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 28, 1999                                     99-30

RECALLS AND FIELD CORRECTIONS: FOODS -- CLASS I

________ PRODUCT "Sprouting Clover" Clover Seeds, packaged in 3 ounce resealable clear plastic bags. Product is sold in 1999-2000 Pinetree Garden Seeds catalog as sprouting seeds, page 56, item number SP9 and as part of a "Sprouting for Health Gift" Set, page 167, item number PG7. Recall #F-567-9. CODE SP9 Packed for 1999. Product sold from 11/98 to 6/9/99. MANUFACTURER Dover Sales Company, Inc., Piedmont, Oklahoma (supplier). RECALLED BY Pinetree Garden Seeds, New Gloucester, Maine (repacker), by letter beginning June 16, 1999, and by press release on June 10, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide and Canada. QUANTITY 1,000 packets were distributed. REASON Product may be contaminated with Salmonella Typhimurium. These seeds were from the same lot as the seed lot associated with an outbreak of Salmonella Typhimurium in Colorado.

RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS II

________ PRODUCT Rowasa Rectal Suppositories (Mesalamine, 500 mg), in cartons of 12, 24, and physician sample of 2's, Rx indicated for the treatment of active ulcerative proctitis. Recall #D-282-9. CODE All lot numbers remaining within expiration date. MANUFACTURER G&W Laboratories, Plainfield, New Jersey (contract manufacturer). RECALLED BY Solvay Pharmaceuticals, Marietta, Georgia, by letter mailed on May 18, 1999, and by voice mail on May 11, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide and Puerto Rico. QUANTITY 307,137 cartons of 12; 254,946 cartons of 24;and 100,281 pyhysician samples were distributed. REASON Dissolution failure and/or lack of assurance of stability through labeled expiry date. ________ PRODUCT M.V.I. Pediatric, multi-vitamins for infusion, in single dose 10 Ml vials. NDC #0186-1839-31. Recall #D-283-9. CODE Lot #813011 EXP 7/99. MANUFACTURER Catalytica Pharmaceuticals, Inc., Greenville, North Carolina. RECALLED BY AstraZeneca LP, Westborough, Massachusetts, by letter on July 2, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 8,392 were manufactured; firm estimated that 5-10 percent remained on market at time of recall initiation. REASON Folic acid and Vitamin B12 levels below potency specification prior to expiration. ________ PRODUCT Nystatin Oral Suspension, USP, 100,000 units per Ml, Fruit Flavored, Rx in 2 ounce and 1 pint units, used for the treatment of candidiasis of the oral cavity, under the Morton Grove, NDC #60432-537-16 & 60432-537-60, and Schein labels, NDC #0364-2075- 58; b) Generlac Solution (Lactulose Solution, USP), 10g/15Ml, for oral or rectal administration, Rx in one pint (473 Ml) containers, an Rx oral colonic acidifier for the prevention and treatment of portal-systemic encephalopathy, under the Morton Grove label. NDC #60432-038-16. Recall #D-184/285-9. CODE Lot numbers: a) 21533, 21720, 21776, 22118, 22325, 21616 and 22279; b) 21767. MANUFACTURER a) Morton Grove Pharmaceuticals, Inc., Morton Grove, Illinois; b) Morinaga Milk Industry Company, Ltd., Tokyo, Japan. RECALLED BY Morton Grove Pharmaceuticals, Inc., Morton