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
09/22/1993

Recalls and Field Corrections:  Foods -- Class I -- 09/22/1993

September 22, 1993

RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS I
=========================
_______________
PRODUCT        Braum's Premium Oatmeal Cookie Dough Ice Cream, in half
               gallon containers.  Recall #F-635-3.
CODE           All lots.
MANUFACTURER   Braum's Ice Cream and Dairy Stores, Tuttle, Oklahoma.
RECALLED BY    Braum's Ice Cream and Dairy Stores, a division of W.H.
               Braum, Inc., Oklahoma City, Oklahoma, by voice mail July 23,
               1993, followed by letter dated July 26, 1993.  Firm-
               initiated recall complete.
DISTRIBUTION   Arkansas, Kansas, Oklahoma, Missouri, Texas.
QUANTITY       Firm estimates none remains on the market.
REASON         The product contains peanuts or peanut containing
               ingredients which are not declared on the label.


RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS II
=========================
_______________
PRODUCT        (a) Dorman's Lo-Chol Swiss Cheese Alternative Slices, 5
               ounces;
               (b) Dorman's Lo-Chol Swiss Cheese Alternatives, 12 pound
               loaves.  Recall #F-580/581-3.
CODE           (a) A25 JUL 932M; (b) 7/22/93.
MANUFACTURER   Dorman-Roth Foods, Inc., Monroe, Wisconsin.
RECALLED BY    Dorman-Roth Foods, Inc., Hasbrouck Heights, New Jersey, by
               telephone April 8, 1993, with follow-up letter on April 9,
               1993.  Firm-initiated recall complete.
DISTRIBUTION   New Jersey, New York.
QUANTITY       (a) 281 cases (12 units per case); (b) 25 loaves were
               distributed; firm estimates none remains on the market.
REASON         Product contains metal pieces.

_______________
UPDATE         Recall #F-622-3, which appeared in the September 8, 1993
               Enforcement Report should read:
               PRODUCT:  Himalayan Harvest Apricot Kernels, naturally
               bitter, in 8 ounce bags.  Firm-initiated recall complete.


RECALL AND FIELD CORRECTIONS:  FOODS -- CLASS III
=========================
_______________
PRODUCT        Various ethnic Indian relish products:
               (a) Carrot Pickle; (b) Mint Chutney;
               (c) Coriander Chutney; (d) Tamarind Chutney;
               (e) Green Chili Chutney.  Recall #F-624/628-3.
CODE           All codes, all sizes.
MANUFACTURER   Palace Foods, Inc., Bownamsville, Pennsylvania.
RECALLED BY    Manufacturer, by telephone June 28, 1993.  Firm-initiated
               recall ongoing.
DISTRIBUTION   New York, New Jersey, Marylalnd, Illinois.
QUANTITY       Undetermined. 
REASON         Acidified canned food products were produced without
               adequate controls.

_______________
PRODUCT        Isomil Soy Formula with Iron, (infant formula) Concentrated
               Liquid, in 13 fluid ounce cans.  Recall #F-623-3.
CODE           DEC 94 I 77680 RC.
MANUFACTURER   Ross Laboratories, Columbus, Ohio.
RECALLED BY    Wegmans Food Markets, Inc., Rochester, New York, by
               memorandum August 3, 1993.  Firm-initiated recall complete.
DISTRIBUTION   New York.
QUANTITY       324 cases (24 cans per case) were distributed by Wegmans.
REASON         Product is in cans with peeling can liners.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS III
========================
_______________
PRODUCT        SMX-TMP SS (sulfamethoxazole 400 mg/trimethoprim 80 mg
               single strength tablets), Rx antibacterial, with indications
               and usage for treatment of urinary tract infections, acute
               otitis media, chronic bronchitis and others.
               Recall #D-338-3.
CODE           Lot No    Exp. Date
               OGO1O     10/93
               OHO34     11/93
               OKO69     2/94
                                    -2-               1AO66     6/94
               1C067     8/94
               1F011     10/94
               1KO22     1/95
               1L041     2/95
               2CO46     5/95
               2EO49     8/95
               2GO35     9/94
               2JO1O     4/95
               2MO14     4/95
               3BO62     6/95
               3CO2O     7/95
MANUFACTURER   Eon Labs Manufacturing Inc., Laurelton, New York.
RECALLED BY    Manufacturer, by letter on or about September 10, 1993. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       Approximately 38,682 bottles were distributed.
REASON         Overage of the trimethoprim ingredient.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS II
=====================
_______________
PRODUCT        Recovered Plasma.  Recall #B-392-3.
CODE           Unit #7020342.
MANUFACTURER   LifeSource, Glenview, Illinois.
RECALLED BY    Manufacturer, by letter April 22, 1993.  Firm-initiated
               recall ongoing.
DISTRIBUTION   New York.
QUANTITY       1 unit.
REASON         Blood products collected from a donor with a history of
               cancer were distributed.

