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
05/22/1990      

FDA Enforcement for the week of MAY 23, 1990



                            FDA ENFORCEMENT REPORT
                               FOR MAY 23, 1990 

                                                            May 23, 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

                                     NONE 

                         MEDICAL DEVICES AND RADIOLOGY

                  Class I - 
                                     NONE 

                  Class II -

Product:          FPR (TM) Phenytoin Kits, Product No. 101500, a
                  fluorescence polarization immunoassay reagent kit used
                  to quantitate Phenytoin in serum.  Each kit is labeled to 
                  supply 100 in-vitro tests.  Recall #Z-570-0.
Code:             Lot number C045 EXP 2/90. 
Manufacturer:     Colony Laboratories, Inc., Richardson, Texas and
                  Windsor Laboratories, Inc., Dallas, Texas.
Recalled by:      Colony Laboratories, by letter November 20, 1989. 
                  Firm-initiated recall ongoing.
Distribution:     Nationwide and international. 
Quantity:         572 kits were distributed; 6 kits were recovered. 
Reason:           The product is out of specification results due to a
                  tracer or stability problem.

                                     ---- 

Product:          Actuator Component No. 4104882 of North American Drager 
                  AV-E Anesthesia Ventilator, sold with the Narkomed 2A,
                  Narkomed 2B, Narkomed 3 and Narkovet-E (large animal) 
                  anesthesia machines, used to breathe for a patient who is 
                  under general anesthesia.  Recall #Z-586-0. 
Code:             T8 and U8 (firm's recall letter states that the T8
                  may look like I6, 16, I8, 18, I9 or 19.  No actuators 
                  were actually distributed under these codes). 
Manufacturer:     Clippard Instrument Laboratory, Inc., Cincinnati, Ohio. 
Recalled by:      North American Drager, Telford, Pennsylvania, by letter 
                  April 20 and 23, 1990.  Firm-initiated recall ongoing.
Distribution:     Nationwide and international. 
Quantity:         Firm received and used 2,500 actuators with the recalled
                  codes to produce ventilators between August 1988 and
                  March 1990. 
Reason:           The ventilator may stick in the inspiratory phase.

                                     ---- 

Product:          "Airstrip" Post-Operative Dressings, packaged in a
                  plastic tyvek-like pack, 20 sterile dressings per box:
                  (a) Product No. 7193; (b) Product No. 7195. 
                  Recall #Z-588/589-0.

                                      -2- 





Code:             Lot numbers:  (a) 8934, 8935, 8807; 
                  (b) 8925, 8938, 8939. 
Manufacturer:     Smith and Nephew Ltd., Hull, England. 
Recalled by:      Smith and Nephew United, Inc., Largo, Florida, by 
                  telephone followed by letter April 11, 1990.  Firm-initiated
                  recall ongoing. 
Distribution:     Nationwide. 
Quantity:         (a) 1,867 cases of 20 dressing; (b) 330 cases of 20 
                  dressing were distributed.
Reason:           The devices may have defective package seals which can
                  compromise their sterility. 

                                     ---- 

Product:          Percutaneous Sheath Introducer Kits:
                  (a) Product #W01454 - Intro Full 8.5 FR 3.5" LL 
                  (luer-lock);
                  (b) Product #W01481 - Intro Full 8.5 FR Cathlok - Kit.
                  Recall #Z-590/591-0.
Code:             Lot numbers:  (a) 904033; (b) 904188. 
Manufacturer:     Medical Parameters, Inc., Woburn, Massachusetts.
Recalled by:      Manufacturer, by telephone May 17, 1989.  Firm-initiated
                  recall completed July 5, 1989.
Distribution:     Massachusetts, Rhode Island, Maine, New Hampshire,
                  Connecticut, Maryland.
Quantity:         12 cases (10/case) were distributed; firm estimates none
                  remains on market.
Reason:           The product sheath was not bonded to the hemostasis valve.

                                     ---- 

Product:          Standard Adult External Paddles for use with Lifepak
                  9 Defibrillator/Monitor, Part No. 802901-06.
                  Recall #Z-593-0.
Code:             293 noncontinuous serial numbers. 
Manufacturer:     Physio Control Corporation, Redmond, Washington.
Recalled by:      Manufacturer, by letter March 26, 1990 followed by
                  visit.  Firm-initiated recall ongoing.
Distribution:     Nationwide and international. 
Quantity:         293 paddle sets were distributed. 
Reason:           The wires in the coil cord connectors may have been 
                  improperly crimped. 

