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
05/19/1993

Recalls and Field Corrections:  Foods -- Class I -- 05/19/1993

May 19, 1993                                               93-20

RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS I
________________
PRODUCT         Chunk Light Tuna and Solid White Tuna, in 6-1/8 ounce metal
                cans, in shrink wrapped packages of 4, 6, or 8 cans. 
                Recall #F-227-3.
CODE            All lots shrink wrapped by Westgate Packaging and Storage
                Company.
MANUFACTURER    Westgate Packaging and Storage Company, Long Beach,
                California (repacker).
RECALLED BY     Van Camp Seafood Company, Inc., San Diego, California, by
                telephone February 11, 1993.  Firm-initiated recall
                complete.
DISTRIBUTION    Washington state, Oregon, Alaska, Montana, California,
                Nevada, Hawaii, Idaho, Utah.
QUANTITY        518,063 cases were distributed.
REASON          Product in punctured or cut cans has the potential to
                become contaminated with Clostridium botulinum bacteria or
                spores with subsequent production of neurotoxin.
_______________
PRODUCT         Mrs. Grissom's Salads ready to eat cheese products,
                packaged in clear rigid plastic tubs:  (a) Cheese Spread,
                in 7 ounce, 12 ounce and 24 ounce tubs; (b) Chunky Cheese
                Spread, in 12 ounce tubs.  Recall #F-270/271-3.
CODE            May 1 and May 9.
MANUFACTURER    Mrs. Grissom's Salads, Inc., Nashville, Tennessee.
RECALLED BY     Manufacturer, by notice distributed March 4 and 24, 1993. 
                Firm-initiated recall complete.
DISTRIBUTION    Alabama, Illinois, Indiana, Kentucky, Mississippi,
                Tennessee.
QUANTITY        (a) 6,920 7-ounce tubs, 4,079 12-ounce tubs, 1,409 24-ounce
                tubs; (b) 4,785 12-ounce tubs were distributed; firm
                estimates none remains on the market.
REASON          Product is contaminated with Listeria monocytogenes.

_______________
PRODUCT         New Zealand Turner brand vacuum packed Smoked Mussels in
                plastic pouches (a) 8 ounces; (b) 4 ounces; (c) Frozen Half
                Shell New Zealand Green Shell Mussels in bulk cases. 
                Recall #F-286/288-3.
CODE            All lots.
MANUFACTURER    Kiwi Mussels Ltd., Nelson, New Zealand.
RECALLED BY     Turner Seafood International, Inc., Newport Beach,
                California, by telephone on or about December 28, 1992, and
                extended by letters on February 4 and 24, 1993.  Firm-
                initiated recall complete.
DISTRIBUTION    California, Colorado, Florida, Georgia, Illinois, Kansas,
                Maryland, Maine, Michigan, North Carolina, Nevada,
                Oklahoma, Oregon, Pennsylvania, Texas, Utah.
QUANTITY        309 cases were distributed; firm estimates none remains on
                the market.
REASON          Product is contaminated with Listeria monocytogenes.

_______________
PRODUCT         Fresh Crabmeat in  16 ounce plastic cups:  (a) Jumbo Lump
                Crabmeat; (b) Special Crabmeat; (c) Claw Crabmeat.
                Recall #F-320/322-3.
CODE            None.
MANUFACTURER    NTT Seafood, Inc., Southport, Florida.
RECALLED BY     Manufacturer, by telephone March 15, 1993, and by letter
                March 16, 1993.  Firm-initiated recall complete.
DISTRIBUTION    Florida.
QUANTITY        (a) 120 pounds; (b) 252 pounds; (c) 22 pounds were
                distributed.
REASON          Product is contaminated with Listeria monocytogenes.

