MAUDE Adverse Event Report: NORIS MEDICAL LTD TUFF IMPLANT; TUFF DENTAL IMPLANT

Model Number	NM-F3710
Medical Device Problem Code	Loss of Osseointegration (2408)
Health Effect - Clinical Codes	Failure of Implant (1924); Unspecified Infection (1930); Osteolysis (2377); Implant Pain (4561)
Date of Event	10/20/2024
Type of Reportable Event	Serious Injury
Event or Problem Description
The healthcare professional reports the implant was inserted (b)(6) 2024 in the patient's mouth.On (b)(6) 2024, loss of osseointegration was reported on tooth #22.According to the information, the patient is healthy.At the event, the patient experienced: pain.Observed during the event: bone loss, infection, mobility.The device was forwarded to the manufacturer.No patient operative or post-operative complications reported.

• Brand Name: TUFF IMPLANT
• Common Device Name: TUFF DENTAL IMPLANT
• Manufacturer (Section D): NORIS MEDICAL LTD; hataasia 8; nesher, 36888 08; IS 3688808
• MDR Report Key: 22001711
• Report Number: 3012141159-2025-00318
• Device Sequence Number: 17958733
• Product Code: DZE
• UDI-Device Identifier: 07290108812091
• UDI-Public: 07290108812091
• Combination Product (Y/N): N
• Initial Reporter Country: US
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2024
• Device Explanted Year: 2024
• Serviced by Third Party (Y/N): N
• Reporter Type: Importer
• Initial Reporter Occupation: Dentist
• Type of Report: Initial
• Report Date (Section B): 05/12/2025
• Report Date (Section F): 05/12/2025

1 Device was Involved in the Event

1 Patient was Involved in the Event

• Is this an Adverse Event Report?: Yes
• Is this a Product Problem Report?: No
• Device Model Number: NM-F3710
• Device Catalogue Number: NM-F3710
• Device Lot Number: 9000779
• Was Device Available for Evaluation?: Yes
• Is the Reporter a Health Professional?: Yes
• Was the Report Sent to FDA?: Yes
• Distributor Facility Aware Date: 05/01/2025
• Device Age: 19 MO
• Event Location: Outpatient Treatment Facility
• Date Report to Manufacturer: 05/12/2025
• Initial Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 05/12/2025
• Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N): No
• Patient Sequence Number: 1
• Patient Age: 45 YR
• Patient Sex: Male
• Patient Weight: 68 KG
• Patient Ethnicity: Non Hispanic
• Patient Race: White
• Date Report Sent to FDA: 05/12/2025