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.
 Enforcement
07/23/1991     

Enforcement Report for week of July 24, 1991


                                                      July 24, 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.

                                     NONE 

                  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. 


Product:          Earthenware dinner platters:
                  (a) Round Deep Platter; 
                  (b) Octagonal Platter;
                  (c) Round, Shallow Platter (Blue Rim);
                  (d) Round, Shallow Platter (Green Rim). 
                  Recall #F-486/489-1.

                                      -1- 






Code:             (a) Style #91011; 
                  (b) Style #91014; 
                  (c) Style #91012; 
                  (d) Style #91013. 
Manufacturer:     I.M.A. Ceramiche Artistiche, Italy. 
Recalled by:      Macy's California Inc., San Francisco, California, by 
                  removing platters from retail shelves on November 19, 1990
                  and by placing signs in retail stores on February 1, 1991 
                  instructing consumers to return the round deep platter and
                  the octagonal platter.  Firm-initiated recall ongoing.
Distribution:     California. 
Quantity:         22 platters were distributed. 
Reason:           Products contains excessive leachable lead. 

                                     ---- 

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


Product:          Mountain water in 16 ounce containers:
                  (a) Sunrise Mountain Water; (b) Greene Mountain Spring
                  Water.  Recall #F-484/485-1.
Code:             (a) EXP date of AUG 27; (b) EXP dates of MAY 19,
                  JUNE 24 and AUG 27. 
Manufacturer:     Arcadia Dairy Farms, Inc., Arden, North Carolina. 
Recalled by:      Manufacturer, by telephone in late April 1991.
                  Firm-initiated recall ongoing.
Distribution:     (a) South Carolina, Alabama, North Carolina, Tennessee; 
                  (b) Tennessee.
Quantity:         (a) 275 cases (25 containers/case); (b) 843 cases 
                  (25 containers/case) were distributed; firm estimates 
                  none remains on the market. 
Reason:           Product contains yeast. 

                                     ---- 

Product:          Vitamin B-1 Tablets, 100 mg, in 100 tablet bottles. 
                  Recall #F-490-1.
Code:             Lot #87A91219 EXP 11/92.
Manufacturer:     Nutro Laboratories, Inc., South Plainfield, New Jersey. 
Recalled by:      Goldline Laboratories, Fort Lauderdale, Florida, by 
                  telephone May 10, 1991.  Firm-initiated recall ongoing. 
Distribution:     Nationwide. 
Quantity:         5,000 bottles were distributed; firm estimates none 
                  remains on the market.
Reason:           Vitamin B-6 Tablets mixed in with Thiamine (Vitamin 
                  B-1) Tablets. 

                                     ---- 

                                      -2- 





                                   COSMETICS

                                     NONE 

                           HUMAN DRUGS AND BIOLOGICS

                  Class I - 

                                     NONE 
                  Class II -

Product:          Medihaler Ergotamine with Oral Adapter (aerosol drug
                  dispenser for migraine headaches), ergotamine tartrate
                  9.0 mg/ml in a dispenser holding 2.5 ml.  Recall #D-494-1.
Code:             Lot 901346. 
Manufacturer:     3M Pharmaceuticals, Northridge, California. 
Recalled by:      3M Pharmaceuticals (formerly 3M Riker), St. Paul, Minnesota,
                  by letter June 21, 1991.  Firm-initiated recall ongoing.
Distribution:     Nationwide and Australia. 
Quantity:         24,060 vials were distributed.
Reason:           Increased frequency of adverse reactions. 

                                     ---- 

Product:          (a) Extendryl Jr. Capsules T.D., and in 100-capsule and 
                  1,000-capsule bottles;
                  (b) Extendryl Sr. Capsules, in 100-capsule and 1,000- 
                  capsule bottles, an Rx antihistaminic-decongestant. 
                  Recall #D-496/497-1.
Code:             All lots. 
Manufacturer:     Fleming & Company, Fenton, Missouri (repacker/responsible 
                  firm).
Recalled by:      Manufacturer, by letter June 5, 1991.  Firm-initiated 
                  recall ongoing. 
Distribution:     Nationwide. 
Quantity:         (a) 37,994,000 capsules; (b) 48,086,000 capsules were 
                  distributed; firm estimates 4,000 bottles (both sizes and 
                  strengths) remain on the market.
Reason:           Products do not meet potency specifications.

