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.
July 22, 1998
98-29

RECALLS AND FIELD CORRECTIONS: FOODS -- CLASS I

PRODUCT
Grandma's Fudge Chocolate Chip Cookies, in 2-3/4 ounce packages containing two cookies. Recall #F-507-8.

CODE
Freshness (sell by) dates

02JUN98    09JUN98    16JUN98    23JUN98    
30JUN98    07JUL98    14JUL98    21JUL98
28JUL98    04AUG98    11AUG98.

MANUFACTURER
Frito-Lay, Inc., Pulaski, Tennessee; Frito-Lay, Inc., Beaverton, Oregon.

RECALLED BY
Frito-Lay, Inc., Plano, Texas, by E-mail sent on May 4, 1998, followed by visit. The firm issued a press release on May 6, 1998, and notified the Food Allergy Network. Firm-initiated recall ongoing.

DISTRIBUTION
Nationwide.

QUANTITY
8,967,132 packages were distributed.

REASON
Product contains undeclared whole eggs.

PRODUCT
Mozzarella Cheese, 8 ounce pieces, in 3 pound plastic tubs. Recall #F-543-8.

CODE
4/12/98.

MANUFACTURER
Tutto Latte Mozzarella Cheese Factory, Baldwin Park, California.

RECALLED BY
Manufacturer, by telephone on March 27, 1998, followed by visit. California Department of Food and Agriculture issued a press release on March 31, 1998. Completed recall resulted from sample analysis collected by the California Department of Food and Agriculture.

DISTRIBUTION
California, Nevada, Colorado.

QUANTITY
Firm estimated that little if any product remained on market at time of recall initiation.

REASON
Product was contaminated with Listeria monocytogenes.

UPDATE
Recall #F-505-8, Treasure Cave brand Blue Cheese, in 4 ounce squares, which appeared in the June 17, 1998, Enforcement Report should read: CODE: 7 27 98 1;

QUANTITY
4,122 pounds were distributed.

RECALLS AND FIELD CORRECTIONS: FOODS -- CLASS II

PRODUCT
Texas Pepper Works Crispy Sweet Pepper Rings, in 12 ounce glass jars. Recall #F-541-8.

CODE
Lots 99242 through 00142 followed by 4 digits which indicate the time labeled - All codes manufactured between August 30, 1997, and May 22, 1998.

MANUFACTURER
Riba Foods, Inc., Houston, Texas.

RECALLED BY
Manufacturer, by letter dated June 2, 1998. Firm-initiated recall ongoing.

DISTRIBUTION
Oklahoma and Texas.

QUANTITY
115.75 cases (147 jars) were distributed.

REASON
Product contains undeclared FD&C Yellow No. 5.

PRODUCT
Live Pacific Oysters, extra small cocktail size, sold in 1-bushel/10 dozen (120) oysters per bag. Recall #F-542-8.

CODE

Harvest     Harvest
location:   date:
430-11      APR 29 1998
430-11      APR 30 1998
430-15      APR 30 1998
430-11      MAY 01 1998
430-12      MAY 05 1998
430-11      MAY 06 1998
430-12      MAY 06 1998
430-11      MAY 07 1998
430-15      MAY 07 1998
430-11      MAY 09 1998
430-15      MAY 09 1998
430-11      MAY 11 1998.

MANUFACTURER
Hog Island Shellfish Farms (doing business as Point Reyes Oyster Co.), Marshall, California.

RECALLED BY
Manufacturer, by telephone beginning on May 15, 1998, and by radio and televised press releases reported on May 16 and 17, 1998. Completed recall resulted from sample analysis and follow-up by The California Food and Drug Branch.

DISTRIBUTION
California, Washington state, Arizona, Thailand.

QUANTITY
Approximately 79,980 oysters (6,665 dozen, approximately 666 bushels) were distributed.

REASON
Product may be contaminated with Norwalk-like virus and has been associated with an outbreak of gastrointestinal illness.

RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS II

PRODUCT
Levothroid Tablets (Levothyroxine Sodium Tablets, USP), 50 mcg, packaged in hospital unit dose blister strips of 10 tablets per strip and 10 strips per box, Rx, for use as replacement or substitution therapy for diminished or absent thyroid function. Recall #D-192-8.

