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
05/29/1990      

FDA Enforcement for the week of May 30, 1990



                            FDA ENFORCEMENT REPORT
                               FOR MAY 30, 1990 

                                                              May 30, 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:          (a) Platelets (expired); (b) Recovered Plasma.
                  Recall #B-127/128-0.
Code:             Unit numbers: (a) MC18462, MC15995; (b) MC13536, MC15736, 
                  MC18312, MC18437, MC18462, MC20667, MC21444, MC21602, 
                  MC21859, MC22326. 
Manufacturer:     Medical Center Hospital (MCH), Odessa, Texas. 
Recalled by:      Manufacturer, by letter January 16, 1990.  Firm-initiated 
                  recall complete.
Distribution:     (a) California; (b) Florida.
Quantity:         (a) 2 units; (b) 10 units were distributed. 
Reason:           Blood products were distributed which tested 1) 
                  repeatably reactive for HBsAg, 2) nonreactive for 
                  the antibody to the human immunodeficiency virus, 
                  type 1 (anti-HIV-1) by EIA but collected from donors
                  who had previously tested repeatably reactive for anti- 
                  HIV-1 by EIA. 

                                     ---- 

Product:          Cobe Spectra Tubing Set.
                  Recall #B-145-0.
Code:             Extended Life Platelet Tubing Set Catalog #777003-000, all
                  lots with an "S" in the lot number, and all lot numbers 
                  beginning with 01T, 02T, 03T, 04T.
Manufacturer:     Cobe Laboratories, Inc., Lakewood, Colorado.
Recalled by:      Manufacturer, by letter January 16, 1990.  Firm-initiated 
                  recall complete.
Distribution:     Nationwide and international. 
Quantity:         8,454 sets were distributed.
Reason:           Tubing sets were misassembled during manufacture which
                  resulted in the inversion of two lines connecting "y" 
                  connectors and the collection bags. 

                                     ---- 

                  Class III - 

Product:          Recovered Plasma.  Recall #B-129-0. 
Code:             Unit numbers: MC11720, MC15076, MC15084.
Manufacturer:     Medical Center Hospital, Odessa, Texas. 
Recalled by:      Manufacturer, by letter January 16, 1990.  Firm-initiated 
                  recall complete.
Distribution:     Florida, California.

                                      -2- 





Quantity:         3 units were distributed. 
Reason:           Recovered plasma was distributed which tested initially 
                  reactive for the hepatitis B surface antigen. 

                                      ----

Product:          Cobe Spectra Tubing Sets: (a) Platelet Set; 
                  (b) White Blood Cell Set.  Recall #B-146/147-0. 
Code:             (a) Catalog #777004-000, lot numbers: 08S15379, 
                  02T15378; (b) Catalog #777006-000, lot numbers: 
                  01T15394, 01T15388. 
Manufacturer:     Cobe Laboratories, Inc., Lakewood, Colorado.
Recalled by:      Manufacturer, by January 16, 1990.  Firm-initiated
                  recall complete.
Distribution:     Nationwide and international. 
Quantity:         (a) 456 sets; (b) 228 sets were distributed.
Reason:           Tubing sets were misassembled during manufacture which
                  resulted in the inversion of two lines connecting "y" 
                  connectors and the collection bags. 

                                      ----

                         MEDICAL DEVICES AND RADIOLOGY

                  Class I - 
                                      NONE

                  Class II -

Product:          Model 5800 CADD-PCA Ambulatory Infusion Pump, an Rx 
                  medical device intended for use as a pain management device.
                  Recall #Z-504-0.
Code:             Serial numbers 800501 through 804510. 
Manufacturer:     Pharmacia Deltec, Inc., St. Paul, Minnesota.
Recalled by:      Manufacturer, by letter January 24, 1990.  Firm-initiated 
                  field correction ongoing. 
Distribution:     Nationwide and Canada.
Quantity:         2,757 pumps were distributed. 
Reason:           Software error -- If the drug concentration entered into
                  the pump program is four mg/ml, the device will report
                  "MG Given" to be one-half the dose actually delivered.

