FDA Adverse Event Injury Summary report: N

INOGEN ROVE 4 PORTABLE OXYGEN CONCENTRATOR

MDR report key: 25184547 · Received May 15, 2026

Report

Report Number
3004672275-2026-00133
Event Type
Injury
Date Received
May 15, 2026
Date of Event
April 19, 2026
Report Date
May 15, 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
MI, US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

B3 DATE OF EVENT IS ESTIMATED. THE UNIT WAS RETURNED FOR EVALUATION ON 29-APR-2026. THE UNIT CAME IN FOR SERVICE NEEDED. THE COMPLAINT CONFIRMED. THE DATA SHOWS MULTIPLE 02 DELIVERY ERRORS THAT ARE CAUSED BY FEED WASTE, PROBABLY DROPPED UNITS. COLUMN SIEVE LIFE (0) THAT CAUSED BY ZEOLITE CONTAMINATED TOO MUCH ABSORBED MOISTURE. LOWER HOUSING BROKEN POSSIBLY DROPPED UNIT.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE PATIENT'S UNIT HAD AN ERROR MESSAGE AND MADE A LOUD NOISE. AS A RESULT, THE UNIT WAS NOT PRODUCING ENOUGH OXYGEN AND CAUSED THE PATIENT TO PANIC. THE PATIENT HAD TO STAY AND DO BREATHING EXERCISES FOR SEVERAL HOURS TO CALM DOWN AS THEY DID NOT HAVE ANY BACKUP SOURCES WITH THEM. THERE WERE NO OTHER INTERVENTIONS AT THE TIME. THE PATIENT HAS RECEIVED THE REPLACEMENT UNIT AND IT IS WORKING.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
513386 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 Other