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
08/11/1993

Recalls and Field Corrections:  Foods -- Class II -- 08/11/1993

August 11, 1993

RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS II
========================= 
_______________
PRODUCT        Mead Johnson Nutramigen brand Infant Formula, 20
               calories/fluid ounce, in 3 ounce glass nursettes.
               Recall #F-480-3.
CODE           MME01 expires 1JUL93.
MANUFACTURER   Mead Johnson Nutritionals, Evansville, Indiana.
RECALLED BY    Manufacturer, by bulletin May 24, 1993, and by visits
               completed by June 3, 1993.  Firm-initiated recall complete.
DISTRIBUTION   Nationwide, Canada.
QUANTITY       102,048 bottles were distributed.
REASON         The product was contaminated with glass particles.

_______________
PRODUCT        Carnation brand (a) Diet Breakfast Products, Chocolate; (b)
               Diet Breakfast Product in the following flavors:  Chocolate,
               Chocolate Malt, Artificial Vanilla, and Artificial
               Strawberry, packaged in paper packages with 8 packages per
               retail paper carton,  Recall #F-557/558-3.
CODE           Lot numbers:  2356WW01, 2357WW01, 2358WW01, 2363WW01,
               2364WW01, 2365WW01.
MANUFACTURER   Nestle Food Company, Waverly, Iowa.
RECALLED BY    Manufacturer, by telephone January 21, 1993, followed by
               visit.  Firm-initiated recall complete.
DISTRIBUTION   Nationwide.
QUANTITY       (a) 3,825 cases; (b) 128 cases were distributed.
REASON         Products contain undeclared egg white solids.


RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS III
=======================
_______________
PRODUCT        Pure Extract Vanilla Golden, in 4, 8, 16, and 32 fluid ounce
               bottles and in 1 gallon and 50 gallon containers.
               Recall #F-555-3.
CODE           All lots.
MANUFACTURER   Panamerican de Occidente, S.A. de C.V., Guadalajara,
               Jalisco, Mexico.
RECALLED BY    Chileros Mexicanos, Inc., (Mi Hacienda Productos), by letter
               June 10, 1993.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and Canada.
QUANTITY       Undetermined.
REASON         Product does not meet the standard of identify for vanilla
               extract.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS II
========================
_______________
PRODUCT        Amoxicillin Chewable Tablets, USP, 250 mg, in bottles of
               100, Rx antibiotic, under the following labels:  Qualitest,
               Major, Goldline, Rugby, Biocraft.  Recall #D-305-3.
CODE           Lot #31144 EXP 11/1/94.
MANUFACTURER   Biocraft Laboratories, Inc., Elmwood Park, New Jersey.
RECALLED BY    Biocraft Laboratories, Inc., Fair Lawn, New Jersey, by
               telephone April 26 & 27, 1993.  Firm-initiated recall
               complete.
DISTRIBUTION   Alabama, California, Florida, Illinois, Kentucky, Michigan,
               New York, Rhode Island.
QUANTITY       6,139 bottles were distributed.
REASON         Use of unapproved manufacturing procedures.

_______________
PRODUCT        Hydrocortisone 1% and Acetic Acid 2% Otic Solution, USP 10
               ml bottle, Rx for the treatment of superficial infections of
               the external auditory canal, under the following labels: 
               Genetco, Qualitest, Beta Dermaceuticals, H.L. Moore, Aligen,
               Major, C.O., Truxton, IDE, Rugby, Geneva, Goldline, Schein,
               Harber, URL, UDL.  Recall #D-307-3.
CODE           All lot numbers.
MANUFACTURER   Thames Pharmacal Company, Inc., Ronkonkoma, New York.
RECALLED BY    Manufacturer, by telephone July 19-21, 1993, followed by
               letter July 22, 1993.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       Firm estimates 15,000 bottles remain on the market.
REASON         Subpotency of the acetic acid ingredient.

_______________
PRODUCT        Technetium Tc-99m  Generator, diagnostic imaging agent. 
               Recall #D-308-3.
CODE           Lot #9249-5F-333.
MANUFACTURER   The Dupont Merck Pharmaceutical Company, Radiopharmaceutical
               Division, No. Billerica, Massachusetts.
RECALLED BY    Manufacturer, by telephone and by letter December 14, 1992. 
               Firm-initiated recall complete.
DISTRIBUTION   Missouri.
QUANTITY       1 unit was distributed.
REASON         Non-sterility.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS III
=======================
_______________
PRODUCT        Thiothixene HCL Oral Solution, USP, concentrate, in 30 ml
               and 120 ml bottles, used in the management of psychotic
               disorders, under the Barre and Goldline labels.
               Recall #D-306-3.
CODE           Lot 03909 EXP 1/93 and 13461 EXP 9/93.
MANUFACTURER   Barre-National, Inc., Baltimore, Maryland.
RECALLED BY    Manufacturer, by letter October 29, 1992.  Firm-initiated
               recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       25,948 bottles were distributed.
REASON         Product below specification for alcohol content.

