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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDIVANCE, INC. ¿ 1725056 ARCTIC SUN® TEMPERATURE MANAGEMENT SYSTEM, TEMPERATURE CABLE; ARCTIC SUN TEMPERATURE CABLE

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MEDIVANCE, INC. ¿ 1725056 ARCTIC SUN® TEMPERATURE MANAGEMENT SYSTEM, TEMPERATURE CABLE; ARCTIC SUN TEMPERATURE CABLE Back to Search Results
Catalog Number 735-02
Medical Device Problem Codes Failure to Sense (1559); Device Sensing Problem (2917)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 02/14/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
Investigation is still in progress.Once the investigation is complete a supplemental report will be filed.The reported product number is sold ous.The udi number for this product is not available.H11: section a through f - the information provided by bd represents all the known information at this time.Despite good faith efforts to obtain additional information, the complainant/reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
 
Event or Problem Description
It was reported that the arctic sun device displayed an error code during operation, image of the console crossed out in red.Today, the device turned on correctly but no longer detects the patient's temperature.Per review of wo on (b)(6) 2025, there was no patient involvement.Per follow up information received via mail on 19feb2025, this would be sent to s-inter for repair.
 
Additional Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.Correction: d, f, h.Udi format updated with available product information per gudid.H11: sections a through f - the information provided by bd represents all the known information at this time.Despite good faith efforts to obtain additional information, the complainant / reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
 
Event or Problem Description
It was reported that the arctic sun device displayed an error code during operation, image of the console crossed out in red.Today, the device turned on correctly but no longer detects the patient's temperature.Per review of wo on 19feb2025, there was no patient involvement.Per follow up information received via mail on 19feb2025, this would be sent to s-inter for repair.Per sample evaluation results received via task on 14apr2025, it was reported that there was a dirty fill tube.
 
Event or Problem Description
It was reported that the arctic sun device displayed an error code during operation, image of the console crossed out in red.Today, the device turned on correctly but no longer detects the patient's temperature.Per review of wo on 19feb2025, there was no patient involvement.Per follow up information received via mail on 19feb2025, this would be sent to s-inter for repair.Per sample evaluation results received via task on 14apr2025, it was reported that there was a dirty fill tube.
 
Additional Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.Corrections: d, e.The reported product number is unknown.The udi number for this product is not available.H11: sections a through f - the information provided by bd represents all the known information at this time.Despite good faith efforts to obtain additional information, the complainant/reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
 
Additional Manufacturer Narrative
The reported issue was confirmed.The root cause of the reported issue is a failed temperature in cable.The complaint or reported issue was confirmed through other elements of the investigation to not be labeling or packaging related.A dhr review is not required as the lot number is unknown.Correction: d, g, h.Udi format updated with available product information per gudid.H11: section a through f - the information provided by bd represents all the known information at this time.Despite good faith efforts to obtain additional information, the complainant/reporter was unable or unwilling to provide any further patient, product, or procedural details to bd.
 
Event or Problem Description
It was reported that the arctic sun device displayed an error code during operation, image of the console crossed out in red.Today, the device turned on correctly but no longer detects the patient's temperature.Per review of wo on 19feb2025, there was no patient involvement.Per follow up information received via mail on 19feb2025, this would be sent to s-inter for repair.Per sample evaluation results received via task on 14apr2025, it was reported that there was a dirty fill tube.
 
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Brand Name
ARCTIC SUN® TEMPERATURE MANAGEMENT SYSTEM, TEMPERATURE CABLE
Common Device Name
ARCTIC SUN TEMPERATURE CABLE
Manufacturer (Section D)
MEDIVANCE, INC. ¿ 1725056
321 s taylor ave
suite 200
louisville 80027
Manufacturer (Section G)
MEDIVANCE -1725056
321 south taylor ave
suite 200
louisville CO 80027
Manufacturer Contact
xeeroy rada
8195 industrial blvd
covington, GA 30014
7707846100
MDR Report Key21445976
Report Number1018233-2025-01182
Device Sequence Number15438689
Product Code DWJ
UDI-Device Identifier00801741080296
UDI-Public(01)00801741080296
Combination Product (Y/N)N
Initial Reporter CountryFR
PMA/510(K) Number
K161602
Number of Events Summarized1
Summary Report (Y/N)N
Reporter Type Manufacturer
Report Source Other,Health Professional,User Facility
Initial Reporter Occupation Physician
Type of Report Initial,Followup,Followup,Followup
Report Date (Section B) 06/23/2025
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Operator of Device Health Professional
Device Catalogue Number735-02
Was Device Available for Evaluation? Device Returned to Manufacturer
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 02/14/2025
Supplement Date Received by Manufacturer06/13/2025
06/19/2025
06/23/2025
Initial Report FDA Received Date02/24/2025
Supplement Report FDA Received Date06/18/2025
06/20/2025
06/25/2025
Was Device Evaluated by Manufacturer? (Y/N) Yes
Is the Device Labeled for Single Use? (Y/N) No
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Reuse
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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