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
07/10/1990     

FDA Enforcement for the week of July 11, 1990 



                            FDA ENFORCEMENT REPORT
                               FOR JULY 11, 1990


                                                          July 11, 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.


Product:          Circle Sea brand and Scan Fish brand Cold Smoked Salmon 
                  in vacuum packed plastic packages, various sized packages.
                  Recall #F-521-0.
Code:             Various codes including case code 89L14 and uncoded 
                  product.  All product packed and shipped between August 1989
                  and January 23, 1990. 
Manufacturer:     Circle Sea Seafoods, Ltd., Monroe, Washington.
Recalled by:      Manufacturer, by telephone beginning April 18, 1990 
                  followed by letter.  Firm-initiated recall ongoing. 
Distribution:     Nationwide. 
Quantity:         Unknown.
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. 


                                     NONE 

                                   COSMETICS

                                     NONE 

                           HUMAN DRUGS AND BIOLOGICS

                  Class I - 

                                     NONE 

                  Class II -

Product:          Recovered Plasma.  Recall #B-158-0. 
Code:             Unit numbers: 7773045 (EH5500) and 7782321 (EH 7677). 
Manufacturer:     City Hospital at Elmhurst, Elmhurst, New York.
Recalled by:      Manufacturer, by telephone March 22-23, 1990 followed by
                  letter March 28, 1990.  Firm-initiated recall ongoing.
Distribution:     New York. 
Quantity:         2 units were distributed. 
Reason:           Blood products which tested 1) repeatably reactive for
                  the antibody to the human immunodeficiency virus
                  (anti-HIV-1) by EIA or 2) non-reactive for anti-HIV-1 
                  by EIA but collected from a donor who had previously
                  tested repeatably reactive for anti-HIV-1, were 
                  distributed.
                                     ---- 

                  Class III - 

Product:          Lilly brand Sulfadiazine Tablets, USP, 0.5 gm, an Rx
                  sulfonamide drug used as a bacteriostatic agent in
                  bottles of 100.  Recall #D-295-0. 

                                      -2- 





Code:             Lot numbers:   9NW33A      EXP  9/1/90
                                 OLZ24A           2/1/91
                                 OMR92A           6/1/91
                                 1AX70A           4/1/92
                                 1CY80A           7/1/92
                                 1EJ73A           11/1/92 
                                 1EX46A           2/1/93
                                 2PG16A           9/1/93
                                 2RL72A           3/1/94
                                 3AS15A           4/1/94
                                 3CH71A           6/1/94
Manufacturer:     Eli Lilly & Company, Indianapolis, Indiana. 
Recalled by:      Manufacturer, by letter May 16, 1990.  Firm-initiated 
                  recall ongoing. 
Distribution:     Nationwide, Puerto Rico, Barbados.
Quantity:         61,560 bottles were distributed.
Reason:           Product may not meet dissolution specifications through 
                  expiration date.

                                     ---- 

Product:          Dermatopics Prescription Formula Benzoyl Peroxide 
                  10% Gel packaged in 3 ounce plastic tablets, an OTC 
                  topical anti-acne medication.  Recall #D-297-0. 
Code:             Lot #F-094 EXP 11/91. 
Manufacturer:     Topiderm Inc., also known as Phamagen Inc., Bohemia,
                  New York. 
Recalled by:      Manufacturer, by telephone on or about April 24, 1990.
                  Firm-initiated field correction ongoing.
Distribution:     Florida, New York, Massachusetts. 
Quantity:         4,623 tubes were distributed; firm estimated 24 mislabeled
                  units remained on market at time of recall initiation.
Reason:           Main label panel correctly declares 10 percent strength 
                  while ingredient statement declares 5 percent.

                                     ---- 

Product:          Oxygen, USP, Medical Gas, an Rx product in D and E
                  size cylinders.  Recall #D-300-0. 
Code:             Not coded.
Manufacturer:     Home Medical Services, Inc., Parsons, Kansas. 
Recalled by:      Manufacturer, by visit beginning June 4, 1990.
                  Firm-initiated recall ongoing.
Distribution:     Kansas. 
Quantity:         Approximately 30 cylinders were distributed.
Reason:           Current good manufacturing practice deficiencies. 

