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
09/18/1990

FDA Enforcement for the week of September 19, 1990



                            FDA ENFORCEMENT REPORT
                            FOR SEPTEMBER 19, 1990

                                                         September 19, 1990 

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.

                                     NONE 

                  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. 

                                     NONE 

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

                                     NONE 

                                      -1- 






                                   COSMETICS

                                     NONE 

                           HUMAN DRUGS AND BIOLOGICS

                  Class I - 
                                     NONE 
                  Class II -

Product:          Methyclothiazide with Deserpidine (a) 5/0.25 mg Tablets 
                  and (b) 5/0.5 mg Tablets, in 100, 250, 500 and
                  1,000 tablet bottles, an Rx drug used for hypertension
                  under the Bolar Pharmaceutical, Goldline Laboratories,
                  Bioline Laboratories, Parmed Pharmaceutical, Mason
                  Distributors, Schein Pharmaceutical, H.L. Moore, Best 
                  Generics, Glenlawn, Vita-Rx, Rugby Laboratories, Geneva 
                  Generics labels.  Recall #D-360/361-0.
Code:             Lot numbers and EXP dates: (a) 027588 7/90, 078531 11/90, 
                  107009 12/90, 804019 2/92, 817029 4/92, 846059 6/92,
                  900089 10/92; 
                  (b) 028284 6/91, 047716 10/90, 780128 2/92, 885079 10/92. 
Manufacturer:     Bolar Pharmaceutical Co., Inc., Copiague, New York. 
Recalled by:      Manufacturer, by letter July 27, 1990.  Firm-initiated
                  recall ongoing. 
Distribution:     Florida, New York, Connecticut, Indiana, Georgia, Colorado. 
Quantity:         Firm estimates (a) 640,000 tablets; (b) 1,134,000 tablets 
                  remain on market. 
Reason:           Products not manufactured in conformity with conditions 
                  approved in the Abbreviated New Drug Application. 

                                     ---- 

Product:          Ergoloid Mesylates Oral Tablets, 1.0 mg, in 100, 250, 
                  500 and 1000 tablet bottles, an Rx drug used for the
                  treatment of symptomatic decline in mental capacity of
                  unknown etiology, under the Bolar Pharmaceutical, 
                  United Research Laboratories, Squibb, Purepac Pharmaceutical, 
                  Bioline Laboratories, Harber Pharmaceutical, Goldline 
                  Laboratories, H.L. Moore, Mason Distributors, Baxter
                  Healthcare, Glenlawn, Genetco, Best Generics, Arkansas
                  Cooperative Assoc., Parmed Pharmaceuticals, IDE Interstate, 
                  UDL Laboratories, Dixon-Shane, Vita-Rx, American Preferred
                  Pharmaceutical, Major Pharmaceutical labels.
                  Recall #D-362-0.
Code:             Lot numbers and EXP dates:  018211 3/91, 018212 4/91, 
                  019893 5/91, 047719 9/90, 048386 7/91, 048387 8/91, 
                  049053 7/92, 067825 9/90, 077892 12/90, 077893 12/90, 
                  079193 7/91, 088624 10/91, 088625 11/91, 099313 11/92,
                  108707 3/92, 117128 3/91, 128810 1/92, 108706 1/92, 
                  049052 6/92.
Manufacturer:     Bolar Pharmaceutical Co., Inc., Copiague, New York. 

                                      -2- 





Recalled by:      Manufacturer, by letter July 26, 1990.  Firm-initiated
                  recall ongoing. 
Distribution:     Pennsylvania, New Jersey, New York, Florida, Connecticut, 
                  Illinois, Arkansas, Georgia, Tennessee, Virginia. 
Quantity:         Firm estimates 11,650,000 tablets remain on market. 
Reason:           Product not manufactured in conformity with conditions
                  approved in the Abbreviated New Drug Application. 

