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.


April 28, 1999                                     99-17

RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS I

________ PRODUCT Firewater brand Liquid, (2 (3H) Furanone di-hydro), OTC in 2 and 16 fluid ounce bottles, reportedly intended to be used as a sleep aid. Recall #D-195-9. CODE All lot numbers. MANUFACTURER Phillips Pharmatech Labs, Inc., Largo, Florida (contract MANUFACTURER). RECALLED BY Nutritional Concepts, Inc., Davie, Florida, by letter on February 6, 1999. Firm-initiated recall ongoing. See also FDA talk paper T99-5 dated January 21, 1999. DISTRIBUTION California, Florida, Nevada, New Jersey, New Mexico, Texas, Washington state. QUANTITY 4,499 16-ounce bottles and 945 2-ounce bottles were distributed. REASON Product is an unapproved new drug.

RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS II

________ PRODUCT Levothyroxine Sodium Tablets, USP, 0.025 MG; 0.050 MG; 0.075 MG; 0.088 MG; 0.100 MG; 0.112 MG; 0.125 MG; 0.150 MG; 0.175 MG; 0.200 MG; 0.300 MG,. in bottles of 100 and 1,000 tablets, distributed under various private labels: Euthryrox - Em Pharma, Div Of Dey Labs Levothyroxine - Moore L-Thyroxine Sodium - Major Pharmaceuticals L-Thyroxine Sodium - Geneva Pharmaceuticals Levo-T - Pharma Science Levotec - Technilab L-Thyroxine Sodium - Harvard Drug L-Thyroxine Sodium - Logen Pharmaceuticals L-Thyroxine Sodium - Richie Pharmacal Euthryrox - Mova Interamerica. Recall #D-174/184-9. CODE Any lot number with the prefix(s) MPT, MST, or ST. MANUFACTURER Mova Pharmaceutical Corporation, Caguas, Puerto Rico. RECALLED BY MANUFACTURER, by letter dated February 25, 1999, followed by telephone or fax. Firm-initiated recall ongoing. DISTRIBUTION Nationwide and Canada. QUANTITY 487,275 bottles were distributed. REASON Superpotency. ________ PRODUCT Rx dental anesthetics, in blister packed cartridges: a) Lidocaine Hydrochloride 2% and Epinephrine Injection, USP 1:50,000; b) Lidocaine Hydrochloride 3% and Epinephrine Injection, USP 1:100,000; c) Mepivacaine Hydrochloride Injection, USP 3%; d) Mepivacaine Hydrochloride 2% and Levonordefrin Injection, USP. 1:20,000. Recall #D-188/191-9. CODE PRODUCT LABEL LOT# DATE Novocol Isocaine 3% 6291A July 1999 7041 October 1999 7158C January 2000 7411A August 2000 8014A September 2000 8028A September 2000 8152 January 2001 8213A February 2001 8274 May 2001 8332B July 2001 8358B July 2001 8359C July 2001 Henry Schein Private Label 6184 March 1999 6291B July 1999 7004A September 1999 7230 April 2000 7308 June 2000 7411B August 2000 7425B August 2000 8028B September 2000 8030A September 2000 8257B May 2001 8275B May 2001 8284B June 2001 8332A July 2001 8358A July 2001 Patterson Private Label 6340 August 1999 7004B September 1999 7156 January 2000 7377A July 2000 7377B July 2000 8014B September 2000 8024A September 2000 8024B September 2000 8276A May 2001 8331B July 2001 Carlisle Private Label 6342 August 1999 7158B January 2000 7231 April 2000 7231A April 2000 7407B August 2000 8214A February 2001 8257A May 2001 8359A July 2001 Meer Private Label 7066A November 1999 8284A June 2001 GENERIC NAME: Lidocaine Hydrochloride and Epinephrine Injection USP TRADE NAME: Novocol Octocaine 50 and Novocol Octocaine 100 PRODUCT LABEL LOT # EXP DATE Novocol Octocaine (1:50,000) 7007 September 1998 8006C September 1999 8190C February 2000 8259C May 2000 8280 May 2000 8282B June 2000 8355C July 2000 Patterson Private Label (1:50,000) 7392A July 1999 8086B January 1999 8282A June 2000 Henry Schein Private Label (1:50,000) 7410B August 1999 7410C August 1999 8006B September 1999 8190B February 2000 8259B May 2000 8282C June 2000 8357B July 2000 Carlisle Private Label (1:50,000) 7426B August 1999 8259A May 2000 8355B July 2000 8357A July 2000 Novocol Octocaine (1:100,000) 7175 February 1999 7176 February 1999 7249 April 1999 7259 April 1999 7271 May 1999 7278 May 1999 7285 May 1999 7310 June 1999 7313 June 1999 7314 June 1999 7349 July 1999 7351 July 1999 7358B August 1999 7363 July 1999 7395 July 1999 7399 July 1999 7400 July 1999 7401 July 1999 7413B August 1999 7417 August 1999 8003 September 1999 8004 September 1999 8005 September 1999 8010 September 1999 8011 September 1999 8049 October 1999 8089A November 1999 8099 November 1999 8102 November 1999 8103B November 1999 8115 December 1999 8165A January 2000 8165B January 2000 