Grove, Illinois, by letter dated June 14, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY a) 26,136 pints and 50,263 2-fluid ounce bottles were distributed; b) 21,105 pints were distributed; firm estimated that 10 percent of product remained on market at time of recall initiation. REASON Microbial contamination (acinetobacter baumanii). ________ PRODUCT Prednisolone Acetate Ophthalmic Suspension, USP, Sterile, 1%, in 10Ml units, under the Alcon (NDC #0998-0637-05) and Falcon (NDC #61314-637-10) labels. Recall #D-286-9. CODE Lot numbers: 57984P and 58005P. MANUFACTURER Alcon (Puerto Rico), Inc., Humaco, Puerto Rico. RECALLED BY Alcon Laboratories, Inc., Fort Worth, Texas, by letter mailed on June 3, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 64,175 units were distributed. REASON Loose clumping (agglomeration) of active ingredient. ________ PRODUCT Atenolol Tablets USP packaged in: a) 25 mg; b) 50 mg; c) 100 mg. All three strengths were packaged and distributed in bottles of 100's and 1000's, Rx used in the management of hypertension. NDC Numbers: 25 mg: Bottle of 100, NDC 0005-3218- 43 Bottle of 1000 NDC 0005-3218-34 50 mg: Bottle of 100 NDC 0005-3219-43 Bottle of 1000 NDC 0005-3219-34 100 mg: Bottle of 100 NDC 0005-3220-43 Bottle of 1000 NDC 0005-3220-34. Recall #D-287/289-9. CODE a) 25 mg, Bottles of 100: D454-909 (EXP 03/01) D454-910 (EXP 03/01) D457-101 (EXP 06/01) D457-102 (EXP 06/01) D457-103 (EXP 06/01) D459-493 (EXP 09/01) D459-386 (EXP 09/01) D459-390 (EXP 09/01) 25 mg, Bottles of 1000: D457-100 (EXP 06/01) D457-104 (EXP 06/01) D459-385 (EXP 09/01) D459-387 (EXP 09/01) D459-389 (EXP 09/01) c) 50 mg, Bottles of 100: D449-230 (EXP 07/00) D453-456 (EXP 02/01) D453-457 (EXP 02/01) D457-107 (EXP 06/01) D459-404 (EXP 09/01) b) 50 mg, Bottles of 1000: D449-040 (EXP 07/00) D449-041 (EXP 07/00) D449-042 (EXP 07/00) D449-228 (EXP 07/00) D449-229 (EXP 07/00) D449-231 (EXP 07/00) D451-212 (EXP 10/00) D451-213 (EXP 10/00) D451-318 (EXP 10/00) D451-319 (EXP 10/00) D453-453 (EXP 02/01) D453-454 (EXP 02/01) D453-455 (EXP 02/01) D457-105 (EXP 06/01) D457-106 (EXP 06/01) D457-108 (EXP 06/01) D458-707 (EXP 06/01) D457-110 (EXP 06/01) D457-111 (EXP 07/01) D457-112 (EXP 07/01) D457-113 (EXP 07/01) D457-114 (EXP 07/01) D459-398 (EXP 09/01) D459-400 (EXP 09/01) D459-402 (EXP 09/01) D460-390 (EXP 10/01) D460-391 (EXP 10/01) D460-392 (EXP 10/01) c) 100 mg, Bottles of 100: D459-520 (EXP 09/01) D459-521 (EXP 09/01) D461-521 (EXP 01/02) 100 mg, Bottles of 1000: D449-233 (EXP 07/00) D457-115 (EXP 07/01) D457-116 (EXP 07/01) D457-117 (EXP 07/01) MANUFACTURER Wyeth-Ayerst Pharmaceuticals, Inc., Pearl River, New York. RECALLED BY Wyeth-Ayerst Laboratories, Richmond, Virginia, by letter sent on June 16, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide, Puerto Rico, Virgin Islands, Taiwan. QUANTITY 583,586 bottles were distributed August 1997 to May 1999 as follows: a) 25 mg: 347,824 bottles total: 330,463 bottles of 100 and 17,361 bottles of 1000 b) 50 mg: 196,773 bottles total: 126,098 bottles of 100 and 70,675 bottles of 1000 c) 100 mg: 38,989 bottles total: 33,919 bottles of 100 and 5,070 bottles of 1000. REASON Content uniformity failure.

