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
05/06/1992 
 
RECALLS AND FIELD CORRECTIONS: May 6, 1992


                                                                        92-19

                                 FOODS -- CLASS I
              
PRODUCT        Chocolate Peanut Butter Swirl flavored Ice Cream Bars.
               Recall #F-258-2.
CODE           PN CHOCOLATE SAND 5592 printed on top of shipping carton.
MANUFACTURER   Dairy Mark, Inc., Cuyahoga Falls, Ohio.
RECALLED BY    Manufacturer, by telephone.  Firm-initiated recall complete.
DISTRIBUTION   Ohio, Massachusetts.
QUANTITY       78 cases were distributed.
REASON         Product contains undeclared peanuts.


RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS III
              
PRODUCT        Heinz Tomato Juice, in 5-1/2 fluid cans.  Recall #F-273-2.
CODE           Lot #2511/C2J2.
MANUFACTURER   H.J. Heinz Company of Canada, Leamington Ontario, Canada.
RECALLED BY    Wegmans Food Pharmacy, Rochester, New York, by memorandum       
               March 27, 1992.  Firm-initiated recall ongoing.

                                       

DISTRIBUTION   New York.
QUANTITY       587 cases (8 6-packs per case) were distributed.
REASON         Product is contaminated with mold and the net contents          
               declaration is not expressed in the required terms and/or       
               format.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS II
              
PRODUCT        Dicopac B12 Absorption Assay Kits, a radiopharmaceutical        
               in-vivo diagnostic used to assess vitamin B12 absorption.       
               Recall #D-330-2.
CODE           CT.312PA (2-test kit) and CT.315PA (5-test kit, lot #160 EXP    
               6/15/92.
MANUFACTURER   Amersham Labs, Amersham, Buckinghampshire, England.
RECALLED BY    Medi-Physics, Inc., an Amersham Company, Arlington Heights,     
               Illinois, by telephone April 21, 1992.  Firm-initiated recall   
               ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       129 2-test kits and 146 5-test kits were distributed.
REASON         The radiochemical purity is below specifications.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS III
              
PRODUCT        (a) Nystatin Tablets, 100,000 units/tablet, vaginal             
               prescription, in 15 and 30 tablet boxes; (b) Nystatin Topical   
               Cream, 100,000 units/gram, dermatologic prescription, in 240    
               gram bottles.  Recall #D-327/328-2.
CODE           Lot numbers:  (a) 256-377, 268-309, 274-351, 274-330, 274-329,  
               300-166, 268-310; (b) 278-479, 280-346, 280-347, 286-197.
MANUFACTURER   Lederle Laboratories, Division of American Cyanamid Company,    
               North Pearl River, New York.
RECALLED BY    Manufacturer, by letter during the first week of March 1992.    
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       (a) 5,215 units; (b) 34,395 units; (c) 1,329 units were 
               distributed.
REASON         Potency not assured through expiration date.

              
PRODUCT        Acetaminophen and Codeine Phosphate Tablets 300 mg/60 mg, in    
               100 and 500 tablet bottles, a Rx drug for relief of pain.
               Recall #D-329-2.
CODE           Lot numbers and EXP dates:  9C229AO 4/92, 9J229BL 11/92,        
               0B229DY 3/92, 1F229AZ 7/94, 1G229DK 7/94, 1I229DN 10/94,        
               1I229DO 10/94, 1I229DP 11/94.
MANUFACTURER   Barr Laboratories, Inc., Northvale, New Jersey.
RECALLED BY    Barr Laboratories, Inc., Pomona, New York, by letter April 1,   
               1992.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       (a) 5,215 units; (b) 34,395 units; (c) 1,329 units were         
               distributed.
                                     -2-

REASON         Product fails content uniformity specifications.

RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS II
              
PRODUCT        Red Blood Cells.  Recall #B-254-2.
CODE           Unit #2317315.
MANUFACTURER   Central Indiana Regional Blood Center, Inc., Indianapolis,      
               Indiana.
RECALLED BY    Manufacturer, by letter September 3, 1991.  Firm-initiated      
               recall complete.
DISTRIBUTION   Indiana.
QUANTITY       1 unit.
REASON         Blood product which tested negative for the antibody to human   
               T lymphotropic virus type I (anti-HTLV-1), but was collected    
               from a donor who previously tested repeatedly reactive for      
               anti-HTLV-1, was distributed.