_______________
PRODUCT        Platelets.  Recall #B-394-3.
CODE           Unit #12J91560.
MANUFACTURER   American Red Cross Blood Services, Charlotte, North
               Carolina.
RECALLED BY    Manufacturer, by letter January 11, 1993.  Firm-initiated
               recall complete.
DISTRIBUTION   North Carolina.
QUANTITY       1 unit.
REASON         Blood product, containing anti-C, anti-e, and anti-G
               antibodies, but labeled negative for unexpected antibodies,
               was distributed.

_______________
PRODUCT        (a) Red Blood Cells; (b) Platelets; (c) Recovered Plasma.
               Recall #B-426/428-3.
CODE           Unit #03Z62627.
MANUFACTURER   American Red Cross, Atlanta, Georgia.
RECALLED BY    Manufacturer, by letters dated November 20, 1992, and
               January 6, 1993.  Firm-initiated recall ongoing.

                                    -3-DISTRIBUTION   Georgia, California.
QUANTITY       1 unit of each component.
REASON         Blood products which tested non-reactive for the antibody to
               the human immunodeficiency virus type 1 (anti-HIV-1), but
               were collected from a donor who previously tested initially
               reactive for anti-HIV-1, were distributed.

_______________
PRODUCT        Recovered Plasma.  Recall #B-429-3.
CODE           Unit #6702758.
MANUFACTURER   Community Blood Centers of South Florida, Inc., Lauderhill,
               Florida.
RECALLED BY    Manufacturer, by telephone March 16, 1993.  Firm-initiated
               recall complete.
DISTRIBUTION   Tennessee.
QUANTITY       1 unit.
REASON         Blood product, which tested repeatedly reactive for the
               antibody to the human immunodeficiency virus type 2 (anti-
               HIV-2), was distributed.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS III
====================
_______________
PRODUCT        Red Blood Cells, Expired.  Recall #B-391-3.
CODE           Unit #7020342.
MANUFACTURER   LifeSource, Glenview, Illinois.
RECALLED BY    Manufacturer, by letter April 22, 1993.  Firm-initiated
               recall ongoing.
DISTRIBUTION   Tennessee.
QUANTITY       1 unit.
REASON         Blood products collected from a donor with a history of
               cancer were distributed.

_______________
PRODUCT        Sebra Tubing Sealers.  Recall #B-424-3.
CODE           Model 2100 with serial numbers 2100-0001 through 2100-0048,
               and Model 2101 with serial numbers 2101-0100 through 2101-
               0173.
MANUFACTURER   Engineering and Research Associates, Inc., Tucson, Arizona.
RECALLED BY    Manufacturer, by letter March 19 and 20, 1993.  Firm-
               initiated recall ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       63 units.
REASON         Blood collection tubing sealers, producing irregular or cut
               seals, were distributed.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS I
========================
______________
PRODUCT        Matrx LifeDefense Plus (LDP) Portable
               Defibrillator/Monitor/pacer, used to provide emergency 

                                    -4-               electric (DC) defibrillation, ECG waveform monitoring and
               both demand and fixed transcutaneous pacing functions. 
               Recall #Z-689-3.
CODE           All serial numbers.  (Some products are also cincluded in
               Recall #Z-721-3 described below).
MANUFACTURER   NEC Tochigi, Ltd., Tochigi Prefecture, Japan.
RECALLED BY    Matrx Medical, Inc., Orchard Park, New York, by safety
               letter dated April 21, 1993, and by recall letter dated July
               16, 1993.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       Approximately 1,385 units were distributed.
REASON         The device will fail to operate in the defibrillation mode
               if a certain component (the D8 diode located on the high
               voltage PC board) fails.  The D8 diode failure causes the
               unit to produce an 001 error code which disables the
               defibrillation function of the device.

______________
PRODUCT        Matrx LifeDefense Plus (LPD) Portable
               Defibrillator/Monitor/Pacer, used to provide emergency
               electric (DC) defibrillation, ECG waveform monitoring and
               both demand and fixed transcutaneous pacing functions. 
               Recall #Z-721-3.
CODE           0120640, 2081132, 2081134 through 2081137, 2081140, 2081141,
               2081144, 2091146 through 2091258, 2111259, 2111333.  (This
               recall is a subset of Recall #Z-689-3 described above.)
MANUFACTURER   NEC Tochigi, Ltd, Tochigi Prefecture, Japan.
RECALLED BY    Matrx Medical, Inc., Orchard Park, New York, by letter July
               23, 1993.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       194 units were distributed.
REASON         The relay switch (K1) which turns the unit on could
               malfunction resulting in the unit failing to turn on, or
               requiring multiple depression of the on/off button before
               the unit turns on.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS II
=======================
_______________
PRODUCT        (a) Exam-Tex brand Medium/Large Gloves, product #7208
               (b) Exam-Tex brand Small/Medium Gloves, product #7209
               (c) VHA+Plus brand Small/Medium Gloves, product #V7266
               (d) VHA+Plus brand Medium/Large Gloves, product #V7267.
               Recall #Z-460/463-3.
CODE           Lot Numbers:  204----05, 205----05, 206----05, 207----05.
MANUFACTURER   Ansell Lanka (PVT) Ltd., Byagama, Sri Lanka.
RECALLED BY    Ansell, Inc., Dothan, Alabama, by letter March 2, 1993. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       Approximately 100 million gloves were distributed; firm
               estimated that 10 million gloves remained on the market at
               the time of recall.

