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