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
09/04/1990 

FDA Enforcement for the week of September 5, 1990.



                            FDA ENFORCEMENT REPORT
                               FOR SEPT. 5, 1990

                                            September 5, 1990 

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. 

                                     NONE 

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

                                     NONE 

                                      -1- 





                                 COSMETICS

                                    NONE

                         HUMAN DRUGS AND BIOLOGICS

                  Class I - 


Product:          Opticrom 4 percent Ophthalmic Solution (cromolyn sodium 
                  solution, USP), 10 ml an Rx sterile, topical eye
                  solution used in the treatment of certain allergic ocular 
                  disorders, Recall #D-338-0. 
Code:             Lot #KF35V, Exp. 12/91; KF7A, Exp. 1/93.
Manufacturer:     Fisons PLC, Pharmaceutical Division, Crewe, Cheshire, 
                  England.
Recalled by:      Fisons Pharmaceuticals, Rochester, New York by letters
                  beginning July 2, 1990. (See FDA Press Release
                  P90-38 - July 13, 1990.). Firm initiated recall ongoing.
Distribution:     Nationwide, Puerto Rico.
Quantity:         45,337 units were distributed.
Reason:           Bacterial contamination.


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                  Class II -


Product:          Source Plasma, Recall B-177-0.
Code:             Unit #65985236. 
Manufacturer:     Plasma Products, Inc., (doing business as Monroe Plasma 
                  Lab.) Monroe, Louisiana.
Recalled by:      Manufacturer, by letter and telephone June 12, 1989.
                  Firm initiated recall complete. 
Distribution:     California. 
Quantity:         1 unit was distributed. 
Reason:           A unit of Source Plasma, which tested repeatably reactive 
                  for the antibody to the human immunodeficiency virus, 
                  type 1 (anti-HIV-1) was distributed.

                                    ----

Product:          Red Blood Cells, Recall #B-182-0. 
Code:             Unit #41KQ13394.
Manufacturer:     American Red Cross, Alabama Region-Madison County,
                  Huntsville, Alabama.
Recalled by:      Manufacturer by telephone January 27, 1989.  Firm 
                  initiated recall complete.
Distribution:     Alabama.
Quantity:         1 unit was disributed.
Reason:           Unit drawn from a donor who had a hepatitis exposure
                  prior to donation, was distributed. 

                                    ----

                                    -2- 





Product:          Opticrom 4 percent Ophthalmic Solution (cromolyn sodium 
                  solution, USP) in 5 ml plastic bottles (professional
                  sample), 10 ml (trade) an Rx sterile, topical eye 
                  solution used in the treatment of certain allergic ocular 
                  disorders, Recall #D-338-0. 
Code:             All lots. 
Manufacturer:     Fisons PLC, Pharmaceutical Division, Crewe, Cheshire, 
                  England.
Recalled by:      Fisons Pharmaceuticals, Rochester, New York by letters
                  beginning July 26-27, 1990.  Firm initiated recall
                  ongoing.
Distribution:     Nationwide, Puerto Rico.
Quantity:         2,480,944 units were distributed. 
Reason:           Lack of assurance of sterility. 

                                    ----


Product:          Needle Adapter Assembly an Rx product for use with
                  Minitec (Technetium Tc 99m Generator), Recall #D-341-0. 
Code:             All lots. 
Manufacturer:     Bristol Myers Squibb Company, New Brunswick, New Jersey.
Recalled by:      Manufacturer, by telephone June 27, 1990.  Firm initiated 
                  recall ongoing. 
Distribution:     Nationwide. 
Quantity:         5,577 adapters distributed from January 1989 to 
                  June 27, 1990.
Reason:           Sterilizing filter (.22 micron) in Needle Adapter Assembly
                  cannot assure the solution passing through will be
                  sterilized. 

                                    ----

Product:          Proventil brand of Albuteral Sulfate Repetabs Brand of
                  Extended Release Tablets, 4 mg. in 100 tablet bottles,
                  an Rx used for the relief of bronchospasm in patients 
                  with reversible obstructive airway disease, Recall
                  #D-343-0. 
Code:             Lot #8RDR101, Exp. date 4/91. 
Manufacturer:     Schering Laboratories, Division of Schering-Plough Corp.
                  Kenilworth, New Jersey. 
Recalled by:      Manufacturer, by letter July 12, 1990.  Firm initiated
                  recall ongoing. 
Distribution:     Nationwide. 
Quantity:         41,049 bottles were distributed.
Reason:           Product does not meet dissolution test specifications.

