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
08/12/1992

RECALLS AND FIELD CORRECTIONS: August 12, 1992

                               CLASS I - FOODS
              
PRODUCT        Jumex brand Fruit Nectars and Pineapple Apple Juice, in 12       
               fluid ounce dark blue cans with lead-soldered side seams and     
               white and yellow lettering directly on the cans:
               (a) Apple Nectar; (b) Appricot Nectar; (c) Guava Nectar;
               (d) Mango Nectar; (e) Papaya-Pineapple Nectar; (f) Peach Nectar;
               (g) Pear Nectar; (h) Pineapple Juice; (i) Plum Nectar;
               (j) Tamarind Nectar.  Recall #F-411/420-2.
CODE           All cans bearing the numbers 2084 and lower in the last four     
               numerical digits.
MANUFACTURER   Empacadora de Frutas y Jugos, Mexico City, Mexico.
RECALLED BY    Vilore Foods Company, Inc., Laredo, Texas, by letters of June    
               23 and 26, 1992 and July 13, 1992.  Firm-initiated recall        
               ongoing.  See also FDA press release P92-26, July 31, 1992.
DISTRIBUTION   California, Florida, Illinois, Indiana, Texas.
QUANTITY       Unknown.
REASON         Products contaminated with high levels of lead.


RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS II
              
UPDATE         Recall #F-442-2, Tropical Delite Fruit Punch Soda, manufactured  
               by the Cotton Club Bottling Company, which appeared in the July  
               29, 1992 Enforcement, has been cancelled.  Sample results        
               indicated the punch did not contain FD&C Yellow #5.
                                       
RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS III
              
PRODUCT        Coca-Cola Classic, Carbonated Cola-Flavored Soft Drink, in 10    
               fluid ounce glass non-returnable bottles, in 16 fluid ounce      
               plastic bottles, and in 2 liter plastic non-returnable           
               bottles.  Recall #F-462-2.
CODE           2160TH (10 oz); 2155TH (16 oz); 2161TH, 2162TH and 2170TH (2     
               liters).
MANUFACTURER   Coca-Cola Bottling Works of Tullahoma, Inc., Tullahoma,          
               Tennessee.
RECALLED BY    Manufacturer, by visit June 22, 1992.  Firm-initiated recall     
               ongoing.
DISTRIBUTION   Tennessee.
QUANTITY       Unknown quantity was distributed, however, firm management       
               estimated that only about 30 percent of the quantities           
               distributed would have remained on the market at the time of     
               recall initiation.
REASON         Product is contaminated with gear lubricant.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS I
              
PRODUCT        Dynaspray 888 Skin Eye Spray, in 2 fluid ounce plastic spray     
               bottles and in 16 fluid ounce plastic refill bottles.
               Recall #D-449-2.
CODE           None.
MANUFACTURER   Undetermined.
RECALLED BY    Janta International Company (J.I.C.), San Francisco,             
               California, by letter mailed on December 5, 1991.                
               Firm-initiated recall ongoing.
DISTRIBUTION   California, Taiwan.
QUANTITY       864 2-fluid ounce and 66 16-fluid ounce bottles were             
               distributed between October 22, 1990 and December 4, 1991.  In   
               addition, an undetermined number of bottles were given to        
               friends and fellow church members.
REASON         Non-sterility.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS II
              
PRODUCT        Floxin (ofloxacin) Tablets, 400 mg, in 50 tablet bottles, a Rx   
               antibiotic.  Recall #D-445-2.
CODE           Lot numbers:  M2897, M2898, M2900 EXP 11/92 (for all lots).
MANUFACTURER   McNeil Pharmaceutical, Spring House, Pennsylvania.
RECALLED BY    Ortho Pharmaceutical Corporation, Raritan, New Jersey, by        
               letter June 12, 1992.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and Puerto Rico.
QUANTITY       14,961 bottles of lot FM2897, 14,944 bottles of lot FM2898, and  
               14,904 bottles of lot FM2900 were distributed.
REASON         Product does not meet dissolution specifications.

                                      -2-
RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS III
              
PRODUCT        Fioricet, an oral tablet containing acetaminophen, 325 mg;       
               caffeine, 40 mg and butalbital, 50 mg, a Rx oral dose, packaged  
               in blisters of 4, 5 blisters/box used as an analgesic.
               Recall #D-446-2.
CODE           Lot #725P2882 EXP 1/95.
MANUFACTURER   Sandoz Pharmaceuticals, East Hanover, New Jersey.
RECALLED BY    Manufacturer, by letter June 19, 1992.  Firm-initiated recall    
               ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       32,984 x 20 tablets were distributed.
REASON         Product does not meet dissolution specifications.

