FDA Adverse Event Injury Summary report: N

INOGEN ONE G4 BLUETOOTH PORTABLE OXYGEN CONCENTRATOR

MDR report key: 24913031 · Received April 17, 2026

Report

Report Number
3004672275-2026-00102
Event Type
Injury
Date Received
April 17, 2026
Date of Event
March 20, 2026
Report Date
April 17, 2026
Manufacturer
INOGEN INC.
Product Code
CAW
UDI-DI
00817131020179
PMA / PMN Number
K032818
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
MN, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

B3 DATE OF EVENT IS ESTIMATED. THE UNIT WAS RETURNED FOR EVALUATION ON 30-MAR-2026. THE UNIT RECEIVED A REPORTED SYSTEM ERROR, WHICH WAS UNABLE TO RECORD THE DATA DUE TO SHUT DOWN THE UNIT WITH ERROR 4(B) IT CAUSES VALVE STUCK FEED WASTE MANIFOLD. AND DATA LOGE SHOWS 02 LOW AND SIEVE WARNING DUE TO HIGH PSA-(14). THE ISSUE WAS CAUSED BY LOW COLUMNS EFFICIENCY, THAT INDICATES COLUMNS CONTAMINATION OR ZEOLITE ABSORBED TOO MUCH MOISTURE. DATA LOG SHOWS MULTIPLE 02 ERRORS DUE TO 02 CALIBRATION FAILURE; RECALIBRATED 02 SENSORS. HOUSING TOP AND UIP DAMAGED DUE TO POSSIBLY DROPPED UNIT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT'S UNIT HAD A SYSTEM ERROR AND WAS NOT OUTPUTTING OXYGEN. TROUBLESHOOTING DID RESOLVE THE ISSUE. AS A RESULT, THE PATIENT WAS OUT OF BREATH AND A HARD TIME BREATHING. A REPLACEMENT UNIT WAS SENT TO THE PATIENT. 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
973378 INOGEN ONE G4 BLUETOOTH PORTABLE OXYGEN CONCENTRATOR INOGEN ONE G4 BLUETOOTH PORTABLE OXYGEN CONCENTRATOR CAW INOGEN INC. IO-400 00817131020179

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Life Threatening