FDA Adverse Event Malfunction Summary report: N

INOGEN G3 PORTABLE OXYGEN CONCENTRATOR

MDR report key: 19730558 · Received July 12, 2024

Report

Report Number
3004672275-2024-00036
Event Type
Malfunction
Date Received
July 12, 2024
Date of Event
May 26, 2024
Report Date
June 20, 2024
Manufacturer
INOGEN,INC.
Product Code
CAW
UDI-DI
00817131020063
PMA / PMN Number
K032818
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
TX, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE PATIENT HAS RECEIVED A REPLACEMENT DEVICE 2 DAYS AFTER THE EVENT. A RETURN OF THE DEVICE HAS BEEN INITIATED. ONCE THE DEVICE IS RECEIVED AN INVESTIGATION WILL BE CONDUCTED AND A FOLLOW UP WILL BE SUBMITTED IF REQUIRED.

Description of Event or Problem · 0

ACCORDING TO THE PATIENTS WIFE, THE POC DISPLAYED AN O2 DELIVERY MESSAGE AND WAS NOT WORKING. SHE THEN PUT THE PATIENT ON THE HOME UNIT BUT HE WAS STILL NOT RECEIVING OXYGEN. THE PATIENTS WIFE EXPLAINED THAT SOMETIMES THAT THE HOME UNIT DOES WORK AND HAD TO BE REPAIRED. SHE COULD NOT REMEMBER IF THE HOME UNIT IS AN INOGEN PRODUCT. SO, BOTH THE POC AND THE HOME UNIT WAS NOT WORKING AT ALL AND HE IS ON OXYGEN 24/7. THE PATIENT WENT TO THE HOSPITAL DUE TO THE LACK OF A SOURCE OF OXYGEN. THE HOSPITAL GAVE HIM BREATHING TREATMENT, OXYGEN AND DID A CHEST XRAY. THE PATIENT COULD NOT RETURN UNTIL ANOTHER POC AND HOME UNIT ARRIVED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
2346054 INOGEN G3 PORTABLE OXYGEN CONCENTRATOR INOGEN G3 PORTABLE OXYGEN CONCENTRATOR CAW INOGEN,INC. IO-300 00817131020063

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Hospitalization| O