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.

August 18, 1999                                    99-33

RECALLS AND FIELD CORRECTIONS: FOODS -- CLASS II

______________ PRODUCT & CODE Chocolate Products, semi-sweet and confectionery drops. Recall #F-585/642-9: 1. Product D-704; Item # 010040-001; Coded A0828 2. Product S-330 (liquid); Item # 015964-330; Coded 26200,23580, 25200, 25520 3. Product H951 a)(1000 count); Item # 020290-001; Coded F0528, J2338, L2018,L2038, A1839, A1919 b)(4000 count); Item # 020290-002; Coded F0428, F0438, F0518,G0218, G0228, G0238, H0418, H0428, H0438, H0518, H0538, I1738, I1818, I1828, I1918, I1928, J2228, J2238, J2318, K1638, K1718, K1728, K1828, K1838, K1918, A1919, A1929, B0939, B2319, B2329, B2339, B2439, B2519, C139 c)(4000 count/25); Item # 020290-004; Coded J2318, J2328, B0929 d)(10,000 count); Item # 020290-005; Coded J2138, H951, J2218 e)(10,000 count/25) 4. Product K801 a)(2000 count); Item # 021103-002; Coded E018, F028, F268, F298, F308, G148, H218, K098, K218, K228, A129, A139, A149, A169, B249 b)(10,000 count); Item # 021103-005; Coded F028, H098, H118, H208, J078, K0918, A139, A149, B259, C2139, C219 c)(4000 count); Item # 021103-006; Coded H198, J088 5. S001 Lemon Drops; Item # 023000-140; Coded H2918, H298, H3038, H3118, H3128, K0718, K0728, K0838, K0818, B1819, B1829, B1918, B1929, B1939, D0639, D0719, D0729 6. S514 Mocha Drops; Item # 023051-480; Coded F238, F248, F258, I118, I128, I1318, I138, I148, I1428, I158, I1528, I1618, I168, K028, K038, K048, K058, K068, K078, C119, C129, C139, C159 7. S752 Confectionery Drops; Item # 023075-220; Coded H108, H118, H188, H2328, H238, H248, I0236, I038, I098, I108, J028, J068, J178, J198, J208, K118, K128, L088, L098, B169, B179, C319 8. S948 Confectionery Drops; Item # 023094-800; Coded F258, F2538, A1719, A1729 9. T048 SS Flakes; Item # 030012-001; Coded G068, G968, L288 10. T048 Chips; Item # 030012-011; Coded K148, A079, A179 11. Forbes Chips; Item # 030013-001; Coded G098 12. Haagen Dazs Chips; Item # 030014-001; Coded F058, F068, F078, F088, F258, F268, F278, F288, G018, H118, I018, I028, J258, J268, J278, J288, J298, J308, K198, K208, K218, K228, L218, L228, A069, A079, A139, A149, A169, A179, C0229, C0329, C0429, C0529, C1929, C2029 13. Product B558 a)(1000 count/25); Item # 030020-001; Coded F028, C0929, D1219 b)(1000 count); Item # 030020-002; Coded F028, I158, I268, J278, B2419, C0929, D1219 c)(2000 count); Item # 030020-003; Coded F158, H178, H198, H208, H318, H218, I168, K088, K228, L058, L238, A079, A119, B1529, C0929, C3019, D0619 d)(4000 count/25); Item # 030020-004; Coded F028, L028, A189 e)(4000 count); Item # 030020-005; Coded F018, F0181, F038, F048, G068, I178, K178, L058, L138, A069, A119, A189, A199, B029, B039, C0419, C2439, D0719 f)(10,000 count); Item # 030020-013; Coded F278, B039, B1529, B2519, C0629, C2439, D0119 g) Progressive Baker; Item # 030020-006; Coded L058 14. Cortes Drops (4000 count) and (1000 count) 15. Darkcoat-112-135; Item # 010003-002; Coded A0819, A1137, A2129, A2139, A2219, A2629, A2829 16. Darkcoat-112-135 Parve; Item # 010003-001; Coded A0928, A1218, A1328, A1428, B2028, B2118, B2218, B2328, B2418, B2618, B2728, C0218, C0228, C0318, C0328, C0428, C0518 17. #95 Chips; Item # 030050-001; Coded F188, F308 18. Product P558 (4000 count); Item # 030100-001; Coded F298, G068, I168 19 K147 Chips 20. Product K270 (2000 count); Item # 030654-003; Coded H198, I158 21. K895 Chunks 22. K895 Cut Chips; Item # 030940-001; Coded F298, G098, I028, K178, K188, L238, B1229, B1329, C1229 23. M090 Chunks; Item # 031288-001; Coded C1329 24. Product R734 (10,000 count): Item # 031550-004; Coded F168, F178, F188, F198, G278, I108, I118, I2181, I218, I228, J058, J068, J108, J128, J138, L298, L308, B1919, B2231, B2319, C1819, C1919 25. N595 Thin Chips; Item # 031801-595; Coded F178 26. Product R377 a)(1000 count); Item # 032937-750; Coded F058, F085, J088, J098, B0939 b)(2000 count); Item # 032937-740; Coded L038, B1039 c)(6000 count); Item # 032937-720; Coded F058, J098, L048 27. Product