              
PRODUCT        Tussionex Pennkinetic (hydrocodone polistirex and                
               chlorpheniramine polistirex), Extended-Release Suspension, in    
               pint bottles and 900 ml bottles, an Rx product for relief of     
               cough and upper respiratory symptoms associated with allergy or  
               a cold.  Recall #D-447-2.
CODE           Lot numbers:  Pint bottles - R0007 EXP 8/93, R0008, R0009,       
               R0010, R0011, R0012 (all with 10/93 EXP date); 900 ml bottles -  
               R0116 EXP 11/93.
MANUFACTURER   American Crystal Sugar, Moorehead, Minnesota.
RECALLED BY    Fisons Corporation, Rochester, New York, by letter July 21,      
               1992.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       38,000 pint bottles and 250 900-ml bottles were distributed;     
               firm estimates 80 percent remains on the market.
REASON         Presence of small metallic flakes.

              
PRODUCT        N.E.E. 1/35 Norethindrone and Ethinyl Estradiol Tablets USP, a   
               Rx oral contraceptive on a blister card.  Recall #D-448-2.
CODE           Lot #93002A2 EXP 3/95.
MANUFACTURER   Watson Laboratories, Inc., Corona, California.
RECALLED BY    Manufacturer, by letters of April 30, 1992 and May 18, 1992.     
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       4,884 cartons were distributed.
REASON         Some shelf cartons labeled as containing "21 Day" packages       
               contain "28 Day" packages.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS II
              
PRODUCT        (a) Red Blood Cells; (b) Recovered Plasma.  Recall #B-367/368-2.
CODE           Unit #90-03964.
MANUFACTURER   The Reading Hospital and Medical Center, West Reading,           
               Pennsylvania.

                                      -3-
RECALLED BY    Manufacturer, by telephone June 16 1992.  Firm-initiated recall  
               ongoing.
DISTRIBUTION   Pennsylvania, Maryland.
QUANTITY       1 unit of each component.
REASON         Blood products, which tested negative for the antibody to human  
               immunodeficiency virus type 1 (anti-HIV-1), but were collected   
               from a donor who previously tested repeatedly reactive for       
               anti-HIV-1, were distributed.

              
PRODUCT        (a) Red Blood Cells; (b) Recovered Plasma.  Recall #B-365/366-2.
CODE           Unit numbers:  (a) L33826; (b) L33826, L36214, L38255.
MANUFACTURER   Lancaster General Hospital, Lancaster, Pennsylvania.
RECALLED BY    Manufacturer, by letter June 19, 1992.  Firm-initiated recall    
               ongoing.
DISTRIBUTION   Pennsylvania and Maryland.
QUANTITY       (a) 1 unit; (b) 3 units.
REASON         Blood products, which either tested initially reactive for the   
               antibody to human immunodeficiency virus type 1 (anti-HIV-1),    
               or tested negative for anti-HIV-1 but were collected from a      
               donor who previously tested reactive for anti-HIV-1, were        
               distributed.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS III
              
PRODUCT        Red Blood Cells.  Recall #B-369-2.
CODE           Unit #LQ 02499.
MANUFACTURER   The Reading Hospital and Medical Center, West Reading,           
               Pennsylvania.
RECALLED BY    Consignee notified firm on or about June 21, 1991.               
               Firm-initiated recall complete.
DISTRIBUTION   Pennsylvania.
QUANTITY       1 unit.
REASON         Red Blood Cells labeled with the incorrect expiration date were  
               distributed.

              
PRODUCT        Recovered Plasma.  Recall #B-371-2.
CODE           Unit #91-1171.
MANUFACTURER   Davis Memorial Hospital, Elkins, West Virginia.
RECALLED BY    Manufacturer, by letters of June 24 and 30, 1992.                
               Firm-initiated recall complete.
DISTRIBUTION   Pennsylvania and New Jersey.
QUANTITY       1 unit.
REASON         Blood product which tested initially reactive for the hepatitis  
               B surface antigen (HBsAg), was distributed.

              
PRODUCT        (a) Red Blood Cells; (b) Platelets, Pheresis.
               Recall #B-373/374-2.
CODE           Unit numbers:  (a) 11R77455; (b) 11P58116.

                                      -4-
MANUFACTURER   American Red Cross, St. Louis, Missouri.
RECALLED BY    Manufacturer, (a) by telephone and follow-up letter dated        
               February 14, 1992; (b) by telephone and follow-up letter dated   
               December 6, 1991.  Firm-initiated recall complete.
DISTRIBUTION   Missouri.
QUANTITY       1 unit of each component.
REASON         Blood products untested for the antibody to the hepatitis C      
               virus (anti-HCV) or syphilis, were distributed.

              
PRODUCT        Antihemophilic Factor (Human).  Recall #B-377-2.
CODE           Lot #29359094AA.
MANUFACTURER   American Red Cross Blood Services, Norfolk, Virginia.
RECALLED BY    Manufacturer, by telephone April 26, 1990.  Firm-initiated       
               recall complete.
DISTRIBUTION   Virginia.
QUANTITY       50 vials were distributed.  Firm estimates none remains on the   
               market.
REASON         Antihemophilic Factor (Human), stored at room temperature for    
               an unacceptable time period, was distributed.