                                    ----

                                    -3- 





Product:          Brethine brand (terbutaline sulfate USP) 5 mg. tablets, an
                  Rx bronchodilator used for bronchial asthma in 12/100 
                  tablet bottles, Recall #D-348-0.
Code:             Lot #1B113541, Exp. date 2/94.
Manufacturer:     Ciba-Geigy Pharmaceuticals Division, Summit, New Jersey.
Recalled by:      Manufacturer, by letter July 17, 1990.  Firm initiated
                  recall ongoing. 
Distribution:     Nationwide. 
Quantity:         39,660/100 tablet bottles were shipped, firm estimates
                  7,000/100 tablet bottles remain on market.
Reason:           A bottle was found to contain an Esimil tablet
                  (guanethidine monosulfate 10 mg., hydrochlorothiazide 
                  25 mg.).

                                    ----

                  Class III - 

Product:          (a) 2% Xylocaine Injection 20 mg/ml with
                  Epinephrine; (b) 4% Citainest Forte (Prilocane HCL) 
                  Injection 40 mg/ml with Epinephrine, used for local 
                  anesthesia in dentistry, Recall #D-339/340. 
Code:             (a) 906067, exp. date 12/90; 906068, exp. date 12/90; 
                  906126, exp. date 12/90; 908079, exp. date 2/91; (b)
                  903110, exp. date 9/90. 
Manufacturer:     Astra Pharmaceutical Products, Inc., Westborough, 
                  Massachusetts.
Recalled by:      Manufacturer, by letter August 3, 1990.  Firm initiated 
                  recall ongoing. 
Distribution:     Arkansas, South Dakota, Alabama, Kansas, Florida, 
                  South Carolina. 
Quantity:         2,000,000 cartridges were distributed.
Reason:           Product is subpotent for epinephrine. 

                                    ----

Product:          Tindal brand Acetophenazine Maleate Tablets, 20 mg. 
                  tablets in 100 tablet bottles, an Rx orally used for
                  the management of manifestations of psychotic disorders,
                  Recall #D-342-0.
Code:             Lot #'s 7BBA-1, exp. date 3/92; 8BBA-1, exp. date 3/92; 
                  9BBA-1, exp. date 2/94; 9BBA-2, exp. date 3/93. 
Manufacturer:     Schering Laboratories (division of Schering-Plough Corp.) 
                  Kenilworth, New Jersey. 
Recalled by:      Manufacturer, by letter July 3, 1990.  Firm initiated 
                  recall ongoing. 
Distribution:     Nationwide. 
Quantity:         Approximately 15,000/100 tablet bottles were distributed. 
Reason:           Product may not meet dissolution requirements through 
                  expiration date.

                                    ----

                                    -4- 





Product:          Imferon (iron dextran injection, USP) in 10 ml. multidose 
                  vial, an Rx for intramuscular use in patients with
                  documented iron deficiency in whom oral administration is 
                  unsatifactory or impossible, Recall #D-344-0. 
Code:             Lot #EC305W, Exp. date 10/92. 
Manufacturer:     Fisons PLC, Pharmaceutical Division, Crewe, Cheshire, 
                  England.
Recalled by:      Fisons Pharmaceuticals, Rochester, New York by letter 
                  July 24, 1990.  Firm initiated recall ongoing.
Distribution:     Nationwide, Puerto Rico, Honduras.
Quantity:         12,402 units were distributed.
Reason:           Product does not meet USP requirements for particulate
                  matter. 

                                    ----

Product:          PanOxyl AQ Acne Gel in 2 1/2%, 5% and 10% strength
                  packaged in 2 oz. and 4 oz. tubes, a topical Rx 
                  medication used in the treatment of acne vulgaris,
                  Recall #D-345/347-0 
Code:             All products ending in the letter "P".
Manufacturer:     Stiefel Laboratories, Inc., Mayaguez, Puerto Rico.
Recalled by:      Stiefel Laboratories, Inc., Oak Hill, New York by 
                  letters July 9, and July 13, 1990.  Firm initiated recall 
                  ongoing.
Distribution:     New York, Puerto Rico.
Quantity:         Approximately 350,000 units were distributed.  Firm 
                  estimates less than 10,000 units remain on market.
Reason:           Some lots have exhibited a loss of viscosity. 

