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.

December 31, 1997                                     97-53

RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS II
===========
_______________
PRODUCT        Coumadin Tablets (Warfarin Sodium), 3 mg, in           
	       hospital unit dose cards packed 10 tablets per card, 
	       10 cards per box, an Rx anticoagulant, labeled for 
	       hospital use only.
               NDC #0056-0188-75.  Recall D-033-8.
CODE           Lot #LH354A.
MANUFACTURER   Dupont Merck Pharma, Manati, Puerto Rico.
RECALLED BY    DuPont Merck Pharmaceutical Company, Garden City,
               New York, by letter faxed on October 15., 1997 and
               mailed on October 16, 1997.  Firm-initiated recall
               ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       2,476 units were distributed; firm estimated that less 
               than 1,238 units remained on market at time of recall 
               initiation.
REASON         Labeling -- Incorrectly declared strength-some 3
               mg units labeled as containing 8 mg or 9 mg
               tablets.

RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS III===========
_______________
PRODUCT        Coumadin Tablets (Warfarin Sodium, USP), 5 mg, 
               in hospital unit dose cards, packed 10 tablets 
               per card, 10 cards per box, Rx anticoagulant.
               NDC #0056-0172-75.  Recall #D-056-8.
CODE Lot numbers:  Lots: LF269A (exp. date 6/2000); 
	       LE199B (exp.date 05/2000); LF340A (exp. date 6/2000).
MANUFACTURER   DuPont Merck Pharmaceutical Company, 
               Garden City, New York.
RECALLED BY    Manufacturer, by letter on November 5, 1997. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide, Venezuela, Barbados, Colombia.
QUANTITY       21,630 units of lot LF269A; 17,029 units of lot
               LE199B; and 2,476 units of lot LF340A were
               distributed.
REASON         Mislabeling - Incorrectly declared strength-
               Some 5 mg units labeled as containing 6 mg
               tablets.



RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS II =======
_______________
PRODUCT        a) Red Blood Cells; b) Red Blood Cells-Leukocytes
               Removed; c) Fresh Frozen Plasma.
               Recall #B-254/256-8.
CODE Unit numbers:  a) 10489-4475; b) 10505-8490
               c) 10489-4475.
MANUFACTURER   United Blood Services, Scottsdale, Arizona.
RECALLED BY    Blood Systems, Inc., Scottsdale, Arizona, by
               letter dated May 31, 1996.  Firm-initiated recall complete.
DISTRIBUTION   Arizona.
QUANTITY       1 unit of each component was distributed.
REASON         Blood products were collected from donors which
               tested negative for the antibody to the human
               T-lymphotropic virus type I (anti-HTLV-I), but
               were collected from donors who previously tested
               repeatedly reactive for anti-HTLV-I, on two
               occasions.

_______________
PRODUCT        Platelets, pheresis.  Recall #B-335-8.
CODE Unit      #4172041.
MANUFACTURER   Central Texas Regional Blood & Tissue Center,
               Austin, Texas.
RECALLED BY    Manufacturer, by letter dated November 11, 1997. 
               Firm-initiated recall complete.
DISTRIBUTION   Texas.
QUANTITY       1 unit was distributed.
REASON         Blood product had a platelet yield above the                     
               acceptable limit.

_______________
PRODUCT        Red Blood Cells.  Recall #B-337-8.
CODE Unit      #03FQ07362.
MANUFACTURER   American Red Cross Blood Services, Atlanta,
               Georgia. 
RECALLED BY    Manufacturer, by letter dated April 16, 1997. 
               Firm-initiated recall complete.
DISTRIBUTION   Georgia.
QUANTITY       1 unit was distributed.
REASON         Blood product was collected from a donor who
               traveled to an area considered endemic for
               malaria.

_______________
PRODUCT        Red Blood Cells.  Recall #B-366-8.
CODE Unit numbers:  009Q27140, 009Q27289, 009K86446, 009GN30451.
MANUFACTURER   American Red Cross Blood Services, Omaha,
               Nebraska.
RECALLED BY    Manufacturer, by telephone on April 28, 1997. 
               Firm-initiated recall complete.
DISTRIBUTION   Nebraska.
QUANTITY       4 units were distributed.
REASON         Blood products, which were exposed to unacceptable
               storage temperatures.

_______________
PRODUCT        a) Red Blood Cells; b) Platelets; 
               c) Recovered Plasma.  Recall #B-381/383-8.
CODE Unit      #03GM26760.
MANUFACTURER   American Red Cross Blood Services, 
               Atlanta, Georgia. 
RECALLED BY    Manufacturer, by letter dated September 5, 1997,
               and by telephone on September 2, 1997.  Firm-initiated 
               recall complete.
DISTRIBUTION   Georgia and California.  
QUANTITY       1 unit of each component was distributed.
REASON         Blood products were collected from a donor whose
               spouse has a history of hepatitis C.

_______________
PRODUCT        a) Red Blood Cells; b) Platelets.
               Recall #B-384/385-8.
CODE Unit      #03FX06294.
MANUFACTURER   American Red Cross Blood Services, 
               Atlanta, Georgia.
RECALLED BY    Manufacturer, by telephone on April 8, 1997. 
               Firm-initiated recall complete.
DISTRIBUTION   Georgia.
QUANTITY       1 unit was distributed.
REASON         Blood products, corresponding to a unit of
               Fresh Frozen Plasma which was positive for
               coagulase negative Staphylococcus.

_______________
PRODUCT        a) Red Blood Cells; b) Platelets.
               Recall #B-386/387-8.
CODE Unit      #H11737.
MANUFACTURER   Northern Illinois Blood Bank, 
               Rockford, Illinois.
RECALLED BY    Manufacturer, by telephone on October 16, 1997,
               and by letter dated October 16, 1997.  
               Firm-initiated recall complete.
DISTRIBUTION   Illinois.
QUANTITY       1 unit of each component was distributed.
REASON         Blood products were collected from a donor
               who reported travel to an area designated 
               as endemic for malaria.

_______________
PRODUCT        Platelets, Pheresis.  Recall #B-388-8.
CODE Unit      #40P55993.
MANUFACTURER   American Red Cross, Peoria, Illinois.
RECALLED BY    Manufacturer, by telephone on December 2, 1997. 
               Firm-initiated recall complete.
DISTRIBUTION   Illinois.
QUANTITY       1 unit was distributed.
REASON         Blood product tested negative for CMV, but was
               collected from a donor who previously tested CMV
               positive.

_______________
PRODUCT        Red Blood Cells.  Recall #B-389-8.
CODE Unit      #09FH03275.
MANUFACTURER   American Red Cross Blood Services, Omaha,
               Nebraska.
RECALLED BY    Manufacturer, by letter dated May 19, 1997.  
               Firm-initiated recall complete.
DISTRIBUTION   Massachusetts.
QUANTITY       1 unit was distributed.
REASON         Blood product was collected from a donor
               taking the drug Zovirax.

_______________
PRODUCT        Platelets, Pheresis.  Recall #B-390-8.
CODE Unit numbers:  09P54256, 09P54935, 09P55309. 
MANUFACTURER   American Red Cross Blood Services, Omaha,
               Nebraska.
RECALLED BY    Manufacturer, by telephone on November 15 and 18,
               1996, and by letter dated November 19, 1996. 
               Firm-initiated recall complete.
DISTRIBUTION   Utah and Nebraska.
QUANTITY       3 units were distributed.
REASON         Blood products were collected from a donor who
               reported travel to an area designated as endemic
               for malaria.

