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.
  
  
  March 18, 1998                                      98-11
  
  RECALLS AND FIELD CORRECTIONS: FOODS -- CLASS II ============
  _______________
  PRODUCT      Pumpkin Butter in glass jars, under the
                 following brand names:  "AMISH PUMPKIN BUTTER,
                 HOME-MADE STYLE", Packaged by Miller's Orchard
                 Nappanee, Indiana labeled as 8 oz. and 16 oz. 
               "Die Bock Kich Bakery PUMPKIN BUTTER" labeled
                 as 8 oz. and 1 Pint, Distributed by Das
                 Dutchman Essenhaus Amish Country Kitchen 240
                 U.S. 20 Middlebury, Indiana 46540 
               "HOME-STYLE 'PUMPKIN PIE IN A JAR' PUMPKIN
                 BETTER The Better Butter", labeled as 8 oz.
                 and 15.5 oz., Shelton Farms, Niles, Michigan.
               Recall #F-279-8.
  CODE         None.
  MANUACTURER  Miller's Orchard, Inc., Nappanee, Indiana.
  RECALLED BY  Manufacturer, by telephone on January 12-14,
                 1998.  Firm-initiated recall ongoing.
  DISTRIBUTION Arizona, California, Indiana, Michigan, New
                 York, Ohio.
  QUANTITY     1,247 cases (12 jars per case) were
                 distributed.
    REASON         The product had been manufactured and
                 processed without the firm having filed
                 scheduled process for the product, without a
                 thermal process (open kettle processing was
                 used with a hot pack), and in a plant
                 unregistered with FDA by personnel who had not
                 attended a Better Process Control School or
                 its equivalent. 
  
  
  RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS
  II ============
  _______________
  PRODUCT      Bayer, Trasylol (Aprotinin Injection) Sterile
                 Solution, 10,000 K.I.I./mL (1.4 mg/mL), Single
                 Dose Vial, 100ml, NDC 0026-8196-36, 200ml, NDC
                 0026-8197-63, Rx indicated for prophylactic
                 use to reduce perioperative blood loss and the
                 need for a blood transfusion in patients 
                 undergoing cardiopulmonary bypass in the
                 course of repeat coronary artery bypass graft
                 surgery.  Recall #D-099-8.
  CODE         100ml vials Lot# 7JAB, EXP 6/99
               100ml vials Lot# 7LAC, EXP 6/99
               200ml vials Lot# 7JFB, EXP 7/99.
  MANUFACTURER Bayer AG, Leverkusen, Germany.
  RECALLED BY  Bayer Pharmaceutical Division, West Haven,
                 Connecticut (labeler), by letter dated
                 February 26, 1998.  Firm-initiated recall
                 ongoing.
  DISTRIBUTION Nationwide and international.
  QUANTITY     US Lot # 7JAB (Bayer Germany 965863K) 13,980
                 Vials released 11/21/97.
               US Lot # 7LAC (Bayer Germany 965863K) 15,942
                 Vials released 1/9/98.
               US Lot # 7JFB (Bayer Germany 967050E) 8,436
                 Vials released 11/24/97.
  REASON       Foreign particulate - One vial was found to
                 contain a birch tree seed.
  
  
  RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS III ===========
  _______________
  PRODUCT      Sufentanil Citrate Injection, USP, 50 mcg/mL
                 sufentanil, in 2 and 5 mL ampules, 10 ampules
                 per box, Rx, indicated for IV administration
                 as an analgesic adjunct in patients who are
                 intubated and ventilated, as a primary
                 anesthetic agent for the induction and
                 maintenance of anesthesia in patients
                 undergoing major surgical procedures, and for
                 epidural administration as an analgesic
                 combined with low dose bupivacaine during
                 labor and vaginal delivery, under the ESI
                 (Elkins-Sinn) and VHA Plus labels.  Recall   
                 #D-098-8.
  CODE         Lot 016077 EXP 1/98 - NDC 0641-5143-33
               Lot 016103 EXP 1-98 - NDC 0641-1143-33
               Lot 016115 EXP 1/98 - NDC 0641-5142-33.
  MANUFACTURER Wyeth-Ayerst/ESI/Lederle Laboratories, Cherry
                 Hill, New Jersey, a subsidiary of the American
                 Home Products Corporation.
  RECALLED BY  Manufacturer, by letter on July 14, 1997. 
                 Firm-initiated recall complete.
  DISTRIBUTION Nationwide.
  QUANTITY     4,807 boxes (10 ampules per box) were
                 distributed.
  REASON       Product contaminated with the preservative
                 methylparaben.
  
