ClearanceBrief
Recall Z-0028-2026 ยท MRN Apparatus, Nitric Oxide Delivery

NOXBOX LTD

NOxBOXi Nitric Oxide Delivery System; Model Numbers: NOXBOX-I

DateOct 6, 2025 (initiated Sep 9, 2025)
StatusOpen, Classified
ReasonFluctuations 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).
Root causeSoftware design
ActionOn September 9, 2025 URGENT MEDICAL DEVICE CORRECTION letters were sent to customers. Actions to be taken: - Use the instructions provided to troubleshoot the device. - Complete and return the attached response form to Linde Gas & Equipment as instructed on the form. Recalling firm actions: NOxBOX Ltd. is in the process of developing a new software version that will include a modification to the software to resolve this issue, which will be released pending required regulatory review and approval. Once the software version is released, NOxBOX Ltd. will coordinate with Linde Gas & Equipment in
Quantity1667 units
DistributionDomestic: TN
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K171696NOxBOXi Nitric Oxide Delivery System
Praxair Distribution, Inc., Oct 2, 2018
K201339The NOxBOXi Nitric Oxide Delivery System
Praxair, Inc., Jun 19, 2020
K220898NOxBOXi Nitric Oxide Delivery System
Linde Gas & Equipment, Inc., Apr 27, 2022
K231823NOxBOXi Nitric Oxide Delivery System
Linde Gas & Equipment, Inc., Aug 11, 2023
K233251NOxBOXi Nitric Oxide Delivery System
Linde Gas & Equipment, Inc., May 23, 2024