              
PRODUCT        (a) Red Blood Cells; (b) Platelets; (c) Fresh Frozen Plasma;
               (d) Cryoprecipitated AHF; (e) Recovered Plasma.  Recall         
               #B-259/263-2.
CODE:          Unit numbers:  (a) 39E11471, 39F00588, 39F00954, 39F01548,      
               39F01767, 39F02984 39F03678, 39F04297, 39F05176, 39F08443,      
               39F08487, 39F10266, 39F10356, 39F10492, 39F14667, 39F16396,     
               39F17937, 39F22951, 39F24128, 39F24684, 39F25404, 39F26618,     
               39F31110, 39F32380, 39F34179, 39F34325, 39F36657, 39F50977,     
               39F92136, 39F93419, 39F94346, 39F94532, 39F94586, 39F95528,     
               39F95536, 39F96157, 39F97421, 39F97674, 39F98105, 39F98122,     
               39F98309, 39F99184, 39F99300, 39G00002, 39G01118, 39G06167,     
               39G08961, 39G08982, 39G11906, 39G15870, 39G28037, 39G28455,     
               39G41314, 39G42762, 39G44645, 39G45590, 39G46881, 39G51639,     
               39G54984, 39G59776, 39G65771, 39G74531, 39G75967, 39G78065,     
               39G79374, 39G85426, 39G87272, 39G90660, 39G93900, 39G95392,     
               39G96939, 39H02115, 39H06465, 39H07935, 39H08857, 39H12150,     
               39H12795, 39H13837, 39H14144, 39H15496, 39H15753, 39H22495,     
               39H27089, 39H28680, 39H54679, 39J05983, 39J37267, 39J42857,     
               39J43208, 39J48322, 39J52792, 39J54470, 39J56555, 39J57400,     
               39J62777, 39J96135, 39K38680, 39K39883, 39K39975, 39K41113,     
               39K42542, 39K44773, 39K45520, 39M18819, 39M19321, 39M19868,     
               39M20353, 39M20757, 39M21217, 39M21646, 39M21712, 39M22061,     
               39M22141, 39N13892, 39X29823, 39X29971, 39X30480, 39Y24574,     
               39Y27760
               (b) 39E11471, 39F00588, 39F00954, 39F01548, 39F01767, 39F02984,
               39F03678, 39F04297, 39F05176, 39F08443, 39F08487, 39F10266,
               39F10356, 39F10492, 39F14667, 39F16396, 39F17937, 39F22951,
               39F24128, 39F25404, 39F26618, 39F31110, 39F32380, 39F34179,
               39F34325, 39F36657, 39F92136, 39F93419, 39F94346, 39F94532,
               39F94586, 39F95528, 39F95536, 39F96157, 39F97421, 39F97674,
               39F98105, 39F98122, 39F98309, 39F99184, 39F99300, 39G11906,
               39G28037, 39G41314, 39G42762, 39G44645, 39G45590, 39G74531,
               39G75967, 39G93900, 39H02115, 39H06465, 39H07935, 39H08857,

                                     -3-

               39H12150, 39H12795, 39H13837, 39H14144, 39H15496, 39H15753,
               39H54679, 39J05983, 39J57400, 39K45520, 39N13892, 39Y24574,
               39Y27760
               (c) 39F01548, 39F01767, 39F02984, 39F03678, 39F04297, 39F05176,
               39F24684, 39F94346, 39F94586, 39F95528, 39F95536, 39F96883,
               39F97421, 39F98122, 39F99300, 39G11906, 39G93900, 39H02115,
               39H07935, 39H12795, 39H13837, 39H14144, 39H15496, 39H15753,
               39H54679, 39J62777, 39N13892
               (d) 39F08443, 39F08487, 39F10266, 39F10356, 39F10492, 39F14667,
               39F16396, 39F17937, 39F22951, 39F25404, 39F26618, 39F31110,
               39F32380, 39F34179, 39F34325, 39F36657, 39G41314, 39Y24574
               (e) 39F00588, 39F00954, 39F08443, 39F08487, 39F10266, 39F10356,
               39F10492, 39F14667, 39F16396, 39F17937, 39F19745, 39F22951,
               39F24128, 39F25404, 39F26618, 39F31110, 39F32380, 39F34179,
               39F34325, 39F36657, 39F50977, 39F92136, 39F93419, 39F94532,
               39F96157, 39F97674, 39F98105, 39F98309, 39F99184, 39G00002,
               39G01118, 39G06167, 39G08961, 39G08982, 39G15870, 39G28037,
               39G28455, 39G41314, 39G42762, 39G44645, 39G45590, 39G46881,
               39G51639, 39G54984, 39G59776, 39G65771, 39G74531, 39G75967,
               39G78065, 39G79374, 39G85426, 39G87272, 39G90660, 39G95392,
               39G96939, 39H06465, 39H08857, 39H12150, 39H22495, 39H28680,
               39J05983, 39J37267, 39J42857, 39J43208, 39J48322, 39J52792,
               39J54470, 39J56555, 39J57400, 39J79275, 39J96135, 39K38680,
               39K39883, 39K39975, 39K41113, 39K42542, 39K44773, 39K45520,
               39M18819, 39M19321, 39M19868, 39M20353, 39M20757, 39M21217,
               39M21646, 39M21712, 39M22061, 39M22141, 39X29823, 39X29971,
               39X30480, 39Y24574, 39Y27760.
MANUFACTURER   American Red Cross, Tri-State Region, Huntington, West          
               Virginia. 
RECALLED BY    Manufacturer, by telephone on or about November 7, 1991,        
               followed by letters dated November 7 and 12, 1991, December     
               12, 1991.  Firm-initiated recall ongoing.
DISTRIBUTION   West Virginia, Kentucky, Ohio, Pennsylvania, Florida,           
               Oklahoma, South Carolina, New Jersey, Illinois, California,     
               Switzerland.
QUANTITY       (a) 119; (b) 67; (c) 27; (d) 18; (e) 93 units were distributed.
REASON         Blood components, which tested negative for antibody to the     
               human immunodeficiency virus, type 1 (anti-HIV-1), but were     
               collected from donors who previously tested repeatedly          
               reactive for anti-HIV-1, were distributed.

