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.
 ENFORCE
04/16/1991    

FDA Enforcement for the week of 4/16/91 



                            FDA ENFORCEMENT REPORT
                              FOR APRIL 16, 1991

                                                              April 17, 1991
Recalls and Field Corrections:

                                     FOODS

                  Class I - A situation in which there is a reasonable
                  probability that the use of, or exposure to, a violative
                  Product will cause serious adverse health consequences or 
                  death.


Product:          Southern Belle brand Ready To Eat Sandwiches: 
                  (a) Barbeque Beef Sandwich, 4 ounces; 
                  (b) Ham N Cheese Poboy Sandwich, 6 1/2 ounces.
                  Recall #F-292/293-1.
Code:             (a) Pull Dates B2, B5, B9 and B12;
                  (b) Pull Dates B7, B8 and B9. 
Manufacturer:     Southern Belle Sandwich Company, Inc., Baton Rouge, 
                  Louisiana.
Recalled by:      Manufacturer, by oral communication February 6, 1991
                  followed by visit.  Firm-initiated recall ongoing.
Distribution:     Louisiana, Florida, Mississippi, Alabama. 
Quantity:         Approximately (a) 2,120 units; (b) 2,737 units
                  were distributed. 
Reason:           Products contaminated with Listeria monocytogenes.

                                     ---- 

                                      -1- 






Product:          Ham Salad 95% Fat Free Low Cholesterol Sandwich.
                  Recall #F-314-1.
Code:             Good thru 02/23/91 and Good thru 03/01/91.
Manufacturer:     NSI/Griswold Company, Golden Valley, Minnesota. 
Recalled by:      Manufacturer, by memorandum February 27, 1991.
                  Firm-initiated recall ongoing.
Distribution:     Minnesota.
Quantity:         460 units were distributed. 
Reason:           Product is contaminated with Listeria monocytogenes.

                                     ---- 

                  Class II - A situation in which the use of, or exposure to
                  a violative product may cause temporary or medically
                  reversible adverse health consequences or where the 
                  probability of serious adverse health consequences is 
                  remote. 


Product:          Various jellies in 1/2 ounce size units:
                  (a) Strawberry Jelly; (b) Grape Jelly;
                  (c) Mixed Fruit Jelly.  Recall #F-305/307-1.
Code:             Lot numbers: 1210990, 12101090, 12101190. 
Manufacturer:     Crystal Foods, Inc., Cleveland, Ohio. 
Recalled by:      Manufacturer, by letter February 12, 1991.  Firm-initiated
                  recall ongoing. 
Distribution:     Ohio, Michigan, Illinois. 
Quantity:         300 cases (25 units/case) were distributed; firm estimates
                  none remains on the market. 
Reason:           Product contains unapproved, non-permitted food colors. 

                                     ---- 


                  Class III - A situation in which the use of, or exposure
                  to a violative product is not likely to cause adverse 
                  health consequences.


Product:          Various ginseng products in containers labeled in part: 
                  (a) "Jinbee Pollen Tonic for Tea";
                  (b) "Te De Ginseng Koreano";
                  (c) "Caramelos Y Chicles De Ginseng"; 
                  (d) "Korean Powder In Capsules For Tea";
                  (e) "Korean Ginseng Essence For Tea"; 
                  (f) "Panax Ginseng Extractum".  Recall #F-308/313-1.
Code:              Jin Bee Pollen Tonic-Lot #120789.  All other products
                  have bar codes only.
Manufacturer:     Dai Wang Pharmaceutical Company, Ltd., Seoul, Korea.
Recalled by:      Aldo Nicola, Coamo, Puerto Rico (distributor), by visit 
                  January 15, 1991.  Firm-initiated recall ongoing. 
Distribution:     Puerto Rico.

                                      -2- 





Quantity:         1,420 units of different ginseng products were distributed. 
Reason:           False and misleading claims.

