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
10/25/1995

 ENFORCEMENT REPORT FOR 10/25/1995 


October 25, 1995                                                 95-43

RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS III
========================
_______________
PRODUCT        Nestle Quik Strawberry Milk, Ultra-Pasteurized, 16 and 32
               fluid ounce cartons.  Recall #F-023-6.
CODE           SEP 22 S3 21-031.
MANUFACTURER   Ryan Milk Company, Murray, Kentucky.
RECALLED BY    Manufacturer, by visits on August 15 and 16, 1995.  Firm-
               initiated recall complete.
DISTRIBUTION   States east of the Mississippi.
QUANTITY       3,900 cases.
REASON         Product contains an off odor and off color.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS II
=========================
_______________
PRODUCT        (a) Dexamethasone Sodium Phosphate Injection, USP, 5 ml
               multiple dose vial, 4 mg/ml, a sterile injectable
               glucocorticoid;  (b) Hydroxyzine HCl Injection, USP, 10 ml
               multiple dose vial, a sterile, aqueous solution intended for
               intramuscular administration, indicated for use in the
               relief of anxiety and tension.   Recall #D-007/008-6.
CODE           Lot numbers 035021 EXP 3/98 and 015005 EXP 1/98.
MANUFACTURER   Elkins-Sinn, Cherry Hill, New Jersey.
RECALLED BY    Manufacturer, by letter August 21, 1995.  Firm-initiated
               recall complete.
DISTRIBUTION   Nationwide, The Netherlands, The Bahamas.
QUANTITY       1,886 boxes of Dexamethasone were distributed.
REASON         A vial of Dexamethasone Injection was packaged in a carton
               labeled Hydroxyzine Injection.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS III
========================
_______________
PRODUCT        Bumex 2 mg Tablets, in 5,000 tablet bottles, Rx diuretic. 
               Recall #D-006-6.
CODE           Lot #0331 EXP 11/1/96.
MANUFACTURER   Hoffman-La Roche, Inc., Nutley, New Jersey.
RECALLED BY    Manufacturer, by letter August 15, 1995.  Firm-initiated
               recall complete.
DISTRIBUTION   Nationwide and Puerto Rico.
QUANTITY       357 bottles were distributed.
REASON         Product does not meet content uniformity specifications.

_______________
PRODUCT        COPE Analgesic Tablets, packed in 36 and 60-tablet bottles,
               OTC promoted for pain relief for tension headaches.
               Recall #D-009-6.
CODE           Lot numbers:  L014C EXP 12/96, C015C EXP 3/97, E015C EXP
               5/97.
MANUFACTURER   Custom Pharmaceuticals, Fort Erie, Ontario, Canada.
RECALLED BY    The Mentholatum Company, Inc., Buffalo, New York, by letter
               issued between October 4 and 13, 1995.  Firm-initiated
               recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       15,552 36-tablet bottles and 83,808 60-tablet bottles were
               distributed. 
REASON         The bilayer tablets are exhibiting separation.

_______________
PRODUCT        Neomycin 15%, Polymyxin B Sulfates (15%), and Dexamethasone
               Ophthalmic Ointment (3%) USP, all 3.5 gram tubes under the
               following brand and labels:   Dexasporin:  Bausch & Lomb,
               Butler  and Major Medical; Neopolydex:  Medical Opthalmics;
               NPD Ophthalmic Ointment: Phoenix Pharmaceuticals, Rugby; Neo
               Poly Dex Ointment: Vedco.  Recall #D-010-6.
CODE           Lot #583381.
MANUFACTURER   Bausch and Lomb Pharmaceuticals Division, Tampa, Florida.
RECALLED BY    Manufacturer, by letter September 18, 1995.  Firm-initiated
               recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       23,900 units were distributed; firm estimated that 10,000
               units remained on market at time of recall initiation.
REASON         Subpotency of the Polymyxin B sulfate ingredient.



