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
09/06/1995

 ENFORCEMENT REPORT FOR 09/06/95 


September 6, 1995


RECALLS AND FIELD CORRECTION:  DRUGS  --  CLASS III
=======================

_______________
PRODUCT        Nitrostat Sublingual Tablets (Nitroglycerin tablets) 0.4 mg
               bottles, used for the treatment and management of patients
               with angina pectoris, Recall #D-243-5.
CODE           Lot #002D2F4, exp. date 12/95.
MANUFACTURER   Warner Lambert Company, Fajardo, Puerto Rico.
RECALLED BY    Parke-Davis (division of Warner Lambert Co.), Morris Plain,
               New Jersey, by certified mail August 10, 1995.  Firm-
               initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       22,427 bottles were distributed.
REASON         Product may not meet assay specifications through expiration
               date.


CORRECTION:    Recall #D-235-5, which appeared in the August 23, 1995, 
               Enforcement Report should read:  Recalled by, Manufacturer,
               by letter August 1, 1994 and telephone July 29, 1994 instead
               of July 29, 1995.
               

CORRECTION:    Recall #F-768-5, which appeared in the August 30, 1995,
               Enforcement Report should read:  Product:  Ground Nutmeg
               packaged in 16 ounce and .70 ounce packages instead of 70
               ounce packages.
RECALLS AND FIELD CORRECTION:  BIOLOGICS -- CLASS II
======================

_______________
PRODUCT        Red Blood Cells, Recall #B-555-5.
CODE           Unit #10R05825
MANUFACTURER   American National Red Cross, Springfield, Missouri.
RECALLED BY    Manufacturer, by letter July 28, 1994.  Firm-initiated
               recall complete.
DISTRIBUTION   Missouri.
QUANTITY       1 unit.
REASON         Blood product, which tested negative for the antibody to the
               human T-lymphotropic virus type I (anti-HTLV-I) but was
               collected from a donor who previously tested repeatedly
               reactive for anti-HTLV-I, was distributed.


_______________
PRODUCT        (a) Whole Blood CPDA-1; (b) Red Blood Cells, Recall #B-
               556/557-5.
CODE           Unit #'s (a) 42FK50236; (b) 42FK35726.
MANUFACTURER   American National Red Cross, Cleveland, Ohio.
RECALLED BY    Manufacturer, by letter September 7, 1994.  Firm-initiated
               recall complete.
DISTRIBUTION   Ohio.
QUANTITY       2 units.
REASON         Blood products, which were collected from a donor with a
               medical history of cancer were distributed.


_______________
PRODUCT        (a) Red Blood Cells; (b) Platelets; (c) Fresh Frozen Plasma,
               Recall #B-558/560-5.
CODE           Unit #16T39672.
MANUFACTURER   American National Red Cross, Columbus, Ohio.
RECALLED BY    Manufacturer, by letter February 20, 1995.  Firm-initiated
               recall complete.
DISTRIBUTION   Ohio.
QUANTITY       3 units. 
REASON         Blood products, which tested negative for the antibody to
               the human immunodeficiency virus type 1 (anti-HIV-1) but
               were collected from a donor who previously tested repeatedly
               reactive for anti-HIV-1, were distributed.


_______________
PRODUCT        (a) Red Blood Cells; (b) Platelets; (c) Recovered Plasma,
               Recall #B-561/563-5.
CODE           Unit #42L60374.
                                    -2-
MANUFACTURER   American National Red Cross, Cleveland, Ohio.
RECALLED BY    Manufacturer, by letter June 22, 1994 and by facsimile on
               June 29, 1994.  Firm-initiated recall complete.
DISTRIBUTION   Ohio.
QUANTITY       3 units.
REASON         Blood products, which tested negative for the hepatitis B
               surface antigen (HBsAg) but were collected from a donor who
               previously tested repeatedly reactive for HBsAg, were
               distributed.


______________
PRODUCT        (a) Red Blood Cells; (b) Platelet Concentrate; (c)
               Cryoprecipitated AHF; (d) Fresh Frozen Plasma; (e) Recovered
               Plasma; (f) Platelets, for further manufacture; Recall #B-
               564/569-5.
CODE           Contact FDA, Center for Biologics Evaluation and Research, 
               Office of Compliance, (301) 594-1070, for individual unit
               numbers recalled.
MANUFACTURER   American Red Cross Blood Services, Rochester, New York.
RECALLED BY    Manufacturer, by letters dated September 1994 to January
               1995.  Firm-initiated recall complete.
DISTRIBUTION   California, Florida, New York, Pennsylvania, Puerto Rico,
               Switzerland.
QUANTITY       109 units.
REASON         Blood products which: 1) tested repeatedly reactive for
               antibody to human immunodeficiency virus type 1 (anti-HIV-
               1); 2) tested negative for anti-HIV-1, but were collected
               from donors who previously tested repeatedly reactive for
               anti-HIV-1; or 3) tested negative for anti-HIV-1, but were
               collected from a donor who previously tested initially
               reactive for anti-HIV-1 and was not retested in duplicate,
               were distributed.


_______________
PRODUCT        (a) Red Blood Cells; (b) Platelets; (c) Recovered Plasma,
               Recall #B-570/572-5.
CODE           Unit #s (a & b) 42L66542; (c) 42L66542, 42Y77970, 42N83022.
MANUFACTURER   American National Red Cross, Cleveland, Ohio.
RECALLED BY    Manufacturer, by letter and facsimile on or about September
               7, or 8, 1994.  Firm-initiated recall complete.
DISTRIBUTION   Ohio.
QUANTITY       5 units.
REASON         Blood products, which were collected from a donor who was at
               increased risk for infectious diseases, were distributed.

                                    -3-
_______________
PRODUCT        (a) Red Blood Cells; (b) Fresh Frozen Plasma, Recall #B-
               574/575-5.
CODE           Unit #s (a) 42FW18422, 42T25023, 42T25025, 42FY58361,
               42K59498, 42T25009; (b) 42FW18422.
MANUFACTURER   American Red Cross Blood Services, Cleveland, Ohio.
RECALLED BY    Manufacturer, by letters between January 9, 1995 and July
               11, 1995.  Firm-initiated recall complete.
DISTRIBUTION   Ohio, California, Missouri.
QUANTITY       7 units.
REASON         Blood products, associated with a unit of pooled platelets
               which was contaminated with Staphylococcus epidermidis, were
               distributed.


_______________
PRODUCT        (a) Whole Blood CPDA-1; (b) Red Blood Cells; (c) Red Blood
               Cells Leukocytes Removed; (d) Platelets; (e) Platelets,
               Pheresis; (f) Cryoprecipitated AHF; (g) Single Donor Plasma;
               Recall #B-578/584-5.
CODE           Contact FDA, Center for Biologics Evaluation and Research,
               Office of Compliance, (301) 594-1070, for individual unit
               numbers recalled.
MANUFACTURER   American National Red Cross, Baltimore, Maryland.
RECALLED BY    Manufacturer, by facsimile and letter dated May 25, 1994 and
               June 7, 1994.  Firm-initiated recall ongoing.
DISTRIBUTION   Maryland, Virginia, Pennsylvania, California, Massachusetts,
               Washington, D.C.
QUANTITY       970 units.
REASON         Blood products, which were improperly tested for syphilis,
               were distributed.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS III
====================

_______________
PRODUCT        (a) Red Blood Cells; (b) Recovered Plasma, Recall #B-
               552/553-5.
CODE           Unit #47J32890.
MANUFACTURER   American National Red Cross, Peoria, Illinois.
RECALLED BY    Manufacturer, by letter May 3, 1995.  Firm initiated recall
               complete.
DISTRIBUTION   Iowa.
QUANTITY       2 units.
REASON         Blood products, which tested negative for the antibody to
               the human immunodeficiency virus type 1 (anti-HIV-1) but
               were collected from a donor who previously tested repeatedly
               reactive for anti-HIV-1, were distributed.
                                     -4-
_______________
PRODUCT        Red Blood Cells, Recall #B-554-5.
CODE           Unit #10F76830.
MANUFACTURER   American National Red Cross, Springfield, Missouri.
RECALLED BY    Manufacturer, by telephone October 3, 1994.  Firm-initiated
               recall complete.
DISTRIBUTION   Missouri.
QUANTITY       1 unit.
REASON         Blood product, which was labeled with an incorrect
               expiration date, was distributed.


_______________
PRODUCT        Recovered Plasma, Recall #B-573-5.
CODE           Unit #42M62528.
MANUFACTURER   American National Red Cross, Cleveland, Ohio.
RECALLED BY    Manufacturer, by facsimile on April 21, 1994.  Firm-
               initiated recall complete.
DISTRIBUTION   California.
QUANTITY       1 unit.
REASON         Blood product, corresponding to Red Blood Cells which were
               contaminated with Staphlyococcus epidermidis, was
               distributed.


_______________
PRODUCT        Red Blood Cells, Recall #B-577-5.
CODE           Unit #s 36FM03719, 36FM03720, 36FM03751, 36FM03753.
MANUFACTURER   American Red Cross Blood Services, Columbia, South Carolina.
RECALLED BY    Manufacturer, by telephone and letter June 16, 1994.  Firm-
               initiated recall complete.
DISTRIBUTION   South Carolina.
QUANTITY       4 units.
REASON         Blood products, which were collected in outdated blood
               collection bags, were distributed.


_______________
PRODUCT        (a) Whole Blood For Research; (b) Recovered Plasma; (c)
               Platelets For Further Manufacture, Recall #B-585/587-5.
CODE           Contact FDA, Center for Biologics Evaluation and Research,
               Office of Compliance, (301) 594-1070, for individual unit
               numbers recalled.
MANUFACTURER   American National Red Cross, Baltimore, Maryland.
                                      -5-
RECALLED BY    Manufacturer, by facsimile and letter dated June 7, 1994. 
               Firm-initiated recall complete.
DISTRIBUTION   Maryland, Virginia, Pennsylvania, California, Massachusetts,
               Washington, D.C.
QUANTITY       282 units.
REASON         Blood products, which were improperly tested for syphilis,
               were distributed.


RECALLS AND FIELD CORRECTIONS:  DEVICES --  CLASS II
======================

_______________
PRODUCT        Trophy Intraoral X-ray, Recall #Z-1099/1101-5.
CODE           70-X; IRIX 70-C; IRIX 70-E.
MANUFACTURER   Trophy Radiology, France.
RECALLED BY    Trophy Radiology, Marietta, Georgia, by letter on or about
               July 7, 1995.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       Firm estimates 2,500 units were distributed and remain on
               market.
REASON         The X-ray unit's arm can become detached and fall to the
               floor.


_______________
PRODUCT        Mobil Plus Mobile X-ray System, Recall #Z-1102-5.
CODE           None
MANUFACTURER   International Medical Systems, Inc., Riverside, California.
RECALLED BY    Manufacturer, by letter July 14, 1995.  Firm-initiated
               recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       38 units
REASON         The diagnostic x-ray devices failed to meet Federal
               Performance Standard for Diagnostic x-ray systems and their
               major components, in that the illuminance of the light
               localizer did not meet the requirements of 21 CFR
               1020.31(d)(2) (ii).


_______________
PRODUCT        Site CD II Phacoemulsification Handpiece, used primarily in
               cataract removal surgeries, Recall #Z-1116-5.
CODE           All units.
MANUFACTURER   Site Microsurgical Systems, Inc., Horsham, Pennsylvania.
RECALLED BY    Iolab Corporation, Claremont, California, by telephone and
               letter dated December 8, 1994.  Firm-initiated recall
               ongoing.
                                        -6-
DISTRIBUTION   Nationwide, France, Australia, United Kingdom.
QUANTITY       79 units were shipped.
REASON         Metal particles may flake off the device into the eye.


_______________
PRODUCT        (a) Low Profile Plastic Port/Introducer Kit, Catalog #6022;
               (b) Low Profile Plastic Port, Catalog #1012, used for long-
               term vascular access, generally for chemotherapy, Recall #Z-
               1117/1118-5.
CODE           Lot #s (a) 9501; (b) 9452.
MANUFACTURER   Therex Corporation, Walpole, Massachusetts.
RECALLED BY    Manufacturer, by telephone and follow-up letter February 2,
               1995.  Firm-initiated recall ongoing.
DISTRIBUTION   Vermont, Canada.
QUANTITY       1,100 units were distributed.
REASON         Fluid from o-rings may leak into subcutaneous tissue causing
               tissue damage around the port.


_______________
PRODUCT        TowerSpore Biological Indicator Strips, Catalog numbers
               T40020, 40020, A9360-20, Recall #Z-1119/1121-5.
CODE           Lot #s X686, X687, X688, X689, X692, X693, X694, X695, X697.
MANUFACTURER   North American Science Associates, Northwood, Ohio.
RECALLED BY    Baxter Healthcare Corporation, McGaw Park, Illinois by
               telephone August 3, 1995.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide, Canada.
QUANTITY       1,559 cases were distributed.
REASON         The product is labeled for ambient or refrigerated storage,
               but stability data does not support the expiration dates
               assigned when the product is stored at room temperature.


_______________
PRODUCT        Hall Surgical Osteon Bur, Recall #Z-1122-5.
CODE           Lot #s 09660200, 08728300.
MANUFACTURER   Linvatec Corporation, Largo, Florida.
RECALLED BY    Manufacturer, by letter February 3, 1995.  Firm-initiated
               recall complete.
DISTRIBUTION   Nationwide, South Africa, Australia, Japan, France.
QUANTITY       186 devices were distributed.
REASON         Mislabeled bur size.

                                        -7-
_______________
PRODUCT        Classic Tip Trocar, Product code OMS-T10NR, OMS-T11NR, OMS-
               T12NR, Recall #Z-1123/1125-5.
CODE           Lot #s 0106951, 0606951, 0806951, 0906951, 1206951, 1306951,
               1505951, 1506951, 1805951, 2106951, 2305951, 2606951,
               2806951, 3005951, 3105951, 1270051095, 1280051195.
MANUFACTURER   Origin Medsystems, Inc., Menlo Park, California.
RECALLED BY    Manufacturer, by letter July 27, 1995.  Firm-initiated
               recall ongoing.
DISTRIBUTION   Nationwide, Argentina, Canada, Cyprus, France, Greece, The
               Netherlands, Republic of China (Taiwan).
QUANTITY       2,200 units were distributed.
REASON         The trocer's metal tip may separate from the plastic
               obturator.


_______________
PRODUCT        Sterile CarraGauze Strips 1"x 5 yards, packaged in high
               dentisy polyethylene bottles, Recall #Z-1126-5.
CODE           Lot #023, Order #101012.
MANUFACTURER   DuoTek, Division of STS DuoTek, Inc., Fairport, New York.
RECALLED BY    Carrington Laboratories, Inc., Irving, Texas, by letter
               August 11, 1995.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       1,293 units were distributed.
REASON         The product does not meet the sterility assurance level
               specification.

                                     -8-
______________
PRODUCT        Neonatal Transport System (TI 100), Recall #z-1127/1129-5
CODE           Serial numbers:
1001901   1010920  1020974  1021033  1041900  1050955  2000170  2000234
1001904   1020921  1020975  1021039  1043900  1050956  2000171  2000235
1002900   1020922  1020976  1021040  1044900  1050957  2000173  2000236
1002901   1020923  1020977  1021041  1050900  1050959  2000176  2000238
1003900   1020924  1020978  1021042  1050903  1050960  20001578 2000240
1003901   1020925  1020979  1021043  1050905  1050961  2000181  2000240
1004901   1020926  1020980  1021044  1050905  1050962  2000183  2000241
1005900   1020927  1029091  1021045  1050906  1050963  2000184  2000242
1006900   1020928  1020982  1021046  1050907  1050964  2000185  2000243
1006901   1020929  1020983  1021047  1050908  1050965* 2000186  2000244
1007900   1020930  1020984  1021048  1050909  1050966  2000187  2000245
1007901   1020931  1020985  1021049  1059010  1050967  2000188  2000246
1008900   1020932  1020986  1021050  1050911  1050968* 2000189  2000247
1008901   1020933  1020987  1021051* 1050912  10509718 2000190  2000248
1009900   1020934  1020988  1021052  1050913  1050972* 2000191  2000249
1009901   1020935  1020989* 1021053  1050914  2000104  2000192  2000250
1010900   1020936  1020990  1021054* 1050915  2000105  2000193  2000251
1010901   1020937  1020991  1021055  1050917  2000106  2000194  2000252
1011900   1020938  1020992  1021056  1050919  2000109  2000195  2000253
1011901   1020939  1020993* 1021057  1050921  2000111  2000196  2000254
1012900   1020940  1020994  1021058  1050922  2000112  2000198  2000257
1012901   1020941  1020995  1021059* 1050923  2000113  2000199  2000258
1013900   1020942  1020996  1021060* 1050925  2000115  2000200  2000259
1013901   1020943  1020997  1021061  1050926  2000119* 2000201  2000260
1014900   1020944  1020999  1021062  1050927  2000121  2000202  2000261
1014901   1020945* 1021000  1021063  1050928  2000127* 2000203  2000262
1015900   1020946  1021001  1021064* 1050929  2000128  2000204  2000263
1015901   1020947  1021002  1021065  1050930  2000129  2000205  2000264
1016900   1020948* 1021003  1021066  1050931* 2000130  2000206  2000265
1017900   1020950  1021004  1021067  1050933  2000131  2000207  2000267
1018900   1020952  1021007  1021900  1050934  2000136  2000208  TB220-1
1019900   1020963  1021008* 1021936  1050935  2000137* 2000209  TB220-2
1020900   1020955  1021009  1022900  1050936  2000138  2000210
1020901   1020956  1021010  1023900  1050937  2000139  2000213
1020902   1020957  1021011  1024900  1050938  2000140  2000214
1020903   1020958  1021012  1025900  1050939  2000143* 2000216
1020904   1020959  1021013  1026900  1050940  2000145* 2000217
1020905   1020960  1021014  1027900  1050941  2000146* 2000218
1020906   1020961  1021015  1028900  1050942  2000147  2000220
1020907   1020962  1021016* 1029900  1050943  2000148* 2000221
1020908   1020963  1021017  1030900  1050944  2000155* 2000222
1020909   1020964  1021018  1032900  1050945  2000156  2000223
1020911   1020965  1021019  1032900  1050946  2000157  2000225
1020912   1020966  1021020  1033900  103097   2000159  2000226
                                 -9-
1020913   1020967  1021022  1034900  1050948  2000160  2000227
1020914   1020968  1021025  1035900  1050949  2000161  2000228
1020915   1020969  1021026  1036900  1050950  2000162  2000229
1020916   1020970  1021027* 1037900  1050951  2000163  2000230
1020917   1020971  1021030  1038900  1050952  2000165  2000231
1020918   1020972  1021031  1039900  1050953  2000167  2000232
1020919   1020973  1021032  1040900  1050954  2000168* 2000233
MANUFACTURER   K-1 Medical Products Inc., El Cajon, California
RECALLED BY    Air Shields Inc., Hatboro, Pennsylvania, by letter July 5,
               1995.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide, international.
QUANTITY       389 units were distributed.
REASON         The high pressure check valves in the mechanical ventilator
               contained in the "frame" of a newborn incubator system may
               fail permanently.


_______________
PRODUCT        Dash Latex Examination Gloves, Recall #Z-1133/1134-5.
CODE           Lot #1552, 5163.
MANUFACTURER   Dash Medical, Malaysia.
RECALLED BY    Dash Medical Gloves Inc., Franklin, Wisconsin, by routine
               inspection July 31, 1995.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide
QUANTITY       250 cases were distributed.
REASON         The gloves failed the Food and Drug Administration water
               leak testing for patient examination.


_______________
PRODUCT        (a) DispoMed Latex Examination Gloves, Powder-Free (All
               Sizes); (b) Proctor Latex, Powder-Free, Examination Gloves, 
               All Sizes, Recall #Z-1135/1136-5.
CODE           Lot #FXS, FXM, FXL.
MANUFACTURER   Unknown.
RECALLED BY    Baxter Healthcare Corporation, McGaw Park, Illinois, by
               letter August 15, 1995.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       (a) 1,307 cases; (b) 8 boxes were distributed.
REASON         The gloves exhibited signs of deterioration, including
               sticking together, and discoloration, they have the
               potential for spontaneous combustion, demonstrated by signs
               of heat and possibly smoldering.

                                     -10-
_______________
PRODUCT        Protec-Top Vinyl Examination Gloves, Pre Powdered, 100
               gloves per box/10 boxes per carton in sizes small, medium,
               and large, Recall #Z-1137/1139-5.
CODE           318-5000, lot number 140601 (small); 318-5005, lot number
               140602 (medium); 318-5010, lot number 140603 (large).
MANUFACTURER   JH Gloves Company, Ltd., Taiwan.
RECALLED BY    Carl Parker Associates, Inc., Hauppauge, New York, by
               letters dated June 16 and June 20, 1995.  Firm-initiated
               recall ongoing.
DISTRIBUTION   New York.
QUANTITY       690 gloves were distributed.
REASON         The gloves failed FDA water leak testing.


RECALLS AND FIELD CORRECTION:  DEVICES -- CLASS III
=======================

_______________
PRODUCT        Site CD Phacoemulsification Handpiece, Revision B Labeling,
               used in corneal removal surgery, Recall #Z-1130-5.
CODE           Not coded.
MANUFACTURER   Fibra Sonics, Inc., Chicago Illinois
RECALLED BY    Site Microsurgical Systems, Inc., Horsham, Pennsylvania, by
               letter April 21, 1994.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide, Japan, England, Australia.
QUANTITY       39 units were distributed.
REASON         "Flash" sterilization techniques could lead to cracks in the
               tubes due to thermal shock.


_______________
PRODUCT        Site CD II Phacoemulsification Handpiece, Recall #Z-1131-5.
CODE           All product manufactured between June 1992 and July 1993.
MANUFACTURER   Fibra Sonics, Inc., Chicago, Illinois.
RECALLED BY    Site Microsurgical Systems Inc., Horsham, Pennsylvania, by
               letter May 9, 1994.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide, Bangkok, France, Japan, United Arab Emirates,
               Canada, England.
QUANTITY       820 handpieces were distributed.
REASON         "Flash" sterilization techniques could lead to cracks in the
               tubes due to thermal shock.


                                     -11-
SEIZURES:
=================================================================
_______________
PRODUCT        Frozen Shrimp (95-711-532 et al).
CHARGE         Adulterated -  One lot contains Salmonella, a poisonous or
               deleterious substance which may render it injurious to
               health; and, all lots except the lot contaminated with       
               Salmonella, consist in whole or in part of a decomposed
               substance by reason of the presence therein of decomposed
               shrimp.
LOCATION       Mercury Cold Storage, Inc., Dover, Florida.
FILED          August 25, 1995; U.S. District Court for the Middle District
               of Florida, Tampa Division; Civil #95-1412-CIV-T-17A; FDC
               #67103.
SEIZED         August 29, 1995 - goods valued at approximately $500,000.

_______________
PRODUCT        Dried, Sliced Betel Nut (95-741-549).
CHARGE         Adulterated - The article contains a poisonous and
               deleterious substance which may ordinarily render it
               injurious to health.
LOCATION       Lien Hoa Food Corporation, Chicago, Illinois.
FILED          August 25, 1995; U.S. District Court for the Northern
               District of Illinois, Eastern Division; Civil #95-C-4903;
               FDC #67100.
SEIZED         August 28, 1995 - goods valued at approximately $7,000.

                                     

END OF ENFORCEMENT REPORT FOR SEPTEMBER 6, 1995.  BLANK PAGES MAY
FOLLOW.

                                   -12-

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