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.

January 12, 2000                                       00-02

RECALLS AND FIELD CORRECTIONS: FOODS -- CLASS III

________ PRODUCT Vita-J juice drinks in 11.5 ounce plastic bottles: a) Orange Juice Drink from Concentrate; b) Fruit Punch; c) Pink Grapefruit Cocktail w/Raspberry. Recall #F-075/077-0. CODE Lot Numbers: All varieties with the following codes, ink-jetted onto the bottles: OCT 99, NOV 99, DEC 99 and JAN 00. Product with numeric months on the bottle, i.e. "12 99" are not subject to recall. Product also is labeled with the following UPC Codes: i) NATURAL ORANGE JUICE - 21609 00010 ii) NATURAL FRUIT PUNCH- 21609 00020 iii) NATURAL PINK GRAPEFRUIT- 21609 00030 The product is distributed packaged 12/case in brown cardboard shipping cases. The outer cases are preprinted with the firm's name and address, and stenciled on coding. MANUFACTURER Raphah, Inc., New Brunswick, New Jersey. RECALLED BY Manufacturer, by telephone and fax on October 19, 1999, and by fax on November 1, 1999. Firm-initiated recall complete. DISTRIBUION New Jersey, New York, Pennsylvania. QUANTITY Approximately 9,600 cases (12 bottles per case) were distributed. REASON Product is contaminated with yeast.

RECALLS AND FIELD CORRECTINS: DRUGS -- CLASS II

_______ PRODUCT A) Various pharmaceutical ingredients, repacked on the same day after penicillin products were repackaged in the same facility using common packing and labeling equipment: 1) Brompheniramine powder, 100 g units, antihistamine 2) Castor Oil, USP, 3840 mL and 500 mL, laxative 3) Choline Chloride FCC, 500 g and 1 kg, supplement 4) Chromium Picolinate (Picolinic Acid, Chromium Salt Powder), 122.5 mg Cr/g, 5 g, supplement 5) Ergononvine Maleate, USP, 5g, 200 g, & 350 g, uterine stimulan/migraine treatment 6) Estriol, USP, micronized, 1 g, 5 g, 25 g, & 100 g, hormone replacement 7) Fluoxetine HCL, 7 g, 6 g, 10 g, & 20 g, antidepressant 8) Glycerol Formal liquid, 3840 mL, solvent 9) Haloperiodol, USP, 1 g and 5 g, antipsychotic 10) Liver Extract, 100 g, supplement 11) Naltrexone Hydrochloride 25 g, opiate antagoist 12) Phentolamine Mesylate, USP, 500 mg, 1 g, alpha-blocker 13) Progesterone USP, Micronized, 89 g, 100 g, 1 kg, 5kg, and 500 kg, hormone replacement 14) Riboflavin USP (Vitamin B12), 25 g and 100 g, supplement 15) Tetracaine, USP, 3.75 g, 5 g, and 25 g, topical anesthetic 16) Trimethoprim, USP (non-micronized), 100 g, 500 g, and 1 kg, antibiotic. Recall #D-162/177-0. B) Active and inactive pharmaceutical ingredients repacked on the same day after cephalosporin products were repackaged, in the same facility and using common packing and labeling equipment. 1) Cyclosporin A, USP, Powder, 500 mg and 1 g, antibiotic 2) Dermabase cream, 454 g, cream 3) Dihydroergotamine Mesylate, USP, powder, 5 g, migraine treatment 4) Hydroxocobalamin, USP, (Vitamin B-12), 250 mg and 1 g, supplement 5) Ketoprofen, USP, powder, 100 g, anti-inflammatory 6) Progesterone, USP, micronized, powder, 25 g, hormone replacement 7) Reserpine, USP, powder, .91 g, 1 g, 5 g, hypertension. Recall #D-162/177-0. CODE (A) Lot Numbers: 1) 98291211; 2) 97280806 and 97280807 3) 97280808 and 97280809; 4) 98250610 and MB0295 5) 99230705, 99230709, 99230710; 6) 99200813, 99200815, 99200816, 99200817 7) 97120808, 97120808, 97120809; 8) 98140511 9) 98250611, 98250612; 10) 98250607; 11) 98060306 12) 99230703 99230704 S9230704; 13) 99072310, 99072311, 99072312, 99230713, 99200814, S9200814 14) 98250608 and 98250609; 15) 98250604, 98250605, 98250606 16) 98060307, 98060308, 98060309, 99070104. (B) Lot Numbers: 1) 98121005 and 98121006 2) 8G6104 3) 98231111 4) 98121003 and 98121004 5) 98231110 6) 98231109 7)98121007, 98121008, 98121009. MANUFACTURER Oribi, Inc., doing business as Meridian Chemical and Equipment, Amarillo, Texas. RECALLED BY Manufacturer, by letters dated November 24 and 26, 1999. Firm- initiated recall ongoing. DISTRIBUION Nationwide. QUANTITY Approximately 340 containers were distributed. REASON A) Products were packaged on the same equipment as penicillin products. B) Products were packaged on the same equipment as cephalosporin products. ________ PRODUCT a) Kefurox(r), Cefuroxime for Injection, USP, 1.5 g, Rx broad spectrum antibiotic. NDC #0002-7272-10 b) Mandol(r), Cefamandole Nafate for Injection, USP, 1 g, Rx broad spectrum antibiotic. NDC #0002-7061-25. Recall #D-193/194-0. CODE Lot Numbers: a) S7750Y1; b) S2556Y1. MANUFACTURER Eli Lilly Italia, Sesto, Italy. RECALLED BY Eli Lilly and Company, Indianapolis, Indiana, by fax, mail and United Parcel Service on October 22, 1999. Firm-initiated recall ongoing. DISTRIBUION Nationwide and Santo Domingo. QUANTITY a) 28,330 vials; b) 45,625 vials were distributed. REASON Lack of assurance of sterility. ________ PRODUCT Compressed Medical Oxygen, USP, Rx in size D, E and M6 cylinders. Recall #D-196-0. CODE Lots 12109901 11229902 04099902 08259901 02229901 08209901 08209903 10069901 08259901 11089904 10069901 11229903 08209902 01199901 10069902 05319903 11089902 11229904 12089902 12089901. MANUFACTURER Gretna Drug Company, Inc., Gretna, Virginia. RECALLED BY Manufacturer, by telephone on December 16, 1999. Firm-initiated recall complete. DISTRIBUION Virginia. QUANTITY 27 cylinders were distributed and subsequently retrieved. REASON Current good manufacturing practice deviations, including but not limited failure to perform and/or document calibration of the oxygen analyzer. ________ PRODUCT Vanceril(r) Double Strength Inhalation Aerosol (Beclomethasone Dipropionate), 84 mcg, in 5.4 g inhalers, 3 per holding carton, Rx indicated for the maintenance treatment of asthma. NDC: 0085-1112-03. Recall #D-197-0. CODE LOT Numbers: 9-DMT-157, 9-DMT-158, 9-DMT-160, 9-DMT-161, and 9-DMT-163. EXP for all lots: 7/2000. MANUFACTURER Schering Laboratories, Inc., Kenilworth, New Jersey. RECALLED BY Manufacturer, by letter beginning the week of December 6, 1999. Firm-initiated recall ongoing. DISTRIBUION Nationwide. QUANTITY 82,029 units were distributed; firm estimates none remain on the market. REASON Some units may not contain any active drug substance.

RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS III

________ PRODUCT Potassium Chloride (Klor-Con) Packets, 20mEq/4-ounce packets, Rx. NDC #0245-0035-01. Recall #D-195-0. CODE Lot Numbers: 18264 1 EXP 2/01 and 18308 1 EXP 4/01. MANUFACTURER Med-Pro, Inc., Lexington, Nebraska (repacker). RECALLED BY Repacker, by telephone on October 4, 1999. Firm-initiated recall ongoing. DISTRIBUION Colorado. QUANTITY 24 100-packet boxes of lot 18264 and 26 100-packet boxes of lot 18308 were distributed. REASON Mislabeling - Exterior plastic holding packet incorrectly labels the product as 20 mEq granules not 10 mEq tablets. ________ PRODUCT Nitrous Oxide, USP, 99%, Compressed, in cylinders "K", "T", "E", "D", "M" and "Q"; b) Nitrous Oxide, USP, 99%, liquid, 20 lb. "H" cryogenic vessels. Recall #D-198/199-0. CODE All lot numbers. MANUFACTURER Praxair Distribution, Inc., Seattle, Washington. RECALLED BY Manufacturer, by letter dated December 14, 1999. Firm-initiated recall ongoing. DISTRIBUION Washington state, Oregon, Alaska, Florida, Colorado, Utah, Canada. QUANTITY Approximately 948,000 pounds were distributed over a 6-month period; firm estimated that 40,000 pounds of the distributed product remained on market at time of recall initiation. REASON Current good manufacturing practice deviations: Failure to correctly perform and document assay (potency) tests).

