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 15, 1999                                              99-50

RECALLS AND FIELD CORRECTIONS: FOODS -- CLASS I

________ PRODUCT a) Hot-Smoked Uneviscerated Round Scad, in 6 ounce plastic packages; b) Air-Dried Herring, in 6 ounce packages. Recall #F-056/057-0. CODE None. MANUFACTURER Fil-Fish Manufacturing Company, Fullerton, California. RECALLED BY Manufacturer, by letter faxed on March 13, 1999, followed by telephone from March 13 to 16, 1999, and by press release on March 30, 1999. Firm-initiated recall complete. DISTRIBUTION Illinois, California, New Jersey. QUANTITY a) 15 cases (40 packages per case); b) 21 cases (40 packages per case) were distributed. REASON Products, uneviscerated fish, have the potential to support the growth of and toxin production by Clostridium botulinum. _______ PRODUCT Cheeses Blintzes: 1. Frozen Cheese Blintzes a) Packaged in a yellow paper container with brown lettering, labeled in part, "*** Ratner's *** RESTAURANT *** 6 CHEESE *** BLINTZES *** NET WT 13 OZS. (369g) *** MANUFACTURED BY: RATNER'S RETAIL FOODS, INC. *** NEW YORK, N.Y. 10002 ***". The product is marked with UPC 78364 10001. b) packaged in an orange and white paper container, labeled in part, "*** Ratner's *** RESTAURANT *** All Natural *** 12 Cheese *** Blintzes *** NET WT. 26 OZ. (1 LB. 10 OZ.) 728g *** MANUFACTURED BY RATNER'S RETAIL FOODS, INC., NEW YORK, N.Y. 10002 ***". The product is marked with UPC 78364 00104. 2. Frozen Jumbo Cheese Blintzes, packaged in a yellow paper container with blue lettering, labeled in part, "*** Ratner's ***RESTAURANT *** 6 JUMBO *** CHEESE *** BLINTZES *** NET WT. 1 LB. 4 OZS. (567g) *** Manufactured by Ratner's Retail Foods, Inc. New York, N.Y. 10002 ***". The product is marked with UPC 78364 00031. 3. Frozen Blueberry Cheese Blintzes, packaged in a blue paper container with yellow lettering, labeled in part, "***Ratner's *** RESTAURANT *** 6 BLUEBERRY *** CHEESE *** BLINTZES *** NET WT. 13 OZS. (369g) *** MANUFACTURED BY: RATNER'S RETAIL FOODS, INC. *** NEW YORK, N.Y. 10002 ***". The product is marked with UPC 78364 00033. Recall #F-058/060-0. CODE None. All product on the market at the time of the recall is affected. MANUFACTURER Ratner’s Retail Foods, Inc., New York, New York. RECALLED BY Manufacturer, by letter on September 14, 1999. Completed recall resulted from sample analysis by the New York City Department of Health and the New York State Department of Agriculture and Markets. DISTRIBUTION New York, New Jersey, Florida, Maryland, California, Connecticut, Colorado, Massachusetts, Minnesota, Wisconsin. QUANTITY Approximately 125,000 individual packages were distributed in the last 6 months. REASON Products may be contaminated with Salmonella. ________ PRODUCT Hansung Salted Yellow Croaker, vacuum packed uneviscerated fish, in 16 ounce multi-colored packages. Recall #F-061-0. CODE None. MANUFACTURER Sung Fish Company Ltd., Vancouver, British Columbia, Canada. RECALLED BY Pacific Giant, Inc., Los Angeles, California, by letter faxed on January 19, 1999, and by mail on January 20, 1999. Firm- initiated recall complete. See also FDA press release P99-2, January 21, 1999. DISTRIBUTION Arizona, California, District of Columbia, Hawaii, Illinois, New York, Texas, Washington state. QUANTITY Approximately 800 cases (30 packages per case) were distributed. REASON Product, uneviscerated fish, has the potential to support the growth of and toxin production by Clostridium botulinum.

RECALLS AND FIELD CORRECTIONS: FOODS -- CLASS II

________ PRODUCT Assorted Sugar Stick Candy, packed in 4 ounce retail plastic bags, under the Papas label. Recall #F-063-0. CODE All bags distributed on or before 7/23/99. MANUFACTURER Chris A. Papas & Son Company, Inc., Covington, Kentucky. RECALLED BY Manufacturer, by telephone or visit on or about August 1, 1999. Firm-initiated field correction (relabeling) complete. DISTRIBUTION Ohio and Kentucky. QUANTITY Approximately 5 cases (240bags per case) were distributed. REASON Product contains undeclared FD&C Yellow No. 6, FD&C Red No. 40, FD&C Red No. 3, and FD&C Blue No. 1. ________ PRODUCT Dominick's brand Apple Juice in 48 ounce glass jars. Recall #F-064-0. CODE "914061-01" on the lid; UPC code "3828103021". MANUFACTURER Mason County Fruit Packers Co-op, Inc., Ludington, Michigan. RECALLED BY Manufacturer, by press release issued April 9, 1999, and by E- mail April 8 and 12, 1999. Firm-initiated recall complete. DISTRIBUTION Illinois and Indiana. QUANTITY 291 cases (6 bottles per case) were distributed. REASON Product may contain pieces of glass. ________ PRODUCT a) Ike's Smoked Salmon Alder Smoked; b) Ike's Salmon Dip. Net weight for both products is 8-12 ounces. Recall #F-068/069-0. CODE a) 10 JAN 00; b) 25 DEC 99. MANUFACTURER Ike's Fish, Poulsbo, Washington. RECALLED BY Manufacturer, by visit on November 25, 1999, followed by letter. Firm-initiated recall complete. DISTRIBUTION Washington state. QUANTITY a) Approximately 50 pounds; b) Approximately 20 pounds were distributed. REASON Products contained undeclared wheat.

