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
03/27/1990    

FDA Enforcement for the week of March 28, 1990



                            FDA ENFORCEMENT REPORT
                              FOR MARCH 28, 1990

                                                               March 28, 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.


Product:          AJO Natural Garlic-In-Oil, in 8 ounce bottles.
                  Recall #F-449-0.
Code:             Not coded -- 10/2/89, manufacturing date stamped on 
                  outer carton. 
Manufacturer:     Productos Don Julio, Inc., Ponce, Puerto Rico 
Recalled by:      Manufacturer, by telephone February 2, 1990 and by
                  FDA press release February 22, 1990.  Firm-initiated
                  recall ongoing. 

                                      -1- 





Distribution:     Puerto Rico.
Quantity:         50 cases (20 jars/case) were distributed. 
Reason:           Potential for the development of Clostridium Botulinum
                  toxin.
                                     ---- 

                  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. 


                                   COSMETICS

                                     NONE 

                           HUMAN DRUGS AND BIOLOGICS


                  Class I - 
                                     NONE 

                  Class II -

Product:          Epinephrine Mist, 1/2 ounce (15 cc) size, an OTC
                  inhalation aerosol bronchodilator for the relief of 
                  bronchial asthma under the Barre-National, Eckerd Drug, 
                  Laverdiere's Super Drug, Longs Drug Stores, Peoples 
                  Drug Stores, Perry Distributing Inc., Pic N Save Drugs, 
                  Revco, Rite Aid, Rugby Labs Inc., Thrift Drug Company,
                  Thrifty Corporation, and Walgreen Co. labels. 
                  Recall #D-172-0.
Code:             82003, 82004, 82060, 82127, 82128, 82175, 82176, 82282, 
                  82284, 82359, 82521, 82622, 82623, 82624, 82625, 92014, 
                  92135, 92136, 92218, 92219, 92220, 92295, 92340, 92341. 
Manufacturer:     Barre-National, Inc., Baltimore, Maryland.
Recalled by:      Manufacturer, by letters December 4 and 8, 1989.
                  Firm-initiated recall ongoing.
Distribution:     Nationwide. 
Quantity:         1,126,392 units were distributed. 
Reason:           Potency not assured through expiration date.

                                     ---- 


                                      -2- 





Product:          Indomethacin Capsules USP 25 mg and 50 mg., an Rx 
                  non-steroidal anti-inflammatory packaged in bottles of
                  100, 500 and 1,000 capsules under the Bioline, Goldline,
                  Schein, and Superpharm labels.  Recall #D-173/174-0.
Code:             All lots. 
Manufacturer:     Superpharm Corporation, Bayshore, New York. 
Recalled by:      Manufacturer, by letter February 1, 1990.  Firm-initiated 
                  recall ongoing. 
Distribution:     New York, California, Connecticut, Florida, Ohio, Texas.
Quantity:         4,200,000/25 ml bottles and 1,700,000/50 ml bottles were
                  distributed.
Reason:           Lack of assurance of bioequivalency and Abbreviated New 
                  Drug Application discrepancies. 

                                     ---- 

Product:          OTC antacid oral suspension with 200 mg magnesium 
                  hydroxide and 225 mg aluminum hydroxide in 12 ounce 
                  bottles, used for the relief of heart burn, acid
                  indigestion, sour stomach and upset stomach, under the
                  Geneva Generics and RIJ Pharmaceutical labels.
                  Recall #D-176-0.
Code:             Lot #90609. 
Manufacturer:     RIJ Pharmaceutical Corporation, Chester, New York.
Recalled by:      Manufacturer, by telephone February 7, 1990.  Firm- 
                  initiated recall ongoing. 
Distribution:     Tennessee, Georgia, Massachusetts, Rhode Island.
Quantity:         Firm estimates less than 1 percent remains on market. 
Reason:           Bacterial contamination.

