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
04/17/1996

 ENFORCEMENT REPORT FOR 04/17/96 


April 17, 1996                                      96-16

RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS I ============
_______________
PRODUCT        Various sandwich products :
               1.  Egg Salad Sandwich
               2.  Luncheon Meat & Cheese Sandwich
               3.  Luncheon Meat & Pickle Sandwich
               4.  Luncheon Meat & Potato Salad Sandwich
               5.  Tuna Salad Sandwich
               6.  Chicken Salad Sandwich
               7.  Ham Sandwich
               8.  Ham & American Cheese Sandwich
               9.  Ham & Swiss Cheese Sandwich
               10. Ham & Sliced Egg
               11. Ham with Lettuce & Pickle
               12. Turkey with Lettuce & Pickle
               13. Roast Beef Sandwich
               14. Club Sandwich
               15. Muffuletta Sandwich
               16. Ham & American Cheese, Long Bun
               17. Roast Beef Sandwich, Long Bun
               18. Super Sub Long Bun
               19. Super Triple Sandwich
               20. Ham & American Cheese Sandwich, French 
                   Bread
               21. Roast Beef with Gravy on French Bread
               22. Ham & American Cheese Dressed, French
                   Bread
               23. Roast Beef Dressed, French Bread
               24. Plain Hot Dog
               25. Small Hamburger
               26. Chili Dog
               27. Chili & Cheese Dog
               28. Small Cheeseburger
               29. Lil BBQ
               30. Twin Hot Dog
               31. Small Hot Sausage Sandwich
               32. Grilled Cheese Sandwich
               33. Sausage & Egg on Toast
               34. Large Cheeseburger
               35. Large Steak Sandwich
               36. Large BBQ Beef Sandwich
               37. Large Ham & American Cheese Sandwich
               38. Large Lot-A-Burger
               39. All Beef Burger
               40. All Beef with Cheese Sandwich
               41. Hot Cajun Sausage (patty) Sandwich
               42. Double Cheeseburger
               43. Meatball with Cheese Sandwich (steak bun)
               44. Ham & Cheese Sandwich (steak bun)
               45. Long Dog
               46. Hot Sausage, long bun
               47. BBQ Sausage, long bun.  
               Recall #F-394/440-6.
CODE           Expiration date on or before "2 10".
MANUFACTURER   Finest Foods, Inc. doing business as Mrs.
               Drake's Sandwiches, New Orleans, Louisiana
RECALLED BY    Manufacturer, on February 16, 1996.  Route
               drivers were instructed to pull recalled
               product from retail.  Firm-initiated recall
               complete.
DISTRIBUTION   Louisiana.
QUANTITY       20,000 to 25,000 sandwiches distributed per
               week. Firm estimates none remains on the
               market.
REASON         The products are contaminated with Listeria
               monocytogenes.

_______________
PRODUCT        Creamy Gorgonzola Cheese, in approximately 20
               pound wheels and 5 pound pieces.  
               Recall #F-441-6.
CODE           PROD. DATE 92695 and PROD. DATE 92795 on
               product labels.
MANUFACTURER   BelGioioso Cheese, Inc., (formerly Auricchio
               Cheese Company, Denmark, Wisconsin.

                             -2-RECALLED BY    Manufacturer, by letters on January 18, 1996,
               and February 2, 1996.  Firm-initiated recall
               complete.
DISTRIBUTION   California, Colorado, Florida, Georgia,
               Illinois, Minnesota, New Jersey, New York,
               North Carolina, Pennsylvania, Tennessee,
               Washington state, Wisconsin.
QUANTITY       4,500 pounds were distributed.
REASON         Product is contaminated with Listeria
               monocytogenes.

_______________
UPDATE         Recall #F-374/379-6, Various Ice Cream, which
               appeared in the April 10, 1996 Enforcement
               Report should read:
               REASON: Products are or may be contaminated
               with Listeria monocytogenes.