RECALLS AND FIELD CORRECTIONS: FOODS -- CLASS III

________ PRODUCT Di-Tab Unmilled Dicalcium Phosphate Dihydrate, Calcium Phosphate Dibasic, USP Grade-F.C.C. Grade for manufacturing use only, used to manufacture tableted calcium containing dietary supplements. Recall #F-062-0. CODE Lot Numbers 7275 and 7276. MANUFACTURER Rhodia, Inc., Chicago Heights, Illinois. RECALLED BY Rhodia, Inc., Cranbury, New Jersey, by telephone and E-mail on November 12, 1999. Firm-initiated recall ongoing. DISTRIBUTION California, Canada, Indonesia. QUANTITY 2,240 25-kg bags were distributed; firm estimated that 35 percent of the product remained on market at time of recall initiation. REASON Product may contain pieces of rubber gasket material and plastic.

RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS I

________ PRODUCT Warrick Pharmaceuticals brand Albuterol, USP Inhalation Aerosol, 17 g, 200 metered inhalations, Rx indicated for the prevention and relief of bronchospasm in patients with reversible obstructive airway disease, and for the prevention of exercise- induced bronchospasm. Recall #D-058-0. CODE NDC #59930-1560-1; Batch #9-BBS-525 EXP 8/01. MANUFACTURER Schering Laboratories, Inc., Kenilworth, New Jersey. RECALLED BY Manufacturer, by letters dated August 28, 1999, and September 15, 1999. Firm-initiated recall complete. DISTRIBUTION Alabama, Connecticut, Florida, Georgia, Kentucky, Maryland, Massachusetts, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, Tennessee, Virginia, West Virginia. QUANTITY 190,679 units were distributed; firm estimates none remains on the market. REASON Some units fail to contain active ingredient.

RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS II

________ PRODUCT Rugby Hemorrhoid Preparation Suppositories in cardboard box containing 12 suppositories, OTC, used to temporarily shrink hemorrhoidal tissue and relieve the itching, burning and discomfort associated with hemorrhoids. Recall #D-113-0. CODE Lot #906226. MANUFACTURER Hi-Tech Pharmacal, Inc., Amityville, New York. RECALLED BY Rugby Laboratories, Norcross, Georgia, by letter on August 26, 1999. Firm-initiated recall ongoing. DISTRIBUTION Georgia, Indiana, Kentucky, Michigan, North Carolina, New Jersey, Ohio, Oregon, Pennsylvania, Texas. QUANTITY 1,182 boxes were distributed; firm estimated that 250 boxes remained on market at time of recall initiation. REASON Labeling - Product lacks pregnancy-nursing warning. ________ PRODUCT Various Human Drugs: 1. Ascorbic Acid Injection, 222 mg/mL, 30 mL vial, 4 lots NDC #30727-645-80 for MERIT PHARMACEUTICALS 2. Ascorbic Acid Injection, 500 mg/mL, 50 mL vial, 4 lots NDC #0402-1083-50 for STERIS LABS label NDC #49072-039-50 for McGUFF COMPANY label NDC #11694-206-50 for KEY label 3. Bacteriostatic Sodium Chloride Injection, USP, 0.9%, 30 mL vial, NDC #0402-0191-30 for STERIS LABS label NDC #0364-6559-56 for SCHEIN PHARMACEUTICAL NDC #0839-5628-36 for MOORE MEDICAL label NDC #0536-2501-75 for RUGBY LABORATORIES label 4. Bacteriostatic Water for Injection, USP, 30 mL vial, NDC #0402-1057-30 for STERIS LABS label NDC #66467-2611-3 for DARBY GROUP label NDC #0839-5180-36 for MOORE MEDICAL label NDC #0536-2620-75 for RUGBY LABORATORIES label 5. Chorionic Gonadotropin for Injection, USP, 5,000 USP units, Lyophilized With Diluent, 10 mL vial set, NDC #0402-0125-10 for STERIS LABS label NDC #57548-125-10 for EVEREADY label NDC #44087-8005-3 for SERONO LABORATORIES label 6. Chorionic Gonadotropin for Injection, USP, 10,000 USP units, Lyophilized With Diluent, 10 mL vial set, NDC #0402-0126-10 for STERIS LABS label NDC #0364-6706-54 for SCHEIN PHARMACEUTICAL label NDC #44087-8010-3 for SERONO LABORATORIES label NDC #0182-1165-63 for ZENITH-GOLDLINE LABORATORIES label NDC #99012-126-10 for R. W. ENTERPRISES label 7. Edetate Disodium Injection, USP, 3g/20 mL (150 mg/mL), 20 mL vial, NDC #0402-0277-20 for STERIS LABS label NDC #0364-2485-55 for SCHEIN PHARMACEUTICAL label NDC #49072-177-20 for McGUFF COMPANY label NDC #0456-0724-17 for FOREST PHARMACEUTICAL label NDC #30727-318-65 for MERIT PHARMACEUTICALS label NDC #11694-720-20 for KEY COMPANY label 8&9.. Gentamicin Sulfate Injection, USP, 80 mg/2 mL, 2 mL vial; and Gentamicin Sulfate Injection, USP, 40 mg/mL, 20 mL vial, NDC #0402-0559-02 for STERIS LABS label [2 ml SIZE] NDC #0364-6739-48 for SCHEIN PHARMACEUTICAL label [2 ml SIZE] NDC #66467-4685-9 for DARBY GROUP label [2 ml SIZE] NDC #0182-1424-61 for ZENITH- GOLDLINE LABORATORIES label NDC #0536-4690-67 for RUGBY LABORATORIES label [2 ml SIZE] NDC #0839-6503-23 for MOORE MEDICAL label [2 ml SIZE] NDC #0402-0559-20 for STERIS LABS label [20 ml SIZE] NDC #0182-1424-65 for ZENITH-GOLDLINE LABORATORIES label [20 ml SIZE] NDC #66467-4685-2 for DARBY GROUP label [20 ml SIZE] NDC #0364-6739-55 for SCHEIN PHARMACEUTICAL label [20 ml SIZE] NDC #0536-4690-73 for RUGBY LABORATORIES label 10. Metoprolol Tartrate Injection, USP, 5 mg/5mL, 5 mL vial, NDC #0364-3036-25 for SCHEIN PHARMACEUTICAL label 11. Neomycin and Polymyxin B Sulfates Solution for Irrigation, USP, 1 mL Ampul, NDC #0364-2190-41 for SCHEIN PHARMACEUTICAL label 12. Phenylephrine Hydrochloride Ophthalmic Solution, USP, 10%, 5 mL dropper bottle, NDC #0402-0799-05 for STERIS LABS label NDC #0364-2370-53 for SCHEIN PHARMACEUTICAL label NDC #51394-226-10 for WILSON OPHTHALMICS label NDC #54799-531-05 for OCUSOFT label 13. Vecuronium Bromide for Injection 10 mg, lyophilized powder, 10 mL vial, NDC #0209-9140-22 for MARSAM PHARMACEUTICAL label NDC #0209-9140-92 for MARSAM PHARMACEUTICAL label NDC #0209-9141-26 for MARSAM PHARMACEUTICAL label 14. Vecuronium Bromide for Injection 20 mg, lyophilized powder, 20 mL vial, NDC #0209-9143-22 for MARSAM PHARMACEUTICAL label NDC #0209-9143-92 for MARSAM PHARMACEUTICAL label. Recall #D-114/127-0. CODE Lot Numbers: 1. 96H760 97C790 97G780 98A070 2. 98C840 98D140 98D360 98D580 3. 97C580 4. 96N430 97D950 98B530 5. 97L910 6. 97K710 98B550 97J410 97J510 7. 96K880 96F890 96M330 96M700 96N600 96N750 97A150 97A650 97B010 97E260 97E410 97G060 97K510 98B310 98C050 98C670 96N740 97A510 97B500 8&9 [for 2 ml SIZES]: 96K870 97B550 97G240 [for 20 ml SIZES]: 97A570 97C210 97G290 10. 97J300 97J350 97J360 97J590 97K470 97L290 97M320 98A910 98B570 98C250 98C890 98D150 98D380 98E120 98D740 98E530 98F150 11. 96L260 97B320 97B910 97F160 97F220 97J110 97J320 98A350 98A830 98B190 12. 96L290 97C660 97J100 97J840 98D880 13. 98B770 98C150 98C270 98C340 98C530 98C700 98D080 98D200 98D250 98D300 98D460 98D621 98D760 98E190 98E350 98E600 98E880 98F010 98F090 98F180 14. 98B780 98C390 98D110 98D260 98D770 98E220 98E640. MANUFACTURER Steris Laboratories, Inc., Phoenix, Arizona. RECALLED BY Manufacturer, by letter dated October 8, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide and international. QUANTITY 1. 64,689 units 2. 71,930 units 3. 30,797 units 4. 64,151 units 5 10,494 units 6. 91,684 units 7. 1,322,117 units 8&9) 439,139 units 10. 1,015,520 units 11. 876,375 units 12. 150,242 units 13. 854,561 units 14. 72,130 units REASON Current good manufacturing practice deviations - Lack of data to support process validation(s) and defect investigations. ________ PRODUCT Diabeta® (Glyburide) 5mg, 100 tablet bottles, Rx, for use as an adjunct to diet to lower the blood glucose in patients with non insulin-dependent diabetes mellitus (Type II), packaged in 24 bottles/intermediate box, 4 intermediate boxes/shipping case. NDC #0039-0052-10. Recall #D-130-0. CODE Lot Number 0017181, EXP 6/2001. MANUFACTURER Med-Pro, Inc., Lexington, Nebraska (repacker). RECALLED BY Repacker, by telephone on September 27, 1999, and by letter dated September 28, 1999. Firm-initiated recall complete. DISTRIBUTION New York. QUANTITY 840 100-tablet bottles were distributed. REASON Immediate bottle label shows two strengths 5 MG and 25 MG. ________ PRODUCT Compressed Medicinal Oxygen in Steel Tanks, (E, D, and M size), Rx drug for breathing therapy. Recall #D-142-0. CODE Various lots produced between 8/7/98 and 8/17/99. MANUFACTURER Option Care, Covington, Georgia. RECALLED BY Manufacturer, by telephone on November 5, 1999. Firm-initiated recall ongoing. DISTRIBUTION Georgia. QUANTITY 6,000 cylinders were distributed. REASON Current good manufacturing practice deviations, including but not limited to lack of oxygen assays. ________ PRODUCT M.V.I.® Pediatric (Multiple Vitamins for infusion), in 10 mL Single Dose Vial. Recall #D-144-0. CODE Lot Numbers 9F3009, EXP 3/00, 9F3011 EXP 4/00. MANUFACTURER Catalytica Pharmaceuticals, Greenville, North Carolina. RECALLED BY AstraZeneca Inc., Westborough, Massachusetts, by letter dated November 18, 1999. Firm-initiated recall ongoing. DISTRIBUTION Tennessee, Arizona. QUANTITY 9,163 units of Lot #9F3009 and 9,143 units of Lot #9F3011 were distributed. REASON Subpotent (vitamin A, K, Dexpanthenol and/or Pyridoxine).

RECALLS AND FIELD CORRECTIONS: CLASS III

________ PRODUCT Triamcinolone Acetonide Cream 0.1% in 1 pound jars, under the following labels: NMC Laboratories; - NDC 23317-301-16; Rugby Laboratories - NDC 0536-5225-98; Major Pharmaceuticals, - NDC 0904-2741-27 Schein Pharmaceuticals - NDC 0364-7212-16. Recall #D-128-0. CODE Lot # EXP Label 6I561 09/99 NMC 6K705 11/99 Rugby 6I571 09/99 NMC 6K707 11/99 Rugby 6I576 09/99 NMC 6K715 11/99 NMC 6I578 09/99 NMC 6K716 11/99 NMC 6I581 09/99 NMC 6K724 11/99 NMC 6I623 09/99 NMC 6K750 11/99 NMC 6J626 10/99 NMC 6L744 12/99 NMC 6J627 10/99 NMC 6L775 12/99 NMC 6J636 10/99 NMC 6L793 12/99 NMC 6J657 10/99 Major & NMC 6L794 12/99 NMC 6L820 12/99 NMC 6J673 10/99 NMC 7A847 01/00 NMC 6J674 10/99 Schein MANUFACTURER Alpharma USPD, Inc., Lincolnton, North Carolina. RECALLED BY Manufacturer, by letter on or about September 13, 1999. Firm- initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 102,381 units were distributed; firm estimated that very little product remained on market at time of recall initiation based on EXP dates. REASON Lack of assurance that product will meet potency specification over labeled expiration date (superpotency). ________ PRODUCT Clobetasol Propionate Topical Solution, USP, 0.05%, in 25 and 50 mL bottles, Rx used as a topical treatment of inflammatory and pruritic manifestations of moderate to severe corticosteroid- responsive dermatoses of the scalp. Recall #D-129-0. CODE Lot Size (mL) Exp RJ7557 50 9/99 RJ7558 50 9/99 VK7642 50 9/99 VL7660 50 10/99 VN7754 25 11/99 VN7754 50 11/99 (H.L.Moore) RP7931 25 11/99 RP7931 50 11/99 RS7974 25 01/00 RS7974 50 01/00 RA8012 50 03/00 RB8028 25 05/00 RA8057 25 02/00 RB8069 50 03/00 RH8170 50 06/00 RC8212 50 05/00 RF8413 50 06/00. MANUFACTURER Alpharma USPD, Inc., Baltimore, Maryland. RECALLED BY Manufacturer, by letter on or about September 10, 1999. Firm- initiated recall complete. DISTRIBUTION Nationwide. QUANTITY 345,462 units under Alpharma label and 3,564 units (50 mL) under the H.L. Moore label were distributed. REASON Exceeding USP total related substances testing prior to expiration date. ________ PRODUCT Norco Tablets 10mg/325 mg Hydrocodone Bitartrate/ Acetaminophen, Physician Samples, Cartons of 30’s containing 15 units of 2 tablets, Rx indicated for the relief of moderate to moderately severe pain in humans. NDC #52544-539-30. Recall #D-131-0. CODE LOT NUMBER EXPIRATION DATE 53902R96F 11/1998 53903R96F 11/1998 53901R96F 11/1998 53904R96F 11/1998 53904J98F 09/2000 53903M98F 10/2000 53910M98F 10/2000 53901R98F 11/2000 53904R98F 11/2000 53901A99F 01/2001 53902A99F 01/2001 53903A99F 01/2001 53904A99F 01/2001 53901C99F 03/2001. MANUFACTURER Watson Laborataories, Inc., a subsidiary of Watson Pharmaceuticals, Inc., Corona, California. RECALLED BY Manufacturer, by letter on October 14, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 222,472 cartons (15 2-tablet pouches per carton) were distributed. REASON Labeling lacks approval. ________ PRODUCT Klonopin (brand of Clonazepam) Tablets, in bottles of 100 tablets Rx used in the treatment of seizure disorders: a) 0.5 mg, NDC `0004-0068-01; b) 1.0 mgm, NDC #0004-0058-01; c) 2.0 mg, NDC #0004-0098-01. Recall #D-132/134-0. CODE LOT NO. EXP DATE U0003 11/2000 U0004 11/2000 U0501 12/2000 U0502 12/2000 U1002 11/2000. MANUFACTURER Roche Pharma, Inc., Humacao, Puerto Rico. RECALLED BY Roche Laboratories, Inc., Nutley, New Jersey, by telephone on September 3, 1999, followed by letter. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY Approximately 79,013 units of all three strengths were distributed. REASON Product had incorrect expiration date on label. ________ PRODUCT Lidocaine and Epinephrine Injection, USP (Lidocaine HCl 2% and Epinephrine 1:100,000 and 1:50,000) and Mepivacaine Hydrochloride and Levonordefrin Injection, USP (Mepivacaine HCl 2% and Levonordefrin 1:20,000). The products are shipped in 1.8 ml cartridges with 50 cartridges per box. Recall #D-135/137-0. CODE a) Lidocaine 100: Lot # 8050 EXP 10/99 under Novocol label (distributed by Septodont, Inc) Lot # 8051 EXP 10/99 under Novocol label (distributed by Septodont, Inc) Lot # 8055* EXP 10/99 under Henry Schein label Lot # 8056* EXP 10/99 under Henry Schein label Lot # 8057 EXP 10/99 under Henry Schein label Lot # 8064 EXP 10/99 under Henry Schein label Lot # 8065 EXP 10/99 under Henry Schein label Lot # 8066 EXP 10/99 