                                     ---- 

Product:          Triamterene/Hydrochlorothiazide Tablets, 75 mg/50 mg, in
                  bottles of 100, 500, and 1,000, an Rx diuretic used for 
                  the treatment of hypertension, under the American 
                  Therapeutics, Best Generics, Bioline Laboratories,
                  Goldline Laboratories, Harbor Pharmaceutical and
                  Kaiser Foundation Hospital labels.  Recall #D-177-0.
Code:             Lot numbers:  805134 EXP. 5/90,   812380 exp. 12/90 
                                810288      10/90   812381      12/90 
                                810289      10/90   812388      12/90 
                                811326      11/90   901031      1/91
                                812359      12/90   901032      1/91
                                812360      12/90   903062      3/91
                                812361      12/90   903063      3/91
                                812362      12/90   903064      3/91. 
Manufacturer:     American Therapeutics, Inc., Bohemia, New York. 
Recalled by:      Manufacturer, by letter February 6-8, 1990.  Firm-initiated 
                  recall ongoing. 
Distribution:     California, Connecticut, Florida, Georgia, Kentucky,
                  Louisiana, Massachusetts, Maryland, Missouri, Mississippi,
                  North Carolina, New Jersey, New York, Ohio, Pennsylvania, 
                  Tennessee, Virginia.

                                      -3- 





Quantity:         16 lots each consisting of 1,000,000 tablets were 
                  distributed;
                  firm estimates 1.6 million tablets remain on the market.
Reason:           Product failed dissolution testing. 

                                     ---- 

Product:          (a) Platelets; (b) Recovered Plasma.  Recall #B-052/053-0.
Code:             Unit numbers: 65299, 68163; (b) 63238, 63534, 65200,
                  65299, 65947, 66163.
Manufacturer:     St. Mary's Regional Hospital Blood Bank, Grand Junction,
                  Colorado. 
Recalled by:      Manufacturer, by telephone June 29, 1989 followed by
                  letter June 30, 1989.  Firm-initiated recall ongoing. 
Distribution:     Colorado. 
Quantity:         (a) 2 units; (b) 6 units were distributed;
Reason:           Units which tested repeatably reactive for: 1)
                  the antibody to the human immunodeficiency virus
                  (anti-HIV-1); 2) hepatitis B surface antigen (HBsAg); the 
                  antibody to the human immunodeficiency virus (anti-HIV-1) 
                  or were drawn from an ineligible donor based on previous
                  anti-HIV-1 test results were distributed. 

                                     ---- 

Product:          (a) Red Blood Cells; (b) Platelets; (c) Fresh Frozen
                  Plasma; (d) Recovered Plasma.  Recall #B-089/092-0. 
Code:             Unit numbers: (a) 80285, 80304, 80316, 80594, 80612, 80693, 
                  80980, 80984, 80994, 82038, 82040, 82150, 82162, 82178, 
                  82184, 82185, 82193, 82194, 92199, 82201, 82209, 82539, 
                  82553, 82554, 82565, 82567, 82573, 82574; 
                  (b) 80612; (c) 80594, 80612; (d) 80285, 80316, 80693, 80725.
Manufacturer:     Blood Bank of Alaska, Anchorage, Alaska.
Recalled by:      Manufacturer, by telephone October 25, 1989 followed by 
                  letter October 31, 1989.  Firm-initiated recall ongoing.
Distribution:     Alaska, California, Florida.
Quantity:         (a) 28 units; (b) 1 unit; (c) 2 units; (d) 4 units
                  were distributed. 
Reason:           Blood products which tested for the antibody to the human 
                  immunodeficiency virus (anti-HIV-1) in a manner inconsistent
                  with the manufacturer's test kit instructions were
                  distributed.
                                     ---- 

                  Class III - 

Product:          Inulin and Sodium Chloride Injection, USP, in 50 ml vials,
                  an Rx drug administered intravenously as a sterile, non-
                  pyrogenic solution and used as a diagnostic agent to
                  measure kidney glomerular filtration.  Recall #D-175-0. 
Code:             Lot 58803 EXP 3/90. 
Manufacturer:     Taylor Pharmacal Company, Decatur, Illinois.
Recalled by:      Iso-Tex Diagnostics, Inc., Friendswood, Texas, by telephone 
                  February 20-21, 1990.  Firm-initiated recall ongoing. 