_______________
PRODUCT        Red Blood Cells.  Recall #B-391-8.
CODE Unit      #1382514.
MANUFACTURER   Central Kentucky Blood Center (CKBC), Lexington,
               Kentucky.
RECALLED BY    Manufacturer, by letter on November 11, 1997. 
               Firm-initiated recall complete.
DISTRIBUTION   Kentucky.
QUANTITY       1 unit was distributed.
REASON         Blood product was collected from a donor who
               reported travel to an area designated as endemic
               for malaria.

_______________
PRODUCT        Recovered Plasma.  Recall #B-394-8.
CODE Unit      #1384156.
MANUFACTURER   Central Texas Regional Blood & Tissue Center, 
               Austin, Texas.
RECALLED BY    Manufacturer, by telephone on July 24, 1997, and
               by letter dated August 21, 1997.  Firm-initiated
               recall complete.
DISTRIBUTION   Florida.
QUANTITY       1 unit was distributed.
REASON         Blood product was untested for Hepatitis B surface
               antigen (HBsAg), and the antibodies to the human
               immunodeficiency virus type 1/2 (anti-HIV-1/2),
               Hepatitis C virus encoded antigen (anti-HCV),
               Hepatitis B core antigen (anti-HBc), and syphilis. 

_______________
PRODUCT        a) Red Blood Cells; b) Platelets;
               c) Fresh Frozen Plasma.
               Recall #B-397/399-8.
CODE Unit      #42G04937.
MANUFACTURER   American Red Cross Blood Services, Cleveland Ohio.
RECALLED BY    Manufacturer, by letter dated November 5, 1997. 
               Firm-initiated recall complete.    
DISTRIBUTION   Ohio.
QUANTITY       1 unit of each component was distributed.
REASON         Blood products were collected from a donor
               taking the drug Methotrexate.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS III ======
_______________
PRODUCT        Recovered Plasma.  Recall #B-257-8.
CODE Unit      #10505-8490.
MANUFACTURER   United Blood Services, Scottsdale, Arizona.
RECALLED BY    Blood Systems, Inc., Scottsdale, Arizona, by
               letter dated May 31, 1996.  Firm-initiated 
               recall complete.
DISTRIBUTION   Switzerland.
QUANTITY       1 unit was distributed.
REASON         Blood product was collected from donors which
               tested negative for the antibody to the human
               T-lymphotropic virus type I (anti-HTLV-I), but
               were collected from donors who previously tested
               repeatedly reactive for anti-HTLV-I, on two
               occasions.

_______________
PRODUCT        Red Blood Cells.  Recall #B-336-8.
CODE Unit numbers:  11006187, 12003294, 12003296, 13000891, 
               31009637, 31009654, 31009672, 32005805.
MANUFACTURER   W.E. & Lela I. Stewart Blood Center, Inc., Tyler,
               Texas.
RECALLED BY    Manufacturer, by telephone on July 23, 1997.
               Firm-initiated recall complete.
DISTRIBUTION   Texas.
QUANTITY       8 units were distributed.
REASON         Blood product were irradiated and labeled with 
               an extended expiration date.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS
II =========
_______________
PRODUCT        Supreme II Blood glucose Meter, Part #S2005,
               intended for the in-vitro measuring of the 
               glucose level in whole blood.  
               Recall #Z-203-8.
CODE           All serial numbers less than 2100035601.
MANUFACTURER   Applied Sciences Corporation, Hsinchu City,
               Taiwan R.O.C.
RECALLED BY    Chronimed, Inc., Minnetonka, Minnesota, by letter
               on November 24, 1997.  Firm-initiated  recall
               ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       20,146 units were distributed.
REASON         If this device is in the "plasma" mode and the
               actual blood glucose level is 575 mg/dL or higher,
               the device will display abnormally low glucose
               readings.

_______________
PRODUCT        Carlens (Y) Adapter Component to Tube Kits and
               Connector pack:  
               a) U.S. Cat. No. 9589X and Intl Cat. No. 125-XX
               Left Hand Broncho-Cath Tube;
               b) U.S. Cat. No. 8588X and Intl Cat. No. 126-XX 
               Right Hand Broncho-Cath Tube; 
               c)  U.S. Cat. No. 9587X and Intl Cat. No. 125-XX
               -1 Left Hand Broncho Cath Tube with Cardinal Hook; 
               d) Intl. Cat. No. 125-10 Broncho-Cath Connector
               Pack.  Recall #Z-223/226-8.
CODE           a)  Broncho-Cath Endobronchial Tube, Left
               U.S. Cat. No.     Lot No. 
               95890          1997-02 5084
               95890          1997-04 5617
               95891          1997-04 5578
               95892          1997-03 5256
               95892          1997-03 5581
               95892          1997-04 5662
               95893          1997-03 5235
               95893          1997-03 5244
               95893          1997-03 5254
               95893          1997-03 5265
               95893          1997-03 5590
               95893          1997-04 5266                        
               95893          1997-04 5603
               95893          1997-04 5610                        
               95893          1997-04 5619
               95893          1997-04 5633
               95894          1997-02 5234
               95894          1997-03 5257
               95894          1997-03 5583
               95894          1997-03 5584
               95894          1997-04 5612
               95894          1997-04 5627
               95894          1997-04 5657
               95895          1997-02 5081
               95895          1997-03 5263
               95895          1997-04 5598
     International         
               Cat. No.          Lot No.
               125-28         1997-02 5233
               125-28         1997-04 5577
               125-28         1997-04 5616
               125-32         1997-03 5248
               125-32         1997-04 5579
               125-35         1997-02 5069
               125-35         1997-02 5228
               125-35         1997-03 5249
               125-35         1997-03 5255
               125-35         1997-03 5580
               125-35         1997-04 5634
               125-37         1997-03 5227
               125-37         1997-03 5229
               125-37         1997-03 5230
               125-37         1997-03 5250
               125-37         1997-04 5251
               125-37         1997-04 5613
               125-37         1997-04 5652
               125-39         1997-02 5232
               125-39         1997-03 5226
               125-39         1997-03 5258
               125-39         1997-03 5259
               125-39         1997-04 5628
               125-41         1997-03 5238
               125-41         1997-04 5654
               b) Broncho-Cath Endobronchial Tube, Right
               U.S. Cat. No.         Lot No.
               85885          1997-03 4169
               85887          1997-02 4757
               85887          1997-04 5601
               85888          1997-03 4723
               85888          1997-04 5243
               International
               Cat. No.          Lot No.
               126-35         1997-03 4725
               126-35         1997-03 5240
               126-35         1997-04 4711
               126-37         1997-03 5241
               126-37         1997-03 5267
               126-39         1997-03 5242
               126-39         1997-04 5268
               126-41         1997-03 4729
               126-41         1997-03 5587
               c) Broncho-Cath Endobronchial Tube, Left with 
               Carinal Hook
               U.S. Cat. No.     Lot No.
               95872          1997-04 5608
               95873          1997-03 5245
               95873          1997-04 5609
               95874          1997-04 5246
               95874          1997-04 5626
               95875          1997-04 5236
               International
               Lot No.           Lot No.
               125-37-1       1997-03 4108
               125-37-1       1997-04 5252
               125-39-1       1997-03 4720
               125-39-1       1997-03 4754
               125-41-1       1997-04 4185
               d) Broncho-Cath Connector pack assembly (not
               distributed in the U.S)
               International
               Lot No.            Lot No.
               125-10          1997-04 5478.
MANUFACTURER   Mallinckrodt medical, Athlone, Ireland.
RECALLED BY    Mallinckrodt, Inc., Chesterfield, Missouri, by
               letters issued on October 17 and 23, 1997.  
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and Canada.
QUANTITY       Approximately 56,550 adapters were distributed.
REASON         The Carlens (Y) Adapter component may have a 
               small flap (flash) of excess plastic in one of 
               the ports where the smaller diameter tube joins
               the connector, which can partially occlude the
               inner diameter, causing some blockage of medical
               gas to occur.