CODE
Lot #9962 EXP 9/98.

MANUFACTURER
Forest Pharmaceuticals, Inc., Cincinnati, Ohio.

RECALLED BY
Forest Pharmaceuticals, Inc., subsidiary of Forest Laboratories, Inc., St. Louis, Missouri, by letter dated June 5, 1998. Firm-initiated recall ongoing.

DISTRIBUTION
Nationwide.

QUANTITY
2,081 boxes (10 tablets x 10 strips) were distributed.

REASON
Subpotent at 18 month assay.

PRODUCT
Nitrostat Sublingual Tablets (Nitroglycerin), 0.4 mg, in bottles of 25, Rx, indicated for the acute relief of an attack or prophylaxis of angina pectoris due to coronary artery disease. NDC #0071-0570-13. Recall #D-193-8.

CODE
Lot #016N6F EXP 10/98.

MANUFACTURER
Warner Lambert Company, Fajardo, Puerto Rico.

RECALLED BY
Parke-Davis, Division of Warner Lambert Company, Morris Plains, New Jersey, by letter on June 2, 1998. Firm-initiated recall complete.

DISTRIBUTION
Nationwide.

QUANTITY
25,722 bottles were distributed.

REASON
Subpotent at 15 month stability.

PRODUCT
a) Atrovent Nasal Spray .03% (ipratropium bromide), 30 mL; b) Atrovent Nasal Spray .06% (ipratropium bromide), 15 mL, indicated for the symptomatic relief of rhinorrhea (runny nose( associated with allergic and non-allergic perennial rhinitis in adults and children age 12 years or older. NDC #0597-0081-30; NDC #0597-0086-76. Recall #D-194/195-8.

CODE

AtroventR Nasal Spray0.03%    AtroventR Nasal Spray 0.06%
LOT #     EXP. DATE          LOT #     EXP. DATE
816011A   Jun-98             866009A   Jun-98
816014A   Nov-98             866010B   Jul-98
816015A   Nov-98             866012B   Oct-98
816016A   Nov-98             866013A   Nov-98
816017A   Nov-98             867004A   Oct-99
816020A   Dec-98             867006A   Nov-99
816021A   Dec-98             867007A   Nov-99
817001A   Mar-99             867008A   Nov-99
817007A   Oct-99             867009A   Dec-99
817008A   Oct-99             867010A   Dec-99.
817009A   Nov-99
817010A   Nov-99
817012A   Nov-99
817013C   Nov-99
817014A   Nov-99
MANUFACTURER
Boehringer Ingelheim Pharmaceuticals, Inc., Ridgefield, Connecticut.

RECALLED BY
Manufacturer, by fax and by letter on June 23, 1998. Firm-initiated recall ongoing.

DISTRIBUTION
Nationwide.

QUANTITY
a) Approximately 865,000 units; b) Approximately 456,627 units were distributed.

REASON
Some units found to contain 2,4,-Dichlorobenzoic acid (DCBA) (impurity from fill tubing.

RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS III

PRODUCT
a) Q-Tussin Syrup, (Guaifenesin, USP, 100 mg/Dextromethorphan Hydrobromide, USP 10 mg), in 16 fluid ounce and 1 gallon (128 fluid ounce) bottles, under the Qualitest label, OTC. NDC 0603-0857-58, NDC 0603-0857-60; b) Cheratussin DAC Sugar Free Syrup (Guaifenesin, USP 100mg/Pseudoephedrine HCl, USP 30 mg/Codeine Phosphate, USP 10 mg) in 16 fluid ounce plastic bottles, a liquid expectorant/ decongestant/cough suppressant packaged under the Qualitest Products and Vintage Pharmaceuticals labels; also packaged under the Goldline label as Guiatuss DAC Syrup. NDC 0603-1078-58 (Qualitest), NDC 0254-9065-58 (Vintage); c) Guiatuss DAC-Sugar Free Syrup (Guaifenesin, USP, 100mg/Pseudoephedrine HCl, USP 30 mg/Codeine Phosphate, USP 10 mg), in 16 fluid ounce plastic bottles, packaged under the Goldline label. NDC 0182-1378-40. Recall #D-183/185-8.