              
PRODUCT        Whole Blood.  Recall #B-388-2.
CODE           Unit #42J65995.
MANUFACTURER   American Red Cross, Cleveland, Ohio.
RECALLED BY    Consignee notified firm by telephone March 1, 1991.  Recall      
               complete.
DISTRIBUTION   Ohio.
QUANTITY       1 unit.
REASON         Blood product labeled with an incorrect expiration date was      
               distributed.


RECALLS AND FIELD CORRECTIONS:  DEVICES - CLASS I
              
PRODUCT        (a) Synchrony II Dual Chamber Pacemaker; (b) Solus Single        
               Chamber Pacemaker.  Recall #Z-854/855-2.
CODE           Serial numbers:  (a) 2022T, 2023M, 2023M/S;
               (b) 2002T, 2023M, 2023M/S.
MANUFACTURER   Siemens Pacesetter Systems, Inc., Sylmar, California.
RECALLED BY    Manufacturer.  On May 29, 1992 Pacesetter instructed their       
               representatives to visit all of the customers and recover any    
               unused affected units.  On June 5, 1992 Pacesetter notified      
               patient's physicians by letter.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       Approximately 2,353 units were distributed.  Siemens reports 2   
               pacemakers remain to be accounted for.
REASON         Due to the new version of computer software, Rev. B, a pulse     
               rate anomaly may develop in when they are programmed to "sensor  
               on" or to "sensor passive".

              
PRODUCT        Lifepak 300 Automatic Advisory Defibrillators, Part #804900-.    
               Recall #Z-867-2.
                                      -5-
CODE           All dash and serial numbers shipped after November 4, 1991.
MANUFACTURER   Physio-Control Corporation, Redmond, Washington.
RECALLED BY    Manufacturer, by letter hand delivered by service                
               representatives at time of equipment malfunction beginning       
               April 6, 1992.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       463 units were distributed.
REASON         An electronic component with a particular date code may fail     
               during use, causing the LIFEPAK 300 to be inoperative.

              
PRODUCT        Lifepak 300 Semi-Automatic Advisory Defibrillator.
               Recall #Z-868-2.
CODE           Serial numbers 337 and ending with 3460 which are not            
               continuous. 
MANUFACTURER   Physio-Control Corporation, Redmond, Washington.
RECALLED BY    Manufacturer, by letter June 22, 1992.  Firm-initiated recall    
               ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       1,765 units were distributed.
REASON         There is a potential for hybrid circuit to fail because of its   
               susceptibility to the effects of temperature and humidity.  The  
               failure of this component may cause the instruments to display   
               continuous motion detected alarms which render the device        
               inoperative in the automatic mode.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS II
              
PRODUCT        Dornier S2000/18 Electrodes, used in Extracorporeal Shock Wave   
               Lithotripter Models HM3, HM4, MFL5000, and MPL9000.
               Recall #Z-869-2.
CODE           Lot numbers M04.2 and M05.2.
MANUFACTURER   Dornier Medizintechnik GMBH, Germering, Germany.
RECALLED BY    Dornier Medical Systems, Kennesaw, Georgia, by letter May 15,    
               1992.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       Approximately 1,124 electrodes were distributed.
REASON         The white plastic insulator is cracking, especially near the     
               electrode tip.  The damaged electrode may cause the lithotripsy  
               procedure not to work.

              
PRODUCT        Corometrics 116 Fetal Monitor, intended to monitor heart rate    
               and uterine activity, primarily during labor.  Recall #Z-870-2.
CODE           All models distributed from 1/1/92 to 5/15/92.
MANUFACTURER   Corometrics Medical Systems, Inc., Wallingford, Connecticut.
RECALLED BY    Manufacturer, by letters of May 29, 1992 and June 10, 1992.      
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       638 units were distributed.

                                      -6-
REASON         Due to a design change in the ultrasound printed circuit board,  
               the ultrasound performance may be degraded under certain         
               circumstances.  In those patients which present technical        
               challenges (obesity, etc.), artifacts and/or difficulty in       
               obtaining fetal heart rate tracings, audible signals and visual  
               symbol may result.

              
PRODUCT        McGaw Intelligent (infusion) Pumps, intended for use with McGaw  
               Intelligent Pump I.V. Sets to regulate the flow of I.V. fluids   
               when positive pressure is required:
               (a) Catalog #521; (b) Catalog #521C (Microrate);
               (c) Catalog #125 (521 Plus); (d) Catalog #125C (Microrate Plus);
               (e) Catalog #522.  Recall #Z-896/900-2.
CODE           All serial numbers manufactured prior to 4/1/91.  Serial number  
               range:  (a) P1000 through P7200; (b) C1000 through C1406;
               (c) H1000 through H3700; (d) K1001 through K1865;
               (e) D1001 through D11100.
MANUFACTURER   McGaw, Inc., Carrollton, Texas.
RECALLED BY    McGaw, Inc., Irvine, California, by letter March 9, 1992.        
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       18,508 units were distributed between August 1985 and March      
               1991. 
REASON         The lower inner door hinge pin may work its way out.  If a pump  
               which is missing the lower inner door hinge pin is used, it may  
               result in volumetric error (under-infusion) in excess of the     
               +/- 2% specification.