8233 April 2000 8242 April 2000 8243 April 2000 8244 April 2000 8245 April 2000 8252B May 2000 8267 May 2000 8269B May 2000 8272 May 2000 8288 June 2000 8289 June 2000 8290 June 2000 8291 June 2000 8291A June 2000 8310 June 2000 8311 June 2000 8313 June 2000 8336 July 2000 8337 July 2000 8347 July 2000 8348 July 2000 8349 July 2000 8353 July 2000 8364 August 2000 8365 August 2000 Patterson Private Label (1:100,000) 7170 February 1999 7197 February 1999 7204 March 1999 7225 March 1999 7228B April 1999 7229B April 1999 7325 June 1999 7326 June 1999 7355 July 1999 7357 July 1999 7371 July 1999 7402 August 1999 7403 August 1999 8021 September 1999 8107 November 1999 8166 January 2000 8168 January 2000 8169 January 2000 8171 January 2000 8171A January 2000 8172 January 2000 8184 February 2000 8295 June 2000 8297 June 2000 8339 July 2000 8340 July 2000 8341 July 2000 8342 July 2000 Henry Schein Private Label (1:100,000) 7172 February 1999 7181 February 1999 7183 February 1999 7184 February 1999 7189B February 1999 7214 March 1999 7215 March 1999 7226 March 1999 7283 May 1999 7397 July 1999 7398 July 1999 7416 August 1999 7418 August 1999 7420 August 1999 7421 August 1999 7423B August 1999 8056 October 1999 8128 December 1999 8135 December 1999 8140 December 1999 8176 January 2000 8193 February 2000 8194 February 2000 8195 February 2000 8231 April 2000 8232 April 2000 8237 April 2000 8238 April 2000 8239 April 2000 8240 April 2000 8246 May 2000 8247 May 2000 8248 May 2000 8253 May 2000 8254 May 2000 8255 May 2000 8256 May 2000 8265 May 2000 8266 May 2000 8268 May 2000 8270 May 2000 8271 May 2000 8273 May 2000 8286 June 2000 8287 June 2000 8318 June 2000 8318A June 2000 8326 July 2000 8334 July 2000 8343 July 2000 8344 July 2000 8345 July 2000 8346 July 2000 8350 July 2000 8351 July 2000 8352 July 2000 8361 August 2000 8362 August 2000 Meer Private Label (1:100,000) 7209 March 1999 7419 August 1999 8031 September 1999 8216 February 2000 8241 April 2000 Carlisle Private Label (1:100,000) 7219 March 1999 7224 March 1999 7370 July 1999 7370A July 1999 8023 September 1999 8042B October 1999 8074 January 1999 8080 January 1999 8082 January 1999 8090 January 1999 8180 January 2000 8206 February 2000 8208 February 2000 8294 June 2000 8363 August 2000 GENERIC NAME: Mepivacaine Hydrochloride and Levonordefrin Injection USP TRADE NAME: Novocol Isocaine 2% Novocol Isocaine 2% 7168 February 1999 7301 June 1999 8043B October 1999 8235 April 2000 8236C April 2000 8279C May 2000 8333B July 2000 8360C August 2000 Henry Schein Private Label 7232 April 1999 7408C August 1999 8043C October 1999 8222A February 2000 8277B May 2000 8279B May 2000 8333A July 2000 8360A August 2000 Patterson Private Label 7233B April 1999 8116A December 1999 8116B December 1999 8279A May 2000 8333C July 2000 Carlisle Private Label 7408B August 1999 8222C February 2000 8236B April 2000 8360B August 2000 Meer Private Label 8222B February 2000. MANUFACTURER Novocol Pharmaceutical of Canada, Inc., Cambridge, Ontario, Canada. RECALLED BY Novocol Pharmaceutical of Canada, Inc., New Castle, Delaware, by telephone the first week in February 1999, and mailed letters on February 9, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY Undetermined. REASON Lack of assurance of sterility. ________ PRODUCT Oxygen, USP, in D and E size compressed cylinders, Rx. Recall #D-194-9. CODE All lots filled prior to Jan 1, 1999. MANUFACTURER Convacare, Inc., Chester, South Carolina. RECALLED BY Manufacturer, by visit during routine patient visit beginning on or about January 20, 1999. Firm-initiated recall complete. DISTRIBUTION South Carolina. QUANTITY Less than 100 cylinders. REASON Current good manufacturing practice violations including but not limited to lack of calibration for test equipment, odor testing, and production records. ________ PRODUCT Trichloroacetic Acid 25% W/V in Purified Water, in 1 fluid ounce containers, for prescription compounding or repackaging. Recall #D-196-9. CODE Lot #111098D. MANUFACTURER Dermatologic Lab & Supply, Inc., Council Bluffs, Iowa. RECALLED BY Manufacturer, by telephone on March 15 & 16, 1999, followed by letter dated March 17, 1999. Firm-initiated recall ongoing. DISTRIBUTION New York, Maryland, New Jersey, Ohio, California, Michigan, Florida, Puerto Rico, Oregon, Tennessee, Texas, Canada. QUANTITY 52 bottles were distributed. REASON Superpotency.

RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS III

________ PRODUCT Horizon Pharmaceutical brand Protuss-DM Tablets (Dextromethorphan Hbr 30 mg, Pseudoephedrine HCl 60mg, Guaifenesin 600 mg), Sustained-Release, in 100 tablet bottles, Rx antitussive/decongestant/ expectorant. NDC #59630-160-10. Recall #D-192-9. CODE Lot #T6370J05 EXP 11/00. MANUFACTURER Anabolic Laboratories, Inc., Irvine, California. RECALLED BY Manufacturer, by letter on January 18, 1999. Firm-initiated recall ongoing. DISTRIBUTION Undetermined. QUANTITY Approximately 2,739 bottles were distributed; firm estimates none remains on the market. REASON Mislabeling - Immediate bottle label incorrectly declares Pseudoephedrine HCl at 120mg per tablet (correctly labeled insert shows 60 mg per tablet). ________ PRODUCT Kaodene non-narcotic liquid for upset stomach and diarrhea, (30ml Kaolin 3888 mg, Pectin 194.4 mg ...), OTC in 4 fl. oz. bottles. NDC #0927-0421-12. Recall #D-193-9. CODE Lot #52201. MANUFACTURER SSS/Pfeiffer Pharmaceuticals, Atlanta, Georgia. RECALLED BY Manufacturer, by letter on March 18, 1999. Firm- initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 3,467 units were distributed; firm estimated that 1,500 units remained on market at time of recall initiation. REASON Mislabeling - Immediate bottle label declares incorrect lot number and expiration date (52201 EXP 5 98) bottom of bottle bears correct lot number and expiration date (82201 EXP 6/00). ________ PRODUCT Schein Pharmaceutical brand Valproic Acid Capsules, USP, 250 mg, in 100 capsule bottles, Rx antiepileptic agent. NDC #0364-0822-01. Recall #D-197-9. CODE Lot numbers: 93502, 93504, 93505,93694 with expiration date of 11/00. MANUFACTURER International Labs, Inc., St. Petersburg, Florida (repacker/responsible firm). RECALLED BY R.P. Scherer Corporation, St. Petersburg, Florida, by telephone on March 18, 1999, followed by fax on March 19, 1999, and courier delivery on March 22, 1999. Firm- initiated recall ongoing. DISTRIBUTION Undetermined. QUANTITY 39,728 bottles were distributed. REASON Mislabeling - One bottle was found lacking any immediate bottle label. ________ PRODUCT Haloperidol Oral Solution, USP, Rx for Dropper Dosage Only, 2 mg per mL, in 120 mL units, indicated for the management of manifestations of psychotic disorders, for Tourette's Disorder in children and adults, and for treatment of severe behavior problems and hyperactivity in children, under the Rugby and Barre labels. NDC #0472-0766-94 and NDC#0536-1011-97. Recall #D-198-9. CODE Lot numbers: RP6813 EXP 1/99 and RK7580 EXP 1/99. MANUFACTURER Alpharma, U.S. Pharmaceutical Division, Baltimore, Maryland. RECALLED BY Manufacturer, by letter sent on or about January 20, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 29,580 units were distributed. REASON Microbial contamination - Product failed specification for microbial limits test at 12 month stability test station.

RECALLS AND FIELD CORRECTIONS: BIOLOGICS -- CLASS II

________ PRODUCT Blood Grouping Reagent Anti-Jka (Monoclonal) BioClone for Tube and Microplate Tests, 1 x 3 mL. Recall #B-601-9. CODE Lot JAB223A EXP 8/17/98. MANUFACTURER Ortho-Clinical Diagnostics, Inc., a Johnson & Johnson Company, Raritan, New Jersey. RECALLED BY Manufacturer, by letter or fax on April 17, 1998. Firm-initiated recall complete. DISTRIBUTION Nationwide and international. QUANTITY 1,654 units were distributed. REASON Anti-JKA blood grouping reagent exhibited weakened reactivity or nonreactivity with some Jk(a+b+) red blood cells. ________ PRODUCT Oncaspar (pegaspargase), in 5 mL vials. Recall #B-642-9. CODE Lot numbers: A04806 and A06807. MANUFACTURER ENZON, Inc., Piscataway, New Jersey. RECALLED BY Rhone-Poulenc Rorer Pharmaceuticals (RPR), Collegeville, Pennsylvania, by telephone on October 26, 1998, and November 3, 1998, by letter on November 2, 1998, and by fax on November 3, 1998. Firm-initiated recall complete. DISTRIBUTION Nationwide and international. QUANTITY 3,230 vials were distributed. REASON Injectable drugs showed an increase in visible particulates in the product. ________ PRODUCT Red Blood Cells. Recall #B-655-9. CODE Unit #26157-0944. MANUFACTURER United Blood Services, Hot Springs, Arkansas. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by telephone and by fax on January 12, 1999. Firm-initiated recall complete. DISTRIBUTION Arkansas. QUANTITY 1 unit was distributed. REASON Blood product was collected from a donor with a history of cancer. ________ PRODUCT Source Plasma. Recall #B-683-9. CODE Unit #6010128046. MANUFACTURER NABI BioMedical Center, San Antonio, Texas. RECALLED BY NABI, Boca Raton, Florida, by fax on November 12, 1998, and by letter dated November 13, 1998. Firm-initiated recall complete. DISTRIBUTION California. QUANTITY 1 unit was distributed. REASON Blood product was collected from a donor who had a tattoo within 12 months of donation. ________ PRODUCT RhoGAM, Rho(D) Immune Globulin (Human) in pre-filled single dose syringes. Recall #B-685-9. CODE Lots numbers: RHL289A, RHL289B, RHL267A, RHL274A, RHL274B, RHL281A, RHL281B, RHL281C, RHL288A, RHL288B. MANUFACTURER Ortho-Clinical Diagnostics, Inc., A Johnson & Johnson Company, Raritan, New Jersey. RECALLED BY Manufacturer, by telephone on October 15, 1997, and by letter or fax on October 16, 1997, followed by telephone between October 30, 1997 and November 3, 1997, and by letter on March 6, 1998, or fax on March 8, 1998. Firm-initiated recall complete. DISTRIBUTION Nationwide, Austria, England, Hong Kong, Israel. QUANTITY Phase I: Lot RHL289A: 78 packages (100 vials x 1 package) 921 packages (25 vials x 1 package) Lot RHL289B: 1206 packages (25 vials x 1 package) Phase II: 211,925 syringes were distributed. REASON Rho(D) Immune Globulin demonstrated anti-D levels below the minimum dose specifications for this product, and were found to not meet potency specifications. ________ PRODUCT Red Blood Cells. Recall #B-687-9. CODE Unit #10575-9179. MANUFACTURER United Blood Services, Scottsdale, Arizona. RECALLED BY Manufacturer, by telephone on December 1, 1997. Firm-initiated recall complete. DISTRIBUTION Arizona. QUANTITY 1 unit was distributed. REASON Blood product was collected from a donor whose hematocrit exceeded the acceptable level. ________ PRODUCT Plasma, Cryo Poor. Recall #B-688-9. CODE Unit #10517-0414. MANUFACTURER United Blood Services, Scottsdale, Arizona. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by telehone on September 9, 1996. Firm-initiated recall complete. DISTRIBUTION Arizona. QUANTITY 1 unit was distributed. REASON Blood product was collected in a manner that compromised the sterility of the unit. ________ PRODUCT Source Plasma. Recall #B-689-9. CODE Unit Numbers: G94912-097, G95103-097, G96780-097, G97255-097. MANUFACTURER Alpha Therapeutic Corporation, San Diego, California. RECALLED BY Alpha Therapeutic Corporation, Los Angeles, California, by letter dated July 27, 1998. Firm-initiated recall complete. DISTRIBUTION Spain. QUANTITY 4 units were distributed. REASON Blood product was collected from a donor with a history of hepatitis. ________ PRODUCT Red Blood Cells. Recall #B-690-9. CODE Unit #10517-0310. MANUFACTURER United Blood Services, Scottsdale, Arizona. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by telephone on September 16, 1996, and by letter dated October 1, 1996. Firm-initiated recall complete. DISTRIBUTION Arizona. QUANTITY 1 unit was distributed. REASON Blood product was not quarantined after receiving information concerning a post donation illness. ________ PRODUCT a) Red Blood Cells; b) Recovered Plasma. Recall #B-693/694-9. CODE Unit #10594-7447. MANUFACTURER United Blood Services, Scottsdale, Arizona. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by letter and/or fax dated December 11, 1998, and by telephone on November 20, 1998. Firm-initiated recall complete. DISTRIBUTION Arizona and Switzerland. QUANTITY 1 unit of each component was distributed. REASON Blood products were collected from a donor with a history of hepatitis. ________ PRODUCT Red Blood Cells. Recall #B-695-9. CODE Unit numbers: 16LW18304, 16LW18286, 16LW18297. MANUFACTURER American Red Cross Blood Services, Columbus, Ohio. RECALLED BY Manufacturer, by letter dated June 9, 1998. Firm-initiated recall complete. DISTRIBUTION Ohio. QUANTITY 3 units were distributed. REASON Blood products were collected from donors whose hematocrits were below the acceptable level. ________ PRODUCT Red Blood Cells. Recall #B-696-9. CODE Unit numbers: 16KC04241 and 16LY43280. MANUFACTURER American Red Cross Blood Services, Columbus, Ohio. RECALLED BY Manufacturer, letter dated June 10, 1998. Firm-initiated recall complete. DISTRIBUTION Ohio. QUANTITY 2 units were distributed. REASON Blood products were collected from donors whose hematocrits were below the acceptable level. ________ PRODUCT a) Red Blood Cells; b) Platelets. Recall #B-697/698-9. CODE Unit numbers: a) 1020971, 1029175, 1036183, 1041836; b) 1020971, 1036183. MANUFACTURER Community Blood Center, Dayton, Ohio. RECALLED BY Manufacturer, by letter dated either September 25, 1998 or October 1, 1998. Firm-initiated recall complete. DISTRIBUTION Ohio. QUANTITY a) 4 units; b) 2 units were distributed. REASON Blood products were collected from a donor who had traveled to an area designated as endemic for malaria. ________ PRODUCT a) Red Blood Cells; b) Platelets. Recall #B-699/700-9. CODE Unit #1039172. MANUFACTURER Community Blood Center, Dayton, Ohio. RECALLED BY Manufacturer, by letter dated July 13, 1998. Firm-initiated recall complete. DISTRIBUTION Ohio. 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 Carticel (Autologous Cultured Chondrocytes). Recall #B-701-9. CODE Lot #C60859. MANUFACTURER Genzyme- Tissue Repair, Cambridge, Massachusetts. RECALLED BY Manufacturer, by telephone on November 25 and 30, 1998, and by letter dated November 25, 1998. Firm-initiated recall complete. DISTRIBUTION Norway. QUANTITY 1 vial was distributed. REASON Tissue repair product was contaminated with Staphylococcus epidermis (staepi). ________ PRODUCT a) Red Blood Cells; b) Recovered Plasma. Recall #B-703/704-9. CODE Unit #1528347. MANUFACTURER Central Kentucky Blood Center (CKBC), Lexington, Kentucky. RECALLED BY Manufacturer, by letter dated March 18, 1999. Firm-initiated recall complete. DISTRIBUTION Kentucky and Maryland. QUANTITY 1 unit of each component was distributed. REASON Blood products were collected from a donor who had been incarcerated. ________ PRODUCT Source Plasma. Recall #B-708-9. CODE Unit numbers: 12VCP248, 12VCQ300, 12VCS711. MANUFACTURER Collection Facility: Centeon Bio-Services, Inc., Indianapolis, Indiana. Error Occurred At: Centeon Bio-Services, Inc., Lexington, Kentucky. RECALLED BY Centeon Bio-Services, Inc., Knoxville, by letter dated April 6, 1998. Firm-initiated recall complete. DISTRIBUTION Illinois. QUANTITY 3 units were distributed. REASON Blood products were collected from an unsuitable donor.

