ClearanceBrief
Recall Z-1484-2017 ยท FPA Set, Administration, Intravascular

Vygon MFG, Inc., dba/ Churchill Medical Systems, Inc.

AMS-636, 60" Microbore extension set. Product Usage: Accessory devices used to administer medical fluids.

DateFeb 20, 2017
StatusTerminated
ReasonIncorrect priming volume printed on the device package.
Root causeError in labeling
ActionRecall letters were sent to the customer via email and fax on 2/20/2017. They were asked to take the following actions: The recall will be conducted at no cost to you. To effect return of the recalled product and replacement with new inventory, we request your cooperation in the following steps: 1. Check your stock for the products included within the scope of the recall. Immediately cease use and distribution, and quarantine all affected product immediately; 2. Count and document your affected inventory on the "Recall Acknowledgement and Inventory Return Form; 3. Fax or email the form to Vyg
Quantity30,700
DistributionUS Nationwide Distribution in the states of NJ, TX, VA, FL, VA, MA, IL, MI, NY, OH, WA, PA, WV
FDA recordOpen on fda.gov

510(k) clearances named in this recall

K021395MODIFICATION TO 30 EXTENSION SET
Churchill Medical Systems, Inc., May 13, 2002