O2 CANNULA
Report
- Report Number
- 3004748541-2025-00130
- Event Type
- Malfunction
- Date Received
- December 5, 2025
- Date of Event
- September 7, 2025
- Report Date
- February 25, 2026
- Manufacturer
- SALTER LABS
- Product Code
- BYX
- UDI-DI
- 10889483570111
- PMA / PMN Number
- NA
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- US
- Reporter Occupation
- OTHER HEALTH CARE PROFESSIONAL
- Health Professional
- Yes
Narratives
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 KNOWN INFORMATION 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 AN SUN MED HOLDINGS LLC. PRODUCT IS DEFECTIVE OR CAUSED SERIOUS INJURY.
CORRECTION: B5. THE COMPLAINT PRODUCT WAS RETURNED FOR EVALUATION; HOWEVER, THE REPORTED EVENT COULD NOT BE CONFIRMED. TEN SAMPLES WERE PULLED FROM THE RETURNED MATERIAL AND TESTED FOR POP OFF PERFORMANCE AT 20 PSI AND 50 PSI USING A 22 MM ISO NIPPLE. ALL SAMPLES MET REQUIREMENTS, AND NO POP OFF WAS OBSERVED. THE INVESTIGATION CONCLUDED THAT THE MOST PROBABLE ROOT CAUSE WAS USER ERROR. A REVIEW OF COMPLAINT HISTORY IDENTIFIED 18 SIMILAR COMPLAINTS FOR THE SAME PART WITHIN THE PRECEDING 24 MONTHS. NO ADDITIONAL TRENDS WERE IDENTIFIED AT THIS TIME. CONTINUED MONITORING WILL REMAIN IN PLACE TO DETECT ANY EMERGING TRENDS. THE DEVICE HISTORY RECORD FOR LOT 552099 WAS REVIEWED, AND IT WAS CONFIRMED THAT THE PRODUCT WAS MANUFACTURED IN ACCORDANCE WITH APPLICABLE SPECIFICATIONS. ALL INFORMATION REASONABLY KNOWN AS OF 25 FEB 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.
IT WAS REPORTED THAT THE U CONNECT-IT OXYGEN TUBING WOULD NOT REMAIN ATTACHED TO THE BUBBLE CONTINUOUS POSITIVE AIRWAY PRESSURE (BCPAP) SETUP WITH THE 22 MM NIPPLE, AS BOTH THE SMALL AND WIDE ENDS OF THE TUBING WERE TOO LOOSE. TWO ADDITIONAL PRODUCT CODES WERE TRIED, WITH THE SAME RESULT. NO INFORMATION WAS PROVIDED REGARDING PATIENT IMPACT; HOWEVER, THERE WERE NO REPORTS OF THERAPY DELAY, HARM, OR INJURY RELATED TO THIS EVENT. SUNMED HOLDINGS LLC RECEIVED A SINGLE REPORT THAT REFERENCED MULTIPLE DIFFERENT INCIDENTS, WHICH WERE ASSOCIATED WITH SEPARATE UNITS AND INVOLVED DIFFERENT PATIENTS. THIS IS THE SECOND OF THREE REPORTS REFER TO 3004748541-2025-00129 FOR THE FIRST REPORT. REFER TO 3004748541-2025-00131 FOR THE THIRD REPORT.
IT WAS REPORTED THAT THE U CONNECT-IT OXYGEN TUBING WOULD NOT REMAIN ATTACHED TO THE BUBBLE CONTINUOUS POSITIVE AIRWAY PRESSURE (BCPAP) SETUP WITH THE 22 MM NIPPLE, AS BOTH THE SMALL AND WIDE ENDS OF THE TUBING WERE TOO LOOSE. TWO ADDITIONAL PRODUCT CODES WERE TRIED, WITH THE SAME RESULT. NO INFORMATION WAS PROVIDED REGARDING PATIENT IMPACT; HOWEVER, THERE WERE NO REPORTS OF THERAPY DELAY, HARM, OR INJURY RELATED TO THIS EVENT. AIRLIFE RECEIVED A SINGLE REPORT THAT REFERENCED MULTIPLE DIFFERENT INCIDENTS, WHICH WERE ASSOCIATED WITH SEPARATE UNITS AND INVOLVED DIFFERENT PATIENTS. THIS IS THE SECOND OF THREE REPORTS REFER TO 3004748541-2025-00129 FOR THE FIRST REPORT. REFER TO 3004748541-2025-00131 FOR THE THIRD REPORT.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2783915 | O2 CANNULA | U/CONNECT-IT OXYGEN TUBING 7 FEET (2.1M) CRUSH RESISTANT OXYGEN TUBING | BYX | SALTER LABS | 001350 | 552099 | 10889483570111 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |