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
04/23/1991    

FDA Enforcement for the week of April 24, 1991



                            FDA ENFORCEMENT REPORT
                              FOR APRIL 24, 1991

                                                           April 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:          Various cases of bread dough: 
                  1.  White Bread Dough;
                  2.  Raisin Bread Dough; 
                  3.  French Bread Dough; 
                  4.  Italian Bread Dough;
                  5.  White Bread Dough 18 oz.; 
                  6.  Submarine Roll Dough; 
                  7.  Hoagie Rolls; 
                  8.  Deluxe Hamburger Roll Dough;
                  9.  Potato Roll Dough;
                  10. Vienna Roll Dough;
                  11. French Roll Dough;

                                      -1- 






                  12.  Crusty Kaiser Roll Dough;
                  13.  Meltaway Sweet Roll Dough; 
                  14.  Petite Cinnamon Sweet Roll Dough;
                  15.  Hot Cross  Bun Dough;
                  16.  Natural Grain Bread Dough; 
                  17.  Petite French  French Roll Dough;
                  18.  Donut Shell Dough; 
                  19.  French Baguette Dough; 
                  20.  Deluxe Baguette Bread Dough; 
                  21.  Deluxe Sandwich Bun Dough; 
                  22.  Coney Island Bun Dough;
                  23.  Butter & Egg Dinner Roll Dough;
                  24.  Rye Dinner Roll Dough; 
                  25.  Pumpernickel Dinner Roll Dough;
                  26.  F.S. 6 oz. White Bread Dough;
                  27.  Family Pack Dough; 
                  28.  Pizza Dough Medium;
                  29.  Onion Roll Dough;
                  30.  Super Rite Kaiser Roll Dough;
                  31.  Cinnamon Loaf Dough; 
                  32.  Mini Italian Bread Dough;
                  33.  Mini Raisin Bread Dough; 
                  34.  Pizza Dough; 
                  35.  In-Store Bakery Onion Roll Dough;
                  36.  Wheat Hamburger Bun Dough; 
                  37.  Hoagie Roll Dough; 
                  38.  Submarine Roll Dough.  Recall #F-315/352-1.
Code:             Product Code      Date Code 
                  1.  01564         1030
                      01564         1029
                  2.  03025         1031
                  3.  03033         1031
                      03033         1032
                      03033         1028
                  4.  03041         1029
                      03041         1032
                  5.  03068         1028
                  6.  03148         1031
                      03148         1026
                  7.  03199         1032
                  8.  03210         1028
                  9.  03228         1029
                 10.  03236         1026
                 11.  03295         1030
                 12.  03412         1029
                      03412         1028
                 13.  03420         1031
                 14.  03480         1031
                 15.  03498         1030
                 16.  03500         1032
                 17.  03543         1026
                 18.  03623         1030
                 19.  03885         1031

                                      -2- 





                 20.  03893         1028
                 21.  04087         1026
                 22.  04095         1032
                 23.  04280         1031
                 24.  04298         1032
                 25.  04319         1032
                 26.  06154         1030
                 27.  06699         1028
                 28.  06752         1032
                 29.  06998         1028
                 30.  07851         1029
                 31.  08969         1030
                 32.  10225         1032
                 33.  10831         1031
                 34.  11236         1029
                 35.  11252         1028
                 36.  11308         1031
                 37.  12010         1031
                 38.  12028         1031. 
Manufacturer:     Rich Products Corporation, Winchester, Virginia.
Recalled by:      Rich Products, Inc., Buffalo, New York, by telephone
                  and by letter February 6 & 7, 1991.  Firm-initiated 
                  recall ongoing. 
Distribution:     Virginia, West Virginia, Maryland, New York, Indiana, 
                  Pennsylvania. 
Quantity:         47,844 cases of the various products were distributed;
                  firm estimates none remains on the market.
Reason:           Product is contaminated with brass shavings.

                                     ---- 

Product:          Fresh unlabeled bulk eggplant, in 30 pound cases. 
                  Recall #F-353-1.
Code:             Not coded.
Manufacturer:     Dubois Farms, Inc., Boynton Beach, Florida (grower).
Recalled by:      A. Duda and Sons, Inc., Belle Glade, Florida, by
                  telephone March 15, 1991.  Firm-initiated recall ongoing. 
Distribution:     Louisiana New York. 
Quantity:         41 cases were distributed.
Reason:           Product contains illegal pesticide residues.

