Apparatus, Nitric Oxide Delivery
Anesthesiology · 21 CFR 868.5165
Recent MDR events
2,049 adverse event reports on file
- SOKINOXJul 21, 2026MalfunctionInosystems Sa0002518435-2026-00013
- INOMAX DSIR PLUS (DELIVERY SYSTEM)Jul 21, 2026MalfunctionMallinckrodt Manufacturing Llc3004531588-2026-00036
- NOXBOXI NITRIC OXIDE DELIVERY SYSTEMJul 17, 2026MalfunctionNoxbox Ltd3012796317-2026-00046
- NOXBOXI NITRIC OXIDE DELIVERY SYSTEMJul 17, 2026MalfunctionNoxbox Ltd3012796317-2026-00045
- INOMAX DSIR PLUS (DELIVERY SYSTEM)Jul 10, 2026MalfunctionMallinckrodt Manufacturing Llc3004531588-2026-00037
- INOMAX DSIR PLUS (DELIVERY SYSTEM)Jun 30, 2026MalfunctionMallinckrodt Manufacturing Llc3004531588-2026-00034
- INOMAX DSIR PLUS (DELIVERY SYSTEM)Jun 29, 2026MalfunctionMallinckrodt Manufacturing Llc3004531588-2026-00035
- NOXBOXI NITRIC OXIDE DELIVERY SYSTEMJun 29, 2026MalfunctionNoxbox Ltd3012796317-2026-00044
- NOXBOXI NITRIC OXIDE DELIVERY SYSTEMJun 29, 2026InjuryNoxbox Ltd3012796317-2026-00043
- NOXBOXI NITRIC OXIDE DELIVERY SYSTEMJun 24, 2026MalfunctionNoxbox Ltd3012796317-2026-00042
Event type breakdown
Recalls
16 recall events for this product code
- NOXBOX LTDOpen, ClassifiedOct 6, 2025
NOxBOXi Nitric Oxide Delivery System;
Fluctuations may be more likely to occur if the total flow through the device sensor (used by the device to determine flow) is less than the minimum device requirement of 0.5 LPM. In addition, dose fluctuations have been observed when Bunnel LifePulse HFJV system or conventional ventilators have the following device settings: low service pressures generally less than 3.0 PSI, a pressure difference greater than 5.0cm H2O; or at breath per minute rates of 300 (5 Hz).
Z-0028-2026 · View FDA record ↗ - NOXBOX LTDOpen, ClassifiedOct 6, 2025
NOxBOXi Nitric Oxide Delivery System;
The unexpected internal fault / system diagnostic error to result when a rapid succession of button selections is made to the user interface without waiting for the device to respond to user prompts.
Z-0029-2026 · View FDA record ↗ - NOXBOX LTDOpen, ClassifiedSep 9, 2025
NOxBOXi Nitric Oxide Delivery System
Replacement of the internal Sample Pump due to high failure rates.
Z-2544-2025 · View FDA record ↗ - Vero Biotech, LLCOpen, ClassifiedDec 15, 2023
VERO BIOTECH GENOSYL DS (Delivery System) Generation 3 Cassette, Model Number 602722-01; generates and delivers nitric oxide (NO) for inhalation at the point of
Cassette did not meet an 1n-process flow criterion.
Z-0564-2024 · View FDA record ↗ - NOXBOX LTDTerminatedJun 9, 2023
NOxBOXi Nitric Oxide Delivery System, NOXBOX-I, REQNOXBOX-I, Nitric Oxide Delivery Device
Device may experience malfunctions due to misalignment of the check valve in the manifold. If the device fails, there is a risk of nitric oxide leak, oxygen gas leak, or earlier cylinder gas changeover than expected or not at all. In a worst case scenario, there may be an interruption in therapy which could lead to oxygen desaturation of the patient and associated complications.