RECALLS AND FIELD CORRECTIONS: FOODS -- CLASS III ===========
_______________
PRODUCT        Various juice products containing apple juice:
               (a) Red Cheek Apple Juice, 64 ounces; 
               (b) Mott's Apple Juice, 64 ounces and 10
               ounces;
               (c) Mini Mott's Apple Juice, 4.23 ounces; 
               (d) Mott's Fruit Punch, 8.45 fluid ounces;
               (e) Mott's Tropical Punch, 8.45 fluid ounces;
               (f) Mott's Apple/Grape Juice, 10 ounces; 
               (g) Mott's Juice Pak, 8.45 fluid ounces. 
               Recall #F-384/390-6.
CODE           Product produced between 8/15/95 - 9/13/96. 
               Lot numbers: (a) A50821-A50823; (b) A50815-
               A50818, A50821-A50831, A50905-A50908, A50912-
               A50913 (64 ounces); A50829-A50831 (10 ounces);
               (c) A50822, A50828-A50830; (d) A50823, A50824,
               A50826; (e) A50829; (f) A50901; (g) A50824-
               A50826, A50906.
MANUFACTURER   Binder Gmbt1, Germany; Barasch, Switzerland
               (apple juice concentrate suppliers).
RECALLED BY    Mott‘s North America, Stamford, Connecticut,
               by letter dated March 4, 1996.  Firm-initiated
               recall complete. See also FDA talk paper T96-
               14, February 26, 1996.
DISTRIBUTION   Nationwide.
QUANTITY       Approximately 536,000 total cases were
               distributed.
REASON         Hydrolyzed inulin syrup has been substituted
               in part for apple juice in these products.

                             -3-_______________
PRODUCT        Various juice products containing apple juice: 
               (a) Apple Juice, packaged as follows:
               Glass bottles:  1 quart 1 pint (48 fluid
               ounce) 1.42 liters, 2 quart (64 fluid ounce)
               1.89 liters, 1  quart (32 fluid ounce) 946 ml;
               Plastic bottles: 1 gallon (3.79 L), 64 fluid
               ounce (2QT) 1.89 Liters;
               Aseptic cardboard containers: net 250 mL (8.45
               fluid ounces), contains nine 250 mL (8.45
               fluid ounce) boxes;
               (b) Apple Juice, Frozen Concentrate, in     
               Paperboard cans: 16 fluid ounce 473 mL, "48
               fluid ounce (1.42 L);
               (c) Apple Cider, packaged in 1 gallon (3.89L)
               64 fluid ounce (2 quart) 1.89 liter plastic
               bottles.  Recall #F-391/393-6.
 CODE          Various codes.  Product was packed between
               7/95 and 2/96.
MANUFACTURER   Barschash, Poland (supplier of inulin
               containing concentrate).
RECALLED BY    Tree Top, Inc., Selah, Washington, by
               telephone and by fax February 28, 1996.  Firm-
               initiated recall complete. See also FDA talk
               paper T96-14, February 26, 1996.
DISTRIBUTION   Nationwide.
QUANTITY       375,206 cases were distributed.
REASON         Hydrolyzed inulin syrup has been substituted
               in part for apple juice in these products.


RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS II ============
_______________
PRODUCT        Children's Cherry Flavored Acetaminophen
               Suspension Liquid, in 4 ounce bottles, under
               the following brand names:  American Fare,
               Brooks, Chateau, CVS, Food Lion, Goldline,
               Good Sense, Health Life, Homebest, Kroger,
               Marquee, The Medicine Shoppe, Meijer, NEX,
               Osco, Pathmark, The Pharxm, Phar-Mor, REVCO,
               Smiths, Thrifty, Topcare, Walgreens. 
               Recall #D-117-6.
CODE           Lot #5ZA141 EXP 12/98.
MANUFACTURER   Perrigo Company, Allegan, Michigan.
RECALLED BY    Manufacturer, by letter sent between February
               21 and 23, 1996.  Firm-initiated recall
               ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       3,979 dozen bottles were distributed.
REASON         Precipitate of active ingredient which may
               result in non-uniform dosage.

                             -4-RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS III ===========
_______________
PRODUCT        Gelusil Liquid Antacid Anti-Gas Peppermint
               Flavor 355 ml, in 12 fluid ounce bottles. 
               Recall #D-116-6.
CODE           Lot #        EXP Date
               05413B       1/96
               05513B       1/96
               01523B       2/96
               03242B       4/96
               02253B       5/96
               00173B       8/96
               02124B       2/97
               02024B       2/97
               01034B       3/97
               01334B       3/97
               00274B       7/97
               02284B       8/97
               02384B       8/97 
               01994B       9/97
               02494B       9/97
               04604B       10/97
               011N4B       11/97
               00815B       1/98
               01725B       4/98
               03645B       4/98
               03745B       4/98
               10165B       7/98
               (Per the recalling firms "recall" letter, they
               stated "all lot numbers" were included in
               their actions).
MANUFACTURER   Warner Lambert Company, Brockville, Ontario,
               Canada.
RECALLED BY    Warner Lambert Company, Morris Plains, New
               Jersey, by letter dated December 11, 1995. 
               Firm-initiated recall complete.
DISTRIBUTION   Nationwide.
QUANTITY       293,046 bottles were distributed; firm
               estimated that 290,000 bottles remained on
               market at time of recall initiation.
REASON         Some units exhibited off-odor, off-taste and
               presence of a Bacillus species.

_______________
PRODUCT        Sterile Triamcinolone Diacetate Suspension,
               USP, 40 mg/ml, injectable Rx drug for
               intramuscular, intra-articular or soft tissue
               use, for endocrine and rheumatic disorders. 
               Under the following labels: Schein, Legere,
               Besse, TTLOORE.  Recall #D-118-6.
CODE           Lot numbers: 95G460 and 95G800.

                             -5-MANUFACTURER   The Upjohn Company, Kalamazoo, Michigan (raw
               material); Steris Laboratories, Inc., Phoenix,
               Arizona. (dosage form).
Recalled by    Steris Laboratories, Inc., Phoenix, Arizona,
               by letter on November 17, 1995. Firm-initiated
               recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       Approximately 14,500 units were distributed;
               firm estimated that little, if any, product
               remained on market at time of recall
               initiation.
REASON         Product contains trace quantities of
               decabromdiphenylether resulting from synthesis
               reagent used to manufacture raw material.


RECALLS AND FIELD CORRECTIONS: BIOLOGICS -- CLASS III =======
_______________
PRODUCT        (a) Platelets; (b) Fresh Frozen Plasma; (c)
               Cryoprecipitated AHF.  Recall #B-363/365-6.
CODE           Contact FDA, Center for Biologics Evaluation
               and Research, Office of Compliance (301) 594-
               1191 for individual unit numbers recalled.
MANUFACTURER   Flushing Hospital Medical Center, Flushing,
               New York.
RECALLED BY    Manufacturer, by letter dated January 26,
               1996.  FDA-initiated recall complete.
DISTRIBUTION   Pennsylvania.
QUANTITY       66 units; (b) 459 units; (c) 10 units.
REASON         Blood products which were misbranded, were
               distributed for further manufacture.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS I ==========
_______________
PRODUCT        Siemens 3-Gas Model 962 Anesthesia Mixer, Part
               #906588, designed for use with the Siemens
               Servo Ventilator and may be used for mixing 02
               (oxygen) with either N20 (nitrous oxide) or
               air.  Recall #Z-562-6.
CODE           Serial Nos. 200789, 200825, 200784, 200824,
               200783, 200239, 200798, 200166, 200816,
               200794, 200258, 200225, 200169, 200266, 200235
               THESE NUMBERS WERE IN THE 3/19/96
               RECOMMENDATION FROM S. LINER).
MANUFACTURER   Servo Ventilator, Siemens-Elma, Germany
               (mixer).
RECALLED BY    Siemens Medical Systems, Danvers,
               Massachusetts, by telephone on March 11, 1996. 
               Firm-initiated recall complete.
DISTRIBUTION   California, Washington, D.C., Indiana,
               Maryland, Michigan, Nebraska, New York, South
               Carolina, Tennessee, Texas.
                             -6-QUANTITY       15 units were distributed.
REASON         A manufacturing process error in which the
               oxygen hose was connected to the nitrous oxide
               outlet and vice versa.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS II =========
_______________
PRODUCT        Hunter High Performance Air Purifiers, Model
               #30300, for home and business use.
               Recall #Z-560-6.
CODE           All serial numbers.
MANUFACTURER   Hunter Fan Company, Memphis, Tennessee.
RECALLED BY    Manufacturer, by letter beginning on January
               30, 1996.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and Puerto Rico.
QUANTITY       42,283 units were distributed; firm estimated
               that 39,146 units remained on market at time
               of recall initiation.
REASON         There is a potential fire hazard due to high
               voltage arcing.

_______________
PRODUCT        IVAC I.V. Solution Administration Sets, Model
               numbers 28075 and 28273, indicated for use
               with the IVAC "Medsystem III" Multi-Channel
               Infusion Pump.  Recall #Z-561-6.
CODE           Lot numbers:  411648, 503635, 505631.
MANUFACTURER   Ensembles Medicos, S.A. de C.V., Tijuana,
               B.C., Mexico.
RECALLED BY    IVAC Corporation, San Diego, California, by
               letter on October 17, 1995.  Firm-initiated
               recall complete.
DISTRIBUTION   Nationwide and Canada.
QUANTITY       475 cases were distributed; firm estimates
               none remains on the market.
REASON         The device is labeled as containing 60
               drops/ml sets, whereas it contains 20 drops/ml
               sets.

