FDA Adverse Event Malfunction Summary report: N

SALTER LABS

MDR report key: 23891230 · Received December 24, 2025

Report

Report Number
3004748541-2025-00141
Event Type
Malfunction
Date Received
December 24, 2025
Report Date
December 24, 2025
Manufacturer
SALTER LABS
Product Code
CAT
UDI-DI
00607411102004
PMA / PMN Number
EXEMPT
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
UK
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE PRODUCT INVOLVED IN THE REPORT IS NOT AVAILABLE TO BE RETURNED FOR EVALUATION. A REVIEW OF THE DEVICE HISTORY RECORD IS NOT POSSIBLE AS NO LOT NUMBER WAS PROVIDED. THE DOCUMENTED UDI IS BASED ON THE STOCK/PRODUCT CODE PROVIDED BY THE REPORTER; THE UDI-PI IS NOT AVAILABLE AS NO LOT NUMBER WAS PROVIDED. ALL INFORMATION REASONABLY KNOWN AS OF 24 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.

Description of Event or Problem · 0

A STRONG CHEMICAL SMELL WAS NOTED AFTER OPENING THE PACKAGING, THE PATIENT USED THE CANNULA AND RECEIVED CHEMICAL BURNS TO THEIR NOSE (SORES IN THE NOSE) AFTER USE. THERE WAS NO REPORT OF MEDICAL INTERVENTION; NO INFORMATION PROVIDED CONCERNING THE PATIENT'S OUTCOME.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1621997 SALTER LABS NASAL CANNULA (ADULT) SALTER STYLE WITHOUT SUPPLY TUBE CAT SALTER LABS 1606B UNKNOWN 00607411102004

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown