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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: MEDIVANCE, INC. ¿ 1725056 ARCTIC SUN STAT; ARCTIC SUN DEVICE

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MEDIVANCE, INC. ¿ 1725056 ARCTIC SUN STAT; ARCTIC SUN DEVICE Back to Search Results
Catalog Number 60000000L
Medical Device Problem Code Insufficient Cooling (1130)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 05/13/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the nurse reports alert 113 (reduced water temperature control) in an arctic sun device.Patient temperature (pt) was 38c, targeted temperature (tt) was 37c, water temperature (wt) was 26.9c, flow rate (fr) was 2.7lpm.Guided to diagnostics: system hours 2767, pump hours 438, chiller temperature (t4) was (chiller) 26.9c, mixing pump command (mpc) was 100 percent.Advised this device will need to go to biomed for repair.Per follow up information received via phone on 14may2026, transferred to the biomed.Spoke with biomed who stated they wanted to complete a pm on this device and required a quote for onsite vs depot assessment.No repairs made at this time.
 
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.
 
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Brand Name
ARCTIC SUN STAT
Common Device Name
ARCTIC SUN DEVICE
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 Key25234656
Report Number1018233-2026-03286
Device Sequence Number16024733
Product Code DWJ
UDI-Device Identifier00801741161520
UDI-Public(01)00801741161520(11)201229
Combination Product (Y/N)N
Initial Reporter StateCA
Initial Reporter CountryUS
PMA/510(K) Number
K200225
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) 06/10/2026
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 Number60000000L
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 05/13/2026
Supplement Date Received by Manufacturer06/10/2026
Initial Report FDA Received Date05/20/2026
Supplement Report FDA Received Date06/19/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured12/29/2020
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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