FDA

Enforcement Report

The FDA Enforcement Report is published weekly by the Food and Drug Administration, U.S. Public Health Service, Department of Health and Human Services. It contains information on actions taken in connection with agency regulatory activities.
 Enforce
08/13/1991   

Enforcement Report for August 14, 1991


                                                        August 14, 1991 

Recalls and Field Corrections:

                                     FOODS

                  Class I - A situation in which there is a reasonable
                  probability that the use of, or exposure to, a violative
                  Product will cause serious adverse health consequences or 
                  death.


Product:          Fresh Refrigerated Regular Crabmeat, in 1 pound plastic 
                  containers.  Recall #F-508-1. 
Code:             Not coded.
anufacturer:     Wicker's Crab and Seafood Company, Portsmouth, Virginia.
Recalled by:      Manufacturer, by telephone July 11, 1991.  Firm-initiated 
                  recall complete.
Distribution:     Virginia. 
Quantity:         144 pounds were distributed.
Reason:           Product is contaminated with Listeria monocytogenes.

                                     ---- 

                                      -1- 






                  Class II - A situation in which the use of, or exposure to
                  a violative product may cause temporary or medically
                  reversible adverse health consequences or where the 
                  probability of serious adverse health consequences is 
                  remote. 

                                     NONE 

                  Class III - A situation in which the use of, or exposure
                  to a violative product is not likely to cause adverse 
                  health consequences.


Product:          Chloroplex Tablets, in 60 tablet bottles, oil soluble 
                  chlorophyll with other factors.  Recall #F-509-1. 
Code:             Lot #18498 EXP 11/92. 
anufacturer:     V M Nutri, Inc., Batesville, Arkansas.
Recalled by:      Multiway Associates, Batesville, Arkansas, by telephone 
                  April 29, 1991.  Firm-initiated recall ongoing. 
Distribution:     Nationwide. 
Quantity:         164 bottles were distributed. 
Reason:           Product is subpotent in Vitamin A.

                                     ---- 

                                   COSMETICS

                                     NONE 

                           HUMAN DRUGS AND BIOLOGICS

                  Class I - 

                                     NONE 
                  Class II -

Product:          Operand Iodine Prep Solution - Povidone Iodine Solution - 
                  Povidone Iodine USP - 1% Available Iodine - Antiseptic/ 
                  Microbicide - For Hospital and Professional Use.
                  Recall #D-514-1.
Code:             All product bearing the statement "Dilute to half strength
                  for ophthalmic use".
anufacturer:     Redi Product, Prichard, West Virginia.
Recalled by:      General Medical Manufacturing Company, Richmond, Virginia,
                  by letter May 9, 1991 and July 13, 1991.  Firm-initiated
                  recall ongoing. 
Distribution:     Nationwide, Canada. 
Quantity:         Firm estimates little to no recalled product remains
                  on the market.
Reason:           Label bears unapproved indication for ophthalmic use. 

                                     ---- 


                                      -2- 





Product:          Clenbuterol Tablets, 20 mcg, in 50 tablet bottles.
                  Recall #D-517-1.
Code:             None
anufacturer:     Nutritional Marketing Inc., Richards Products, Inc.,
                  Pompano Beach, Florida (distributor). 
Recalled by:      Distributor, by letter May 2, 1991.  Firm-initiated recall
                  ongoing.
Distribution:     North Carolina. 
Quantity:         1,527 bottles were distributed. 
Reason:           Product is an unapproved new drug.