_______________
PRODUCT         Enteral feeding formulations with color-check (blue and
                orange) and ultralan (regular no color) used as complete
                nutrition supplements, packaged in 1 liter bottles:

                                    -2-                (a) Isolan Medical Food;
                (b) Introlan Medical Food;
                (c) Nitrolan Medical Food
                (d) Fiberlan Medical Food
                (e) Isolan Blue Medical Food
                (f) Introlan Blue Medical Food
                (g) Nitrolan Blue Medical Food
                (h) Fiberlan Blue Medical Food
                (i) Ultralan Blue Medical Food
                (j) Isolan Orange Medical Food
                (k) Introlan Orange Medical Food
                (l) Nitrolan  Orange Medical Food
                (m) Fiberlan Orange Medical Food
                (n) Ultralan Orange Medical Food
                (o) Ultralan Medical Food.  Recall #F-323/337-3.
CODE            All lots.
MANUFACTURER    Imperial Flavours, Inc., Ontario, Canada.
RECALLED BY     Elan Pharma (MA), Inc., Cambridge, Massachusetts, by letter
                March 4 & 11, 1993.  Firm-initiated recall ongoing.
DISTRIBUTION    California, Michigan, Minnesota, Maryland, Pennsylvania,
                North Carolina, Rhode Island, Washington state, New York,
                Massachusetts, Connecticut, New Hampshire.
QUANTITY        (a-d) 78,976 cases (6 bottles per case); (e-n) 5,937 cases
                (6 bottles per case); (o) 5,630 cases (6 bottles per case)
                were distributed; firm estimates 10-30 percent of these
                amounts remains on the market.
REASON          Products are superpotent in potassium content.

_______________
PRODUCT         Swedish Fontina Cheese, 1 cheese wheel, approximately 12
                pounds coated in red wax per case.  Recall #F-339-3.
CODE            920817, 920627, 92415, 92042.
MANUFACTURER    Gallstad Dairy, Gallstad, Sweden.
RECALLED BY     A.V. Ollson Trading Company, Inc., Greenwich, Connecticut,
                by letters of April 6 and 7, 1993.  Firm-initiated recall
                ongoing.
DISTRIBUTION    Nationwide.
QUANTITY        7,090 cases were distributed.
REASON          Product is contaminated with Listeria monocytogenes.

_______________
PRODUCT         Smoked, sliced Nova Salmon and Nova Chips, sliced-smoked. 
                Recall #F-340/341-3.
CODE            Case coded "2", which indicates week of manufacture with
                the firm's fiscal year that begins in February.
MANUFACTURER    Springfield Smoked Fish Company, Inc., Springfield,
                Massachusetts.
RECALLED BY     Manufacturer, by letter on 4/1/93.  Firm-initiated recall
                ongoing.
DISTRIBUTION    Eastern United States including Massachusetts, Connecticut,
                New York, New Jersey, Ohio, Florida.

                                    -3-QUANTITY        624 pounds were distributed.
REASON          Product is contaminated with Listeria monocytogenes.

_______________
PRODUCT         Individually Cooked Quick Frozen Shrimp in various package
                sizes, under the following labels:  Brilliant Family Pack,
                Meijer Cookes Salad Shrimp and A & P Peeled and Cleaned
                Cooked Shrimp.  Recall #F-342-3.
CODE            Date codes NE2032N through NE3502N.
MANUFACTURER    New England Shrimp Company, Ayer, Massachusetts.
RECALLED BY     Manufacturer, by letter January 29, 1993.  Firm-initiated
                recall ongoing.
DISTRIBUTION    Nationwide.
QUANTITY        50,272 cases were distributed.
REASON          Product is contaminated with Listeria monocytogenes.


RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS II
________________
PRODUCT         Kool-Aid Koolbursts Soft Drink, orange flavor, in 6.75
                fluid ounce plastic squeeze bottles.  Recall #F-319-3.
CODE            Lot numbers:  2288W, 2289W, 2290W (first 5 characters on
                carton code), case code date 42/92 (last 4 characters on
                case).
MANUFACTURER    Kraft General Foods, Inc., General Foods USA, Winchester,
                Virginia.
RECALLED BY     Kraft General Foods, Inc., Glenview, Illinois, by letter
                April 23, 1993.  Firm-initiated recall ongoing.
DISTRIBUTION    Alabama, Louisiana, North Carolina, South Carolina,
                Florida, Georgia, Tennessee, Mississippi, Virginia.
QUANTITY        5,857 cases (6 bottles per case) were distributed; firm
                estimates 40 percent of the product remains on the market.
REASON          Product is contaminated with copper.

