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.

June 30, 1999                                      99-26

RECALLS AND FIELD CORRECTIONS: CLASS I

________ PRODUCT Morningland Dairy Raw Milk "Chives Colby" Cheese, packaged in random sizes averaging .95 pounds/package. Recall #F-485-9. CODE A259. MANUFACTURER Morningland Farm, Inc., Mountain View, Missouri. RECALLED BY Manufacturer, by telephone on May 22, 1999, and by press release on May 25, 1999. Firm-initiated recall complete. DISTRIBUTION Missouri, New York, California, Georgia, South Carolina, Colorado, Utah, Maryland, Pennsylvania, Illinois, Arizona, Tennessee. QUANTITY 135 pounds were distributed. REASON Product was contaminated with Listeria monocytogenes. ________ PRODUCT Peony Mark brand Dried Potato, in 6 ounce flexible plastic bags. Product of China. Recall #F-486-9. CODE None. MANUFACTURER Sun Wing Hong Food Ltd., Chai Wan, Hong Kong, China. RECALLED BY Tai Wing Hong Importer, Inc., Brooklyn, New York, by letter and by telephone on December 10, 1998, and by press release on December 7, 1998. Completed recall resulted from sample analysis and follow-up by the New York State Department of Agriculture and Markets. DISTRIBUTION New York. QUANTITY 21 cartons (100 packages per carton) were distributed. REASON Product contained undeclared sulfites.

RECALLS AND FIELD CORRECTIONS: FOODS -- CLASS II

________ PRODUCT Lucky Lotus brand Hot Luu Tapioca Snack packaged in 7 ounce flexible plastic packages. Product of Vietnam. Recall #F-473-9. CODE None. MANUFACTURER Nam Hai Company, Ltd., Ho Chi Minh, Vietnam. RECALLED BY Kien Import Corporation, Brooklyn, New York, by letter on December 23, 1998. Completed recall resulted from sample analysis and follow-up by the New York State Department of Agriculture and Markets. DISTRIBUTION Massachusetts, Rhode Island, Connecticut, New Jersey, New York, Pennsylvania, Maryland, Virginia, North Carolina. QUANTITY 31 cases (50 packages per case) were imported. REASON Product contained Ponceau 4R (an unapproved color additive) and it contained undeclared FD&C Yellow No. 5 and FD&C Blue No. 1.

RECALLS AND FIELD CORRECTIONS: FOODS -- CLASS III

________ PRODUCT Medical foods in steel cans with a paper label. Note that firm's "AMTF Tube Feeding" product in aluminum cans with a lithograph label are not a part of this recall: a) AMTF Basic Formula, Ready to Use, 8 FL OZ. "Manufactured for Nyer Nutritional Systems, Inc. Phoenix, Arizona 85014". b) Nutriflavor, Delicious Lemon Artificial Flavor, 8 FL OZ. "Manufactured for Nyer Nutritional Systems, Inc. Phoenix, Arizona 85014". c) Nutriflavor, Delicious Orange Artificial Flavor, 8 FL OZ. "Manufactured for Nyer Nutritional Systems, Inc. Phoenix, Arizona 85014". d) AMTF Pediatric Formula, Ready to Use, 8 FL. OZ. "Manufactured for Nyer Nutritional Systems, Inc. Phoenix, Arizona 85014". e) AMTF High-Protein Formula, Ready to Use, 8 FL. OZ. "Manufactured for Nyer Nutritional Systems, Inc. Phoenix, Arizona 85014". f) AMTF Pulmonary Formula, Ready to Use, 8 FL. OZ. "Manufactured for Nyer Nutritional Systems, Inc. Phoenix, Arizona 85014". g) AMTF Diabetic Formula, Ready to Use, 8 FL OZ, "Manufactured for Nyer Nutritional Systems, Inc. Phoenix, Arizona 85014". h) AMTF Trauma Formula, Ready to Use, 8 FL. OZ. "Manufactured for Nyer Nutritional Systems, Inc. Phoenix, Arizona 85014". i) AMTF High-Cal 2.0 Formula, Ready to Use, 8 FL OZ, "Manufactured for Nyer Nutritional Systems, Inc. Phoenix, Arizona 85014". j) AMTF Renal Formula, Ready to Use, 8 FL. OZ. "Manufactured for Nyer Nutritional Systems, Inc. Phoenix, Arizona 85014" Recall #F-475/484-9. CODE Codes beginning with: a) 9350; b) 9351; c) 9352; d) 9353; e) 9354; f) 9355; g) 9356; h) 9357; i) 9358; j) 9359. MANUFACTURER Amboy of Michigan, LLC (formerly Curtice Burns Foods, Benton Harbor, Michigan. RECALLED BY Nyer Nutritional Systems, Phoenix, Arizona, by letter and telephone on January 12, 1999, followed by visit. Firm-initiated recall ongoing. DISTRIBUTION Tennessee, California, Arizona, Texas, Ohio, Oklahoma, South Carolina. QUANTITY 24,246 cases (24 cans per case) are subject to recall. REASON Product is held in detinning cans.

RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS II

________ PRODUCT Compressed Medical Oxygen, USP, Rx product stored in D, N, and M6 size metal type cylinders. Recall #D-272-9. CODE Lot numbers: 990-220-01, 990-221-01, 990-222-01. MANUFACTURER Homecare Concepts, Inc., Farmingdale, New York. RECALLED BY Manufacturer, on May 13, 1999. Firm-initiated recall complete. DISTRIBUTION New York. QUANTITY 65 cylinders were distributed. REASON Incomplete testing for strength and identity. ________ PRODUCT Cephradine Capsules USP, 250 mg in bottles of 100, Rx indicated in the treatment of respiratory tract infection, otitis media, skin and skin-structure infections, and urinary tract infections. NDC #0093-3153-01. Recall #D-274-9. CODE Lot #56214 EXP 9/99. MANUFACTURER Teva Pharmaceuticals, USA, Inc., Sellersville, Pennsylvania. RECALLED BY Manufacturer, by letter on June 15, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY Approximately 10,852 bottles were distributed; firm estimated that 2,700 bottles remained on market at time of recall initiation. REASON Subpotency (stability).

RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS III

________ PRODUCT Rx controlled-substance cough syrups: a) ENDOTUSS HD(tm) Syrup, (Hydrocodone Bitartrate 1.67 mg, Phenylephrine Hydrochloride 5 mg, Chlorpheniramine Maleate 2 mg), in one pint (473 mL) bottles b) POLYTINE D(tm) Syrup, (Phenylpropanolamine Hydrochloride 12.5 mg, Phenyltoloxamine Citrate 4 mg, Pyrilamine Maleate 4 mg, Pheniramine Maleate 4 mg, Alcohol 4%), in one pint (473mL) bottles c) POLYTINE CS (tm) Syrup, (Codeine Phosphate 10 mg, Phenylpropanolamine Hydrochloride 12.5 mg, Brompheniramine Maleate 2 mg), in one pint (473 mL) bottles d) CO-TUSSIN(tm) Syrup, (Hydrocodone Bitartrate 5 mg, Guaifenesin 100 mg) in one pint (473 mL ) bottles, all lot numbers. Recall #D-269/271-9 and D-273-9. CODE (a) NDC 58634-0004-1 (EndoTuss HD) Lot Numbers/Exp. Dates: AA146, 09/2000 AA152, 09/2000 AA159, 11/2000 AA164R, 12/2000 AA170, 2/2001 AA173, 3/2001 b) NDC 58634-0010-1 (Polytine D) Lot Numbers/Exp. Date: AA153, 9/2000 AA156, 10/2000 AA163, 11/2000 AA169, 3/2001 c) NDC 58634-0009-1 (Polytine CS) Lot Numbers/Exp. Date: AA154, 10/2000 AA160, 11/2000 AA166, 1/2001 AA177, 3/2001 d) NDC 58634-0032-1 (CoTussin) Lot Numbers/Exp.Date: AA161, 11/2000 AA162, 12/2000 AA165, 12/2000 AA168, 2/2001 AA172, 3/2001 AA174, 3/2001. MANUFACTURER Signature Pharmaceuticals, Inc., Gloversville, New York. RECALLED BY Manufacturer, by letter dated June 8, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY a) EndoTuss HD: 16,165/one pint (473 ml) bottles b) Polytine D: 9,103/one pint (473 ml) bottles c) Polytine CS: 5,293/one pint (473 ml) bottles d) CoTussin: 13,410/one pint (473 ml) bottles were distributed. REASON Lack of data to support labeled expiration date. ________ PRODUCT Supac Analgesic Tablets (Acetaminophen 160 mg, Aspirin 230 mg, Caffeine 33 mg), in 100 and 1,000 tablet bottles, OTC analgesic. NDC Numbers: 0178 0100 01 and 0178 0100 10. Recall #D-275-9. CODE Lot Numbers Expiration Date 6A12 January 1999 6G53 July 1999 7F14 June 2000 7K72 October 2000 8D63 October 1999. MANUFACTURER Mission Pharmacal Company (MPC), San Antonio, Texas. RECALLED BY Manufacturer, by letter dated April 6, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 7,703 100-tablet bottles and 784 1,000-tablet bottles were distributed. REASON Free Salicylic Acid values exceed USP limit and/or content uniformity failures for caffeine. ________ PRODUCT Tilade Inhaler (Nedocromil Sodium Inhalation Aerosol) 1.75 mg per actuation, 8.5 g (52 metered inhalations) professional samples, an inhaled anti-inflammatory agent for the preventive management of mild to moderate asthma in adult and pediatric patients 6 years of age and older. NDC 0585-0685-98. Recall #D-276-9. CODE Lot #A70732 EXP 8/99. MANUFACTURER Fisons PLC Pharmaceutical Division, United Kingdom. RECALLED BY Rhone Poulenc Rorer, Collegeville, Pennsylvania, by telephone on April 27, 1999, followed by letter dated April 30, 1999. Firm-initiated recall complete. DISTRIBUTION Missouri and Arkansas. QUANTITY 16 inhalers were distributed; firm estimates none remain on the market. REASON Failure to meet dose uniformity requirements. _______ UPDATE Miacalin Nasal Spray (Novartis Pharmaceuticals Corporation), Recall #D-254-9, which appeared in the June 23, 1999 Enforcement Report listed an incorrect lot number "324A6496". The correct number is "324A6495". Also, the recall covers all product "distributed" from 11/19/97 thru 5/20/99 rather than "manufactured" during that time.

