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U.S. Department of Health and Human Services

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

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MEDIVANCE -1725056 ARCTIC SUN® TEMPERATURE MANAGEMENT SYSTEM, TEMPERATURE OUT CABLE PHILIPS; ARCTIC SUN TEMPERATURE CABLE Back to Search Results
Catalog Number 735-56
Medical Device Problem Code Device Sensing Problem (2917)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/05/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the nurse was trying to connect patient out cable to the philips monitor.It plugged into the monitor, but patient temperature was not displaying in an arctic sun device.Nurse was not sure if they should call philips to troubleshoot.Confirmed they were using the black temperature out cable.It was plugged into the temperature out port on back of machine.Explained it might be something they need to enable on the philips monitor.Suggested they also try another temperature out cable to ensure it was not a cable issue if they were still having trouble.Per follow up information received via task on 06may2026, spoke with nurse who confirmed a faulty cable was identified.They used a cable from another device and the temperature displayed on the monitor.The cable was disposed of.
 
Additional Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.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.
 
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Brand Name
ARCTIC SUN® TEMPERATURE MANAGEMENT SYSTEM, TEMPERATURE OUT CABLE PHILIPS
Common Device Name
ARCTIC SUN TEMPERATURE 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 Key25144098
Report Number1018233-2026-03087
Device Sequence Number9406815
Product Code DWJ
UDI-Device Identifier00801741080388
UDI-Public(01)00801741080388
Combination Product (Y/N)N
Initial Reporter StateCA
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
Report Date (Section B) 05/21/2026
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 Number735-56
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 05/05/2026
Supplement Date Received by Manufacturer05/26/2026
Initial Report FDA Received Date05/11/2026
Supplement Report FDA Received Date05/28/2026
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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