RECALLS AND FIELD CORRECTIONS: BIOLOGICS -- CLASS II

________ PRODUCT a) Red Blood Cells; b) Platelets. Recall #B-1006/1007-9. CODE Unit #X15811. MANUFACTURER Aurora Area Blood Bank, Aurora, Illinois. RECALLED BY Manufacturer, by telephone on May 18, 1999. Firm-initiated recall complete. DISTRIBUTION Illinois. QUANTITY 1 unit.of each component was distributed. REASON Blood products tested negative for the antibody to the human T- lymphotropic virus type I and II (anti-HTLV-I/II), but were collected from a donor who previously tested repeatedly reactive for anti-HTLV-1/II ________ PRODUCT a) Red Blood Cells; b) Platelets; c) Recovered Plasma. Recall #B-1016/1018-9. CODE Unit #6066018. MANUFACTURER LifeSource, Glenview, Illinois. RECALLED BY Manufacturer, by telephone on April 14 or 15, 1999, and by letters dated April May 7, 1998, and April 8, 1999. Firm- initiated recall complete. DISTRIBUTION Illinois. QUANTITY 1 unit of each component was distributed. REASON Blood products were collected from a donor who had used injectable drugs. ________ PRODUCT a) Red Blood Cells; b) Cryoprecipitated AHF; c) Recovered Plasma. Recall #B-1019/1021-9. CODE Unit #21GC42843. MANUFACTURER American Red Cross Blood Services, Portland, Oregon. RECALLED BY Manufacturer, by telephone on March 24, 1999, followed by letter dated March 29, 1999, and by fax on March 25, 1999. Firm- initiated recall complete. DISTRIBUTION Arizona, Washington state, Switzerland. QUANTITY 1 unit of each component was distributed. REASON Blood products were collected from a donor whose husband had sex with another male. ________ PRODUCT a) Red Blood Cells; b) Platelets; c) Source Leukocytes; d) Recovered Plasma. Recall #B-1029/1032-9. CODE Unit numbers: a) 01KF32527, 01KG38402, 01KG38403 b)01KF32527; c) 01KF32527, 01KG38402, 01KG38403; d) 01KG38402, 01KG38403. MANUFACTURER American Red Cross Blood Services, Rochester, New York. RECALLED BY Manufacturer, by telephone on December 11, 1997, and by letters dated January 16, 1998. Firm-initaited recall ongoing. DISTRIBUTION New York, Georgia, New Jersey, California. QUANTITY a) 3 units; b) 1 unit; c) 3 units; d) 2 units were distributed. REASON Blood products were incorrectly tested for syphilis. ________ PRODUCT a) Red Blood Cells; b) Recovered Plasma. Recall #B-1036/1037-9. CODE Unit #39KJ06934. MANUFACTURER American Red Cross, Huntington, West Virginia. RECALLED BY Manufacturer, by letter dated March 2, 1999. Firm-initiated recall complete. DISTRIBUTION West Virginia and California. QUANTITY 1 unit of each component was distributed. REASON Blood products were collected from a donor with a history of cancer. ________ PRODUCT Red Blood Cells. Recall #B-1041-9. CODE Unit numbers: 32LG00461, 32LG00465, 32LG00467. MANUFACTURER American Red Cross Blood Services, Madison, Wisconsin. RECALLED BY Manufacturer, by letters dated November 18, 1998, and January 7, 1999. Firm-initiated recall complete. DISTRIBUTION Illinois and Oklahoma. QUANTITY 3 units were distributed. REASON Blood products were prepared from overweight units of Whole Blood. ________ PRODUCT a) Red Blood Cells; b) Red Blood Cells, Leukocytes Removed; c) Platelets; d) Cryoprecipitated AHF. Recall #B-1048/1051-9. CODE Unit numbers: a) 6714613, 6719421, 6746177, 6762700, 7631101, 7631192; b) 6713880; c) 6713880, 6746177; d) 6714613, 6787775. MANUFACTURER New York Blood Services (Center West), New York, New York. RECALLED BY New York Blood Center, Inc., New York, New York, by letter dated September 8, 1998. Firm-initiated recall complete. DISTRIBUTION New York. QUANTITY a) 6 units; b) 1 unit; c) 2 units; d) 2 units were distributed. REASON Blood products initially tested negative for the Hepatitis B core antigen (anti-HBc), but retrospectively tested repeatedly reactive for anti-HBc. ________ PRODUCT Platelets, Pheresis. Recall #B-1053-9. CODE Unit numbers: 01P38557 and 01LZ07358. MANUFACTURER American Red Cross Blood Services, Rochester, New York. RECALLED BY Manufacturer, by telephone on July 2, 1998, and November 6, 1998. Firm-initiated recall complete. DISTRIBUTION New York. QUANTITY 2 units were distributed. REASON Blood products had insufficient volumes to support the platelet yields. ________ PRODUCT a) Red Blood Cells; b) Platelets; c) Plasma. Recall #B-1054/1056-9. CODE Unit #53J45682. MANUFACTURER American Red Cross Blood Services, Baltimore, Maryland. RECALLED BY Manufacturer, by telephone on December 3, 1998, and by letter dated December 7, 1998. Firm-initiated recall complete. DISTRIBUTION Maryland and District of Columbia. QUANTITY 1 unit of each component was distributed. REASON Blood products were collected from a donor who had received an experimental vaccine within one year of donation.