                                     ---- 

Product:          Cobe Membrane Lung, Ultra (Blood Oxygenator with
                  Integral Filter), a blood-gas exchange device intended
                  to be used during cardiac surgical procedures requiring 
                  cardiopulmonary bypass.  Recall #Z-594-0. 
Code:             Catalog #050122-000, Lot #03T5305.

                                      -3- 





Manufacturer:     Cobe Laboratories, Inc., Lakewood, Colorado.
Recalled by:      Manufacturer, by letter May 23, 1989.  Firm-initiated 
                  recall complete.
Distribution:     Nationwide. 
Quantity:         144 cases were distributed; firm estimates none remains 
                  on market.
Reason:           The color coding of the connections of the arterial and 
                  the venous sampling lines to the stopcock manifold were 
                  reversed. 
                                     ---- 

Product:          Endoscope Washer Models EW-10 and EW-20, a device 
                  that washes and/or disinfects endoscopes. 
                  Recall #Z-595/596-0.
Code:             All serial numbers. 
Manufacturer:     Olympus Optical Company, Ltd., Tokyo, Japan.
Recalled by:      Olympus Corporation, Lake Success, New York, by letter
                  April 25, 1990.  Firm-initiation field correction 
                  ongoing.
Distribution:     Nationwide, Canada. 
Quantity:         290 EW-10 units and 220 EW-20 units were distributed. 
Reason:           The cleaning and washing procedures may be inadequate 
                  to prevent the possibility of Pseudomonas aeruginosa
                  contamination.
                                     ---- 

Product:          Model TCB-500 Control Unit, a battery powered transducer
                  control unit, labeled as essential as an interface
                  between the pressure sensor of any standardized 
                  sensitivity Millar MIKRO-TIP Catheter Pressure
                  Transducer and dc amplifiers which do not supply bridge 
                  excitation voltage and do not have balance or calibration 
                  controls for full-bridge strain gauge pressure transducers. 
                  Recall #Z-597-0.
Code:             Catalog #852-1018, Serial numbers:  781 through 789;
                  792 through 802; 806, 807, 812 through 817. 
Manufacturer:     Millar Instrument, Inc., Houston, Texas.
Recalled by:      Manufacturer, by telephone June 1989.  Firm-initiated 
                  recall ongoing. 
Distribution:     Nationwide and Canada.
Quantity:         Firm estimates none remains on market.
Reason:           The battery holder may come loose during shipment or
                  after having been in use for a short while. 

                                     ---- 

                                      -4- 





Product:          Respironics Child BagEasy Resuscitators, manually 
                  operated, used for emergency resuscitation of 
                  children: 
                  (a) Model No. 412080 Child BagEasy with PEEP and Mask;
                  (b) Model No. 412081 Child BagEasy with PEEP; 
                  (c) Model No. 412082 Child BagEasy with Mask; 
                  (d) Model No. 412083 Child BagEasy only.
                  Recall #Z-599/602-0.
Code:             Serial numbers:  151007 through 151134, 159803 through
                  160710, 180447 through 181088.
Manufacturer:     Respironics, Inc., Monroeville, Pennsylvania. 
Recalled by:      Manufacturer, by telephone April 24, 1990 followed by 
                  letter April 27, 1990.  Firm-initiated recall ongoing.
Distribution:     Nationwide. 
Quantity:         1,476 units were distributed. 
Reason:           The pressure relief valve may be defective. 

                                     ---- 

Product:          Cobe Pressure Monitoring Kit (Neonatal, CDXpress),
                  a sterile, single-use Rx device used for invasive pressure
                  monitoring, catheterization procedures, fluid delivery and/ 
                  or blood access maintenance.  Each kit also contains a
                  component called COBE Steriflo II Push Button Flush 
                  Device, part of the overall kit:
                  (a) Catalog #041-578-504; (b) Catalog #0429614000 (custom). 
                  Recall #Z-603/604-0.
Code:             Lot numbers:  (a) 03T4638; (b) 02T9620. 
Manufacturer:     Cobe Laboratories, Inc., Arvada, Colorado.
Recalled by:      Cobe Laboratories, Inc., Lakewood, Colorado, by telephone 
                  April 6, 1989.  Firm-initiated recall ongoing.
Distribution:     (a) Pennsylvania, Georgia, North Carolina, Canada;
                  (b) Hawaii. 
Quantity:         (a) 14 cases (10 kits/case) ; (b) 100 units were
                  distributed; firm estimates none remains on market. 
Reason:           The 3 cc/hour flushing device was provided in the kit 
                  instead of the required 30 cc flushing device.