RECALLS AND FIELD CORRECTIONS: BIOLOGICS -- CLASS I

________ PRODUCT Human Eye Tissue, Left Cornea. Recall #B-309-0. CODE 21108LC. MANUFACTURER Lions Eye Bank of Delaware Valley at Wills Eye Hospital, Philadelphia, Pennsylvania. RECALLED BY Lions Eye Bank of Delaware Valley, Philadelphia, Pennsylvania, by telephone on November 10, 1999, followed by letter dated November 12, 1999. Firm-initiated recall complete. DISTRIBUION Delaware. QUANTITY 1 cornea. REASON Cornea was collected from a donor whose serum tested repeatedly reactive for Anti-HCV, RIBA positive, and had HCV RNA detected by PCR.

RECALLS AND FIELD CORRECTIONS: BIOLOGICS -- CLASS II

________ PRODUCT Corneas. Recall #B-200-0. CODE Identification Numbers 98-0439, 98-0440, 98-1429,98-1430. MANUFACTURER Central Florida Lions Eye and Tissue Bank, Tampa, Florida. RECALLED BY Manufacturer, by letters dated September 8, 1999, and November 12, 1999. Firm-initiated recall complete. DISTRIBUION Florida, California, Iowa, North Carolina. QUANTITY 4 units were distributed. REASON Corneas were obtained from two donors who tested repeatedly reactive for anti-HBc. ________ PRODUCT Source Plasma. Recall #B-204-0. CODE Unit Numbers: N-65354-165, G-92950-165, G-93343-165 , G-93704- 165, G-94143-165, G-94637-165, G-94889-165. MANUFACTURER Pyramid Biologicals Corporation, Plasma Center, Las Vegas, Nevada. RECALLED BY Manufacturer, by letter dated May 27, 1995. Firm-initiated recall complete. DISTRIBUION California. QUANTITY 7 units were distributed. REASON Blood products tested negative for anti-HCV, but were collected from a donor who previously tested reactive for Hepatitis C. ________ PRODUCT a) Red Blood Cells; b) Recovered Plasma. Recall #B-252/253-0. CODE Unit Numbers: a) 49GR11001, 49GR11002, 49GR11003, 49GR11004, 49GR11005, 49GR11006, 49GR11010, 49GR11011, 49GR11013,49GR11014, 49GR11015, 49GR11016, 49GR11018, 49GR11019; b) 49GR11001, 49GR11002, 49GR11003, 49GR11004, 49GR11005, 49GR11006, 49GR11007, 49GR11008, 49GR11009, 49GR11010, 49GR11011, 49GR11013, 49GR11014, 49GR11015, 49GR11016, 49GR11017, 49GR11018, 49GR11019. MANUFACTURER American Red Cross Blood Services, Farmers Branch, Texas. RECALLED BY American Red Cross Blood Services, Tulsa, Oklahoma, by letter dated April 5, 1999. Firm-initiated recall complete. DISTRIBUION Texas. QUANTITY a) 14 units; b) 18 units were distributed. REASON Blood products were collected in a manner that compromises the sterility of the units. ________ PRODUCT a) Red Blood Cells; b) Plasma, Frozen; c) Platelets; d) Cryoprecipitated AHF. Recall #B-254/257-0. CODE Unit Numbers: a) 53GC16693, 53R30080, 53GL72510, 53H14442; b) 53GC16693; c) 53R30080, 53H14442; d) 53GL72510. MANUFACTURER American Red Cross Blood Services, Baltimore, Maryland. RECALLED BY Manufacturer, by letter dated August 5, 1999. Firm-initiated recall complete. DISTRIBUION Maryland. QUANTITY a) 4 units; b) 1 unit; c) 2 units; d) 1 unit. REASON Blood products were collected from a donor with a history of Dermatomyositis. ________ PRODUCT a) Red Blood Cells; b) Platelets; c) Platelets, Pheresis. Recall #B-261/263-0. CODE Unit Numbers: a) 53FC86035, 53C01075; b) 53L10841; c) 53P75727 part A, 53P75727 part B. MANUFACTURER American Red Cross Blood Services, Baltimore, Maryland. RECALLED BY Manufacturer, by telephone on May 21, 1999, or by letters dated June 3, 1999, and July 19, 1999. Firm-initiated recall complete. DISTRIBUION Maryland, District of Columbia, Virginia. QUANTITY a) 2 units; b) 1 unit; c) 1 split unit. REASON Blood products, which tested positive for CMV antibodies, or were not tested for CMV antibodies, were labeled as CMV negative and distributed. ________ PRODUCT Source Plasma. Recall #B-276-0. CODE Unit Numbers: N-68443-165, G-42216-165, G-42418-165, G-43567-165, G-43711-165, G-44365-165, G-46018-165, G-46463-165, G-46916-165, G-47087-165, G-47498-165, G-47694-165, G-48126-165, G-48542-165, G-48731-165, G-52296-165, G-52454-165, G-53000-165, G-53197-165, G-53714-165 MANUFACTURER Pyramid Biologicals Corporation, Plasma Center, Las Vegas, Nevada. RECALLED BY Manufacturer, by fax on August 17 and 21, 1996. Firm-initiated recall complete. DISTRIBUION California. QUANTITY 20 units were distributed. REASON Blood products were collected from an unsuitable donor. ________ PRODUCT a) Red Blood Cells; b) Cryoprecipitates; c) Recovered Plasma. Recall #B-278/280-0. CODE Unit Numbers: (a) 4533168; (b&c) 1507272 and 4533168. MANUFACTURER Carter Blood Care, Bedford, Texas. RECALLED BY Manufacturer, by letters dated March 19, 1999, and May 3, 1999. Firm-initiated recall complete. DISTRIBUION Texas, California, Switzerland. QUANTITY a) 1 unit; (b&c) 2 units of each component. REASON Blood products tested negative for the antibody to the human immunodeficiency virus type 1 (HIV-1), but were collected from a donor who previously tested repeatedly reactive for the antibody, Western Blot negative. ________ PRODUCT Human Tissue for Transplant: Various Musculoskeletal Tissues and Skin Allografts. Recall #B-283-0. CODE Contact FDA, Center for Biologics Evaluation and Research, Office of Compliance (301) 827-6220 for individual deposit numbers recalled. MANUFACTURER LifeLink Tissue Bank, Tampa, Florida. RECALLED BY Manufacturer, by letter dated November 5, 1999. Firm-initiated recall complete. DISTRIBUION Nationwide. QUANTITY 1,248 allografts. REASON Various tissues for transplant which were collected from 33 donors who had not been properly evaluated. ________ PRODUCT Red Blood Cells, Irradiated. Recall #B-284-0. CODE Unit Number X48634. MANUFACTURER Aurora Area Blood Bank, Aurora, Illinois. RECALLED BY Manufacturer, by telephone and letter on September 17, 1999. Firm-initiated recall complete. DISTRIBUION Illinois. QUANTITY 1 unit was distributed. REASON Blood product was mislabeled as CMV antibody negative. ________ PRODUCT Red Blood Cells. Recall #B-285-0. CODE Unit #N53342. MANUFACTURER Penn State Geisinger