FDA Adverse Event Injury Summary report: N

INOGEN ROVE 6 PORTABLE OXYGEN CONCENTRATOR

MDR report key: 22524989 · Received July 16, 2025

Report

Report Number
3004672275-2025-00099
Event Type
Injury
Date Received
July 16, 2025
Date of Event
June 18, 2025
Report Date
July 16, 2025
Manufacturer
INOGEN INC.
Product Code
CAW
UDI-DI
00817131020513
PMA / PMN Number
K230052
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE UNIT WAS RETURNED FOR EVALUATION ON 26-JUN-2025. THE UNIT WAS RECEIVED WITH A SYSTEM ERROR, WHICH WAS CONFIRMED UPON INSPECTION. THE FEED WASTE MANIFOLD VALVE WAS FOUND TO BE STUCK DUE TO INTERNAL DEBRIS, WHILE THE FEED PORT WAS BLOCKED, AND THE ZEOLITE WAS CONTAMINATED FROM EXCESSIVE MOISTURE ABSORPTION. THIS COMBINED ISSUE STUCK VALVE, BLOCKED FEED PORT, AND CONTAMINATED ZEOLITE LED TO A SYSTEM ERROR.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT'S DAUGHTER HAD REPORTED THAT THE UNIT STARTED VIBRATING AND MAKING A LOUD NOISE IN THE MIDDLE OF THE NIGHT. THERE WAS A BURNING SMELL AND A SYSTEM ERROR CODE WAS BEING DISPLAYED. AS A RESULT, THE PATIENT WAS RUSHED TO THE HOSPITAL. THE INOGEN TEAM ATTEMPTED TO CONTACT THE PATIENT FOR FURTHER INFORMATION THREE TIMES WITH NO RESPONSE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
553597 INOGEN ROVE 6 PORTABLE OXYGEN CONCENTRATOR INOGEN ROVE 6 PORTABLE OXYGEN CONCENTRATOR CAW INOGEN INC. IO-501 00817131020513

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Hospitalization