AMS-651, 120" Microbore extension set with slide clamp; Product Code: AMS-651 Product Usage: ...

FDA Device Recall #Z-0787-2017 — Class II — November 18, 2016

Recall Summary

Recall Number Z-0787-2017
Classification Class II — Moderate risk
Date Initiated November 18, 2016
Status Terminated
Voluntary Voluntary: Firm initiated

Recalling Firm

Firm Vygon MFG, Inc., dba/ Churchill Medical Systems, Inc.
Location Dover, NH
Product Type Devices
Quantity 31,500

Product Description

AMS-651, 120" Microbore extension set with slide clamp; Product Code: AMS-651 Product Usage: Accessory devices used to administer medical fluids.

Reason for Recall

Incorrect priming volume is printed on the device package.

Distribution Pattern

US distribution in the state of CA

Lot / Code Information

1601064D 1603065D 1605009D 1606038D 1607016D 1607072D 1608067D 1609069D

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Frequently Asked Questions

Contact your healthcare provider and the device manufacturer immediately. Check whether your specific model number and lot number are included in the recall scope. For external devices, stop using the affected product and arrange a replacement. For implanted devices, do not panic — removal is typically not required unless the risk assessment clearly indicates it. Your physician will guide you based on your individual clinical situation and the FDA's recommended actions. Report any adverse effects you may have experienced to FDA MedWatch at 1-800-FDA-1088.

Class I recalls indicate a reasonable probability of serious adverse health consequences or death from the defect. Class II recalls involve products that may cause temporary or medically reversible adverse health consequences, or where serious consequences are remote. Class III recalls cover products not likely to cause any adverse health consequences, typically involving technical regulatory violations. The classification guides urgency — Class I recalls require immediate action, while Class III may simply involve returning a product or acknowledging a labeling change. Always read the specific recall notice for recommended patient actions.

Report problems with medical devices to the FDA through MedWatch at 1-800-FDA-1088 or online at FDA.gov/safety/medwatch. Healthcare facilities are required by law to report device-related serious injuries and deaths. Patients and consumers can also report voluntarily. Include the device name, manufacturer, model number, and a description of the problem and any patient outcome. Reports from patients and clinicians help the FDA identify emerging safety signals and may trigger investigations that lead to recalls of dangerous devices.

What Should You Do?

Stop using this device if you are affected by this recall. Contact your healthcare provider and the manufacturer immediately for guidance. Report adverse events to FDA MedWatch.