                                    -2-RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS II
=======================
_______________
PRODUCT        Medical breathing kits:
               (a) Adult Circle Breathing Circuit, 4"/101 cm HOSE, non-
               conductive single use;
               (b) Piggyback Breathing Circuit, non-conductive single use;
               (c) General Anesthesia System, non-conductive single use.
               Recall #Z-860/862-5.
CODE           Product numbers and Lot numbers:
               (a) 5033ACIM, 0654; 5033ACIM 0594; 5020AEM7, 0584;    
               5074H067, 0624; 5320AM, 0664; 5320A, 0615; 5033ACM8, 0634;
               5020MA, 0594; 5072MOW, 0615; 5113AE07, 0625; 5080AE, 0594;
               5030AAE, 0604; 5022MN, 0584; 5022MS, 0595; 5070AIMW, 0665;
               5320AHIZ, 0585; 5031IKX6, 0624; 5031ES18, 0664; 5030ANS,
               0634; 5030AMO, 0615; 5030AJ9, 0604; 5030AEM8, 0674;
               5021IJMX, 0594; 5322AIMV, 0594; 5321HIOZ, 0625; 5322IJMX
               0594; 5020STFR, 0634; 5331IZ18, 0624; 5330ACHY, 0624;
               5321MOWI, 0654; 5321MOWI 0585; 5020MA, 0594; 5023MOXI, 0664;
               5055HAYS, 0654; 5022HAYS, 0655; 5020AXJI, 0584; 5022JV,
               0595; 5030ACJX, 0624; 5330GEIS, 0605; 5030AJ9, 0604;
               5320AHM, 0594; 5330GEIS, 0605; 5030AJ9, 0595; 5071HIZ8,
               0624; 5072HM8, 0604; 5320AAM, 0664; 5822IKMX, 0605; 5030AJ9,
               0595; 5030AACE, 0604; 5021IJX8, 0604; 5030AE, 0625; 5030AE,
               0624; 5330AMZI, 0654; 5330AMXI, 0585; 5020AJIO, 0595;
               5020AXJI, 0584; 5020AEMT, 0604; 5321HIOZ, 0624; 5030AEMO,
               0624; 5322, 0585; 5320AM, 0664; 5021IJMX, 0665; 50800AAM8.
               0665; 5322E, 0594; 5320AMTW, 0624; 5322AAT, 0625; 5083HI07,
               0665; 5022HAYS, 0654; 5030ABIX, 0604; 5030AJ9, 0595;
               5020DO,I, 0604; 5322Z1, 0615; 5022IJX, 0655; 5022EM8, 0624;
               5070A, 0634; 5030SAE, 0664; 5022EM8, 0624; 5020AXJI, 0584;
               5021IJMX, 0665; 5320AMOX, 0664; 5322AIMV, 0595; 5070, 0634;
               5073HIOV, 0665; 5322AIMW, 0665; 5320AMX, 0604; 5030AE, 0625;
               5322IMTZ, 0605; 5029MA, 0594; 5320AIW8, 0655; 5320AIWU,
               0605; 5020MA, 0594; 5035AFEO, 0595; 5030ANS, 0664; 5320A,
               0615; 5020AEOS, 0604; 5021IJMX, 0665; 5020MA, 0594; 5030AE,
               0624; 5020A, 0624; 5022AN, 0664; 5070A, 0634; 5020a, 0624;
               5021HIJS, 0655, 5080AE, 0594; 5022MS, 0595;
               (b) 5116, 0604; 5116AWEU, 0604; 5117AWE, 0604; 5116, 0604;
               (c) 6CYOOO7A, 0624, 6QX00QXX, 0604, STA40ABA, 0595;
               6G400GFX, 0654; 6QA00JHX, 0604; 6DEY0Z4B, 0615; 6GXY0P2X,
               0604; 6GQXYW8Z, 0595; 6Q80007X, 0624, 6QN00D2X, 0624.
MANUFACTURER   Vital Signs, Inc., Totowa, New Jersey.
RECALLED BY    Manufacturer, by telephone followed by letters dated March
               14 and 16, 1995.  Firm-initiated recall complete.
DISTRIBUTION   Nationwide.
QUANTITY       (a) 745 Cases (20 bags per case); (b) 3 cases (20 bags per
               case); (c) 90 cases (15 bags per case) were distributed.
REASON         The corrugated hose component packaged in the medical
               breathing kits may contain pinholes that could cause a
               circuit to leak.