Health System, Hershey, Pennsylvania. RECALLED BY Manufacturer, by letter dated September 29, 1999, and by telephone on September 30, 1999. Firm-initiated recall complete. DISTRIBUION Pennsylvania. QUANTITY 1 unit was distributed. REASON Blood product was collected from a donor who tested initially reactive for HIV-1-p24, and was not re-tested in duplicate as required by the manufacturerís instruction. ________ PRODUCT a) Red Blood Cells; b) Platelets. Recall #B-288/289-0. CODE Unit Number 5086435. MANUFACTURER BloodCare, Dallas, Texas. RECALLED BY Manufacturer, by letters dated March 1, 1999. Firm-initiated recall complete. DISTRIBUION Texas. QUANTITY 1 Unit of each component was distributed. REASON Blood products were distributed from a donor who may have traveled to an area that is endemic for malaria. Firm-initiated recall complete. ________ PRODUCT a) Red Blood Cells; b) Recovered Plasma. Recall #B-292/293-0. CODE Unit #50X09401. MANUFACTURER American Red Cross Blood Services, Toledo, Ohio. RECALLED BY Manufacturer, by letter dated October 12, 1999. Firm-initiated recall complete. DISTRIBUION Ohio and California. QUANTITY 1 unit of each component was distributed. REASON Blood products were collected from a donor with a history of hepatitis. ________ PRODUCT Red Blood Cells, Washed. Recall #B-294-0. CODE Unit #1074778. MANUFACTURER New Jersey Blood Services, a Division of New York Blood Center, Inc., New Brunswick, New Jersey. RECALLED BY New York Blood Services (Center West), New York, New York, by letter dated October 19, 1999. Firm-initiated recall complete. DISTRIBUION New York. 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 Red Blood Cells. Recall #B-298-0. CODE Unit #22403-7686. MANUFACTURER Blood Services, Inc., Las Vegas, Nevada. (Collection Site) RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by letter dated April 22, 1999. Firm-initiated recall complete. DISTRIBUION Nevada. 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 a) Red Blood Cells; b) Platelets. Recall #B-299/300-0. CODE Unit Numbers a) 22405-7444, 22404-4586; b) 22404-4586. MANUFACTURER Blood Services, Inc., Las Vegas, Nevada (Collection Site). RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by letter dated May 6, 1999. Firm-initiated recall complete. DISTRIBUION Nevada. QUANTITY a) 2 units; b) 1 unit. REASON Blood products were collected from a donor who reported travel to an area designated as endemic for malaria. ________ PRODUCTS a) Red Blood Cells; b) Platelets; c) Fresh Frozen Plasma; d) Plasma; e) Recovered Plasma. Recall #B-301/305-0. CODE Unit Numbers: a) 42R48217, 42Q49094, 42G43250; b) 42R48217, 42Q49094, 42G43250; c) 42R48217; d) 42G43250; e) 42Q49094. MANUFACTURER American Red Cross Blood Services, Cleveland, Ohio. RECALLED BY Manufacturer, by letters dated September 10, 1999. Firm- initiated recall complete. DISTRIBUION Ohio. QUANTITY a) 3 units; b) 3 units; c) 1 unit; d) 1 unit; e) 1 unit. REASON Blood products were collected from an unsuitable donor. ________ PRODUCT a) Red Blood Cells; b) Recovered Plasma. Recall #B-310/311-0. CODE Unit #55R06708. MANUFACTURER American Red Cross Blood Services, Little Rock, Arkansas. RECALLED BY Manufacturer, by letter dated March 18, 1999. Firm-initiated recall complete. DISTRIBUION Arkansas and California. QUANTITY 1 unit of each component was distributed. REASON Blood products were collected from a donor with a history of hepatitis. ________ PRODUCT Red Blood Cells, Leukocytes Reduced. Recall #B-319-0. CODE Unit #10602-4554. MANUFACTURER United Blood Services, Scottsdale, Arizona. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by letters dated August 6, 1999, and October 20, 1999. Firm-initiated recall ongoing. DISTRIBUION Arizona. 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 a) Red Blood Cells; b) Platelets. Recall #B-320/321-0. CODE Unit Numbers: a) 10593-9114 and 10597-3928; b) 10593-9114. MANUFACTURER United Blood Services, Scottsdale, Arizona. RECALLED BY Blood Systems, Scottsdale, Arizona, by letters dated March 22, 1999, and October 21, 1999. Firm-initiated recall ongoing. DISTRIBUION Arizona and California. QUANTITY a) 2 units; b) 1 unit. REASON Blood product was collected from a donor who reported travel to an area designated as endemic for malaria. ________ PRODUCT Red Blood Cells. Recall #B-322-0. CODE Unit #10608-0088. MANUFACTURER United Blood Services, Scottsdale, Arizona. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by telephone on August 8, 1999. Firm-initiated recall complete. DISTRIBUION Arizona. 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 a) Red Blood Cells; b) Cryoprecipitated AHF; c) Recovered Plasma. Recall #B-324/326-0. CODE Unit #10598-7222. MANUFACTURER United Blood Services, Scottsdale, Arizona. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by letters dated April 14, 1999. Firm-initiated recall ongoing. DISTRIBUION Arizona, Texas, Switzerland. QUANTITY 1 unit of each component was distributed. REASON Blood products were collected from a donor with a history of hepatitis. ________ PRODUCT Platelets. Recall #B-327-0. CODE Unit #10594-5601. MANUFACTURER United Blood Services, Scottsdale, Arizona. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by telephone on April 20, 1999, and by letter dated May 17, 1999. Firm-initiated recall complete. DISTRIBUION Arizona. 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 a) Red Blood Cells; b) Red Blood Cells, Leukocytes Reduced, Irradiated. Recall #B-328/329-0. CODE Unit Numbers: a) 10601-9960; b) 10598-8832. MANUFACTURER United Blood Services, Scottsdale, Arizona. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by letters on July 20, 1999 and October 20, 1999. Firm-initiated recall complete. DISTRIBUION Arizona. QUANTITY 1 unit of each component was distributed. REASON Blood product was collected from a donor who reported travel to an area designated as endemic for malaria.

