Reported Reactions

Devices › Apparatus, nitric oxide delivery

Device brand name · Nitric oxide administration apparatus

INOmax DSIR Plus (Delivery System): medical device reports filed with FDA

714 reports name it, 2019–2026. Manufacturer given most often on reports: Mallinckrodt Manufacturing. Product code MRN.

714
device reports naming the brand
0% of all MAUDE reports · about 107 a year
53
reports, 12 months to August 2026
97 in the 12 months before
98.3%
classified as malfunction
89.5% across the product code
0.3%
classified as death, as reported
2 reports · not verified by FDA

714 medical device reports received by FDA name the brand "INOmax DSIR Plus (Delivery System)" (nitric oxide administration apparatus); the manufacturer given most often on reports is Mallinckrodt Manufacturing; received from November 2019 to August 2026. Brand names are as the reporter or manufacturer wrote them, so one product can appear under several spellings.

53 reports arrived in the 12 months to August 2026, down 45% from 97 in the 12 months before. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases. The event types recorded are malfunction (98.3%), injury (1.4%) and death (0.3%); across all apparatus, nitric oxide delivery reports (product code MRN) death is recorded in 1.5% and malfunction in 89.5%. Event type is the reporter's classification of the report, not a verified outcome.

The device problems coded most often are high readings (31.1%), failure to recalibrate (30.7%) and intermittent communication failure (29.3%). The patient problems coded most often are low oxygen saturation, bradycardia and hypoxia. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Reports by month, five years

0917Sep 2021: 14Oct 2021: 11Nov 2021: 6Dec 2021: 72022Jan 2022: 6Feb 2022: 14Mar 2022: 17Apr 2022: 9May 2022: 11Jun 2022: 11Jul 2022: 4Aug 2022: 6Sep 2022: 5Oct 2022: 6Nov 2022: 8Dec 2022: 92023Jan 2023: 11Feb 2023: 6Mar 2023: 16Apr 2023: 7May 2023: 9Jun 2023: 8Jul 2023: 6Aug 2023: 8Sep 2023: 6Oct 2023: 8Nov 2023: 3Dec 2023: 12024Jan 2024: 9Feb 2024: 5Mar 2024: 14Apr 2024: 13May 2024: 9Jun 2024: 12Jul 2024: 11Aug 2024: 12Sep 2024: 9Oct 2024: 12Nov 2024: 7Dec 2024: 62025Jan 2025: 10Feb 2025: 10Mar 2025: 9Apr 2025: 9May 2025: 8Jun 2025: 6Jul 2025: 8Aug 2025: 3Sep 2025: 7Oct 2025: 5Nov 2025: 3Dec 2025: 22026Jan 2026: 4Feb 2026: 4Mar 2026: 5Apr 2026: 4May 2026: 7Jun 2026: 7Jul 2026: 2Aug 2026: 3

Reports by the month FDA received them. FDA releases MAUDE data monthly; reports can arrive months after an event, so the newest months grow in later releases.

By year received

0721432019: 1620192020: 14320202021: 12520212022: 10620222023: 8920232024: 11920242025: 8020252026: 362026

Event type and report source

Event type, as classified on the report

Death0.3%2
Injury1.4%10
Malfunction98.3%702
Other0%0
Not given0%0

Who filed the report

Manufacturer report99.4%710
Voluntary report0%0
User facility report0%0
Distributor report0%0
Not given0.6%4

Grey bar: all 2,059 reports carrying product code MRN. Event type is the filer's classification and is not verified by FDA.

