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FDA product code HSB · class 2 · Orthopedic

Rod, fixation, intramedullary and accessories: medical device reports filed with FDA

37,835 reports carry this product code, 1992–2026; 30 brands with a page.

37,835
reports with this product code
0.1% of all MAUDE reports
2,813
reports, 12 months to August 2026
2,532 in the 12 months before
33%
classified as malfunction
62.3% across all reports
0.3%
classified as death, as reported
0.9% across all reports

Product code HSB is FDA's classification for "Rod, fixation, intramedullary and accessories" (orthopedic panel), a class 2 device. 37,835 medical device reports carry this product code, 0.1% of the MAUDE database, from January 1992 to August 2026.

2,813 reports arrived in the 12 months to August 2026, up 11% from 2,532 in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are injury (66.3%), malfunction (33%) and death (0.3%). 30 brand names with a page on this site carry this code; the brands table is ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Brands with this product code

BrandReportsLatest 12 monthsClassified as deathClassified as malfunction
Sign Im Nail2,3012260%9%
UNK - Nails: TFNA398240%20.6%
Trochanteric Nail Kit Ti Gamma3 11x180mm X 12536500.3%7.7%
Unknown T2 Scn35500%0%
SIGN Fin NAIL335500%0.3%
UNK - Nail Head Elements: TFNA Helical Blade261130%23.3%
Unk - Nail Head Elements Pfna Blade25810%6.5%
Radiolucent Insertion Handle Frn256140%98.4%
Helical Blade/Screw Coupling Screw226410%96%
Precice Stryde System22500%42.9%
Lag Screw Driver218140%89.7%
Unknown T2 Tibia Nail21200%0%
Cannulated Connecting Screw206270%90.8%
Target Device Gamma3 300x160mm19310%96.7%
Unknown T2 Alpha Tibia Nail1891750%0%
Unknown Kie Product181210.5%7.3%
Precice Intramedullary Limb Lengthening Rod17500%11.9%
Tear Drop Guide Wire 3 0 Mm Diameter 100 Cm Length17200%99.4%
Precice System16100%58.6%
Unk - Constructs Pfna14301.2%2.4%
Unk - Nails138120%57.8%
Helical Blade Inserter12980%93.1%
Ruler8260%96.7%
Unknown Apex Pin4900.5%0.3%
Unknown Rods4691.1%9.3%
Unknown Tibial Component462000%0.5%
Impactor F/Pfna Blade4200%87.3%
Unknown Talar component401491.1%0.2%
Unk - Nail Head Elements Fns Antirotation3460%7.7%
Unk - Nail Head Elements Fns Bolt34120%8.1%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Manufacturers named

Manufacturer (as written on reports)ReportsShare
Synthes6,41517%
Stryker Trauma Kiel5,14513.6%
Sign Fracture Care International2,7637.3%
Stryker2,7337.2%
Wrights Lane Synthes USA Products2,6897.1%
Smith & Nephew2,2045.8%
Oberdorf Synthes Produktions1,9905.3%
Synthes USA1,9095%
Synthes Monument9532.5%
Zimmer8972.4%
Stryker Osteosynthesis Kiel8652.3%
Zimmer Biomet7562%
Nuvasive Specialized Orthopedics6451.7%
Zimmer Switzerland Manufacturing6291.7%
Synthes Elmira5261.4%

Reports by month, five years

0328655Sep 2021: 234Oct 2021: 200Nov 2021: 312Dec 2021: 2322022Jan 2022: 219Feb 2022: 235Mar 2022: 294Apr 2022: 233May 2022: 177Jun 2022: 256Jul 2022: 377Aug 2022: 176Sep 2022: 208Oct 2022: 168Nov 2022: 225Dec 2022: 1652023Jan 2023: 111Feb 2023: 199Mar 2023: 148Apr 2023: 225May 2023: 185Jun 2023: 212Jul 2023: 214Aug 2023: 214Sep 2023: 180Oct 2023: 194Nov 2023: 157Dec 2023: 1792024Jan 2024: 193Feb 2024: 152Mar 2024: 188Apr 2024: 186May 2024: 235Jun 2024: 230Jul 2024: 655Aug 2024: 286Sep 2024: 208Oct 2024: 204Nov 2024: 153Dec 2024: 1792025Jan 2025: 286Feb 2025: 211Mar 2025: 205Apr 2025: 184May 2025: 194Jun 2025: 225Jul 2025: 351Aug 2025: 132Sep 2025: 186Oct 2025: 451Nov 2025: 188Dec 2025: 3202026Jan 2026: 167Feb 2026: 171Mar 2026: 193Apr 2026: 215May 2026: 176Jun 2026: 175Jul 2026: 201Aug 2026: 370

FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

Event type and report source

Event type

Death0.3%115
Injury66.3%25,103
Malfunction33%12,477
Other0.3%108
Not given0.1%32

Who filed

Manufacturer report98.9%37,407
Voluntary report0.4%169
User facility report0%0
Distributor report0.1%37
Not given0.6%222

Grey bar: all 26,136,888 MAUDE reports.

Device problems coded

Device problem (FDA code)ReportsShare
Breakthe device broke8,25221.8%
Fracturea broken bone3,0528.1%
Device-device incompatibility2,9677.8%
Migrationthe device moved from where it was placed2,3096.1%
Migration or expulsion of device1,1353%
Device operates differently than expectedthe device behaved unexpectedly1,0362.7%
Insufficient device problem information1,0202.7%
Failure to align7371.9%
Explanted5131.4%
Material twisted/bent4951.3%
Material deformation4241.1%
Mechanical jam4211.1%
Difficult to insertthe device was hard to insert3691%
Device dislodged or dislocated3621%
Malposition of device3520.9%
Mechanical problema mechanical problem3320.9%
Difficult to removethe device was hard to remove3140.8%
Fitting problem2860.8%
Packaging problem2860.8%
Device slipped2790.7%

Questions about rod, fixation, intramedullary and accessories reports

What is product code HSB?

FDA's classification code for "Rod, fixation, intramedullary and accessories", class 2, reviewed by the orthopedic panel. Every device report carries the product code of the device involved.

How many reports carry this code?

37,835 reports through August 2026, 2,813 of them in the latest 12 months.

Which brands appear most often?

Sign Im Nail (2,301), UNK - Nails: TFNA (398), Trochanteric Nail Kit Ti Gamma3 11x180mm X 125 (365), Unknown T2 Scn (355) and SIGN Fin NAIL (335). Widely used products collect more reports because more people use them.

Can the brands table be used to rank the devices?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." Brands differ in how many are in use, how long they have been sold and how reports are collected.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.