                                     ---- 

Product:          Pudding and pie filling, 3-1/2 ounces and 5-1/8 ounces: 
                  Jell-O Cook'n Serve Pudding and Pie Fillings -
                  (a) Chocolate Flavor; (b) Milk Chocolate Flavor;
                  (c) Chocolate Fudge Flavor; 
                  Jell-O Instant Pudding and Pie Filling -
                  (d) Chocolate Flavor; (e) Milk Chocolate Flavor;
                  (f) Chocolate Fudge Flavor.  Recall #F-354/359-1. 

                                      -3- 





Code:             Lot numbers                      Date Code
                  (a) 1032S1D, 1032S1E, 1032S1F    1 Feb 91 (5-1/2 oz)
                  1036S1, 1036S2                   5 Feb 91 (3-1/2 oz)
                  1039S1D, 1039S1E, 1039S1F 
                  1039S2D, 1039S2E, 1039S2F        8 FEB 91 (5-1/8 oz)
                  1042S1D, 1042S1E, 1042S1F,
                  1042S2D, 1042S2E, 1042S2F        11 FEB 91 (5-1/8 oz) 
                  (b) 1033S1, 1033S2               2 FEB 91 (3-1/2 oz)
                      1035S1, 1035S2               4 FEB 91 (3-1/2 oz)
                  (c) 1035S1, 1035S2               4 FEB 91 (3-1/2 oz)
                  (d) 1037S1D, 1037S1E, 1037S1F 
                      1037S2D, 1037S2F             6 FEB 91S (5-1/8)
                      1038S1, 1038S2               7 FEB 91S (3-1/2)
                  (e) 1037S1, 1037S2               6 FEB 91S (3-1/2 oz) 
                      1043S1                       12 FEB 91 (3-1/2 oz) 
                  (f) 1038S1D, 1038S1E, 1038S1F 
                      1038S2D, 1038S2E, 1038S2F    7 FEB 91S 5-1/8 oz 
Manufacturer:     General Foods USA, San Leandro, California. 
Recalled by:      General Foods USA White Plains, New York, by letters
                  of March 15 and 19, 1991.  Firm-initiated recall ongoing. 
Distribution:     California, Texas, Arizona, Nevada, Hawaii, Oregon, 
                  Washington state, Colorado, New Mexico, Utah, Montana,
                  Idaho.
Quantity:         Approximately 5,200 cases (24 packages/case) were 
                  distributed.
Reason:           The product is contaminated with metal fragments. 

                                     ---- 

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

                                     NONE 

                                   COSMETICS

                                     NONE 

                           HUMAN DRUGS AND BIOLOGICS

                                     NONE 

                         MEDICAL DEVICES AND RADIOLOGY

                  Class I - 
                                     NONE 
                  Class II -

Product:          Disposable Flow Probes for Bio-Probe Disposable Blood 
                  Flow Monitoring Systems Models DP-38 (adult insert);
                  and DP-38P (pediatric insert), pre-sterilized,
                  disposable electrodes for precise blood flow measure- 
                  ments.  Recall #Z-447/448-1.

                                      -4- 





Code:             All serial numbers for both products. 
Manufacturer:     Medtronic Bio-Medicus, Eden Prairie, Minnesota. 
Recalled by:      Manufacturer, by letter January 21, 1991.  Firm-initiated 
                  recall ongoing. 
Distribution:     Nationwide and international. 
Quantity:         Approximately 275,000 inserts were distributed; firm
                  estimated 8,000 units remained on market at time of recall. 
Reason:           Product sterility has been compromised as evidenced by
                  loss of package integrity.

                                     ---- 

Product:          Burdick E550 Interpretive Electrocardiograph. 
                  Recall #Z-449-1.
Code:             All units with software revision 3.16. Units with 
                  serial numbers of 55364 and greater are not affected. 
Manufacturer:     Siemens-Burdick, Milton, Wisconsin. 
Recalled by:      Manufacturer, by memorandum dated August 12, 1990.
                  Firm-initiated field correction ongoing.
Distribution:     Nationwide and Canada.
Quantity:         269 units were distributed. 
Reason:           When the device has a full directory of 45 tracings and 
                  batch entering of demographics is being performed, new
                  waveforms being entered into the system may be deleted
                  instead of the old waveforms already in the directory.

                                     ---- 

Product:          Universal Therapy Table Used in Conjunction with Linear 
                  Accelerator (SL25 Series).  Recall #Z-451-1.
Code:             All SL25 series.
Manufacturer:     Philips Radiotherapy Systems, Crawley, England. 
Recalled by:      Philips Medical Systems North America, Shelton, Connecticut.
                  by letter October 9, 1990.  Firm-initiated field
                  correction ongoing. 
Distribution:     Nationwide and Canada.
Quantity:         38 systems were distributed.
Reason:           A software error may cause the system to detect an
                  "unauthorized movement" and react by releasing all brakes 
                  on the table. 