  
  RECALLS AND FIELD CORRECTIONS: BIOLOGICS -- CLASS II ========
  _______________
  PRODUCT      a) Red Blood Cells; b) Recovered Plasma.
               Recall #B-448/449-8.
  CODE         Unit #29GM34115.
  MANUFACTURER American Red Cross, Greenville, North
                 Carolina.
  RECALLED BY  American Red Cross Blood Services, Norfolk,
                 Virginia, by letter dated May 21, 1996, and by
                 fax on May 17, 1996.  Firm-initiated recall
                 complete.
  DISTRIBUTION Virginia and California.
  QUANTITY     1 unit of each component was distributed.
  REASON       Blood products were collected from a donor
                 with a history of cancer.
  
  _______________
  PRODUCT      a) Red Blood Cells; b) Recovered Plasma.
               Recall #B-654/655-8.
  CODE         Unit #53M09259.
  MANUFACTURER American Red Cross Blood Services, Baltimore,
                 Maryland.
  RECALLED BY  Manufacturer, by letter dated November 5,
                 1997.  Firm-initiated recall complete.
  DISTRIBUTION Maryland and Pennsylvania.
  QUANTITY     1 unit of each component was distributed.
  REASON       Blood products tested negative 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, Western Blot
                 indeterminate.
  
  
  _______________
  PRODUCT      a) Red Blood Cells; b) Cryoprecipitated AHF
               c) Recovered Human Serum; d) Recovered Plasma. 
                 Recall #B-671/674-8.
  CODE         Unit numbers: a) 31H93392, 31G07008, 31R55310
               b) 31H93392 and 31G07008.
               c) 31H93392 and 31G07008
               d) 31H93392, 31G07008, and 31R55310 
  MANUFACTURER American Red Cross Blood Services, Buffalo,
                 New York.
  RECALLED BY  American Red Cross Blood Services, Rochester,
                 New York, letter dated August 26, 1997.       
                 Firm-initiated recall complete.
  DISTRIBUTION New York, Massachusetts, California.
  QUANTITY     a) 3 units; b) 2 units; c) 2 units; d) 3 units
                 were distributed.
  REASON       Blood products tested negative for the
                 hepatitis B surface antigen (HBsAg), but were
                 collected from donors who previously tested
                 repeatedly reactive for HBsAg.
  
  _______________
  PRODUCT      a) Red Blood Cells; b) Platelets; c)
                 Platelets, Pooled.  Recall #B-675/677-8.
  CODE         Unit numbers: a) 4735003, 4766325, 4813867; b) 
                 4735003; c) 4713812.
  MANUFACTURER BloodCare, Dallas, Texas.
  RECALLED BY  Manufacturer, by letter dated May 6, 1997. 
                 Firm-initiated recall complete.
  DISTRIBUTION Texas.
  QUANTITY     a) 3 units; b) 1 unit; c) 1 unit was
                 distributed.
  REASON       Blood products were collected from a donor who
                 traveled to a area considered endemic for
                 malaria.
  
  _______________
  PRODUCT      Platelets.  Recall #B-678-8.
  CODE         Unit numbers:  12429-0432, 12429-0431,
                 12429-0424, 12429-0423.
  MANUFACTURER United Blood Services, Albuquerque, New
                 Mexico.
  RECALLED BY  Blood Systems, Inc., Scottsdale, Arizona, by
                 telephone on February 2, 1998.  Firm-initiated
                 recall complete.
  DISTRIBUTION New Mexico.
  QUANTITY     4 units were distributed.
  REASON       Blood products were prepared from units of
                 Whole Blood which were shipped at an
                 unacceptable temperature.
  
  _______________
  PRODUCT      Red Blood Cells.  Recall #B-681-8.
  CODE         Unit #24KE16456.
  MANUFACTURER American Red Cross Blood Services, Louisville,
                 Kentucky.
  RECALLED BY  Manufacturer, by letter dated December 2,
                 1997.  Firm-initiated recall complete.
  DISTRIBUTION Kentucky.
  QUANTITY     1 unit was distributed.
  REASON       Blood product was stored at an unacceptable
                 temperature.
  