                                     ---- 

Product:          Meclofenamate Sodium Capsules (a) 50 mg and (b) 100 mg, 
                  in 100, 250, 500, 1000 tablet bottles, an Rx drug used
                  for the relief of signs and symptoms of acute and chronic 
                  rheumatoid arthritis and osteoarthritis, under the Best 
                  Generics, Goldline Laboratories, Major Pharmaceutical,
                  Reno Parmed Pharmaceuticals, Moore, Schein Pharmaceutical,
                  American Preferred Pharmaceutical, Genetco, Bioline 
                  Laboratories, Harber Pharmaceutical, Dixon-Shane, 
                  IDE Interstate and Bolar Pharmaceutical labels. 
                  Recall #D-363/364-0.
Code:             Lot numbers and EXP dates:  (a) 691078 11/90, 729078 9/90,
                  884079 11/91, 941109 11/91, 942109 11/91; 
                  (b) 635058 8/90, 714088 11/90, 755118 4/91, 874069 9/91,
                  899089 11/91, 945109 10/91, 946109 1/92.
Manufacturer:     Bolar Pharmaceutical Co., Inc., Copiague, New York. 
Recalled by:      Manufacturer, by letter July 27, 1990.  Firm-initiated
                  recall ongoing. 
Distribution:     New York, Florida, Illinois, Connecticut, Arkansas, New 
                  Jersey, Pennsylvania. 
Quantity:         Firm estimates (a) 1,956,000 capsules; (b) 2,845,000
                  capsules remain on market.
Reason:           Lack of assurance of bioequivalency.

                                     ---- 

Product:          Humco brand 2% Iodine Tincture, in 1 pint bottles,
                  an OTC product manufactured for hospital use to help prevent
                  infection in minor cuts, burns, and abrasions.
                  Recall #D-365-0.
Code:             Lot #15205 EXP 3/95.
Manufacturer:     Humco Laboratory, Inc., Texarkana, Texas. 
Recalled by:      Manufacturer, by telephone July 2, 1990, followed by letter 
                  August 1, 1990.  Firm-initiated recall ongoing. 
Distribution:     Nationwide. 
Quantity:         1,764 bottles were distributed. 
Reason:           Approximately 115 bottles contain Strong Iodine Tincture
                  7%. 
                                     ---- 

Product:          (a) Red Blood Cells; (b) Platelets.  Recall #B-178/179-0. 
Code:             Unit numbers: (a) 41FF57997, 41LG43577, 41LG43576;
                  (b) 41FC86792.

                                      -3- 





Manufacturer:     American Red Cross, Alabama Region, Birmingham, Alabama.
Recalled by:      Manufacturer, by telephone July 1989 through March 1990.
                  Firm-initiated recall complete. 
Distribution:     Alabama.
Quantity:         (a) 3 units; (b) 1 unit were distributed. 
Reason:           Blood products drawn from ineligible donors were
                  distributed for transfusion.

                                     ---- 

Product:          (a) Whole blood; (b) Red blood Cells; (c) Platelets;
                  (d) Fresh frozen Plasma; (e) Cryoprecipitated AHF;
                  (f) Recovered Plasma.  Recall #B-185/190-0. 
Code:             Unit numbers: (a) E61277, G09426; 
                  (b) E43023, E52729, E57817, E59300, E71459, KC63855;
                  (c) E43023, E59300, E61277, E71459, G09426, P01271; 
                  (d) E43023, KC63855;
                  (e) E52729; 
                  (f) E52729, E57817, E59300, E71459. 
Manufacturer:     Mid-South Regional Blood Center, Memphis, Tennessee.
Recalled by:      Manufacturer, by telephone on or before August 1, 1990, 
                  followed by letter August 2, 1990.  Firm-initiated
                  recall ongoing. 
Distribution:     Florida, Missouri, Pennsylvania.
Quantity:         (a) 2 units; (b) 6 units; (c) 6 units; (d) 2 units; 
                  (e) 1 unit; (f) 4 units were distributed. 
Reason:           Blood products were distributed which were 1) repeatably
                  reactive for the antibody to the human immunodeficiency 
                  virus type 1 (anti-HIV-1) or the hepatitis B surface antigen
                  (HBsAg), or 2) non-reactive for anti-HIV-1 but collected
                  from a donor who previously tested repeatably reactive for
                  anti-HIV-1. 
                                     ---- 

CORRECTION:       Levothroid Tablets, Recall #D-353-0 which appeared in 
                  the September 12, 1990 Enforcement Report should read:

                  Lot #01319 EXP 7/91.