              
PRODUCT        Bio-Medicus Extracorporeal Circulation Cannulas labeled as (a)   
               Pediatric Arterial Cannulas, 19 cm, 12 French, product           
               #96820-012;
               (b) BioMedicus Cannula with Introducer, Venous, 10 French, 19    
               cm, with Carmeda BioActive Surface, product #CB96835-010.        
               Recall #Z-901/902-2.
CODE           Lot numbers:  (a) 010792; (b) K1R54.
MANUFACTURER   Medtronic Bio-Medicus, Inc., Eden Prairie, Minnesota.
RECALLED BY    Manufacturer, by telephone beginning June 12, 1992, followed by  
               letter June 25, 1992.  Firm-initiated recall complete.
DISTRIBUTION   Texas, South Carolina, Michigan, Washington, D.C., California,   
               Minnesota, New York, Wisconsin, Canada.
QUANTITY       (a) 28 units; (b) 16 units were distributed.
REASON         The Pediatric Arterial Cannulas were actually venous cannulas    
               and the Biomedicus Cannula with Introducer, Venous was actually  
               an arterial cannula.

              
PRODUCT        Machine Counter Torque Devices for (a) CeraOne Abutments,        
               stainless steel, Model DIA 263 (single tooth);
               (b) EsthetiCone Abutments, stainless steel, Model DIA 271        
               (conical system).  Devices are used with torque controller and   
               machine screwdriver to prevent transferring of torque to the

                                      -7-
               fixture during tightening of the abutment screw during single    
               tooth replacement or fixed bridge restorations.
               Recall #Z-903/904-2.
CODE           All units shipped between 1/25/91 and 3/11/91.
MANUFACTURER   Saxbolaget, Arjang, Sweden.
RECALLED BY    Nobelpharma USA, Inc., Chicago, Illinois (importer), by          
               telephone June 3, 1992 followed by letter dated June 2, 1992.    
               Firm-initiated recall complete.
DISTRIBUTION   Nationwide.
QUANTITY       (a) 39 units; (b) 35 units were distributed.
REASON         The incorrect solder was used between the hexagon casing and     
               the handle which may cause the device to break at the solder     
               joint.

              
PRODUCT        ECG Lead Sets and Electrodes used in specific Vista and Vista    
               HPQ Models 0.5T, 1.0T, and 1.5T Magnetic Resonance Imaging       
               Systems.  Recall #Z-947-2.
CODE           HFO-HF1, HF3, HF5-HF10, HF12, HF14-HF15, HF17-HF18, HF20-HF23,   
               HF25-HF26, HR28-HR30, HF32-HF35, HF38, HF44, HF50, HF54-HF55,    
               HF57-HF59, HF62, HF65, HF70, HF72, HF74-HF75, HF77-HF78,         
               HF80-HF81, HF92, HF94, QH106-QH113, QH115-QH122, QH124,          
               QH126-QH129, QH131-QH137, QH139-QH140, QH142-QH143,
               QH148-QH150, QH156, QF106-QF114, QF116-QH118, QF120-QF124,       
               QF126, QF128-QF129, QF132-QF133, QF135-QF141, QF146, QA106,      
               QA110-QA111.
MANUFACTURER   Picker International, Solon, Ohio.
RECALLED BY    Picker International, Inc., Highland Heights, Ohio, by letter    
               January 20, 1992.  Firm-initiated field correction ongoing.
DISTRIBUTION   Nationwide, United Kingdom, Japan, Saudi Arabia, Iran,           
               Switzerland.
QUANTITY       125 units were distributed.
REASON         The leads and electrodes can become hot during MR imaging due    
               to radio frequency heating, resulting in the patient being       
               burned.

              
PRODUCT        MVP X-Ray Controls with Console Models 46-903825 (G1, G5, G10);
               Model 45432761; Model 45433285.  Recall #Z-949/951-2.
CODE           All serial numbers.
MANUFACTURER   General Electric Medical Systems, Milwaukee, Wisconsin.
RECALLED BY    Manufacturer.  FDA approved the firm's corrective action plan    
               July 2, 1992.  Firm-initiated field correction ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       1,350 units were distributed.
REASON         MVP controls which utilize tubes with 0.3 mm focal spot sizes    
               may fail to comply with control and indication of technique      
               factors - accuracy, and entrance exposure rate limits -          
               equipment with automatic exposure rate control.

              
PRODUCT        MAXIMA-10 Flash Autoclave (tabletop), 17" W x 2" D x 19.5" H,    
               electrically powered.  Recall #Z-952-2.
CODE           Serial numbers:  190001, 190002, 190004, 190005, 190006,         
               190009, 190010, 190011, 190012, 190013, 191001, 191002, 191003, 
                                      -8-
               191005, 191006, 101007, 191008, 191009, 1910010, 191011,         
               191012, 191014, 191015, 191020, 101021, 191022, 191023, 191025,  
               191026, 191027, 191031, 191032.
MANUFACTURER   Stirn Industries, Dayton, New Jersey.
RECALLED BY    Manufacturer, by telephone April 23, 1992 and by letter April    
               24, 1992.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide, Canada, France.
QUANTITY       32 units were distributed.
REASON         The device was distributed into commerce without an approved     
               510(k).