              
PRODUCT        4N Sulfuric Acid (H2S04) for Ortho Elisa Test System 150 ml.
               Recall #B-269-2.
CODE           Lot #1094 EXP 4/93.
MANUFACTURER   Biochemical Science, Bridgeport, New Jersey.
RECALLED BY    Ortho Diagnostic Systems, Inc., Raritan, New Jersey, by letter  
               February 17, 1992.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       104 packages were distributed.
REASON         4N sulfuric acid stop solution, which caused invalidation of    
               test runs in the Ortho ELISA Test System due to contamination   
               with iron, an oxidizing agent, was distributed.

                                     -4-

              
PRODUCT        Source Plasma.  Recall #B-270-2.
CODE           Unit #E07602-173.
MANUFACTURER   First Coast Plasma, Inc., Jacksonville Beach, Florida.
RECALLED BY    Manufacturer, by letter May 29, 1991.  Firm-initiated recall    
               ongoing.
DISTRIBUTION   California.
QUANTITY       1 unit.
REASON         Source Plasma, which tested negative for hepatitis B surface    
               antigen (HBsAg) but was collected from a donor who previously   
               tested reactive for HBsAg, was distributed.

              
PRODUCT        (a) Red Blood Cells; (b) Recovered Plasma.
               Recall #B-271/272-2.
CODE           Unit numbers:  (a) J64387; (b) J53304, J64387.
MANUFACTURER   Aurora Area Blood Bank, Heartland Blood Centers, Aurora,        
               Illinois.
RECALLED BY    Manufacturer, by letter March 23, 1992.  Firm-initiated recall  
               complete.
DISTRIBUTION   Illinois, California.
QUANTITY       (a) 1 unit; (b) 2 units.
REASON         Blood products, which tested negative for the antibody to       
               human immunodeficiency virus type 1 (anti-HIV-1), but were      
               collected from donors who previously tested repeatedly          
               reactive for anti-HIV-1, were distributed.

              
PRODUCT        Recovered Plasma.  Recall #B-274-2.
CODE           Unit numbers:  16F06609, 16F14872, 16F20379, 16F23787,          
               16F27238, 16F37765, 16F82679, 16F86753, 16F92797.
MANUFACTURER   American Red Cross Blood Services, Columbus, Ohio.
RECALLED BY    Manufacturer, on February 22, 1991.  Firm-initiated recall      
               ongoing.
DISTRIBUTION   California.
QUANTITY       9 units.
REASON         Units of recovered plasma, which tested negative for hepatitis  
               B surface antigen(HBsag), but were collected from a donor who   
               previously tested repeatedly reactive for HBsAg, were           
               distributed.

             
PRODUCT        Red Blood Cells.  Recall #B-275-2.
CODE           Unit numbers 1286307, 1286308, 1292270.
MANUFACTURER   Central Texas Regional Blood Center, Austin, Texas.
RECALLED BY    Manufacturer, by letters of  September 17, 1991, and November   
               15, 1991.  Firm-initiated recall complete.
DISTRIBUTION   Texas.
QUANTITY       3 units.
REASON         Blood products, testing either repeatedly reactive for the      
               antibody to hepatitis C virus encoded antigen (anti-HCV), or    
               negative for anti-HCV but collected from a donor who            
               previously tested repeatedly reactive for anti-HCV, were        
               distributed.
                                     -5-

              
PRODUCT        (a) Red Blood Cells; (b) Platelets; (c) Fresh Frozen Plasma;    
               (d) Recovered Plasma.  Recall #B-276/279-2.
CODE           Unit numbers:  (a) 05N21236, 05N25253; (b) 05N25253; (c)        
               05N25253; (d) 05N21236.
MANUFACTURER   American Red Cross Blood Services, Washington, D.C.
RECALLED BY    Manufacturer, by letters of June 18 and 26, 1991.               
               Firm-initiated recall complete.
DISTRIBUTION   Maryland, Virginia, California.
QUANTITY       (a) 2 units; (b) 1 unit; (c) 1 unit; (d) 1 unit.
REASON         Blood products, collected from a donor who previously tested    
               repeatedly reactive for the antibody to the human               
               immunodeficiency virus type 1 (anti-HIV-1), were distributed.

              
PRODUCT        Platelets.  Recall #B-280-2.
CODE           Unit  #1825890.
MANUFACTURER   LifeSource, Glenview, Illinois.
RECALLED BY    Manufacturer, by telephone December 30, 1991.  Firm-initiated   
               recall complete.
DISTRIBUTION   Illinois.
QUANTITY       1 unit.
REASON         Blood product, collected from a donor who previously tested     
               repeatedly reactive for anti-HIV-1, was distributed.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS III