                                     ---- 

Product:          SL25 Series Linear Accelerator.  Recall #Z-452-1. 
Code:             All SL25 series.
Manufacturer:     Philips Radiotherapy Systems, Crawley, England. 
Recalled by:      Philips Medical Systems, North America, Shelton, Connecticut. 
Distribution:     Nationwide and Canada.
Quantity:         38 systems were distributed.

                                      -5- 





Reason:           Leaks in the ion chamber may cause inaccurate calibration 
                  which may cause the dose of radiation delivered to the
                  patient to vary from that prescribed. 

                                     ---- 

Product:          Laser Fiber Adapters, used to connect fiber optic 
                  delivery probe to surgical laser. 
                  Model numbers: (a) 90-1460; (b) 90-1461; (c) 90-8000; 
                  (d) 90-2100; (e) 90-5330; (f) 90-5370; (g) 90-5380; 
                  (h) 90-5382Recall #Z-482/489-1. 
Code:             Serial numbers:  Unknown. 
Manufacturer:     Surgimedics/SLP, The Woodlands, Texas.
Recalled by:      Manufacturer.  FDA approved the firm's corrective action
                  plan April 28, 1991.  Firm-initiated field correction 
                  ongoing.
Distribution:     Nationwide. 
Quantity:         126 units were distributed. 
Reason:           Noncompliance with the performance standard for laser 
                  products in that the adaptors permanently defeated required 
                  fiber cable interlock on the host cable on the system.

                                     ---- 

Product:          Schneider Softrac-PTA (Percutaneous Transluminal Anioplasty)
                  Catheters 5.6 French: 
                  (a) Model P506-495, 6 mm x 4 cm;
                  (b) Model P506-095, 6 mm x 10 cm.  Recall #Z-497/498-1. 
Code:             Lot numbers:  (a) LNC902501; (b) LNJ902401. 
Manufacturer:     Schneider (USA), Inc., Plymouth, Minnesota. 
Recalled by:      Manufacturer, by letter February 5, 1991.  Firm-initiated 
                  recall complete.
Distribution:     Nationwide and Canada.
Quantity:         (a) 58 units; (b) 26 units were distributed.
Reason:           Some units were labeled with the wrong balloon size.
                  During reworking the labeling these two lots were 
                  mixed up so that some catheters labeled as having a 
                  6 mm x 4 cm balloon actually have 6 mm x 10 cm balloon. 

                                     ---- 

Product:          Ultraclam, Electronic Dental Anesthesia Device, an
                  Rx device intended for the relief of pain during
                  dental operative procedures.  Recall #-Z-512-1. 
Code:             Serial numbers:  001314, 001315, and 101319.
Manufacturer:     Sion Technology, Inc., Aurora, Colorado.
Recalled by:      Manufacturer, by telephone February 15, 1991 followed by
                  letter February 18, 1991.  Firm-initiated recall complete.
Distribution:     California and Colorado.
Quantity:         3 units were distributed. 
Reason:           The device was distributed without an approved 510(k).

                                     ---- 

                                      -6- 





Product:          Sterile Bio-Medicus Venous Femoral Cannula, 23, 25, 27, and 
                  29 French sizes, a sterile, single-packed product used
                  primarily during open heart surgery reoperation.
                  Recall #Z-513/516-1.
Code:             Product #96350 -- All lots. 
Manufacturer:     Bio-Medicus, Inc., Eden Prairie, Minneasota.
Recalled by:      Manufacturer, by letter January 7, 1991.  Firm-initiated
                  recall ongoing. 
Distribution:     Nationwide and international. 
Quantity:         1,664 units were distributed. 
Reason:           The sterility of the device may be compromised by abrasion
                  of the Tyvek or Mylar near the connector. 

                                     ---- 

Product:          COBE Spectra Apheresis Machine, a microprocessor- 
                  controlled device intended to separate and collect
                  blood components from both donors and patients: 
                  (a) Pump Rotor System; (b) Stand Alone Pump Rotor.
                  Recall #Z-518/519-1.
Code:             (a) Catalog numbers 950000-000, 950000-001, 950000-002, 
                  950000-003, 950000-004, 950000-005 -- Serial numbers: 
                   1S00028 through 1S00618; 
                  (b) Part #700536002 -- All serial numbers.
Manufacturer:     Cobe Blood Component Technology (BCT), Inc., Lakewood,
                  Colorado. 
Recalled by:      Manufacturer, by memorandum March 14, 1991 and by letters 
                  March 20, 1991.  Firm-initiated recall ongoing. 
Distribution:     Nationwide and international. 
Quantity:         (a) 590 units were distributed; (b) Undetermined. 
Reason:           The pump rotors have been found to have the following 
                  potential failure modes which can lead to partial or
                  complete loss of pump tubing occlusion, resulting in
                  over-delivery or under-delivery of blood components 
                  depending on the location of the failed rotor:  (1) an
                  occlusion spring may break; (2) the rotor arm movement may
                  be misadjusted; and (3) the roller may become dislodged from
                  its seat in the roller arm. 

                                     ---- 

Product:          SIA Data Plus Microplate Software, Catalog #S2272,
                  computer software for immunoassay diagnoses.
                  Recall #Z-553-1.
Code:             None. 
Manufacturer:     Sigma Diagnostic, St. Louis, Missouri.
Recalled by:      Manufacturer, by telephone between May 4 and 10, 1990 
                  followed by letter June 26, 1990.  Firm-initiated field 
                  correction ongoing. 
Distribution:     Michigan, California, Utah, New York, Pennsylvania, Canada. 
Quantity:         8 discs were distributed. 
Reason:           Program software errors yielded erroneous laboratory test 
                  results.
                                     ---- 

                                      -7- 





Product:          OEC-Diasonics X-Ray Imaging Table Model UroView 2000, 
                  an integrated X-ray imaging and patient positioning 
                  system for use in a variety of urological diagnostic
                  and surgical applications. Recall #Z-556-1. 
Code:             Serial numbers:  T2-2001,  T2-2002, T2-2004, T2-2005, 
                  T9-2001 through T9-2004; T9-2006 through T9-2019; T9-2021 
                  through T9-2026, T2/T9-2027, T9-2028 through T9-2032, 
                  T9-2034 thru T9-2036. 
Manufacturer:     OEC Diasonics, Salt Lake City, Utah.
Recalled by:      Manufacturer, by Field Service Bulletin dated November 2, 
                  1990.  Firm-initiated field correction ongoing. 
Distribution:     Nationwide and Canada.
Quantity:         38 units were distributed.
Reason:           The side rail clamp which mounts the accessory leg support
                  to the table may break

                                     ---- 

                  Class III - 

Product:          Lyme Disease Test Kit.  Recall #Z-454-1.
Code:             Lot numbers:  KF05069 and KF05071.
Manufacturer:     Medical Diagnostic Technologies, Inc., Augusta, Georgia.
Recalled by:      Manufacturer, by telephone June 14, 1990.  Firm-initiated 
                  recall ongoing. 
Distribution:     Pennsylvania, North Carolina, Florida, New Mexico,
                  Kentucky, Virginia. 
Quantity:         13 kits were distributed. 
Reason:           Due to a new formulation of the conjugate rinse (Reagent C) 
                  for the bulk test kit, if the user follows the directions 
                  for use instructions, then all three wells react "positive" 
                  to include the "negative control" well. 

                                     ---- 

Product:          "ABL" Clostridium Difficile Agar, a selective and 
                  differential medium used for the primary isolation
                  and presumptive identification of C. difficile from 
                  stool samples.  Recall #Z-511-1.
Code:             Catalog #01293, Lot #FE061 EXP 5/2/90.
Manufacturer:     Austin Biological Labs, Inc., Austin, Texas.
Recalled by:      Manufacturer, by telephone April 1990.  Firm-initiated
                  recall complete.
Distribution:     Texas, Mississippi. 
Quantity:         61 packages (10 plates/package) were distributed. 
Reason:           Product is contaminated with bacteria or mold.

                                     ---- 


                                      -8- 





Product:          Cobalt 57 Dose Calibrator Source, a gamma source used for 
                  calibrating ionization chambers mainly in the nuclear 
                  medicine departments of hospitals.  Recall #Z-520-1.
Code:             #C057-EGAG90, NO. 1587, Lot #183. 
Manufacturer:     Cis-Bio-Oris, Sadey, France.
Recalled by:      Cis-US Inc., Bedford, Massachusetts, by telephone February
                  4, 1991 followed by letter February 5, 1991.  Firm-initiated
                  recall complete.
Distribution:     Nationwide and Canada.
Quantity:         23 vials were distributed.
Reason:           The calibration date on the label and calibration 
                  certificate is incorrect.  The calibration date was 
                  incorrectly written on the label as "Jan 90", but it
                  should have been "Jan 91".

