NOXBOX LTD recalled NOxBOXi Nitric Oxide Delivery Systems, NOXBOX-I, and REQNOXBOX-I devices due to potential check valve misalignment causing gas leaks or therapy interruption. The Food and Drug Administration announced the Class I recall on May 3, 2023.
How to tell if you have it
- Brand: NOXBOX
- Product names: NOxBOXi Nitric Oxide Delivery System, NOXBOX-I, REQNOXBOX-I, Nitric Oxide Delivery Device
- UDI/DI: 5060541640009
- Serial Numbers: NI101029 through NI103208 (as listed in record)
- Distribution: Worldwide, including US Nationwide and Bahrain, Bolivia, Brazil, Ecuador, Finland, France, Hong Kong, India, Indonesia, Ireland, Israel, Italy, Kuwait, Malaysia, Mexico, Netherlands, New Zealand, Panama, Saudi Arabia, Singapore, South Africa, Spain, Taiwan, Turkey, UAE, United Kingdom
The hazard
The 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.
Context
GovInfoNow's records show NOXBOX LTD has 5 other recalls on record since 2023-07-19. Other recent recalls of similar products include NOxBOXi Nitric Oxide Delivery System: Potential for Irregular Oxygen Readings (2026-09-14), NOXBOX Nitric Oxide Delivery System Recall: Oxygen Tubing Leak Risk (2026-08-19), and NOXBOX Nitric Oxide Delivery System Recall: Button Errors Cause System Fault (2025-09-09). Other recent recalls of similar products include Datex-Ohmeda Aisys CS2 Anesthesia System Recall: Risk of Interrupted Anesthetic Delivery (2026-07-30), Datex-Ohmeda Aisys Anesthesia System Recall: Risk of Interrupted Anesthetic Delivery (2026-07-30), and Medline Oxygen Masks Recall: Tubing Disconnects Risk Shortness of Breath (2025-11-21).