R900 a)(3100 count); Item # 032990-030; Coded I248, I258, K308 b)(4200 count); Item # 032990-040; Coded G288, G298, G308, G318, H018, H058, H068, H078, H088, H098, H108, H118, H128, H138, H148, H158, H188, H198, H208, H218, H228, H238, H248, H258, H288, H298, H308, H318, I018, I028, I038, I048, I088, I098, I148, I238, I248, I258, I288, I298, I308, J018, J028, J038, J148, J158, J168, J178, J188, J198, J278, J288, J298, J308, J318, K238, K248, K288, K298, K308, L018, L028, L038, L048, L058, L068, L078, L088, L118, L138, L148, L158, L168, L188, L198, L238, L248, L268, A069, A078, A089, A099, A119, A129, A139, A169, A179, A189, A199, A219, A209, A229, A239, A289, A299, A309, A319, B0191, B029, B039, B1039, B1139, B1239, B2439, B2539, B2639, B2739, C0739, C0839, C0938, C1039, C1639, C1739, C1839, C1939, C2039, C2139, C2239, C2339, C2439, C2539, C2639, C2739, D0139, D0239, D0539, D0739, D0839, D0939, D0949 28. Product R949 (4200 count);Item # 032990-045; Coded C0639, D0639, D0839 29. Product S192 (1000 count); Item # 033019-201; Coded I218, A079, C1529 30. Product S239 (6500 count) 31. S423 Chunks; Item # 033042-370; Coded K218 32. S423 Rods; Item # 033042-380; Coded G108, H258, I168, C1129 33. Product S456 a)(4000 count); Item # 033045-640; Coded L188, L228 b) 6500 count); Item # 033045-660; Coded F068, F078, F098, G068, G088, G148, G158, H148, H168, I058, I178, I188, I198, J218, J2181, J228, K128, K138, K148, L198, A139, A229, B069, B0729, B072, B0829, C1619, C169, C1719 34. 9 S517 Cut Chunk; Item # 033051-770; Coded F198, F208, A189, A199, B059 35. Product S800 (2000 count); Item # 033080-020; Coded G228, J058, J318, K108, K118, K228, L078, L088, L148, L158, L238, L268, L288, L298, L308, C0119, C0219, C0919, C1019 36. Product T042 (4000 count); Item # 033104-200; Coded A159, B1519, C1539 37. T110 SS Chocolate Drops; Item # 033111-000; Coded J238, J248, J258, C0519, C0619 38. Product T157 (1000 count) 39. Warwick Chocolate; Item # 040007-001; Coded H0338, H0428 40. Brandywine Chocolate; Item # 040011-001; Coded H0238, G0238, H0338 41. Brandywine Chunks; Item # 040011-003; Coded F088, I148, K138, L128, L138, B1729, C1829 42. #111 Seed; Item # 040020-001; Coded G108, G178, C268, G268, H148, J3081, J308, B029 43. Empire 120; Item # 040026-001; Coded H0118 44 Product S272-90 45. S885 Chocolate Seed; Item # 043088-505; Coded F198, F238, G318, H038, H048, H058 46. Reo Liquor Wafers 47. H365 Liquor Wafers; Item # 050100-001; Coded F048, F058,F238, F248, F258, B1629, C1629 48. R815 Liquor Wafers; Item # 052981-502; Coded F038, F228, F258, C1729 49. Product P0239 a) SS Drops/25; Item # 113239-025; Coded F268, B059, B209, C129, D119 b) SS Drops; Item # 113239-050; Coded F258, F288, I168, I178, J078, J088, J158, J168, J188, A049, A059, A069, B199, B279, C089, C099, C119, D069, D089, D109 c) P0239/PL; Item # 113239-051; Coded I168, D059 50. Product P0614 a) 5-Color Seed/25 b) 5-Color Seed; Item # 113614-050; Coded F168, F178, I218, K228, A129, A189, C309 51. P0778 Coated Drops; Item # 113778-050; Coded F308, G018, G028, G0281 52. P1019 Red SS/25 53. P1022 Green SS/25 54. N254 Undercoat; Item # 012635-001; Coded F1228, F2518, G1618, G2228, H0528, I1618, J2628, K0228, L0218, C0419 55. S089 Sugar Free Drops; Item # 023008-940; Coded F0118, G2918, G2938, G3018, G3028, G3038, G3118, B0139, B0219, B0319 56. S390 Cut Chunk 57. Product S822 (2000 count); Item # 033082-220; Coded L128, L1238, L138, A059, A119, A129, A139, A259, A269, A299, B0919, B1019, B1119, B2039, B2139, B2339, B2539, C0339, C0439, C0539, C1429, C1439, C2539, C2639, C2739 58. N492 Chips. MANUFACTURER Wilbur Chocolate Company, Lititz, Pennsylvania and Wilbur Chocolate Company, Mount Joy, Pennsylvania. RECALLED BY Wilbur Chocolate Company, Lititz, Pennsylvania, by telephone from February 23, 1999 through April 30, 1999. Firm-initiated recall complete. DISTRIBUTION Nationwide, The Netherlands, Uruguay, Canada, France. QUANTITY Undetermined. REASON The products may be contaminated with traces of dairy ingredients, which are not declared on the product's label.