under Meer Dental label Lot # 8067 EXP 10/99 under Carlisle Laboratories label Lot # 8068 EXP 10/99 under Novocol label (distributed by Septodont, Inc) Lot # 8069 EXP 10/99 under Novocol label (distributed by Septodont, Inc) Lot # 8071 EXP 10/99 under Meer Dental label Lot # 8072 EXP 11/99 under Meer Dental label Lot # 8073 EXP 11/99 under Novocol label (distributed by Septodont, Inc) Lot # 8074* EXP 11/99 under Carlisle Laboratories label Lot # 8075 EXP 11/99 under Carlisle Laboratories label Lot # 8076 EXP 11/99 under Carlisle Laboratories label Lot # 8077 EXP 11/99 under Carlisle Laboratories label Lot # 8078 EXP 11/99 under Carlisle Laboratories label Lot # 8079 EXP 11/99 under Carlisle Laboratories label Lot # 8080* EXP 11/99 under Carlisle Laboratories label Lot # 8081* EXP 11/99 under Carlisle Laboratories label Lot # 8082* EXP 11/99 under Carlisle Laboratories label b) Lidocaine 50: Lot # 8058 EXP 10/99 under Novocol label (distributed by Septodont, Inc) Lot # 8059C EXP 10/99 under Novocol label (distributed by Septodont, Inc) Lot # 8060 EXP 10/99 under Henry Schein label Lot # 8083 EXP 11/99 under Carlisle Laboratories label Lot # 8086B* EXP 11/99 under Patterson Dental label c) Mepivacaine 2%: Lot # 8063B EXP 10/99 under Meer Dental label (Henry Schein now owns) Lot # 8063C EXP 10/99 under Novocol label (distributed by Septodont, Inc) Lot # 8063D EXP 10/99 under Carlisle Laboratories label * Indicates that the lot was involved in recall D-188/91-9. MANUFACTURER Novocol Pharmaceutical of Canada, Inc., Cambridge, Ontario, Canada. RECALLED BY Septodont, Inc., New Castle, Delaware, by telephone on September 27, 1999, and by letter on October 1, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 52 boxes. REASON Subpotent (Ephinehrine/Levonordefrin). ________ PRODUCT Pepcid (Famotidine) Tablets, 20 mg repacked in unit dose blisters, Rx, overpackaged by Haines Pharmaceuticals. NDC #0006-0963-28. Recall #D-138-0. CODE Lot #4616 EXP 10/99. MANUFACTURER Haines Pharmaceuticals Division, IMDS, Inc., Pompano Beach, Florida (repacker/responsible firm). RECALLED BY AmeriSource Health Services Corporation, doing business as American Health Packaging, Columbus, Ohio, by letter faxed on October 29, 1999. Firm-initiated recall complete. DISTRIBUTION Ohio, Massachusetts, Tennessee. QUANTITY 750 bags (75,000 individual units) were distributed; firm estimates none remains on the market. REASON Repacking error - Some units may contain a multivitamin. ________ PRODUCT Tebamide (tm) Suppositories (Trimethobenzamide), 200 mg, in boxes of 10 and 50, Rx used to control nausea and vomiting. Recall #D-139-0. CODE Product Code 0108 Lot Numbers EXP Date NDC Numbers Label 7025-5 02/00 0713-0108-50 G & W (50s) 0713-0108-09 G & W (10s) 0904-2736-15 Major (I Os) 0364-7348-10 Schein (I Os) 7072-5 03/00 0713-0108-09 G & W (10s) 0904-2736-15 Major (I Os) 0364-7348-10 Schein (1 Os) 7226-2 09/00 0713-0108-09 G & W (10s) 0364-7348-10 Schein (I Os) 8173-1 07/01 0713-0108-09 G & W (10s) 0713-0108-50 G & W (50s) 0904-2736-15 Major (I Os) 0364-7348-10 Schein (I Os) 8173-2 07/01 0713-0108-09 G & W (10s) 0713-0108-50 G & W (50s). MANUFACTURER G&W Laboratories, Inc., South Plainfield, New Jersey. RECALLED BY Manufacturer, by letters on June 11, 1999, and August 25, 1999. Firm-initiated recall complete. DISTRIBUTION Nationwide. QUANTITY Lot Number Package Size Units/Boxes Distributed 7025-5 50's 1,896 units 7025-5 10's 29,160 units 7072-5 10's 37,872 units 7226-2 10's 38,448 units 8173-1 10's 26,088 units 8173-1 50's 1,800 units 8173-2 10's 32,256 units 8173-2 50's 1,296 units. REASON Subpotency of Benzocaine and/or lack of assurance Benzocaine levels will remain within specification over labeled expiration date. ________ PRODUCT Fluocinonide Cream USP, 0.05%, in 30 gram tubes, Rx used as a topical corticosteroid, which has anti-inflammatory, anti-prurtic and vasoconstrictive actions. Recall #D-141-0. CODE Lot #7F306 EXP 6/00. MANUFACTURER Taro Pharmaceuticals, Bramalea, Ontario, Canada. RECALLED BY Taro Pharmaceuticals USA, Inc., Hawthorne, New York, by letter dated August 19, 1999. Firm-initiated recall ongoing. DISTRIBUTION Arkansas, Arizona, California, Colorado, Connecticut, Georgia, Illinois, Louisiana, Maine, Minnesota, New Jersey, New York, Pennsylvania, Tennessee. QUANTITY 10,032 30-gram tubes were distributed. REASON Subpotency at 24 month stability.