_______________
PRODUCT        Thiopental Sodium for Injection, 400 mg and 500 mg
               strengths, in 20 ml vials, for use as induction anesthetic.
               Recall #D-309/310-3.
CODE           All lots.
MANUFACTURER   International Medication Systems, Ltd., South El Monte,
               California.
RECALLED BY    Manufacturer, by letter July 6, 1993.  Firm-initiated recall
               ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       19,149 units of stock #5040 and 544,839 units of stock #5050
               were distributed.
REASON         Product may form a precipitate after reconstitution.

_______________
PRODUCT        Phenazopyridine HCl Tablets, USP, 200 mg under the Rugby
               label, under Qualitest and TTC Trinity labels; Pyridiate
               Tablets, 200 mg, under the Rugby label, for symptomatic
               relief of pain burning, urgency, frequency and other
               discomforts arising from irritation of the lower urinary
               tract mucosa.  Recall #D-311-3.
CODE           Lot #D132D.
MANUFACTURER   Trinity Technologies Corporation, Roseville, Michigan.
RECALLED BY    Manufacturer, by telephone May 28, 1993.  Firm-initiated
               recall complete.
DISTRIBUTION   Alabama, New York.
QUANTITY       600 1,000-tablet bottles were distributed.
REASON         Short fill.

_______________
PRODUCT        Prop-A-Hist Antihistamine-Decongestant Caplets, in 100
               tablet bottles, for symptomatic relief of rhinitis allergic
               bronchitis, bronchospasm, hay fever, common cold, sinusitis
               and skin allergies.  Recall #D-312-3.
CODE           Lot #K116C EXP 10/96.
MANUFACTURER   Trinity Technologies Corporation, Roseville, Michigan.
RECALLED BY    Manufacturer, by telephone December 21, 1992.  Firm-
               initiated recall complete.
DISTRIBUTION   Texas.
QUANTITY       1,000 100-tablet bottles were distributed.
REASON         Stability data does not support expiration date.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS II
====================
_______________
PRODUCT        Platelets.  Recall #B-323-3.
CODE           Unit #13H68539.
MANUFACTURER   American Red Cross, Detroit, Michigan.
RECALLED BY    Manufacturer, by telephone, followed by letter July 2, 1991. 
               Firm-initiated recall complete.
DISTRIBUTION   Michigan.
QUANTITY       1 unit.
REASON         Blood product, which tested repeatedly reactive for the
               antibody to the Hepatitis C virus (anti-HCV), was
               distributed.

_______________
PRODUCT        (a) Red Blood Cells; (b) Plasma.  Recall #B-353/354-3.
CODE           Unit numbers:  (a) 53FC28768, 53FE08252, 53FF06185,
               53FH24560, 53FH24562, 53FH24563; (b) 53FF06185.
MANUFACTURER   American Red Cross Blood Services, Baltimore, Maryland.
RECALLED BY    Manufacturer, by telephone April 7, 1993, followed by letter
               8, 1993.  Firm-initiated recall complete.
DISTRIBUTION   Maryland, Washington, D.C., Pennsylvania.
QUANTITY       (a) 6 units; (b) 1 unit.
REASON         Blood products, corresponding to units of Platelets which
               were implicated in a case of post-transfusion septicemia
               with group B beta hemolytic Streptococcus sp., were
               distributed.

_______________
PRODUCT        (a) Platelets, Expired; (b) Fresh Frozen Plasma; (c)
               Recovered Plasma.  Recall #B-356/358-3.
CODE           Unit numbers:  (a) H30242/1, H31635/1; (b) H22490/2; (c)
               H26903/2, H30242/2.
MANUFACTURER   Milton S. Hershey Medical Center, Hershey, Pennsylvania.

RECALLED BY    Manufacturer, by letter march 23, 1992.  Firm-initiated
               recall ongoing.
DISTRIBUTION   Pennsylvania, Maryland.
QUANTITY       (a) 2 units; (b) 1 unit; (c) 2 units.
REASON         Blood products which tested non-reactive for the antibody to
               the 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.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS III
===================
_______________
PRODUCT        (a) Platelets for Further Manufacture; (b) Recovered Plasma. 
               Recall #B-351/352-3.
CODE           Unit #60J27880.
MANUFACTURER   American Red Cross Blood Services, Miami, Florida.
RECALLED BY    Manufacturer, by telephone and by fax August 6, 1992.  Firm-
               initiated recall complete.
DISTRIBUTION   Florida, California.
QUANTITY       1 unit of each component.
REASON         Blood products, corresponding to a unit of Red Blood Cells
               found to be contaminated with Serratia liquefaciens were
               distributed.

