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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDIVANCE, INC. ¿ 1725056 ARCTIC SUN® TEMPERATURE MANAGEMENT SYSTEM, FLUID DELIVERY LINES

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MEDIVANCE, INC. ¿ 1725056 ARCTIC SUN® TEMPERATURE MANAGEMENT SYSTEM, FLUID DELIVERY LINES Back to Search Results
Catalog Number 734-07
Medical Device Problem Codes Nonstandard Device (1420); Gas/Air Leak (2946)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 12/04/2025
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the biomed stated that the arctic sun device had a low pressure during the inspection of the fluid delivery line.Per review of wo notes it was determined that the fluid delivery line (fdl) will need new valves for one set.Circulation pump command (cpc) was 48%, inlet pressure (ip) was -7.0, flow rate (fr) was 1.8.
 
Additional Manufacturer Narrative
The initial reporter's zip code: (b)(6).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.
 
Additional Manufacturer Narrative
The reported issue was confirmed.The root cause identified as air leaks in fluid delivery line.Per review of wo notes it was determined that the fluid delivery line (fdl) will need new valves for one set.Circulation pump command (cpc) was 48 percent, inlet pressure (ip) was -7.0, flow rate (fr) was 1.8.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 serial number is unknown.No additional actions are needed.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 biomed stated that the arctic sun device had a low pressure during the inspection of the fluid delivery line.Per review of wo notes it was determined that the fluid delivery line (fdl) will need new valves for one set.Circulation pump command (cpc) was 48%, inlet pressure (ip) was -7.0, flow rate (fr) was 1.8.
 
Additional Manufacturer Narrative
The reported issue was confirmed.The root cause identified as air leaks in fluid delivery line.Per review of wo notes it was determined that the fluid delivery line (fdl) will need new valves for one set.Circulation pump command (cpc) was 48 percent, inlet pressure (ip) was -7.0, flow rate (fr) was 1.8.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 serial number is unknown.Correction: f, g, h.Complete initial reporter zip: (b)(6).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 biomed stated that the arctic sun device had a low pressure during the inspection of the fluid delivery line.Per review of wo notes it was determined that the fluid delivery line (fdl) will need new valves for one set.Circulation pump command (cpc) was 48%, inlet pressure (ip) was -7.0, flow rate (fr) was 1.8.
 
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Brand Name
ARCTIC SUN® TEMPERATURE MANAGEMENT SYSTEM, FLUID DELIVERY LINES
Common Device Name
FLUID DELIVERY LINE
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 Key23779765
Report Number1018233-2025-11054
Device Sequence Number13280868
Product Code DWJ
UDI-Device Identifier00801741080265
UDI-Public(01)00801741080265
Combination Product (Y/N)N
Initial Reporter StateMD
Initial Reporter CountryUS
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) 02/25/2026
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 Number734-07
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 12/04/2025
Supplement Date Received by Manufacturer02/11/2026
02/25/2026
Initial Report FDA Received Date12/11/2025
Supplement Report FDA Received Date02/24/2026
03/02/2026
Was Device Evaluated by Manufacturer? (Y/N) No
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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