RECALLS AND FIELD CORRECTIONS: DEVICES -- CLASS II

________ PRODUCT CMS ACCUPROBE 530,a cryosurgical system used for controlled ablation and destruction of malignant/benign tissue in the body. Device supercools liquid nitrogen applied to tissue for destruction. Recall #Z-215-0. CODE Serial Numbers: 530-1001 to 530-1019. MANUFACTURER Cryomedical Sciences, Inc., Rockville, Maryland. RECALLED BY Manufacturer, by visit April 29, 1999, or by telephone and letter October 29, 1999. Firm-initiated field correction ongoing. DISTRIBUTION Nationwide. QUANTITY 19 systems were distributed. REASON Device wiring found to be corroded, burned, or fatigued. ________ PRODUCT Toxo IgM Enzyme-Linked Immunosorbent Assay (ELISA) a) Product No. 1029-315Z, Toxo IgM ELISA - 96 Tests; b) Product No. B1029-315Z, Toxo IgM ELISA. Recall #Z-219/220-0. CODE Lot Numbers: a) 1S&T010880 EXP 06-30-00; b) 8TOXO02918 EXP 02-24-00. MANUFACTURER Zeus Scientific, Inc., Branchburg, New Jersey. RECALLED BY Manufacturer, by letter sent April 9, 1999. Firm-initiated recall complete. DISTRIBUTION Washington state. QUANTITY a) 30 kits; b) 25 kits were distributed; firm estimates none remains on the market. REASON Device may produce high rates of false positive test results. ________ PRODUCT Procedure Based Delivery Systems Module, used in surgery, composed of subassembly kits, including the set up subassembly kit, which contains a skin/scrub prep tray that had latex gloves packaged in the tray; Packaged by Allegiance Healthcare Corporation. Recall #Z-221/224-0. CODE Skin/Scrub Prep Tray contained in Set Up subassembly kit PZ90LFCSC contained in the following modules manufactured between 9/9/99 and 11/8/99: Module PG90MALFC, PBDS Pathways General Surgery Latex Free Kit; Module PL90CSLFB, PBDS Pathways C-Section Latex Free Kit; Module PN90CYLFB, PBDS Pathways Neurosurgery Latex Free Kit; Module PO90MJLFB, PBDS Pathways Orthopedic Latex Free Kit. MANUFACTURER Allegiance Healthcare Corporation, Montgomery, New York. RECALLED BY Allegiance Healthcare Corporation, McGaw Park, Illinois, by letter dated November 12, 1999. Firm-initiated recall ongoiong. DISTRIBUTION Nationwide. QUANTITY 138 modules. REASON Kits labeled as latex free contain latex gloves. ________ PRODUCT PACEART CardioVoice Telephones include: a) CardioVoice Speaker Phone, Model No. CVP-1A; b) CardioVoice Trimline Phone, Model No. CVP-1; c) CardioVoice Portable Transmitters (or CardioVoice Phone Portable Option), a compact real-time transmitter that can send a patient's real-time electrocardiogram (ECG) to a receiving center at a physician's office or a specialized monitoring service from any location, Model No. CT-1. Recall #Z-227/229-0. CODE a) Sale Code: CVP-1A; b) Sale Code: CVP-1; c) Sale Code: CT-1. All units shipped to consignees between 5/1/98 to 7/15/99. MANUFACTURER PACEART Associates, L.P., Fairfield, New Jersey. RECALLED BY Manufacturer, by letters dated March 9, 1999, and July 15, 1999. Firm-initiated field correction ongoing. DISTRIBUTION a) California, Florida, Georgia, Missouri, New York, Ohio, Washington state, China; b) Alabama, Delaware, Kansas, Kentucky, Missouri, Michigan, New Jersey, New York, Ohio, Texas, China, and England; c) California, District of Columbia, Florida, Kentucky, Louisiana, Massachusetts, Maryland, Missouri, New Jersey, New York, Oregon, Pennsylvania, Virginia, Washington state, Australia. QUANTITY Undetermined. REASON The devices fail to comply with the performance standard for electrode lead wires and patient cables, 21 CFR 898. ________ PRODUCT Medtronic GEM Implantable Cardioverter Defibrillators: a) Medtronic GEM Model No. 7227Cx Implantable Cardioverter Defibrillator; b) Medtronic GEM Model No. 7229Cx Implantable Cardioverter Defibrillator. Recall #Z-230/231-0. CODE All serial numbers ending with the letter "H". MANUFACTURER Medtronic Med Rel, Inc., Humacoa, PR. RECALLED BY Medtronic, Inc., Minneapolis, Minnesota, by letter dated October 15, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide and international. QUANTITY a) 9654; b) 44 units were distributed. REASON Improper P+ wire routing and less than required silicone adhesive insulation on the P+ wire in the connector module. ________ PRODUCT Cryolife Allograft Heart Valve: a) Model AVOO; b) Model PVOO. Recall #Z-232/233-0. CODE Serial Numbers: a) 6272991; b) 6273009. MANUFACTURER CryoLife, Inc., Kennesaw, Georgia. RECALLED BY Manufacturer, by letter on October 15, 1999. Firm-initiated recall complete. DISTRIBUTION Ohio and California. QUANTITY 2 units. REASON The liver from the donor of the allografts had been diagnosed with cancer. ________ PRODUCT K-1 Infant Transport Incubators: a) Transport Incubator 100 - Globetrotter (GT67); b) Transport Incubator 100 - Trailblazer (TB67); c) Transport Incubator 100 - Roadrunner (RR67); d) Transport Incubator 500 - Globetrotter (GT500). Recall #Z-234/237-0. CODE Various serial numbers. MANUFACTURER Hill-Rom Air-Shields, Hatboro, Pennsylvania. RECALLED BY Manufacturer, by visit beginning October 15, 1999, and by letter. Firm-initiated field correction ongoing. DISTRIBUTION Nationwide and international. QUANTITY 568 units were distributed. REASON The devices have a faulty design of the hand ventilator which does not indicate the true pressure in the incubator. ________ PRODUCT CAPTIA Rubella-M, Product No. 800-920, used for the detection of IgM antibodies to rubella in human serum as an aid to the diagnosis of recent or current rubella infection. Recall #Z-238-0. CODE Lot Numbers: 34K2029 EXP 18-MAR-00; 34K0358 EXP 18-MAR-00; and 34K2019 EXP 15-APR-00. MANUFACTURER Trinity Biotech plc, Bray, Co. Wicklow, Ireland RECALLED BY Manufacturer, by letter October 22, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide and international. QUANTITY 296 kits. REASON The High Titre Positive (HTP) Control is reading below the stated Optical Density value of >0.9 for the HTP in the kit labeling. ________ PRODUCT Sarns 3M Centrifugal Pump, Catalog No. 164275. Recall #Z-240-0. CODE Lot No. W504470 and W504471. MANUFACTURER of Plastic Pouches Kenpak, City of Commerce, California. RECALLED BY Terumo Cardiovascular Systems Corporation, Ann Arbor, Michigan, by telephone and faxed letter dated November 9, 1999. Firm- initiated recall ongoing. DISTRIBUTION Arizona, California, Florida, Indiana, Kansas, Louisiana, Massachusetts, Michigan, Mississippi, Missouri, New Hampshire, New Jersey, Pennsylvania, Pureto Rico, Rhode Island, Texas, Utah, District of Columbia, Wisconsin. QUANTITY 960 units were distributed. REASON Some of the pouches had weak areas near the seams and, post- sterilization, sampling found some pouches had opened up. ________ PRODUCT Abbott ACCLAIM Infusion Pump and Abbott ACCLAIM Encore Infusion Pump Model: 12032-04 and 12237-04. Recall #Z-244/245-0. CODE None. MANUFACTURER Abbott Laboratories, Inc., Morgan Hill, California. RECALLED BY Manufacturer, by letter on November 17, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 2,005 units. REASON Failure of the temperature compensation sensor circuit can lead to inaccurate delivery. ________ PRODUCT Allograft Heart Valves. Recall #Z-248/249-0. CODE Model Number AV00 - Serial Number 6267068 Model Number PV00 - Serial Number 6267033 Model Number AV05 - Serial Number 3978516 Model Number PV05 - Serial Number 3978524 Model Number PV00 - Serial Number 6276466 Model Number AV00 - Serial Number 6206476 Model Number AV00 - Serial Number 6003915. MANUFACTURER CryoLife, Inc., Kennesaw, Georgia. RECALLED BY Manufacturer, by letter sent on November 8,9, and 11, 1999. Firm-initiated recall complete. DISTRIBUTION California, Massachusetts, Michigan, Nebraska, New Hampshire, Tennessee, Texas. QUANTITY 7 units. REASON Donors do not meet current guidelines regarding serodilution of plasma. RECALLS AND FIELD CORRECTIONS: DEVICES -- CLASS III ________ PRODUCT CryoLife Allograft Heart Valve, Model No. AVOO. Recall #Z-225-0. CODE Serial #6635253. MANUFACTURER CryoLife, Inc., Kennesaw, Georgia. RECALLED BY Manufacturer, by telephone on October 7, 1999. Firm-initiated recall complete. DISTRIBUTION Nevada. QUANTITY 1 unit. REASON Additional donor information not available at the time of initial donor and tissue review by quality assurance indicates the donor had viral mycocarditis at the time of death. ________ PRODUCT Datascope Safety Guidewire, Size .020"x145cm, used in conjunction with the firm's 8 French Intra Aortic Balloon (IAB) Catheters. Recall #Z-239-0. CODE Catalog #0684-00-0254-04. MANUFACTURER Datascope Corporation, Cardiac Assist Division, Fairfield, New Jersey. RECALLED BY Manufacturer, by telephone from September 21, 1999 - October 5, 1999. Firm-initiated recall complete. DISTRIBUTION Nationwide and international. QUANTITY 46 10-packs were distributed. REASON Size .030" guidewire was found in the .020" guidewire package. ________ PRODUCT Disposable Argon Plasma Coagulation (APC) Probe for Flexible Endoscopy, single use sterile probes: a) Part Number 20132-071; b) Part Number 20132-072. Recall #Z-241/242-0. CODE a) Lot Number A070535; b) Lot Number A070535. MANUFACTURER ERBE, Tubingen, Germany. RECALLED BY ERBE USA, Inc., Marietta, Georgia, by letter on October 26, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 2,031 probes were distributed. REASON Some of APC Probes may have an incorrect label on the pouch. The pouch has two labels, one international label (four languages) and one US label (English only). The international label may have an incorrect part number and probe diameter. The US label is correct.

