FDA Adverse Event Injury Summary report: N

N/A

MDR report key: 24961178 · Received April 22, 2026

Report

Report Number
3004748541-2026-00068
Event Type
Injury
Date Received
April 22, 2026
Date of Event
March 23, 2026
Report Date
April 22, 2026
Manufacturer
SALTER LABS
Product Code
CAT
UDI-DI
10607411915786
PMA / PMN Number
N/A
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
FR
Reporter Occupation
OTHER HEALTH CARE PROFESSIONAL
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

THE PRODUCT INVOLVED IN THE REPORT HAS NOT BEEN RETURNED. A REVIEW OF THE DEVICE HISTORY RECORD IS IN-PROGRESS. ALL INFORMATION REASONABLY KNOWN AS OF 22 APRIL 2026 HAS BEEN INCLUDED IN THE 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 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 AIRLIFE. AIRLIFE 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 AIRLIFE COMPLAINT DATABASE AND IS 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 AIRLIFE PRODUCT IS DEFECTIVE OR CAUSES SERIOUS INJURY.

Description of Event or Problem · 0

IT WAS REPORTED THAT THERE IS A DETACHMENT OF THE EYEPIECE AND THE TUBING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
408787 N/A SALTER STYLE NASAL O2 CANNULA (ADULT) HIGH FLOW, 7' (2.1 M), 0 TO 15 LPM, NON DE CAT SALTER LABS 16SOFT-HF-7-25 534134, 542238, 569920 10607411915786

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other