_______________
PRODUCT        Nuclear Imaging Systems, used in organ and
               whole body scans:  (a) BIAD, two head detector
               SPECT system; (b) MONAD, single head detector
               SPECT system.  Recall #Z-568/569-6.
CODE           Serial numbers:  (a) 102 - 186; (b) 119 - 182.
MANUFACTURER   Trionix Research Laboratory, Twinsburg, Ohio.
RECALLED BY    Manufacturer, by letter on April 3, 1995. 
               Firm-initiated field correction ongoing.
DISTRIBUTION   Nationwide, Korea, Australia, Egypt,
               Switzerland.

                             -7-QUANTITY       80 BIAD units were distributed.  Six (6) BIAD
               units and five (5) MONAD units are still in
               stock.
REASON         The detector head may drop on a patient or
               healthcare provider because of metal fatigue
               at the device's ball screw assembly.

_______________
PRODUCT        P300 Power Wheelchair with airless solid
               casters and P300 Power Wheelchair with
               pneumatic casters using LaBac Specialized
               Seating System.  Recall #Z-582-6.
CODE           Any model P300 power wheelchair with serial
               numbers P3-1000 through P3-9468.
MANUFACTURER   Quickie Designs, Inc., Fresno, California.
RECALLED BY    Manufacturer, by letter dated December 6,
               1995.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       3,762 units.
REASON         The forks holding the front caster assemblies
               in place may be subject to cracking which
               could cause the caster assembly to collapse  
               and the user to potentially fall out of the
               wheelchair.

_______________
PRODUCT        Medline Custom Procedural Trays which contain
               Johnson & Johnson Barrier Vu-Thru
               Cardiovascular Split Sheets:
               (a) Cardiovascular Packs
               1) Catalog No. DYNJC1016B, CV Pack A&B-PK A &
                  PKB;
               2) Catalog #DYNJC1622B, CV Pack;
               3) Catalog #DYNJC2202, CV Pack A & B;
               4) Catalog #DYNJC2202A, CV Pack-PK A & PK B;
               (b) Trauma/Abdominal Aneurysm Pack, Catalog
               No. DYNJC1267A;
               (c) Coronary Drape Pack, Catalog #DYNJC1657A;
               (d) Heart Packs
               1) Catalog No. DYNJC1910, Murbach Heart Pack;
               2) Catalog No. DYNJC1959, Heart Pack Murbach;
               3) Catalog No. DYNJC1960, Heart Pack J
                  Campbell;
               4) Catalog No. DYNJC1961, Heart Pack Spoto;
               5) Catalog No. DYNJ08823D, Heart Pack I. 
               Recall #Z-588/591-6.
CODE           All lots shipped between 10/1/95 and 11/28/95.
MANUFACTURER   Medline Industrues, Waukegan, Illinois (kit);
               Johnson & Johnson Medical, Inc., El Paso,
               Texas (split sheet).
RECALLED BY    Medline Industries, Inc., Mundelein, Illinois,
               by letter on January 4, 1996.  Firm-initiated
               recall complete.
                             -8-DISTRIBUTION   Florida, Georgia, Kansas, Kentucky,
               Pennsylvania, South Carolina, Texas, Utah,
               Virginia.
QUANTITY       Firm estimates none remains on the market.
REASON         The fabric of the clipping tabs are subject to
               tearing, presenting potential harm to patient.

_______________
PRODUCT        Nezhat-Dorsey SmokEvac Trumpet Valve for Pump
               II, a laparoscopic suction/irrigation system
               with metered smoke evacuation mechanism:  (a)  
               Nezhat-Dorsey SmokEvac Trumpet Valve and Pump
               II Cartridge, Catalog No. 2027P2;
               (b) Nezhat-Dorsey SmokEvac Trumpet Valve and
               Pump II Cartridge and 33 cm Probe Tip, Catalog
               No. 2027P2A.  Recall #Z-592/593-6.
CODE           All sterilization lots with catalog numbers
               2027P2 and 2027P2A.
MANUFACTURER   Prent Thermoforming Janesville, Wisconsin
               (component).
RECALLED BY    Davol, Inc., Division of C.R. Bard
               Corporation, Cranston, Rhode Island, by letter
               on June 13, 1995.  Firm-initiated recall
               complete.
DISTRIBUTION   Nationwide and international.
QUANTITY       (a) 7,112 units; (b) 1,134 units were
               distributed.
REASON         The sterility of the device may be compromised
               due to loss of package integrity, caused by
               cracks.  