                                     ---- 

                                   COSMETICS

                                     NONE 

                           HUMAN DRUGS AND BIOLOGICS

                  Class I - 

                                     NONE 
                  Class II -

Product:          Diphenhydramine Hydrochloride Capsules, 50 mg, in 1,000 
                  capsule bottles, an OTC product used as an antihistaminic 
                  and as a nighttime sleep aid.  Recall #D-295-1. 
Code:             Control numbers: 01294C, 01558C, 01559C, 01963C, 02560C,
                  02561C, 02827C, 02828C, 03040C, 03598C. 
Manufacturer:     Danbury Pharmacal, Inc., Carmel, New York.
Recalled by:      Manufacturer, by FAX and by letters dated February 27 
                  and 28, 1991.  Firm-initiated recall ongoing. 
Distribution:     New York. 
Quantity:         6,601 bottles were distributed. 
Reason:           Lack of tamper resistant packaging features.

                                     ---- 

Product:          Source Plasma.  Recall #B-193-1.
Code:             Unit #54474.
Manufacturer:     Yale Blood Plasma, Inc., Albuquerque, New Mexico. 
Recalled by:      Manufacturer, by telephone February 7, 1991.
                  Firm-initiated recall complete. 
Distribution:     New York. 
Quantity:         1 unit. 
Reason:           Blood component, which tested initially reactive
                  for the antibody to the human immunodeficiency virus, 
                  type 1 (anti-HIV-1), was distributed. 

                                     ---- 

Product:          (a) Red Blood Cells; (b) Platelets; (c) Recovered 
                  Plasma.  Recall #B-203/205-1. 
Code:             Unit numbers: (a) 01E00954, 01F71259, 01G92539, 01J70801, 
                  01K81892; (b) 01F71259; (c) 01E00954, 01F71259, 01G92539, 
                  01J70801, 01K81892. 
Manufacturer:     American Red Cross Blood Services, Rochester, New York. 
Recalled by:      Manufacturer, by letters dated between August 8, 1990 
                  and October 10, 1990 and by telephone between March 
                  29, 1990 and September 19, 1990.  Firm-initiated recall 
                  ongoing.

                                      -3- 





Distribution:     (a) New York, Pennsylvania; (b) Florida, New York;. 
                  (c) California, Switzerland.
Quantity:         (a) 5 units; (b) 1 unit; (c) 5 units. 
Reason:           Blood products drawn from donors who 1) admitted to 
                  intravenous (IV) drug use, 2) were exposed to hepatitis 
                  A and B infected individuals or 3) donated four times 
                  within 56 days, were distributed. 

                                     ---- 
                  Class III - 

Product:          Menthol Eucalyptus Cough Suppressant Tablets, 
                  packaged in retail bags of 30 tablets/bag or
                  individually wrapped tablets in bulk, in the
                  following flavors:
                  Regular 6.1 mg Menthol and 5.3 mg Eucalyptus Oil/Tablet;
                  Ice Blue 10.0 mg Menthol and 5.1 mg Eucalyptus Oil/tablet;
                  Cherry 6.1 mg Menthol and 5.3 mg Eucalyptus Oil/Tablet; 
                  Honey Lemon 8.4 mg Menthol and 7.2 mg Eucalyptus Oil/Tablet,
                  under the following labels:  Rite Aid; Treasury.
                  Recall #D-281-1.
Code:             Lot numbers: 284, 288, 289, 294, 296, 298, 299, 304,
                  307, 308, 310, 313, 316, 320, 324, 332, 333, 336, 337,
                  346, 347, 352, 358, 361, 369, 370.
Manufacturer:     Beacon Sweets, Inc., Morresville, North Carolina. 
Recalled by:      Manufacturer, by letter February 14, 1991.  Firm-initiated
                  recall ongoing. 
Distribution:     North Carolina, Illinois, Washington state, Minnesota.
Quantity:         Undetermined. 
Reason:           Product is subpotent for menthol and Eucalyptus oil 
                  ingredients.
                                     ---- 

Product:          (a) Red Blood Cells; (b) Platelets; (c) Recovered 
                  Plasma.  Recall #B-206/208-1. 
Code:             Unit numbers: (a) 01X31890, 01J72534, 01X35018; 
                  (b) 01X31890, 01J72534, 01G96291, 01X35018; 
                  (c) 01X31890, 01J72534, 01G96291. 
Manufacturer:     American Red Cross blood Services, Rochester, New York. 
Recalled by:      Manufacturer, by letters between August 8, 1990 and October 
                  10, 1990 and by telephone March 29, 1990 and September
                  19, 1990.  Firm-initiated recall ongoing. 
Distribution:     (a) New York, Pennsylvania; (b) Florida, New York;
                  (c) California, Switzerland.
Quantity:         (a) 3 units; (b) 4 units; (c) 3 units.
Reason:           Blood products drawn from donors who 1) were exposed to 
                  hepatitis A infected individuals or 2) donated four times 
                  within 56 days, were distributed. 