                                      -4- 





Distribution:     Nationwide, Canada. 
Quantity:         2,059 vials were distributed; firm estimates 240 vials
                  remain on market. 
Reason:           Free fructose exceeds USP limit.

                                     ---- 

Product:          Lariam (Mefloquine Hydrochloride) Tablets, 250 mg, in 
                  unit dose aluminum foil strips in cartons containing 25 
                  tablets, a newly approved Rx antimalarial agent.
                  Recall #D-178-0.
Code:             0001 EXP 9/1/92.
Manufacturer:     F. Hoffmann-LaRoche & Co., Ltd., Basle, Switzerland.
Recalled by:      Roche Laboratories, Nutley, New Jersey, by telephone
                  February 28, 1990 and March 1-2, 1990 followed by letter
                  March 3 and 6, 1990.  Firm-initiated recall ongoing.
Distribution:     Nationwide. 
Quantity:         1,859 (25 unit dose foil packs each) were distributed.
Reason:           Packaging defect -- Some unit dose blisters contain two 
                  tablets instead of one tablet.

                                     ---- 

Product:          Moisturel Cream, in 4 ounce and 16 ounce jars, an OTC drug
                  to be applied to the skin for generalized dry skin. 
                  Recall #D-179-0.
Code:             Lot numbers 95A011 through 95A056 and 95B001 through
                  95B046. 
Manufacturer:     Westwood Pharmaceuticals, Inc., Buffalo, New York.
Recalled by:      Manufacturer, by telephone January 30, 1990 followed by 
                  letter.  Firm-initiated recall ongoing. 
Distribution:     Nationwide. 
Quantity:         549,036 jars were distributed; firm estimates 60,000
                  jars remain on market.
Reason:           Preservative system may not be effective during use 
                  of product. 
                                     ---- 

Product:          Recovered Plasma.  Recall #B-054-0. 
Code:             Unit #66709, 66985. 
Manufacturer:     St. Mary's Regional Hospital Blood Bank, Grand Junction,
                  Colorado. 
Recalled by:      Manufacturer, by telephone June 29, 1989 followed by
                  letter June 30, 1989.  Firm-initiated recall ongoing. 
Distribution:     Colorado. 
Quantity:         2 units were distributed. 
Reason:           Recovered Plasma was distributed which tested repeatably
                  reactive for the antibody to the human T-lymphotropic 
                  virus (anti-HTLV-I).

                                     ---- 

                                      -5- 





Product:          (a) Whole Blood; (b) Red Blood Cells; (c) Platelets;
                  (d) Fresh Frozen Plasma; (e) Recovered Plasma.
                  Recall #B-093/097-0.
Code:             All blood components drawn from July 18, 1989 through 
                  October 24, 1989. Unit numbers 80096 through 83891, 
                  inclusive except those listed in Recall #B-089/092-0. 
Manufacturer:     Blood Bank of Alaska, Anchorage, Alaska.
Recalled by:      Manufacturer, by telephone October 25, 1989 followed by 
                  letter October 31, 1989.  Firm-initiated recall ongoing.
Distribution:     Alaska, California, Tennessee, Florida, Indiana.
Quantity:         (a) 74 units; (b) 3,352 units; (c) 893 units; 
                  (d) 188; (e) 577 units were distributed.
Reason:           Blood products were distributed which were not tested in
                  accordance with the manufacturer's test kit instructions. 

                                     ---- 

                         MEDICAL DEVICES AND RADIOLOGY

                  Class I - 

Product:          Life Design Systems (LDS) Pulmanex Adult and Pediatric sized
                  Manual Resuscitators, non-sterile, single-patient use 
                  devices used to resuscitate patients in emergency situations. 
                  Recall #Z-441/442-0.
Code:             All model numbers beginning with 90, 91, 95, and 96 and 
                  ending with 0, 1, 2 or 3 after the hyphen.  For example 
                  LDS-9000-52, LDS-9102-1 and LDS-9550-473; lot numbers 
                  9321 through 9361, manufactured November 17, 1989 
                  through December 27, 1989.
Manufacturer:     Life Design Systems, Inc., Carrollton, Texas. 
Recalled by:      Manufacturer, by telephone followed by letter January 17
                  and 22, 1990.  Firm-initiated recall ongoing. 
Distribution:     Nationwide, Canada. 
Quantity:         38,000 units were distributed; firm estimates 22,000
                  units remain on market. 
Reason:           The rear intake valve may dislodge preventing the 
                  unit from delivering air or oxygen to the patient.

