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NOXBOX NOxBOXi Nitric Oxide Delivery System Recalled for 1,667 Units in 2025

NOXBOX LTD recalled 1,667 NOxBOXi Nitric Oxide Delivery System units distributed in Tennessee after reports of flow and dose fluctuations. The device can show fluctuations when the total flow through its sensor drops below 0.5 LPM. Dose fluctuations have been observed with LifePulse HFJV or conventional ventilators under certain settings. Stop using the device immediately and follow the recall. NO

Official notice

Source-backed recall notice

No product image was available from the source feed.

Official source
FDA DEVICE
Recall date
September 9, 2025
Status
ACTIVE
Severity
7/10

Quick Facts at a Glance

Recall Date
September 9, 2025
Hazard Level
HIGH
Brand
NOXBOX
Category
Health & Personal Care
Sold At
Unknown
Geographic Scope
1 states
At-Risk Groups
GENERAL

What to Do Now

Use this page like a recall checklist: verify the product first, then act on the official remedy.

Immediate steps

  1. 1Stop using the product until you confirm whether it is included in the recall.
  2. 2Compare the product label, model number, UPC, color, size, and purchase location against the identifiers below.
  3. 3Follow the official remedy from FDA - Medical Devices; save photos, receipts, labels, and correspondence before contacting the company.
  4. 4If the product could harm a child, older adult, pet, or patient, move it out of reach immediately.

Check these identifiers

Brand
NOXBOX
Product type
Nitric Oxide Delivery System
Model numbers
NOXBOX-I, NBL, REQNOXBOXI, UDI-DI: 05060541640009
Sold at
Unknown
Where affected
TN

Recall Timeline

Key dates and source checks for this recall record.

  1. Recall announced

    September 9, 2025

  2. Reported by FDA DEVICE

    October 15, 2025

  3. RecallRadar source check

    April 18, 2026

  4. Consumer action

    Use the official remedy and keep documentation.

Hazard Information

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).

What You Should Do

Patients and healthcare providers should stop using this device immediately. Follow the recall instructions provided by the manufacturer. Contact NOXBOX LTD or your healthcare provider for instructions. Notification method: E-Mail

About This Product

The NOxBOXi Nitric Oxide Delivery System is used to administer nitric oxide to patients requiring gas exchange support, typically in critical care settings.

Why This Is Dangerous

If total sensor flow falls below 0.5 LPM, flow readings can be inaccurate, leading to dose fluctuations. Certain ventilator settings worsen this risk.

Industry Context

This recall is not described as part of a broader industry pattern.

Real-World Impact

Clinicians must monitor dosing accuracy and ensure device usage aligns with recall guidance to avoid potential patient harm.

Practical Guidance

How to identify if yours is affected

  1. 1) Locate the NOxBOXi device.
  2. 2) Check model numbers: NOXBOX-I, NBL, REQNOXBOXI.

Where to find product info

FDA enforcement page and manufacturer recall notice.

What timeline to expect

Refund or replacement timelines are not specified. Hospitals should expect manufacturer updates and FDA guidance.

If the manufacturer is unresponsive

  • Document all attempts to contact NOXBOX LTD.
  • Escalate to hospital compliance or medical device oversight if the manufacturer is unresponsive.

How to prevent similar issues

  • Verify device compatibility with current ventilator settings during procurement.
  • Monitor for recall updates from FDA and NOXBOX LTD.
  • Train clinical staff on recognizing dosing irregularities in nitric oxide delivery systems.

Documentation advice

Keep recall notices, model numbers, UDI-DI, and correspondences with the manufacturer; photograph devices and serial numbers where possible.

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Product Details

Model numbers: NOXBOX-I, NBL, REQNOXBOXI. UDI-DI: 05060541640009. Sold in the United States, domestic distribution in Tennessee. Recall date: 2025-09-09. Report date: 2025-10-15. Units recalled: 1,667. Manufacturer: NOXBOX LTD.

Reported Incidents

No injuries or incidents have been reported.

Key Facts

  • Models NOXBOX-I, NBL, REQNOXBOXI; UDI-DI 05060541640009
  • Flow sensor minimum 0.5 LPM
  • Hazard includes dose fluctuations with LifePulse HFJV or ventilators at <3.0 PSI, ΔP >5 cm H2O, or 5
  • Recall date 2025-09-09; Report date 2025-10-15
  • Distribution in Tennessee (Domestic)

Safety Guide

Not sure what to do next? Our guide walks you through the process step by step.

Read: What to Do When You Find a Recalled Product

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Safety Assessment

Risk LevelHIGH
Severity Score
7/ 10
Affected Groups
GENERAL
Injury Types
OTHER

Product Details

Brand
Model Numbers
NOXBOX-I
NBL
REQNOXBOXI
UDI-DI: 05060541640009
Affected States
TN
Report Date
October 15, 2025
Recall Status
ACTIVE

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