_______________
PRODUCT         Harrisburg Dairies brand Lemon Tea Cooler, in 1 gallon
                plastic containers, half-gallon and pint paper cartons. 
                Recall #F-338-3.
CODE            All product manufactured before 4/15/93.
MANUFACTURER    Harrisburg Dairies, Inc., Harrisburg, Pennsylvania.
RECALLED BY     Manufacturer, by letter dated April 16, 1993, and by visits
                on April 19-20, 1993.  Firm-initiated recall ongoing.
DISTRIBUTION    Pennsylvania.
QUANTITY        Firm estimates none remains on the market.
REASON          Product contains undeclared FD&C Yellow No. 5.


RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS III
________________
PRODUCT         Trail Mix, Recall #F-314-3.
CODE            Uncoded.  All product is under recall.

                                    -4-MANUFACTURER    California Products of New Jersey, East Brunswick, New
                Jersey.
RECALLED BY     Manufacturer, by visit.  Firm-initiated recall complete.
DISTRIBUTION    New York.
QUANTITY        320 2.5-ounce bags.
REASON          Product contains sulfites that are not declared on the
                label.

________________
PRODUCT         Light n' Lively Dipped Vanilla Frozen Dessert Bars, 12 bars
                (1.75 fluid ounces each) per carton.  Recall #F-318-3.
CODE            All lots.
MANUFACTURER    Kraft General Foods Frozen Products, Avon, New York.
RECALLED BY     Kraft General Foods, Inc., Glenview, Illinois, by letter
                April 14, 1993.  Firm-initiated recall ongoing.
DISTRIBUTION    Vermont, Maine, New York, Massachusetts, Pennsylvania, New
                Jersey.
QUANTITY        7,865 cases were distributed; firm estimates that 50
                percent of the product remains on the market.
REASON          Product labeled as nonfat when it contains 6 percent fat.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS II
________________
PRODUCT         Kapseals Dilantin (Phenytoin Sodium) with 1/4 gr
                Phenobarbital, in 100 and 1,000 capsule bottles, 16 mg;
                (b) Kapseals Dilantin (Phenytoin Sodium) with 1/2 gr
                Phenobarbital, in 100 and 1,000 capsule bottles, 32 mg.
                Recall #D-265/266-3.
CODE            All lots.
MANUFACTURER    Warner-Lambert Company, Lititz, Pennsylvania.
RECALLED BY     Warner-Lambert Company, Morris Plains, New Jersey, by
                letter January 25, 1993.  Firm-initiated recall complete.
DISTRIBUTION    Nationwide and Puerto Rico.
QUANTITY        (a) 153,645 bottles; (b) 309,014 bottles were distributed.
REASON          Products do not meet dissolution specifications.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS III
_______________
PRODUCT         Soothers Throat Drops Cherry Flavor, 25 drops per bag, for
                temporary relief of occasional minor irritation, pain, sore
                mouth, and sore throat or pain associated with canker
                sores.  Recall #D-264-3.
CODE            Lot numbers:  03062E41 EXP 6/94, 03062E42 EXP 6/94.
MANUFACTURER    Halls Limited (Warner-Lambert) Halls Brothers, Manchester,
                England.
RECALLED BY     Warner-Lambert Company, Morris Plains, New Jersey, by
                letter January 21, 1993.  Firm-initiated recall complete.
DISTRIBUTION    Nationwide.
QUANTITY        19,968 bags were distributed.

                                    -5-
REASON          Packaging mix-up.  Some packs contain both Soothers Throat
                Drops and Halls Plus Cough Tablets.