RECALLS AND FIELD CORRECTIONS: BIOLOGICS -- CLASS II

________ PRODUCT Red Blood Cells. Recall #B-892-9. CODE Unit #FE00843. MANUFACTURER Healthcare Provider Services, Inc., Providence, Rhode Island. RECALLED BY Manufacturer, by letter dated January 13, 1999. Firm-initiated recall complete. DISTRIBUTION Rhode Island. QUANTITY 1 unit was distributed. REASON Blood product was collected from a donor who traveled to an area considered endemic for malaria. ________ PRODUCT a) Red Blood Cells; b) Platelets. Recall #B-893/894-9. CODE Unit #L92144. MANUFACTURER Healthcare Provider Services, Inc., Providence, Rhode Island. RECALLED BY Manufacturer, by telephone on January 4, 1999. Firm-initiated recall complete. DISTRIBUTION Rhode Island. QUANTITY 1 unit of each component was distributed. REASON Blood products were collected from a donor who traveled to an area considered endemic for malaria. ________ PRODUCT Red Blood Cells. Recall #B-896-9. CODE Unit 04KF10531. MANUFACTURER American Red Cross Blood Services, Dedham, Massachusetts. RECALLED BY Manufacturer, by telephone on February 3, 1999, followed by letter dated February 10, 1999. Firm-initiated recall complete. DISTRIBUTION Massachusetts. QUANTITY 1 unit was distributed. REASON Blood product was collected from a donor with no hemoglobin results documented during screening. ________ PRODUCT Red Blood Cells, Leukocytes Reduced. Recall #B-898-9. CODE Unit #32GE13783. MANUFACTURER American Red Cross Blood Services, Madison, Wisconsin. RECALLED BY Manufacturer, by telephone and by letter on March 20, 1998. Firm-initiated recall complete. DISTRIBUTION Wisconsin. QUANTITY 1 unit was distributed. REASON Blood product for which documentation of irradiation was incomplete. ________ PRODUCT Platelets. Recall #B-899-9. CODE Unit #32KM10592. MANUFACTURER American Red Cross Blood Services, Madison, Wisconsin. RECALLED BY Manufacturer, by telphone on August 10, 1998. Firm-initiated recall complete. DISTRIBUTION Wisconsin. QUANTITY 1 unit was distributed. REASON Blood product was collected from a donor who had traveled to an area designated as endemic for malaria. ________ PRODUCT> a) Red Blood Cells; b) Platelets. Recall #B-918/919-9. CODE Unit #03GM48049. MANUFACTURER American Red Cross Blood Services, Atlanta, Georgia. RECALLED BY Manufacturer, by telephone on February 27, 1999, and March 11, 1999. Firm- initiated recall complete. DISTRIBUTION Georgia and Pennsylvania. QUANTITY 1 unit of each component was distributed. REASON Blood products may have been contaminated during collection of sample tubes. ________ PRODUCT Platelets, Pheresis. Recall #B-922-9. CODE Unit #6239753. MANUFACTURER Long Island Blood Services, Melville, New York. RECALLED BY Manufacturer, by letter dated May 23, 1999. Firm-initiated recall complete. DISTRIBUTION New York. QUANTITY 1 unit was distributed. REASON Blood product had an unacceptable platelet yield. ________ PRODUCT a) Red Blood Cells; b) Fresh Frozen Plasma. Recall #B-923/924-9. CODE Unit numbers: a) 36LK10888, 36GK00286, and 36LC10683 b) 36LK10888. MANUFACTURER American Red Cross Blood Services, Columbia, South Carolina. RECALLED BY Manufacturer, by letter dated November 16, 1998, or by telephone. Firm- initiated recall complete. DISTRIBUTION South Carolina, North Carolina, Georgia. QUANTITY a) 3 units; b) 1 unit was distributed. REASON Blood products were collected from a donor taking the drug, Methotrexate.