Device problems coded

Device problem (FDA code)ReportsShareShare across product code
High readingsreadings were too high22231.1%11.2%
Failure to recalibrate21930.7%11%
Intermittent communication failure20929.3%10.7%
Failure to deliverthe device did not deliver the dose or item13418.8%18.3%
Inaccurate delivery253.5%8.9%
Calibration problem223.1%3.4%
Loose or intermittent connection172.4%1.4%
Therapeutic or diagnostic output failure172.4%1.6%
Device sensing problem142%1.3%
Failure to calibrate121.7%2.6%
Gas/air leak121.7%2.4%
Device alarm system91.3%2.6%
Defective devicethe device was defective81.1%0.9%
Output problem81.1%0.4%
Communication or transmission problemthe device could not communicate or transmit60.8%0.3%
Excess flow or over-infusion60.8%2.4%
Breakthe device broke50.7%1.6%
Device displays incorrect message50.7%13.6%
Incorrect, inadequate or imprecise result or readings50.7%0.6%
Medical gas supply problem40.6%0.3%

FDA's device problem codes as entered on the report; one report can carry several. Generic codes such as "no apparent adverse event" are left out.

Patient problems coded

Patient problem (FDA code)ReportsShare
Low oxygen saturation152.1%
Bradycardiaslow heart rate40.6%
Hypoxialow oxygen30.4%
Low blood pressure/ hypotension30.4%
Cardiac arrestthe heart stopped10.1%
Collapse10.1%
Facial paralysis10.1%
High pulmonary arterial wedge pressure10.1%
No patient involvement10.1%
Tachycardiafast heart rate10.1%

Patient problem codes are present mainly in reports filed since 2019 and are often blank.

In context

MeasureINOmax DSIR Plus (Delivery System)Product code MRNAll MAUDE reports
Reports7142,05926,136,888
Share of that pool—34.7%0%
Classified as death, per 1,000 reports3159
Classified as injury1.4%6.8%36.2%
Classified as malfunction98.3%89.5%62.3%
Filed by the manufacturer99.4%92.2%94.9%

Shares are of reports, not of devices in use. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data."

Other brands with product code MRN

BrandReportsLatest 12 monthsClassified as death
INOmax DSIR (Delivery System)80370.7%
Inomax Ds Delivery System18200.5%
Aestiva7943290.1%

Ordered by report count for navigation only. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA also states that "common products may have a higher number of adverse events due to the higher total number of people using the product."

Questions about INOmax DSIR Plus (Delivery System) reports

How many FDA reports name INOmax DSIR Plus (Delivery System)?

714 medical device reports in the openFDA MAUDE release of 28 Sep 2026, covering reports received through August 2026; 53 in the latest 12 months.

What kinds of events are reported?

malfunction (98.3%), injury (1.4%) and death (0.3%). "Event type" is how the report was classified when filed: death, injury, malfunction or other.

What device problems are coded?

high readings (31.1%), failure to recalibrate (30.7%), intermittent communication failure (29.3%), failure to deliver (18.8%) and inaccurate delivery (3.5%). These are FDA's device problem codes as entered on the report.

Who files these reports?

manufacturer reports (99.4%). Manufacturers and user facilities are required to report; voluntary reports come from health professionals and the public.

Do these reports show that INOmax DSIR Plus (Delivery System) was at fault?

No. FDA states that "MDR data alone cannot be used to establish rates of events, evaluate a change in event rates over time or compare event rates between devices. The number of reports cannot be interpreted or used in isolation to reach conclusions about the existence, severity, or frequency of problems associated with devices." It adds that the reporting system "has limitations, including the potential submission of incomplete, inaccurate, untimely, unverified, or biased data." FDA adds that "a causal relationship cannot be established between product and reactions listed in a report."

How do I report a problem with a medical device?

Through FDA MedWatch (Form FDA 3500 for health professionals and consumers), or to the manufacturer. See the guide on how to report.

Where this comes from. Counts are built from the openFDA Device Adverse Event (MAUDE) bulk export released 28 Sep 2026, which holds reports FDA received through 31 Aug 2026. Brand, generic and manufacturer names are as written on the reports; product code names come from FDA's device classification. A report counts here when any device it lists carries this brand name after punctuation and capitalisation are normalised. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.

Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.