Great question. Sorry you did not get an answer to your question by the Inogen representative. You would think they, of all people, would be able to answer your question. I personally would love to hear what they have to say, if and when you do hear back from them. That said, I do have something to say about your question -- and this is just my opinion of course based on years of experience working in the COPD community, both as a health blogger and respiratory therapist. I would imagine that these devices are well tested, considering they are FDA approved for use by COPD patients at home. I actually talked with a person who created a medical product that had to be approved by the FDA. And he said that the FDA requires lots of studies proving that the product not only does exactly what the company claims, but also that the product is durable and will last. So, I would imagine this is also true for all product that provide oxygen (a drug) to patients, including your One G5. Likewise, your own oxygen provider (the company that provides you with your oxygen equipment) can test (double check) your equipment to make sure your device is giving you 4LPM as prescribed. And this should give you reassurance that the product is working. What do you think? John. copd.net community moderator.