_______________
PRODUCT         Literature promoting Accurate's capability to compound unit
                dose bronchodilator medications, Rx new drugs without
                approved drug applications, as follows:
                Brochure titled "The Accurate Pharmacy Unit-Dose
                Bronchodilator Medication Program for the Home Aerosol
                Therapy Patient";
                Single Sheets titled "Aerosol Therapy Services" and "Cardio
                Pulmonary Services";
                Pamphlets titled "Unit Dose Bronchodilator Medications For
                The Home Aerosol Therapy Patient" and "Unit Dose Has A New
                Look;
                "Any type of advertising or promotional literature that
                implies or suggests that Accurate would compound medication
                pursuant to a prescription."  Recall #D-267-3.
CODE            All literature distributed.
MANUFACTURE     Accurate Medical Equipment and Supply Pharmacy.
RECALLED BY     Manufacturer, by letter July 24, 1992.  Firm-initiated
                field correction complete.
DISTRIBUTION    Nationwide.
QUANTITY        Undetermined.
REASON          Literature promoted firm's capability to compound drugs is
                regarded by FDA as labeling for unapproved new drugs.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS I
_______________
PRODUCT         (a) Autogenous Vaccines:  Acinetobacter calcoaceticus-
                antitratum, Branhamella catarrhalis, Bacillus cereus,
                Bacteroides fragilis, Bordetella pertussis, Campylobacter
                jejuni, Candida Albicans, Chlamydia Trachomatis,
                Citrobacter freundii, coccidioides immitis (early and late
                antigens), Corynebacterium pseudodiphtheriticum,
                Corynebacterium xerosis, Corynebacterium parvum,
                Escherichia coli, Enterobacter cloacae, Enterococcus,
                Gardnerella vaginalis, Haemophilus influenzae, Heliobacter
                pylori, Klebsiella pneumoniae, Klebsiella pneumoniae 1 & 2,
                Mycoplasma arthritidis, Mycoplasma fermentans, Mycoplasma
                genitalium, Mycoplasma pneumoniae, Propionibacterium acnes,
                Proteus mirabilis, Proteus Vulgaris, Pseudomdonas
                aeruginosa, Salmonella enteriditis, Shigella Flexneri,
                Staphylococcus aureus, Staphylococcus epidermidis,
                Staphylococcus haemolyticus, Steptococcus faecalis,
                Stereptococcus pneumoniae, Streptococcus sanguis Type I &
                II, Treponema pallidum, Yersinia entercolitica, Alpha
                Streptococcus, and Beta Streptococcus; (b) Bacterial
                Antigens;

                                    -6-                (c) Viral Antigens:  Adenovirus, Cytomegalovirus, Common
                Wart Virus, Coxsackievirus A-9, Coxsackievirus B-2,
                Coxsackievirus B-3, Coxsackievirus B-5, Coxsackievirus B-6,
                Dengue Virus Type 1, Epstein-Bar Virus, Herpes Virus 1&2,
                Herpes Virus Type 6, Influenza Virus Type C, Influenza
                Virus Type B, Lymphocytric Choriomenigitic Virus, Rubeola
                Virus, Mixed Coxsackie-ECHO Virus, Mumps Virus, Plantar
                Wart Virus, Pneumococcus, Polio Virus 1, 2, 3, Respiratory
                Syncytial Virus, Rotavirus, Rubella Virus, and Varicella
                Zoster Virus; (d) Parasitic Antigens:  Ascaris, Entameoba
                histolytica, Giardia lamblia, and Pityrosporium sp.
                Recall #B-229/232-3.
CODE            None.
MANUFACTURER    Valley Microbiology Services, Palo Alto, California.
RECALLED BY     Manufacturer, by letter dated July 30, 1992.  Firm-
                initiated recall ongoing.
DISTRIBUTION    Nationwide, Canada, New Zealand.
QUANTITY        Undetermined.
REASON          Autogenous vaccines and bacterial, viral, and parasitic
                antigens, which were adulterated and misbranded, were
                distributed for sublingual or injectable administration.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS II
_______________
PRODUCT         (a) Red Blood Cells; (b) Recovered Plasma.
                Recall #B-153/154-3.
CODE            Unit numbers:  (a) 1376782; (b) 1389866, 1390599.
MANUFACTURER    Department of the Army, Womack Army Community Hospital
                Blood Bank, Fort Bragg, North Carolina.
RECALLED BY     Manufacturer, by telephone.  Firm-initiated recall
                complete.
DISTRIBUTION    (a) New York, New Jersey; (b) New York, Pennsylvania.
QUANTITY        (a) 1 unit; (b) 2 units.
REASON          Blood products which tested negative for the antibody to
                human immunodeficiency virus type 1 (anti-HIV-1), but were
                collected from donors who previously tested repeatedly
                reactive for anti-HIV-1, tested initially reactive for
                anti-HIV-1, or labeled with incorrect expiration date, were
                distributed.