                                     ---- 

                  Class III - 

Product:          Oxygen USP Compressed Gas in D and E size aluminum
                  cylinders, an Rx product.  Recall #D-359-0. 
Code:             Firm does not code containers.
Manufacturer:     Ellis Home Oxygen and Medical Equipment, Marion, Virginia 
                  (repacker/responsible firm).
Recalled by:      Manufacturer, by telephone August 21, 1990.  Firm-initiated 
                  recall ongoing. 

                                      -4- 





Distribution:     Virginia. 
Quantity:         44 cylinders were distributed.
Reason:           Current good manufacturing practice deficiencies. 

                                     ---- 

Product:          (a) Red Blood Cells; (b) Platelets.  Recall #B-180/181-0. 
Code:             Unit numbers: (a) 41GC21559, 41GC21560, 41GC21561,
                  41GC22592, 41GC22595, 41GC22596, 41GC22597, 41GC22598,
                  41GC22599, 41GC22600, 41LK07510, 41LK07515, 41LK07516,
                  41LK07519, 41LK07523, 41LK07524, 41LK07529; 
                  (b) 41GP19576, 41GP19577, 41GP19578, 41GP1957.
Manufacturer:     American Red Cross, Alabama Region, Birmingham, Alabama.
Recalled by:      Manufacturer, by telephone July 1989 through March 1990.
                  Firm-initiated recall complete. 
Distribution:     Alabama.
Quantity:         (a) 17 units; (b) 4 units were distributed. 
Reason:           Blood products were distributed for transfusion 
                  labeled with expiration dates which exceeded approved 
                  dating period.

                                     ---- 

Product:          Reagent Red Blood Cells - Tencell Panel .  Recall #B-183-0. 
Code:             Lot #90179 Cell #9, EXP 6/1/90, Lot #90221 Cell #9, 
                  EXP 6/29/90.
Manufacturer:     Organon Teknika Corporation, West Chester, Pennsylvania.
Recalled by:      Manufacturer, by letter and by FAX May 31, 1990.
                  Firm-initiated recall complete. 
Distribution:     Nationwide and international. 
Quantity:         1,116 kits were distributed; firm estimates none remains
                  on market.
Reason:           s(+w) Reagent Red Blood Cells labeled as s(-) were
                  distributed.

                                     ---- 

Product:          Reagent Red Blood Cells Data Cyte Plus.  Recall #B-184-0. 
Code:             Lot #DC-7-580, EXP 4/7/90.
Manufacturer:     Baxter Healthcare Corporation, Miami, Florida.
Recalled by:      Manufacturer, by letter April 3, 1990.  Firm-initiated
                  recall complete.
Distribution:     Nationwide and international. 
Quantity:         751 packages were distributed.
Reason:           Vw(+) Reagent Red Blood Cells labeled as Vw(-) were 
                  distributed.
                                     ---- 

                                      -5- 





                         MEDICAL DEVICES AND RADIOLOGY

                  Class I - 
                                     NONE 
                  Class II -

Product:          Model LX-20 C02 Surgical Laser.  Recall #Z-866-0. 
Code:             Serial numbers:  000003 through 000008, 000011 through
                  000019. 
Manufacturer:     Luxar Corporation, Bothell, Washington. 
Recalled by:      Manufacturer.  FDA approved the firm's corrective action
                  plan August 20, 1990.  Firm-initiated field correction
                  ongoing.
Distribution:     Nationwide. 
Quantity:         15 units were distributed.
Reason:           Noncompliance with performance standard for laser products
                  in that it was not provided with the required safety
                  interlocks at both ends of the mast.