                                     ---- 

                                      -4- 





                         MEDICAL DEVICES AND RADIOLOGY

                  Class I - 

Product:          LIFEPAK 10 Defibrillator/Monitor.  Recall #Z-475-1. 
Code:             Part #804200- (All dash numbers and serial numbers).
Manufacturer:     Physio Control Corporation, Redmond, Washington.
Recalled by:      Manufacturer, by letter January 2, 1991.  Firm-initiated
                  recall ongoing. 
Distribution:     Nationwide and international. 
Quantity:         Approximately 7,642 units were distributed. 
Reason:           The portion of the LIFEPAK 10 on/off power knob surrounding 
                  the switch shaft and retainer clip may develop a crack and
                  allow the knob to rotate without activating or de-activating
                  the on/off switch, or allow it to select another battery
                  position. 
                                     ---- 

                  Class II -

Product:          Alpine Air Electronic Air Purifier, Alpine Model 150. 
                  Recall #Z-261-1.
Code:             Serial numbers:  1000 through 41303.
Manufacturer:     Alpine Air Products, Inc., Minneapolis Minnesota. 
Recalled by:      Manufacturer during sales meeting May 31, 1990
                  followed by June 1990 promotional publication.
                  Firm-initiated recall ongoing.
Distribution:     Nationwide. 
Quantity:         40,303 units were distributed.
Reason:           The device may generate ozone in excess of the 0.5 limit
                  established in 21 CFR 80.1415 for devices which generate
                  ozone by design or as a by-product. 

                                     ---- 

Product:          Models CI-2200 and CI-2202 Liquid Particle Counters,
                  a quality control and process control product.
                  Recall #Z-280-1.
Code:             Undetermined. 
Manufacturer:     Climet Instruments Company, Redlands, California. 
Recalled by:      Manufacturer.  FDA approved the firm's corrective action
                  plan February 8, 1991.  Firm-initiated field correction 
                  ongoing.
Distribution:     California. 
Quantity:         1 unit. 
Reason:           Noncompliance with the performance standard for laser 
                  products in that they lack safety interlocks to prevent 
                  access to laser radiation during maintenance procedures.

                                     ---- 

                                      -5- 





Product:          Model EX 200L Semi Conductor Wafer Inspection Test
                  Station, used for quality control.  Recall #Z-281-1.
Code:             Undetermined. 
Manufacturer:     Inspex Inc., Waltham, Massachusetts.
Recalled by:      Manufacturer.  FDA approved the firm's corrective action
                  plan February 8, 1991.  Firm-initiated field correction 
                  ongoing.
Distribution:     Nationwide. 
Quantity:         6 units were distributed. 
Reason:           Noncompliance with performance standard for laser 
                  products in that it lacks the appropriate warning 
                  logotype for its class. 

                                     ---- 

Product:          Candela SPTL - Dermatology Laser System Mark I and II 
                  configured with the 3 MM/5MM interchangeable handpiece. 
                  Recall #Z-282/283-1.
Code:             Serial numbers 0001 through 2185. 
Manufacturer:     Candela Laser Corporation, Wayland, Massachusetts.
Recalled by:      Manufacturer, by letter November 9, 1990.  Firm-initiated 
                  recall ongoing. 
Distribution:     Nationwide and international. 
Quantity:         179 units were distributed. 
Reason:           Noncompliance with performance standard for laser products
                  in that the gauge rod may bend causing inaccurate power 
                  reading or altering calibration.