RECALLS AND FIELD CORRECTIONS: BIOLOGICS -- CLASS III

________ PRODUCT Red Blood Cells, Irradiated. Recall #B-258-0. CODE Unit Numbers: 1355409 and 12FH82785. MANUFACTURER American Red Cross Blood Services, Baltimore, Maryland. RECALLED BY Manufacturer, by telephone on August 6, 1999, or by letter dated August 12, 1999. Firm-initiated recall complete. DISTRIBUION Maryland. QUANTITY 2 units were distributed. REASON Blood products were labeled with extended expiration dates. ________ PRODUCT a) Red Blood Cells; b) Platelets. Recall #B-281/282-0. CODE Unit #16J92337. MANUFACTURER American Red Cross Blood Services, Columbus, Ohio. RECALLED BY Manufacturer, by letter dated April 28, 1999. Firm-initiated recall complete. DISTRIBUION Ohio. QUANTITY 1 unit of each component. REASON Blood products had an acceptable ALT but were collected from a donor who previously had an elevated ALT on two separate occasions. ________ PRODUCT Corneas. Recall #B-308-0. CODE MSN-1999-1039, MSN-1999-1040. MANUFACTURER The Eye Bank of Wisconsin, Inc., Madison, Wisconsin. RECALLED BY Manufacturer, by letter dated September 20, 1999. Firm-initiated recall complete. DISTRIBUION Wisconsin. QUANTITY 2 units were distributed. REASON Corneas were collected from a donor who tested repeatedly reactive for HCV by EIA, and RIBA negative. ________ PRODUCT Allergenic Extract Alternaria Tenuis, Strength 1:10 w/v. Recall #B-312-0. CODE Lot #K9913248. MANUFACTURER Bayer Corporation, Hollister-Steir Laboratories, LLC, Spokane, Washington. RECALLED BY Manufacturer, by telephone and letter on December 1, 1999. Firm- initiated recall ongoing. DISTRIBUION Florida, Illinois, Louisiana, Montana, Texas. QUANTITY Six vials with the incorrect expiration date were distributed. REASON Allergenic extracts were labeled with an extended expiration date.

