| Brand Name | Inogen At Home Oxygen Concentrator |
| Common Device Name | Inogen At Home Oxygen Concentrator |
| Manufacturer (Section D) |
| Inogen, Inc. |
| 600 shiloh rd |
| plano TX 75074 |
|
| Manufacturer (Section G) |
| Inogen, Inc. |
| 600 shiloh rd |
|
| plano TX 75074 |
|
| Manufacturer Contact |
|
greg
porter
|
| 600 shiloh rd |
| plano, TX 75074
|
|
| MDR Report Key | 50747831 |
| Report Number | 3004672275-2026-00286 |
| Device Sequence Number | 18683634 |
| Product Code |
CAW
|
| UDI-Device Identifier | 00817131020148 |
| Combination Product (Y/N) | N |
| Initial Reporter Country | US |
| PMA/510(K) Number | K132489 |
| Number of Events Summarized | 1 |
| Summary Report (Y/N) | N |
| Reporter Type |
Manufacturer
|
| Report Source |
Other,Consumer |
| Initial Reporter Occupation |
Non-Healthcare Professional
|
| Remedial Action |
Replace |
| Type of Report
| Initial |
| Report Date (Section B) |
09/13/2026 |
| 1 Device was Involved in the Event |
|
| 1 Patient was Involved in the Event |
|
| Is this an Adverse Event Report? |
Yes
|
| Is this a Product Problem Report? |
Yes
|
| Operator of Device |
Lay User/Patient
|
| Device Model Number | GS-100 |
| Was Device Available for Evaluation? |
Yes
|
| Date Returned to Manufacturer | 09/01/2026 |
| Is the Reporter a Health Professional? |
No
|
| Type of Report(Section G) | Thirty-Day |
| Initial Date Received by Manufacturer | 08/21/2026 |
| Initial Report FDA Received Date | 09/13/2026 |
| Was Device Evaluated by Manufacturer? (Y/N) |
Yes
|
| Is the Device Labeled for Single Use? (Y/N) |
No
|
Is This a Single-Use Device that was Reprocessed and Reused on a Patient? (Y/N) |
No
|
| Usage of Device |
Unknown
|
| Patient Sequence Number | 1 |
| Outcome Attributed to Adverse Event |
Life Threatening;
|
| Patient Sex | Unknown |
|
|