Z-1667-2023 · View FDA record ↗ - Mallinckrodt, LLC.Open, ClassifiedSep 13, 2022
INOmax DSIR -(delivery system) delivers INOMAX (nitric oxide for inhalation) therapy gas into the inspiratory limb of the patient breathing circuit in a way tha
The INOmax DSIR Delivery System, manufactured by Mallinckrodt Pharmaceuticals, is not compatible with the upgraded version of the Leoni Plus ventilator, manufactured by Lowenstein Medical. The Leoni Plus ventilator was recently upgraded in 2021 by Lowenstein Medical, with new hardware and software, and the upgraded version cannot be appropriately connected with the INOmax DSIR as instructed in the INOmax DSIR Operators Manual (OM). The INOmax DSIR OM requires the use of a one-way valve with the Leoni Plus ventilator during High Frequency Oscillatory Ventilation mode and warns that use of the device without a one-way valve may result in high Nitric Oxide (NO) delivery.
Z-1745-2022 · View FDA record ↗ - Vero Biotech, LLCTerminatedJun 23, 2021
GENOSYL DS; Nitric Oxide Delivery System
Reports received of NO measured below desired dose during transition between primary console and backup console since Software Version 2.2.3 was uploaded to consoles in the field.
Z-1863-2021 · View FDA record ↗ - INO Therapeutics (dba Ikaria)TerminatedFeb 27, 2015
Ikaria, INOmax DSIR (Delivery System), Model 10007. Nitric oxide delivery system for use with ventilators.
Potential delivery failure alarm condition. INOmax DSIR with software version 2.0.4 and a certain variant of the monitor display may trigger a delivery failure alarm when the display brightness is set to its lowest level. If this condition occurs, therapy will be interrupted.
Z-1223-2015 · View FDA record ↗ - INO Therapeutics (dba Ikaria)TerminatedDec 12, 2014
INOMAX DSIR Nitric Oxide delivery system, Model 10007, software version 3.1.0., delivers INOMAX (nitric oxide for inhalation) therapy gas and provides continuou
An issue has been identified in the INOmax DSIR system that could result in monitored Nitric Oxide (NO) concentration reporting lower than expected. This issue only pertains to those devices manufactured using a specific version of the Monitoring Circuit Board.
Z-0575-2015 · View FDA record ↗ - INO Therapeutics (dba Ikaria)TerminatedMay 2, 2014
INOmax DSIR, model 10007, Nitric Oxide Delivery System, with Software version 3.0.0. The INOmax DS delivery system delivers INOMAX (nitric oxide for inhalation
An anomaly impacts the monitoring system of INOmax DSIR Plus (software 3.0.0). When the integrated pneumatic backup switch is activated with low or no gas flow through the injector module, an intended NO cell failure alarm will occur. In addition, an unintended NO2 cell failure alarm may also occur. The NO/NO2 cell failure alarms are caused by an average NO/NO2 circuit concentration greater tha
Z-1528-2014 · View FDA record ↗
Registered firms
33 firms currently registered for this product code
Mallinckrodt Manufacturing Llc
MADISON, WI, US
Mallinckrodt Hospital Products Inc.
Bridgewater, NJ, US
Noxbox Limited
Sittingbourne Kent, GB
Inosystems
ANTONY Hauts-de-Seine, FR
International Biomedical, Ltd.
AUSTIN, TX, US
Aok Tooling Limited
Shen Zhen Guangdong, CN
Airgas Therapeutics Llc
PLUMSTEADVILLE, PA, US
Integrated Technologies Ltd.,
ASHFORD Kent, GB
C2c Development, Llc
Melbourne, FL, US
510(k) clearances
33 clearances for this product code
- Airgas Therapeutics, LLCJan 17, 2025
K242374 · ULSPIRA TS Nitric Oxide Therapy System
- Mallinckrodt Manufacturing, LLCJan 3, 2025
K242578 · EVOLVE Nitric Oxide Delivery System
- Malinckrodt Manufacturing, LLCMay 28, 2024
K240410 · EVOLVE Nitric Oxide Delivery System
- Linde Gas & Equipment, Inc.May 23, 2024
K233251 · NOxBOXi Nitric Oxide Delivery System
- Mallinckrodt Manufacturing, LLCDec 6, 2023
K222930 · Evolve Nitric Oxide Delivery System
- Linde Gas & Equipment, Inc.Aug 11, 2023
K231823 · NOxBOXi Nitric Oxide Delivery System
- Airgas TherapeuticsJun 30, 2023
K212409 · Ulspira TS Nitric Oxide Therapy System
- Mallinckrodt Manufacturing, LLCApr 20, 2023
K211153 · Inomax DSIR