                                     ---- 

Product:          Human Alpha Interferon.  Recall #B-308-1. 
Code:             Lot numbers 1.2.3.5 and 8.9.13. 
anufacturer:     National Geno Sciences, Inc., Southfield, Michigan. 
Recalled by:      Manufacturer, by letter June 2, 1990 followed by letter 
                  June 5, 1990.  Firm-initiated recall complete.
Distribution:     India.
Quantity:         3,000 vials.
Reason:           Interferon that was not approved for human use was
                  distributed.
                                     ---- 

Product:          Platelets.  Recall #B-358-1.
Code:             Unit #3232358.
anufacturer:     Central Indiana Regional Blood Center, Inc., Indianapolis,
                  Indiana.
Recalled by:      Manufacturer, by telephone March 11, 1991 and by letter 
                  dated April 12, 1991.  Firm-initiated recall complete.
Distribution:     Indiana.
Quantity:         1 unit. 
Reason:           Blood product, which tested repeatably reactive for 
                  the antibody to the hepatitis C virus (anti-HCV), was 
                  distributed.

                                     ---- 

Product:          Red Blood Cells.  Recall #B-359-1.
Code:             Unit #S25368. 
anufacturer:     Mississippi Valley Regional Blood Center, Davenport,
                  Iowa. 
Recalled by:      Manufacturer, by telephone May 29, 1991.
                  Firm-initiated recall complete. 
Distribution:     Illinois. 
Quantity:         1 unit. 
Reason:           Blood product, which tested non-reactive for the
                  antibody to the hepatitis C virus (anti-HCV), 
                  but was collected from a donor who previously tested
                  repeatably reactive for anti-HCV, was distributed.

                                     ---- 


                                      -3- 





                  Class III - 

Product:          Rugby brand Calcium Carbonate 10 Grain Tablets, in
                  1,000 tablet bottles, for the relief of acid
                  indigestion, heartburn, sour stomach, and upset stomach 
                  associated with these symptoms.  Recall #D-515-1. 
Code:             3976-0930 EXP 3/93. 
anufacturer:     Tishcon Corporation, Westbury, New York (bulk)
Recalled by:      Manufacturer, by letter July 2, 1991.  Firm-initiated 
                  recall ongoing. 
Distribution:     Nationwide. 
Quantity:         3,200 bottles were distributed. 
Reason:           Product contains foreign niacin tablets.

                                     ---- 

Product:          Fluocinolone Acetonide USP 0.01% Topical Solution, in 
                  60 ml bottles, an Rx topical product sold under the 
                  Bausch and Lomb brand label.  Recall #D-516-1.
Code:             Lot #9970 EXP 4/93. 
anufacturer:     Bausch & Lomb Pharmaceuticals Division, also known as 
                  Pharmafair Inc., Hauppauge, New York. 
Recalled by:      Bausch & Lomb Pharmaceuticals Division, Tampa, Florida, 
                  by letter June 24, 1991.  Firm-initiated recall ongoing.
Distribution:     Nationwide. 
Quantity:         2,379 units were distributed. 
Reason:           The product was inadvertently labeled as a sterile
                  topical solution. 

                                     ---- 

Product:          (a) Heparin Lock Flush Solution, USP, 100 USP unit
                  packages of 50 tubex, 1 ml size;
                  (b) Heparin Lock flush Solution, USP, 10 USP unit 
                  packages of 50 tubex, 1 ml size.  Recall #D-518/519-1.
Code:             All codes except lots with the first four digits 2910 
                  and 4915. 
anufacturer:     Wyeth-Ayerst Laboratories Inc., Radnor, Pennsylvania. 
Recalled by:      Manufacturer, by visit July 26, 1991 and by letter
                  July 29, 1991.  Firm-initiated recall ongoing.
Distribution:     Nationwide. 
Quantity:         (a) 606,411 packages were produced; firm estimates
                  7,500 packages of 50 tubex remain on the market;
                  (b) 510,410 packages were produced; firm estimates 7,500
                  packages of 50 tubex remain on the market.
Reason:           Products manufactured using procedures pending New
                  Drug Application supplement approval. 

                                     ---- 

Product:          Red Blood Cells.  Recall B-360-1. 
Code:             Unit #3301267.
anufacturer:     Blood Bank of Alaska, Inc., Anchorage, Alaska.

                                      -4- 





Recalled by:      Consignee notified firm of labeling error February, 22, 
                  1991.  Recall complete. 
Distribution:     Alaska. 
Quantity:         1 unit. 
Reason:           Blood component was distributed labeled with an 
                  incorrect expiration date.