                                      ----

Product:          Ballard Medical Products' Heimlich Micro Trach Transtracheal
                  Oxygen Delivery System, a single-use, sterile, 5F or 6F 
                  non-toxic catheter, intended to permit administration of
                  low flow oxygen to patients during surgery: 
                  (a) Catalog No. 170; (b) Catalog No. 171; 
                  (c) Catalog No. 175; (d) Catalog No. 176. 
                  Recall #Z-545/548-0.
Code:             Lot numbers: (a) 7 12 89 0021, D90-017, D90-022, D90-028; 
                  (b) D89-102, D90-016, D90-026, D90-032; 
                  (c) 7 12 89 0220, D90-018, D90-027; 
                  (d) D89-103, D90-014, D90-015, D90-021, D90-025, D90-033. 

                                      -3- 





Manufacturer:     Ballard Medical Products, Midvale, Utah.
Recalled by:      Manufacturer, by letter March 23, 1990.  Firm-initiated 
                  recall ongoing. 
Distribution:     Nationwide, Canada, Puerto Rico.
Quantity:         2,395 units were distributed. 
Reason:           The catheter may kink within the trachea. 

                                      ----

Product:          Medtronic Model 5866-9 Adaptor Kit containing an adaptor
                  (part 149039-G01) which is used with various non-Medtronic
                  leads to provide a compatible connection to a Medtronic 
                  Implantable Pulse Generator.  Recall #Z-552-0.
Code:             Lot #J89064064. 
Manufacturer:     Medtronic, Inc., Minneapolis, Minnesota.
Recalled by:      Manufacturer, by letter and facsimile March 16, 1990. 
                  Firm-initiated recall ongoing.
Distribution:     Florida, Kentucky, Austria, Great Britain, The Netherlands, 
                  Spain, France, Italy, Portugal, West Germany. 
Quantity:         175 kits were distributed.
Reason:           An incorrect adaptor part that has a smaller inner
                  diameter in the female opening than the correct part
                  was placed in a portion of kits during packaging. 

                                      ----

Product:          (a) Models SCL-5130, SCL-5125, SCL 5025; (b) Model SPL-2120 
                  Laser Workstations, used for job shop application for 
                  cutting prototype parts, primarily automotive.
                  Recall #Z-611/612-0.
Code:             Serial numbers:  (a) HAY-0123 (SCL-5130), AAY-0106H 
                  (SCL-5125), HAY-0164H, HAY-0175H, HAY-0188H, HAY-0195H
                  (SCL-5025); (b) HAY-0151H.
Manufacturer:     Utilase Systems, Inc., Detroit, Michigan. 
Recalled by:      Manufacturer.  FDA approved the firm's corrective action
                  plan April 19, 1990.  Firm-initiated field correction 
                  ongoing.
Distribution:     Michigan, North Carolina, Illinois. 
Quantity:         8 units were distributed. 
Reason:           Noncompliance with the performance standard for laser 
                  products in that they lacked identification, certification
                  and other required labels.  Also, the user manual did not 
                  contain all the required information. 

                                      ----

Product:          Alpha MC-9 Series Mobile C-Arm Image Intensified Unit,
                  used for fluoroscopy with spot x-ray film capacity. 
                  Recall #Z-613-0.
Code:             Serial numbers:  MC7719, MC7721, MC7717, MC7711, MC7718,
                  MK7722, MC7724, MC8314. 
Manufacturer:     Instrumentarium Imaging, Inc., Milwaukee, Wisconsin.
Recalled by:      Manufacturer.  FDA approved the firm's corrective action
                  plan March 20, 1990.  Firm-initiated field correction 
                  ongoing.
Distribution:     Pennsylvania, Ohio, Kentucky, Delaware, Michigan. 
Quantity:         8 units were distributed. 

                                      -4- 





Reason:           Noncompliance with the Performance Standard for X-Ray 
                  Products 21 CFR 1020.31 (g)(l) "Field limitation and
                  alignment for spot-film devices."  The field size was 
                  not maintained when switching from fluoroscopy to 
                  radiography.

                                      ----

Product:          Alpha MC-9R C-Arm Image Intensified Unit, used for
                  job shop application for cutting prototype parts, 
                  primarily automotive.  Recall #Z-614-0. 
Code:             Serial number MC8314. 
Manufacturer:     Instrumentarium Imaging, Inc., Milwaukee, Wisconsin.
Recalled by:      Manufacturer.  FDA approved the firm's corrective action
                  plan March 30, 1990.  Firm-initiated field correction 
                  ongoing.
Distribution:     Michigan. 
Quantity:         1 unit was distributed. 
Reason:           Noncompliance with the performance standard for x-ray 
                  products.  The area of noncompliance include performance
                  specifications corresponding to mA and kV not meet the
                  accuracy statement at various kV settings.