                                     ---- 

Product:          Trilafon Concentrate (Perphenazine USP), 16 mg/5 cc, in 
                  4 ounce bottles, an Rx drug indicated for use in the
                  management of the manifestations of psychotic disorders 
                  and for control of nausea and vomiting in adults. 
                  Recall #D-301-0.
                                      -3- 





Code:             Lot numbers:  6-ADT-5 (10/91), 7-ADT-1 (2/92), 7-ADT-2
                  (4/92), 7-ADT-3 (7/92), 7-ADT-4 (10/92), 7-ADT-5 (12/92), 
                  8-ADT-1 (3/93), 8-ADT-2 (6/93), 8-ADT-3 (9/93), 8-ADT-4 
                  (11/93), 9-ADT-1 (2/94), 9-ADT-2 (5/94), 9-ADT-3 (8/94),
                  9-ADT-4 (11/94), 0-ADT-1 (1/95).
Manufacturer:     Schering Laboratories, Division of Schering-Plough Inc.,
                  Union, New Jersey.
Recalled by:      Manufacturer, by letter mailed April 6, 1990.  Firm-
                  initiated recall ongoing. 
Distribution:     Nationwide. 
Quantity:         243,000 bottles were distributed. 
Reason:           Stability testing indicates potency not assured through 
                  expiration date.

                                     ---- 

Product:          Theophylline Elixir 80 mg/15 ml, in 1 pint and 1 gallon 
                  bottles, an Rx bronchodilator, under the Barre, Schein, 
                  Bioline, Moore, Major, Haber and Goldline labels. 
                  Recall #D-302-0.
Code:             Lot numbers and EXP dates:  82671 01/93, 92063 01/93, 
                  92179 06/93, 92427 07/93, 92443 07/93, 92581 09/93, 
                  92646 10/93, 92647 10/93, 92862 12/93, 92863 01/94. 
Manufacturer:     Barre-National, Inc., Baltimore, Maryland.
Recalled by:      Manufacturer, by letter May 9, 1990.  Firm-initiated
                  recall ongoing. 
Distribution:     Nationwide. 
Quantity:         228,548 bottles were distributed; firm estimates 12,340 
                  bottles remain on market. 
Reason:           Incorrect expiration date of 48 months was used instead 
                  of 24 months. 
                                     ---- 

Product:          Conray 400, Iothalamate Sodium Injection, 66.8%, in 
                  25 ml vials, an Rx iodinated contrast imaging media.
                  Recall #D-304-0.
Code:             Lot numbers: D030A, D068A, D115A. 
Manufacturer:     Mallinckrodt Inc., Raleigh, North Carolina. 
Recalled by:      Manufacturer, by letter May 31, 1990.  Firm-initiated 
                  recall ongoing. 
Distribution:     Nationwide, Brazil. 
Quantity:         439 cases were distributed. 
Reason:           Labels incorrectly stated 688 mg/ml organically bound 
                  iodine, instead of 400 mg/ml organically bound iodine.

                                     ---- 

Product:          Selenium Sulfide Lotion USP 2.5%, in 4 fluid ounce bottles, 
                  an Rx antiseborheic and antifungal preparation for
                  dermatological use, under the Major, United Research
                  Labs, Inc., Rugby and Barre labels.  Recall #D-305-0. 

                                      -4- 





Code:             Lot numbers and EXP dates:  72262 6/90, 72454 10/90,
                  82014 1/91, 82015 2/91, 82258 5/91, 82473 10/91,
                  82670 1/92, 92174 4/92, 92420 7/92, 92445 8/92, 
                  92667 10/92, 92668 10/92, 92669 9/92, 92873 1/93. 
Manufacturer:     Barre-National Inc., Baltimore, Maryland. 
Recalled by:      Manufacturer, by letter May 9, 1990.  Firm-initiated
                  recall ongoing. 
Distribution:     Nationwide. 
Quantity:         1,140,312 bottles were distributed; firm estimates
                  76,417 bottles remain on market.
Reason:           Incorrect expiration date of 36 months was used instead 
                  of 24 months. 