                                     ---- 

Product:          S.P.T. Thyroid Capsules (a) 1 gr; (b) 2 gr; (c) 3 gr; 
                  (d) 5 gr strengths, packaged in bottles containing 100
                  and 1,000 gel-caps, 12 or 24 bottles per case, an 
                  Rx product.  Recall #D-498/501-1. 
Code:             All lots. 
Manufacturer:     Fleming & Company, Inc., Fenton, Missouri (repacker/
                  responsible firm).
Recalled by:      Manufacturer, by letter June 5, 1991.  Firm-initiated 
                  recall ongoing. 
Distribution:     Nationwide. 

                                      -3- 





Quantity:         (a) 1,948,414; (b) 1,435,981; (c) 1,587,586; (d) 450,700
                  capsules were distributed; firm estimates 300 bottles 
                  remain on the market. 
Reason:           Products do not meet potency specifications.

                                     ---- 

Product:          Mebaral, Mephobarbital Tablets, USP, 100 mg (1 1/2 grains), 
                  in 250-tablet bottles, an Rx drug used as an anticonvulsant 
                  in the treatment of chronic epilepsy.  Recall #D-502-1. 
Code:             Lot numbers 615BE, 649BK, 641CE, 610CN, 655DC, 610BH, 
                  688CC, 652CH, 638DA, 649DD. 
Manufacturer:     Winthrop Pharmaceuticals, Renssaler, New York.
Recalled by:      Sterling Drug, Inc., New York, New York, by letter
                  April 29, 1991.  Firm-initiated recall ongoing. 
Distribution:     Nationwide. 
Quantity:         3,456 units (615BE), 5,772 units (649BK), 8,640 units 
                  (641CE), 8,580 units (610CN), 8,196 units (652CH),
                  8,117 units (688CC), 8,556 units (655DC), 8,023 units 
                  (638DA), 8,052 units (649DD) were distributed; firm 
                  estimates very few of the bottles remain on the market. 
Reason:           Product fails dissolution specifications. 

                                     ---- 

Product:          Rugby brand Amitriptyline HCl Tablets, 75 mg, in
                  100 and 500-tablet bottles, an Rx antidepressant. 
                  Recall #D-505-1.
Code:             Lot numbers: 008NC052, 010NC055, 011NC015, 011NC016,
                  011NC020, 011NC039, 012NC040. 
Manufacturer:     Chelsea Laboratories, Inc., Monroe, North Carolina. 
Recalled by:      Manufacturer, by letter May 16, 1991.  Firm-initiated 
                  recall ongoing. 
Distribution:     Unknown.
Quantity:         19,822 bottles of 100 and 2,015 bottles of 500
                  were distributed. 
Reason:           Incorrect quantities of two inactive ingredients. 

                                     ---- 

Product:          Barr Laboratories brand Ibuprofen Tablets, 200 mg,
                  oral OTC analgesic, packaged in bulk only, repackaged 
                  under the following labels:  Safeway, Pharmacist formula
                  label, and Vitafresh.  Recall #D-506-1. 
Code:             Lot #1BD0154. 
Manufacturer:     Barr Laboratories, Northvale, New Jersey. 
Recalled by:      Barr Laboratories, Inc., Pomona, New York, by 
                  telephone June 4, 1991, followed by letter
                  June 4 and 5, 1991.  Firm-initiated recall ongoing. 
Distribution:     Nationwide. 
Quantity:         4,844,082 tablets were distributed. 