                                      ----

Product:          Fisher Diagnostics Sera Chem Clinical Chemistry 
                  Control Serum (Bovine) Unassayed Level II, used as a
                  reference sample, intended to be used as if it were a 
                  clinical specimen (a positive control), intended for
                  estimating the precision and analytical bias in 
                  equipment used in the determination of a number of
                  clinical analysis.  Recall #Z-615-0.
Code:             Catalog #3111-84, Lot #N1280799 EXP 8/1/91. 
Manufacturer:     Instrumentation Laboratory, Division of Fisher
                  Scientific Company, Inc., Orangeburg, New York. 
Recalled by:      Manufacturer, by letter November 8, 1989.  Firm-initiated 
                  recall ongoing. 
Distribution:     Texas, Washington state, Tennessee, New Jersey, New York, 
                  Pennsylvania, California. 
Quantity:         1,027 packages were distributed.
Reason:           The product does not meet the label claim of 48 hours 
                  stability for Creatine Kinase (CK). 

                                      ----

Product:          3M PI-55 Urological 4.8 mm Surgical Staples, for use
                  in the creation of a continent ideal reservoir (Kock
                  Pouch) for urinary bladder replacement.  Recall #Z-616-0. 
Code:             JUL 89 104 89601. 
Manufacturer:     3M Edumex, Juarez, Mexico.
Recalled by:      3M Medical-Surgical Division, St. Paul, Minnesota, by 
                  telephone beginning April 4, 1990.  Firm-initiated
                  recall complete.

                                      -5- 





Distribution:     North Carolina, Illinois, Texas, California.
Quantity:         13 boxes of 12 individually-packaged staple cartridges
                  per box were distributed. 
Reason:           The staples were removed from the wrong end of the cartridge, 
                  which has differentiated ends because a hole for the
                  locking pin is in one end.

                                      ----

Product:          Medtronic Cardiac Sling, Model 7703PE, used during
                  cardiopulmonary bypass to hold the heart in an elevated 
                  position.  Recall #Z-626-0. 
Code:             Lot #PE89051140.
Manufacturer:     Wilshire Foam Products, Inc., Carson, California. 
Recalled by:      Medtronic, Inc., Fridley, Minnesota, by visit during
                  July 1989.  Firm-initiated recall complete. 
Distribution:     Wisconsin, Missouri.
Quantity:         20 units were distributed.
Reason:           The cardiac sling may shed fibers of polyurethane material
                  into the surgical wound due to improper die cutting of
                  the holes in the sling body.

                                      ----

Product:          Zenith-Cox Flexion Chiropractic Tables: 
                  (a) Model 90 (fixed height table);
                  (b) Model 95 (variable  height table).  Recall #Z-627/628-0.
Code:             Consecutive serial numbers 60454 through 62038, all units 
                  built between June 1988 and April 1989. 
Manufacturer:     Williams Manufacturing Company, Elgin, Illinois.
Recalled by:      Manufacturer, by letter April 17 and 23, 1990.
                  Firm-initiated field correction ongoing.
Distribution:     Nationwide and international. 
Quantity:         (a) 70 tables; (b) 298 tables were distributed; firm
                  estimates 90 percent remains on market. 
Reason:           One or more bolts in the caudal support linkage may 
                  work out during use, causing the caudal section of the
                  table to suddenly drop to the floor.

                                      ----

                  Class III - 

Product:          Dental Implant Impression Post, a component of the
                  Interpore IMZ Osteointegrated Implant System, used for
                  making dental fitting impressions.  Recall #Z-625-0.
Code:             Catalog #8425, lot #9281. 
Manufacturer:     Eberle Medizin, Technische Elemente GMBH, Wermberg, 
                  West Germany. 
Recalled by:      Interpore International, Irvine, California, by telephone 
                  November 8, 1989 followed by letter November 20, 1989.
                  Firm-initiated recall ongoing.
Distribution:     California, Florida, Ohio, Oregon.
Quantity:         17 posts were distributed.