              
PRODUCT        Tanning Beds, Suntamed - Uvastar Models:
               (a) Model 400; (b) Model 800; (c) Model 2000;
               (d) Model 4000; (e) Model 6000.  Recall #Z-953/957-2.
CODE           Serial numbers:  Undetermined.
MANUFACTURER   Uvatec, Inc./Solitec GmbH, Studio City, California.
RECALLED BY    Manufacturer.  FDA approved the firm corrective action plan      
               July 7, 1992.  Firm-initiated field correction ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       347 units were distributed.
REASON         Noncompliance with the performance standard for sunlamp          
               products in that the beds lacked adequate labeling as well as    
               required information.

              
PRODUCT        Advantx X-Ray Systems and the LFX and MPPU Versions:
               (a) Model 46-289657; (b) Model 46-275979; (c) Model 46-289804;
               (d) Model 46-26537G1; (e) Model 46-275910G1;
               (f) Model 46-275910G2; (g) Model 4539769.  Recall #Z-960/966-2.
CODE           All serial numbers.
MANUFACTURER   General Electric Medical Systems, Milwaukee, Wisconsin.
RECALLED BY    Manufacturer.  FDA approved the firm's corrective action plan    
               July 2, 1992.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       1,300 units were distributed.
REASON         Noncompliance with control and indication of technique factors   
               - accuracy, and entrance exposure rate limits for equipment      
               with automatic exposure rate control as required by the          
               performance standard for diagnostic x-ray systems and their      
               major components.

              
PRODUCT        AME Carbon One Cervical/Thoracic Orthosis, a single-patient use  
               device designed for immobilization of the cervical spine.        
               Recall #Z-967-2.
CODE           Order numbers:  90341, 90416, 91052, 91277, 91410, 91602,        
               92127, 92158, 92365, 92426, 92555, 92622, 92721, 92727, 92744,   
               93083, 93084, 93272, 93622, 93877, 93878, 94064, 94076, 94086,   
               94460, 94750, 94862, 94879, 94898, 95150, 95163, 95236.
MANUFACTURER   American Medical Electronics, Inc., Richardson, Texas.
RECALLED BY    Manufacturer, by letter July 7, 1992.  Firm-initiated recall     
               ongoing.
                                      -9-
DISTRIBUTION   Nationwide, Japan, Taiwan.
QUANTITY       90 units.
REASON         Bolts in the anterior assembly, posterior assembly and lateral   
               pads may break.

              
PRODUCT        Sales brochures, operating manuals, maintenance manuals and      
               other labeling for Arjo-Century's Hydrosound Patient Bathing     
               Systems.  Hydrosound is a sonic device incorporated into         
               various bathing systems which emits sound waves creating         
               bubbles in the water to aid in cleansing the skin.
               Recall #Z-968-2.
CODE           All sale brochures, labeling and manuals accompanying Models     
               000, 001, 001A Hydrosound Systems.
MANUFACTURER   Century Manufacturing Company, Inc., Aurora, Nebraska (system);  
               Swen Sonic Corporation, Davenport, Iowa (Hydrosound).
RECALLED BY    Arjo-Century, Inc., Morton Grove, Illinois, by general sales     
               bulletin June 17, 1992 and by letter July 2, 1992.               
               Firm-initiated field correction ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       136 units were distributed.
REASON         The labeling, manuals and marketing labeling brochures misbrand  
               the bathing system for use in dermal wound healing, claims that  
               have not been approved in a PMA.

              
PRODUCT        RMI Dual Drainage Venous Return Cannula, indicated for venous    
               cannulation so that extracorporeal circulation of venous blood   
               to a heart-lung machine may be achieved.  Recall #Z-969-2.
CODE           Catalog #TR-3240-L, lot #71911.
MANUFACTURER   Research Medical, Inc., Midvale, Utah.
RECALLED BY    Manufacturer, by telephone between June 11 and 17, 1992,         
               followed by letter July 7, 1992.  Firm-initiated recall ongoing.
DISTRIBUTION   Virginia, Texas, New York, Alabama, California, Massachusetts,   
               Michigan, Illinois, Montana, Wisconsin, Idaho, Missouri, Ohio,   
               Kentucky, Pennsylvania, international.
QUANTITY       1,017 units were distributed; firm estimates 140 units remain    
               in domestic distribution.
REASON         Some of the peel-pouches containing the device were not sealed   
               during the packaging process; product packaged in the            
               non-sealed pouch is considered to be non-sterile.

