FDA Adverse Event
Malfunction
Summary report: Y
INOGEN ONE G5 PORTABLE OXYGEN CONCENTRATOR
MDR report key: 17838040
·
Received September 28, 2023
Report
- Report Number
- 3015238204-2023-00008
- Event Type
- Malfunction
- Date Received
- September 28, 2023
- Date of Event
- August 4, 2023
- Report Date
- September 28, 2023
- Manufacturer
- INOGEN, INC.
- Product Code
- CAW
- PMA / PMN Number
- K032818
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- FL, US
- Reporter Occupation
- 003
Narratives
Additional Manufacturer Narrative · 0
B5 RESPONSE TO MEDWATCH 5122856, MW5122857, MW5122858, MW5122859, MW5122860 AN INTERNAL INVESTIGATION WAS INITIATED TO DETERMINE THE CAUSE OF THE MALFUNCTION. SAFETY AND EFFICACY OF THE DEVICE IS PARAMOUNT FOR THE PRODUCTS WE MANUFACTURE AND PROVIDE TO OUR CUSTOMERS. RETURNED PARTS ARE REPAIRED - UNDER WARRANTY. IT IS IMPORTANT TO NOTE THAT WE HAVE AN EFFECTIVE POST MARKET SURVEILLANCE PROGRAM TO ADDRESS SUCH CONCERNS AND OUR RISK MANAGEMENT PROGRAM IS COMPLIANT TO ISO 14971:2019. WE WILL TREAT THESE COMPLAINTS (REF (B)(4)) IN THE SAME MANNER.
Description of Event or Problem · 0
N/A.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2095663 | INOGEN ONE G5 PORTABLE OXYGEN CONCENTRATOR | INOGEN ONE G5 PORTABLE OXYGEN CONCENTRATOR | CAW | INOGEN, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Unknown |