              
PRODUCT        (a) Whole Blood; (b) Red Blood Cells; (c) Platelets; (d) Fresh  
               Frozen Plasma; (e) Recovered Plasma.  Recall #B-264/268-2.
CODE           Unit numbers:  (a) 39J55658, 39K41672
               (b) 39F93168, 39F94197, 39F95260, 39F96883, 39F98484, 39H15797,
               39H15884, 39J28125, 39J43223, 39J50064, 39J51406, 39J53801,
               39J54723, 39J52788, 39J57543, 39J59809, 39J94493, 39K39872,
               39J54723, 39J52788, 39J57543, 39J59809, 39J94493, 39K39872,
               39K40851, 39K42388, 39K44224, 39K46672, 39M20852, 39M21259,
               39M21771
               (c) 39F93168, 39F94197, 39F95260, 39F96883, 39F98484, 39H15797,
               39H27089, 39J51406
               (d) 39F93168, 39F94197, 39F95260, 39F98484, 39H15797, 39H15884,
               39H27089
               (e) 39J28125, 39J43223, 39J50064, 39J51406, 39J52788, 39J53801,
               39J54723, 39J57543, 39J59809, 39J94493, 39K39872, 39K40851,
               39K42388, 39K44224, 39K46672, 39M20852, 39M21259, 39M21771.
MANUFACTURER   American Red Cross, Tri-State Region, Huntington, West          
               Virginia. 
RECALLED BY    Manufacturer, by telephone on or about November 7, 1991,        
               followed by letters dated November 7 and 12, 1991, December     
               12, 1991.  Firm-initiated recall ongoing.
DISTRIBUTION   West Virginia, Kentucky, Ohio, Pennsylvania, Florida,           
               Oklahoma, South Carolina, New Jersey, Illinois, California,     
               Switzerland.
                                     -6-

QUANTITY       (a) 2; (b) 25; (c) 8; (d) 7; (e) 18 units were distributed.
REASON         Blood components, which tested negative for antibody to the     
               human immunodeficiency virus, type 1 (anti-HIV-1), but were     
               collected from donors who previously tested repeatedly          
               reactive for anti-HIV-1, were distributed.

              
PRODUCT        Platelets.  Recall #B-273-2.
CODE           Unit #29-096-1750.
MANUFACTURER   United Blood Services, Chicago, Illinois.
RECALLED BY    Manufacturer, by telephone December 9, 1991.  Firm-initiated    
               recall ongoing.
DISTRIBUTION   Illinois.
QUANTITY       1 unit.
REASON         A unit of platelets, prepared more than eight hours after       
               collection of the whole blood unit, was distributed.

              
PRODUCT        Red Blood Cells.  Recall #B-281-2.
CODE           Unit numbers:  7014726, 7014727.
MANUFACTURER   LifeSource, Glenview, Illinois.
RECALLED BY    Manufacturer, by telephone August 20, 1991.  Firm-initiated     
               recall complete.
DISTRIBUTION   Illinois.
QUANTITY       2 units.
REASON         Blood product labeled with an incorrect expiration date was     
               distributed.

              
PRODUCT        Plasma.  Recall #B-282-2.
CODE           Unit #KK98806.
MANUFACTURER   Richmond Metropolitan Blood Services, Richmond, Virginia.
RECALLED BY    Manufacturer, by letter February 18, 1992.  Firm-initiated      
               recall complete.
DISTRIBUTION   Virginia.
QUANTITY       1 unit.
REASON         Plasma, labeled as Fresh Frozen Plasma, was distributed.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS II
              
PRODUCT        Lasermatic Super Combo (also known as Lasermatic Combolaser),   
               used for surgery.  Recall #Z-268-2.
CODE           Serial numbers:  None.
MANUFACTURER   Lasermatic, Inc., Dallas, Texas.
RECALLED BY    Manufacturer.  FDA approved the firm's corrective action plan   
               January 2, 1992.  Firm-initiated field correction ongoing.
DISTRIBUTION   Undetermined.
QUANTITY       2 units were distributed.
REASON         Noncompliance with the performance standard for laser products  
               in that its user manual failed to provide procedure and         
               schedule for calibration of the incorporated measurement        
               system. 

                                     -7-

              
PRODUCT        Model Optica 60 Surgical Laser.  Recall #Z-321-2.
CODE           Serial numbers: None.
MANUFACTURER   Xintec Corporation, Oakland, California.
RECALLED BY    Manufacturer.  FDA approved the firm's corrective action plan   
               February 4, 1992.  Firm-initiated field correction ongoing.
DISTRIBUTION   Virginia.
QUANTITY       2 units were distributed.
REASON         Noncompliance with performance standard for laser products in   
               that the manufacturer failed to provide a procedure and         
               schedule for recalibration of the incorporated measurement      
               system.

              
PRODUCT        Dymer 200+ Excimer Laser Angioplasty System, used for           
               angioplasty.  Recall #Z-322-2.
CODE           Serial numbers:  None.
MANUFACTURER   Advanced Interventional Systems, Inc., Irvine, California.
RECALLED BY    Manufacturer.  FDA approved the firm's corrective action plan   
               January 28, 1992.  Firm-initiated field correction ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       57 units were distributed.
REASON         Noncompliance with performance standard for laser products in   
               that the operator's manual failed to contain a procedure and    
               schedule for recalibration of the incorporated measurement      
               system.