                                     ---- 

Product:          Angiographic catheters, a class II restricted medical 
                  device used to introduce radiographic contrast solution 
                  into a blood vessel during an angioplasty procedure:
                  (a) Digiflex Catheters (white); (b) Selective Catheters;
                  (c) Digiflex Soft Catheters (white); (d) Digiflex Selective 
                  Catheters; (e) Digiflex Catheters (white);
                  (f) Selective Catheters.  Recall #Z-304/309-1.
Code:             (a) All catalog numbers beginning with the numbers 31;
                  (b) All catalog numbers beginning with the numbers 36.
                  Lot numbers with no expiration date or expiration dates 
                  prior to January 1992;
                  (c) All catalog numbers beginning with the numbers 31;
                  (d) All catalog numbers beginning with the numbers 36.
                  Lot numbers with no expiration date or expiration 
                  dates prior to January 1991.
                  (e) All catalog numbers beginning with the letter D.
                  (f) All catalog numbers beginning with the letters MN and 
                  SN. 
Manufacturer:     Boston Scientific Corporation, Medi-Tech Inc., Watertown, 
                  Pennsylvania. 
Recalled by:      Manufacturer, by letters of December 28, 1990 and 
                  January 2, 1991.  Firm-initiated recall ongoing.
Distribution:     Nationwide and international. 

                                      -6- 





Quantity:         199,100 catheters were distributed; firm estimates that 
                  20 percent of this amount remains on the market.
Reason:           Device may become brittle causing breakage during 
                  preparation for use or during use.

                                     ---- 

Product:          Teletrace II Model 9444 ECG Receiver System.
                  Recall #Z-332-1.
Code:             Serial numbers: XL0000118R through XL0000214R.
Manufacturer:     Medtronic, Inc., Minneapolis, Minnestoa.
Recalled by:      Manufacturer, by letter November 12, 1990.  Firm-initiated
                  recall ongoing. 
Distribution:     Nationwide, Canada, Australia, Europe.
Quantity:         57 units were distributed.
Reason:           Patient data may be lost during transfer by the device
                  due to a software error.

                                     ---- 

Product:          Small knee Patellas, part number 1254-SM01, 1264-SM01, and
                  1274-SM01.  The product is patellar component used in the 
                  Plus System Total Knee (replacement).  Recall #Z-345/347-1. 
Code:             All lots. 
Manufacturer:     Orthomet, Inc., Minneapolis, Minnesota. 
Recalled by:      Manufacturer, by telephone December 7, 1990, and by letters 
                  December 10, 1990.  Firm-initiated recall ongoing.
Distribution:     Nationwide, Japan, Sweden, Austria, Spain, Switzerland, 
                  Germany, Belgium, Taiwan. 
Quantity:         2,500 units were distributed. 
Reason:           Using a small patellar component with a large or extra-large
                  femoral component may result in the patellar component
                  dropping into the intercondylar notch at ranges above 
                  90 degrees.  Over time this can lead to irregular wear of 
                  the patellar with the potential for cracking. 

                                     ---- 

Product:          Burdick Interpretive Electrocardiographs, Models E500 and 
                  E600.  Recall #Z-351/352-1. 
Code:             All E500 units with software revision v.1017 and all
                  E600 units with software revision v.1010. 
Manufacturer:     Mortara Instrument, Inc., Milwaukee, Wisconsin. 
Recalled by:      Siemans-Burdick, Milton, Wisconsin, by field service
                  memorandum September 20, 1989.  Firm-initiated field
                  correction ongoing. 
Distribution:     Nationwide, Canada, Indonesia.
Quantity:         134 Model E500 units and 122 Model E600 units.
Reason:           A defect in the software revision causes the device to lose 
                  the capability of noting that an electronic pacemaker is in 
                  place.
                                     ---- 

                                      -7- 





Product:          Cooling Units (a) CU 2000; used in the Tomoscan T3XX
                  and SRC X-ray tubes; (b) CU 3000 used in the Philips MRC
                  X-ray tube.  The cooling units are components used in the 
                  MRC/SRC X-ray tube assembly;   Recall #Z-441/442-1. 
Code:             (a) PEI #9806 602 22002; (b) PEI #9806 602 60002. 
                  Cooling oil hose #4512 148 53191 or 4512 148 44452. 
Manufacturer:     Philips Medical Systems, Hamburg, West Germany. 
Recalled by:      Philips Medical Systems North America, Shelton, Connecticut,
                  by letter October 16, 1990.  Firm-initiated field correction
                  ongoing.
Distribution:     Nationwide. 
Quantity:         (a) 74 units; (b) 4 units were distributed. 
Reason:           Faulty cooling hose may swell and fall apart. 