RECALLS AND FIELD CORRECTIONS: DEVICES -- CLASS II

________ PRODUCT Synthes Sterile Drill Bits, Part #356.982. Recall #Z-985-9. CODE Lot numbers: A6G7403 and A6G6911. MANUFACTURER Synthes (USA), Monument, Colorado. RECALLED BY Synthes USA, Paoli, Pennsylvania, by letter sent on April 1, 1998. Firm- initiated recall complete. DISTRIBUTION Nationwide, Canada, Switzerland. QUANTITY 283 units were distributed. REASON Package insert was not placed in packaging when the product was sent out. ________ PRODUCT Synthes Mandibular Modular Fixation System, Part #449.236. Recall #Z-986-9. CODE Lot #1005. MANUFACTURER Synthes (USA), Monument, Colorado. RECALLED BY Synthes USA, Paoli, Pennsylvania, by letter sent on March 25, 1998. Firm- initiated recall complete. DISTRIBUTION California, Pennsylvania, North Carolina, New York, Tennessee, Texas. QUANTITY 21 units were distributed. REASON Package insert was not placed in packaging when the product was sent out. ________ PRODUCT Synthes Spine Anterior Thoracolumbar Rod Clamp. Recall #Z-987-9. CODE Part #498.160. MANUFACTURER Synthes (USA), West Chester, Pennsylvania. RECALLED BY Synthes USA, Paoli, Pennsylvania, by letter on August 25, 1998. Firm-initiated recall complete. DISTRIBUTION California, Colorado, Florida, Georgia, Illinois, Massachusetts, Maryland, Minnesota, North Carolina, New Hampshire, New Jersey, New York, Pennsylvania, Texas, Utah, Virginia, Washington state. QUANTITY 46 units were distributed. REASON The connector is not compatible with VentroFix System. The distance at which the parallel connector maintains the rods is less than that which clamps provide. ________ PRODUCT SK (sterile kits) kits, consisting of replacement seals and valves for cannulas: Model SK1, SK2, SK3, SK4. Recall #Z-990/993-9. CODE Lots with Gibbons label: 981380 981691 981731 981781 983510 983511. Lots with Smith & Nephew label: 981390 981671 981681 981700 982380 982780 982790 983450 983520. MANUFACTURER Gibbons Surgical Corporation, Virginia Beach, Virginia. RECALLED BY Manufacturer, by fax on May 17, 1999, followed by telephone. Firm-initiated recall ongoing. DISTRIBUTION Alabama, California, Pennsylvania, Texas, Michigan, Massachusetts, Missouri, Austria, Germany. QUANTITY 17,439 kits were distributed. REASON Devices were dosed at a different level than that documented in validation study. ________ PRODUCT Liftmaster Patient Hoist, Models 160 and 190 (Catalog numbers AA8940/AA8945). Recall #Z-1003/1004-9. CODE All units in the United States. MANUFACTURER Smith & Nephew Homecraft, Ltd., Farnham, Surrey, UK. RECALLED BY Smith & Nephew, Inc., Germantown, Wisconsin, by letter sent on June 7, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 24 lifts. REASON A bolt attaching the load-spreader to the boom of the lift can fracture due to metal fatigue over time and allow the patient to fall to the floor. ________ PRODUCT Bard Cardiopulmonary Extracorporeal Cannulae, intended for use in cardiovascular surgery to cannulate vessels or perfuse arteries: Z-1012-9 -- Models: 007300, 007301, 007302,007303. Overall Length: 17.5cm, 14-20F, 3/8 inch connector. Z-1013-9 -- Models: 007350,007351. Overall Length: 17.5cm, 10&12F, 1/4 inch connector. Z-1014-9 - Models: 007267, 007268, 007269, 007270, 007271. Overall Length: 41.5cm,16-24F, 3/8 inch connector. Z-1015-9 - Models: 007274, 007275, 007276, 007277, 007278, 007279, 007280, 007281,007282. Overall Length: 41.5cm,10-26F, 1/4 inch Connector Z-1016-9 - Model: 007773. Overall Length:27.5cm,12F, 1/4 inch connector. Z-1017-9- Model: 007720, 007721, 007722, 007723. Overall Length: 27.5cm,10-16F, 1/4 inch connector. Z-1018-9 - Model: GA***** Special Order product attributes, such as length, French size, etc. GA***** Item #'s: 007274-007282, 007773, 007720-007723 Special order-GAXXXXXX * (X =ANY NUMBER 0-9) CODE Lot numbers: All Lot Numbers 43CI--- through 43LI---, 43AJ--- through 43EJ--- and Lot Numbers 43BI2019, 43BI2023 and 43BI2025. Lot Numbers 43BI--- through 43LI---, 43AJ---through 43EJ---. (- represents any number 0-9). MANUFACTURER C.R. Bard Puerto Rico, Las Piedras, Puerto Rico. RECALLED BY C.R. Bard, Inc., Haverhill, Massachusetts, by