RECALLS AND FIELD CORRECTIONS: FOODS -- CLASS III

________ PRODUCT Karamba Hot Sauce, in plastic gallon container. Recall #F-647-9. CODE Lot number: EXP date 4/10/00. MANUFACTURER Karamba, Inc., Edgewood, Florida. RECALLED BY Manufacturer, by telephone on or about April 14, 1999. Firm-initiated recall complete. DISTRIBUTION Florida. QUANTITY 8 gallons were distributed and were destroyed the same day they were delivered. REASON Product is unfit for food based on swollen containers.

RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS II

________ PRODUCT Aminohippurate Sodium Injection, 2g in 10 mL (20% Solution) in 10 mL single dose vials, Rx used for the treatment of effective renal plasma flow,(ERPF). NDC #0006-339511. Recall #D-298-9. CODES Lot numbers: 0703B EXP May 00, 1498B EXP May 00, 0334D EXP Nov 00, 0839D EXP Nov 00, 0178J EXP Nov 00, 1075D EXP Jan 01, 1289D EXP Jan 01, 0035E EXP Jun 01, 0035ESA1 EXP Jun 01, 0956E EXP May 02, 1546E EXP May 02, 0476H EXP Mar 03, 1111H EXP Mar 03, 1722H EXP Jun 03. MANUFACTURER Merck and Company, West Point, Pennsylvania. RECALLED BY Manufacturer, by letter on June 9, 1999. Firm-initiated recall complete. DISTRIBUTION Nationwide and international. QUANTITY Firm estimated that 300 units remained at the wholesale level at time of recall initiation. REASON Glass particulate contamination. ________ PRODUCT Erythromycin Ophthalmic Ointment, USP, 0.5%, Rx, in 3.5 g tubes. Recall #D-299-9. CODE Lot #065151 EXP 5/00. MANUFACTURER Bausch & Lomb Pharmaceuticals, Inc., Tampa, Florida. RECALLED BY Manufacturer, by letter mailed on July 22, 1999, followed by letter and telephone. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 49,968 units were distributed. REASON Product mix-up - Correctly labeled Muro 128Æ Ointment tube (sodium chloride 5%) found in carton of erythromycin product. ________ PRODUCT Lonox Tablets (Diphenoxylate HCL, USP 2.5mg / Atropine Sulfate, USP 0.025mg) in 100 and 1,000 tablet bottles, Rx combination ingredient tablet for the management of diarrhea. NDC# 0781-1262- 01 (100's) and 0781-1262-10 (1000's). Recall #D-303-9. CODE Lot #10057 EXP 09/01. MANUFACTURER Geneva Pharmaceuticals, Inc., Broomfield, Colorado. RECALLED BY Manufacturer, by letter on August 2, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 5,880,500 tablets were distributed. REASON Subpotency. _______ PRODUCT a) Apetonil Jarabe Para Adultos, (Cyproheptadine HCL 2.5mg/5ml) in 120 mL bottles (Appetite Stimulate Syrup for Adults); b) Apetonil Jarabe Infantil, (Cyproheptadine HCL 1.5mg/5ml) in 120 mL bottles (Appetite Stimulate Syrup for children/infants). Recall #D-304/305-9. CODE All lot codes. MANUFACTURER Laboratorio MAGNECHEM International, S.A., Zone Industrial de Haina, Republica Dominicana. RECALLED BY Castillo Distributors, Inc., Little Ferry, New Jersey, by telephone and letter on November 17, 1998. Firm-initiated recall complete. DISTRIBUTION New York. QUANTITY 3,470 120mL-bottles (Total of 2,622 bottles of Apetonil Jarabe Infantil, and 846 bottles of Apetonil Jarabe Para Adultos) were distributed. REASON Products are unapproved new drugs and are misbranded (Rx product sold as OTC). ________ PRODUCT Generic inhalatin solutions sold as Rx drugs under the DEY label: a) Albuterol Sulfate Inhalation Solution, 0.083%, in 3 mL vials, Sterile, Unit Dose, indicated for the relief of bronchospasm in patients 2 years and older with reversible obstructive airway disease and acute attacks of bronchospasm. NDC 49502-697-03 = 25 vials/carton NDC 49502-697-33 = 30 vials/carton NDC 49502-697-60 = 60 vials/carton; b) Ipratropium Bromide Inhalation Solution, 0.02%, in 2.5 mL vials, Sterile, Unit Dose, indicated as a bronchodilator for maintenance treatment of bronchospasm associated with chronic obstructive pulmonary disease, including chronic bronchitis and emphysema. NDC 49502-685-03 = 25 vials/carton, NDC 49502-685-33 = 30 vials/carton NDC 49502-685-60 = 60 vials/carton. Recall #D-307/308-9. CODE a) 227 multiple lots with EXP dates ranging from 08/99 to 02/01; b) 223 multiple lots with EXP dates ranging from 01/00 to 09/00. MANUFACTURER Dey, LP, Napa, California. RECALLED BY Manufacturer, by letter dated July 27, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY Approximately 110 million vials of Albuterol Sulfate Solution and 84 million vials of Ipratropium Bromide Inhalation Solution were distributed. REASON Contamination - Impurity from packaging material (1-Phenoxy-2 Propranol).