                                     ---- 

                       DEVICES AND RADIOLOGICAL PRODUCTS


                  Class I - 

Product:          Reflex Model 8220 Multiprogrammable SSIC Pulse
                  Generator with Telemetry, an implantable pacemaker, 
                  class III critical Rx device.  Recall #Z-646-1. 
Code:             Catalog #031-139.  Various specific individual serial 
                  numbers beginning with the letter "A", produced from
                  January 1989 until May 1990.
anufacturer:     Telectronics Proprietary, Ltd., Sydney, Australia.
Recalled by:      Telectronics Pacing Systems, Inc., Englewood, Colorado, 
                  by letter April 5, 1991.  Firm-initiated recall ongoing.
Distribution:     Nationwide, Canada. 
Quantity:         1,604 units were distributed. 
Reason:           The ceramic terminal feedthrough may crack causing
                  a loss of hermeticity and subsequent loss of output.

                                     ---- 

                  Class II -

Product:          Vertical Cassette Stand Model KS80, with automatic
                  cassette centering and collimator sensing.
                  Recall #Z-742-1.
Code:             Models within serial numbers 100 - 1998.
anufacturer:     Hans-Pausch Rontgengeratebau, GMbH. 
Recalled by:      Pausch Corporation, Little Silver, New Jersey, by 
                  letter October 27, 1987.  Firm-initiated recall ongoing.
Distribution:     Nationwide, Canada. 
Quantity:         Firm estimated 1,146 units remained on market at time 
                  of recall.
Reason:           The cassette positioning bar may release inadvertently
                  and cause injury to the staff or patient. 

                                     ---- 

Product:          SLT Connectors (fiber optic cable adaptors).
                  Recall #Z-769-1.
Code:             Undetermined. 
anufacturer:     Surgimedics/SLP, Inc., The Woodlands, Texas.

                                      -5- 





Recalled by:      Manufacturer.  FDA approved the firm's corrective 
                  action plan February 21, 1991.  Firm-initiated field
                  correction ongoing. 
Distribution:     Nationwide. 
Quantity:         5 units were distributed. 
Reason:           Noncompliance with performance standard for laser products
                  in that modifications made to fiber optic connectors owned
                  by the users to accommodate disposable fiber optic
                  cables, rendered the required safety interlocks of the host 
                  laser defeated upon removal of the disposable cables. 

                                     ---- 

Product:          Heart/Respiration Monitors: 
                  (a) Model 2000W Heart/Respiration Monitor (Home use) -
                  Revision G Operator Manual; 
                  (b) Model 2000W Option H Heart/Respiration Monitor
                  (Hospital use) - Revision E Operator's Manual.
                  Recall #Z-752/753-1.
Code:             Serial numbers: (a) 24136 to 24883 with some sequential 
                  omissions, 3980, 4132, 4135, 20118, 21108, 21398, 22428,
                  23349, 23625, 23991; (b) 7180 to 7330 with some sequential
                  omissions, 4579, 4598, 5123, 5517, 6189, 8266.
anufacturer:     EdenTec Corporation, Eden Prairie, Minnesota. 
Recalled by:      Manufacturer, by letter May 13, 1991.  Firm-initiated 
                  field correction ongoing. 
Distribution:     Nationwide, Canada, Germany.
Quantity:         750 manuals were distributed with monitors. An
                  additional 317 home monitor manuals and 83 hospital 
                  monitor manuals were distributed to customers to
                  fulfill orders for the manuals only.
Reason:           The Operator's Manual covers were switched, which 
                  resulted in manuals with correct cover pages, but 
                  inappropriate text.  The cover identifying the manual as
                  being Revision G for the Model l2000W (home) actually 
                  contains the text of the Revision E manual for the Model
                  2000W Option H (hospital), and vice versa.

