FDA Adverse Event Malfunction Summary report: N

AIRLIFE

MDR report key: 23728322 · Received December 5, 2025

Report

Report Number
3010838917-2025-00011
Event Type
Malfunction
Date Received
December 5, 2025
Date of Event
November 4, 2025
Report Date
January 29, 2026
Manufacturer
AIRLIFE FINLAND OY
Product Code
CAH
UDI-DI
70190752139758
PMA / PMN Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE PRODUCT INVOLVED IN THE REPORT HAS NOT BEEN RETURNED FOR EVALUATION A REVIEW OF THE DEVICE HISTORY RECORD IS IN-PROGRESS. ALL INFORMATION REASONABLY KNOWN AS OF 05 DEC 2025 HAS BEEN INCLUDED IN THIS HEALTH AUTHORITY REPORT. SHOULD ADDITIONAL INFORMATION BE OBTAINED, A FOLLOW-UP HEALTH AUTHORITY REPORT WILL BE PROVIDED. THE INFORMATION PROVIDED BY SUN MED HOLDINGS LLC. REPRESENTS ALL OF THE INFORMATION KNOWN AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT/REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO SUN MED HOLDINGS LLC. SUN MED HOLDINGS LLC. HAS NO INDEPENDENT KNOWLEDGE OF THE EVENT REPORTED BUT IS RELAYING THE INFORMATION THAT WAS PROVIDED BY THE USER FACILITY WHERE THE INCIDENT OCCURRED. THIS PRODUCT INCIDENT IS DOCUMENTED IN THE SUN MED HOLDINGS COMPLAINT DATABASE AND IDENTIFIED AS (B)(4). THIS INFORMATION IS SUBMITTED PURSUANT TO 21CFR803, IN COMPLIANCE WITH THE MEDICAL DEVICE REPORTING REQUIREMENT, AND SHOULD NOT BE CONSIDERED TO BE AN ADMISSION THAT A SUN MED HOLDINGS LLC. PRODUCT IS DEFECTIVE OR CAUSED SERIOUS INJURY.

Additional Manufacturer Narrative · 0

THE COMPLAINT PRODUCT WAS RETURNED TO THE SUPPLIER FOR EVALUATION. FUNCTIONAL TESTING WAS CONDUCTED ON THE RETURNED UNIT, AND THE REPORTED CONDITION WAS CONFIRMED. THE DEVICE EXHIBITED LEAKAGE ORIGINATING FROM THE WELDED SEAM. THE INVESTIGATION DETERMINED THAT THE ROOT CAUSE WAS A MANUFACTURING ERROR, SPECIFICALLY MISALIGNMENT OF THE FILTER DURING ASSEMBLY, WHICH RESULTED IN A WEAKENED WELDED SEAM. A REVIEW OF COMPLAINT HISTORY IDENTIFIED ONE ADDITIONAL COMPLAINT INVOLVING THE SAME PART NUMBER AND A SIMILAR FAILURE MODE WITHIN THE PRECEDING 24 MONTHS. NO ADDITIONAL TRENDS WERE IDENTIFIED; MONITORING WILL CONTINUE FOR ANY EMERGING TRENDS. THE DEVICE HISTORY RECORD FOR LOT 0209655 WAS REVIEWED, AND CONFIRMED THAT THE PRODUCT WAS MANUFACTURED ACCORDING TO SPECIFICATIONS. ALL INFORMATION REASONABLY KNOWN AS OF 29 JAN 2026 HAS BEEN INCLUDED IN THIS HEALTH AUTHORITY REPORT. SHOULD ADDITIONAL INFORMATION BE OBTAINED, A FOLLOW-UP HEALTH AUTHORITY REPORT WILL BE PROVIDED. THE INFORMATION PROVIDED BY AIRLIFE REPRESENTS ALL OF THE INFORMATION KNOWN AT THIS TIME. DESPITE GOOD FAITH EFFORTS TO OBTAIN ADDITIONAL INFORMATION, THE COMPLAINANT/REPORTER WAS UNABLE OR UNWILLING TO PROVIDE ANY FURTHER PATIENT, PRODUCT, OR PROCEDURAL DETAILS TO AIRLIFE AIRLIFE HAS NO INDEPENDENT KNOWLEDGE OF THE EVENT REPORTED, BUT IS RELAYING THE INFORMATION PROVIDED BY THE USER FACILITY WHERE THE INCIDENT OCCURRED. THIS PRODUCT INCIDENT IS DOCUMENTED IN THE AIRLIFE HOLDINGS COMPLAINT DATABASE AND IDENTIFIED AS (B)(4). THIS INFORMATION IS SUBMITTED PURSUANT TO 21CFR803, IN COMPLIANCE WITH THE MEDICAL DEVICE REPORTING REQUIREMENT, AND SHOULD NOT BE CONSIDERED TO BE AN ADMISSION THAT AN AIRLIFE PRODUCT WAS DEFECTIVE OR CAUSED SERIOUS INJURY.

Description of Event or Problem · 0

IT WAS REPORTED THAT AIR WAS LEAKING, ALTHOUGH NO GAPS WERE OBSERVED BETWEEN THE TOP AND BOTTOM OF THE COMPONENT.

Description of Event or Problem · 0

IT WAS REPORTED THAT AIR WAS LEAKING, ALTHOUGH NO GAPS WERE OBSERVED BETWEEN THE TOP AND BOTTOM OF THE COMPONENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2810204 AIRLIFE UNI-FILTER, DISPOSABLE CAH AIRLIFE FINLAND OY 557021200 0209655 70190752139758

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown