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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDIVANCE -1725056 ARCTIC SUN® TEMPERATURE MANAGEMENT SYSTEM, TEMP OUT CABLE

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MEDIVANCE -1725056 ARCTIC SUN® TEMPERATURE MANAGEMENT SYSTEM, TEMP OUT CABLE Back to Search Results
Catalog Number 735-52
Medical Device Problem Code Device Sensing Problem (2917)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/29/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the problems with temperature transmission from arctic sun device to monitor.Per follow up information received via mail on 03sep2025, device would be repaired in the hospital by crs.No patient involvement.
 
Additional Manufacturer Narrative
Initial facility reporter name: klinikum bremen-mitte ggmbh station modulbau intensiv 3028 the investigation is still in progress.Once the investigation is complete a supplemental report will be filed.All available udi information is being provided.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.
 
Additional Manufacturer Narrative
The initial reporter's facility name" (b)(6).The reported issue was confirmed.The root cause of the reported issue is a failed temperature out cable.Alarm 48 patient temperature out invalid present.Calibration is needed.Exchanged temperature out cable and performed a calibration.Tested the system with a simulator for the patient`s temperature.The evaluation found no other issues with the arcticsun performance.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.No additional actions are needed.Corrections: d, e, 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 problems with temperature transmission from arctic sun device to monitor.Per follow up information received via mail on 03sep2025, device would be repaired in the hospital by crs.No patient involvement.
 
Event or Problem Description
It was reported that the problems with temperature transmission from arctic sun device to monitor.Per follow up information received via mail on 03sep2025, device would be repaired in the hospital by crs.No patient involvement.
 
Additional Manufacturer Narrative
Initial facility reporter name: (b)(6).The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.Correction: d.All available udi information is being provided.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.
 
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Brand Name
ARCTIC SUN® TEMPERATURE MANAGEMENT SYSTEM, TEMP OUT CABLE
Common Device Name
TEMP OUT CABLE
Manufacturer (Section D)
MEDIVANCE -1725056
321 south taylor ave
suite 200
louisville CO 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 Key22963529
Report Number1018233-2025-07457
Device Sequence Number12827035
Product Code DWJ
UDI-Device Identifier00801741080340
UDI-Public(01)00801741080340(11)121101
Combination Product (Y/N)N
Initial Reporter CountryGM
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
Report Date (Section B) 01/12/2026
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 Number735-52
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 08/29/2025
Supplement Date Received by Manufacturer01/08/2026
01/12/2026
Initial Report FDA Received Date09/04/2025
Supplement Report FDA Received Date01/12/2026
01/14/2026
Was Device Evaluated by Manufacturer? (Y/N) Yes
Date Device Manufactured11/01/2012
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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