                                    ----

Product:          Chlorpromazine HCl Oral Solution, 100 mg per 3.4 ml 
                  an Rx oral liquid psychotropic used for the management
                  of manisfestations of psychotic disorders, Recall #D-349-0
Code:             Lot #003605, exp. date 9/91.
Manufacturer:     Roxane Laboratories, Columbus, Ohio.
Recalled by:      Xactdose, Inc., South Beloit, Illinois by letter July 13, 
                  1990.  Firm initiated recall ongoing. 
Distribution:     New York, Ohio, Indiana Wisconsin, California.
Quantity:         113 cases were distributed. 
Reason:           The solution reacted to the aluminum foil cup, causing
                  leaking containers. 

                                    ----

                       MEDICAL DEVICES AND RADIOLOGY

                  Class I - 

                                    NONE

                  Class II -

                                    -5- 





Product:          Liberator 20 Oxygen System, an Rx liquid oxygen device
                  used for providing a controlled rate of oxygen flow to
                  a patient, Recall #Z-797-0
Code:             Serial #'s 119019001 thru 119019010; 119022015 thru 
                  119022030.
Manufacturer:     Cryogenic Associates (Medical Division of Minnesota 
                  Valley Engineering, Inc.) New Prague, Minnesota.
Recalled by:      Manufacturer by telephone on or about June 13, 1990.
                  Firm initiated recall ongoing.
Distribution:     Connecticut, Massachusetts, Canada. 
Quantity:         21 units were distributed.
Reason:           The device did not meet specifications for oxygen pressure
                  affecting oxygen flow rate, during extended use because 
                  of an incomplete weld on a liquid oxygen line.

                                    ----

Product:          MTP Transport Infusion Pump, Model 1001A used for 
                  infusion of I.V. solutions and blood at desired flow
                  rate and volume which can be preprogrammed by user or 
                  operator, Recall #Z-798-0 
Code:             Serial #'s 1291 thru 1305; 1644 thru 1717; 2230,
                  2231; 1979, 1989, 1997, 1998, 2123, 2228, 2229, 2234, 
                  2246 thru 2248, 2416; 2235; 1571, 1578, 1730, 1736, 
                  1789, 2005, 2006. 
Manufacturer:     Medical Technology Products Inc., Hungtington, New York 
Recalled by:      Manufacturer by telephone June 5-6, 1990.  Firm 
                  initiated recall ongoing. 
Distribution:     Nationwide, Mexico. 
Quantity:         109 units were distributed. 
Reason:           The unit software was incorrectly programmed which
                  caused the word "RATE" instead of "TOTL" to be displayed
                  by the infusion pump when its Tamper Alarm feature is 
                  activated by the unauthorized or unintentional change 
                  of the "hundredths" total volume digital switch.

                                    ----

                  Class III - 

Product:          3M Fletcher-Suit-Delcios Applicators, used in 
                  intracavity treatment of cervical and/or uterine cancer,
                  Recall #Z-851-0 
Code:             All serial numbers. 
Manufacturer:     Basic Industries, New Brighton, Minnesota.
Recalled by:      3M Medical Device Division, St. Paul, Minnesota by
                  letter May 4, 1990.  Firm initiated recall ongoing. 
Distribution:     Nationwide, international.
Quantity:         1,100 applicators were distributed. 

                                    -6- 





Reason:           The ovoids (egg-shaped enclosures into which the
                  cesium-137 sources are inserted) may become loose or
                  may detach from the ovoid handles of the applicators. 

                                    ----

Product:          APO Cal Apolipoprotein Calibrator, an in-vitro diagnostic 
                  product, Recall #Z-852-0. 
Code:             Lot #"M907129", Exp. date "1/31/91".
Manufacturer:     Beckman Instruments, Inc., Carlsbad, California.
Recalled by:      Beckman Instruments, Inc., Brea, California by telephone
                  and follow-up letter dated March 30, 1990.  Firm
                  initiated recall ongoing. 
Distribution:     Illinois, Indiana, Kansas, Wisconsin, Florida,
                  International.
Quantity:         879 units were distributed. 
Reason:           The value assigned for the device is inaccurate,
                  which may cause an elevated recovery in control materials 
                  and patient samples.

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