              
PRODUCT        Intramedullary Alignment Guide.  Recall #Z-363-2.
CODE           Serial numbers:  6787300, 70044800, 67923700, 71062200,         
               67905100, 70905700, 69879800, 69189990, 67901100, 70380100.
MANUFACTURER   Zimmer, Inc., Warsaw, Indiana.
RECALLED BY    Manufacturer, by letter November 15, 1991.  Firm-initiated      
               recall ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       529 pieces were distributed.
REASON         Rod separates from the body.

              
PRODUCT        Respitrace Plus Monitoring System, Versions 1.7 or less.        
               Recall #Z-364-2.
CODE           Serial numbers:  None.
MANUFACTURER   Non-Invasive Monitoring Systems, Miami Beach, Florida.
RECALLED BY    Manufacturer, by letter September 6, 1991.  Firm-initiated      
               field correction complete.
DISTRIBUTION   Texas, Washington state, Colorado, Florida, Ohio, Virginia,     
               Minnesota, California, Louisiana, Massachusetts, Georgia,       
               Kansas, Pennsylvania.
QUANTITY       42 units were distributed.
REASON         There is a software problem affecting the alarms for high and   
               low heart rates, low breath volume, high breath rate, and high  
               labored breathing index.  When the problem occurs, the analog   
               and visual data are correct; however, there is no audible       
               alarm. 
                                     -8-

              
PRODUCT        Uroview 2000 System, an integrated x-ray imaging and patient    
               positioning system for use in a variety of urological           
               diagnostic and surgical applications.  Recall #Z-562-2.
CODE           Serial numbers: T2-2001 through 2011, T9-2095 through 2109,     
               T2-2013 through 2024, T9-2111 through 2132, T2-2026 through     
               2028, T9-2134 through 2154, T2/T9 - 2028, T9-2156 through       
               2159, T9-2001 through 2016
               T9-2161 through 2166, T9-2018, T9-2168, T9-2019, T9-2169,       
               T9-2021 through 2026, T9-2171, T9-2028 through 2034, T9-2173,   
               T9-2036 through 2053, T9-2175-2182, T9-2055 through 2060,       
               T9-2185, T9-2062 through 2081
               T9-2186, T9-2090 through 2092.  NOTE: Serial number T2/T9-2028  
               indicates that the unit originally went out with a nine-inch    
               Image Intensifier but the customer decided that a 12-inch       
               Image Intensifier was more appropriate for their purposes.      
               The unit was refitted with a 12-inch intensifier.  Missing      
               serial numbers are units that were shipped internationally or   
               are still in the possession of OEC-Diasonics.
MANUFACTURER   OEC Diasonics, Salt Lake City, Utah.
RECALLED BY    Manufacturer.  FDA approved the firm's corrective action plan   
               March 20, 1992.  Firm-initiated field correction ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       191 units were distributed.
REASON         Noncompliance with performance standard for x-ray products
               in that the device does not meet the requirements for
               light illuminance; the system did not provide a mode of
               operation which limited the spot-film size to the fluoroscopic
               field size when the fluoroscopic field size was smaller than
               the selected spot-film field size; and some units were
               defective in that image reversal could occur without
               operator awareness.

              
PRODUCT        Gelfoam Sterile Powder (absorbable gelatin powder), used as a   
               hemostatic device.  Recall #Z-618-2.
CODE           All lots.
MANUFACTURER   The Upjohn Company, Kalamazoo, Michigan.
RECALLED BY    Manufacturer, by letter April 8, 1992.  Firm-initiated recall   
               ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       329,185 jars were distributed.
REASON         The device was being promoted for bone hemostasis without an    
               approved premarket application.

              
PRODUCT        Corpak Bower PEG Feeding with Internal Retention Balloon with   
               Elastic Foam, 20 Fr, a sterile Rx device for percutaneous       
               endoscopic gastrostomy procedures:
               (a) Reorder No. 30-5020  20 Fr. Bower PEG Kit
               (b) Reorder No. 30-4020  20 Fr. Bower PEG Kit - Push Technique;

                                     -9-

               (c) Reorder No. 30-6020  20 Fr. Bower-Ring Kit ;
               (d) Reorder No. 30-5520  20 Fr. Bower Basic PEG Kit.
               Recall #Z-622/625-1.
CODE           (a) all lots except A49BA and A50BA; (b) all lots except A04BP;
               (c) all lots except A02BH; (d) All lots.
MANUFACTURER   Corpak, Inc., Wheeling, Illinois.
RECALLED BY    Manufacturer, by letter January 17, 1992.  Firm-initiated       
               recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       4,500 kits were distributed.
REASON         The devices contain a defective retention balloon seal which    
               could result in balloon failure (separation of the balloon      
               from the feeding tube.

              
PRODUCT        Argyle Spinal Anesthesia Trays, 25 gage, containing various     
               drugs and medical devices for use in spinal anesthesia:
               (a) Catalog #8888-826123, containing 1% Tetracaine HCl          
               Injection plus 10% Dextrose Injection;
               (b) Argyle Spinal Anesthesia Tray, Catalog #8888-828129,        
               containing Marcaine Spinal.  Recall #Z-626/627-2.
CODE           530368.
MANUFACTURER   Sherwood Medical Company, St. Joseph, Missouri (assembler).
RECALLED BY    Sherwood Medical Company, St. Louis, Missouri, by telephone     
               and letter April 9, 1992.  Firm-initiated recall ongoing.
DISTRIBUTION   Massachusetts, Pennsylvania, West Virginia, Michigan,           
               Illinois, Missouri, Louisiana, Arizona, Texas, California.
QUANTITY       875 trays were distributed.
REASON         The trays marked as lot 530368 may have been labeled            
               mistakenly under two different catalog numbers.  As a result,   
               trays labeled as catalog #8888-828129 state that the tray       
               contains a 2 ml ampule of Marcaine Spinal, when in fact these   
               trays contain a 2 ml ampule of 1.0% Tetracaine HCl Injection    
               plus a 3 ml ampule of 10% Dextrose Injection.

