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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 60000000
Medical Device Problem Code Insufficient Heating (1287)
Health Effect - Clinical Code No Clinical Signs, Symptoms or Conditions (4582)
Date of Event 07/08/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that nurse was trying to warm the patient, but the water temperature was not responding in arctic sun device.The patient temperature was 36c, target temperature was 38c, water temperature was 27.8c, flow rate was 2.9lpm.Confirmed normothermia case, the rate set to 0.25c.Device had only been running for about one hour, so the graph did not reveal very much information.The nurse elected to change the rate to 0.5c.No alerts or alarms.The nurse will call back if the patient temperature does not respond appropriately, or if there are any alerts/alarms.
 
Additional Manufacturer Narrative
The investigation is still in progress.Once the investigation is complete a supplemental report will be filed.Initial reporter name: (b)(6) hospital.Udi format updated with available product information per gudid.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 Stat
Common Device Name
Arctic Sun Device
Manufacturer (Section D)
MEDIVANCE, INC. ¿ 1725056
321 s taylor ave
suite 200
louisville 80027
Manufacturer (Section G)
MEDIVANCE, INC. ¿ 1725056
321 s taylor ave
suite 200
louisville 80027
Manufacturer Contact
xeeroy rada
8195 industrial blvd
covington, GA 30014
+1(770)784-6100
MDR Report Key25820581
Report Number1018233-2026-04637
Device Sequence Number15893890
Product Code DWJ
UDI-Device Identifier00801741161513
UDI-Public(01)00801741161513(11)250214
Combination Product (Y/N)N
Initial Reporter StateMO
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) 07/23/2026
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 Number60000000
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Was the Report Sent to FDA? No
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 07/08/2026
Supplement Date Received by Manufacturer07/23/2026
Initial Report FDA Received Date07/14/2026
Supplement Report FDA Received Date07/27/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured02/14/2025
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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