CODE
Lot numbers: a) 004C7A EXP 2/99 and 004C7B EXP 2/99; b) 006A7B EXP 12/98, 010J7A EXP 8/99, 029B8A EXP 7/99, 006A7A EXP 12/98, 029B8B EXP 7/99, 030B8C EXP 7/99; c) 030B8A EXP 7/99.

MANUFACTURER
Vintage Pharmaceuticals, Inc., Huntsville, Alabama.

RECALLED BY
Manufacturer, by letter May 20, 1998. Firm-initiated recall ongoing.

DISTRIBUTION
Nationwide and Puerto Rico.

QUANTITY
a) 158 128-ounce bottles and 1,488 16-ounce bottles; b) 6,992 bottles(lot 006A7B) 15,608 bottles (Lot 010J7A), 13,780 (Lot 029B8A), 959 bottles (Lot 006A7A), 1,406 bottles (Lot 029B8B), 3,600 bottles (Lot 030B8C) were distributed.

REASON
Inability to support product shelf life through labeled expiration date.

PRODUCT
Epinephrine Mist Inhalation Aerosol, USP, Bronchodilator, 15 mL (1/2 ounce), for the temporary relief of shortness of breath, lightness of chest and wheezing due to bronchial asthma, under the following labels: Barre, Longs, Meijer, CVS. NDC 0472-0970-99, NDC 12333-9284-1, NDC 41250-561-56, NDC 50428-583-20. Recall #D-196-8.

CODE
Lot #RJ7627 EXP 11/99.

MANUFACTURER
Alpharma, Inc., Baltimore, Maryland.

RECALLED BY
Manufacturer, by letter dated June 18, 1998. Firm-initiated recall ongoing.

DISTRIBUTION
Nationwide.

QUANTITY
53,600 units were distributed; firm estimates none remains on the market.

REASON
Failure to meet USP leakage test criteria.

PRODUCT
Cool Mint Listerine Antiseptic (Thymol 0.064%), in 1 liter and 250 ml bottles. Recall #D-197-8.

CODE
Lot numbers: 02158L, 02258L, 02858L EXP 4/00.

MANUFACTURER
Warner Lambert, Lititz, Pennsylvania.

RECALLED BY
Manufacturer, by letter on June 9, 1998. Firm-initiated recall complete.

DISTRIBUTION
Nationwide.

QUANTITY
Firm estimated that 1,965 cases remained on the market at time of recall initiation.

REASON
One excipient did not meet specification (odor).

PRODUCT
Piroxicam Capsules, USP, Rx, for acute or long-term use in the relief of signs and symptoms of osteoarthritis and rheumatoid arthritis, packaged by Allscripts: a) 10 mg capsules, packaged in bottles of 21 capsules, NDC #54569-3974-0 b) 20 mg capsules, packaged in bottles of: 14 capsules, NDC #54569-3693-0; 10 capsules, NDC #54569-3693-1 7 capsules, NDC #54569-3693-2; 20 capsules, NDC #54569-3693-3 30 capsules, NDC #54569-3693-4; 15 capsules, NDC #54569-3693-5. Recall #D-198/199-8.

CODE
Lot numbers: a) 6323030, 7027038, 7031020, 7035072, 7035102, 7052045, 7097123, 7142140, 7167030, 7174071, 7174093, 7176113, 7188107, 7260077, 7316095, 7323076, 7336137, 7342058 b) 6326092, 7318074, 6317095, 7062139, 6338149, 7316165, 7324091, 6323095, 6311129, 6331073.

MANUFACTURER
Novopharm Ltd., Scarborough, Ontario, Canada (responsible firm).

RECALLED BY
Allscripts, Inc., Libertyville, Illinois, by letter dated June 8, 1998. Firm-initiated recall ongoing.

DISTRIBUTION
California, Ohio, Washington, New Hampshire, Kansas, Florida, Louisiana, New Mexico, Mississippi, Georgia, Tennessee, Iowa, Idaho, Missouri, Michigan, Indiana, Illinois and South Dakota.

QUANTITY
552 bottles of 21 - 10 mg capsules, and 283 bottles of 14, 166 bottles of 10, 306 bottles of 7, 55 bottles of 20, 99 bottles of 30 and 84 bottles of 15 - 20 mg. capsules were distributed. The firm estimates that less than 25% of the product remains on the market.

REASON
Lack of blend uniformity assurance.

RECALLS AND FIELD CORRECTIONS: BIOLOGICS -- CLASS II

PRODUCT
Platelets, Pheresis. Recall #B-1296-8.

CODE
Unit #29FP45774 (split unit P1/P2).

MANUFACTURER
American Red Cross Blood Services, Norfolk, Virginia.

RECALLED BY
Manufacturer, by letter dated March 30, 1998, and April 30, 1998. Firm-initiated recall complete.

DISTRIBUTION
California.

QUANTITY
1 split unit was distributed.

REASON
Blood product was collected in a manner that compromises the sterility of the product.

PRODUCT
a) Red Blood Cells; b) Recovered Plasma. Recall #B-1298/1299-8. CODE Unit #29GP47756.

MANUFACTURER
American Red Cross Blood Services, Norfolk, Virginia.

RECALLED BY
Manufacturer, by letter dated March 26, 1998, and "Questionable Plasma Inquiry" on March 26, 1998. Firm-initiated recall complete.

DISTRIBUTION
North Carolina and California.

QUANTITY
1 unit of each component was distributed.

REASON
Blood products were collected from an unsuitable donor.

PRODUCT
Red Blood Cells. Recall #B-1302-8.

CODE
Unit #29FE95620.

MANUFACTURER
American Red Cross Blood Services, Norfolk, Virginia.

RECALLED BY
Manufacturer, by letter dated April 14, 1998. Firm-initiated recall complete.

DISTRIBUTION
North Carolina.

QUANTITY
1 unit was distributed.

REASON
Blood product was collected from a donor who reported living in an area designated as endemic for malaria.

PRODUCT
Red Blood Cells. Recall #B-1304-8.

CODE
Unit #1465758.

MANUFACTURER
1 Central Kentucky Blood Center (CKBC), Lexington, Kentucky.

RECALLED BY
Manufacturer, by letter dated May 16, 1998. Firm-initiated recall complete.

DISTRIBUTION
Kentucky.

QUANTITY
1 unit was distributed.

REASON
Blood product was collected from a donor who had traveled to an area designated as endemic for malaria.

PRODUCT
Red Blood Cells. Recall #B-1305-8.

CODE
Unit #1465759.

MANUFACTURER
Central Kentucky Blood Center (CKBC), Lexington, Kentucky.

RECALLED BY
Manufacturer, by letter on May 16, 1998. Firm-initiated recall complete.

DISTRIBUTION
Kentucky.

QUANTITY
1 unit was distributed.

REASON
Blood product was collected from a donor who had traveled to an area designated as endemic for malaria.

PRODUCT
a) Red Blood Cells; b) Platelets. Recall #B-1306/1307-8.

CODE
Unit #1454033.

MANUFACTURER
Central Kentucky, Blood Center, Lexington, Kentucky.

RECALLED BY
Manufacturer, by letter dated June 3, 1998. Firm-initiated recall complete.

DISTRIBUTION
Kentucky.

QUANTITY
1 unit of each component was distributed.

REASON
Blood products were collected from a donor who reported travel to an area designated as endemic for malaria.

PRODUCT
a) Red Blood Cells; b) Cryoprecipitate; c) Recovered Plasma. Recall #B-1308/1310-8.

CODE
Unit #1394697.

MANUFACTURER
Central Kentucky Blood Center (CKBC), Lexington, Kentucky.

RECALLED BY
Manufacturer, by letter dated June 3, 1998. Firm-initiated recall complete.

DISTRIBUTION
Kentucky, Missouri, Maryland.

QUANTITY
1 unit of each component was distributed.

REASON
Blood products were collected from a donor living with a daughter who tested positive for hepatitis C.

PRODUCT
a) Red Blood Cells b) Platelets; c) Recovered Plasma. Recall #B-1311/1313-8.

CODE
Unit #1457861.

MANUFACTURER
Central Kentucky Blood Center (CKBC), Lexington, Kentucky.

RECALLED BY
Manufacturer, by letter dated June 8, 1998. Firm-initiated recall complete.

DISTRIBUTION
Kentucky and Maryland.