                                     ---- 

Product:          (a) Bacteriostatic Water for Injection, USP, in 16 ml 
                  multi-dose vials, for use in reconstituting 
                  methylprednisolone sodium succinate;
                  (b) Chorionic Gonadotropin for Injection, USP, a gonal
                  stimulating agent;
                  (c) Cytarabine USP (sterile), 100 mg, w/Diluent, in 
                  10 ml vials, an anti-neoplastic agent for IV and
                  subcutaneous use only;
                  (d) Cytarabine USP (sterile) 500 mg w/Diluent in 15 ml, 
                  vials, an anti-neoplastic agent for IV and subcutaneous 
                  use only; 
                  (e) Glucogan for Injection USP w/Diluent, in  3 ml vials, 
                  an anti-diabetic drug for IM, IV or subcutaneous use only.
                  Recall #D-307/311-0.
Code:             Lot numbers and EXP dates:  (a) 051H47B 11/91;
                  (b) 411J15 10/90, 411J29 01/91, 051J13A 3/92, 051J13A 3/91; 
                  (c) 219H51 6/90, 219J12 9/90, 219J17 10/90, 219J29 1/91,
                  219J44 5/91, 051H04 1/91, 051G52A 12/90, 051J13B 3/92.
                  (d) 220J12 9/90, 220J22 12/90, 220J29 1/91, 
                  051H47A 11/91, 051J13A 3/92;
                  (e) 435H52 5/90, 435H52 6/90, 435J07A 8/90, 435J07B 7/90, 
                  435J18 7/90, 435J19 7/90, 435J22 11/90, 435J24 11/90, 
                  435J25 11/90, 437H45 5/90, 437J02 7/90, 437J11 9/90,
                  437J02 7/90, 437J18 11/90.
Manufacturer:     Quad Pharmaceuticals, Indianapolis, Indiana.
Recalled by:      Manufacturer, by letter June 11, 1989.  Firm-initiated
                  recall ongoing. 
Distribution:     Nationwide. 
Quantity:         (a) 305 vials; (b) 45,584 vials; (c) 79,589 vials;
                  (d) 50,948 vials; (e) 344,890 vials.
Reason:           Unapproved overages of preservatives in diluent.

                                     ---- 

                                      -5- 





Product:          (a) Lidocaine HCl 1% and Epinephrine 1:100,000
                  Injection, USP; 
                  (b) Lidocaine HCl 2% and Epinephrine 1:100,000
                  Injection, USP, products are Rx small volume parenterals in 
                  30 ml clear glass vials indicated for production of local 
                  anesthesia by nerve block or infiltration injection.
                  Recall #D-314/315-0.
Code:             (a)  128053     049047     099029 
                       128028     049072     099047 
                       019031     059049     099006 
                       019077     059015     099083 
                       091056     069012     109015 
                       019079     069354     109037 
                       029049     069059     109102 
                       029051     069351     109056 
                       029065     069055     119026 
                       029080     069028     119008 
                       029061     069076     129003 
                       029078     079052     010005 
                       039010     079032     010039 
                       039384     089048     010054 
                       039015     099026     010041 
                       109075     022043; 
                  (b)  029014     079008     029063 
                       089056     039012     019017 
                       109077     039380     129001 
                       049091     010022     059090 
                       020019     069078. 
Manufacturer:     Elkins-Sinn Inc., Cherry Hill, New Jersey.
Recalled by:      Manufacturer, by telephone May 2 and 21, 1990 followed by 
                  letter June 18, 1990.  Firm-initiated recall ongoing. 
Distribution:     Virginia, Texas, Illinois, California.
Quantity:         Approximately 61 lots in shelf packs of 25/30 ml vials
                  each were distributed.
Reason:           Subpotency of epinephrine ingredient. 

                                     ---- 

                         MEDICAL DEVICES AND RADIOLOGY

                  Class I - 

Product:          First Medic Model 610 Semi-Automatic Defibrillator. 
                  Recall #Z-446-0.
Code:             Serial numbers 600 and higher.
Manufacturer:     First Medical Devices Corporation, Kirkland, Washington.
Recalled by:      Manufacturer, by letter June 29, 1990.  FDA requested 
                  recall ongoing. 
Distribution:     Nationwide, Canada. 
Quantity:         Approximately 572 units were distributed. 
Reason:           A latch-up problem which could render the device unusable.

                                     ---- 

                                      -6- 





                  Class II -

Product:          Scale-Tronix Model 2001 SlingScale Bed Scale, a self- 
                  contained scale for weighing patients in bed. 
                  Recall #Z-564-0.
Code:             All units manufactured prior to 1982; serial numbers
                  00101 through 03299.
Manufacturer:     Invacare, Inc., Elyria, Ohio (component). 
Recalled by:      Scale-Tronix, Inc., Wheaton, Illinois, by letter
                  March 24, 1990.  Firm-initiated field correction ongoing. 
Distribution:     Nationwide, Canada. 
Quantity:         Approximately 3,000 units were distributed; firm estimates
                  all units remain on market. 
Reason:           The hammock ring assembly of the lift mechanism may 
                  develop cracks or stress fractures near the horizontal
                  brace which could allow the patient in the hammock/ 
                  stretcher to fall while being weighed.