RECALLS AND FIELD CORRECTIONS: DEVICES -- CLASS II

________ PRODUCT Trans-Lift Resident Sling Scale, used as an accessory to the Trans-Lift Resident Sling which is used to transport immobile patients. Recall #Z-287-0. CODE Catalog #P823A. MANUFACTURER Sensor Developments, Inc., Lake Orion, Michigan (contract manufacturer). RECALLED BY Hill-Rom, Inc., North Charleston, South Carolina, by telephone on August 26, 1999. Firm-initiated recall ongoing. DISTRIBUION Nationwide. QUANTITY 40 scales were distributed. REASON The device failed due to metal fatigue. ________ PRODUCT Mini-Med MMT-508 Insulin Pump, indicated for the continuous delivery of insulin at set and variable rates for the management of diabetes mellitus in persons requiring insulin. Recall #Z-288-0. CODE Serial numbers with suffix numbers -20A2, -20A3, -20A4, -20A5. MANUFACTURER Mini-Med, Inc., Sylmar, California. RECALLED BY Manufacturer, by letter dated November 18, 1999, followed by telephone. Firm-initiated recall ongoing. DISTRIBUION Nationwide. QUANTITY 2,909 units were distributed. REASON The pumpís software has an error in which the current basal rate profile indicated on the pump display, was a rate programmed for earlier in the day and different from the expected current rate based on the pumpís present program. ________ PRODUCT Stryker Heavy Duty Blades, Sterile, used by surgeons for cutting bone: a) Sagittal Blades with Part Nos. 2108-100, 102, 103, 105, 108, 110, 111, 115, 118, 120, 125, 131, 137, 140, 144, 145, 148, 150, 151, 152, 155, 156, 158, 160, 175, 176, 177, 182, 183, 185, 189, 192, 193, 195, 197, 218; b) Aggressive Tooth Blades with Part Nos. 2108-302, 305, 309, 310, 318, 328, 351, 352, 356, 376, 377, 382, 383, 385, 389, 393, 2108-888-185. Recall #Z-290/291-0. CODE All Lots beginning with 9901, 9902, 9903, 9904, 9905, 9906 and labeled as Product of Ireland. MANUFACTURER Stryker Ireland, Ltd., Carrigtwohill, County Cork, Ireland. RECALLED BY Stryker Instruments, Kalamazoo, Michigan, by letter dated July 16, 1999, and on August 23, 1999. Firm-initiated field correction complete. DISTRIBUION Nationwide and international. QUANTITY 144,127 blades were distributed. REASON The sterility cannot be assured through the labeled expiration date due to the potential for a package integrity failure. ________ PRODUCT Valleylab E2516H-GNSB Electrosurgical Pencils, intended for use in the operating room for surgical procedures requiring cutting and coagulation. Recall #Z-292-0. CODE Lot #41967. MANUFACTURER Valleylab, Inc., Boulder, Colorado. RECALLED BY Manufacturer, by telephone on November 15, 1999, followed by fax. Firm-initiated recall ongoing. DISTRIBUION Virginia and Illinois. QUANTITY 10,800 pencils were distributed. REASON The insulation on the blade electrode may have stress cracks, allowing for the possibility of burns to the patient or surgical personnel. ________ PRODUCT Guide Shaft, used as an insertion aide between wrench and screw. Recall #Z-294-0. CODE Part #338.21, Lot #1050. MANUFACTURER Stratec Medical, Eimattstrasse, Switzerland. RECALLED BY Synthes (USA), Paoli, Pennsylvania, by E-mail on February 12, 1998. Firm-initiated recall complete. DISTRIBUION Nationwide and Canada. QUANTITY 89 units. REASON Guide shaft may be outside specified dimensions. ________ PRODUCT Custom Procedure Trays containing Heparin Sodium Injection a) RDG393 EP STUDY TRAY; b) HCG185A CARDIAC CATH TRAY; c) HCF876B SWAN GANZ TRAY. Recall #Z-295/297-0. CODE Lot Numbers: a) 67070538, 67100784, 67101233; b) 67060048, 67090667; c) 67050887, 67070017, 67070261, 67070811, 67081290, 67090222. MANUFACTURER Maxxim Medical, Temecula, California. RECALLED BY Manufacturer, by letter dated approximately December 18, 1998. Firm-initiated recall complete. DISTRIBUION California. QUANTITY 584 trays were distributed. REASON The Heparin Sodium Injection ampule may contain particulate matter. ________ PRODUCT Clinitek hCG Test Strips, for the qualitative determination of human chorionic gonadotropin in urine and are intended for use in the early detection of pregnancy: a) Product No. 2043, CLINITEK hCG Test Strips - 25 Foiled Strips; b) Product No. 2044, CLINITEK hCG Test Strips - 25 Strips. Recall #Z-298/299-0. CODE Lot Numbers: a) 0320N00701, EXP Date 01/07/2000; b) 0308N00701, EXP Date 01/08/2000. MANUFACTURER Quidel Corporation, San Diego, California. RECALLED BY Bayer Corporation, Elkhart, Indiana, by letters dated September 3, 1999. Firm-initiated recall ongoing. DISTRIBUION Nationwide and international. QUANTITY 1,604 packages were distributed. REASON The devices may give false positive results. ________ PRODUCT AcQ Plan, 3-D Radiation Therapy Treatment Planning System (software), a software option for the Computed Tomography (CT) Scanners. Recall #Z-300-0. CODE All units using the AcQPlan Therapy Planning software version 4.04 are affected. MANUFACTURER Marconi Medical Systems, Inc., Highland Heights, Ohio. RECALLED BY Manufacturer, by telephone on December 20, 1999, and by letter dated December 21, 1999. Firm-initiated recall ongoing. DISTRIBUION Georgia, California, Pennsylvania, Florida, Kentucky, Alabama, Washington state, Hawaii, North Dakota, Mississippi, Missouri, Illinois, Massachusetts, New York, Ohio, Idaho, Arizona, international. QUANTITY 57 units were distributed. REASON Software anomaly causes the isocenter shift to be labeled incorrectly. ________ PRODUCT VACUTAINER Brand Sodium Citrate Tubes a) Catalog No. 366392, 0.105M Buffered Sodium Citrate Tube with Conventional Stopper, 1.8mL draw; b) Catalog No. 366393, 0.105M Buffered Sodium Citrate Tube with Conventional Stopper, 2.7mL draw; c) Catalog No. 369711, 0.105M Buffered Sodium Citrate Tube with HEMOGARD Closure, 1.8mL draw; d) Catalog No. 367712, 0.105M Buffered Sodium Citrate Tube with HEMOGARD Closure, 2.7mL draw; e) Catalog No. 366394, 0.129M Buffered Sodium Citrate Tube with Conventional Stopper, 1.8mL draw; f) Catalog No. 366395, 0.129M Buffered Sodium Citrate Tube with Conventional Stopper, 2.7mL draw; g) Catalog No. 369700, 0.129M Buffered Sodium Citrate Tube with HEMOGARD Closure, 1.8mL draw; h) Catalog No. 367703, 0.129M Buffered Sodium Citrate Tube with HEMOGARD Closure, 2.7mL draw. Recall #Z-301/308-0. CODE a) All lots beginning with 7 and all lots beginning with 8C or 8D; b) All lots beginning with 7 and all lots beginning with 8A, 8B, or 8D; c) Lot Nos. 7B856, 7E836, 7H878, 7C823, 7G830, and 7J834; d) Lot Nos. 7B851, 7F854, 7H865A, 7K801A, 7C816, 7G821, and 7J823; e) All lots beginning with 6, all lots beginning with 7, and All lots beginning with A or 8D; f) All lots beginning with 6, all lots beginning with 7, and all lots beginning with 8A, 8B, 8C, or 8D; g) All lots beginning with 6, all lots beginning with 7, and all lots beginning with 8A, 8B, 8C, or 8F; h) All lots beginning with 6, all lots beginning with 7, and all lots beginning with 8A, 8B, 8C, or 8E. MANUFACTURER Becton Dickinson VACUTAINER Systems, Franklin Lakes, New Jersey. RECALLED BY Manufacturer, by telephone or fax on June 30, 1998, and by certified mail done from July 6-10, 1998. Firm-initiated recall complete. DISTRIBUION Nationwide. QUANTITY 90,801,500 tubes were distributed; firm estimates none remain on the market. REASON The devices may produce lowered coagulation results for PTís and aPTTís. RECALLS AND FIELD CORRECTIONS: VETERINARY PRODUCTS - CLASS I _______ PRODUCT Rollover Brand Garlic Flavored Pig Ears, 4-pack; Rollover Brand Cheese Flavored Pig Ears, 4-pack; Rollover Brand 5" Chews, 4-pack; Rollover Brand Lambie Chunks, 1.7 ounces; Rollover Brand Dog Chew Hooves Smoked or Plain, bulk. Recall #V-045/049-0 CODE No code numbers used. MANUFACTURER Farm Meats Canada Ltd., Alberta, Canada. RECALLED BY Pet Valu International, Inc., Wayne, Pennsylvania, by E-mail on September 28, 1999, October 12, 1999, and by press release on October 27, 1999. Firm-initiated recall ongoing. DISTRIBUION Pennsylvania, Delaware, Maryland, Virginia, and New Jersey. QUANTITY Undetermined. REASON Dog treats are potentially contaminated with Salmonella, an organism can cause serious illnesses and can sometimes be fatal. ________ PRODUCT Bullwrinkles Pork Ears, a dried pet chew treat, primarily for dogs, packaged under the Euro-can Pet Products label. Recall #V-052-0. CODE None. MANUFACTURER Euro-can Manufacturing, Inc., Ontario, Canada. RECALLED BY Central Farm Supply, Inc., Wooster, Ohio, by telephone and press release on November 19, 1999. Firm-initiated recall ongoing. DISTRIBUION Ohio, West Virginia, Pennsylvania. QUANTITY 516 cases were distributed. REASON Dog treats are potentially contaminated with salmonella, an organism can cause serious illness and can sometimes be fatal. ________ PRODUCT Various Dried Pet Chew Treats: Beef Chews - Bulk; Beef Chews - packaged; Bacon Chews - Bulk; Bacon Chews - packaged. Recall #V-054-0. CODE 31-110-1, 30-504-1, 51-600-1 30-500-1, 30-657-1, 61-100-1 30-501-1, 50-100-1, 40-525-1 31-607-1, 50-120-1, FN-MULTI-02 30-607-1, 52-600-1, FN-MULTI-03 30-900-1, 50-600-1. MANUFACTURER Farm Meats Canada, Ltd., Alberta, Canada. RECALLED BY Central Garden & Pet, Lafayette, California, by letter dated November 10, 1999. Firm-initiated recall ongoing. DISTRIBUION Distributed but not limited to California, Washington state, Oregon, Colorado, Utah, New Jersey, North Carolina, Georgia, Florida, Texas. QUANTITY Undetermined. REASON Products have the potential for contamination with Salmonella, an organism which can cause serious and sometimes fatal infections.