QUANTITY
1 unit of each component was distributed.

REASON
Blood products were collected from a donor living with a stepfather who had been diagnosed with hepatitis.

RECALLS AND FIELD CORRECTIONS: BIOLOGICS III

PRODUCT
Fresh Frozen Plasma. Recall #B-1295-8.

CODE
Unit #17183-4104.

MANUFACTURER
United Blood Services, San Angelo, Texas.

RECALLED BY
Blood Systems, Inc., Scottsdale, Arizona, by telephone on February 2, 1998. Firm-initiated recall complete.

DISTRIBUTION
Texas.

QUANTITY
1 unit was distributed.

REASON
Blood product was collected from a unit of whole blood with an extended collection time.

PRODUCT
Whole Blood. Recall #B-1303-8.

CODE
Unit #GZ36659.

MANUFACTURER
Metropolitan Washington Blood Bank, Bethesda, Maryland.

RECALLED BY
Manufacturer, by telephone on or about January 29, 1998. Firm-initiated recall complete.

DISTRIBUTION
Virginia.

QUANTITY
1 unit was distributed.

REASON
Blood product was labeled with an extended expiration date.

PRODUCT
Plasma-Cryosupernatant. Recall #B-1315-8.

CODE
Unit #50LJ01862.

MANUFACTURER
American Red Cross Blood Services, Toledo, Ohio.

RECALLED BY
Manufacturer, by telephone on February 10, 1998, and by letter dated March 5, 1998. Firm-initiated recall complete.

DISTRIBUTION
Ohio.

QUANTITY
1 unit was distributed.

REASON
Blood product was collected from a unit of whole blood with an extended collection time.

RECALLS AND FIELD CORRECTIONS: DEVICES -- CLASS II

PRODUCT
Devon Needle Counters, used to assist the medical practitioner in maintaining an accurate count of the number of suture needles used during a surgical procedure: a) Sterile Needle Counter, Individually Packaged, with Reorder Nos. 1105, 1314, 1315, 1330, 1360, 1614, 1615, 1625, 1630, 1635-I, 1660; b) Bulk, Non-sterile Needle Counters, with Reorder Nos. NS-1105, NS-1314, NS-1315, NS-1330, NS-1360, NS-1614, NS-1615, NS-1625, NS-1630, NS-1660; c) Surgi-Start Kits containing Needle Counter, with Reorder Nos. 7519, 7539, 7766, 7815, 7866, K-1615-S, K-1615-S3, K-1615-Z, K-1615-Z3, K-1630-S, K-1660-S, K-1615-S4, K-1614-6PBP, K-1630-3BMM, K-1330-1DOC, K-1630-S3, K-1615-2FAP, K-1615-4SLH, K-1615-2CAC, 7463-COG2, 7416-KCW, 7463-MDW, 7694-SGB3, 7430-BAB, 7463-BVB, 7615-UMD4, 7715-NRA5, 7653-NAS, 7614, 7614-T4, 7735-WII3, 7663-CCL2, 7815-ALA2, 7466-MCW2, 7436-NON, 7466-MCM2, 7514-POW2, 7466-INI2, 7663, 7514-SMR2, 7815-T8, 7415-KCW, 7616-CAC3, 7663-MIM2, 7463-SCN2, 7514-MAF, 7614-KCW, 7416-KCW, 7612-SAB, 7514-NMT, 7661-CAC2. Recall #Z-673/675-8. CODE
Lot numbers:
71881   72051   72201   72353   72473   72591   
71911   72061   72211   72371   72481   72603
71921   72091   72231   72373   72483   72611
71926   72101   72241   72381   72491   72621
71951   72111   72251   72383   72511   72651
71961   72121   72261   72401   72513   72661
71971   72131   72271   72403   72521   72671
71981   72141   72281   72411   72531   72721
71991   72161   72301   72451   72533   72731
72001   72171   72311   72453   72543   72801
72031   72181   72321   72463   72551   72811
72041   72191   72341   72471   72581   72821
72861   72881   72891   72901   72961   72971 
73001.
MANUFACTURER
Graphic Controls Corporation, Chatsworth, California.