                                      -4- 





Reason:           A bottle of Ibuprofen tablets contained a foreign 
                  tablet identified as a Barr furosemide 40 mg tablet.

                                     ---- 

Product:          Prochlorperazine Maleate Tablets, USP, 5 mg, unit 
                  dose packaged 10 tablets per card, 10 cards per 
                  box, an Rx oral medication for the treatment of severe
                  nausea and vomiting, and manifestations of psychotic
                  disorders.  Recall #D-507-1.
Code:             Item 71905, Lot #0P047 EXP 4/92, #OS130 EXP 9/92. 
Manufacturer:     Duramed Pharmaceuticals, Inc., Cincinnati, Ohio.
Recalled by:      UDL Laboratories, Inc., Rockford, Illinois, by letter 
                  June 25, 1991.  Firm-initiated recall ongoing.
Distribution:     Nationwide. 
Quantity:         8,508 unit dose cartons were distributed; firm estimates
                  35 percent remains on the market. 
Reason:           Lack of assurance of bioequivalency.

                                     ---- 
 
Product:          Platelets, Pheresis.  Recall #B-254-1.
Code:             Unit numbers: 3308952, 3308953, 3308954.
Manufacturer:     Central Indiana Regional Blood Center, Inc., Indianapolis,
                  Indiana.
Recalled by:      Consignee discovered labeling error March 14, 1991, and 
                  returned two units to manufacturer for relabeling.  One 
                  unit was corrected by manufacturer.  Recall complete. 
Distribution:     Indiana.
Quantity:         3 units.
Reason:           Blood products labeled with incorrect expiration dates
                  were distributed. 

                                     ---- 

Product:          Recovered Plasma.  Recall #B-307-1. 
Code:             Unit #26630.
Manufacturer:     LaGuardia Hospital, Forrest Hills, New York.
Recalled by:      Manufacturer, by telephone and by letter
                  November 14, 1990.  Firm-initiated recall ongoing.
Distribution:     New York. 
Quantity:         1 unit. 
Reason:           Blood product that tested repeatably reactive for 
                  hepatitis B surface antigen (HBsAg) was distributed.

                                     ---- 

Product:          Recovered Plasma.  Recall #B-348-1. 
Code:             Unit numbers: 90-09813, 90-09962, 90-10419, 90-10635, 
                  90-10639, 91-11995. 
Manufacturer:     St. Luke's Hospital of New Bedford, Inc., 
                  New Bedford, Massachusetts. 

                                      -5- 





Recalled by:      Manufacturer, by telephone and letter May 30, 1991. 
                  Firm-initiated recall ongoing.
Distribution:     Pennsylvania, Massachusetts.
Quantity:         6 units.
Reason:           Blood products that tested repeatably reactive for
                  hepatitis B surface antigen (HBsAg) were distributed. 

                                     ---- 

                  Class III - 

Product:          Senokot Syrup (standardized extract of Senna  Fruit), in
                  8 ounce bottles, an oral OTC syrup indicated for relief 
                  of constipation.  Recall #495-1.
Code:             Lot #OAV. 
Manufacturer:     P.F. Laboratories, Inc., Totowa, New Jersey.
Recalled by:      The Purdue Frederick Company, Norwalk, Connecticut, 
                  by letter June 7, 1991.  Firm-initiated recall ongoing. 
Distribution:     Nationwide. 
Quantity:         4,500 bottles were distributed. 
Reason:           Labels on some bottles do not remain affixed to the bottle. 

                                     ---- 

Product:          OTC Neo-Synephrine, mild formula, 1/4% Nasal Decongestant 
                  Spray, 1/2 fluid ounces (15 ml), intranasal administration, 
                  1/2 fluid ounce white plastic bottle, used as a 
                  decongestant for the relief of nasal congestion and upper 
                  respiratory allergies.  Recall #D-503-1.
Code:             Lot #B325fl.
Manufacturer:     Glenbrook Laboratories, Division of Sterling Drug Inc., 
                  Sterling Pharmaceuticals Inc., Barcelonetta, Puerto Rico. 
Recalled by:      Sterling Drug, New York, New York, by letter May 17, 1991.
                  Firm-initiated recall ongoing.
Distribution:     Nationwide. 
Quantity:         Firm estimates 43,000 units were distributed. 
Reason:           Product discoloration.