  _______________
  PRODUCT      Platelets, Pheresis.  Recall #B-682-8.
  CODE         Unit #49P36498.
  MANUFACTURER American Red Cross Blood Services, Tulsa,
                 Oklahoma.
  RECALLED BY  Manufacturer, by telephone on October 27,
                 1997.  Firm-initiated recall complete.
  DISTRIBUTION Oklahoma.
  QUANTITY     1 unit was distributed.
  REASON       Blood product which tested positive for CMV
                 antibody, was labeled as negative for CMV.
  
  _______________
  PRODUCT      Red Blood Cells.  Recall #B-683-8.
  CODE         Unit #GW27208.
  MANUFACTURER Metropolitan Washington Blood Bank, Bethesda,
                 Maryland.
  RECALLED BY  Manufacturer, by letter dated March 1, 1997. 
                 Firm-initiated recall complete.
  DISTRIBUTION California.
  QUANTITY     1 unit was distributed.
  REASON       Blood product tested negative for the antibody
                 to the hepatitis B core antigen (anti-HBc),
                 but was collected from a donor who previously
                 tested repeatedly reactive for anti-HBc on two
                 separate occasions.
  
  _______________
  PRODUCT      Red Blood Cells.  Recall #B-684-8.
  CODE         Unit #1432581.
  MANUFACTURER Central Kentucky Blood Center, Lexington,
                 Kentucky.
  RECALLED BY  Manufacturer, by telephone on October 30,
                 1997.  Firm-initiated recall complete.
  DISTRIBUTION Kentucky.
  QUANTITY     1 unit was distributed.
  REASON       Blood product was distributed after receipt of
                 post donation information indicating that the
                 donor was in a high risk category.
  
  _______________
  PRODUCT      a) Whole Blood; b) Red Blood Cells; c)
                 Platelets; d) Cryoprecipitated AHF; e)
                 Recovered Plasma; f) Platelets, for further
                 manufacture; g) Buffy Coat.
               Recall #B-686/692-8.
  CODE         Contact FDA, Center for Biologics Evaluation
                 and Research, Office of Compliance (301)    
                 827-6220 for individual unit numbers recalled.
  MANUFACTURER American Red Cross Blood Services, Baltimore,
                 Maryland.
  RECALLED BY  Manufacturer, by letter dated July 28, 1997 or
                 by fax on July 22, 1997, followed by letter
                 dated September 22, 1997.  Firm-initiated
                 recall complete.
  DISTRIBUTION Maryland, Virginia, District of Columbia, New
                 Jersey, Massachusetts, Pennsylvania,
                 California, North Carolina, New York,
                 Switzerland.
  QUANTITY     a) 1 unit; b) 31 units; c) 13 units; d) 3
                 units; e) 29 units; f) 1 unit; g) 1 unit was
                 distributed.
  REASON       Blood products tested negative 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, and was incorrectly
                 reentered.
  
  _______________
  PRODUCT      a) Red Blood Cells; b) Platelets.
               Recall #B-694/695-8.
  CODE         Unit numbers: a)01Q11541, 01T18359; b)
                 01Q11541.
  MANUFACTURER American Red Cross Blood Services, Rochester,
                 New York.
  RECALLED BY  Manufacturer, by letter dated February 7 or
                 17, 1996.  Firm-initiated recall complete.
  DISTRIBUTION Illinois, New York, Massachusetts.
  QUANTITY     a) 2 units; b) 1 unit was distributed.
  REASON       Blood products were collected from donors who
                 reported travel to areas designated as 
                 endemic for malaria.
  
  _______________
  PRODUCT      a) Red Blood Cells; b) Recovered Plasma.
               Recall #B-696/697-8.
  CODE         Unit #12416-5449.
  MANUFACTURER United Blood Services, Albuquerque, New
                 Mexico.
  RECALLED BY  Blood Systems, Inc., Scottsdale, Arizona, by
                 letter or fax dated July 31, 1996.       
                 Firm-initiated recall complete.
  DISTRIBUTION New Mexico and Switzerland.
  QUANTITY     1 unit of each component was distributed.
  REASON       Blood products were collected from a donor who
                 had body piercing within twelve months of
                 donation.
  