letter on June 7, 1999. Firm- initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 46,539 units were distributed. REASON Sterile barrier may be compromised. ________ PRODUCT Argyle DeLee Suction Catheter w/Mucous Trap, intended to aspirate liquids or semisolids from a patient's upper airway. Recall #Z-1019-9. CODE Product code: 8888-257360. Lot #9088054. MANUFACTURER Kelsar, S.A., Tijuana, Mexico. RECALLED BY Kendall Healthcare Products Company, Mansfield, Massachusetts, by fax on May 28, 1999, followed by letter on June 1, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide and Canada. QUANTITY 85 cases (50 units per case) were distributed. REASON Product may be non-sterile. ________ PRODUCT Laser Systems and Communication Lasers: a) Model No. DY Laser Systems; b) Model No. DYH Laser Systems; c) Model No. LCT Class IIIb Communication Laser. Recall #Z-1022/1024-9. CODE Model Number: DY and DYH Laser Systems and LCT Communication Laser Systems. MANUFACTURER Power Technology, Inc., Mabelvale, Arkansas RECALLED BY Manufacturer. FDA approved the firm's corrective action plan on June 15, 1999. Firm-initiated field correction ongoing. DISTRIBUTION Nationwide. QUANTITY 23 units were distributed. REASON The model DY and DYH laser systems were introduced into commerce uncertified and did not comply with the performance standard (Section 538 of the Federal Food, Drug, and Cosmetic Act and 21 CFR 1010.2). The Class IIIb LCT communication lasers failed to have a remote interlock connector, an adequate beam attenuator, and the correct text on the warning logotype label (CFR 21 1040.10(f)(3), 21 CFR 1040.10(f)(6), (21 CFR 1040.10(g)(2)(iii). ________ PRODUCT Vitros ECi Immunodiagnostic System, a random access immunodiagnostic analyzer for use in clinical laboratories. Recall #Z-1025-9. CODE Catalog No. 8633893, All units with the MOD E2 upgrade including but not limited to Serial Nos. 30000256, 30000311, 30000333, 30000351, 30000358, 30000364, 30000369, 30000372, 30000376, 30000377, 30000386, 30000397, 30000402, 30000449, 30000451, 30000478, 30000578, 30000602, 30000622, 30000660, 30000671, 30000678, 30000697, 30000714, 30000736, 30000750, 30000752, 30000789, and 30000820. MANUFACTURER Ortho-Clinical Diagnostics, Rochester, New York. RECALLED BY Manufacturer, by letters dated March 22 and 29, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide and international. QUANTITY Approximately 105 units are affected. REASON The shear valves in the reagent monitoring system may seize and stop dispensing reagent. ________ PRODUCT MHS Manual Hexdriver, Part #10150, used to screw in or out the appropriate 10010-XX size bone screws that secure the Alphatec modular barrel plate extensions against the proximal femur. Recall #Z-1026-9. CODE Lot #M990188E. MANUFACTURER Alphatec Manufacturing Inc., Palm Desert, California. RECALLED BY Manufacturer, by letter on May 21, 1999. Firm-initiated recall ongoing. DISTRIBUTION Michigan, Georgia, Florida. QUANTITY 27 units. REASON The hexdriver shaft was not heat treated as indicated in the specifications. ________ PRODUCT IVAC MedSystem III Infusion System, a three-channel microprocessor based fluid delivery device for use to control and monitor infusion via intravenous, intra- arterial or subcutaneous routes: a) Model 2860: three-channel, general purpose, infusion pump, 110V; b) Model 2863: three-channel, general purpose, infusion pump, 110V; c) Model 2866: three-channel, general purpose, infusion pump, 220V (international), and a power supply board kit for use as a replacement power supply board for the Medsystem III pump. Recall #Z-1027-9. CODE Pump Serial Numbers less than 3351884; Kit Serial Numbers: 2860646 and 2860531. MANUFACTURER Alaris Medical Systems, Inc., San Diego, California. RECALLED BY Manufacturer, by letter on May 28, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide, Canada, The Netherlands, Japan, American Somoa. QUANTITY 2,851 pumps and 466 power supply board kits were distributed. REASON Capacitors in the power supply board are failing causing the pumps to shut down/stop infusing without an alarm notifying the user.