RECALLS AND FIELD CORRECTIONS: BIOLOGICS -- CLASS III

________ PRODUCT Red Blood Cells. Recall #B-998-9. CODE 21GV03476, 21GV03477, 21GV03478, 21GV03479, 21GV03480, 21GV03481, 21GV03482, 21GV03483, 21GV03484, 21GV03485, 21GV03486, 21GV03487, 21GV03488, 21GV03489, 21GV03490, 21GV03491, 21GV03492. MANUFACTURER American Red Cross Blood Services, Portland, Oregon. RECALLED BY Manufacturer, by telephone on April 7, 1999, followed by letter dated April 21, 1999. Firm-initiated recall complete. DISTRIBUTION Oregon, Washington state, Massachusetts. QUANTITY 17 units were distributed. REASON Blood products were labeled with an extended expiration date. ________ PRODUCT Red Blood Cells. Recall #B-999-9. CODE Unit #21KJ15589. MANUFACTURER American Red Cross Blood Services, Portland, Oregon. RECALLED BY Manufacturer, by telephone on April 9, 1999, followed by letter dated April 21, 1999. Firm-initiated recall complete. DISTRIBUTION California. QUANTITY 1 unit was distributed. REASON Blood product was collected from a donor who was previously deferred for an elevated ALT. ________ PRODUCT Platelets. Recall #B-1052-9. CODE Unit #0Lle13309. MANUFACTURER American Red Cross Blood Services, Rochester, New York. RECALLED BY Manufacturer, by letter dated November 16, 1998. Firm-initiated recall complete. DISTRIBUTION New York. QUANTITY 1 unit was distributed. REASON Blood product was distributed after receipt of information concerning a post donation illness.

RECALLS AND FIELD CORRECTIONS: DEVICES -- CLASS II

________ PRODUCT VIA Low Volume Mode (LVM) Monitor, an in-line beside medical device used on volume restricted patients. Recall #Z-1041-9. CODE Catalog #V-LVMI. All units. MANUFACTURER VIA Medical Corporation, San Diego, California. RECALLED BY Manufacturer, by telephone on May 21, 1999, followed by letter. Firm-initiated field correction ongoing. DISTRIBUTION California, Iowa, Missouri, New Jersey, Texas. QUANTITY 59 units were distributed. REASON The device has a software problem that can cause the monitor, under unusual circumstances, to display and print a chemistry value from a previous sampling instead of the blood chemistry value from the current sampling. ________ PRODUCT ADVIA 120 Hematology System, a quantitative automated hematology analyzer that provides a leukocyte differential count and reticulocyte analysis for in-vitro diagnostic use in clinical laboratories: a) Catalog #453-0024-03; b) Catalog #453-0024-04. Recall #Z-1073/1074-9. CODE All serial numbers. MANUFACTURER Bayer Diagnostics Mfg. Ltd., Dublin, Ireland. RECALLED BY Bayer Corporation, Elkhart, Indiana, by customer bulletin sent on April 30, 1999. Firm-initiated field correction ongoing. DISTRIBUTION Nationwide and international. QUANTITY Approximately 1,000 units. REASON When running the ADVIA 120 system in the manual mode using the Host Query feature, and the timeout is set to 13 second, it is possible for the system to report incorrect patient results. The supplemental labeling instructions section of the product labeling instructs users to verify that the correct sample identification number appears on the status line before using either of the manual samplers. However, the user is not clearly told to review the supplemental operating instructions prior to the operation of the system. ________ PRODUCT ADVIA 120 Hematology System, a quantitative automated hematology analyzer that provides a leukocyte differential count and reticulocyte analysis for in-vitro diagnostic use in clinical laboratories: a) Catalog 453-0024-03; b) Catalog #453-0024-04. Recall #Z-1075/1076-9. CODE All serial numbers. MANUFACTURER Bayer Diagnostics Mfg. Ltd., Dublin, Ireland. RECALLED BY Bayer Corporation, Elkhart, Indiana, by customer bulletin sent on June 15, 1999. Firm-initiated field correction ongoing. DISTRIBUTION Nationwide and international. QUANTITY Approximately 1,000 units. REASON The sample needle can be activated while the system is in stand- by mode during needle chamber cleaning procedure. Product labeling warns that the system must be either off or in the stand-by mode to perform routine maintenance, or personal injury from the may occur. ________ PRODUCT Techstar XL Percutaneous Vascular Surgical Device, intended for the percutaneous deployment and tying of sutures for surgical closure of arterial puncture sites resulting from diagnostic catheterization procedures: a) Model TXL-431-06; b) TXLS-432-06 (Outside the US). Recall #Z-1085/1086-9. CODE All Techstar XL 6 French device produced on or after 2/1/99 and shipped on or prior to 7/2/99 that were