              
PRODUCT        Hall Trama Drill.  Recall #Z-634-2.
CODE           Serial numbers:  2814, 2815, 2817, 2818, 2820, 2821.
MANUFACTURER   Hall Surgical, Division of Zimmer, Carpinteria, California.
RECALLED BY    Manufacturer, by telephone May 17, 1991, followed by letter     
               May 23, 1991.  Firm-initiated recall complete.
DISTRIBUTION   Alabama, Florida, Iowa, Oregon, Texas.
QUANTITY       6 units were distributed.
REASON         The drill may run on after the trigger is released.

              
PRODUCT        CDI QUIK-CELLS - component of System 400 Blood Gas Monitoring   
               System
               (a) Model 6720, 1/4";
               (b) Model 6725, 1/4" (bulk, non-sterile);
               (c) Model 6730, 3/8";
               (d) Model 6731, 3/8" with 6" tubing;
               (e) Model 6735, 3/8" (bulk, non-sterile);

                                     -10-

               (f) Model 6740, 1/2";
               (g) Model 6741, 1/2" with 6" tubing;
               (h) Model 6745, 1/2" (bulk, non-sterile);
               (i) Model 6750, Combo (containing Models 6730 & 6740);
               (j) Model 6751, Combo with 6" tubing;
               (k) Model 6770, Demo (containing Models 6730 & 6740).
               Recall #Z-635/645-2.
CODE           All lots.
MANUFACTURER   CDI, 3M Health Care, Tustin, California.
RECALLED BY    Manufacturer, by telephone beginning January 30, 1992,          
               followed by letter dated February 3, 1992.  Firm-initiated      
               recall ongoing.
DISTRIBUTION   Nationwide and Puerto Rico.
QUANTITY       (a) 600 units; (b) 271 units; (c) 11,380 units; (d) 1,280       
               units; (e) 21,271 units; (e) 10,388 units; (f) 1,250 units;     
               (g) 15,712 units; (h) 24; (i) 1,715 units were distributed.
REASON         The cell membranes are tearing, compromising the sterility of   
               the barrier and increasing the potential for air to enter the   
               extracorporeal circuit.

              
PRODUCT        (a) Monoject Bone Marrow Biopsy/Aspiration Needle with luer     
               lock adapter, 8 gage x 4 inch, Catalog #8881-242088; (b)        
               Monoject Bone Marrow Biopsy/Aspiration Tray, Catalog            
               #8881-844024; (c) Monoject Bone Marrow Biopsy Tray with         
               Biopsy/Aspiration Needle, Catalog #8881-844081.
               Recall #Z-656-2.
CODE           Lot numbers:  (a) 555924, 57765, 57908, 58607, 59051, 60170,    
               60171; (b) 59901, 55902; (c) 56528.
MANUFACTURER   Creative Research & Manufacturing, Inc., Minnetonka, Minnesota.
RECALLED BY:   Sherwood Medical Company, St. Louis, Missouri, by letter        
               February 10, 1992.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       (a) 8,980 needles; (b) 510 kits; (c) 450 kits were distributed.
REASON         Nonmedical grade stainless steel was used in the manufacture    
               of the needles although product specifications require medical  
               grade stainless steel.

              
PRODUCT        Concha Reservoir Bottle, a plastic bottle containing 1500 ml    
               of usable sterile water for inhalation, USP.  Recall #Z-657-2.
CODE           Catalog numbers:  381-50 (bottle sold separately) EXP 6/93 -    
               4/94; 385-20, 385-30, 385060, 385-70 (bottles sold with         
               conchapak) EXP 6/93 - 4/94.
MANUFACTURER   Hudson Respiratory Care, Inc., Arlington Heights, Illinois.
RECALLED BY    Hudson Respiratory Care, Inc. (Hudson RCI), Temecula,           
               California, by letters dated August 9, 1991.  Firm-initiated    
               recall ongoing.
DISTRIBUTION   Nationwide, Japan, Mexico, Canada.
QUANTITY       28,230 bottles were distributed.
REASON         Improper equalization could occur if the product is not         
               properly punctured on the upper port.