                                     ---- 

Product:          CSI (Crofilcon A) Contact Lens, a daily wear soft 
                  contact lens used for the correction of nearsightedness 
                  (myopia) or corneal astigmatism.  Recall #Z-605-0.
Code:             CASOU EXP 10/94.
Manufacturer:     Sola/Barnes-Hind, San Diego, California.
Recalled by:      Manufacturer, by letter March 20, 1990.  Firm-initiated 
                  recall ongoing. 
Distribution:     Nationwide, Puerto Rico, Canada, England (United Kingdom),
                  Holland, Singapore. 
Quantity:         667 lenses were distributed.

                                      -5- 





Reason:           The label incorrectly states the lens diameter as 
                  14.8 mm, whereas it should be 13.8 mm.

                                     ---- 

                  Class III - 

Product:          (a) FPR (TM) Carbamazepine Kit, Product No. 121001, a 
                  fluorescence polarization immunoassay reagent kit used
                  to quantitate Carbamazepine in serum.  Each kit is
                  labeled to supply 100 in-vitro tests; 
                  (b) FPR (TM) Gentamicin Calibrator Kit, Product No. 125001, 
                  tended for use in calibrating the TDx Fluorescence
                  Polarization Analyzer using the Colony Laboratories, Inc. 
                  FPR TM Gentamicin Kit for the quantitation of Gentamicin in 
                  serum.  Each kit is labeled as containing 6/2.5 ml vials of 
                  calibrators of optically clear bovine serum, 0.1% NaN3, and 
                  designated concentrations of Gentamicin;
                  (c) FPR (TM) Amikacin Reagent Pack Kit, Product No. 136001, 
                  labeled in part:  "intended to be used in conjunction with
                  the TDx Fluorescence Polarization analyzer to quantitate
                  Amikacin in serum.  Amikacin is a semi-synthetic
                  aminoglycoside which displays high potency and bacterial
                  action for susceptible organisms.  Recall #Z-571/573-0. 
Code:             Lot numbers:  EO14 EXP 2/90; (b) AC12 EXP 4/90; 
                  (c) HO13 EXP 4/90.
Manufacturer:     Colony Laboratories, Inc., Richardson, Texas and
                  Windsor Laboratories, Inc., Dallas, Texas.
Recalled by:      Colony Laboratories, (a & b) by letter November 20, 1989; 
                  (c) Consignees were sent a new activation code sheet
                  sometime in May 1989.  Firm-initiated recall ongoing. 
Distribution:     Nationwide and international. 
Quantity:         (a) 350 kits; (b) 200 kits; (c) 100 kits were distributed.
Reason:           Failure to meet product specifications: 
                  (a) Product spans changed after lot was released affecting
                  the acceptance of the calibration curve;
                  (b) Product calibrators were not allowing accurate control
                  measurements and curve fit errors were encountered; 
                  (c) The instrument could not be calibrated with the kit.

                                     ---- 

Product:          Precept 18" x 18" Lap Pads X-Ray Detectable,
                  Reorder No. 63-6028.  Product contains 5 laparotomy 
                  sponges wrapped in a non-absorbent outer wrap.  Wrap
                  with sponges are placed in plastic pouches and are shipped
                  in cardboard cases containing 20 pouches.  Recall #Z-587-0. 
Code:             Lot numbers: 59311, 59312, 59317. 
Manufacturer:     White Knight Health Care, Asheville, North Carolina.

                                      -6- 





Recalled by:      Manufacturer, by telephone February 9, 1990 followed
                  by letter February 12, 1990.  Firm-initiated recall ongoing.
Distribution:     New York, New Jersey, Rhode Island, Alabama, Florida, 
                  Maryland, Virginia, Georgia, Pennsylvania, Massachusetts. 
Quantity:         215 cases were distributed; firm estimates none remains 
                  on market.
Reason:           The strength of the pads may be unacceptable resulting in 
                  shredding of the product during removal.

