FDA Adverse Event Malfunction Summary report: N

UNKNOWN ARCTIC SUN TEMPERATURE CABLE

MDR report key: 21652983 · Received March 20, 2025

Report

Report Number
1018233-2025-01848
Event Type
Malfunction
Date Received
March 20, 2025
Date of Event
March 14, 2025
Report Date
August 13, 2025
Manufacturer
MEDIVANCE, INC. ¿ 1725056
Product Code
DWJ
PMA / PMN Number
K161602
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

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: 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.

Additional Manufacturer Narrative · 0

THE DEVICE WAS NOT RETURNED. THE REPORTED ISSUE WAS CONFIRMED. THE ROOT CAUSE FOR THE REPORTED EVENT COULD NOT BE DETERMINED. IT WAS REPORTED THAT THE BIOMED TRYING TO TROUBLESHOOT ARCTIC SUN DEVICE THAT WAS GIVING LOW FLOW. THEY TRIED TO TRANSFER TO TECH SUPPORT, BUT THEY STOPPED AND ASKED HOW TO CHECK THE EVENT LOG (THEY SEEMED UNFAMILIAR WITH THE DEVICE). EVENT LOG DID NOT SHOW ANY LOW FLOW ALERTS. ASKED IF THEY HAD DONE A CALIBRATION AND STATED THEIR CTU NEEDS TO BE CALIBRATED. WALKED THROUGH ENABLING MANUAL CONTROL AT 4C AND GUIDED TO SYSTEM DIAGNOSTICS, SYSTEM HOURS 2976, PUMP HOURS 2833, INLET PRESSURE (IP) WAS -7PSI, CIRCULATION PUMP COMMAND (CPC) WAS 49 PERCENTAGE, FLOW RATE (FR) WAS 1.7LPM. EXPLAINED THEY SHOULD CALL IF WATER TEMPERATURE (WT) WAS NOT REACH 4C. IF IT DOES, CHANGE THE MANUAL CONTROL SCREEN TO 40C AND INCREASE TIME TO 30 MINUTES AGAIN. CALL BACK IF WATER TEMPERATURE (WT) DOES NOT INCREASE TO 40C. TRANSFERRED TO ESS TO GET THE CTU CALIBRATED. 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. A DHR REVIEW IS NOT REQUIRED AS THE SERIAL NUMBER IS UNKNOWN. THE REPORTED PRODUCT NUMBER IS UNKNOWN. THE UDI NUMBER FOR THIS PRODUCT IS NOT AVAILABLE. 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.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BIOMED TRYING TO TROUBLESHOOT ARCTIC SUN DEVICE THAT WAS GIVING LOW FLOW. THEY TRIED TO TRANSFER TO TECH SUPPORT, BUT THEY STOPPED AND ASKED HOW TO CHECK THE EVENT LOG (THEY SEEMED UNFAMILIAR WITH THE DEVICE). EVENT LOG DID NOT SHOW ANY LOW FLOW ALERTS. EVENT LOG SHOWED, 045 (ALERT) - AC POWER LOST, 14 (ALARM) - PROBE OUT OF RANGE, 27 (ALARM) - TEMPERATURE PROBE 2 OUT OF RANGE, 116 ¿ PATIENT TEMPERATURE NOT CHANGED (ALERT), 117 ¿ PATIENT TEMPERATURE NOT CHANGED (ALARM). ASKED IF THEY HAD DONE A CALIBRATION AND STATED THEIR CTU NEEDS TO BE CALIBRATED. WALKED THROUGH ENABLING MANUAL CONTROL AT 4C AND GUIDED TO SYSTEM DIAGNOSTICS, SYSTEM HOURS 2976, PUMP HOURS 2833, INLET PRESSURE (IP) WAS -7PSI, CIRCULATION PUMP COMMAND (CPC) WAS 49 PERCENTAGE, FLOW RATE (FR) WAS 1.7LPM. EXPLAINED THEY SHOULD CALL IF WATER TEMPERATURE (WT) WAS NOT REACH 4C. IF IT DOES, CHANGE THE MANUAL CONTROL SCREEN TO 40C AND INCREASE TIME TO 30 MINUTES AGAIN. CALL BACK IF WATER TEMPERATURE (WT) DOES NOT INCREASE TO 40C. TRANSFERRED TO ESS TO GET THE CTU CALIBRATED.

Description of Event or Problem · 0

IT WAS REPORTED THAT THE BIOMED TRYING TO TROUBLESHOOT ARCTIC SUN DEVICE THAT WAS GIVING LOW FLOW. THEY TRIED TO TRANSFER TO TECH SUPPORT, BUT THEY STOPPED AND ASKED HOW TO CHECK THE EVENT LOG (THEY SEEMED UNFAMILIAR WITH THE DEVICE). EVENT LOG DID NOT SHOW ANY LOW FLOW ALERTS. EVENT LOG SHOWED, 045 (ALERT) - AC POWER LOST, 14 (ALARM) - PROBE OUT OF RANGE, 27 (ALARM) - TEMPERATURE PROBE 2 OUT OF RANGE, 116 ¿ PATIENT TEMPERATURE NOT CHANGED (ALERT), 117 ¿ PATIENT TEMPERATURE NOT CHANGED (ALARM). ASKED IF THEY HAD DONE A CALIBRATION AND STATED THEIR CTU NEEDS TO BE CALIBRATED. WALKED THROUGH ENABLING MANUAL CONTROL AT 4C AND GUIDED TO SYSTEM DIAGNOSTICS, SYSTEM HOURS 2976, PUMP HOURS 2833, INLET PRESSURE (IP) WAS -7PSI, CIRCULATION PUMP COMMAND (CPC) WAS 49 PERCENTAGE, FLOW RATE (FR) WAS 1.7LPM. EXPLAINED THEY SHOULD CALL IF WATER TEMPERATURE (WT) WAS NOT REACH 4C. IF IT DOES, CHANGE THE MANUAL CONTROL SCREEN TO 40C AND INCREASE TIME TO 30 MINUTES AGAIN. CALL BACK IF WATER TEMPERATURE (WT) DOES NOT INCREASE TO 40C. TRANSFERRED TO ESS TO GET THE CTU CALIBRATED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1177647 UNKNOWN ARCTIC SUN TEMPERATURE CABLE ARCTIC SUN TEMPERATURE CABLE DWJ MEDIVANCE, INC. ¿ 1725056 NA

Patients

Seq Age Sex Outcome Treatment
1 NA Unknown Other