                                    -3-_______________
PRODUCT        SL-Series Liner Accelerators and Vericord S3 Computer
               Verification and Record System:
               (a) SL-Series (15, 18, 20, and 25) Linear Accelerators, with
               Version 2.0.0 Operating Software (or higher), a dual x-ray
               and multi-electron linear accelerator to treat superficial
               shallow and deep seated tumors;
               (b) Vericord S3 Computer Verification and Record System,
               used in conjunction with SL 75 Linear Accelerators.  
               Recall #Z-931/932-5.
CODE           Software Versions 2.0.0 and 2.1.0.
MANUFACTURER   Philips Medical Systems, Crawley, West Sussex, England.
RECALLED BY    Philips Medical Systems, North America, Shelton,
               Connecticut, by letter issued March 3, 1995.  Firm-initiated
               field correction ongoing.
DISTRIBUTION   Nationwide and Canada.
QUANTITY       (a) 87 units; (b) 12 units were distributed.
REASON         Software 2.0.0 could permit incorrect patient data or
               prescription information to be presented to the operator(s).

_______________
PRODUCT        Unprotected lead wires and patient cables distributed as
               components of the following products:
               Tumistore monitors for nocturnal tumescence, 
               Myoman biofeedback on incontinence, 
               EMG diagnosis module, 
               Pressure/EMG diagnosis module, 
               Tumi/EMG tumescence diagnosis module
               Janus III tumescence diagnosis module,
               Microphor electronystagmography analysis system, Ear
                 Electrode connector cable for iontophoresis ear canal
                 deadening,
               Tray clip to attach to dental tray,
               Cable EmpiIop electrode cable for iontophoresis using EMPI
                 electrodes,
               Cable Eartrode connector for iontophoresis ear canal
                  deadening,
               Ground plate electrode used during EMG testing,
               ENG electrode sets,
               Dual Treatment Lead Wire for iontophoresis,
               Tumisensors expansion sensors to measure tumescence,
               EMG module and audio monitor, 
               Janus III EMG module and audio monitor for measuring EMG,
               Spectrum:EMG module and audio center for measuring EMG, 
               Ground reference electrode needle,
               Monopolor electrode needles,
               Dentaphor, Dentaphor II, Iontophor and Iontophor II
                 containing leads for active and reference electrodes;
               Surface Return Electrode for iontophoresis reference;
               Electrodes for ear canal deadening;
               Gold Cup Electrodes for monitoring Electrode and lead

                                    -4-               Banana Plug to Tip Jack Connector converter lead from banana
                 plug to .080 pin;
               Drug Delivery Cable between iontophoresis unit and electrode
                 leads;
               Demo Case PI Distributors containing leads for nerve
                 location;
               Electrode Connector containing Electrodes plus three lead
                 set for EMG testing;
               Electrode .080 lead from PNS unit to clip for nerve
                 location;
               Electrode iontophoresis lead;
               Electrode PNS lead;
               Regional Block needles for nerve location;
               Tracer Nerve Locator;
               Dual-Stim and Dual-Stim Plus Peripheral Nerve Stimulators;
               EMG input cable to connect EMG electrodes and diagnostic
                 unit;
               Starter Kit with Electrode leads for ENG testing;
               Tumisensor Starter Kit;
               ENG Thermal Array strip chart recorders;
               TIP Plug to Regional Needle Connector for regional block;
               TIP Plug to Tip Jack Connector;
               Vestibular Autorotation Test Packages for Spatial diagnostic
               units.  Recall #Z-1039/1040-5.
CODE           Serial numbers 1009101 through 1521201.
MANUFACTURER   Life-Tech, Inc., Houston, Texas.
RECALLED BY    Manufacturer, by letter dated August 4, 1995.  Firm-
               initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       65,737 units were distributed; as of July 31, 1995, firm
               estimated that 47,215 units remained on the market.
REASON         Labels fail to provide adequate directions for use, and the
               cables and lead wires pose an unwarranted risk of injury to
               patients because they are not labeled to contraindicate use
               with apnea monitors.

_______________
PRODUCT        Clamp and slide screws components of the 35000 Pennig
               Dynamic Wrist Fixator (non sterile) and the 35001 Pennig
               Dynamic Wrist Fixator with Distractor Module (non sterile),
               external fracture fixation devices that are used to align
               distal radius fractures and maintain their fixation
               throughout the healing process:
               (a) Pennig Dynamic Wrist Fixator (non-sterile), 35000;
               (b) Pennig Dynamic Wrist Fixator with Distractor Module
               (non-sterile), 35001; 
               (c) Pennig Dynamic Wrist Fixator Clamp Screw (non-sterile),
               35080;
               (d) Pennig Dynamic Wrist Fixator Slide Screw (non-sterile),
               35081.  Recall #Z-1072/1075-5.
CODE           Lot numbers 003 and 001.
MANUFACTURER   Orthofix Srl, Verona, Italy.

                                    -5-RECALLED BY    EBI Medical Systems, Inc., Parsippany, New Jersey, by using
               the August 18, 1992 EBI Field Communication sheet.  Firm-
               initiated field correction complete.
DISTRIBUTION   Nationwide, Canada, Puerto Rico.
QUANTITY       Firm estimates none remains on the market.
REASON         In some instances, conditions have led to stress corrosion
               cracking.

_______________
PRODUCT        Omni Switchtip System, Model HP series:
               (a) Model No. 20474-HP;
               (b) Model No. 20475-HP;
               (c) Model No. 20476-HP;
               (d) Model No. 20479-HP;
               (e) Model No. 20481-HP;
               (f) Model No. 20489-HP.  Recall #Z-038/043-6.
CODE           (a) Lot No. 10391; (b) 10166, 10182;
               (c) 10167, 10183, 10278;  (d) 10168, 10181;
               (e) 10394; (f) 10430.
MANUFACTURER   Trimedyne, Inc., Irvine, California.
RECALLED BY    Manufacturer, by telephone from April 6 to 10, 1995,
               followed by letter April 7, 1995.  Firm-initiated recall
               complete.
DISTRIBUTION   Nationwide, Austria, United Kingdom.
QUANTITY       555 units were distributed.
REASON         The disposable fiber tips and handpieces have the potential
               to heat excessively, causing melting and possible skin
               burns.

_______________
PRODUCT        RFX and SFX X-ray Tables, Model #46-262751G5.
               Recall #Z-045-6.
CODE           Units with serial number lower than 435634WK1. 
MANUFACTURER   General Electric Medical Systems (GEMS), Waukesha,
               Wisconsin.
RECALLED BY    Manufacturer, by issuing a Field Modification Instruction
               (FMI 10587) on May 18, 1995.  Firm-initiated field
               correction ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       332 tables were distributed.
REASON         The table top becomes free floating when the chain fails,
               which may allow it to drop suddenly when in the vertical
               position.

_______________
PRODUCT        The Check Your Airway, a non-continuous manual ventilator. 
               Recall #Z-053-6.
CODE           All units.
MANUFACTURER   Heining Cherr Rui Bi Lok, China.
RECALLED BY    J & I International Trading Group, Inc., College Station,
               Texas, by letter dated September 18, 1995.  FDA-initiated
               recall ongoing.

                                    -6-DISTRIBUTION   Arizona, Texas.
QUANTITY       400 units were distributed.
REASON         Product was distributed without an approved 510(k), and is
               marketed as "sterile" without adequate documentation to
               verify sterility.