                                     ---- 

Product:          Ultrasound Probe Covers.  The cover is a plastic tube 
                  6 inches in diameter and 32 inches long.  An "ultraphonic 
                  gel" is used with the probe to provide an air-excluding 
                  media between the probe and the cover and between the 
                  cover and the patient.  Recall #Z-592-0.
Code:             Item #910817, lot #8827.
Manufacturer:     North Coast Medi-Tek, Inc., Mentor, Ohio. 
Recalled by:      Cone Instruments, Inc., Solon, Ohio, by letter
                  May 19, 1989.  Firm-initiated recall ongoing. 
Distribution:     Nationwide. 
Quantity:         300 units were distributed; firm estimates none remains 
                  on market.
Reason:           Two probe covers contained pin holes which could allow
                  for the leakage of the ultraphonic gel. 

                                                                            ----


                              VETERINARY PRODUCTS 

                  Class I - 
                                     NONE 
                  Class II -

                                     NONE 
                  Class III - 

Product:          Vitamin A-D-B12 Injection, in 100 ml, 250 ml and
                  500 ml vials, an Rx product under the Durvet, Lextron,
                  Phoenix, Pro Labs (Agri Labs), Rx Vet, Vedco, 
                  and Veterinary Laboratories labels.  Recall #V-042-0. 
Code:             Lot numbers:  890478, 890601, 890602, 890882, 890883, 
                  891165, 891165-1, 891360, 891517, 891558, 891674, 
                  900137, 900138, 900139, 900391, 900391-1. 
Manufacturer:     Veterinary Laboratories, Inc., Lenexa, Kansas.
Recalled by:      Manufacturer, by letter May 1, 1990.  Firm-initiated
                  recall ongoing. 
Distribution:     Nationwide, Puerto Rico.
Quantity:         18,117/100 ml vials; 50,878/250 ml vials, 15,402/500 ml 
                  vials were distributed. 

                                      -7- 





Reason:           Product is subpotent in cyanocobalamin. 

                                     ---- 
Medical Device Safety Alerts: 

Product:          PORT-A-CATH Low Profile Portal Implantable Access 
                  System with Ultra-Lock Catheter Connector, designed to
                  permit repeated access to the vascular system for the 
                  delivery of medications, fluids or nutritional
                  solutions to selected sights within the vascular system.
                  and also permits the sampling of venous blood.
                  Safety Alert #M-046-0.
Code:             System: Reorder #21-4028, Part #21-4028.01, Lot #12632; 
                  Portal Component: Part #69-4128, Lot #10820;
                  Catheter Component: Part No. 69-4228, Lot No. 12137.
Manufacturer:     Pharmacia Deltec, Inc., St. Paul, Minnesota.
Alerted by:       Manufacturer, by visits February/March 1990.
Distribution:     Nationwide. 
Quantity:         690 units were distributed. 
Reason:           Silicone catheter fragmentation occurring at the Ultra-Lock 
                  connector.
                                     ---- 

Product:          Bjork-Shiley 60 Degree Convexo-Concave Prosthetic 
                  Heart Valve.  Safety Alert #M-047-0.
Code:             All control numbers.
Manufacturer:     Shiley, Inc., Irvine, California. 
Alerted by:       Manufacturer, by letter March 30, 1990. 
Distribution:     Nationwide. 
Quantity:         Firm estimates that all units have been implanted 
                  or destroyed. 
Reason:           Valve failure due to strut fractures. 

                                     ---- 
Seizure Actions Filed:

Product:          Frozen Lobster Tails (Import 876665). 
Charge:           Product is decomposed and also contains an undeclared 
                  preservative -- sodium bisulfite. 
Firm:             Food-Tech Analysts and Consultants, Jamaica, New York.
Filed:            March 12, 1990 - U.S. District Court for the District 
                  of New Jersey; Civil #CV90-0876, FDC #65813.

                                     ---- 

Product:          Combination Drug Containing Butalbital, Aspirin, Caffeine,
                  and Codeine (90-440-329). 
Charge:           Product is an unapproved new drug.
Firm:             Econolab, Inc., Westland, Michigan. 
Filed:            April 26, 1990 - U.S. District Court for the Eastern
                  District of Michigan; Civil #90-CV-60107-AA, FDC #65838.