  _______________
  PRODUCT      a) Red Blood Cells; b) Recovered Plasma.
               Recall #B-698/699-8.
  CODE         Unit #21GV00620.
  MANUFACTURER American Red Cross Blood Services, Portland,
                 Oregon.
  RECALLED BY  Manufacturer, by letters on January 28 and 29,
                 1998.  Firm-initiated recall complete.
  DISTRIBUTION Oregon and Switzerland.
  QUANTITY     1 unit of each component was distributed.
  REASON       Blood products were collected from a donor
                 with a history of cancer.
  
  _______________
  PRODUCT      Red Blood Cells.  Recall #B-700-8.
  CODE         Unit numbers 21GH89244 and 21GJ84044.
  MANUFACTURER American Red Cross Blood Services, Portland,
                 Oregon.
  RECALLED BY  Manufacturer, by letter dated February 2,
                 1998.  Firm-initiated recall complete.
  DISTRIBUTION Oregon and California.
  QUANTITY     1 unit was distributed.
  REASON       Blood products were collected from a donor who
                 traveled to an area considered endemic for
                 malaria.
  
  
  RECALLS AND FIELD CORRECTIONS: BIOLOGICS -- CLASS III =======
  _______________
  PRODUCT      Red Blood Cells, Leukoreduced.  
               Recall #B-648-8.
  CODE         Unit #038FC28677.
  MANUFACTURER American Red Cross Great Lakes Region, Fort
                 Wayne, Indiana.
  RECALLED BY  Manufacturer, by letter dated October 3, 1997. 
                 Firm-initiated recall complete.
  DISTRIBUTION Indiana.
  QUANTITY     1 unit was distributed.
  REASON       Blood product was collected from a donor who
                 had no hemoglobin check recorded during
                 screening.
  
  _______________
  PRODUCT      a) Red Blood Cells; b) Recovered Plasma.
               Recall #B-679/680-8.
  CODE         Unit #GW26850.
  MANUFACTURER Metropolitan Washington Blood Bank, Bethesda,
                 Maryland.
  RECALLED BY  Manufacturer, by telephone on February 13,
                 1997.  Firm-initiated recall complete.
  DISTRIBUTION District of Columbia and Switzerland.
  QUANTITY     1 unit of each component was distributed.
  REASON       Blood products were collected from a donor
                 whose arm inspection was not documented.
  
  _______________
  PRODUCT      Red Blood Cells.  Recall #B-685-8.
  CODE         Unit #29KH18206.
  MANUFACTURER American Red Cross Blood Services, Norfolk,
                 Virginia.
  RECALLED BY  Manufacturer, by telephone on June 27, 1997. 
                 Firm-initiated recall complete.
  DISTRIBUTION Maryland.
  QUANTITY     1 unit was distributed.
  REASON       Blood product was collected from a donor who
                 had no hemoglobolin result documented.
  
  
  RECALLS AND FIELD CORRECTIONS: DEVICES --
  CLASS II ==========
  _______________
  PRODUCT      Kendall Anesthesia/Breathing Circuits, used to
                 ventilate or administer anesthesia to the
                 patient during surgery:
               a) Standard Anesthesia Breathing Circuits
               b) Pediatric Anesthesia Breathing Circuits
               c) Jackson-Reese Circuits 
               d) Customer Special Anesthesia Breathing
                 Circuits.  Recall #Z-272/275-8.
  CODE         All lots as follows:  10101, 10107, 10113
               10114, 10115, 10118, 10119, 10138, 10143
               10145, 10146, 10149, 10153, 10165, 10172,
                 10173, 10174, 10175, 10180, 10181, 10185,
               10189, 10191, 10192, 10193, 10197, 10199,
               10200, 10204, 10205, 10207, 10208, 10209
               10210, 10211, 10212, 10214, 10215, 10216
               2430, 2432, 2434, 2435, 2442, 2447, 2448
               2449, 2450, 2451, 2453, 2464, 2724, 2767
               2854, 4123, 4183, 4936,4937, 4938, 4941
               6381, 6622, 6677, 6679, 6787, 6791, 6794
               6797, 6798, 6872, 6878, 6893, 8624, 8627
               8632, 8664, 8667, 8683, 8686, 8687, 8688
               8710, 8715, 8723, 8782, 8811, 9421, 9424
               9425, 9445, 9521, 5997.
  MANUFACTURER Especialidades Medicas Kenmex, A Subsidiary of
                 Tyco International, Ltd., Tijuana, Mexico.
  RECALLED BY  Kendall Healthcare Products Company,
                 Mansfield, Massachusetts, by letter dated July
                 21, 1997.  Firm-initiated recall complete.
  DISTRIBUTION Nationwide and international.
  QUANTITY     35,837 cases (900,651 units) were distributed.
  REASON       Circuit may disconnect during use, thus
                 potentially interfering with the ability to
                 ventilate a patient or administer anesthesia.
  
  _______________
  PRODUCT      Mobile Surgical Stretchers and Chairs:
               a) Mobile Surgical Stretcher, Model 578EYE-PC
               b) Mobile Surgical Stretcher, Model 578EYE-SS
               c) Ambulatory Surgical Chair, Model ASCEYE-00
               d) Electric Motorized Ambulatory Surgical
                 Chair, Model ESCEYE-00
               e) Electric Motorized Ambulatory Surgical
                 Chair, Model ESDEYE-00.  Recall #Z-370/374-8.
  CODE         Devices manufactured between May 20, 1997 and
                 November 1, 1997.
  MANUFACTURER Hausted, Inc., Medina, Ohio.
  RECALLED BY  Manufacturer, by letter on October 28, 1997. 
                 Firm-initiated recall ongoing.
  DISTRIBUTION Nationwide and Australia.
  QUANTITY     122 units were distributed.
  REASON       The headrest adjustment assembly allows for
                 the possibility of slippage if the set screw
                 used to hold a lock collar in place is not
                 properly tightened as it is in some instances.
  
  _______________
  PRODUCT      Lead Aprons, Skirts, Vests, and Thyroid
                 Shields, shielding products used for radiation
                 protection.  Recall #Z-389/391-8.
  CODE         All devices shipped after 1/29/97 through
                 6/16/97 to specific consignees based on
                 identified suspect vinyl lead rolls received.
  MANUFACTURER Burkhart Roentgen International, Inc., St.
                 Petersburg, Florida.
  RECALLED BY  Manufacturer, by letter on June 16, 1997,
                 followed by telephone.  Firm-initiated recall
                 complete.
  DISTRIBUTION Nationwide and international.
  QUANTITY     232 devices were distributed.
  REASON       Radiation protection devices may contain small
                 amounts of radioactive substances.
  
  
  _______________
  PRODUCT      CholestoChek Total Cholesterol Screening Test, 
                 promoted as an over-the-counter Home Screening
                 Test Kit to determine Total Cholesterol. 
                 Recall #Z-392-8.
  CODE         All unexpired codes.
  MANUFACTURER      Technical Chemicals and Products, Inc. (also
                      known as Health Mark Diagnostics L.L.C.)
                      Pompano Beach, Florida.
  RECALLED BY  Manufacturer, by letter on February 3, 1998. 
                 Firm-initiated recall ongoing.
  DISTRIBUTION Nationwide.
  QUANTITY     3,415 kits were distributed.
  REASON       Lack of 510k for over-the-counter marketing.
  
  _______________
  PRODUCT      Marlow Balloon Cannula 5mm, Sterile, used for
                 minimally invasive laproscopic surgery to
                 provide access for operative and diagnostic
                 instrumentation.  Recall #Z-393-8.
  CODE         Reorder #ML0500D, Lot #61-282-05-49.
  MANUFACTURER OEM - Franz Medical Development, LTD., Mentor,
                 Ohio.
  RECALLED BY  CooperSurgical, Inc., Shelton, Connecticut, by
                 telephone on July 24, 1997 followed by fax. 
                 Firm-initiated recall complete.
  DISTRIBUTION California, Illinois, Maryland, Ohio, Texas,
                 Virginia.
  QUANTITY     840 units were distributed.
  REASON       Balloon Cannula may burst or leak at bonding
                 site.
  