MEDICAL DEVICE SAFETY ALERTS:

________ PRODUCT PCA I and PCA II Syringe Infusion Pumps, capable of both continuous and intermittent infusion of parenteral fluids with a Patient Controlled Analgesia mode intended primarily for the infusion of analgesics into the patient upon the patient's request by use of the patient button. Safety Alert #N-003/004-0. CODE All Baxter PCA Sets without anti-siphon technology used with both the Baxter PCA I Syringe Infusion Pump, Product Code 2L3103 and Baxter PCA II Syringe Infusion Pump, Product Code 2L3104. The affected sets without anti-siphon technology are of the following product codes: 2C9205 - Baxter Tamper Resistant PCA Extension Set, Volume 0.8 mL, Length 60", also marketed under 6466500 2C9206 - Baxter Tamper Resistant PCA Extension Set, Volume 1.2 mL, Length 96" 2L3507 - Baxter Tamper Resistant PCA Combination Set, Volume 2.5 mL, Length 101". MANUFACTURER Baxter Healthcare Corporation, Aibonito, Puerto Rico. The Aibonito, PR plant manufactures the sets. The PCA I pumps were made by Baxter at their North Reading, MA plant, and the PCA II pumps are made by Baxter at their Singapore plant. ALERTED BY Baxter Healthcare Corporation, Round Lake, Illinois, by letter dated November 10, 1999. Firm initiated, ongoing. DISTRIBUTION Nationwide. QUANTITY 22,800 pumps. REASON Uncontrolled flow of medication if user improperly loads syringe into PCA pump. END OF ENFORCEMENT REPORT FOR DECEMBER 15, 1999. BLANK PAGES MAY FOLLOW.
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