                                     ---- 

                  Class II -

Product:          Model 400 Airway Pressure Monitor (APM), used as a
                  back-up monitor with infant ventilators.  Recall #Z-449-0.
Code:             Serial numbers: 1704, 1763, 1776, 1795, 1797, 1804, 1805, 
                  1817, 1819, 1825 through 1842, 1854 through 1868, 1870
                  through 1899, 1900 through 1903, 1905 through 1945, 1947
                  through 1953, 1955 through 1995, 1997 through 1999, 2000
                  through 2003. 
Manufacturer:     Arium Corporation, Anaheim, California. 

                                      -6- 





Recalled by:      Sechrist Industries, Inc., Anaheim, California, by
                  letter January 29, 1990.  Firm-initiated recall ongoing.
Distribution:     Alabama, California, Florida, Iowa, Indiana, Kentucky,
                  Louisiana, Massachusetts, Minnesota, Missouri, North
                  Carolina, New Jersey, New York, Ohio, Pennsylvania, 
                  Tennessee, Texas, Utah, Virginia, Canada, Chile, Japan, 
                  Korea, Israel, Malaysia, Singapore. 
Quantity:         171 units were distributed. 
Reason:           The APM's enunciator (alarm buzzer) is defective, and 
                  can fail. 
                                     ---- 

Product:          Mavig "Overhead Counter Poise System" sold as an option 
                  to Medrad Suspension System.  Recall #Z-450-0.
Code:             No serial numbers or model numbers on the overhead
                  ceiling support fixture.  All units having a Medrad 
                  injector head on a Mavig suspension system are under recall.
Manufacturer:     F. Walter Hanel, Munich, West Germany.
Recalled by:      Mavig of America, Torrington, Connecticut, by letter
                  dated 1/90 and January 1, 1990.  Firm-initiated field 
                  correction by hospital or Medrad, Inc using retrofit kit
                  supplied by Mavig ongoing.
Distribution:     Nationwide, Holland.
Quantity:         142 systems were distributed. 
Reason:           The ceiling support fixture and/or suspension arm mounting
                  pin may break causing the suspension arm and injector to
                  fall. 
                                     ---- 

Product:          (a) Fisher & Paykel Model #900MR523 High Frequency
                  Heater Wire (Infrasonics Part #501280). 
                  (b) High Frequency Breathing Circuit with a Fisher &
                  Paykel Model No. 900MR523 Heating Wire included 
                  (Infrasonics part #501023).  Products are intended to 
                  heat gases flowing to the patient.  Recall #Z-451/452-0.
Code:             All lots. 
Manufacturer:     Fisher & Paykel, Healthcare Division, Fisher & Paykel 
                  Electronics, Ltd., Auckland, New Zealand. 
Recalled by:      Infrasonics, Inc., San Diego, California, by letter 
                  August 21-22, 1989 and September 13, 1989.  Firm-initiated
                  recall ongoing. 
Distribution:     Alabama, California, Florida, Georgia, Illinois, Kansas,
                  Kentucky, Louisiana, Massachusetts, Maryland, New York, 
                  Ohio, Oklahoma, Pennsylvania, Texas, Utah and 
                  international.
Quantity:         390 heater wire assemblies were distributed.
Reason:           The devices contain defective wiring which may short
                  circuit and cause a fire and possible injury to the 
                  patient.
                                     ---- 

                                      -7- 





Product:          Industrial X-Ray Systems (Diffractometers).  Recall #Z-453-0. 
Code:             Shutter unit 20, catalog #D461, D/MAX Controller catalog
                  #D5072 or remote shutter switch catalog #D4610RI. 
Manufacturer:     Rigaku/USA, Inc., Danvers, Massachusetts. 
Recalled by:      Manufacturer.  FDA approved the firm's corrective action
                  plan February 13, 1990.  Firm-initiated field correction
                  ongoing.
Distribution:     Nationwide. 
Quantity:         44 units were distributed.
Reason:           Noncompliance with the Radiation Control for Health and 
                  Safety Act in that the device may emit electronic product 
                  radiation unnecessary to the accomplishment of its primary
                  purpose.