________________
PRODUCT         Red Blood Cells, Deglycerolized.  Recall#B-161-3.
CODE            Unit numbers:  TM0100274, TM0100288.
MANUFACTURER    Personal Blood Storage of Hilton Head Island, Inc.,
                Columbia, South Carolina.
RECALLED BY     Manufacturer, by telephone January 5, 1992.  Firm-initiated
                recall complete.
DISTRIBUTION    South Carolina.
                                    -7-
QUANTITY        2 units.
REASON          Blood products, labeled with incorrect expiration dates,
                were distributed.

_______________
PRODUCT         (a) Whole Blood; (b) Red Blood Cells; (c) Platelets;
                (d) Fresh Frozen Plasma; (e) Recovered Plasma.
                Recall #B-212/216-3.
CODE            Unit numbers:  (a) 33J1350, 33K27101; (b) 33F33553,
                33G13682, 33G23279, 33G43191, 33G97580, 33H30954, 33J01549,
                33J40096, 33J84311, 33KL28392, 33KR43375, 33L11524,
                33L75465, 33N64720, 33N79550, 33S05809, 33S11426, 33T23489;
                (c) 33F33553, 33G02024, 33H30954, 33J01549, 33KL28392,
                33L11524, 33N64720, 33T23489;
                (d) 33G02024, 33H30954, 33J01549, 33KL28392;
                (e) 33F33553, 33G13682, 33G23279, 33G43191, 33G69127,
                33G97580, 33H06091, 33J40096, 33J84311, 33KG23579,
                33KR43375, 33KS63288, 33L11524, 33L75465, 33N64720,
                33N79550, 33S05809, 33S11426, 33T23489.
MANUFACTURER    American Red Cross Services, Farmington, Connecticut.
RECALLED BY     Manufacturer, by letters sent between January 22, 1991, and
                October 10, 1991.  Firm-initiated recall ongoing.
DISTRIBUTION    (a) Connecticut; (b) Connecticut, New York; (c)
                Connecticut; (d) Connecticut; (e) New York, California,
                North Carolina, The Netherlands.
QUANTITY        (a) 2 units; (b) 18 units; (c) 8 units; (d) 4 units; (e) 19
                units.
REASON          Blood products collected from donors who engaged in high
                risk behavior, previously tested repeatedly reactive for
                the antibodies to human immunodeficiency virus type-1
                (anti-HIV-1), or had histories of hepatitis or jaundice,
                were distributed.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS III
_______________
PRODUCT         Red Blood Cells.  Recall #B-155-3.
CODE            Unit numbers:  1390026, 1390027, 1390028, 1390029, 1390031,
                1390036, 1390037, 1390040.
MANUFACTURER    Department of the Army, Womack Army Community Hospital
                Blood Bank, Fort Bragg, North Carolina.
RECALLED BY     Manufacturer, by letter February 7, 1992.  Firm-initiated
                recall complete.
DISTRIBUTION    New Jersey.
QUANTITY        8 units.
REASON          Red Blood Cells labeled with incorrect expiration date were
                distributed.
                                    -8-RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS II
_______________
PRODUCT         Abbott Vision Hemoglobin Test Pack, an in-vitro diagnostic
                for the determination of hemoglobin.  Recall #Z-537-3.
CODE            Lot #70764A400 EXP 7/1/93.
MANUFACTURER    Abbott Laboratories, Diagnostics Division, North Chicago,
                Illinois.
RECALLED BY     Abbott Laboratories, Diagnostics Division, Abbott Park,
                Illinois, by telephone February 15, 1993.  Firm-initiated
                recall ongoing.
DISTRIBUTION    Nationwide, Italy, Japan, Singapore, Australia, Germany.
QUANTITY        3747 cartons of 10 testpacks each were distributed; firm
                estimates none remains on the market.
REASON          This lot number gives a low specimen result, which may not
                reflect the patient's true hemoglobin level.

_______________
PRODUCT         Sharplan CO2 Surgical Laser Systems:  (a) Model 734; (b)
                Model 1040; (c) Model 1060.  Recall #Z-538/540-3.
CODE            All serial numbers.
MANUFACTURER    Sharplan Lasers, Inc., Allendale, New Jersey.
RECALLED BY     Manufacturer, by letter February 7, 1992. Firm-initiated
                recall complete.
DISTRIBUTION    Nationwide.
QUANTITY        817 units were distributed.
REASON          Casters with bearing housings of 60 mm diameter and
                attached to the laser with three screws may be subject to
                damage and failure which can cause the laser to fall over.

_______________
PRODUCT         Super Sun F73-7.5 Sunlamps.  Recall #Z-541-3.
CODE            Serial numbers:  Undetermined.
MANUFACTURER    Alisun America, Ltd., McHenry, Illinois.
RECALLED BY     Manufacturer.  FDA approved the firm's corrective action
                plan March 29, 1993. Firm-initiated field correction
                ongoing.
DISTRIBUTION    Nationwide.
QUANTITY        13 units were distributed.
REASON          Noncompliance with the performance standards for sunlamp
                products in that the products are not equipped with a timer
                system precluding the setting of exposure times greater
                than the appropriate Maximum Recommended Exposure Time
                (MRET) for the product, the product labeling does not
                include an appropriate exposure schedule and MRET, and no
                initial or model change reports were submitted for the
                products.

                                    -9-
RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS III
_______________
PRODUCT         Kodak Amerlex-M High Sensitivity Unconjugated Estriol RIA
                Kit, an in-vitro diagnostic used to measure unconjugated
                estriol in human serum or plasma.  Recall #Z-532-3.
CODE            Product Nos. IM5041 and IM5044, Lots 510 and 520; 
MANUFACTURER    Clinical Diagnostic Ltd., Cardiff, Wales, United Kingdom.
RECALLED BY     Eastman Kodak Company, Clinical Products Div., Rochester,
                New York, by telephone September 11, 1992, followed by
                letter dated September 16, 1992.  Firm-initiated field
                correction complete.
DISTRIBUTION    Nationwide.
QUANTITY        160 kits were distributed; firm estimates that all units
                were corrected.
REASON          The label on the tray holding the standards has the value
                of the units reversed, that is, the values of the ng/ml was
                transposed with the values of nmol/L. 

_______________
PRODUCT         Amerlite Progesterone Assay Kit, an in-vitro-diagnostic
                used to measure the amount of progesterone in human serum
                or plasma.  Recall #Z-533-3.
CODE            Product Nos. 2079 and 0079, Lot 340.
MANUFACTURER    Clinical Diagnostic Ltd., Cardiff, Wales, United Kingdom.
RECALLED BY     Eastman Kodak Company, Clinical Products Div., Rochester,
                New York, by telephone between August 18-20, 1992.  Firm-
                initiated field correction complete.
DISTRIBUTION    Michigan, California. 
QUANTITY        4 kits were distributed; firm estimates none remains on the
                market.
REASON          Two of the standards in vials identified with letters B and
                F, 2 nmol/L and 160 nmol/L respectively, were labeled to
                contain 3 ml but actually contained 1 ml.  

_______________
PRODUCT         Kodak HCG/UE3 Multiconstituent Control Sera Kit, used to
                measure unconjugated estriol and human chorionic
                gonadotropin.  Recall #Z-534-3.
CODE            Product No. QAS 116, Lot #1 EXP 1/94.
MANUFACTURER    Clinical Diagnostic Ltd., Cardiff, Wales, United Kingdom.
RECALLED BY     Eastman Kodak Company, Clinical Products Div., Rochester,
                New York, by telephone followed by letter July 14, 1992. 
                Firm-initiated field correction complete.
DISTRIBUTION    Nationwide.
QUANTITY        200 kits were distributed.
REASON          The package insert had misprinted the Expected Ranges
                Values of the standards for the assay. 

                                   -10-_______________
PRODUCT         Amerlite Digoxin Assay Kits, an in-vitro diagnostic used to
                measure the amount of digoxin in human serum or plasma. 
                Recall #Z-535-3.
CODE            Product Nos. LAN2700 (144 test units) and LAN0700 (240 test
                units), Lots Nos. 46, 47, 47a, 48, 48a.  The lot number of
                the standards, a component of the kit, is 7. 
MANUFACTURER    Clinical Diagnostic Ltd., Cardiff, Wales, United Kingdom.
RECALLED BY     Eastman Kodak Company, Clinical Products Division,
                Rochester, New York, by telephone followed by letter May 1,
                1992.  Firm-initiated recall complete.
DISTRIBUTION    Texas, California.
QUANTITY        2 kits were distributed.
REASON          The values of the lot 7 standards have changed since their
                initial calibration.

______________
PRODUCT         Amerlite Analyzer Application Software Version 8.2U. 
                Recall #Z-536-3.
CODE            Catalog No. 140-3971, serial Nos. 82-0846, 82-0851,
                82-0863, 82-0867, 82-0892, 82-0900, 82-0903.
MANUFACTURER    Clinical Diagnostic Ltd., Cardiff, Wales, United Kingdom.
RECALLED BY     Eastman Kodak Company, Clinical Products Division,
                Rochester, New York, by telephone October 2, 1992, followed
                by letter.  Firm-initiated recall complete.
DISTRIBUTION    Texas, Tennessee, New York, Connecticut, California.
QUANTITY        7 disks were distributed; firm estimates none remains on
                the market.
REASON          Version 8.2 used for analyzers in Europe and allowing for
                editing of the standard curve was mislabeled as Version
                8.2U used for the U.S. market and does not allow editing of
                the standard curve.

_______________
UPDATE          The Enforcement Report dated April 28, 1993 incorrectly
                labeled recall number Z-476-3 as the Nellcor N-250 Pulse
                Oximeter/ECG Monitor Manual.  It should read:
PRODUCT         Nellcor N-1000 Pulse Oximeter/ECG Monitor. Recall #Z-476-3.
CODE            All serial numbers distributed between 3/25/88 and 10/4/91.
MANUFACTURER    Nellcor, Inc., Chula Vista, California.
RECALLED BY     Nellcor, Inc., Hayward, California, by letter of October 4,
                1991, followed by telephone calls from January 18 through
                May 8, 1992.  Firm-initiated field correction complete.
DISTRIBUTION    Nationwide and international.
QUANTITY        8,803 units were distributed.
REASON          The alarm silence switch has a hard plastic insert which
                had been determined to be contacting soldered connections
                on the circuit board underneath when pressed.  After many
                pushes the insert would push the soft solder across the
                board and short a nearby circuit, causing a malfunction in
                the alarm.
                                   -11-MEDICAL DEVICE SAFETY ALERTS:
_______________
PRODUCT         Ventak AICD Automatic Implantable Cardioverter
                Defibrillators:  (a) Model 1550; (b) Model 1555; (c) 1600.
                Safety Alert #N-051/053-3.
CODE            Units distributed from May 1991 to end of March 1993.
MANUFACTURER    Cardiac Pacemakers, Inc., St. Paul, Minnesota.
ALERTED BY      Manufacturer, by letter April 8, 1993.
DISTRIBUTION    Nationwide and international.
QUANTITY        1,641 units were distributed.
REASON          Some of these models contain suspect capacitors which may
                result in patients receiving shocks at heart rates below
                the programmed rate cutoff due to oversensing.


MASS SEIZURE:
_______________
PRODUCT        Omnitron 2000 High Dose Rate Remote Afterloader System (a 
               device intended to provide brachytherapy treatment to cancer
               patients through the delivery of high doses of radiation),
               including all in-process components, raw materials, and the
               labeling and promotional literature associated with the
               article (93-666-817/8).
CHARGE         Adulterated - The methods used in, and the facilities and
               controls used for, the article's manufacture, packing,
               storage, and installation are not in conformity with
               applicable requirements under the current good manufacturing
               practice regulations.
FIRM           Omnitron International, Inc., Houston, Texas.
FILED          April 29, 1993; U.S. District Court for the Southern
               District of Texas, Houston Division; Civil #H-93-1288,
               FDC #66700.
SEUZED         May 4, 1993 - goods valued at approximately $4.5 million.

                                   -12-


END OF ENFORCEMENT REPORT FOR MAY 19, 1993.  BLANK PAGES MAY FOLLOW.
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