RECALLS AND FIELD CORRECTIONS: DRUGS -- CLASS III

________ PRODUCT Riopan Plus Suspension, OTC buffer antacid plus anti-gas combination: a) Riopan Plus Suspension, Antacid & Anti-Gas, in 12 fluid ounce bottles. NDC #0573-3210-20; b) Riopan Plus; Double Strength Suspension Antacid & Anti-Gas, in 12 fluid ounce bottles. NDC #0573-3220-20. Recall #D-300/301-9. CODE The following represent all lots currently on the market: (a) 3971121 EXP 7/99 3971879EXP 8/99 3971960 EXP 9/99 3972064 EXP 11/99 3981108 EXP 1/00 3981542 EXP 1/00 3981330 EXP 3/00 3981358 EXP 4/00 3981670 EXP 6/00 3981596 EXP 7/00 3982317 EXP 8/00 3982318 EXP 9/00 3981746 EXP 9/00 3982341 EXP 10/01 (b) 3971123 EXP 7/99 3971124 EXP 8/99 3971961 EXP 10/99 3971880 EXP 10/99 3971965 EXP 12/99 3981109 EXP 1/00 3981465 EXP 1/00 3981331 EXP 2/00 3981673 EXP 2/00 3981574 EXP 3/00 3981349 EXP 4/00 3982023 EXP 5/00 3982024 EXP 5/00 3982134 EXP 6/00 3981376 EXP 6/00 3981598 EXP 7/00 3982319 EXP 8/00 3982320 EXP 8/00 3982321 EXP 9/00 3981747 EXP 9/00 3982322 EXP 10/01. MANUFACTURER Wyeth-Ayerst Laboratories, Rouses Point, New York. RECALLED BY Whitehall-Robins Healthcare, Richmond, Virginia, by letter dated June 30, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 1,421,000 bottles have been distributed between August 1997 and June 1999. REASON Mislabeling - Label declares preservatives not in product- Methylparaben, Propylparaben, Citric Acid, and Benzyl Alcohol. ________ PRODUCT Losopan Antacid (Magaldrate Oral Suspension Antacid 540 mg/5mL, in 12 fluid ounce bottles, OTC indicated for the relief of heartburn, sour stomach and/or acid indigestion and upset stomach associated with these symptoms. NDC #0182-6078-39. Recall #D-302-9. CODE Lot #81235 EXP 12/00. MANUFACTURER RIJ Pharmaceutical Corporation, Middletown, New York. RECALLED BY Manufacturer, by letter and fax dated July 21, 1999. Firm- initiated recall ongoing. DISTRIBUTION Kentucky. QUANTITY 5,208 bottles were distributed. REASON Mislabeling - Some bottles bear an incorrect antacid back label (Goldline Genaton(tm)). ________ PRODUCT Indapamide 2.5 mg Tablets, in 100 and 1,000 tablet bottles, oral diuretic indicated for the treatment of hypertension, alone or in combination with other antihypertensive drugs. It is also indicated for the treatment of salt and fluid retention associated with congestive heart failure. This product is labeled under the firm's generic name Arcola. NDC 0070-3000-00 for the 100 count bottles and NDC 0070-3000-99 for the 1000 count bottles. Recall #D-306-9. CODE Lot #MN3386 EXP 11/02 (bottles of 100) Lot #MN3396 EXP 11/02 (bottles of 1000). MANUFACTURER Rhone Poulenc Rorer Puerto Rico, Inc., Manati, Puerto Rico. RECALLED BY Rhone Poulenc Rorer Pharmaceuticals, Collegeville, Pennsylvania, by letter dated July 9, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide and the Caribbean. QUANTITY 32,106 bottles of Lot MN3386 and 35,986 bottles of Lot MN3396 were distributed nationwide. 3,024 bottles of Lot MN3386 were sent to RPR Caribbean; firm estimates that very little of the two lots are left in commercial channels. REASON Dissolution failure.

RECALLS AND FIELD CORRECTIONS: BIOLOGICS -- CLASS II

________ PRODUCT a) Red Blood Cells; b) Platelets; c) Fresh Frozen Plasma; d) Platelets Pheresis; e) Recovered Plasma. Recall #B-1071/1075-9. CODE Unit numbers: a) 11L02397, 11L19669; b) 11L02397, 11L19669; c) 11L19669; d) 11P72284, 11P72799, 11P74102; e) 11L02397. MANUFACTURER American Red Cross Blood Services, St. Louis, Missouri. RECALLED BY Manufacturer, by letters dated March 27, 1998, April 3, 7 or 27, 1998. Firm-initiated recall complete. DISTRIBUTION Missouri. QUANTITY a) 2 units; b) 2 units; c) 1 unit; d) 3 units; d) 1 unit. REASON Blood products tested negative for the antibody to the human immunodeficiency virus type 1 (HIV-1), but were collected from a donor who previously tested reactive for the antibody, Western Blot indeterminate. ________ PRODUCT Corneas. Recall #B-1093-9. CODE Donor numbers: 94-001 (PRF), 94-001, 94-002, 080594-003 OD, 080594-004 OS, 1024094(94003), L2113094, R1113094, 032995-05, 032995-06, 96-030201, 96-030292, 97-011-OD, 97-012-OS. MANUFACTURER Lions Eye Bank, Inc., San Angelo, Texas. RECALLED BY Manufacturer, by letter dated December 18, 1998. Firm-initiated recall complete. DISTRIBUTION Texas, Guatemala, Mexico. QUANTITY 14 corneas. REASON Corneas from donors who were not tested for anti-HIV-2, and in some cases also lacked the donor's social/medical history. ________ PRODUCT Platelets, Irradiated. Recall #B-1106-9. CODE Unit #20270-1343. MANUFACTURER Blood Services, Inc., Las Vegas, Nevada. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by telephone on February 16, 1998, and by letter dated March 4, 1998. Firm- initiated recall complete. DISTRIBUTION Nevada. QUANTITY 1 unit was distributed. REASON Blood product for which documentation of irradiation was incomplete. ________ PRODUCT Left and Right Corneas. Recall #B-1108-9. CODE PA-20647-RC, PA-20647-LC. MANUFACTURER Lions Eye Bank of Delaware Valley, Philadelphia, Pennsylvania. RECALLED BY Manufacturer, by telephone on March 9, 1999, and by letter dated March 17, 1999. Firm-initiated recall complete. DISTRIBUTION Pennsylvania. QUANTITY 2 corneas. REASON Corneas were collected from a donor who tested repeatedly reactive for the antibody to the Hepatitis B core antigen (ant- HBc). ________ PRODUCT a) Red Blood Cells; b) Platelets; c) Cryoprecipitated AHF. Recall #B-1110/1112-9. CODE Unit numbers: a) 27GP00623, 27L86365, 27FQ28370; b) 27GP00623, 27FQ28370; c) 27L86365. MANUFACTURER American Red Cross Blood Services, Johnstown, Pennsylvania. RECALLED BY Manufacturer, by letter dated August 19, 1998. Firm-initiated recall complete. DISTRIBUTION Maryland, Pennsylvania, West Virginia. QUANTITY a) 3 units; b) 2 units; c) 1 unit. REASON Blood products were collected from a donor taking the drug Methotrexate. ________ PRODUCT a) Platelets, Pheresis; b) Fresh Frozen Plasma. Recall #B-1114/1115-9. CODE Unit #27P35660. MANUFACTURER American Red Cross Blood Services, Johnstown, Pennsylvania. RECALLED BY Manufacturer, by letter dated January 27, 1998, or by telephone on January 23, 1998. Firm-initiated recall complete. DISTRIBUTION Pennsylvania and West Virginia. QUANTITY 1 unit of each component was distributed. REASON Blood products were collected from a donor who was participating in a flu vaccine study. ________ PRODUCT a) Red Blood Cells; b) Fresh Frozen Plasma. Recall #B-1116/1117-9. CODE Unit #22381-2195. MANUFACTURER Blood Services, Inc., Las Vegas, Nevada. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by letter dated April 7, 1998. Firm-initiated recall complete. DISTRIBUTION Nevada. QUANTITY 1 unit of each component was distributed. REASON Blood products were collected from a donor with a history of hepatitis. ________ PRODUCT Corneas. Recall #B-1118-9. CODE Donor numbers: 1028-98 and 1029-98. MANUFACTURER The Eye Bank for Sight Restoration, Inc., New York, New York. RECALLED BY Manufacturer, by letter dated January 13, 1999. Firm-initiated recall complete. DISTRIBUTION New York. QUANTITY 2 corneas. REASON Corneas were collected from a donor who had not been properly evaluated for the effect of serodilution on the plasma samples used for infectious disease testing. ________ PRODUCT Albumin (Human) 25%, 50 mL, Plasbumin-25 brand; b) Albumin (Human) 5%, 250 mL, Plasbumin-5 brand. Recall #B-1119/1120-9. CODE a) Lot 684R066; b) Lot 685R048. MANUFACTURER Bayer Corporation, Clayton, North Carolina. RECALLED BY Manufacturer, by fax and letter on September 25, 1998. Firm-initiated recall ongoing. DISTRIBUTION Arizona, California, Florida, Illinois, Indiana, Kentucky, Minnesota, New Jersey, Pennsylvania, South Carolina, Tennessee, Texas, Washington state. QUANTITY a) 16,467 vials; b) 7,493 vials were distributed. REASON Testing found that two lots of Albumin had Prekallikrein Activator (PKA) levels which exceeded that allowed by the product's licenses. ________ PRODUCT Platelets, Pheresis. Recall #B-1130-9. CODE 27P28144, 27P28774, 27P29429, 27P29986, 27P30674, 27P32050, 27P33105, 27P33787, 27P35565, 27P36709, 27P37196. MANUFACTURER American Red Cross Blood Services, Johnstown, Pennsylvania. RECALLED BY Manufacturer, by letter dated April 8, 1998. Firm-initiated recall complete. DISTRIBUTION Pennsylvania and West Virginia. QUANTITY 11 units were distributed. REASON Blood products were labeled with the incorrect human leukocyte antigen (HLA) typing. ________ PRODUCT a) Red Blood Cells; b) Platelets; c) Recovered Plasma. Recall #B-1131/1133-9. CODE Unit #29KM06488. MANUFACTURER American Red Cross Blood Services, Norfolk, Virginia. RECALLED BY Manufacturer, by letters dated January 29, 1999 and March 3, 1999, and by fax on February 1, 1999. Firm-initiated recall complete. DISTRIBUTION North Carolina and California. QUANTITY 1 unit of each component was distributed. REASON Blood products were collected from a donor who lived in Nigeria ________ PRODUCT Red Blood Cells. Recall #B-1135-9. CODE Unit #K66643. MANUFACTURER Nueces County Medical Community Blood Bank, Corpus Christi, Texas. RECALLED BY Manufacturer, by telephone on February 7, 1999. Firm-initiated recall complete. DISTRIBUTION Texas. 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) Platelets; c) Recovered Plasma. Recall #B-1136/1138-9. CODE Unit #29FT81183. MANUFACTURER American Red Cross Blood Services, Norfolk, Virginia. RECALLED BY Manufacturer, by letter dated January 7, 1999, and by fax on January 14, 1999. Firm-initiated recall complete. DISTRIBUTION Virginia, North Carolina, California. QUANTITY 1 unit of each component was distributed, REASON Blood products were collected from a donor who provided post donation information regarding having engaged in high risk behaviors. ________ PRODUCT Red Blood Cells. Recall #B-1141-9. CODE Unit #22398-8423. MANUFACTURER Blood Services, Inc., Las Vegas, Nevada. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by letter dated September 4, 1998. Firm-initiated recall complete. DISTRIBUTION Nevada. QUANTITY 1 unit was distributed. REASON Blood product was collected from a donor who reported travel to an area designated as endemic for malaria. ________ PRODUCT Red Blood Cells. Recall #B-1142-9. CODE Unit #22397-9341. MANUFACTURER Blood Services, Inc., Las Vegas, California. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by letter dated July 16, 1998. Firm-initiated recall ongoing. DISTRIBUTION Nevada. QUANTITY 1 unit was distributed. REASON Blood product was collected from a donor who reported having lived in an area designated as endemic for malaria. ________ PRODUCT a) Red Blood Cells; b) Fresh Frozen Plasma; c) Platelets. Recall #B-1144/1146-9. CODE Unit #8006949. MANUFACTURER LifeShare, Inc., Elyria, Ohio. RECALLED BY Manufacturer, by letter dated June 15, 1999. Firm-initiated recall complete. DISTRIBUTION Ohio. QUANTITY 1 unit of each component was distributed. REASON Blood products, which tested negative for the antibody to the human immunodeficiency virus type 1 (HIV-1), but were collected from a donor who previously tested repeatedly reactive for the antibody. ________ PRODUCT Red Blood Cells. Recall #B-1152-9. CODE Unit #40FE49621. MANUFACTURER American Red Cross Blood Services, Peoria, Illinois. RECALLD BY Manufacturer, by letter dated June 30, 1999. Firm-initiated recall complete. DISTRIBUTION Illinois. QUANTITY 1 unit was distributed. REASON Blood product was collected from a donor who visited an area designated as endemic for malaria. ________ PRODUCT Platelets, Pheresis, Leukocytes Reduced. Recall #B-1154-9. CODE 40P68370, 40P67905, 40P67234. MANUFACTURER American Red Cross Blood Services, Peoria, Illinois. RECALLED BY Manufacturer, by letter dated July 8, 1999. Firm-initiated recall complete. DISTRIBUTION Illinois and Arkansas. QUANTITY 3 units were distributed. REASON Blood products were collected from a donor who reported travel to an area designated as endemic for malaria. ________ PRODUCT Red Blood Cells. Recall #B-1155-9. CODE Unit numbers: 40GC37217. MANUFACTURER American Red Cross Blood Services, Peoria, Illinois. RECALLED BY Manufacturer, by letters dated June 24, 1999 and July 7, 1999. Firm-initiated recall complete. DISTRIBUTION Missouri and Massachusetts. QUANTITY 1 unit was distributed. REASON Blood product was collected from a donor who reported travel to an area designated as endemic for malaria. ________ PRODUCT Red Blood Cells. Recall #B-1156-9. CODE Unit #18219-1591. MANUFACTURER United Blood Services, Cheyenne, Wyoming. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by letter dated May 21, 1999, and fax dated June 7, 1999. Firm-initiated recall complete. DISTRIBUTION California. QUANTITY 1 unit was distributed. REASON Blood product was collected from a donor who reported travel to an area designated as endemic for malaria.

RECALLS AND FIELD CORRECTIONS: BIOLOGICS -- CLASS III

________ PRODUCT Red Blood Cells, Washed, Irradiated. Recall #B-374-9. CODE Unit #22400-8360. MANUFACTURER Blood Services, Inc., Las Vegas, Nevada. RECALLED BY Blood Systems, Inc., Scottsdale, Arizona, by telephone on July 2, 1998. Firm-initiated recall complete. DISTRIBUTION Nevada. QUANTITY 1 unit was distributed. REASON Blood product was labeled with an extended expiration date. ________ PRODUCT Source Plasma. Recall #B-1109-9. CODE Unit #00127370. MANUFACTURER Sera-Tec Biologicals Limited Partnership, Pittsburgh, Pennsylvania. RECALLED BY Sera-Tec Biologicals Limited Partnership, North Brunswick, New Jersey, on June 11, 1998. Firm-initiated recall complete. DISTRIBUTION Product was in transit to Baxter-Hyland. QUANTITY 1 unit. REASON Blood product tested repeatedly reactive for the HIV-p24 antigen. ________ PRODUCT Platelets. Recall #B-1113-9. CODE Unit #27FN58504. MANUFACTURER American Red Cross Blood Services, Johnstown, Pennsylvania. RECALLED BY Manufacturer, by letter dated May 27, 1998. Firm-initiated recall complete. DISTRIBUTION Pennsylvania. QUANTITY 1 unit was distributed. REASON Blood product was prepared from a whole blood unit that had discrepant start and end times documented. ________ PRODUCT a) Red Blood Cells ; b) Red Blood Cells, Leukocytes Removed; c) Platelets; d) Platelets Pheresis; e) Fresh Frozen Plasma; f) Plasma; g) Cryoprecipitate AHF; h) Recovered Plasma; i) Red Blood Cells for Manufacture of Non Injectables. Recall #B-1121/1129-9. CODE FDA, Center for Biologics Evaluation and Research, Contact Office of Compliance (301) 827-6220 for individual unit numbers recalled. MANUFACTURER American Red Cross Blood Services, Columbus, Ohio. RECALLED BY Manufacturer, by letters on January 1,7, 8, or 9,1998, by telephone on June 29, 1998, or by fax on July 1, 10, or 13, 1998. Firm-initiated recall complete. DISTRIBUTION Idaho, Ohio, New York, Massachusetts, Michigan, Wisconsin, Pennsylvania, Illinois, Minnesota, Tennessee, Georgia, Maryland, Puerto Rico, California, Switzerland. QUANTITY a) 282 units; b) 16 units; c) 156 units; d) 23 units; e) 21 units; f) 1 unit; g) 18 units; h) 242 units; i) 1 unit. REASON Blood products were tested for the HIV-1 p24 antigen in a manner that was not in conformance with the manufacturer's instructions. ________ PRODUCT Fresh Frozen Plasma. Recall #B-1134-9. CODE Unit #0824274. MANUFACTURER Coffee Memorial Blood Center, Inc., Amarillo, Texas. RECALLED BY Manufacturer, by letter dated May 14, 1999. Firm-initiated recall complete. DISTRIBUTION Texas. QUANTITY 1 unit was distributed. REASON Fresh frozen plasma was not separated and frozen within eight hours of phlebotomy. ________ PRODUCT a) Platelets; b) Recovered Plasma. Recall #B-1148/1149-9. CODE Unit #3X5680. MANUFACTURER Puget Sound Blood Center and Program, Seattle, Washington. RECALLED BY Manufacturer, by letters dated November 11 or 12, 1998. Firm- initiated recall complete. DISTRIBUTION Washington state and Switzerland. QUANTITY 1 unit of each component was distributed. REASON Blood products were collected from a donor who took the drug Propecia. ________ PRODUCT a) Platelets; b) Recovered Plasma. Recall #B-1150/1151-9. CODE Unit #3Y3219. MANUFACTURER Puget Sound Blood Center and Program, Seattle, Washington. RECALLED BY Manufacturer, by letter and fax on September 28, 1998. Firm- initiated recall complete. DISTRIBUTION Washington state and Switzerland. QUANTITY 1 unit of each component was distributed. REASON Blood products were collected from a donor who took the drug Propecia. _______ PRODUCT Red Blood Cells. Recall #B-1158-9. CODE Unit #5151468. MANUFACTURER BloodCare, doing business as Carter BloodCare, Dallas, Texas. RECALLED BY Manufacturer, by letter dated February 2, 1999. Firm-initiated recall complete. DISTRIBUTION Texas. QUANTITY 1 unit was distributed. REASON Blood product was collected from a donor who did not answer all of the pre-donation screening questions.