                                     -11-

              
PRODUCT        Rx catheter products for use in electrophysiology:
               (a) Elecath - Braided Elethane TM Quad Pacing Probe Curve -     
               Cournand Type - Length - 110cm - Electrode Spacing - 5mm -      
               Size 6 F, Catalog No. 704-22256;
               (b) Elecath - Braided Elethane TM Quad Pacing Probe Curve -     
               Cournand Type - Length - 110cm - Electrode Spacing - 1cm -      
               Size 6 F, Catalog No. 704-22216;
               (c) Elecath - Braided Elethane TM Quad Pacing Probe Curve -     
               Damato Type - Length - 110cm - Electrode Spacing - 1cm - Size   
               6 F, Catalog No. 704-42216;
               (d) Elecath - Braided Elethane TM Quad Pacing Probe Curve 
               - Josephson Type - Length - 110cm - Electrode Spacing - 5mm -   
               Size 6 F, Catalog No. 704-32256.  Recall #Z-658/661-2.
CODE           All control numbers of catalog numbers 704-22256, 704-22216,    
               704-42216, 704-32256.
MANUFACTURER   Electro-Catheter Corporation, Rahway, New Jersey.
RECALLED BY    Manufacturer, by letter August 1, 1991.  Firm-initiated recall  
               complete.
DISTRIBUTION   Nationwide, Germany, England.
QUANTITY       505 units were distributed.
REASON         The tubing was cracking just proximal to the 7cm tip.

              
PRODUCT        Isotac Screwdriver (hex tubes) used in orthopedic surgery to    
               secure hexhead screws into bone.  The screwdrivers are          
               components of the following orthopedic surgical sets:  Catalog  
               #013650 Endo Drill Guides; 013131 Endo System; 013581 Isotac    
               Sets.  Recall #Z-663-2.
CODE           Catalog #013582, lot numbers:  ACUFEX L1091, ACUFEX L1191,      
               ACUFEX L1291.
MANUFACTURER   Acufex Microsurgical, Inc., Mansfield, Massachusetts.
RECALLED BY    Manufacturer, by visit November 7, 1991.  Firm-initiated        
               recall complete.
DISTRIBUTION   Nationwide, France, Austria, Belgium, Germany, England, Sweden.
QUANTITY       100 units were distributed.
REASON         Firm redrew the specifications and changed the tolerance of     
               the screwdriver head which makes it smaller than the Isotac     
               screw.

              
PRODUCT        Three inch wheeled foot pieces for walkers:
               (a) Model No. 7731; (b) Model No. 7733;
               (c) Model No. 7708; (d) Model No. 7731PG;
               (e) Model No. 7733PG; (f) Model No. 7708PG;
               (g) Model No. 7731TB; (h) Model No. 7733TB;
               (i) Model No. 7708TB.  Recall #Z-664/672-2.
CODE           Lot numbers:  891208 through 891229, 900102 through 900131,     
               900201 through 900228, 900301 through 900330, 900402 through    
               900420.
MANUFACTURER   Guardian Products, Arleta, California.
RECALLED BY    Manufacturer, by letter May 2, 1990.  Firm-initiated recall     
               ongoing.

                                     -12-

DISTRIBUTION   Nationwide and international.
QUANTITY       7,200 units were distributed.
REASON         The plastic wheels were breaking causing the patient to fall.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS III
              
PRODUCT        Synchron *CX Multi Calibrator, Part #442600, used for           
               calibration of albumin, blood urea nitrogen (urea), calcium,    
               cholesterol, creatinine, glucose, inorganic phosphorus, total   
               protein, triglycerides, and uric acid.  Recall #Z-564-2.
CODE           Lot numbers M101222 and M101222A, both EXP 9/30/92.
MANUFACTURER   Beckman Instruments, Inc., Carlsbad, California.
RECALLED BY    Beckman Instruments, Inc., Brea, California, by letters of      
               September 25, 1991, October 10, 1991 and March 11, 1992, and    
               by memorandum September 24, 1991 to international               
               subsidiaries.  Firm-initiated recall complete.
DISTRIBUTION   Nationwide and international.
QUANTITY       Unknown.
REASON         The phosphorus concentration is variable which could is result  
               in inaccurate patient values.

              
PRODUCT        Respiracult-Strep Deep-Bed Culture-Paddles, an in-vitro         
               diagnostic test kit for the detection and presumptive           
               identification of beta-hemolytic group A streptococci from      
               throat and nasopharyngeal sources.  Recall #Z-615-2.
CODE           Lot numbers:  RK061 EXP 2/1/92, RM069 EXP 3/15/92.
MANUFACTURER   Orion Diagnostica, Espoo, Finland.
RECALLED BY    Medical Technology Corporation, Somerset, New Jersey, by        
               letter January 13, 1992.  Firm-initiated recall complete.
DISTRIBUTION   Nationwide.
QUANTITY       7,950 vials of lot RK061 and 5,950 vials of lot RM069 were      
               distributed.
REASON         Hemolysis or premature deterioration causes the device not to   
               perform properly.

              
PRODUCT        Beckman "Genesis" Software for Biomek 1000, all version 2.10    
               (or earlier versions) Software Diskettes, indicated for use     
               with the Beckman "Biomed 1000" Automated Laboratory             
               Workstation, indicated for liquid handling operations in        
               research and industrial laboratories, including pipetting,      
               plate washing, cell feeding, and plate reading.
               Recall #Z-616-2.
CODE           All version 2.10 (or earlier versions) software diskettes.
MANUFACTURER   Beckman Instruments, Inc., Fullerton, California.
RECALLED BY    Manufacturer, by letter dated September 23, 1991.               
               Firm-initiated field correction ongoing.
DISTRIBUTION   Nationwide, Australia, Canada, France, Germany, Japan, Sweden,  
               and The United Kingdom.
QUANTITY       38 diskette sets were distributed.

