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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 09/08/2026
Type of Reportable Event Malfunction
Event or Problem Description
It was reported that the biomed stated the arctic sun device was not warming the patient.
 
Event or Problem Description
It was reported that the biomed stated the arctic sun device was not warming the patient.
 
Additional Manufacturer Narrative
The reported issue was confirmed.The root cause for the reported event could not be determined.The repairs for the reported event are currently unknown but will be updated if more information is provided.Review of the dhr did not indicate any manufacturing nonconformance that could have caused and or contributed to the reported event.The instructions for use are found to be adequate.The ifu currently instructs the user on the proper method to use this device to avoid undue injury to the patient and damage to the product.Based on the results of the investigation, no additional actions are needed.Corrections: b, d, 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.
 
Additional Manufacturer Narrative
The device was not returned.Reported issue: it was reported that the biomed stated the arctic sun device was not warming the patient.Reported issue root cause: the root cause for the reported event could not be determined.Repairs related to the reported issue: the repairs for the reported event are currently unknown but will be updated if more information is provided.The reported issue was confirmed.The root cause for the reported event could not be determined.The repairs for the reported event are currently unknown but will be updated if more information is provided.Review of the dhr did not indicate any manufacturing nonconformance that could have caused and/or contributed to the reported event.The instructions for use are found to be adequate.The ifu currently instructs the user on the proper method to use this device to avoid undue injury to the patient and damage to the product.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 CO 80027
Manufacturer Contact
xeeroy rada
8195 industrial blvd
covington, GA 30014
+1(770)784-6100
MDR Report Key50739295
Report Number1018233-2026-05884
Device Sequence Number13397470
Product Code DWJ
UDI-Device Identifier00801741161513
UDI-Public(01)00801741161513(11)260729
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,Followup
Report Date (Section B) 09/18/2026
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
Type of Report(Section G)Thirty-Day
Initial Date Received by Manufacturer 09/08/2026
Supplement Date Received by Manufacturer09/15/2026
09/18/2026
Initial Report FDA Received Date09/11/2026
Supplement Report FDA Received Date09/17/2026
09/23/2026
Was Device Evaluated by Manufacturer? (Y/N) No
Date Device Manufactured07/29/2026
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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