  _______________
  PRODUCT      Hewlett Packard Multifunction Electrode Pads,
                 used with the HP Codemaster and Codemaster 100
                 Defibrillator/Monitors, intended as a
                 multifunction external pad for ECG monitoring:
               a) M1749A-Adult U.S. Pads 
               b) M1749B-Adult IEC Pads 
               c) M1749B-Pediatric US Pads.  
               Recall #Z-394/396-8.
  CODE         Lot numbers: a) 040897, 050897, 020997, 030997
               b) 200897; c) 260897.
  MANUFACTURER OEM Manufacturer: Cardiotronics Systems, Inc.,
                 a Division of Ballard Medical Products,
                 Carlsbad, California.
  RECALLED BY  Hewlett Packard Company, Medical Products
                 Group, Andover, Massachusetts, by letter dated
                 January 16, 1998.  Firm-initiated recall
                 ongoing.
  DISTRIBUTION Nationwide and international.
  QUANTITY     4004 boxes of lot M1749A(10sets/bx);  250
                 boxes of lot M1749B, and 100 boxes of lot 
                 M1749D(sets/box) were distributed.
  REASON       The conductive gel may deteriorate to a liquid
                 thus making the electrode pads unusable
                 because they will not adhere to a patient and
                 may not provide adequate electrical
                 stimulation.
  
  _______________
  PRODUCT      Lead Aprons and Thyroid Collars, designed to
                 be worn during surgical procedures:
               a) Standard Front, Catalog #101
               b) Surgical Drop, Catalog #103
               c) Two Wing Velcro, Catalog #105
               d) 2" Buckle Front, Catalog #109
               e) Lumbar Support Cinch Front, Catalog #120
               f) Special Procedure, Catalog #201
               g) Special Procedure Coat with Lumbar Cinch,
                 Catalog 207
               The above lead aprons models are followed by
                 the letters L, M, S and P.  Also, Model 105
                 may be preceded by the letter E.
               h) Half Aprons, Catalog #401
               The half aprons catalog number is followed by
                 the letters A, C or T.
               i) Thyroid Collar, Catalog #501
               The thyroid collars catalog number is followed
                 by the letters A or B.  Recall #Z-397/405-8.
  CODE         See above.
  MANUFACTURER Supplier of radioactive lead vinyl sheets:
               The Kennedy Company, Scottsboro, Alabama 
               Supplier of radioactive lead powder:
               Taracorp Industries, Granite City, Illinois
               Source of radioactive lead:
               Midco Industries, St. Louis, Missouri
  RECALLED BY  Davis Lead Aprons, Inc., Houston, Texas, by
                 letter dated June 13, 1997.  Firm-initiated
                 recall ongoing.
  DISTRIBUTION Alabama, Arizona, Georgia, Kentucky,
                 Louisiana, North Carolina, Tennessee, Texas.
  QUANTITY     Quantity Distributed:  179 units--15 model
                 101, 8 model 103, 13 model 105, 22 model E105,
                 5 model 109, 21 model 120, 1 model 201, 3
                 model 207, 9 model 401, and 66 model 501.
  REASON       The radiation protection devices contain lead
                 contaminated with small amounts of radioactive
                 substances.
  
  _______________
  PRODUCT      Silicone "Squeegee" Capsule Polisher, Catalog
                 and Part #125-23, used by ophthalmic surgeons
                 for polishing the inside of the capsule during
                 IOL/cataract surgery.  Recall #Z-406-8.
  CODE         Lot #70702.
  MANUFACTURER Eagle Laboratories, Rancho Cucamonga,
                 California.
  RECALLED BY  Manufacturer, by letter dated September 15,
                 1997.  Firm-initiated recall ongoing.
  DISTRIBUTION California, Illinois, Louisiana,
                 Massachussets, Texas, Virginia, Wisconsin.
  QUANTITY     480 units were distributed.
  REASON       The sterility of the device may be compromised
                 due to incomplete pouch package seals.
  
  _______________
  PRODUCT      Zimmer Versys Cemented Stem Inserter Clamp,
                 Catalog #00-7896-051-00, used to hold the stem
                 on the inserter during placement and impaction
                 into the femoral canal.  Recall #Z-407-8.
  CODE         Lot numbers: 51899100, 51899200, 51899300.
  MANUFACTURER Zimmer, Inc., Warsaw, Indiana.
  RECALLED BY  Manufacturer, by letter dated November 13,
                 1997.  Firm-initiated recall ongoing.
  DISTRIBUTION Nationwide and international.
  QUANTITY     202 units were distributed.
  REASON       The ball tip of the femoral inserter clamp
                 broke during, possibly due to usage in an
                 unintended manner.
  
  
  END OF ENFORCEMENT REPORT FOR MARCH 18, 1998.  BLANK PAGES MAY FOLLOW.

                                   ####


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