                                     ---- 

Product:          Fisons brand Intal Nebulizer Solution (cromolyn sodium
                  inhalation (USP), 2 ml ampules, for inhalation use only,
                  in boxes of 60 and 120, used in the management of patients
                  with bronchial asthma.  Recall #D-504-1.
Code:             Lot numbers: HN4064B  EXP 1/95, HN4065B EXP 1/95, 
                  HN4066B EXP 1/95, HN4068B EXP 1/95, HN4072B EXP 1/95, 
                  through HN4081B EXP 1/95, HN4085B EXP 2/95, 
                  HN4086B EXP 2/95, HN4087B EXP 2/95, HN4090B EXP 2/95, 
                  HN4091B EXP 2/95. 
Manufacturer:     Laboratories Fisons SA, LeTrait, France.
Recalled by:      Fisons Corporation, Rochester, New York, by letter
                  June 25, 1991.  Firm-initiated recall ongoing.
Distribution:     Nationwide. 
                                      -6- 





Quantity:         32,268 boxes of 60 ampules and 6,232 boxes of 120 
                  ampules were distributed. 
Reason:           Unauthorized modification of the synthesis process of the 
                  raw material used to produce active ingredient. 

                                     ---- 

Product:          (a) Red Blood Cells; (b) Platelets, Pheresis. 
                  Recall #B-255/256-1.
Code:             Unit numbers: (a) 11F61210; (b) 11FG10027.
Manufacturer:     American Red Cross Blood Services, St. Louis, Missouri. 
Recalled by:      Manufacturer, by telephone August 24, 1990. 
                  Firm-initiated recall complete. 
Distribution:     Missouri. 
Quantity:         1 unit of each component. 
Reason:           Blood products, which were improperly tested for
                  antibody to the human T-lymphotropic virus type I 
                  (anti-HTLV-1), were distributed for transfusion.

                                     ---- 

Product:          Plasma.  Recall #B-285-1. 
Code:             Unit numbers: LR16375 and LR16421.
Manufacturer:     St. Anthony's Hospital, Inc., Leon E. Reilly Memorial 
                  Blood Bank, St. Petersburg, Florida.
Recalled by:      Consignee notified firm of labeling error by
                  telephone March 9, 1990.  Confirmation letter sent
                  November 9, 1990.  Recall complete. 
Distribution:     Virginia. 
Reason:           Blood products labeled with incorrect expiration dates
                  were distributed. 

                                     ---- 

Product:          Red Blood Cells.  Recall #B-295-1.
Code:             53L00979. 
Manufacturer:     American Red Cross, Greater Chesapeake and Potomac
                  Region, Baltimore, Maryland.
Recalled by:      Manufacturer, by telephone October 5, 1990, and 
                  by letter February 5, 1991.  Firm-initiated recall
                  complete. 
Distribution:     Maryland. 
Quantity:         1 unit. 
Reason:           Blood product collected from a donor who previously 
                  tested repeatably reactive to the human immuno- 
                  deficiency virus type 1 (anti-HIV-1), was distributed.

                                     ---- 

Product:          Red Blood Cells.  Recall #B-346-1.
Code:             Unit #41LX09786.
Manufacturer:     American Red Cross Blood Services, Montgomery, Alabama. 

                                      -7- 





Recalled by:      Consignee returned product to firm for relabeling 
                  September 25, 1990.  Recall complete. 
Distribution:     Alabama.
Quantity:         1 unit. 
Reason:           Blood product labeled with incorrect expiration date
                  was distributed.