manufactured on the Gray, Red, and Purple production lines. MANUFACTURER Perclose, Inc., Redwood City, California. RECALLED BY Manufacturer, by FedEx letter, fax, and telephone on July 8, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide and international. QUANTITY 55,794 units were distributed. REASON The needle tips may be misaligned during deployment. ________ PRODUCT Viscoelastic Systems, indicated for use as a surgical aid in anterior segment procedures including cataract extraction and intraocular lens implantation: a) Viscoat Viscoelastic Solution, Catalog No. 8065-1839-05; b) Duovisc Viscoelastic Systems, Catalog No. 8065-1831-05. Recall #Z-1088/1089-9. CODE Lot Numbers: a) 57010P, 57443P; b) 57446P. MANUFACTURER Alcon Puerto Rico, Inc., Humacao, Puerto Rico. RECALLED BY Manufacturer, by letter mailed on June 18, 1999. Firm- initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 36,390 units were distributed. REASON The product labeling refers to a Viscoat Cannula Locking Ring which is not present in all packages. ________ PRODUCT Sterile Micro-Kover for Wild, with or without Observer Tubes and Photographic System, Part #09-MK953, 40.5 W x 102" L (103cmx259cm). Recall #Z-1094-9. CODE Lot #06092C0267. MANUFACTURER Advance Medical Designs, Inc., Marietta, Georgia. RECALLED BY Manufacturer, by letter on June 2, 1999. Firm-initiated recall ongoing. DISTRIBUTION New York , Tennessee, Australia, Portugal. QUANTITY 420 units were distributed. REASON The lot contained open package seals, thereby compromising the sterility of the device. ________ PRODUCT Sterile Micro-Kover for Wild, Part No. 09-MK957, 54"W x 150"L, with Monocular or Stereo Observer Tubes and Photographic System. Recall #Z-1095-9. CODE Lot No. 08731C1985. MANUFACTURER Advance Medical Designs, Inc., Marietta, Georgia. RECALLED BY Manufacturer, by letter mailed on June 2, 1999. Firm-initiated recall ongoing. DISTRIBUTION Montana, New Jersey Texas, Canada. QUANTITY 375 units were distributed. REASON The lot contained open package seals, thereby compromising the sterility of the device. ________ PRODUCT Sterile Custom Kover, Part No. 08-CC121, 40" x 60" without Rubber Band. Recall #Z-1096-9. CODE Lot Numbers: 07267C0572 and 0797C1076. MANUFACTURER Advance Medical Designs, Inc., Marietta, Georgia. RECALLED BY Manufacturer, by letter on June 2, 1999. Firm-initiated recall ongoing. DISTRIBUTION Alabama and North Dakota. QUANTITY 925 units of lot 07267C0572 and 800 0797C1076 units of lot were distributed. REASON The lots contained open package seals, thereby compromising the sterility of the device. ________ PRODUCT Modified Leveen Needle Electrode, for use in coagulation necrosis of soft tissue, Model numbers: LE212, LE215, LE312, LE315, LE3512, LE3515, LE3525. Recall #Z-1098/1104-9. CODE All lots. MANUFACTURER Radiotherapeutics Corporation, Mountain View, California. RECALLED BY Manufacturer, by letter on June 30, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide and international. QUANTITY 2,139 units were distributed. REASON Sterility may be compromised as evidenced by a loss of package integrity.