                                    -5-REASON         Product failed FDA leak test.

_______________
PRODUCT        Mevatron Linear Accelerator, digital controlled x-ray and
               electron beam therapy.  Recall #Z-646-3.
CODE           Model type is designated by the first group of
               letters/numbers and the serial number is specified by the
               last 4 numbers:  
               KD 2001    KD2 2043   KD2 2082      KD2 2123   MXE2 2156
               MD 2004    KD 2044    KDS2 2084     MXE 2124   MD 2157
               MD 2006    MD2 2045   MD2 2086      MD2 2125   KDS2 2158
               KDS 2007   KD2 2048   KD2 2088      MD 2126    KDS 2159
               MD 2008    MD 2051    MD 2089       KD2 2127   MXE2 2161
               MD 2009    KD 2052    KD 2094       KD2 2128   MXE 2162
               MD 2013    MD2 2053   KDS2 2097     KDS 2129   MD2 2163
               KD2 2014   KD 2054    KDS 2098      KD2 2131   MXE2 2164
               MD 2015    KDS2 2055  KD 2099       KD 2132    MD 2165
               MD 2017    MD2 2057   KDS 2104      KD2 2133   MD2 2166
               KDS 2018   MD 2058    MD 2105       KD2 2135   KD 2167
               KD 2019    KD 2061    KDS2 2106     MD 2138    KDS2 2168
               KD 2021    MD2 2063   KDS2 2108     MD2 2139   MD 2169
               KDS2 2023  KD 2064    MD 2109       MD 2141    MXE2 2171
               KD 2026    KD2 2065   KDS2 2111     KD2 2142   KD 2172
               KD 2028    MD2 2067   MD 2112       KD2 2143   KD2 2173
               KD2 2031   KDS 2069   MD2 2113      MD 2144    MXE 2174
               MD 2034    MD 2072    MD 2114       KD2 2145   KD2 2175
               KDS2 2035  KD2 2074   KDS2 2115     MXE 2146   KD 2176
               MD 2037    KD 2075    MXE 2116      KDS 2148   MXE2 2177
               KD2 2038   KD2 2076   MD2 2117      KD2 2149   KD 2178
               KDS 2039   KDS2 2078  MD2 2118      KDS 2151   KD2 2179
               KD2 2041   MD 2079    MXE 2119      MD2 2152   MD 2181
               KDS 2042   MD 2081    KDS2 2122     KD2 2154   MD2 2182
               KDS2 2183  MXE 2204   MXE2 2227     MXE 2248
               MD 2184    MD2 2205   KD2 2228      MD2 2249
               MXE 2185   KD 2206    KDS2 2229     KDS2 2251
               MXE2 2186  KDS2 2207  MD2 2231      MD2 2252
               MXE 2188   KDS2 2208  KDS 2232      MXE2 2254
               MD2 2189   MD 2209    MD2 2233      KDS2 2255
               MXE 2191   MXE2 2211  MD2 2234      MD 2256
               MXE2 2192  KD2 2213   MD2 2235      MXE2 2257
               KDS 2193   KDS2 2214  MXE 2236      KD2 2258
               KD 2194    MXE 2215   MD 2137       MD2 2261
               MD 2195    KD2 2216   MD2 2238      MD2 2262
               KDS2 2196  MD2 2217   MD2 2241      KDS2 2263
               MDS 2197   KD2 2218   KDS2 2242     KDS2 2264
               MXE 2198   KDS 2221   MXE 2243      KD2 2265
               MD2 2199   KDS2 2222  KDS2 2244     MXE 2266
               MD 2201    KD2 2224   KDS2 2245     MXE2 2267
               KD2 2202   MXE 2225   KD2 2246      MD 2274
               MXE 2203   MD 2226    MXE2 2247.
MANUFACTURER   Siemens Medical Laboratories, Inc., Concord, California.

                                    -6-RECALLED BY    Manufacturer, by upgrading units during the next scheduled
               performance maintenance. Firm-initiated field correction
               ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       331 units were distributed.
REASON         A defective connection link between the target and the
               target drive assembly.

