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
01/02/1992

Recalls and Field Corrections: January 2, 1992

                                     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:          Erythromycin Ethylsuccinate and Sulfisosoxazole Acetyl for
                  oral suspension, 200 mg/600 mg/5 ml (ESP), in bottles of
                  100 ml; Erythromycin Ethylsuccinate for oral suspension,
                  200 mg/5 ml, (EES), in bottles of 100 ml.  Recall #D-133-2.
Code:             Lot 1I445AW numeral 1, letter I, numbers 445, letters AW)
                  EXP 9/95 for both products.
Manufacturer:     Barr Laboratories, Inc., Northvale, New Jersey.
Recalled by:      Barr Laboratories, Inc., Pomona, New York, by letters of
                  November 21 and 26, 1991.  Firm-initiated recall ongoing.
Distribution:     Nationwide.
Quantity:         Approximately 335 mislabeled bottles were distributed.
Reason:           The erythromycin/sulfisosoxazole product is mislabeled as
                  the one ingredient erythromycin product.

                                     ----

                  Class II - 

Product:          Aspirin USP, bulk, in mesh grades 20, 40, 80, uncut
                  crystals, and starch granulation, packed in polylined
                  fiber drums of varying sizes (100 lb, 110.23 lb,
                  250 lb, 253.5 lb, 1,635.45 lb, and 2,000 lb).
                  Recall #D-134/138-2.
Code:             The following lot numbers with their corresponding mesh
                  sizes are involved in the recall:
                  20-Mesh:  SA-121 through SA-145, SA-4045 through SA-4049,
                  SA-4051 through 4058, SA-4060, SA-4065 Through SA-4072
                  40-Mesh:  SA-1201 through SA-1249
                  80-Mesh:  SA-7102 through SA-7147, SA-2033 through SA-2039
                  SA-5019 through SA-5020
                  Uncut:  SA-8196 through SA-8269
                  Starch Granulation:  SA-10038 through SA-10049
                  SA-12309 through SA-12311
Manufacturer:     Rhone-Poulenc, Inc., St. Louis, Missouri.
Recalled by:      Rhone-Poulenc, Inc., Princeton, New Jersey, by letters of
                  December 10, 12, and 16, 1991.  Firm-initiated recall
                  ongoing.
Distribution:     Nationwide, Canada, Argentina, Mexico.
Quantity:         Approximately 225 10,000-pound lots were distributed.
Reason:           Product was found to contain stainless steel particles.

                                     ----

Product:          (a) Red Blood Cells; (b) Fresh Frozen Plasma;
                  (c) Recovered Plasma.  Recall #B-055/057-2.

                                      -2-




Code:             Unit numbers:  (a) FS01525, FS03256, FM47233, FX31487;
                  (b) FX30096; (c) FM47233, FM48159, FM48118, FM48107,
                  FM45522, FM48558, FM32044, FX33422, FX35622, FS03881.
Manufacturer:     Fairfax Hospital System, Inc., Annandale, Virginia.
Recalled by:      Manufacturer, by letter January 16, 1991 and
                  February 7, 1991.  Firm-initiated recall ongoing.
Distribution:     Virginia, Washington, D.C.
Quantity:         (a) 4 units; (b) 1 unit; (c) 10 units.
Reason:           Blood products, improperly tested for the antibody
                  to the human immunodeficiency virus, type 1
                  (anti-HIV-1), were distributed.

                                     ----

Product:          Red Blood Cells.  Recall #B-065-2.
Code:             Unit #13T37006.
Manufacturer:     American Red Cross Blood Services, Detroit, Michigan.
Recalled by:      Manufacturer, by telephone April 30, 1991, followed by
                  letter May 15, 1991.  Firm-initiated recall complete.
Distribution:     Michigan.
Quantity:         1 unit.
Reason:           Red Blood Cells testing repeatably reactive for
                  hepatitis B surface antigen (HBsAg), were distributed.