                                     ---- 

Product:          K-Y Lubricating Jelly, in 4 ounce clear blister 
                  packages, used as a lubricant for insertion of medical
                  instruments as well as a vaginal lubrication. 
                  Recall #Z-542-1.
Code:             All codes and expiration dates that are in blister packaging. 
Manufacturer:     Tama Promotions, Inc., Deer Park, New York. 
Recalled by:      Manufacturer, by letter mailed on or about February 15, 
                  1991.  Firm-initiated recall ongoing. 
Distribution:     New York. 
Quantity:         Approximately 70,560 units were distributed.
Reason:           There are no directions for use or warning statements on the
                  blister package, the expiration date is not visible at
                  the point of purchase and the packaged product does not 
                  conspicuously provide the name and address of the 
                  manufacturer, repacker or distributor.

                                     ---- 

Product:          Sigma Disgnostics Glucose Standard Solution, 10.0 mg/ml 
                  or 55.5 mmol/l, 100 ml solution in 4 fluid ounce
                  amber glass vials.  Recall #Z-552-1.
Code:             Catalog #14-11, Lot numbers: 89F-6105 and 38F-6127. 
Manufacturer:     Sigma Diagnostics, St. Louis, Missouri. 
Recalled by:      Manufacturer, by letter February 5, 1990.  Firm-initiated 
                  recall ongoing. 
Distribution:     Nationwide and international. 
Quantity:         Firm estimates none remains on the market.
Reason:           Some bottle labels show a concentration of 100 mg/ml
                  instead of 10.0 mg/ml.

                                     ---- 

                                      -9- 





Product:          Sigma Diagnostics (a) Ethanol Control-H (high); 
                  (b) Ethanol Control-L (low), in-vitro diagnostic kits 
                  used as a control in the determination of ethyl alcohol,
                  both kits are packaged 6/2 ml vials per carton. 
                  Recall #Z-554/555-1.
Code:             (a) Catalog #E 5258, lot #79F-6094 EXP 8/90;
                  (b) Catalog #E 5133, lot #79F 6093 EXP 8/90.
Manufacturer:     Sigma Diagnostics, St. Louis, Missouri. 
Recalled by:      Manufacturer, by letter February 5, 1990.  Firm-initiated 
                  recall ongoing. 
Distribution:     Nationwide and international. 
Quantity:         (a) 5,856 vials; (b) 6,024 vials were distributed;
                  firm estimates none remains on the market.
Reason:           Both controls were found either at or below the lower 
                  specified values. 

                                     ---- 

                              VETERINARY PRODUCTS 

                                     NONE 

Medical Device Safety Alerts: 

Product:          Omni-Flow I.V. Pump, Model 4000.  Safety Alert #M-005-1.
Code:             All units.
Manufacturer:     Omni Flow, Inc., subsidiary of Abbott Labs., Wilmington,
                  Massachusetts.
Alerted by:       Abbott Hospital Products Division, Abbott Park, Illinois, 
                  by letter November 6, 1990. 
Distribution:     Nationwide and Canada.
Quantity:         Approximately 3,800 units were distributed. 
Reason:           Existance of artifacts in patient monitoring devices, 
                  such as ECG, EMG and EEG machines may be produced by
                  electronic noise, (e.g. static electricity) produced by 
                  the I.V. pump.  These artifacts, if not recognized as such
                  may lead to an erroneous interpretation of the readings 
                  from the patient monitoring devices.

                                     ---- 

Product:          Cordis brand Dual Chamber Cardiac Pacers: 
                  (a) Model 233F, Sequicor II;
                  (b) Model 415A Gemini (Theta), implantable pacemakers 
                  which are Class III critical devices. 
                  Safety Alert #M-013/014-1.
Code:             Various individually serialized units produced between
                  1981 and 9184.
Manufacturer:     Cordis Corporation, Pacing Division, Miami, Florida.
Alerted by:       Telectronics Pacing Systems, Englewood, Colorado, by
                  letter February 15, 1991. 
Distribution:     Nationwide and international

                                     -10- 





Qantity:          (a) 1,007 units; (b) 415 units were distributed.
Reason:           Certain units of listed models may have a reduced service 
                  life due to premature individual cell depletion.

                                     ---- 

Product:          Cordis brand Stanicor Lambda Model 188A7 Pacemaker, an
                  implantable, single chamber cardiac pacer.
                  Recall #M-015-1.
Code:             Various individually serialized units produced between
                  1975 and 1978.
Manufacturer:     Cordis Corporation, Pacing Division, Miami, Florida.
Alerted by:       Telectronics Pacing Systems, Englewood, Colorado, by
                  letter February 15, 1991. 
Distribution:     Nationwide and international. 
Quantity:         2,942 were distributed. 
Reason:           Certain listed units of this model may not provide an 
                  adequate end-of-life indicator, which is due to changes 
                  in the carbon composition resistor valve.