              
PRODUCT        Oxygen Pressure Regulator w/Constant Flow Controller, used to    
               provide regulated pressure and flow to a demand valve,           
               aspirator or automatic ventilator.  Recall #Z-970-2.
CODE           Model #270-060, lot #107747.
MANUFACTURER   Life Support Products, Inc., Irvine, California.
RECALLED BY    Manufacturer, by telephone on or about May 5, 1992, followed by  
               letter May 15, 1992.  Firm-initiated recall ongoing.
DISTRIBUTION   California, Virginia, Pennsylvania, Arizona.
QUANTITY       18 units were distributed.
REASON         The labeled calibrations on the flow knob may not match the      
               actual flow knob.

                                     -10-
              
PRODUCT        Siemens Sonoline Diagnostic Ultrasound Imaging Systems,          
               designed for cardiac applications and for general hospital       
               imaging: (a) Model CF; (b) Model CF+.  Recall #Z-971/972-2.
CODE           Serial numbers:  (a) 00101 to 00181;
               (b) CPN *****, (* = a number), for U.S. models, and CPP *****,   
               for foreign models.
MANUFACTURER   Siemens-Quantum Inc (current name),
               Siemens Ultrasound, Inc. (previous name), San Ramon, California.
               New location:  Issaquah, Washington.
RECALLED BY    Manufacturer, by issuing two notifications, UT-182 and UT-183    
               on November 14, 1990 and October 31, 1990 respectively to field  
               service personnel instructing removal of defective software and  
               installation of new software.  Firm-initiated field correction   
               ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       Approximately 385 systems were distributed.
REASON         Software defect may result in miscalculated heart rates and      
               stroke volume; and overheating of the Panasonic VCR Model 7300   
               resulting in interference with the operation of the device,      
               either temporarily or permanently.

              
PRODUCT        Siemens Sonoline Diagnostic Ultrasound Imaging Systems,          
               intended as restricted device for hospital use only:
               (a) Model SL-1; (b) Model SL-2; (c) Model SI-200;
               (d) Model SI-250.  Recall #Z-973/976-2.
CODE           Serial numbers:  (a) NA *****, (* = a number);
               (b) KA *****; (c) SA *****; (d) NA *****.
MANUFACTURER   Siemens-Quantum, Inc., Issaquah, Washington; Matsushita          
               Communications Industrial Company, Ltd., Toyko, Japan (SL-1 &    
               SL-2 Model).  Design specifier - Siemens AG, Erlangen, Germany.
RECALLED BY    Siemens-Quantum, Inc., San Ramon, California by field service    
               notification UT 196 dated April 8, 1991.  Firm-initiated field   
               correction ongoing.
DISTRIBUTION   Nationwide, Central-South America, Canada, East Asia, Pacific    
               Island.
QUANTITY       Approximately 2,500 systems were distributed.
REASON         There is a potential for misdiagnosis of fetal weight when       
               using the Hadlock equation incorporated into the software.

              
PRODUCT        Siemens Sonoline CF Systems, a diagnostic ultrasound imaging     
               system bearing Siemens name, model identification number or      
               letter, designed for cardiac applications and for general        
               hospital imaging.  Recall #Z-977-2.
CODE           Serial numbers:  00101 to 00181, numbered sequentially.
MANUFACTURER   Siemens-Quantum Inc (current name),
               Siemens Ultrasound, Inc. (previous name), San Ramon, California.
               New location:  Issaquah, Washington.
RECALLED BY    Manufacturer, by issuing "UT-174", dated February 20, 1990.      
               Firm-initiated field correction ongoing.

                                     -11-
DISTRIBUTION   Nationwide and international.
QUANTITY       Approximately 385 units were distributed.
REASON         There is a potential for probe overheating and transmit power    
               failures, as well as ECG trace displaying a portion of the       
               previous scan due to software errors.

              
PRODUCT        Siemens Sonoline Diagnostic Ultrasound Imaging Systems,          
               designed for cardiac applications and for general hospital       
               imaging:  (a) model CF+; (b) Model SI-1200.
               Recall #Z-978/979-2.
CODE           Serial numbers:  (a) CPN ***** (* = a number), for U.S. models   
               and CPP ***** for foreign models; (b) CSN *****, for U.S.        
               Models, and CSP ***** for foreign models.
MANUFACTURER   Siemens-Quantum Inc (current name),
               Siemens Ultrasound, Inc. (previous name), San Ramon, California.
               New location:  Issaquah, Washington.
RECALLED BY    Manufacturer, by issuing notification "UT-205", July 25, 1991    
               with corrective software Rev. 6.11, and issuance of the user     
               letter dated August 2, 1991.  Firm-initiated field correction    
               ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       Approximately 385 units were distributed.
REASON         The 7.5 MHz probe can exceed the specified maximum temperature.