                                     ----

Product:          Recombigen HIV-1 LA Kit.  Recall #B-067-2.
Code:             Lot #A6706- EXP 7/9/91.
Manufacturer:     Cambridge Biotech Corporation, Worcester, Massachusetts.
Recalled by:      Manufacturer, by letter April 29, 1991, followed by
                  telephone on or about April 29, 1991.  Firm-initiated
                  recall complete.
Distribution:     Nationwide, Bermuda, Australia, Ankara.
Quantity:         343 kits (100 test per kit) were distributed.
Reason:           Test kits, which failed to maintain stability for the
                  detection of antibodies to the human immunodeficiency virus,
                  type 1 (anti-HIV-1) throughout the dating period, were
                  distributed.
                                     ----

                  Class III -

Product:          (a) Whole Blood; (b) Red Blood Cells.  Recall #B-062/063-2.
Code:             Unit numbers: (a) F90254; (b) F90237, F90244, F90245,
                  F90252, F90258.
Manufacturer:     Tacoma-Pierce County Blood Bank.  Tacoma, Washington.
Recalled by:      Manufacturer, by telephone May 29, 1991, May 31, 1991,
                  and June 7, 1991.  Firm-initiated recall complete.
Distribution:     Washington state.
Quantity:         (a) 1 unit; (b) 5 units.
Reason:           Blood products, labeled with incorrect expiration dates,
                  were distributed.
                                     ----

                                      -3-




Product:          Red Blood Cells.  Recall #B-064-2.
Code:             Unit #8138711.
Manufacturer:     The Blood Center for Southeast Louisiana, New Orleans,
                  Louisiana.
Recalled by:      Manufacturer, by telephone July 29, 1991.  Firm-initiated
                  recall complete.
Distribution:     Louisiana.
Quantity:         1 unit.
Reason:           Blood product, labeled with incorrect expiration date
                  due to the addition of AS-1 additive after the 72 hour
                  limit, was distributed.

                                     ----

Product:          Platelets.  Recall #B-066-2.
Code:             Unit #10099.
Manufacturer:     Lane Memorial Blood Bank, Eugene, Oregon.
Recalled by:      Manufacturer, by telephone August 8, 1991.  Firm-
                  initiated recall complete.
Distribution:     Oregon.
Quantity:         1 unit.
Reason:           Blood product, untested for the antibody to hepatitis
                  C virus (anti-HCV), was distributed.

                                     ----

                       DEVICES AND RADIOLOGICAL PRODUCTS

                  Class I -
                                     NONE
                  Class II -

Product:          Ohmeda 7810 Anesthesia Ventilators, stock #1500-8000-000
                  (all 7810 Ventilators are an integral part of Ohmeda
                  Modulus II Plus Anesthesia Machines, stock #0236-5320-910).
                  Recall #Z-149-2.
Code:             All Ohmeda 7810 Anesthesia Ventilators that begin with
                  letters CAHR, CAHS, CAHT, and CAHU 00100 through CAHU 01050
                  including those serial numbers that end with letter "R".
Manufacturer:     Ohmeda, Madison, Wisconsin.
Recalled by:      Manufacturer, by letter dated November 1, 1991.
                  Firm-initiated recall ongoing.
Distribution:     Nationwide and international.
Quantity:         4,200 units.
Reason:           The device exhibits a sensitivity to electromagnetic
                  interference (EMI) and power line disturbances, which could
                  cause the ventilator to stop ventilating and the
                  ventilator's monitoring functions, including alarms,
                  to become inoperative.  In addition, the display may
                  exhibit one or more ventilator failure messages or display
                  unintelligible messages.

                                     ----

                                      -4-




Product:          Astra T Single Chamber Pulse Generator:
                  (a) Models 437/438/439 Low Profile, In-Line Bipolar
                  Pulse Generators;
                  (b) Models 537/538/539 Unipolar Pulse Generators.
                  Recall #Z-147/148-2.
Code:             All serial numbers.
Manufacturer:     Cardiac Pacemakers, Inc., St. Paul, Minnesota.
Recalled by:      Manufacturer, by letter dated November 26, 1991.
                  Firm-initiated recall ongoing.
Distribution:     Nationwide and international.
Quantity:         59 units were distributed.
Reason:           The generators contain capacitors from a specific vendor lot
                  that may not perform to specification.  Some devices
                  have exhibited lack of sensing resulting in asynchronous
                  pacing at the programmed rate.