                                     ---- 

Product:          Toshiba CT Scanner Systems: 
                  (a) Model TCT-80; (b) Model TCT-60AX; 
                  (c) Model TCT-300S; (d) Model TCT-400;
                  (e) Model TCT-500S; (f) Model TCT-600HQ;
                  (g) Model TCT-600XT; (h) Model TCT-600S;
                  (i) Model TCT-900S; (j) Model TSX-001.
                  Recall #Z-784/793-1.
Code:             Serial numbers:  Undetermined.
anufacturer:     Toshiba America Medical Systems, Inc., Tustin, California.
Recalled by:      Manufacturer.  FDA approved the firm's corrective action
                  plan June 14, 1991.  Firm-initiated field correction ongoing. 
Distribution:     Nationwide. 

                                      -6- 





Quantity:         381 units were distributed. 
Reason:           Product failed to meet manufacturer's specifications for
                  computed tomography dose index, failed to provide all dose
                  measurements required by regulations, and failed to 
                  provide change of accuracy specifications for kVp and mA. 

                                     ---- 

Product:          Tru-Sound Model TS9200 Portable Ultrasound Theraphy Unit
                  with Applicator Model K003.  Recall #Z-800-1. 
Code:             Serial numbers:  Undetermined.
anufacturer:     Tru-Trac Theraphy Products, Inc., Temecula, California. 
Recalled by:      Manufacturer.  FDA approved the frim's corrective action
                  plan June 14, 1991.  Firm-initiated field correction
                  ongoing.
Distribution:     California, Colorado, Georgia, Hawaii, Massachusetts, 
                  New York, Pennsylvania, South Carolina, Texas, Virginia,
                  Canada. 
Quantity:         100 units were distributed. 
Reason:           Noncompliance with performance standards for ultrasonic 
                  radiation-emitting products in that the specifications
                  of the ultrasonic beams exceed the required limits. 
                  Equipment labeling was also inadequate. 

                                     ---- 

Product:          Abbott IMx CEA (Carcinoemybryonic antigen) Reagent Pack,
                  used for in-vitro diagnostic testing.  Recall #Z-806-1. 
Code:             List #2272-20, Lot numbers: 50195M100, 50195M101, 50965M200.
anufacturer:     Abbott Laboratories, Abbott Park, Illinois. 
Recalled by:      Manufacturer, by telephone March 20, 1991 and April 3,
                  1991.  Firm-initiated recall ongoing. 
Distribution:     Nationwide. 
Quantity:         1,455 kits were distributed; firm estimates none
                  remains on the market.
Reason:           The reagents expiration dating period has been found to 
                  be unstable.  This could lead to potential error in 
                  diagnosis and treatment.

                                     ---- 

Product:          Nephrostomy Drainage Catheters: 
                  (a) Reorder No. PU8.5-38-25-P-40-NCL Cook-Cope Type 
                  Loop Nephrostomy Catheter 8.5 French, 25cm Catheter;
                  (b) Reorder No. PU10.2-38-25-P-4S-NCL, Cook-Cope Type 
                  Loop Nephrostomy Catheter 10.2 French, 25cm Catheter; 
                  (c) Reorder No. NCL-8.5, 8.5 French Cook-Cope Type
                  Loop Nephrostomy Set; 
                  (d) Reorder No. NCL-10.2 French Cook-Cope Type
                  Nephrostomy Set.  Recall #Z-883/886-1.
Code:             Lot numbers:  (a) 284693 through 284698, 285855 through 
                  285860, 288301 through 288306, 289644 through 289648, 
                  291779, 291780, 292872, 293925, 293927, 297382, 297384, 
                  297386, 297389, 297391, 297394; 
                                      -7- 