RECALLS AND FIELD CORRECTIONS: DEVICES -- CLASS III

________ PRODUCT 1.5 mm TI Cortex Screw Self Tapping 8 mm and 12 mm, Part numbers 400.808.96 and 400.812.96. Recall #Z-988/989-9. CODE Part number 400.808.96 Lot number A3KT631 and Part number 400.812.96 Lot number A3KU527. MANUFACTURER Synthes (USA), Monument, Colorado. RECALLED BY Synthes USA, Paoli, Pennsylvania, by letter on April 8, 1998. Firm-initiated recall complete. DISTRIBUTION Nationwide. QUANTITY 496 units were distributed. REASON Product was mislabeled. The label placed on the device was blue instead of mauve. A blue label is for 2.0 mm diameter screws. The text on the label was correct. ________ PRODUCT Ortho Chlamydia Antigen ELISA Test, diagnostic test kits. Recall #Z-999-9. CODE Catalog #550080, Lot #550080.034, Expiration Dates: 8/23/99 (reagent), 8/3/99 (kits). MANUFACTURER Meridian Diagnostics, Inc., Cincinnati, Ohio. RECALLED BY Meridian Diagnostics, Inc., Cincinnati, Ohio, by telephone, fax or mail on October 6, 1998. Firm-initiated recall complete. DISTRIBUTION Nationwide. QUANTITY 310 kits were distributed. REASON OPD Substrate Tablets have deteriorated resulting in inaccurate test results. ________ PRODUCT ORTHO HSV Antigen ELISA Test, Modification, diagnostic test kits for the detection of herpes simplex virus. Recall #Z-1000-9. CODE Catalog #550010, Lot #550010.042, EXP Date: 8/23/99 (reagent), 1/19/99 (kit). MANUFACTURER Meridian Diagnostics, Inc., Cincinnati, Ohio. RECALLED BY Manufacturer, by telephone, fax or mail on October 6, 1998. Firm-initiated recall complete. DISTRIBUTION Nationwide and Italy. QUANTITY 433 kits were distributed. REASON The OPD Substrate Tablets have deteriorated resulting in inaccurate test results. ________ PRODUCT Synthes (USA) Midfacial System Part Numbers 446.516 and 447.515. Recall #Z- 1005/1006-9. CODE Part number 446.516 Lot A3LU954 and Part number 447.515 lot A3LZ375. MANUFACTURER Synthes (USA), Monument, Colorado. RECALLED BY Synthes USA, Paoli, Pennsylvania, by letter sent on July 22, 1998. Firm- initiated recall complete. DISTRIBUTION California, Florida, Michigan, Oregon, Texas. QUANTITY 27 units were distributed. REASON Product was mislabeled. The plates were anodized gold and should have been green/gray. ________ PRODUCT One Shots HDL Precipitating Reagent, for in-vitro diagnostic use in 0.5 ml tubes, packaged in a blue plastic pail containing 250 tubes. Recall #Z-1011-9. CODE Catalog No. 3335-250, Lot Nos. MI20, EXP 10/31/98, and NG07, EXP 8/31/99. MANUFACTURER Data Medical Associates, Inc., Arlington, Texas. RECALLED BY Manufacturer, by telephone on October 2, 1997. Firm-initiated recall ongoing. DISTRIBUTION Nationwide and international. QUANTITY 2,241 pails were distributed. REASON The reagent tubes contain less reagent volume than indicated on the label. ________ PRODUCT Acufex Tibial Anchor Screw & Spiked Washer, indicated for use in fixation of soft tissue in orthopedic procedures. Recall #Z-1020-9. CODE Catalog #7207-186. MANUFACTURER Smith & Nephew, Inc., Mansfield, Massachusetts. RECALLED BY Manufacturer, by letter on May 17, 1999, followed telephone and E-mail. Firm- initiated recall ongoing. DISTRIBUTION Arkansas, Colorado, Massachusetts, Pennsylvania, Texas, Wisconsin, Africa, Belgium, Singapore, France, Denmark. QUANTITY 182 units were distributed. REASON The head of the screw may break during insertion. ________ PRODUCT IMx Estradiol Reagent Pack, List #2215-22, 100 tests,an in-vitro diagnostic microparticle enzyme immunoassay for the quantitative measurement of estradiol in human serumand plasma on the IMx Analyzer. Recall #Z-1021-9. CODE Lot Numbers: 49001M100, 51758M300, 51585M400. MANUFACTURER Abbott Laboratories, Abbott Park, Illinois. RECALLED BY Manufacturer, by letter dated June 11, 1999, followed by telephone. Firm- initiated recall ongoing. DISTRIBUTION Nationwide and international. QUANTITY 3,037 packs were distributed. REASON Lots may show underrecovery of estradiol with undiluted patient specimens. END OF ENFORCEMENT REPORT FOR JUNE 30, 1999.

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