                                     ----

Product:          GE Computers for Magnetic Resonance (MR) System Models
                  46-301394G4, 46-301394G14, 46-301394G24.
                  Recall #Z-154-2.
Code:             All serial numbers.
Manufacturer:     GE Medical Systems, Waukesha, Wisconsin.
Recalled by:      Manufacturer, by letters dated September 27, 1991 and
                  October 25, 1991.  Firm-initiated recall ongoing.
Distribution:     Nationwide and international.
Quantity:         180 units were distributed.
Reason:           The imaging, patient, and other hospital information for
                  one patient exam may be mismatched by the MR with the images
                  from different MR exams.

                                     ----

Product:          MR Adjustable Stool, Catalog #E8806AA, for use with
                  magnetic resonance systems in the examination room.
                  Recall #Z-155-2.
Code:             All units.
Manufacturer:     EF Brewer Company, Menomonee Falls, Wisconsin.
Recalled by:      GE Medical Systems, Waukesha, Wisconsin, by letter
                  September 1, 1991.  Firm-initiated recall ongoing.
Distribution:     Nationwide, England, Canada, Japan, Portugal.
Quantity:         161 units were distributed.
Reason:           Over time, the ferrous nails which attach the mounting
                  brackets to the backrest may pull out of the backrest
                  and be attracted by the MR magnet, presenting a
                  potential for injury.

                                     ----

Product:          Companion Airway and Delivery Management (ADAM) Circuit
                  with pressure tap for obstructive sleep apnea patients.
                  Recall #Z-202-2.

                                      -5-





Code:             Lot #AAX manufactured on 4/18/91.
Manufacturer:     COF Training Services, Inc., Ottawa, Kansas.
Recalled by:      Puritan Bennett Corporation, Lenexa, Kansas, by letter
                  August 2, 1991.  Firm-initiated recall ongoing.
Distribution:     Nationwide and international.
Quantity:         150 units were distributed.
Reason:           The devices were manufactured without a tap hole and the
                  pressure top was incorrectly placed in the vent hole.

                                     ----

Product:          Ivion Intellijet Multi-Channel Infusion Pump.
                  Recall #Z-212-2.
Code:             All new and serviced devices built between May 23, 1990
                  and May 3, 1991.  Serial numbers are as follows:
                  P210, P245, P259, P282, P355, P386, P396, P403, P430, P461,
                  P467, P481, P487, P508, P562, P570, P573, P625, P626,
                  P648, P649, P682, P696, P771, P774, P784, P829, P840,
                  P853, P873, P884, P888, P915, P932, P935, P936, P937, P942,
                  P947, P958, P961, P974, P981, P988, P992, P995, P997,
                  P1007, P1009, P1018, P1021, P1046, P1053, P1057,
                  P1060-P1064, P1066, P1068, P1070-P1083, P1085-P1090,
                  P1092-P1104, P1107, P1109-P11l1, P1113-P1119, P1121-P1129,
                  P1131-P1133, P1135-P1139, P1141, P1143-P1144, P1146-P1147,
                  P1149, P1152-P1161, P1163, P1165-P1167, P1169-P1170, P1210,
                  P1212, P1214, P1218, P1220, P1223-1224, P1227-11232,
                  P1235-P1241, P1244, P1248, P1254, P1256-P1258, P1260-P1266,
                  P1268-P1275, P1277, P1279, P1282-P1285, P1287-P1293, P1295,
                  P1297-P1302, P1304-P1311, P1313-P1317, P1319, P1320,
                  P1326-P1327, P1330, P1339-P1343, P1345-P1347, P1349-P1350,
                  P1352, P1371, P1373-P1375, P1377.
Manufacturer:     Ivion Corporation, Broomfield, Colorado.
Recalled by:      Manufacturer, by letter November 30, 1991.  Firm-initiated
                  field correction ongoing.
Distribution:     Nationwide, France.
Quantity:         263 pumps subject to field correction.
Reason:           Excessive adhesive was migrating down the shaft and onto
                  the outside of the motor gear.  This caused the motor pawl
                  to bond to the motor gear when the adhesive cured.