              
PRODUCT        COBE CentrySystem 3 Dialysis Control Units, perform the          
               necessary control functions for hemodialysis therapy:
               1.  Catalog No. 333100-001;
               2.  Catalog No. 333100-112;
               3.  Catalog No. 333100-012;
               4.  Catalog No. 333100-102;
               5.  Catalog No. 333100-017;
               6.  Catalog No. 333100-014;
               7.  Catalog No. 333100-011;
               8.  Catalog No. 333100-118;
               9.  Catalog No. 333100-101;
               10. Catalog No. 333100-117;
               11. Catalog No. 333100-111;
               12. Catalog No. 333100-013.  Recall #Z-980/991-2 
CODE           Serial numbers 3C20000 through 3C20992.
MANUFACTURER   CGH Medical, Inc., Lakewood, Colorado.
RECALLED BY    Manufacturer, by letter May 20, 1992.  Firm-initiated field      
               correction ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       992 units were distributed.
REASON         Hardware conversions are being made to the devices to improve    
               the overall reliability of the equipment, enhance its            
               serviceability, promote the overall safety margin associated     
               with the equipment's weight removal function, and to bring the   
               units up to the current upgrade configuration.

                                     -12-
              
PRODUCT        COBE CentrySystem 2 Dialysis Control Units, performs the         
               necessary control functions for hemodialysis therapy; and COBE   
               Ultrafiltration Control Modules, provides volumetric control of  
               ultrafiltration:
               1.  CentrySystem 2 Dialysis Unit Catalog No. 018763-101;
               2.  CentrySystem 2 Dialysis Unit Catalog No. 018773-101;
               3.  CentrySystem 2 Dialysis Unit Catalog No. 018773-112;
               4.  CentrySystem 2 Dialysis Unit Catalog No. 018773-111;
               5.  CentrySystem 2 Dialysis Unit Catalog No. 018763-111;
               6.  CentrySystem 2 Dialysis Unit Catalog No. 018773-111;
               7.  CentrySystem 2 Dialysis Unit Catalog No. 018773-121;
               8.  Ultrafiltration Control Module Catalog No. 018492-001;
               9.  Ultrafiltration Control Module Catalog No. 018492-011.
               Recall #Z-992/1000-2.
CODE           Serial numbers:  (1-7) 2C51092 through 2C1184, 2C51231 through   
               2C1420; (8 & 9) UF00679 through UF00681, UF00687 through         
               UF00751. 
MANUFACTURER   CGH Medical, Inc., Lakewood, Colorado.
RECALLED BY    Manufacturer, by letter May 20, 1992.  Firm-initiated field      
               correction ongoing.
DISTRIBUTION   (1-7) Nationwide, Italy, France, Chile, Hong Kong, Portugal,     
               Tunisia, Sweden, Mexico, Taiwan, Korea, Japan;
               (8 & 9) Mississippi, Florida, California, Washington state,      
               Ohio, Kentucky, Canada, Australia, France, England, Taiwan,      
               Tunisa.
QUANTITY       (1-7) 143 units; (8 & 9) 52 units were distributed.
REASON         Hardware conversions are being made to the devices to improve    
               the overall reliability of the equipment, enhance its            
               serviceability, promote the overall safety margin associated     
               with the equipment's weight removal function, and to bring the   
               units up to the current upgrade configuration.

              
PRODUCT        Vinyl Examination Gloves used by health professionals during     
               routine medical examination, in boxes of 100.  Recall #Z-1001-2.
CODE           Catalog #482005, lot #2B203Q.
MANUFACTURER   Becton Dickinson Medical Gloves Division, Los Gatos, California.
RECALLED BY    Becton Dickinson and Company, Becton Division Medical Gloves     
               Division, Franklin Lakes, New Jersey, by telephone March 18 and  
               19, 1992 and by letter March 18, 1992.  Firm-initiated recall    
               complete.
DISTRIBUTION   California, Maryland, Massachusetts, New Hampshire, New Jersey,  
               New York, Pennsylvania, Washington state.
QUANTITY       87,000 gloves were distributed; firm estimates 10 percent        
               remains on the market.
REASON         Product failed the FDA leak test.

              
PRODUCT        (a) SBS Series Laser Light Show Projectors;
               (b) SBT Series Laser Light Show Projectors.
               Recall #Z-1002/1003-2.
CODE           Serial numbers:  (a) SBS090A; (b) SBT-091A, SBT-092A.

                                     -13-
MANUFACTURER   Los Angeles Laser Light, also known as Laser Light, Reseda,      
               California.
RECALLED BY    Manufacturer.  FDA approved the firm's corrective action plan    
               July 14, 1992.  Firm-initiated field correction ongoing.
DISTRIBUTION   California and Japan.
QUANTITY       3 units were distributed.
REASON         Noncompliance with the performance standards for laser products  
               in that the protective housing which is designed to be opened    
               for user maintenance and allows access to Class IV levels of     
               laser radiation failed to incorporate safety interlocks, and     
               the warning logotypes failed to provide the maximum output of    
               the product and the laser medium or emitted wavelengths.