_______________
PRODUCT        Television Projectors Incorporated in the
               Moving Target Simulators (MTS), used to
               project target images on a screen.
               Recall #Z-594-6.
CODE           None.
MANUFACTURER   AAI Corporation, Cockeysville, Maryland.
RECALLED BY    Manufacturer.  FDA approved the firm's
               corrective action plan April 1, 1996.  Firm-
               initiated field correction ongoing.
DISTRIBUTION   Nationwide and Germany.
QUANTITY       16 units.
REASON         The television projectors incorporated in the
               Moving Target Simulators failed to comply with
               the x-radiation emission limit of the Federal
               Performance Standard for Television Receivers,
               21 CFR 1020.10. 

_______________
PRODUCT        Model WS 2200 Laser System, used in metal
               cutting.  Recall #Z-595-6.
CODE           Model WS 2200.
                             -9-MANUFACTURER   Convergent Energy, Sturbridge, Massachusetts.
RECALLED BY    Manufacturer.  FDA approved the firm's
               corrective action plan April 1, 1996.  Firm-
               initiated filed correction ongoing.
DISTRIBUTION   Mississippi.
QUANTITY       1 unit.
REASON         The product was found to be noncompliance with
               the Federal performance standard for laser
               products 21 CFR 1040.10(f)(2)(v) in that the
               safety interlock electrical circuit
               incorporated a bypass circuit, rendering the
               system ineffective and permitted the laser
               system to be returned to a fully operational
               configuration with the interlock circuit
               remaining overridden.

_______________
PRODUCT        Cordis Trakstar 18, Long Balloon Catheters,
               Catalog #535-303.  Recall #Z-596-6.
CODE           Lot #40895311.
MANUFACTURER   Cordis Corporation, Miami, Florida.
RECALLED BY    Manufacturer, by letter dated January 15,
               1996.  Firm-initiated recall complete.
DISTRIBUTION   Nationwide.
QUANTITY       50 units were distributed.
REASON         Small axially oriented abrasions present on
               some balloons could cause a burst pressure
               below that of the rated one. 


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS III ========
_______________
PRODUCT        Stratus Cardiac Troponin-I Fluorometric Enzyme
               Immunoassay Kit, Catalog #B5700-64, used in an
               automated procedure for the quantitative
               determination of Troponin-I levels in serum
               and heparinized-plasma.  Recall #Z-583-6.
CODE           Lot #KXTN-231 EXP 3/21/96.
MANUFACTURER   Dade International, Inc., Miami, Florida.
RECALLED BY    Manufacturer, by telephone on January 10-11,
               1996.  Firm-initiated recall complete.
DISTRIBUTION   Texas, California, Florida, Georgia, Kentucky,
               Louisiana, Michigan, Minnesota, Missouri, New
               York, Ohio, Pennsylvania, South Carolina,
               Wisconsin, and international.
QUANTITY       118 kits were distributed.
REASON         Calibrator lot XTN-215 was incorrectly shipped
               to be used with kit lot No. KXTN-231, the
               correct calibrator lot should have been lot
               No. XTN-216Z.

                            -10-_______________
PRODUCT        S/P Boiling Water Bath used for all laboratory
               procedures requiring 100 degree C incubation. 
               Recall #Z-584-6.
CODE           Catalog #W3022, Serial numbers 4897 through
               5021.
MANUFACTURER   Dade International, Inc., Miami, Florida.
RECALLED BY    Manufacturer, by letter dated February 1996. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Illinois.
QUANTITY       109 units.
REASON         The water bath has water leakage in the rear
               of the unit which could cause a fire or
               electrical shock hazard.


MEDICAL DEVICE SAFETY ALERTS:  ==============================
_______________
PRODUCT        Medtronic CardioRhythm Atakr Ablation System,
               Model 0610, intended primarily for use in
               intracardiac radiofrequency ablation
               procedures.  Safety Alert #N-010-6.
CODE           All units.
MANUFACTURER   Medtronic CardioRhythm, San Jose, California.
ALERTED BY     Manufacturer, by letter on January 4, 1996. 
DISTRIBUTION   Nationwide and international.
QUANTITY       430 units were distributed.
REASON         Device does not turn off when the foot is
               released from the foot pedal.

                            -11-

END OF ENFORCEMENT REPORT FOR APRIL 17, 1996.  BLANK PAGES MAY
FOLLOW.

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