_______________
PRODUCT        VENTAK R AV  AICD  Automatic Implantable
               Cardioverter Defibrillator, Models 1810 & 1815. 
               Recall #Z-242/243-8.
CODE           All serial numbers.
MANUFACTURER   Guidant Corporation, Cardiac Pacemakers, Inc.
               (CPI), Minneapolis, Minnesota.
RECALLED BY    Manufacturer, by letter dated December 8, 1997.
               Firm-initiated recall ongoing.  Firms Action is 
               a field correction durning which the
               defibrillators are being reprogramed.  None of 
               the defibrillators are being returned or
               explanted. 
DISTRIBUTION   Nationwide and international.
QUANTITY       3,770 units were distributed.
REASON         A rare combination of device programming settings
               and clinical patient circumstances create the
               potential for the device to inappropriately
               deliver brief periods of pacing at 190 beats per
               minute.

_______________
PRODUCT        Ausonics OPUS 2 Realtime Ultrasound System, a
               ultrasound Scanner: 
               a) Model: COMPACT, product part number 040-170 
               b) Model: COMPACT, product part number 040-020. 
               Recall #Z-244/245-8.
CODE           The affected serial numbers are: 
               A261412,    A261712,   A261812,   A262012,     
               262112,     A262412,   A262712,   A263012,   
               A263112,    A263212    A263312,   A263412,  
               A263512,    A270101,   A270201,   A270401,  
               A571501,    A571701,   A571801,   A572001,   
               A572201,    A572401,   A572501,   A572601,  
               A572701,    A572801,   A572605,   A572901,  
               A573203,    A573303,   A573603,   A573803 
               D570105,    D570106,   D570110,   D570205, 
               D570206,    D570209,   D570210,   D570305,  
               D570309,    D570310,   D570405,   D570406,  
               D570409,    D570506,   D570510,   D570605,  
               D570606,    D570705,   D570706,   D570708,   
               D570710,    D570805,   D570806,   D570808,  
               D570809,    D570906,   D570908,   D570909,  
               D571005,    D571006,   D571009,   D571109,  
               D571209,    D571210,   D571308,   D571405,  
               D571408,    D571508,   D571509,   D571605, 
               D571608,    D571609,   D571709,   D571710,  
               D571805,    D571905,   D571908,   D571910,  
               D572105,    D572110,   D572205,   D572208,  
               D572305,    D572306,   D572405,   D572408,  
               D572409,    D572505,   D572508,   D572509, 
               D572510,    D572609,   D572709,   D573001,   
               D671005. 
MANUFACTURER   Diasonics Ultrasound, Inc., Santa Clara,
               California.
RECALLED BY    Manufacturer, by letter faxed beginning on
               November 7, 1997, and by mail on November 26,
               1997.  Firm-initiated recall ongoing.
DISTRIBUTION   Florida, Indiana, Iowa, Louisiana, Maryland, New
               Mexico, New York, Texas, international. 
QUANTITY       91 units were distributed.
REASON         During VCR playback, the probe membrane surface
               temperature has the potential to exceed the
               published FDA temperature limit of 41C.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS III ========
_______________
PRODUCT        INNOFLUOR Digitoxin Calibrator Set, Catalog No.
               41051, intended for monitoring digitoxin levels 
               in patients.  Recall #Z-248-8.
CODE           Lot No. 26216.
MANUFACTURER   Oxis International, Inc., Portland, Oregon.
RECALLED BY    Manufacturer, by fax on November 14, 1997.  
               Firm-initiated recall ongoing. 
DISTRIBUTION   France, Belgium, Austria.
QUANTITY       10 sets were distributed.
REASON         The device may not perform according to
               specifications during the labeled shelf life.

                               ####

END OF ENFORCEMENT REPORT FOR DECEMBER 31, 1997.  BLANK PAGES MAY FOLLOW.


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