                                     ---- 

Product:          Sterile, disposable, single-use tips packed in clear
                  plastic pouches and placed 25 pouches in a cardboard box
                  which reads in part, "*** Periotemp 25 Periotemp Probe
                  Tips Sterile Probe Tips ***."  The tips were shipped as an
                  accessory to the Periotemp Electronic Monitor which is used 
                  in periodontal procedures to measure temperature in gums. 
                  Recall #Z-450-1.
Code:             Lot #3290P5.
Manufacturer:     Abiodent, Danvers, Massachusetts. 
Recalled by:      Manufacturer, by telephone October 12, 1990 followed by 
                  letter October 30, 1990.  Firm-initiated recall complete. 
Distribution:     Washington, D.C.
Quantity:         1 box of 25 tips was distributed. 
Reason:           Product was labeled as being sterile but was not sterilized.

                                     ---- 

Product:          Foley Catheters, 75 cc ribbed balloon, medium length, 
                  round tip, teflon coated, 24 FR.  Recall #Z-453-1.
Code:             Catalog 1237524, lot numbers 39AAB043, 39CAB048.
Manufacturer:     Bard Urological Division, C.R. Bard, Inc., Moncks Corner, 
                  South Carolina. 
Recalled by:      Bard Urological Division, C.R. Bard, Inc., Covington, 
                  Georgia, by telephone and letter November 15, 1990. 
                  Firm-initiated recall ongoing.
Distribution:     Nationwide and Canada.
Quantity:         79 units were distributed.
Reason:           The catheter balloon could spontaneously deflate. 

                                     ---- 

Product:          Mr. MAX Plus Magnetic Resonance Whole Body Imaging Systems
                  with Head Holder: (a) Model 9300HE; (b) Model 9300HG. 
                  Recall #Z-528/529-1.
Code:             (a) 59 systems can be identified by the serial number of the
                  Head Holder.  The affected serial number range is 24762YM7

                                      -8- 





                  to 24820YM3.  Thirty systems without serial numbers on
                  the Head Holders are identified by the serial numbers on
                  the operators console:
                  Model #46-282269G1 operators consoles with serial numbers 
                  15860YMO through 15868YM3, 28273YM1, 28285YM5, 28286YM3.
                  Model #P9301AE operators consoles with serial numbers 
                  24261YM0, 24278YM4, 24288YM3 through 24303YM0.
                  (b) Serial numbers: 30302YM4 through 30342YM0, 30345YM3 
                  through 30401YM1, 30768YM6, 35740YM0 through 35751YM7,
                  35753YM3 through 35839YM0, 39995YM6 through 40017YM6, 
                  40019YM2 through 40047YM3, 40054YM9 through 40068YM9, 
                  40070YM5, 40072YM1 through 40076YM2, 40082YM0 through 
                  40094YM5, 48626YM6 through 48648YM0, 48650YM6 through 
                  48725YM6, 55443YM6, 56894YM9 through 56895YM6, 59047YM1 
                  through 59082YM8, 60797YM8. 
Manufacturer:     Yokogowa Medical Systems, Ltd., Tokyo, Japan. 
Recalled by:      GE Medical Systems, Waukesha, Wisconsin, by letter
                  February 11, 1991.  Firm-initiated field correction 
                  ongoing.
Distribution:     Nationwide and international. 
Quantity:         512 units were distributed. 
Reason:           The mirror and/or bracket can catch on the front of the 
                  coil during exit from the coil and cause the support
                  bracket to fracture which could cause the mirror to 
                  fall on the patient's head or face. 

