MAUDE Adverse Event Report: Adin Dental Implant Systems LTD Touareg¿-S Dental Implant 3.75D 10L

Model Number	ISPS1038
Medical Device Problem Codes	Osseointegration Problem (3003); Patient Device Interaction Problem (4001)
Health Effect - Clinical Codes	Failure of Implant (1924); Unspecified Infection (1930)
Date of Event	07/09/2026
Type of Reportable Event	Serious Injury

• Brand Name: Touareg¿-S Dental Implant 3.75D 10L
• Common Device Name: Dental implant
• Manufacturer (Section D): Adin Dental Implant Systems LTD; industrial zone alon tavor; pob 1128; afula
• Manufacturer (Section G): Adin Dental Implant Systems LTD; industrial zone alon tavor; pob 1128; afula 18110 1; IS 181101
• Manufacturer Contact: ilana lutvak ; industrial zone alon tavor; pob 1128; afula 18110-1 ; IS 181101
• MDR Report Key: 50637907
• Report Number: 3007518363-2026-05051
• Device Sequence Number: 16037177
• Product Code: DZE
• UDI-Device Identifier: 07290105151810
• UDI-Public: 07290105151810
• Combination Product (Y/N): N
• Initial Reporter Country: US
• PMA/510(K) Number: K081751
• Number of Events Summarized: 1
• Summary Report (Y/N): N
• Device Implanted Year: 2026
• Device Explanted Year: 2026
• Reporter Type: Manufacturer
• Report Source: Health Professional,Distributor
• Initial Reporter Occupation: Dentist
• Remedial Action: Replace
• Type of Report: Initial
• Report Date (Section B): 09/06/2026

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?: Yes
• Operator of Device: Health Professional
• Device Model Number: ISPS1038
• Device Catalogue Number: ISPS1038
• Device Lot Number: 7953677
• Was Device Available for Evaluation?: No
• Is the Reporter a Health Professional?: Yes
• Type of Report(Section G): Thirty-Day
• Initial Date Received by Manufacturer: Not provided
• Initial Report FDA Received Date: 09/06/2026
• Was Device Evaluated by Manufacturer? (Y/N): No
• Date Device Manufactured: 04/17/2025
• Is the Device Labeled for Single Use? (Y/N): Yes
• Usage of Device: Initial
• Patient Sequence Number: 1
• Outcome Attributed to Adverse Event: Required Intervention
• Patient Age: 65 YR
• Patient Sex: Female