RECALLED BY
Graphic Controls Corporation, Buffalo, New York, by letter dated June 12, 1998. Firm-initiated recall ongoing.

DISTRIBUTION
Nationwide, Canada, France, Spain.

QUANTITY
361,864 needle counters were distributed.

REASON
The foam insert (strip) has the potential to detach from the plastic needle box.

PRODUCT
GFX Over-The-Wire Coronary Stent System, indicated for use in patients eligible for balloon angioplasty with symptomatic ischemic disease due to discrete de novo lesions in coronary arteries (length 30 mm) with a reference vessel diameter of 3.0 mm to 4.0 mm. Stenting is intended to improve coronary luminal diameter: a) Catalog No. DGFW3512; b) Catalog No. DGFW3518. Recall #Z-676/677-8.

CODE
Lot numbers: a) 8E21E19; b) 8E14E11.

MANUFACTURER
Arterial Vascular Engineering, Inc., (AVE), Santa Rosa, California.

RECALLED BY
Manufacturer, by telephone on May 28, 1998, followed by letter. Firm-initiated recall ongoing.

DISTRIBUTION
Nationwide.

QUANTITY
170 units were distributed.

REASON
The devices are subject to a slow inflation/deflation time of the balloon segment of the coronary stent delivery system.

PRODUCT
APR-T Revision Hip Stems, components of the APR Hip System used to replace a diseased or otherwise dysfunctional hip joint: a) APR-T Revision Hip Stem, Left, Catalog No. 7328-01-011; b) APR-T Revision Hip Stem, Right, Catalog No. 7328-02-011. Recall #Z-679/680-8.

CODE
All lot numbers.

MANUFACTURER
Sulzer Orthopedics, Inc., Austin, Texas.

RECALLED BY
Manufacturer, by telephone on June 1, 1998, followed by letter. Firm-initiated recall ongoing.

DISTRIBUTION
Arizona, California, Florida, Louisiana, Michigan, New Mexico, Nevada, South Carolina, South Dakota, Tennessee, Texas, Utah, Australia.

QUANTITY
47 units were distributed.

REASON
The hip stem may be subject to fracture after being implanted.

PRODUCT
Osteonics Cement Plugs, one of several accessory products sold by Osteonics used for cemented arthroplasty: a) Osteonics Cement Plugs, Model No. B002-0125, Size 2; b) Osteonics Cement Plugs, Model No. B006-0185 Size 6. Recall #Z-681/682-8.

CODE
a) Serial No. XPC28; b) Serial No. XPC29.

MANUFACTURER
Osteonics Corporation, Allendale, New Jersey.

RECALLED BY
Manufacturer, by voice mail followed by letter on September 17, 1997. Firm-initiated recall complete.

DISTRIBUTION
Massachusetts, Michigan, Florida, New Mexico.

QUANTITY
a) 14 units; b) 3 units were distributed.

REASON
One lot labeled as Size 2 (12.5mm) plugs (Model No. B002-0125) were actually Size 6 (18.5 mm) plugs (Model No. B006-0185), and one lot labeled as Size 6 plugs were actually Size 2 plugs.

RECALLS AND FIELD CORRECTIONS: DEVICES -- CLASS III

PRODUCT
Adjustable Coaxial Temno Biopsy System biopsy needle size 18g x 15 cm, coaxial needle size 17g x 10 cm, EXP 8/00, Bauer Medical Inc., Clearwater, Florida, Catalog Number ACT 18/15. Only the needle introducer contained in the system if visually confirmed to be the wrong size was recalled. The device is used to introduce the biopsy needle into the tissue. Recall #Z-678-8.

CODE
Lot numbers 698/97N97 and 1005/97N97.

MANUFACTURER
Allegiance Healthcare Corporation (formerly known as Bauer Medical), Clearwater, Florida.

RECALLED BY
Manufacturer, by telephone beginning on November 4, 1997, followed by visit and letter on March 6, 1998. Firm-initiated recall complete.

DISTRIBUTION
Nationwide.

QUANTITY
250 units were distributed.

REASON
Introducer is too long (incorrect size), causing the biopsy needle not to cut.

END OF ENFORCEMENT REPORT FOR JULY 22, 1998. BLANK PAGES MAY FOLLOW.

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End of Enforcement Report for
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