RECALLS AND FIELD CORRECTIONS: BIOLOGICS -- CLASS III

________ PRODUCT Red Blood Cells. Recall #B-691-9. CODE Unit numbers: 10535-4696, 10535-4697, 10535-6330. MANUFACTURER United Blood Services, Scottsdale, Arizona. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by telephone on September 7, 1998. Firm-initiated recall complete. DISTRIBUTION Arizona. QUANTITY 3 units were distributed. REASON Blood products were stored at unacceptable temperatures. ________ PRODUCT Red Blood Cells. Recall #B-692-9. CODE Unit #10584-0903. MANUFACTURER United Blood Services, Scottsdale, Arizona. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by telephone on April 15, 1998. Firm-initiated recall complete. DISTRIBUTION Arizona. QUANTITY 1 unit was distributed. REASON Blood product was labeled with an extended expiration date. ________ PRODUCT Red Blood Cells. Recall #B-705-9. CODE Unit #8044681. MANUFACTURER LifeShare, Inc., Elyria, Ohio. RECALLED BY Manufacturer, by telephone on February 1, 1999, and by letter dated February 23, 1999. Firm-initiated recall complete. DISTRIBUTION Ohio. QUANTITY 1 unit was distributed. REASON Blood product was labeled with an extended expiration date. ________ PRODUCT Red Blood Cells. Recall #B-706-9. CODE Unit #8051190. MANUFACTURER LifeShare, Inc., Elyria, Ohio. RECALLED BY Manufacturer, by letter dated February 26, 1999. Firm-initiated recall complete. DISTRIBUTION Ohio. QUANTITY 1 unit was distributed. REASON Blood product was labeled with an extended expiration date. ________ PRODUCT Red Blood Cells. Recall #B-707-9. CODE Unit #16LS44645. MANUFACTURER American Red Cross Blood Services, Columbus, Ohio. RECALLED BY Manufacturer, by telephone and letter on March 9, 1999. Firm- initiated recall complete. DISTRIBUTION Ohio. QUANTITY 1 unit was distributed. REASON Blood product was labeled with an extended expiration date. ________ PRODUCT Gamma-clone Anti-D (Monoclonal-Polyclonal Blend) Blood Grouping Reagent. Recall #B-711-9. CODE Lots DM80-1 and DM80-2 - EXP June 24, 1999, Lots DM81-1 and DM81-2 - EXP August 12, 1999. MANUFACTURER Gamma Biologicals, Inc., Houston, Texas. RECALLED BY Manufacturer, by letter dated Novemer 30, 1998. Firm-initiated recall complete. DISTRIBUTION Nationwide and international. QUANTITY 26,880 vials of lots DM80-1 and DM80-2; 26,489 vials of lots DM81-1 and DM81-2 were distributed. REASON Blood Grouping Reagents have progressively lost potency during storage.