RECALLS AND FIELD CORRECTIONS: DEVICES -- CLASS III

________ PRODUCT Bayer Immuno I Automated Clinical Analyzer Reagents: a) Carbamazepine Parameter, intended to measure carbamazepine, an anticonvulsant drug, in serum or plasma; b) Valproic Acid Parameterm intended to measure valproic acid, an anticonvulsant durg in human serum or plasma. Recall #Z-1070/1071-9. CODE a) Catalog No.T01-3677-51, Lots: V23247, V25335 and V29367; b) Catalog No. T01-3698-01, Lots: V26346, V23428, V08450, V13604, V20984 and V31008. MANUFACTURER Dade-Behring, San Jose, California. RECALLED BY Bayer Corporation, Elkhart, Indiana, by bulletin sent on April 1 1999. Firm-initiated recall ongoing. DISTRIBUITON Nationwide and international. QUANTITY a) 3,630; b) 3,561 were distributed. REASON The above lots do not meet the on-system stability claim. ________ PRODUCT Bayer Technicon SETpoint Chemistry Calibrator, intended for in- vitro diagnostic use. Recall #Z-1072-9. CODE Catalog No. T03-1291-62, Lot No. V25757 EXP Sep00; MANUFACTURER Bayer Corporation, Business Group Diagnostics, Middletown, Virginia. RECALLED BY Bayer Corporation, Elkhart, Indiana, by telephone on June 22, 1999, followed by letter and customer bulletin mailed on June 22, 1999. Firm-initiated recall ongoing. DISTRIBUTION Michigan, Massachusetts, Missouri, New York, Pennsylvania, international. QUANTITY Approximately 3,767 units were distributed. REASON During review of the value assignment procedure it was learned that the operator manually entered intercept corrected SETpoint values into an Excel spreadsheet rather than letting the spreadsheet calculate the corrections from the true SETpoint. The values that were entered were incorrect and, therefore, the resulting value assignments were incorrect. ________ PRODUCT Bayer DCA 2000+ Microalbumin/Creatinine, intended for professional use in the measurement of microalbumin creatinine and albumin/creatinine ratio in urine. Recall #Z-1087-9. CODE Catalog No. 6011, Lot No. 0988039 EXP March2001. MANUFACTURER Bayer Corporation - Business Group Diagnostics, Mishawaka, Indiana. RECALLED BY Bayer Corporation, Elkhart, Indiana, by telephone on June 16, 1999, followed by letter. Firm-initiated recall ongoing. DISTRIBUTION California, Colorado, Michigan, Texas, international. QUANTITY 688 units were distributed. REASON The above lot can produce erratic results (high and low) for both albumin, Creatinine and the ratio of albumin to Creatinine. ________ PRODUCT Vitros 250 Chemistry System, used to perform clinical tests on serum, urine, and cerebral spinal fluid specimens: a) Catalog No. 8132086, Vitros 250 Chemistry System; b) Catalog No. 1758143, Vitros 250AT Chemistry System. Recall #Z-1090/1091-9. CODE All serial numbers. MANUFACTURER Ortho Clinical Diagnostics, Rochester, New York. RECALLED BY Manufacturer, by letter dated February 24, 1999, and March 26, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide and international. QUANTITY Approximately 3,886 units were distributed. REASON The devices may give negatively biased results for digoxin, phenytoin, and C-reactive protein. ________ PRODUCT Titanium Flexible Humeral Nail a) Part Nos. 475.042 through 475.050; b) Part Nos. 75.242 through 475.250. Recall #Z-1092/1093-9. CODE Part #475.042 lots: A4GM309, A4GO991, A4GQ670,A4HS309, A4HV924 Part #475.043 lots: A4GL128, A4GM308, A4GO992, A4GQ671, A4HB052, A4HM661, A4HS263, A4HV925 Part #475.044 lots: A4GL129, A4GM307, A4GO993, A4GQ672, A4HB053, A4HV921 Part #475.045 lots: A4GL130, A4GM306, A4GO994, A4GQ673, A4GQ846, A4HB054, A4HK005, A4HR690, A4HS751 Part #475.046 lots: A4GL131, A4GM305, A4GO995, A4GQ674, A4GQ847, A4HB055, A4HV920 Part #475.047 lots: A4GL132, A4GM304, A4GO996, A4GQ849, A4HB056, A4HR691, A4HV922 Part #475.048 lots: A4GL133, A4GM303, A4GO997, A4GQ848, A4HF356, A4HM662, A4HS244, A4HV927 Part #475.049 lots: A4GL133, A4GM302, A4GO998, A4GQ675, A4GQ676, A4HB057, A4HS245, A4HV928 Part #475.050 lots: A4GM301, A4GO999, A4GQ677, A4HB058, A4HS246, A4HV929 Part #475.242 lots: A4GM359, A4GN261, A4GP001, A4HB059 Part #475.243 lots: A4GM511, A4GN262, A4GP459, A4HB060, A4HS247 Part #475.244 lots: A4GN104, A4GN263, A4GP460, A4GQ850, A4HB061, A4HM663, A4HS248 Part #475.245 lots: A4GM510, A4GN264, A4GP461, A4GQ678, A4HB062 Part #475.246 lots: A4GM512, A4GN265, A4GP462, A4GQ679, A4HB063, A4HR692 Part #475.247 lots: A4GM508, A4GN266, A4GP463, A4GQ851, A4HB064 Part #475.248 lots: A4GN513, A4GN267, A4GP464, A4HB065, A4HC149, A4HS249 Part #475.249 lots: A4GM514, A4GN268, A4GP465, A4HB066, A4HM665, A4HS900 Part #475.250 lots: A4GM509, A4GN269, A4GP466, A4HB067, A4HC148, A4HS250. MANUFACTURER Synthes (USA), West Chester, Pennsylvania. RECALLED BY Synthes USA, Paoli, Pennsylvania, by telephone on November 19, 1998. Firm-initiated recall complete. DISTRIBUTION Alabama, California, Maryland, Minnesota, North Carolina, Oregon, Washington state, Canada, Switzerland. QUANTITY 538 units. REASON The central wires may be undersized which could cause disengagement at the proximal end. END OF ENFORCEMENT REPORT FOR JULY 28, 1999. ####

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