_______________
PRODUCT        Respiration/Heart Rate Monitor, used in the care of patients
               at risk from central apnea, fast heart rate or slow heart
               rate, and are intended to warn the care giver when breathing
               effort, heart rate or both are outside limits specified by
               the physician:  (a) Model 9500; (b) Model 9550.
               Recall #Z-654/655-3.
CODE           6-digit code numbers beginning with 432xxx or 462xxx.
MANUFACTURER   Aequitron Medical, Inc., Plymouth, Minnesota.
RECALLED BY    Aequitron Medical, Inc., Plymouth, Minnesota, by letter June
               18, 1993.  Firm-initiated recall complete.
DISTRIBUTION   Nationwide, Germany.
QUANTITY       178 units were distributed.
REASON         Vibration could cause the alarm to malfunction.

_______________
PRODUCT        Auto Suture Endo Gage 30 disposable instrument, Reorder
               #173025, a sterile device used during laparotomy procedures,
               sold separately or in kits:
               (a) Auto Suture Endo-Gauge 30 Disposable Instrument, reorder
               #173025; (b) Endoscopic Cholecystectomy;
               (c) Endoscopic Bowel; (d) Endoscopic Hernia;
               (e) LAVH (Laparoscopically Assisted Vaginal Hysterectomy).
               Recall #Z-696\700-3.
CODE           Lot numbers begin with prefixes: N2L, N2M, N3A, N3B, N3C,
               N3D, and include all lots in tyvek pouches manufactured
               beginning November 1992 and extending through April 1993.
MANUFACTURER   United States Surgical Corporation, Norwalk, Connecticut.
RECALLED BY    U.S. Surgical Corporation, North Haven, Connecticut, by
               letters dated June 15 and 17, 1993.  Firm-initiated field
               correction ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       43,538 units were distributed.
REASON         Some of the Tyvek pouches containing the Endo Gauge 30
               instrument were found to be unsealed, which could compromise
               the sterility of the device.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS III
_______________
PRODUCT        CK-MB Flurometric Enzyme Immuno Assay.  Recall #Z-782-3.
CODE           Kit lot #KXMB-1423M and #KXMB-1425M.
MANUFACTURER   Baxter Healthcare Corporation, Miami, Florida.

                                    -7-RECALLED BY    Manufacturer, by telephone May 26, 1993.  Firm-initiated
               recall complete.
DISTRIBUTION   Nationwide.
QUANTITY       10 kits were distributed and all are accounted for.
REASON         Phenobarbital conjugate was packed into 10 kits instead of
               K-MB conjugate.  If controls are not run to flag an invalid
               assay, a sample may be reported as having a very low
               concentration of CK-MB when it actually contains a higher
               level.


MEDICAL DEVICE SAFETY ALERT: 
=============================================
_______________
PRODUCT        Theratronics linear accelerator and Cobalt 60 teletherapy
               radiation devices for cancer therapy with treatment tables
               T60, T73, and T73M:
               (a) Model T20; (b) Model T25; (c) T1000.
               Safety Alert #N-081/083-3.
CODE           Serial numbers:  (a) 043, 813; (b) 022, 024, 025;
               (c) 001, 002, 007, 010, 011, 012.
MANUFACTURER   Theratronics International, Ltd., formerly Atomic Energy of
               Canada, Ltd. (AECL Medical), Carrollton, Texas;
               Theratronics International, Ltd., formerly Atomic Energy of
               Canada, Ltd. (AECL Medical), Ontario, Canada.
ALERTED BY     Manufacturer, by User Bulletin (a & b) AUB 93-01;
               (c) CUB 93-02.
DISTRIBUTION   California, Georgia, Florida, Illinois, Kansas,
               Pennsylvania, Texas, Washington state.
QUANTITY       11 units were distributed.
REASON         The output shaft support bearing and vertical drive gearbox
               may be improperly aligned after servicing and could result
               in a sudden descent of the treatment table.


SEIZURE:
==================================================================
_______________
PRODUCT        Mung beans (93-665-574/6).
CHARGES        Adulterated - One of the articles consists in whole or in
               part of a filthy substance because it contains rodent
               excreta, rodent hair, and rodent-gnawed product; and, all of
               the articles have been held under insanitary conditions
               whereby they may have become contaminated with filth.
FIRM           China Noodle Company, Oakland, California.
FILED          July 21, 1993; U.S. District Court for the Northern
               District of California; Civil #C93-2739 TEH; FDC #66756.
SEIZED         August 13, 1993 - goods valued at approximately $15,000.

                                    -8-

END OF ENFORCEMENT REPORT FOR SEPTEMBER 22, 1993.  BLANK PAGES MAY
FOLLOW.
                                   ####