INOGEN ROVE 4 PORTABLE OXYGEN CONCENTRATOR
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
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.
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 |