                                     ---- 

Product:          Duocon I Collimator (for Veterinary use only reinstalled on 
                  an X-Ray System for human use).  Recall #Z-445-0. 
Code:             Serial #01-9-4 4215.
Manufacturer:     Delta X-Ray, Oklahoma City, Oklahoma. 
Recalled by:      Manufacturer.    FDA approved the firm's corrective action
                  plan February 5, 1990.  Firm-initiated field correction 
                  complete. 
Distribution:     Oklahoma. 
Quantity:         1 unit was distributed. 
Reason:           Noncompliance with the Radiation Control for Health and 
                  Safety Act in that the firm installed the collimator
                  intended for veterinary use in a mixed certified and
                  non-certified x-ray system for human use. 

                                     ---- 

Product:          60 Well Reaction Trays, commodity #93-8566, an
                  accessory item used with Abbott's EIA Bead Assay In-vitro 
                  Diagnostic Kits.  Recall #Z-456-0.
Code:             Products marked with mold #93-0981 with lot numbers:
                  911C, 057D, 065D. 
Manufacturer:     Courtesy Med Tech, Wheeling, Illinois.
Recalled by:      Abbott Laboratories, Diagnostics Division, Abbott Park, 
                  Illinois, by telephone February 14, 1990 and by letters 
                  February 14-15, 1990. 
                  Firm-initiated recall ongoing.
Distribution:     Nationwide, Canada, Japan, Korea. 
Quantity:         49,120 trays were distributed; FDA estimates 50 percent 
                  remains on market.
Reason:           Some wells of this tray mold number have been found to
                  cause increased absorbency values with Abbott Corzyme 
                  EIA (LN 9977), Auszyme Monoclonal (LN 1980), and
                  Auszyme IV (LN 3198) assays.  This creates a potential
                  for false negative test results on Corzyme, and increased 
                  reactive rates on Auszyme Monoclonal and Auszyme IV.

                                     ---- 

                                      -8- 





                  Class III - 

Product:          Hydron (Polymacon) Echelon Bifocal Hydrophilic Contact
                  Lenses for Daily Wear.  Recall #Z-454-0.
Code:             Lot #904905B. 
Manufacturer:     Allergan Optical, Santa Isabel, Puerto Rico.
Recalled by:      Allergan Optical, Inc., Woodbury, New York, by
                  telephone on or about November 20, 1989 followed
                  by letter February 1, 1990 to French consignee. 
                  Firm-initiated recall ongoing.
Distribution:     California, New York, Canada, The Netherlands, France,
                  Australia.
Quantity:         302 contact lenses were distributed.
Reason:           The device label indicates a sphere power of + 3.00 
                  Diopters but the actual measurement of sphere power is
                  - 3.00 Diopters.

                                     ---- 

Product:          600 CT and 1200 CT Scanner.  Recall #Z-447/448-0. 
Code:             600 CT and 1200 CT Scanners.
Manufacturer:     Picker International, Inc., Highland Heights, Ohio. 
Recalled by:      Manufacturer.  FDA approved the firm's corrective action
                  plan January 9, 1990.  Firm-initiated recall ongoing. 
Distribution:     Nationwide. 
Quantity:         690 units were distributed. 
Reason:           Noncompliance with performance standard for laser products
                  in that the test data indicated that CTDI values published
                  by the firm were noncompliant with the measured values also 
                  the normalization values for changes in the slice thickness 
                  were noncompliant.

                                     ---- 

                              VETERINARY PRODUCTS 

                                     NONE