FDA Warns Against Using Anti-Choking Devices Before Standard Rescue Protocols

Federal health officials urge families to prioritize Red Cross and American Heart Association techniques over suction-based tools.

Published on Mar. 5, 2026

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The U.S. Food and Drug Administration is warning families not to rely on suction-based anti-choking devices as a first response during a respiratory emergency. The agency says standard rescue protocols approved by the American Red Cross and American Heart Association, such as abdominal thrusts and back blows, remain the most effective way to clear a blocked airway and should be attempted before using specialized equipment.

Why it matters

The FDA is concerned that the time it takes to remove an anti-choking device from packaging or assemble it could delay critical lifesaving action. The agency has only authorized one such device for U.S. marketing and has received reports of failures and injuries related to these products.

The details

The FDA's updated guidance highlights that while anti-choking devices are often marketed as a quick fix, using them before attempting standard protocols could actually delay critical intervention. The agency has authorized only one specific device for use in the U.S. and has issued warnings about other unauthorized products found on store shelves or online. Reports reviewed by the FDA describe problems ranging from a failure to clear an obstruction to physical injuries like bruising and scratches.

  • The FDA released its updated guidance on March 4, 2026.
  • In late 2025, the FDA issued an import alert to stop several unauthorized suction devices from entering the country.

The players

U.S. Food and Drug Administration

The federal agency responsible for protecting public health by regulating food, drugs, medical devices, and other products.

American Red Cross

A humanitarian organization that provides emergency assistance, disaster relief, and education in the United States.

American Heart Association

A nonprofit organization focused on cardiovascular health and research, including providing guidelines for emergency medical procedures.

DeChoker LLC

A manufacturer that received a 2021 warning letter from the FDA for its anti-choking device not being in compliance with good manufacturing practice requirements.

LifeVac LLC

A manufacturer that recently received a close-out letter from the FDA regarding previous regulatory concerns about its anti-choking device.

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What they’re saying

“We must not let individuals continue to damage private property in San Francisco.”

— Robert Jenkins, San Francisco resident (San Francisco Chronicle)

“Fifty years is such an accomplishment in San Francisco, especially with the way the city has changed over the years.”

— Gordon Edgar, grocery employee (Instagram)

The takeaway

This guidance highlights the importance of prioritizing proven lifesaving techniques over new devices, as the time it takes to set up specialized equipment could be the difference between a recovery and a tragedy. Families should familiarize themselves with standard Red Cross and American Heart Association protocols before an emergency occurs.