                                     ----

Product:          Propaq Monitors with Software versions 6.01 and 6.10:
                  (a) Model 102; (b) Model 104; (c) Model 106.
                  Recall #Z-213/215-2.
Code:             Various serial numbers.
Manufacturer:     Protocol Systems, Inc., Beaverton, Oregon.
Recalled by:      Manufacturer, by letter September 27 and 28, 1991.
                  Firm-initiated recall ongoing.
Distribution:     Nationwide and international.
Quantity:         992 units were distributed.

                                      -6-




Reason:           There is a software error in the computation of the
                  diastolic pressure in those monitors with software versions
                  6.01 and 6.10, which could cause falsely elevated diastolic
                  readings from non-invasive blood pressure measurements taken
                  by the monitor.

                                     ----

                  Class III -

Product:          Operational Program Software, Version 05 (M235) for
                  the AU5000.  Recall #Z-203-2.
Code:             All units of Version 05.
Manufacturer:     Olympus Optical Company, Ltd., Tokyo, Japan.
Recalled by:      Olympus Corporation, Lake Success, New York, by
                  telephone June 18, 1991, followed by letter June 21,
                  1991.  Firm-initiated recall ongoing.
Distribution:     Nationwide.
Quantity:         100 copies of software (M235).
Reason:           Utilization of the BATCH mode for either online accession
                  input or online data output may compromise the reported
                  patient results, due to the inappropriate inclusion of
                  previous sample ID numbers and patient results.

                                     ----

CORRECTION:       This a correction to Recall #Z-131/135-2 which appeared in
                  the December 11, 1991 Enforcement Report.  Recall numbers
                  Z-133/135-2 will be re-issued.

Product:          Urostomy Pouches (two styles) designed to collect urine
                  exiting from a stoma from people having a Urostomy.
                  Recall #Z-131/132-2.
Code:             ConvaTec Accuseal Urostomy Pouches
                  21926           OEX2811, OGX2814, ODX2830
                  21927           9BX2844, OGX2811, 9MX2814, OGX2825, OEX2805
                  21928           OEX2804, OGX2815, OEX2815, OBX2824
                  21936           OBX2800, ODX2829, OFX2826, OFX2813, OFX2826,
                                  OEX2813
                  21937           OEX2816, OGX2804, OBX2821, ODX2828
                  21956           OEX2806, OBX2833, 9LX2810
                  21957           OEX2817, 9MX2833, OBX2811, 9MX2823
                  21958           OCX2814, 9CX2815
                  21938           OCX2812, OFX2830, OEX2822, 9MX2810.
                  ConvaTec Standard Sytle Urostomy Pouch
                  List number     Control number
                  24231           OEX2809, OFX2834, OFX2804, OGX2810
                  24232           OFX2802
                  24233           OEX2803, OFX2836, OFX2803, OFX2805, OGX2809
                  24235           ODX2832, OFX2838, ODX2804, OFX2807
                  24236           ODX2837, ODX2805
                  24237           OAX2824.

                                      -7-




Manufacturer:     ConvaTec, Ltd., Whales, UK (pouches), and Medispo APS,
                  Denmark (flanges).
Recalled by:      ConvaTec, (a Bristol-Myers Company) Skillman, New Jersey,
                  by memorandum dated August 24, 1990, and September 4, 1990.
                  Firm-initiated recall complete.
Distribution:     Nationwide.
Quantity:         Approximately 51,000 market units (10's) units were
                  distributed; firm estimates none remains on the market.
Reason:           The flange's binding strength was compromised on some
                  Urostomy Pouches as a result of an increase in channel width.

                                     ----

                              VETERINARY PRODUCTS

                                     NONE

Medical Device Safety Alerts:

Product:          Ohmeda Biox 3740 Pulse Oximeter, a microprocessor-controlled
                  device used to determine oxygen saturation in the tissue 
                  vascular bed.  Safety Alert #M-019-2.
Code:             All serial numbers.
Manufacturer:     Ohmeda, Division of the BOC Group, Inc., Louisville,
                  Colorado.
Alerted by:       Manufacturer, by letter December 18, 1991.
Distribution:     Nationwide, Taiwan, Brazil, Holland, El Salvador, Colombia,
                  Jamaica, Canada.
Quantity:         26,700 units were distributed.
Reason:           Firm is informing users that the pulse oximeter should not
                  be used as an apnea monitor.