                                     -13-

REASON         The device contains an error which causes an unrecoverable      
               loss of data, lacks approval signature for version 2.10 change  
               record and the logging of optical density data for version      
               2.10 had not been reviewed prior to release.

              
PRODUCT        Calibration Gas Cylinder labeled as 5% CO2, 21% 02, Balance     
               N2, manufactured for Marquette Electronics.  Recall #Z-619-2.
CODE           Lot numbers: 042209, 041939, 020150, 011269, 101929, 031469,    
               011289, 012589, 151589, 171249.
MANUFACTURER   Scott Medical Products, Inc., Plumsteadville, Pennsylvania.
RECALLED BY    Manufacturer, by FAX January 24, 1992, followed by letter       
               February 13, 1992.  Firm-initiated recall ongoing.
DISTRIBUTION   Unknown.
QUANTITY       1,386 cans were distributed.
REASON         Cylinders actually contains 4.7% CO2, 21% 02, and balance N2.

              
PRODUCT        Virocult Specimen Swab.  Recall #Z-620-2.
CODE           Lot #91C05 EXP 3/92.
MANUFACTURER   Medical Wire and Equipment Co., Ltd., Glasglow, Scotland.
RECALLED BY    Medical Wire & Equipment Company, USA, Sparta, New Jersey, by   
               telephone in November 1991, followed by letter.                 
               Firm-initiated recall complete.
DISTRIBUTION   Nationwide.
QUANTITY       12,000 units were distributed.
REASON         The product failed to meet sterility claims.

               
PRODUCT        Precise PGX-35W Skin Staplers.  Recall #Z-621-2.
CODE           SEPT 91 437, 438, 439, 440, 441; OCT 91 442, 443, 444, 445,     
               446, 447, 448.
MANUFACTURER   3M Edmuex, Juarez, Mexico.
RECALLED BY    3M Surgical Division, 3M Healthcare, 3m Company, St. Paul,      
               Minnesota, by letters dated February 21, 1992.  Firm-initiated  
               recall ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       Approximately 20,000 skin staplers were distributed.
REASON         The trigger of some staplers returns very slowly or not at all  
               after firing a staple.

              
PRODUCT        Vision Improving Eyeglasses (aerobic pinhole glasses).
               Recall #Z-655-2.
CODE           Catalog 43717, all units.
MANUFACTURER   Natural Vision International, Ltd., Manitowoc, Wisconsin.
RECALLED BY    Hammacher Schlemmer & Company, Inc., Chicago, Illinois, by      
               letter November 26, 1991.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       9,550 pairs were distributed; firm estimates 7,700 pairs        
               remain on the market.

                                     -14-

REASON         Some of the claims provided by the manufacturer of the "Vision  
               Improving Eyeglasses," which are contained in the materials     
               included with the product and some of which were reprinted in   
               the recalling firm's catalog, may not have adequate             
               substantiation.

MASS SEIZURES:
              
PRODUCT        Apnea and Heart Rate Monitors (90-582-702).
FIRM           Estrella Medical, Inc., Euless, Texas.
CHARGE         Adulterated - The methods used in, and the facilities and       
               controls used for their manufacture, packing, and storage are   
               not in conformity with current good manufacturing practice      
               regulations.  Misbranded - A pre-market notice or other         
               information, and medical device reporting information           
               respecting the devices was not provided as required by statute  
               and regulation.
FILED          July 29, 1991 - U.S. District Court for the Northern District   
               of Texas, Fort Worth Division; Civil #CA4 91-0516-A,
               FDC #66165.
SEIZED         August 6, 1991 - devices valued at approximately $75,000        
               January 22, 1992 - Consent Decree for Destruction.

              
PROUCT         Oxygen USP (92-609-471).
FIRM           E.F. Silvey, Inc., Harriman, Tennessee.
CHARGE         Adulterated - The methods used in, and the facilities and       
               controls used for, the manufacture, processing, packing, and    
               holding do not conform to and are not operated and              
               administered in conformity with current good manufacturing      
               practice regulations.
FILED          April 6, 1992 - U.S. District Court for the Eastern District    
               of Tennessee, Northern Division; Civil #3-92-215, FDC #66382.
SEIZED         April 8, 1992 - bulk oxygen in 2 tanks and 64 high pressure     
               cylinders, valued at approximately $17,000.

              
PRODUCT        Oxygen USP (92-577-082).
FIRM           Lessors Welding Supply, Burton, Michigan.
CHARGES        Adulteration - The methods used in, and the facilities and      
               controls used for, the packaging and holding do not conform to  
               and are not operated and administered in conformity with        
               current good manufacturing practice regulations.
FILED          March 24, 1992 - U.S. District Court for the Eastern District   
               of Michigan, Southern Division; Civil# 92CV40138, FDC #66369.
SEIZED         April 15, 1992 - bulk oxygen and H, D, and E cylinders, valued  
               at approximately $2,000.

                                     -15-


END OF ENFORCEMENT REPORT FOR MAY 6, 1992.  BLANK PAGES MAY FOLLOW.

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