                                      -6- 





Reason:           Size 3.3 x 2 mm posts were erroneously packaged and 
                  labeled as size 4.0 x 2 mm posts. 

                                      ----

Product:          Gas Cylinders for CDI Model 520 Calibrator, used to 
                  calibrate the CDI Model 200 and Model 300 Extracorporeal
                  Blood Gas Monitors: 
                  (a) CDI Gas I/Gas 1, Model No. 7210 Components
                  Concentration Contents 30.25 liters;
                  (b) CDI Gas II, Model No. 7240 Components Concentration 
                  Contents 30.25 liters.  Recall #Z-633/634-0.
Code:             Lot numbers:  (a) 013509, 033399, 053419, 080100, 120170, 
                  153629; (b) 010050, 020240, 053479, 060040, 083399. 
Manufacturer:     Chilton Metals, Chilton, Wisconsin. 
Recalled by:      CDI/3M Health Care, Irvine, California, by letter March 15, 
                  1990.  Firm-initiated recall ongoing. 
Distribution:     Nationwide and international. 
Quantity:         1,573 cylinders were distributed. 
Reason:           The threads on the devices were not compatible with 
                  the threads on the CDI Model 520 Calibrator causing gas 
                  leakage which may result in miscalibration of the monitors. 

                                      ----

                              VETERINARY PRODUCTS 

                  Class I - 
                                      NONE

                  Class II -

Product:          MVI Lincomycin Premix for Swine and Chickens, 10 grams
                  per pound, in 50 pound bags.  Recall #V-043-0.
Code:             All lots. 
Manufacturer:     Mountaire Vitamins, Inc., North Little Rock, Arkansas.
Recalled by:      Manufacturer, by letter February 19, 1990.  Firm- 
                  initiated field correction complete.
Distribution:     Texas, Georgia. 
Quantity:         Firm estimated 20 bags remained on market.
Reason:           The product label failed to contain the required
                  warning and caution statements regarding the six-day
                  pre-slaughter withdrawal period, guaranteed analysis, 
                  and directions for use. 

                                      ----

                  Class III - 

Product:          Dexamethasone Tablets, USP, 0.25 mg, in 1,000 tablet
                  bottles, a veterinary Rx drug indicated for use as an 
                  anti-inflammatory agent in cats and dogs, under the 
                  following labels: Osborn Essar Corporation, Phoenix 
                  Pharmaceutical, Professional veterinary Labs, VEDCO,

                                      -7- 





                  Tech America, Central Vet Supply, The Butler Company. 
                  Recall #V-044-0.
Code:             Lot numbers: 206-138, 206-140, 206-141, 206-142,
                  206-143, 206-144, 206-146, 206-153. 
Manufacturer:     Sanofi Animal Health, Inc., La Seur, Minnesota. 
Recalled by:      Sanofi Animal Health, Inc., Ft. Dodge, Iowa, by letter
                  April 20, 1990.  Firm-initiated recall ongoing. 
Distribution:     Nationwide, Canada. 
Quantity:         12,300 bottles were distributed.
Reason:           Lots 146 and 153 are superpotent.  The rest are subpotent.

                                      ----

Medical Device Safety Alerts: 

Product:          Digit, Ear, and Flexible Sensors used with the LIFESTAT 
                  1600 pulse oximeter:
                  (a) Digit sensor, Part No. 804343-00; 
                  (b) Ear Sensor, Part No. 804582-00; 
                  (c) Flexible Sensors (adult, pediatric, infant and
                  neonate), Part numbers 804554-00, 804635-00,
                  804634-00, 804633-00.  Safety Alert #M-048/050-0. 
Code:             All sizes.  These assemblies are not serialized.
Manufacturer:     Physio Control Corporation, Redmond, Washington (digit
                  sensors); Honeywell Corporation, Juarez, Mexico (all
                  other sensors). 
Alerted by:       Physio Control Corporation, Redmond, Washington, by 
                  letter April 16, 1990.
Distribution:     Nationwide and international. 
Quantity:         5,362 (finger/hand); 1,817 (ear/hand); 6,285 (adult/flex);
                  4,523 (pediatric/flex); 1,107 (infant/flex); 2,998
                  (neonate/flex) sensors were distributed.
Reason:           When a Physio-Control sensor is used with Ohmeda pulse
                  oximeter models 3700, 3710, 3740, patient burns may occur 
                  at the sensor site.