                                     ---- 

Product:          Ciba-Corning Cal Gas, Gas Standard for Calibration of 
                  blood gas analyzers and system, 5% CO2, 12% 02, Balance N2, 
                  Ciba Corning Part No. 477434.  20 std. cu ft. (560 std. 
                  liters) in ED disposable cylinder.  Recall #Z-530-1.
Code:             102910 EXP 10/93. 
Manufacturer:     Scott Medical Products, Plumsteadville, Pennsylvania. 
Recalled by:      Manufacturer, by telephone January 18, 1991.  Firm- 
                  initiated recall ongoing. 
Distribution:     Massachusetts.
Quantity:         80 cylinders were distributed.
Reason:           The concentration of gases in the cylinders differed
                  from the expected values as stated on the labeling. 

                                     ---- 

Product:          Model 2111 Cortac Cortical Electrodes, an Rx medical
                  device is used in electrocorticography (ECoG) 
                  monitoring and stimulation.  Recall #Z-534-1. 
Code:             All lots. 
Manufacturer:     PMT Corporation, Chanhassen, Minnesota. 
Recalled by:      Manufacturer, by sending revised manual on February 22, 1991. 
                  Firm-initiated field correction ongoing.
Distribution:     Nationwide and international. 
Quantity:         Approximately 1,500 units were distributed. 

                                      -9- 





Reason:           The device was marketed for general distribution with 
                  labeling for uses allowed only under the firm's IDE 
                  (Investigational Device Exemption).  The device is intended 
                  only for use during surgical procedures.

                                     ---- 

Product:          (a) Starcam 2000; (b) Starcam 3000 Data Acquisition and 
                  Imaging Processing System Software. 
                  Recall #Z-536/537-1.
Code:             All serial numbers. 
Manufacturer:     GE Medical Systems, Waukesha, Wisconsin.
Recalled by:      Manufacturer, by letter September 1990.  Firm-initiated 
                  field correction ongoing. 
Distribution:     Nationwide, Belgium, Chile, England, Scotland, Italy, 
                  Japan.
Quantity:         366 units were distributed. 
Reason:           A software error could cause incorrect computation of 
                  curve statistics which could lead to misdiagnosis and 
                  error in treatment. 

                                     ---- 

                   Class III -

Product:          Becton Dickinson 50 ml Vacutainer brand Culture Tubes,
                  for in-vitro diagnostic use in detecting the presence 
                  of microorganisms in the blood (qualitative). 
                  Recall #Z-350-1.
Code:             Lot numbers:  OB416  EXP 8/91; OC450  EXP 9/91; OC451  EXP
                  9/91; OC452  EXP 9/91; OC453  EXP 9/91. 
Manufacturer:     Becton Dickinson Vacutainer Systems, Broken Bow, Nebraska.
Recalled by:      Becton Dickinson Vacutainer Systems, Rutherford, New
                  Jersey, by memorandum July 26, 1990, by telephone July 30,
                  1990 and by letter Ausust 2, 1990.  Firm-initiated recall 
                  ongoing.
Distribution:     Nationwide and England. 
Quantity:         111,400  units were distributed.
Reason:           The product tube label which should be blue colored and 
                  read 45 ml is white colored and reads 40 ml, however, the 
                  media formulation and draw volume (5 ml) is correct.

                                     ---- 

Product:          Scott Medical Products for Calibration of Blood Gas 
                  Analyzers and Systems, 5% C02, 40% N20, Balance 02
                  (oxygen).  Recall #Z-531-1. 
Code:             Lot #043639.
Manufacturer:     Scott Medical Products, Plumsteadville, Pennsylvania. 
Recalled by:      Manufacturer, by relabeling defective units.  Firm-initiated
                  field correction complete.
Distribution:     Texas.
Quantity:         19 cylinders were distributed.

                                     -10- 





Reason:           The cylinders were labeled as containing 5% C02, 40%
                  N20, Balance N2 (nitrogen) instead of 5% of C02, 40% N20, 
                  Balance 02. 
                                     ---- 

Product:          Glucose (Trinder) Test Kit (25 test), an in-vitro 
                  diagnostic enzymatic procedure used for the quantitative
                  colorimetric determination of the glucose concentration in
                  serum.  Recall #Z-535-1.
Code:             Catalog #G545-25, Lot #89179, EXP 9/90. 
Manufacturer:     Flemming Gmbh, County Clare, Ireland (reagent). 
Recalled by:      Stanbio Laboratory, Inc., San Antonio, Texas by telephone 
                  September 27, 1989.  Firm-initiated recall ongoing. 
Distribution:     Nationwide. 
Quantity:         192 kits were distributed.
Reason:           Test kit's reagent vial lacks ingredient Sodium Azide,
                  which acts as a preservative in this reagent to inhibit 
                  bacterial growth. 