SAFETY ALERT:

________ PRODUCT Amicus Separator Apheresis Kits for Extended Platelet Storage and Plasma Collection: a) Fenwal Amicus Apheresis Kit - Double Needle b) Fenwal Amicus Apheresis Kit - Single Needle. Safety Alert #N-001/002-0. CODE Lot Numbers: a) N99E03013, N99E05034, N99E17021, N99E19019, N99E24019, N99E24027, N99E26014, N99E26022, N99E27012, N99F01015, N99F03011, N99F07020, N99F09018, N99F11014, N99F14018, N99F14034, N99F16039, N99F21021, N99F22011, N99G01021, N99G06038, N99G08018, N99E13020, N99E24043, N99E10026, N99F03029, N99F07038, N99E03039, N99E04011, N99E10034, N99E12030, N99E17039, N99E26030, N99E28010, N99F02013, N99F03037, N99F04019, N99F07012, N99F21039 b) N99E03021, N99E05018, N99E07014, N99E10018, N99E12014, N99E13038, N99E17013, N99E19027, N99E24035, N99F04027, N99F09026, N99F11022, N99F18019, N99F23027, N99F28018, N99F30022, N99G08026, N99G16029, N99G19015, N99E12022, N99F01031, N99F14026, N99E07022, N99E14010, N99E21015, N99F01023, N99F11048, N99F25014. MANUFACTURER Baxter Healthcare Corporation, San German, Puerto Rico. ALERTED BY Baxter Healthcare Corporation, Fenwall Division, Deerfield, Illinois, by letter on July 18, 1999. DISTRIBUION Nationwide and international. QUANTITY The firm distributed 43,500 units in the United States, 7,410 units in Europe and 14,400 units in Japan REASON Lumen-to-lumen leaks within the umbilicus of the kit allow red blood cells in the plasma line and in the platelet product. END OF ENFORCEMENT REPORT FOR JANUARY 12, 2000.
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