MAUDE MDR 9873425

MDR report key
9873425
Report number
1018233-2020-02054
Event key
0
Event type
3
Date received
2020-03-24
Adverse event
3
Product problem
3
Patients in event
0
Reporter occupation
2
Health professional
3
Initial report to FDA
3
Event location
3

Manufacturer Contact#

Contact
YONIC ANDERSON
Address
8195 INDUSTRIAL BLVD COVINGTON GA 30014 US
Phone
770-770-7707
Report source
M
Manufacturer link flag
Y

Devices#

Seq, Brand, Generic table
SeqBrandGenericManufacturerProduct codeModelCatalogLotPMA510(k)ImplantEvaluatedAvailability
1ARCTICSUN 5000ARCTIC SUN DEVICEMEDIVANCE, INC. ? 1725056DWJ5000000050000000NA* Y

Patients#

Sequence, Received, Treatment table
SequenceReceivedTreatmentOutcome
12020-03-2401. R

Event Narratives#

N

Patient 1

THE INVESTIGATION IS STILL IN PROGRESS. ONCE THE INVESTIGATION IS COMPLETE, A SUPPLEMENTAL REPORT WILL BE FILED.

D

Patient 1

IT WAS REPORTED THAT THE ARCTIC SUN DEVICE WAS INSUFFICIENTLY COOLING A PATIENT. THE TARGET TEMPERATURE WAS 33C AND THE PATIENT REACHED 37.1C. THE WATER TEMPERATURE WAS 5C AND THE FLOW RATE WAS OPTIMAL. THE PATIENT WAS SEDATED BUT NOT PARALYZED. MS&S ADVISED THAT THE DEVICE WAS RESPONDING APPROPRIATELY.