                                     ---- 

Product:          Sigma Diagnostics Compquick CH50, an in-vitro diagnostic
                  used to determine total hemolytic complement activity in
                  human serum,  packaged (a) in 18/3-ml size, Reagent 
                  Vials/Kits, Catalog #SH400-A, Product #S6020; 
                  (b) In 100/3 ml Size.  Reagent Vials/Kits, Catalog #SH400-B,
                  Product #S6020.  Recall # Z-538/539-1.
Code:             Lot numbers:  (a) 120H-4360 EXP 1/28/91;
                  (b) 120H-4361 EXP 1/28/91.
Manufacturer:     Sigma Diagnostics, St. Louis, Missouri. 
Recalled by:      Manufacturer, by letter January 10, 1991.  Firm-initiated 
                  recall complete.
Distribution:     Nationwide and Canada.
Quantity:         (a)35 cartons; (b) 6 cartons were distributed.
Reason:           Box labels shows an incorrect expiration date.

                                     ---- 

Product:          Sigma Diagnostics (a) Direct Bilirubin Kit, 
                  Product #553-A; 
                  (b) Total Bilirubin Kit, Product #552-A, in-vitro 
                  diagnostic kits used to determine increased levels of 
                  bilirubin that are associated with various liver diseases.
                  Recall # Z-540/541-1. 
Code:             Lot # (a) 110H-6047, EXP 3/92; (b) 110H-6038, EXP 3/92. 
Manufacturer:     Sigma Diagnostic, Inc., St. Louis, Missouri.
Recalled by:      Manufacturer, by FAX January 31, 1991, by telephone January 
                  31, 1991 through February 1, 1991 and follow-up letters 
                  February 4, 1991.  Firm-initiated recall ongoing. 
Distribution:     (a) 24 kits and (b) 59 kits were distributed. 
Quantity:         Nationwide, Canada, South Africa. 

                                     -11- 







Reason:           The product history files revealed an excess amount of
                  substrate in the bilirubin substrate vials in each kit. 

                                     ---- 

                              VETERINARY PRODUCTS 

                  Class I - 
                                     NONE 
                  Class II -
                                     NONE 
                  Class III - 

CORRECTION:       Recall #V-58/067-1, which appeared in the March 27, 1991
                  Enforcement Report should be amended to include the 
                  following:

Product:          Amino Acid Bolus with Lactobacillus, 50-bolus jars, 1/2-oz. 
                  and 1/4-oz. boluses, oral administration, for use as a
                  balanced supplement for cattle, sheep and goats when normal 
                  dietary intake of protein, vitamins, and minerals is
                  reduced.  Product is labeled under the following labels:
                  Lacto-Amino Bolus, manufactured for VEDCO, Inc.,
                  St. Joseph, MO; Xerobac Lacto-Amino Bolus, Xeroferm 
                  Laboratories, Portland, OR; and Coop Amino Acid Bolus with
                  Lactobacillus, manufactured for Farmland Industries, Inc.,
                  Kansas City, MO.  Recall #V-068-1.
Code:             All lot numbers.  Interstate Foods uses a 4-digit Julian
                  date code.  Whenever subbatches are involved, a letter is 
                  used at the end of the Julian date code.
Manufacturer:     Interstate Foods Marketing Ltd., Richmond, Missouri.
Recalled by:      Manufacturer, by letters October 4, 1990 through
                  December 19, 1990.  Firm-initiated recall ongoing.
Distribution:     Nationwide
Quantity:         420 half ounce bolus jars and 144  1/4 ounce bolus jars.
Reason:           Total lack of CGMP'S and firm manufacturing numerous
                  unapproved new animal drugs.