                  (b) 284685 through 284688, 285845, 285846, 285847, 296190,
                  287124 through 287127, 288296 through 288299, 289630, 
                  289631, 289632, 289633, 290717 through 290720, 291765,
                  291766, 291768, 292860, 292861, 292862, 292863, 296189; 
                  (c) 283515, 284680, 284681, 287119, 287120, 288294, 288294A,
                  288295, 292855, 292856, 297373, 297373A,; 
                  (d) 283511, 285839, 285840, 288291, 288292, 288292A,
                  289624, 289625, 289625A, 291761, 291762, 292853, 292853A, 
                  292853B, 292853C. 
anufacturer:     William Cook Europe A/S, Denmark. 
Recalled by:      Cook, Inc., Bloomington, Indiana, by letter May 17, 1991. 
                  Firm-initiated recall ongoing.
Distribution:     Nationwide, Puerto Rico.
Quantity:         3,735 units were distributed. 
Reason:           Leakage may occur around the exit site of the drawstring. 

                                     ---- 

Product:          Occucoat Ophthalmic Surgical Aid, 20 mg/ml, sterile 
                  solution, contained in a 1 ml single-use syringe, an Rx 
                  ophthalmic surgical aid for use in anterior segment surgery 
                  introduced via syringe/cannula/needle.  Recall #Z-887-1.
Code:             Lot #M325HB 8.92. 
anufacturer:     Sterling Drug, Inc., McPherson, Kansas. 
Recalled by:      Storz Ophthalmics, Inc., Clearwater, Florida, by letter 
                  dated July 3. 1991.  Firm-initiated recall ongoing. 
Distribution:     Florida, Texas, Arizona, California, Vinezuela, Chile,
                  Colombia, Germany, Australia, Guatemala, Puerto Rico, 
                  Brazil, Argentina.
Quantity:         6,478 units were distributed. 
Reason:           Filters used in processing the device failed post processing
                  membrane integrity testing.  The product may not be sterile.

                                     ---- 

Product:          Contraceptive Latex Diaphragms, all sizes:
                  (a) Koromex Coil Spring Diaphragm;
                  (b) Koro-Flex Arcing Diaphragm.  Recall #Z-889/890-1. 
Code:             Lot numbers:  (a) 330, 340, 350, 360, 370, 390, 400, 410, 
                  420, 430M, 440, 0450, 490M; 
                  (b) 280, 300, 430, 470, 490, 500. 
anufacturer:     Schmid Laboratories, Anderson, South Carolina.
Recalled by:      London International US Holdings, Inc., Sarasota, 
                  Florida, by telephone beginning April 20, 1991 followed 
                  by letter April 29, 1991.  Firm-initiated recall ongoing. 
Distribution:     Nationwide, England, Canada.
Quantity:         Approximately (a) 24,258 units; (b) 5,543 units were
                  distributed; firm estimates 4,585 units remain on the 
                  market. 
Reason:           Latex tearing at seam near spring mechanism of the
                  device. 
                                     ---- 

                                      -8- 





Product:          GS-1002 Grasping Forcep with Ratchet Handle.
                  Recall #Z-888-1.
Code:             None. 
anufacturer:     Trimed, Warsaw, Indiana.
Recalled by:      Solos Endoscopy, Duluth, Georgia, by telephone and by 
                  letter April 24, 1991.  Firm-initiated recall ongoing.
Distribution:     Nationwide and international. 
Quantity:         142 units were distributed. 
Reason:           The black coating used on the barrel of the instrument
                  may flake off during use into the patient or during the 
                  sterilization process.

                                     ---- 

                              VETERINARY PRODUCTS 

                                     NONE 

edical Device Safety:

Product:          Hope III Resuscitator, a manually operated resuscitator 
                  used for emergency treatment of victims suffering from
                  respiratory failure:
                  (a) Pediatric Version;
                  (b) Adult Version.  Safety Alert #M-027/028-1.
Code:             All units.
anufacturer:     Matrx Medical, Inc., Orchard Park, New York.
Alerted by:       Manufacturer, by letter May 24, 1991. 
Distribution:     Nationwide and international. 
Quantity:         25,601 units were distributed.
Reason:           The patient valve of the Hope III Resuscitator is 
                  subject to sticking and blocking exhalation as the
                  result of improper cleaning.