_______________
PRODUCT        InteliJet Disposable Tubing Set, Inflow Only, Catalog
               #7204727, used in conjunction with the InteliJet Fluid
               Management System which is a microprocessor controlled
               system designed for controlled delivery of irrigation fluid
               to control intra-articular pressure during athroscopic
               surgery.  Recall #Z-055-6.
CODE           Lot numbers:  179980, 179990, 207860.
MANUFACTURER   Smith & Nephew Endoscopy Dyonics, Inc., Andover,
               Massachusetts.
RECALLED BY    Manufacturer, by letters distributed on or about September
               13, 1995.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide, France, Belgium, United Arab Emerites.
QUANTITY       2,613 units.
REASON         The packaging of the product had visible evidence of cracks,
               therefore compromising the sterility of the product.

_______________
PRODUCT        ESI Laser Product, Model #4210 with cantilevered custom
               shroud, used for laser trimming.  Recall #Z-056-6.
CODE           Model #4210.
MANUFACTURER   Electro Scientific Industries, Portland, Oregon.
RECALLED BY    Manufacturer.  FDA approved the firm's corrective action
               plan September 15, 1995.  Firm-initiated field correction
               complete.
DISTRIBUTION   Nationwide.
QUANTITY       24 units.
REASON         The laser product failed to comply in that gaps may exist in
               the cantilevered custom shroud (protective housing) that
               allow human access to direct or scattered laser radiation
               above Class I.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS III
======================
_______________
PRODUCT        Cournand Quadpolar 6 FR Electrode Catheter.
               Recall #Z-921-5.
CODE           Lot #07JE0081.
MANUFACTURER   Bard Glen Falls Manufacturing Operation, Glen Falls, New
               York.
RECALLED BY    USCI Division, C.R. Bard, Billerica, Massachusetts, by
               letter March 9, 1995.  Firm-initiated recall complete.
DISTRIBUTION   Nationwide.
QUANTITY       113 units were distributed.
REASON         The product label which states "Cournand" curve style
               differs from the actual"Damato" curve style of the catheter
               contained in the package.
                                    -7-_______________
PRODUCT        Verifuse Disposable Administration Sets, for intravenous,
               intra-arterial and subcutaneous infusions of patients
               receiving infusion therapy:
               (a) Model V021007; (b) Model V021013; (c) Model V021014; 
               (d) V021015.  Recall #Z-001/004-6.
CODE           Lot numbers:  (a) 50921, 51324, 51723, 51820, 52020;
               (b) 51724; (c) 50922, 50924, 51323, 51325, 51326, 51725;
               (d) 50923, 50925, 51327, 51726.
MANUFACTURER   Block Medical, Inc., Carlsbad, California.
RECALLED BY    Manufacturer, by letter sent June 9 and 22, 1995, and by
               telephone June 12 and 13, 1995.  Firm-initiated recall
               ongoing.
DISTRIBUTION   Nationwide, Australia, Japan, The Netherlands.
QUANTITY       Approximately 36,000 units were distributed; firm estimated
               that 10,000 units remained on market at time of recall
               initiation.
REASON         The sets leak infusion fluids, due to a faulty weld.

_______________
PRODUCT        Stockert Aortic Arch Cannula, Product #A211-65, indicated
               for cannulating the major arterial vessels during heart
               bypass operations.  Recall #Z-052-6.
CODE           Lot #9490834800.
MANUFACTURER   Stockert Instrumente Gmbh, Munich, Germany.
RECALLED BY    Sorin Biomedical, Inc., Irvine, California, by letter sent
               June 5, 1995.  Firm-initiated recall complete.
DISTRIBUTION   Kansas, Minnesota, Wisconsin.
QUANTITY       223 units; firm estimates none remains on the market.
REASON         The product is labeled "Connector A 3/8" Straight LL UP". 
               The correct labeling should be "Connector B 3/8" Straight LL
               Down.

                                    -8-


END OF ENFORCEMENT REPORT FOR OCTOBER 25, 1995.  BLANK PAGES MAY
FOLLOW.

                                   ####