                                     ---- 

Product:          Mini Pro Model Beam Machine Laser Projector, used for 
                  laser light shows.  Recall #Z-685-0.
Code:             Serial #3005. 
Manufacturer:     Laser Productions, Miami, Florida.
Recalled by:      Manufacturer.  FDA approved the firm's corrective action
                  plan May 29, 1990.  Product was corrected June 21, 1990.
                  Firm-initiated field correction complete. 
Distribution:     Florida.
Quantity:         1 unit was distributed. 
Reason:           Noncompliance with the performance standard for laser 
                  products in that user information was inadequate, labeling
                  was inadequate, safety interlock was lacking and a gap
                  between the laser head and the laser projector could
                  permit unnecessary human access to laser radiation. 

                                     ---- 

Product:          Protex Contracept Plus Super Thin Latex Condoms 
                  Lubricated with Nonoxynol-9 Anti-Sperm Formula, 
                  individually wrapped for vending distribution.
                  Recall #Z-698-0.
Code:             Lot #30272 162 F, EXP 11 91U. 
Manufacturer:     Ansell Inc., Dothan, Alabama. 
Recalled by:      Aller-Care/NSL, Lincolnwood, Illinois, by telephone 
                  June 18, 1990 followed by letter June 19, 1990. 
                  Firm-initiated recall ongoing.
Distribution:     North Carolina, Kansas, Ohio, Minnesota.
Quantity:         58.5 gross were distributed; firm estimates very few
                  if any remains on market. 
Reason:           The tested condoms have an Acceptable Quality Level (AQL) 
                  in excess of 0.4%.

                                     ---- 

                                      -7- 





Product:          Cobe Laboratories CDX Disposable Transducers, physiological 
                  pressure transducers for invasive pressure monitoring:
                  (a) CDXPress; 
                  (b) CDX-III with Steriflo Continuous Flush Device.
                  Recall #Z-705/706-0.
Code:             Catalog No.          Lot No.
                  041-500-503          02T4637, 04T4604, 02T4611, 02T4613,
                                       07T4606 (and 2 with lots unknown)
                  041-506-5030         01T4602
                  041-507-503          10S4653R, 12S4635, 04T4614, 05T4610, 
                                       06T4611, 07T4614 
                  041-509-503          Various (none specified) 
                  041-510-503          12S4636
                  041-512-503          01T4823
                  041-524-503          11S4688
                  041-572-504          02T4615
                  041-574-504          11S4628
                  041-576-504          Various (none specified) 
                  042-503-406          01S9694
                  042-519-108          07S9675, 12S6947 
                  042-519-109          03T9670R 
                  042-534-004          Lots not identified
                  042-607-900          07S6960
                  042-900-209          07S6966, 08S9603R, 08S9604, 12S9609, 
                                       12S9610, 12S9628 
                  042-901-504          02T9676
                  042-931-601          12S6905
                  042-942-201          03T9676
                  042-942-601          02T6921
                  042-950-901          Various (unidentified) 
                  042-986-106          Various (unidentified. 
              Note:  Catalog numbers beginning with 042 represent custom kits)
Manufacturer:     Cobe Laboratories, Inc., Lakewood, Colorado.
Recalled by:      Manufacturer. Redesigned product was made available 
                  June 1989.  Firm-initiated recall ongoing.
Distribution:     Nationwide, Canada. 
Quantity:         Unknown.
Reason:           The devices are subject to fluid leakage at the linden
                  seal. 
                                     ---- 

Product:          Davol/Bard Hickman 9.0 French Round Dual Lumen Vascular 
                  Access Catheter (Adult Length) with VitaCuff Antimicrobial
                  Cuff and Percutaneous Introducer Kit with Tunneler, a 
                  single-use, sterile device intended for multi-purpose 
                  long-term vascular access.  Recall #Z-707-0.
Code:             Catalog #60060-4, lot #36EA4307.
Manufacturer:     Davol, Inc., Salt Lake City, Utah.
Recalled by:      Manufacturer, by telephone and by letter June 5, 1990.
                  Firm-initiated recall ongoing.
Distribution:     Missouri, Indiana, Oregon, New York, Virginia, Mississippi, 
                  Florida.
Quantity:         28 units were distributed.