_______________
PRODUCT        Recovered Plasma.  Recall #B-355-3.
CODE           53FC28768, 53FE08252, 53FH24560, 53FG24562, 53FH24563.
MANUFACTURER   American Red Cross Blood Services, Baltimore, Maryland.
RECALLED BY    Manufacturer, by telephone April 7, 1993, followed by letter
               8, 1993.  Firm-initiated recall ongoing.
DISTRIBUTION   California.
QUANTITY       5 units.
REASON         Blood products, corresponding to units of Platelets which
               were implicated in a case of post-transfusion septicemia
               with group B beta hemolytic Streptococcus sp., were
               distributed.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS II
======================
_______________
PRODUCT        Amsco Quantum 3080RC and 3080RL Surgical Tables.
               Recall #Z-642/643-3.
CODE           Tables manufactured during the period of July 21, 1988
               through February 17, 1993, distributed during the period of
               October 1988 through March 1993.  Serial numbers beginning
               04-20388-P01 through B4-04893-050.
MANUFACTURER   American Sterilizer Company, Montgomery, Alabama.
RECALLED BY    Amsco International, Inc., Pittsburgh, Pennsylvania, by
               letter July 9, 1993.  Firm-initiated field correction
               ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       4,265 tables subject to field correction.
REASON         Unanticipated movement of the surgical tables due to loss of
               hydraulic pressure in the side tilt hydraulic cylinder.

_______________
PRODUCT        Lifestyles Latex Condoms:  (a)  Extra Strength with
               Nonoxynol-9, 3 pack; (b) Spermicidally Lubricated with
               Nonoxynol-9, 3 pack.  Recall #-Z-664/665-3.
CODE           Lot numbers:  (a) 108060100, 109050700; (b) 108066800,
               205038300.
MANUFACTURER   Ansell, Inc., Dothan, Alabama.
RECALLED BY    Manufacturer, by telephone August 17, 1992, followed by
               letter August 20, 1992. Firm-initiated recall complete.
DISTRIBUTION   Nationwide.
QUANTITY       Firm estimates none remains on the market.
REASON         Devices failed to pass FDA testing for leakage.

_______________
PRODUCT        Medtronic 14K Percutaneous Transluminal Coronary Artery
               Catheter.  Recall #Z-668-3.
CODE           Model 14K2040, Lot numbers:  30305C2, 30312E2, 3031B52,
               30401A2.
MANUFACTURER   Medtronic Interventional Vascular, Inc., San Diego,
               California.
RECALLED BY    Manufacturer, by letter dated May 11, 1993.  Firm-initiated
               field correction complete.
DISTRIBUTION   Arizona, California, Florida, Illinois, Indiana, Kansas,
               Kentucky, Louisiana, Massachusetts, Missouri, Nevada,
               Oregon, Pennsylvania, Tennessee, Texas, Virginia, Washington
               state, West Virginia.
QUANTITY       All product has been relabeled and corrected.
REASON         The rated burst pressure of 8 atmospheres was erroneously
               printed on the retail shelf box.  The correct rated pressure
               should be labeled as 6 atmospheres.

_______________
PRODUCT        EDEC 80 X-Ray Systems.  Recall #Z-669-3.
CODE           Undetermined.
MANUFACTURER   Electromed International U.S.A., Inc., Eastlake, Ohio.
RECALLED BY    Manufacturer.  FDA approved the firm's corrective action
               plan June 18, 1993.  Firm-initiated field correction
               ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       143 units were distributed.
REASON         The manufacturer failed to provide information and/or
               complete accuracy specifications to assemblers and users. 
               In addition, the manufacturer failed to provide adequate
               test instructions to assemblers to asure that the entrance
               exposure rate (EER) limits would be met.

RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS III
=====================
_______________
PRODUCT        Deknatel Teflon Pledget, product #X-4832, a pre-cut soft,
               white teflon pad with dimensions of 3/8" x 3/8" x 1/16",
               providing suture support and protection of tissue during
               cardiovascular surgery.  Recall #Z-651-3.
CODE           Lot #02894.
MANUFACTURER   Deknatel, Inc., Fall River, Massachusetts.
RECALLED BY    Manufacturer, by telephone and by letter dated January 29,
               1993.  Firm-initiated recall complete.
DISTRIBUTION   Florida.
QUANTITY       72 pouches were distributed; firm estimates none remains on
               the market.
REASON         Incorrect labeling of the primary package, which identified
               the pledget sizes 3/8" x 3/16".  The pledget dimensions
               should read 3/8" x 3/8" x 1/16".