                                     ---- 

Product:          Time Four Channel Multiprogrammable Implant Model TI-94.
                  Recall #Z-867-0.
Code:             Various serial numbers. 
Manufacturer:     Neuromed Inc., Ft. Lauderdale, Florida. 
Recalled by:      Manufacturer, by letter June 25, 1990.  Firm-initiated
                  recall ongoing. 
Distribution:     Italy, Spain, West Germany. 
Quantity:         45 units were distributed.
Reason:           The device was marketed without an approved premarket 
                  approval (PMA) supplement after FDA advised the firm of 
                  the withdrawal of the approval of the Investigational Device
                  Exemption (IDE).

                                     ---- 

Product:          U.S.C.I. Disposable Distal Y-Connector and insertion
                  tool packed in a single unit Tyvec pouch.  The Distal 
                  Y-Connector provides a connection for pressure monitoring,
                  dye delivery, flushing of balloon dilatation catheters
                  and is used during a transluminal coronary angioplasty
                  procedure.  Recall #Z-868-0.
Code:             Catalog #006056, lot numbers: 08EA0040, 08EA0041, 08EA0042, 
                  08EA1371, 08EA1372, 08EA1375. 
Manufacturer:     U.S.C.I. division, C.R. Bard, Inc., Billerica,
                  Massachusetts.
Recalled by:      Manufacturer, by letter to sales force and catheter 
                  lot managers August 13, 1990.  Firm-initiated 
                  recall ongoing. 
Distribution:     Nationwide. 
Quantity:         2,865 units were distributed. 
Reason:           The Y-Connector gasket can not be punctured as specified
                  in the instructions.

                                     ---- 
                                      -6- 





Product:          Ken Sliding Nail, an orthopedic fixation device used in 
                  fracture fixation of the neck of the femur: 
                  (a) Product No. 931-04-36;
                  (b) Product No. 931-09-36;
                  (c) Product No. 931-10-36;
                  (d) Product No. 8505-205-01 (custom device - one piece).
                  Recall #Z-869/872-0.
Code:             Lot numbers: (a) 69838700; (b) 71065600; (c) 71001500;
                  (d) 32838100. 
Manufacturer:     Zimmer, Inc., Warsaw, Indiana.
Recalled by:      Manufacturer, by letter July 26 and 30, 1990.  Firm-
                  initiated recall ongoing. 
Distribution:     Alabama, Florida, Georgia, Idaho, Missouri, Ohio, 
                  Tennessee, Washington state, Wyoming. 
Quantity:         88 units were distributed.
Reason:           The cannulation in the sliding nail may be obstructed 
                  thus prohibiting passage of the guide wire through the
                  nail. 
                                     ---- 

Product:          Becton Dickinson Subclavian Jugular Catheter Sets,
                  Rx, nonpyrogenic sterile, and for single use only 
                  devices used for central venous catheterization during
                  cardiac surgical procedures:
                  (a) Subclavian Jugular Catheter Set, Catalog #39-755-1, 
                  contains single lumen 16 gauge, 12 inch catheter and
                  14 gauge 2 3/4 inch needle; 
                  (b) Subclavian Jugular Catheter Set, Catalog #39-757-1, 
                  contains single lumen 16 gauge, 8 inch catheter and 14
                  gauge 2-3/4 inch needle;
                  (c) Subclavian Start Pak, Catalog No. 39-758-1, 
                  contains 1 subclavian jugular catheter set; 16 ga., 
                  12 in.; 2 - 5 cc syringes,; 1 prep, Povidone-Iodine 
                  Topical Solution; 6 gauze sponges; 1-3-0 silk suture with 
                  straight needle; 1-25 ga. needle; 1-22 ga needle; 
                  1-fenestrated drape; 1-CSR wrap; 1-Ensure-it dressing, 4
                  inch; and 1-ointment containing Povidone-Iodine USP.
                  Recall #Z-873/875-0.
Code:             Lot numbers: (a) NOAB240, NOBA560, NOBA830, NOCA160,
                  NOCA860, NOCB280, NOCB560, NODA380, NODB400;
                  (b) N9NB310;
                  (c) NOAB250, NOCB290. 
Manufacturer:     Deseret Medical, Inc., Nogales, Mexico (owned by Becton 
                  Dickinson). 
Recalled by:      Becton Dickinson, Critical Care Monitoring, Sandy, Utah,
                  by letter August 3, 1990.  Firm-initiated recall ongoing. 
Distribution:     Nationwide and international. 
Quantity:         54,000 units were distributed.
Reason:           The catheters may have a split at the edge of the 
                  external blunt endthat is connected to the snap-on adapter. 

