Nerve Damage 10 10
Inadequate Osseointegration 8 8
Muscular Rigidity 8 8
Bacterial Infection 8 8
Ossification 7 8
Hematoma 7 7
Muscle Weakness 6 6
Fluid Discharge 6 6
Osteomyelitis 5 5
Skin Infection 5 5
Cellulitis 4 6
Paralysis 4 4
Hypersensitivity/Allergic reaction 4 4
Unequal Limb Length 4 4
Arthralgia 4 4
Joint Dislocation 3 3
Muscle/Tendon Damage 3 3
Anemia 2 2
Confusion/ Disorientation 2 2
Purulent Discharge 2 2
Hemorrhage/Bleeding 2 2

Recalls
Manufacturer Recall Class Date Posted
1 Smith & Nephew Orthopaedics GmbH II May-25-2022
2 Smith & Nephew, Inc. II Jan-06-2021
3 Synthes (USA) Products LLC II Oct-21-2025
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