                                     ---- 

                       DEVICES AND RADIOLOGICAL PRODUCTS

                  Class I - 

                                     NONE 

                  Class II -

Product:          ACS Coronary Infusion catheters, flexible plastic devices 
                  used for the infusion of solutions into the coronary
                  arteries: 
                  (a) Coronary Infusion Catheter Kit (without side holes),
                  Catalog #16004; 
                  (b) Coronary Infusion Catheter (with side holes), 
                  Catalog #16005. 
                  Recall #Z-763/764-1.
Code:             All lot numbers.
Manufacturer:     Advanced Cardiovascular Systems, Inc., Temecula, California.
Recalled by:      Manufacturer, by letters of December 22, 1989 and 
                  January 17, 1990.  Firm-initiated recall complete.
Distribution:     Nationwide and international. 
Quantity:         Firm estimates none remains on the market.
Reason:           Over an extended period of time, these catheters may
                  become brittle and fracture.

                                     ---- 

Product:          7-AT Aerosol Treatment and Sputum Induction Chamber,
                  for the administration of aerosol drugs and 
                  induction of patient sputum from tuberculosis and AIDS
                  patients.  Recall #Z-827-1. 
Code:             Serial numbers 9001-9051 and 9101-9111. 
Manufacturer:     J.H. Emerson, Cambridge, Massachusetts. 
Recalled by:      Manufacturer, by letter April 19, 1991.  Firm-initiated 
                  field correction ongoing. 
Distribution:     Nationwide. 
Quantity:         62 units were distributed.
Reason:           The device may leak contaminated air. 

                                     ---- 

Product:          Ambulance Cots, Model 29M.  Recall #Z-829-1.
Code:             Serial numbers ranging from L-81569 to L-130048.
Manufacturer:     Ferno Washington, Wilmington, Ohio. 

                                      -8- 





Recalled by:      Manufacturer, by letter May 2, 1991.  Firm-initiated
                  recall ongoing. 
Distribution:     Nationwide. 
Quantity:         1,800 units were distributed. 
Reason:           The plunger pin assembiles in this product could
                  malfunction.

                                     ---- 

Product:          "Hi-Torque Standard" Coronary Dilatation Catheter 
                  Guidewire, 0.018, a steerable guidewire with a
                  shapable radiopaque tip.  Recall #Z-833-1.
Code:             Catalog #22218M, lot #0020851.
Manufacturer:     Advanced Cardiovascular Systems, Inc., Temecula,
                  California. 
Recalled by:      Manufacturer, by letter March 27, 1990.  Firm-initiated 
                  recall complete.
Distribution:     Ohio, Florida, Illinois, Pennsylvania, Alaska, Missouri,
                  New York, Norway, Japan.
Quantity:         125 units were distributed; firm estimates none remains 
                  on the market.
Reason:           Possible mislabeling on the inner pouch of the product. 
                  Some products have been labeled as Catalog #22318M-014
                  Hi-Torque Standard Guidewire on the inner pouch.

                                     ---- 

Product:          Infant Warming Systems (a) Model 3300; (b) Model 5000.
                  Recall #Z-838/839-1.
Code:             AANT00596 through 01009 and AANU00001 through 00170.
Manufacturer:     Ohmeda Critical Care-Maryland, Division of BOC Health 
                  Care, Columbia, Maryland. 
Recalled by:      Manufacturer, by letter April 24, 1991.  Firm-initiated 
                  recall ongoing. 
Distribution:     Nationwide and international. 
Quantity:         Approximately 583 units were distributed. 
Reason:           The hydraulic tilt mechanism may malfunction and cause
                  the bed to move slowly from the horizontal or selected
                  tilt position to the maximum tilt position of 10 degrees
                  without user activation of the tilt mechanism.  Defect
                  may cause patient injury as result of a fall. 

                                     ---- 

NOTE:             Recall numbers Z-763/764-1, Fetal Bovine Serum, which 
                  appeared originally in the June 19, 1991 and corrected in 
                  the July 17, 1991 Enforcement report has been recinded. 