                                     ----

Product:          Edwards-Duromedics Bileaflet Valves, also previously known
                  as the Hemex Scientific Bileaflet Valve:
                  (a) Bileaflet Valve Model 3160 (Aortic);
                  (b) Bileaflet Valve Model 9120 (Mitral).
                  Safety Alert #M-020/021-2.
Code:             All sizes and serial numbers.
Manufacturer:     Edwards CVS Division, Baxter Healthcare Corporation
                  (formerly Hemex Scientific), Austin, Texas.
Alerted by:       Baxter Health Corporation, Irvine, California, by
                  initiating a patient notification program November 15, 1991
                  containing letter dated November 4, 1991.
Distribution:     Nationwide.
Quantity:         No unimplanted valves are known to remain in commerce.
                  Approximately 1,707 valves were distributed and implanted
                  in the United States between 1982 and 1988.
Reason:           One of the two leaflets of the valve may fracture and 
                  break loose from the valve housing.

                                     ----

                                      -8-





Injunction Actions Filed:

Against:          West-ward Pharmaceutical Corporation, Eatontown, New Jersey.
Product:          Prescription Drugs (91-524-393).
Charge:           Adulterated - The articles were manufactured under
                  conditions not in conformity with current good manufacturing
                  practice regulations.
Filed:            November 6, 1991 - U.S. District Court for the District of
                  New Jersey; Civil #91-5-54CSF; INJ #1259.
Consent Decree:   A consent decree was signed on December 19, 1991,
                  providing for shut-down of the firm.

                                     ----
Seizure Actions Filed:

Product:          Caldex CMPK Injection, an article of drug for veterinary
                  use (91-625-203).
Charge:           Misbranded - Product is a veterinary drug that does not
                  bear the required prescription legend, "Caution: Federal law
                  restricts this drug to use by or on order of a licensed
                  veterinarian."  The product was manufactured in Canada for
                  Agri Laboratories, Ltd., St. Joseph, Missouri.
Firm:             Veterinary Pharmaceuticals, Inc., Hanford, California.
Filed:            December 19, 1991 - U.S. District Court for the Eastern
                  District of California; FDC #66267.

                                     ----

Product:          Le Tan Canthaxanthin tanning tablets (91-627-663).
Charge:           Adulterated - Product contains an unsafe color additive.
Shipper:          Le Tan, Montrose, Colorado;
Firm:             Northbest Natural Products, Seattle, Washington.
Filed:            December 6, 1991 - U.S. District Court for the Western
                  District of Washington; Civil #91-1685; FDC #66321.
Seized:           December 13, 1991; 53 80-tablet bottles and 300 leaflets.

                                     ----

Product:          Betel Nut and Betel Nut Leaves (91-556-866).
Charge:           Adulterated - Products contain a poisonous and
                  deleterious substance.
Distributor:      United Asian Foods, Ltd., Vernon, California.
Firm:             Asian Specialty Food Company, Ltd., Chippewa Falls,
                  Wisconsin.
Filed:            November 4, 1991 - U.S. District Court for the Western
                  District of Wisconsin; Civil #91 C 0943 S; FDC #66299.

                                     ----

                                      -9-




Product:          Oxygen, USP (91-610-137/8).
Charge:           Adulterated - Product was repacked under conditions
                  not in conformity with current good manufacturing practice
                  regulations.
                  Misbranded - The product labels fail to contain a statement
                  of the quantity of contents.
Firm:             Apache Oxy-Med, Inc., Mesa, Arizona.
Filed:            September 27, 1991 - U.S. District Court for the
                  District of Arizona; Civil #91-1547-PHX-EHC; FDC #66228.
Seized:           October 8, 1991; stand tank, cylinders, etc., valued at
                  $99,000.
                                     -10-
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