RECALLS AND FIELD CORRECTIONS: DEVICES -- CLASS II

________ PRODUCT Poly Per-Q-Cath Single Lumen Catheters: a) Catalog No. 3133100, 3 Fr. Poly Per-Q-Cath PICC w/ Intermediate Tray; b) Catalog No. 3133105, 3 Fr. Poly Per-Q-Cath PICC w/ Basic Tray; c) Catalog No. 3133130, 3 Fr. Poly Per-Q-Cath Midline w/ Insertion Tray; d) Catalog No. 3133135, 3 Fr. Poly Per-Q-Cath Midline w/ Introducer Only; e) Catalog No. 3134100, 4 Fr. Poly Per-Q-Cath PICC w/ Intermediate Tray; f) Catalog No. 3134105, 4 Fr. Poly Per-Q-Cath PICC w/ Basic Tray; g) Catalog No. 3134130, 4 Fr. Poly Per-Q-Cath Midline w/ Insertion Tray; h) Catalog No. 3134135, 4 Fr. Poly Per-Q-Cath Midline w/ Introducer Only; i) Catalog No. 3135100, 5 Fr. Poly Per-Q-Cath PICC w/ Intermediate Tray; j) Catalog No. 3135105, 5 Fr. Poly Per-Q-Cath PICC w/Basic Tray; k) Catalog No. 3135135, 5 Fr. Poly Per-Q-Cath Midline w/ Introducer Only. Recall #Z-806/816-9. CODE All Lot Numbers. MANUFACTURER Gesco International, Inc., San Antonio, Texas. RECALLED BY Bard Access Systems, Inc., Salt Lake City, Utah, by letter mailed March 24, 1999. Firm-initiated recall complete. DISTRIBUTION Nationwide, Canada, Asia. QUANTITY 1,815 units were distributed. REASON The catheters may leak near the hub in the area of skin insertion. ________ PRODUCT Hamilton Disposable Precision Tips, a Microlab AT Series Instrument, a pipette used to aspirate and dispense fluid including blood products: a) Model 235300; b) 235400. Recall #Z-818/819-9. CODE 42798P6 52798P6 62798P6 72798P6 12898P6 22898P6 32898P6 42898P6 52898P6 62898P6 72898P6 12998P6 22998P6 32998P6 42998P6 52998P6 62998P6 72998P6 13098P6 23098P6 33098P6 43098P6 53098P6 63098P6 73098P6 13198P6 23198P6 33198P6 43198P6 53198P6 63198P6 73198P6 13298P6 23298P6 33298P6 43298P6 53298P6 63298P6 73298P6 13398P6 23398P6 33398P6 43398P6 53398P6 63398P6 73398P6 13498P6 23498P6 33498P6 43498P6 53498P6 63498P6 73498P6 13598P6 23598P6 33598P6 43598P6 53598P6 63598P6 23698P6 33698P6 43698P6 53698P6 63698P6 73698P6 13798P6 23798P6 33798P6 43798P6 53798P6 63798P6 73798P6 13898P6 23898P6 33898P6 43898P6 53898P6 63898P6 73898P6 13998P6 23998P6 33998P6 43998P6 53998P6 63998P6 73998P6 14098P6 24098P6 34098P6 44098P6 54098P6 64098P6 74098P6 14198P6 24198P6 34198P6 44198P6 54198P6 64198P6 74198P6 14298P6 24298P6 34298P6 44298P6 54298P6 64298P6 74298P6 14398P6 24398P6 34398P6 44398P6 54398P6 64398P6 74398P6 14498P6 24498P6 34498P6 44498P6 54498P6 74498P6 14598P6 24598P6 34598P6 44598P6 54598P6 64598P6 74598P6 14698P6 24698P6 34698P6 44798P6 64798P6 74798P6 14898P6 74898P6 14998P6 24998P6 34998P6 44998P6 54998P6 64998P6 74998P6 15098P6 25098P6 35098P6 45098P6 55098P6 65098P6 75098P6 15198P6 25198P6 35198P6 45198P6 65198P6 75198P6 15298P6 25298P6 35298P6 45298P6 75298P6 15398P6 25398P6 35398P6 45398P6 55398P6 60199P6 70199P6 10299P6 20299P6 30299P6 40299P6 50299P6 60299P6 70299P6 10399P6 20399P6 30399P6 40399P6 50399P6 60399P6 70399P6 10499P6 20499P6 30499P6 40499P6 50499P6 60499P6 70499P6 10599P6 20599P6 30599P6 50599P6 60599P6 70599P6 10699P6 20699P6 40699P6 60699P6 70699P6 