FDA Adverse Event Injury Summary report: N

INOGEN ROVE 4 PORTABLE OXYGEN CONCENTRATOR

MDR report key: 25124454 · Received May 8, 2026

Report

Report Number
3004672275-2026-00127
Event Type
Injury
Date Received
May 8, 2026
Date of Event
April 1, 2026
Report Date
May 8, 2026
Manufacturer
INOGEN, INC.
Product Code
CAW
UDI-DI
00817131020414
PMA / PMN Number
K222086
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
CO, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

B3: DATE OF EVENT IS ESTIMATED. THE INOGEN TEAM ATTEMPTED TO CONTACT THE PATIENT FOR FURTHER INFORMATION THREE TIMES WITH NO RESPONSE. THE UNIT RECEIVED A REPORTED SYSTEM ERROR, WHICH WAS CONFIRMED THROUGH THE DATA LOG AND DIAGNOSTIC PAGE SHOWS 02 INTERNAL LOW (81 .2%) AND EXTERNAL 02 READING SERV0MEX (79%). THE ISSUE WAS CAUSED BY CONTAMINATED ZEOLITE, INDICATING THAT THE ZEOLITE ABSORBED EXCESSIVE MOISTURE. THE PSA CYCLE COUNT WAS 16. THE DATA LOG SHOWS LOW BATTERY ERRORS; THIS MEANS THE PATIENT RUNNING THE UNIT ON LOW BATTERY.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT'S DEVICE WAS DISPLAYING THE SYSTEM ERROR MESSAGE AND THEIR BATTERY KEPT BEEPING WHEN THEY WERE OUTSIDE. AS A RESULT, THE PATIENT STARTED EXPERIENCING SHORTNESS OF BREATH. NO ADDITIONAL INFORMATION IS AVAILABLE AT THIS TIME AS MULTIPLE ATTEMPTS TO CONTACT THE PATIENT WERE UNSUCCESSFUL.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
424616 INOGEN ROVE 4 PORTABLE OXYGEN CONCENTRATOR INOGEN ROVE 4 PORTABLE OXYGEN CONCENTRATOR CAW INOGEN, INC. IO-401 00817131020414

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Life Threatening