ARCTICSUN 5000 50000000

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed from a health professional,other report with the FDA on 2020-03-19 for ARCTICSUN 5000 50000000 manufactured by Medivance, Inc. ? 1725056.

Event Text Entries

[186334207] The investigation is still in progress. Once the investigation is complete, a supplemental report will be filed.
Patient Sequence No: 1, Text Type: N, H10


[186334208] It was reported that the patient was not warming on the arctic sun device. The patient was 33. 9c and the goal was 33c. The patient started rewarming less than 5 hours before, and was on continuous venovenous hemodiafiltration. The return was set for 37. 9c. They turned on a vent warmer and ms&s suggested a bair hugger. The patient was on dialysis.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number1018233-2020-01970
MDR Report Key9857035
Report SourceHEALTH PROFESSIONAL,OTHER
Date Received2020-03-19
Date of Report2020-03-19
Date Mfgr Received2020-02-26
Date Added to Maude2020-03-19
Event Key0
Report Source CodeManufacturer report
Manufacturer LinkY
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Manufacturer ContactYONIC ANDERSON
Manufacturer Street8195 INDUSTRIAL BLVD
Manufacturer CityCOVINGTON GA 30014
Manufacturer CountryUS
Manufacturer Postal30014
Manufacturer Phone7707846100
Manufacturer G1MEDIVANCE, INC.
Manufacturer Street321 S TAYLOR AVE
Manufacturer CityLOUISVILLE CO 80027
Manufacturer CountryUS
Manufacturer Postal Code80027
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameARCTICSUN 5000
Generic NameARCTIC SUN DEVICE
Product CodeDWJ
Date Received2020-03-19
Model Number50000000
Catalog Number50000000
Lot NumberNA
OperatorHEALTH PROFESSIONAL
Device AvailabilityY
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerMEDIVANCE, INC. ? 1725056
Manufacturer Address321 S TAYLOR AVE LOUISVILLE CO 80027 US 80027


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-19

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