                                     ---- 

                                      -7- 





Product:          Russell Gastronomy Kit with Foley Catheter.  Recall #Z-876-0. 
Code:             Product code GASTY-19-RSS, lot numbers: 91215, 91216, 91217,
                  91218, S92935 (S - designates special custom kit);
                  Product code GASTY-21-RSS, lot numbers: 92241, S91199 
                  (S - designates special custom kit), Product code 
                  GASTY-17-RSS, lot #91544. 
Manufacturer:     Wilson Cook Medical Inc., Winston-Salem, North Carolina.
Recalled by:      Manufacturer, by telephone June 28, 1990 followed by
                  letter June 29, 1990.  Firm-initiated recall ongoing. 
Distribution:     Nationwide, Italy Australia, France.
Quantity:         116 kits were distributed.
Reason:           The balloon on the end of the catheter may deflate during 
                  use.
                                     ---- 

RETRACTION NOTICE:   The U.S. Food and Drug Administration is retracting
                     recall numbers Z-705/706, published in the July 11, 1990 
                     issue of the FDA Enforcement Report.  It has been
                     determined and confirmed that the Cobe Laboratories
                     CDX Disposable Transducers, CDX Press and CDXIII with
                     continuous Flush Device were never replaced or 
                     corrected in the field as initially reported.

                                     ---- 

                  Class III - 

Product:          Beckman Cholesterol Reference Serum, in 10 ml. bottles, 
                  Part #683977, used for calibrating manual and automated 
                  in-vitro diagnostic assays for total cholesterol by 
                  enzymatic procedures.  Recall #Z-877-0. 
Code:             Lot #M906157 EXP 9/91.
Manufacturer:     Beckman Instruments, Inc., Carlsbad, California.
Recalled by:      Beckman Instruments, Inc., Brea, California, by 
                  letter May 4, 1990.  Firm-initiated recall ongoing. 
Distribution:     Nationwide and international. 
Quantity:         492 units were distributed. 
Reason:           The labeled assay recovery value of 43 mg/dl should be
                  labeled as 47 mg/dl.

                                     ---- 

Product:          Beckman "I.D.-Zone" CK Isoenzyme Control, an in-vitro 
                  diagnostic product, intended for use in monitoring the
                  overall reliability of CK isoenzyme procedures in the 
                  clinical laboratory.  Recall #Z-878-0.
Code:             Lot numbers:  M909034 EXP 1/31/91, M903160 EXP 7/31/90. 
Manufacturer:     Beckman Instruments, Inc., Carlsbad, California.
Recalled by:      Beckman Instruments, Inc., Brea, California, by letter
                  May 14, 1990.  Firm-initiated recall ongoing. 
Distribution:     Nationwide and international. 
Quantity:         898 units were distributed. 

                                      -8- 





Reason:           Product fails to meet labeled performance specifications
                  due to raw material decay.

                                     ---- 

Product:          Beckman "AST" Enzyme Reagent Kits, an in-vitro diagnostic 
                  intended for use on Beckman "ASTRA" or "Sychron" Systems
                  Analyzers, for the assay of aspartate amino transferase.
                  Recall #Z-879-0.
Code:             Part number     Lot Number
                  660680          M9120265 EXP 4/20/91
                  661960          M9120266 EXP 4/20/91. 
Manufacturer:     Beckman Instruments, Inc., Carlsbad, California.
Recalled by:      Beckman Instruments, Inc., Brea, California, by 
                  letter April 30, 1990.  Firm-initiated recall complete. 
Distribution:     Nationwide and international. 
Quantity:         3, 520 units were distributed.
Reason:           Product may not perform to labeled specifications 
                  due to an excessive moisture content problem. 

                                     ---- 

                              VETERINARY PRODUCTS 

                                     NONE