20799P6 30799P6 40799P6 50799P6 60799P6 70799P6 10899P6 30899P6 40899P6 50899P6 60899P6 70899P6 10999P6 20999P6 30999P6 60999P6 31099P6 61099P6 71099P6 11199P6 21199P6 42998P5 52998P5 62998P5 72998P5 13098P5 23098P5 33098P5 43098P5 53098P5 63098P5 73098P5 13198P5 23198P5 33198P5 43198P5 53198P5 63198P5 73198P5 13298P5 23298P5 33298P5. MANUFACTURER Hamilton Company, Reno, Nevada. Hamilton Disposable Precision Tips are molded exclusively contracted by: Tech Group Tempe, Arizona. RECALLED BY Hamilton Company, Reno, Nevada, by fax and letter on April 5, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide and international. QUANTITY 1,954 cases were distributed. REASON There is a defect in the molding of the plunger. ________ PRODUCT MXR-2000 Flowmeter, used to administer an analgesic agent for conscious sedation: a) Model 2050; b) Model 2055. Recall #Z-820/821-9. CODE Serial numbers: a) 1966-2021; b) 3733-3957. MANUFACTURER Porter Instrument Company, Inc., Hatfield, Pennsylvania. RECALLED BY Manufacturer, by letter March 18, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 238 units were distributed. REASON Mounting screws were defective and found to have brittle fractures after final assembly and testing. ________ PRODUCT Jackson Esophageal Dilator 14F, Catalog numbers: 50-7808, 50- 7809, 50-7810, 50-7812, 50-7814, 50-7816, 50-7818. Recall #Z-822/828-9. CODE Lots included in the recall are AA8 through KK8. MANUFACTURER Device Resources Corporations, Lake Bluff, Illinois. RECALLED BY Pilling Weck Surgical, Fort Washington, Pennsylvania, by telephone on December 11, 1998, followed by letter on December 18, 1998. Firm-initiated recall ongoing. DISTRIBUTION Nationwide, Canada, Singapore. QUANTITY 407 devices were distributed. REASON Esophageal dilator tips come off the metal shaft. _______ UPDATE Recall #Z-766/771-9, BARD 6 F Envision Pigtail Cardiovascular Angiographic Catheters, listed in the March 31, 1999 Enforcement Report should read: RECALLED BY: Medtronic/AVE, Billerica, Massachusetts.

RECALLS AND FIELD CORRECTIONS: VETERINARY PRODUCTS - - CLASS II

________ PRODUCT American Protein Corporation Steamed Bone Meal in 50 pound bags; American Meat Protein Corp. Steamed Bonemeal, 2,000 pound tote bags. Recall #V-047-9. CODE All product not bearing the caution statement required by 21 CFR 589.2000. MANUFACTURER AMPC, Inc., Lytton, Iowa. RECALLED BY AMPC, Inc., Ames, Iowa, by telephone on February 25, 1999, and March 8, 1999, followed by letter on March 2, 1999. Firm- initiated recall complete. DISTRIBUTION Nationwide, Taiwan, Canada. QUANTITY Approximately 125-175 tons were produced weekly since 1997 and distributed. REASON Product contained protein derived from mammalian tissue and according to regulation must bear the statement "Do not feed to cattle or other ruminants" on the label. This regulation is designed to prevent the establishment and amplification of BSE through feed. This statement did not appear on the labeling. END OF ENFORCEMENT REPORT FOR APRIL 28, 1999.
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