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U.S. Department of Health and Human Services

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

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MEDIVANCE, INC. ¿ 1725056 ARCTIC SUN® TEMPERATURE MANAGEMENT SYSTEM, ARCTICGEL¿ PADS; ARCTICGEL PADS Back to Search Results
Catalog Number 317-07-02
Medical Device Problem Code Inaccurate Flow Rate (1249)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 08/31/2025
Type of Reportable Event Malfunction
Additional Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete, a supplemental report will be filed.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 while attempting to place patient on arctic sun cooling system.Staff went through 3 sets of medium pads, but pads were faulty.First failure was pump machine indicating flow error, specifically no water was flowing through pads.Second failure was pads had faulty/missing glue/sticky layer for attaching to skin.Third failure was set also had flow error message on machine.No injury was found.
 
Additional Manufacturer Narrative
The reported event was inconclusive because this investigation did not result in any additional findings and no sample was available for evaluation.Instructions for use were reviewed for this investigation.The labeling is found to be adequate.A review of the device history record did not show any problems or conditions that would have contributed to the reported issue.Corrections: d, 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 while attempting to place patient on arctic sun cooling system.Staff went through 3 sets of medium pads, but pads were faulty.First failure was pump machine indicating flow error, specifically no water was flowing through pads.Second failure was pads had faulty/missing glue/sticky layer for attaching to skin.Third failure was set also had flow error message on machine.No injury was found.Per follow up information received via task on 11sep2025, customer confirmed address to receive a sample return kit.Lot ngq0139 was also confirmed as the affected lot number.There was no patient harm, but patient was impacted.Caregivers went through 4 sets until having a successful product.There was a delay in treatment.
 
Additional Manufacturer Narrative
The reported event was inconclusive because this investigation did not result in any additional findings and no sample was available for evaluation.The labeling is found to be adequate.A review of the device history record did not show any problems or conditions that would have contributed to the reported issue.No additional actions can be taken at this time.Correction: 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 while attempting to place patient on arctic sun cooling system.Staff went through 3 sets of medium pads, but pads were faulty.First failure was pump machine indicating flow error, specifically no water was flowing through pads.Second failure was pads had faulty/missing glue/sticky layer for attaching to skin.Third failure was set also had flow error message on machine.No injury was found.Per follow up information received via task on 11sep2025, customer confirmed address to receive a sample return kit.Lot ngq0139 was also confirmed as the affected lot number.There was no patient harm, but patient was impacted.Caregivers went through 4 sets until having a successful product.There was a delay in treatment.
 
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Brand Name
ARCTIC SUN® TEMPERATURE MANAGEMENT SYSTEM, ARCTICGEL¿ PADS
Common Device Name
ARCTICGEL PADS
Manufacturer (Section D)
MEDIVANCE, INC. ¿ 1725056
321 s taylor ave
suite 200
louisville CO 80027
Manufacturer (Section G)
MEDIVANCE, INC. ¿ 1725056
321 s taylor ave
suite 200
louisville CO 80027
Manufacturer Contact
xeeroy rada
8195 industrial blvd
covington, GA 30014
7707846100
MDR Report Key23005293
Report Number1018233-2025-07655
Device Sequence Number9702560
Product Code DWJ
UDI-Device Identifier00801741080081
UDI-Public(01)00801741080081(11)250413(17)270228(10)NGKQ0139
Combination Product (Y/N)N
Initial Reporter StateCO
Initial Reporter CountryUS
PMA/510(K) Number
K142702
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) 03/13/2026
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 Number317-07-02
Device Lot NumberNGKQ0139
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/02/2025
Supplement Date Received by Manufacturer10/30/2025
03/16/2026
Initial Report FDA Received Date09/09/2025
Supplement Report FDA Received Date11/03/2025
03/18/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured04/13/2025
Is the Device Labeled for Single Use? (Y/N) Yes
Is This a Single-Use Device that was
Reprocessed and Reused on a Patient? (Y/N)
No
Usage of Device Initial
Patient Sequence Number1
Outcome Attributed to Adverse Event Other;
Patient SexUnknown
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