                                      -8- 





Reason:           The trays contain a 12 French Catheter instead of the 
                  9.0 French Catheter specified in the labeling.

                                     ---- 

Product:          Medicomp Alpha Analyzer, (a) Model PM 220;
                  (b) Model PM 240.  Products are Holter monitors which 
                  are used for monitoring heart function on a 24 hour basis.
                  Recall #Z-708/709-0.
Code:             Serial numbers: (a) 6 through 32, 34 through 39,
                  41 through 46, 48 through 52, 54, 55, 57 through 61, 64;
                  (b) 40 and 56.
Manufacturer:     Medicomp, Inc., Melbourne, Florida. 
Recalled by:      Manufacturer, by letter May 17, 1990.  Firm-initiated 
                  recall ongoing. 
Distribution:     (a) West Germany, Italy, Austria, United Kingdom, France; 
                  (b) Australia.
Quantity:         (a) 52 units; (b) 2 units were distributed. 
Reason:           Devices may or may not detect pacemaker firing spikes.

                                     ---- 


CORRECTION:       Stryker Fold Down Siderails, Recall #Z-661/662 which
                  appeared in the June 20, 1990 Enforcement Report should 
                  read: 

                  Reason:  The Hex-head bolts which serve as siderail stops 
                           on Stryker stretchers, with fold-down siderails, 
                           manufactured before January 1985 may bend and
                           loosen over time allowing siderails which are being
                           put into the down position to collapse completely. 
                           A pinched or injured finger may result.

                                     ---- 

                  Class III - 

Product:          Kodak Ektachem Calibrator and Diluent Set (Isoenzyme),
                  an in-vitro diagnostic product used for the calibration 
                  of Kodak Ektachem clinical chemistry slides on Kodak
                  Ektachem Analyzers.  Recall #Z-704-0. 
Code:             Catalog #135-2004, kit lot #16 (calibrator and diluent set),
                  bottles within the kit have calibrator lot numbers 0133709, 
                  0135710, 0137711; and diluent lot numbers: 0134709, 
                  0136710, 0138711. 
Manufacturer:     Aalto Scientific, Vista, California.
Recalled by:      Eastman Kodak Company, Rochester, New York, by letters
                  of May 17 and 18, 1990.  Firm-initiated recall ongoing. 
Distribution:     Nationwide and international. 
Quantity:         2,298 boxes (4 calibrator sets/box) were distributed; 
                  firm estimated 1,070 boxes remained on market when
                  recall was initiated. 

                                      -9- 





Reason:           Possible misinterpretation of CKMB results due to loss of 
                  some enzyme activity. 

                                     ---- 

                              VETERINARY PRODUCTS 

                  Class I - 
                                     NONE 

                  Class II -

Product:          Diethylcarbamazine Citrate (DEC) Tablets, 50 mg, 200 mg 
                  and 400 mg, in 500, 200, and 100 tablet bottles, an 
                  Rx veterinary drug for the prevention of heartworm in 
                  dogs.  Recall #V-048-0. 
Code:             Lot numbers: 280-001 (50 mg), 282-002 (200 mg), 284-001 
                  (400 mg). 
Manufacturer:     Sanofi Animal Health, Fort Dodge, Iowa. 
Recalled by:      Manufacturer, by letter May 29, 1990.  Firm-initiated 
                  recall ongoing. 
Distribution:     Massachusetts, Missouri.
Quantity:         4,452 bottles were distributed. 
Reason:           Three lots were not manufactured in compliance with NADA
                  107-506.  Tablets were film coated the wrong color (green). 
                  Film coat used for these lots is approved for 300 mg
                  Diethylcarbamazine Citrate Tablet formulation.

                                     ---- 
                  Class III - 

                                     NONE 

Medical Device Safety Alerts: 

Product:          Ohmeda Model 3700, 3710 and 3740 Pulse Oximeters, a 
                  microprocessor controlled device used to determine
                  oxygen saturation in the tissue vascular bed. 
                  Safety Alert #M-056/058-0.
Code:             All serial numbers. 
Manufacturer:     Ohmeda, Division of BOC Group, Inc., Louisville, Colorado.
Alerted by:       Manufacturer, by letter April 30, 1990. 
Distribution:     Nationwide and international. 
Quantity:         Unknown.
Reason:           When a Physio-Control sensor is used with Ohmeda 3700,
                  3710, and 3740 Pulse Oximeters, patient burns may occur 
                  at the sensor site.