              
PRODUCT        Datascope Intra-Aortic Balloon Pump Systems, for use as a        
               patient aid for pre-, intra-, or post-operative open-heart       
               surgery; patients with unstable angina; patients with left main  
               artery occlusion or poor left ventricular function:
               (a) Datascope System 90 Intra-Aortic Balloon Pump;
               (b) Datascope System 90 Transport, also known as 90T,            
               Intra-Aortic Balloon Pump.  Recall #Z-1153/1154-2.
CODE           Part No.               Serial number range
               (a) 0998-00-0058-01    2000 to 4075-K1 (not inclusive)
                   0988-00-0058-02
                   0998-00-0058-04
               (b) 0998-00-0060-01    1008 to 2325-K1 (not inclusive)
                   0998-00-0060-02
                   0998-00-0060-04.
MANUFACTURER   Datascope Corporation, Paramus, New Jersey.
RECALLED BY    Manufacturer, by service representative visit beginning April    
               10, 1992 per Technical Bulletin #397.  Firm-initiated field      
               correction ongoing.
DISTRIBUTION   Nationwide, Canada, Holland.
QUANTITY       2,467 units were distributed;
REASON         There has been an increase in the replacement rate of the 20     
               PSI pressure relief valve (Part #0103-07-0001) due to premature  
               aging of the valve, which can lead to reduced pneumatic          
               performance (the catheter is not augmented).


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS III
              
PRODUCT        Chronicure, a natural protein hydrolysate powder specifically    
               designed for the management of chronic wounds and dermal         
               ulcers, packaged in 30 gram bottles.  Recall #Z-958-2.
CODE           Lot #2S96P.
MANUFACTURER   ABS Life Sciences, Inc., West Chester, Pennsylvania.
RECALLED BY    Manufacturer, by letter January 17, 1992, followed by telephone  
               February 3, 1992, and by letter February 4, 1992.                
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       135 bottles were distributed; firm estimates none remains on     
               the market.
                                     -14-
REASON         Device was clumpy instead of fluffy and free-flowing as          
               labeled; some units were shipped without insert sheets; some     
               units' inner tamper-indicating seals did not fit properly and    
               therefore are prone to failure; label corners were coming off    
               bottles; and units were shipped without adequate quality         
               control/quality assurance release.

MEDICAL DEVICE SAFETY ALERTS
              
PRODUCT        (a) Atrial Bipolar Pacing Leads, Model 699OU;
               (b) Atrial Bipolar Pacing Leads, Model 4502.
               Safety Alert #M-087/088-2.
CODE           All lots.
MANUFACTURER   Medtronic, Inc., Cardiac Pacing Business, Minneapolis,           
               Minnesota. 
ALERTED BY     Manufacturer, by letter July 17, 1992.
DISTRIBUTION   Nationwide and international.
QUANTITY       (a) 6,692 leads were distributed; (b) 1,183 leads were           
               distributed.
REASON         Leads may fail more frequently than the firm had previously      
               thought due to insulation failure.  The actuarial survival of    
               the Model 6990U is 93.6+/-5.7% at 5 years and 86.1 +/-9.0% at    
               90 months.  The Model 4502 is 90.8 +/-7.4% at 5 years and 88.6   
               +/- at 90 months.

SEIZURES
              
PRODUCT        Oxygen USP (92-641-310).
CHARGE         Adulterated - The methods used in, and the facilities and        
               controls used for, the products' processing, packaging, and      
               holding do not conform to and are not operated and administered  
               in conformity with current good manufacturing practice           
               requirements.
FIRM           Crest Medical, Inc., El Centro, California.
FILED          June 25, 1992; U.S. District Court for the Southern
               District of California; Civil #92-965H(LSP), FDC #66364.
SEIZED         July 22, 1992 - goods valued at approximately $10,000.

              
PRODUCT        Frozen fish fillets, fish nuggets, and fish fingers
               (92-610-597/600).
CHARGE         Adulterated - The products consist in part of decomposed fish.   
               Misbranded - The products are offered for sale under the name    
               of pollock or cod, but are actually a mixture of fish species.
FIRM           University of Illinois Housing Food Store, Champaign, Illinois.
FILED          June 30, 1992 - U.S. District Court for the Central
               District of Illinois; Civil #C 92-2196, FDC #66444.
SEIZED         July 16, 1992 - goods valued at approximately $10,000.

              
PRODUCT        Canned fava beans (92-610-596).
CHARGE         Adulterated - The products either consist in part of a filthy    
               substance because they contain insects and insect damaged        
               beans; or they have been prepared and packed under insanitary    
               conditions whereby they may have become contaminated with filth.
                                     -15-
FIRM           The Fremont Company, Milford, Illinois.
FILED          June 30, 1992 - U.S. District Court for the Central
               District of Illinois; Civil #C 92-2195, FDC #66443.
SEIZED         July 15, 1992 - goods valued at approximately $2,500.

              
PRODUCT        Chunk Light Tuna in Water (92-638-033).
CHARGE         Adulterated - The product consists in part of decomposed
               tuna fish; and the product is pet food which has been
               relabeled as human food, thus concealing its inferiority.
               Misbranded - The product is offered for sale under the name
               of another food.
FIRM           Rhode Island Community Food Bank, West Warwick, Rhode Island.
FILED          July 31, 1992 - U.S. District Court for the District
               of Rhode Island; Civil #CA 92-0413, FDC #66477.
SEIZED         August 3, 1992 - goods valued at approximately $10,880.

                                     -16-


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