_______________
PRODUCT        Action 3 Software, version 3.0, dated 10/15/93 for use in
               the Actillume digital computer based monitoring system.
               Recall #Z-685-3.
CODE           Version 3.0 software.
MANUFACTURER   Ambulatory Monitoring, Inc., Ardsley, New York.
RECALLED BY    Manufacturer, by letter March 23, 1993.  Firm-initiated
               field correction ongoing.
DISTRIBUTION   Mississippy, New York, California, Massachusetts, Oregon,
               Texas, Florida, Georgia, Maine, Maryland, New Mexico, Rhode
               Island, Illinois, Minnesota, Norway, Sweden, Canada.
QUANTITY       24 units.
REASON         Storage of the data is on an incorrect channel.


MEDICAL DEVICE SAFETY ALERTS
=============================================
_______________
PRODUCT        Ambulator, Model A-500 Series, a walker with a seat and
               wheels used for individuals who can walk unattended but lack
               the endurance to walk.  Safety Alert #N-054-3.
CODE           None.
MANUFACTURER   Anthros Medical Group, Highland, Kansas.
ALERTED BY     Manufacturer, by letter April 26, 1993.  Firm-initiated
               recall ongoing.
DISTRIBUTION   Minnesota, Pennsylvania, New Jersey, California, Wisconsin,
               New York, North Dakota, Kansas.
QUANTITY       165 ambulators of the old design were distributed.
REASON         Tipping can occur if not used on a level surface.

_______________
PRODUCT        Nellcor N-6000 Ultra-Cap Pulse Oximeter and Capnograph, used
               to measure carbon dioxide, oxygen levels, respiratory rate,
               and pulse rate.  Safety Alert #N-057-3.
CODE           All serial numbers.
MANUFACTURER   Pryon Corporation, Menomonee Falls, Wisconsin.
ALERTED BY     Manufacturer, by letter April 15, 1993.
DISTRIBUTION   Nationwide and international.
QUANTITY       437 units were distributed.
REASON         Electromagnetic interference (62.5 kHz) from the power
               supply of the subject device can cause artifacts and false
               readings on certain thoracic impedance pneumography (TIP)
               respiratory monitors operating at or near the same
               frequency.


MASS SEIZURES:
============================================================
_______________
PRODUCT        Prescription and over-the-counter drugs (93-707-651).
CHARGE         Adulterated - The methods used in, and the facilities and
               controls used for, the articles' manufacture, processing,
               packing, and holding do not conform to and are not operated
               and administered in conformity with current good
               manufacturing practice requirements.
FIRM           Ambix Laboratories, East Rutherford, New Jersey.
FILED          July 28, 1993; U.S. District Court for the District
               of New Jersey; Civil #93-3340(HLS); FDC #66733.
SEIZED         July 29, 1993 - goods valued at approximately $750,000.

_______________
PRODUCT        Prescription and over-the-counter drugs (93-661-983).
CHARGE         Adulterated - The methods used in, and the facilities and
               controls used for, the articles' manufacture, processing,
               packing, and holding do not conform to and are not operated
               and administered in conformity with current good
               manufacturing practice requirements.
FIRM           Pennex Pharmaceuticals, Inc., Morton Grove, Illinois.
FILED          July 23, 1993 - Complaint for Forfeiture and Consent Order; 
               U.S. District Court for the Northern District of Illinois,
               Eastern Division; Civ. #93C 4447; FDC #66747.


INJUNCTIONS:
==============================================================
_______________
PRODUCT        Trail mix, nut mixes, nuts, seeds (93-669-454).
AGAINST        Premier Packing Company, a corporation, and Eugene Cohen,
               an individual, Spokane, Washington.
CHARGE         The defendants adulterated the food they manufactured in
               that it was prepared, packed, or held under insanitary
               conditions whereby it may have and did become contaminated
               with filth.
FILED          July 7, 1993 - Complaint; July 14, 1993 - Consent Decree of
               Permanent Injunction; U.S. District Court for the Eastern
               District of Washington; Civ. #CS-93-0246-FVS; INJ 1319.

_______________
PRODUCT        Ultra-Bright Light Systems (92-587-760).
AGAINST        Medic-Light, Inc., a corporation, and Philip C. Hughes, an
               individual, Lake Hopatcong, New Jersey.
                                    -8-CHARGES        The defendants promoted the Ultra-Bright Light Systems,
               through literature and advertisements, as effective for
               improving body functioning by minimizing the effects of
               "daylight deprivation."  The defendants adulterated the
               device by not obtaining the required approved premarket
               approval application for this class III medical device.  The
               defendants misbranded the device in that the device was
               manufactured in an establishment which lacked the required
               registration, the defendants failed to list the device and
               failed to notify FDA at least ninety days prior to
               introducing the device into interstate commerce as required.
FILED          July 7, 1993 - Complaint for Injunction, Consent Decree of
               Permanent Injunction; U.S. District Court for the District
               of New Jersey; Civ. #93-2906(MTB); INJ 1308.

                                    -9-

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