                                     ---- 

Medical Device Safety Alerts: 

Product:          (a) Hewlett-Packard Defibrillator/Monitor Model numbers:
                  43100A, 43110A, 43120A; (b) Hewlett-Packard Defibrillator 
                  Model 43130A; (c) Hewlett-Packard Cardiac Monitor Model 
                  43200A.  Safety Alert #M-016/018-1. 
Code:             All serial numbers. 
Manufacturer:     Hewlett-Packard Co., McMinnville, Oregon. 
Alerted by:       Manufacturer, by letters of March 7-8, 1991.
Distribution:     Nationwide and international. 
Quantity:         Approximately 28,000 units were distributed.

                                     -12- 





Reason:           The energy selector switch may fail, the K1 relay 
                  may fail and/or the batteries may not last the two year 
                  battery life expectancy.

                                     ---- 

Product:          Aircast brand Cryo/Cuff Compression Dressing, an
                  orthopedic knee device used to aid in prevention of edema 
                  in the knee area.  Safety Alert #M-019-1. 
Code:             Catalog #11-A -- All lots.
Manufacturer:     Aircast Inc, Summit, New Jersey.
Alerted by:       Manufacturer, by letter September 27, 1990. 
Distribution:     Nationwide and international. 
Quantity:         4,621 units were distributed. 
Reason:           Risk of excessive compression if used in combination with 
                  elastic bandaging.

                                     ---- 
Seizure Actions Filed:

Product:          Various Medical Devices composed in whole or in part
                  of Proplast II or Proplast HA includes:  blocks, sheets,
                  preformed facial, and orthopedic implants (90-451-984/989,
                  90-451-990/993, 91-582-713).
Charge:           Adulterated - Products were manufactured in non-conformity
                  with good manufacturing practice regulations; 
                  Misbranded - Failure to report reportable incidents under 
                  21 CFR 803 (medical device reporting).
Firm:             Oral Surgery Marketing, Inc. and NovaMed, Inc., Houston,
                  Texas.
Filed:            March 7, 1991 - U.S. District Court for the Southern
                  District of Texas, Houston Division; Civil #H-91-0610,
                  FDC #66055. 
                                     ---- 

Product:          Multiple food products: Bulgur Wheat, Basmati Rice, 
                  Lentil Beans, Pita Bread (91-610-421).
Charge:           Adulterated - Products were prepared, packed and held 
                  under insanitary conditions.
Firm:             Ziyad Brothers, Division of Syrian Bakery and Grocery,
                  Inc., Chicago, Illinois.
Filed:            April 3, 1991 - U.S. District Court for the Northern
                  District of Illinois, Eastern Division, 
                  Civil #91C1976, FDC #66080. 

                                     ---- 

Product:          USP Oxygen (91-575-177).
Charge:           Current good manufacturing practice deficiencies. 
Firm:             Eastern Welding Supply, Inc., Knoxville, Tennessee. 
Filed:            March 11, 1991 - U.S. District Court for the Eastern
                  District of Tennessee; Civil #3-91-133; FDC #66039. 

                                     ---- 
                                     -13- 





Product:          USP Oxygen (90-575-171).
Charge:           Current good manufacturing practice deficiencies. 
Firm:             Price-Bass Company, Inc., Nashville, Tennessee. 
Filed:            February 1, 1991 - U.S. District Court for the Middle 
                  District of Tennessee; Civil #3-91-0086, FDC #66011,
                  66012, 66013. 
                                     ---- 

Product:          Fujinon Yag Laser Model FLS 300Y (90-604-521 and
                  90-603-866).
Charge:           Adulterated - Product is classified as Class III
                  device and may not be distributed without approval of 
                  an application for premarket approval and is not exempt 
                  from such approval.  Product is further adulterated 
                  in that an exemption has been granted under 21 USC
                  360j(g) and the person having custody of the devices is 
                  not the person named in the exemption.
Firm:             Plum Management, Dallas, Texas. 
                  Humana Hospital Medical City, Dallas, Texas 
Filed:            February 20, 1991 - U.S. District Court for the 
                  Northern District of Texas, Dallas Division;
                  Civil #CA3-91-0376-B, FDC #65960 (90-603-866);
                  U.S. District Court for the Northern District of
                  Texas, Dallas Division; Civil #CA3-91-0377-H, 
                  FDC #65964 (90-604-521).