                  It has been determined that the product was illegally 
                  imported only under USDA import regulations.  The product 
                  does not violate FDA regulations, and is therefore being
                  reclassified as a market withdrawal.  The above numbers 
                  have been reassigned. 

                                     ---- 
                                      -9- 





                  Class III - 

Product:          Temperature Probe, Esophageal/Rectal, #9 FR, a sterile
                  single-use Rx device, packaged 50 units per case. 
                  Recall #Z-828-1.
Code:             Catalog #2403, lot #M391910.
Manufacturer:     Electromedics, Inc., Englewood, Colorado. 
Recalled by:      Manufacturer, by letter May 31, 1991.  Firm-initiated 
                  recall ongoing. 
Distribution:     Nationwide, New Zealand, England. 
Quantity:         4,000 units were distributed. 
Reason:           Product description is incorrect. 

                                     ---- 

Product:          Hi-Torque Floppy Guidewire, .010, with Microglide 
                  Coating, a steerable guidewire with a shapable, radiopaque
                  tip.  Recall #Z-846-1.
Code:             Catalog #25002M-010, lot #1010752.
Manufacturer:     Advance Cardiovascular Systems, Inc., Temecula, 
                  California. 
Recalled by:      Manufacturer, by voice mail March 5, 1991 and 
                  by FAX March 4, 1991.  Firm-initiated recall complete.
Distribution:     Nationwide, Australia, England, Spain.
Quantity:         33  5 packs were distributed; firm estimates none 
                  remains on the market.
Reason:           The outer five-pack box is mislabeled as containing an
                  "Extendable" guidewire. 

                                     ---- 

Product:          Hi-Torque Floppy II Guidewire with Pre-Shaped Tip,
                  a steerable guidewire with a radiopaque, shapable 
                  distal tip.  Recall #Z-847-1. 
Code:             Catalog #22339MJ-903, lot #1020751. 
Manufacturer:     Advanced Cardiovascular Systems, Inc., Temecula, California.
Recalled by:      Manufacturer, by telephone March 8, 1991.  Firm-initiated 
                  recall complete.
Distribution:     Ohio, Minnesota.
Quantity:         9  5-pack boxes were distributed; firm estimates
                  none remains on the market. 
Reason:           The letter "J", which signifies the wire is pre-shaped, 
                  was left off the catalog number on the box label only.

                                     ---- 

                              VETERINARY PRODUCTS 

                                     NONE 


                                     -10- 





Medical Device Safety Alerts: 

Product:          Symbios Universal A-V Telemetric Pacemakers, dual-
                  chamber implantable pulse generators: 
                  (a) Model 7005; (b) Model 7005C; (c) Model 7006;
                  (d) Model 7008.  Safety Alert #M-029/032-1. 
Code:             All serial numbers. 
Manufacturer:     Medtronic, Inc., Minneapolis, Minnesota;
                  Med Rel, Inc., Humacao, Puerto Rico.
Alerted by:       Medtronic, Inc., Minneapolis, Minnesota, by letter
                  dated June 14, 1991.
Distribution:     Nationwide and international. 
Quantity:         18,335 units. 
Reason:           A performance anomaly occurs that involves the potential for
                  permanent loss of the ability to interrogate the
                  pacemaker or receive programming confirmation, and a
                  subsequent temporary loss of output.

                                     ---- 

Seizure Actions Filed:

Product:          Communidyne Computerized Hearing Test Machine (81-577-369). 
Charge:           Misbranded - Firm failed to submit premarket notification.
                  Also labeling of article fails to provide adequate
                  directions for use for purposes for which the device
                  is intended.  Labeling is false and misleading
                  because it represents and suggests that the device is 
                  effective in diagnosing loss of hearing.
Firm:             Communidyne Inc., Northbrook, Illinois. 
Filed:            July 9, 1991 - U.S. District Court for the Northern 
                  District of Illinois, Eastern Division; Civil #91C4239, 
                  FDC #66184. 
                                     ----