RECALLS AND FIELD CORRECTIONS: DEVICES -- CLASS II

________ PRODUCT Various First Aid Kits containing the suspect Povidone-Iodine Pads labeled in part: 1)SAWYER PRODUCTS REMOTE EMERGENCY FIRST AID KIT-NOTE-There is no item number on this product. 2) SAWYER PRODUCTS EMERGENCY FIRST AID KIT**ADVANCED FIRST AID CAPABILITIES**Techniques Preferred by PARAMEDICS & EMERGENCY ROOMS**-NOTE-There is no item number on this product. 3) Sawyer Products FIRST AID TO GO WITH BELT LOOPS ITEM #SP903 4) SAWYER PRODUCTS FIRST AID IN A POUCH**SP905 5) Sawyer Products FIRST AID in a Pouch**10-15 person days**Item #TG905** 6) Sawyer Products FAMILY PACK**ITEM #SP909** 7) Sawyer Products Family First Aid**15-25 person days**Item # TG910** 8) Sawyer Products FAMILY PACK LEVEL 300 **ITEM # SP910** 9) SAWYER INTERMEDIATE FIRSTAID KIT Designed for those who know BASIC FIRST AID ITEM # SP910 10) SAWYER PRODUCTS GROUP PACK Item # SP925** 11) Sawyer Products First Aid Kit**LEVEL 500**For Multi-person excursions and expeditions and for team sports Item # SP926 12) Sawyer Products WOUND CARE module Item #SP932** 13) Sawyer Products LARGE WOUND CARE module Item # SP 933 14) Sawyer Products FOOT CARE module for prevention and treatment of blisters Item #SP934 15) Sawyer Products HUNTING AND FISHING First Aid Kit ITEM #951 16) Sawyer Products LEVEL 600 First Aid Kit Item # SP961 17 Sawyer Products LEVEL 700 First Aid Kit Item # SP962 18) Sawyer Products First Aid Kit DRYBAG Triple Protection of First Aid Supplies Against Exposure to Water Damage** Item # SP973 19) Sawyer First Aid Kit WATERPROOF EXCELLENT FOR WATER TRIPS Item SP 981 20) Sawyer Products FIRST AID watertight case Item #SP985** 21) Sawyer Products FIRST AID to go Note: no item number listed on label 22) Sawyer Products pocket First Aid Item # SP993. Recall #Z-1120/1141-9. CODE The first aid kits are not coded. Kits were shipped out to direct accounts from 2/1/98 through 4/30/99. MANUFACTURER SAFFETA, Inc., Safety Harbor, Florida. RECALLED BY SAFFETA, Inc., doing business as Sawyer Products, Inc., Safety Harbor, Florida, by letter sent beginning July 23, 1999. Firm- initiated field correction ongoing. DISTRIBUTION Nationwide and Hong Kong. QUANTITY 35,672 kits that may have the subject pads were distributed. REASON The kits may contain non-sterile Povidone Iodine pads. ________ PRODUCT MNPB Ventilator and Graphic User Interface (GUI), CPU Board and Breath Delivery Unit (BDU), CPU Board Assemblies Model #840, a dual-microprocessor electronic system for use to provide precise breath delivery for critically ill infant, pediatric, and adult patients. Recall #Z-1142-9. CODE The recalled part numbers associated with the hardbody (i.e., BDU/GUI) ventilators are as follows: 4-NPB840-DL; 4-075166-00; 4-075167-00; 4-075168-00; 4-075169-00; 4-075170-00; 4-075276-00; 4-075277-00; 4-075278-00; 4-075279-00; 4-075280-00; 4-075391-00; 4-075165-00; The recalled part numbers associated with the spare Printed Circuit Boards/CPU boards are as follows: 4-073200-SP; 4-070950-SP. MANUFACTURER Mallinckrodt Nellcor Puritan Bennett (MNPB), Carlsbad, California. RECALLED BY Manufacturer, by letter on January 28, 1999. Firm-initiated field correction complete. DISTRIBUTION Nationwide and international. QUANTITY 725 units were distributed. REASON The voltage regulator may manifest by not allowing control changes to be passed from the GUI onto the BDU and/or overheating with resultant heat or smoke. ________ PRODUCT Intermediate Hi-Lo Pre-Cut Tracheal Tube with Stylet, for airway management by oral intubation of the trachea. Recall #Z-1143-9. CODE Catalog #86118, Lot #M032120. MANUFACTURER MMJ SA de CV (Mallinckrodt Medical), Juarez, Mexico. RECALLED BY Mallinckrodt, Inc., St. Louis, Missouri, by letter dated June 9, 1999. Firm-initiated recall ongoing. DISTRIBUTION California, Utah, Minnesota. QUANTITY 250 units were distributed. REASON The incorrect stylet was used and is too long, extending beyond the tip of the tube. ________ PRODUCT CPI Endotak DSP Implantable Leads: a) Model 0095; b) Model 0125. Recall #Z-1144/1145-9. CODE All serial numbers less that 230000. MANUFACTURER Guidant Corporation, St. Paul, Minnesota. RECALLED BY Manufacturer, by letter. Firm-initiated action consists of providing instructions for detecting and preventing lead insulation damage which could affect some leads. Action is ongoing. DISTRIBUTION Nationwide and international. QUANTITY 45,500 were distributed, REASON The lead is bent sharply away from the header block, the integrity of the lead and/or lead insulation can be compromised. ________ PRODUCT Alcon Surgical Procedure Packs Custom Pak: a) Product #4345-12; b) #6899-03. Recall #Z-1161/1162-9. CODE a) Lot Code 95801H; b) Lot Code 97286H. MANUFACTURER Alcon Laboratories, Houston, Texas. DeRoyal, Rose Hill Virginia (light handle covers). RECALLED BY Alcon Laboratories, Inc., Fort Worth, Texas, by letter on July 15, 1999. Firm-initiated recall ongoing. DISTRIBUTION California and Florida. QUANTITY a) 8 units; b) 10 units were distributed. REASON Light handle covers did not fit properly onto the light handle. Further, the poor fit might cause the light handle cover to be too loose which might result in the cover falling off the handle in the sterile field or cause the cover to be too tight which might result in the cover splitting during use. ________ PRODUCT Intermedics single and dual-chamber pulse generators, Recall #Z- 1163/1181-9. 1. Cosmos II, Model Nos. 283-03, 284-05; 2. Cosmos 3, Model Nos. 283-09, 284-09; 3. Dart, Model No. 292-05; 4. Dash, Model Nos. 291-03, 292-03, 292-03R; 5. Intertach II, Model Nos. 262-16, 262-16R; 6. Marathon-Edgeband, Model Nos. 292-09E, 293-09E, 294-09E; 7. Marathon DR, Model Nos. 293-09, 294-09, 294-09R, 294-10; 8. Marathon Z, Model No. 294-09Z; 9. Marathon SR, Model Nos. 291-09, 292-09R, 292-09X, 292-09Z; 10. Momentum DR, Model Nos. 294-23, 294-23E, 294-23Z; 11. Nova III, Model Nos. 281-07, 282-07, 282-09. 12 Quantum III, Model No. 254-27; 13. Relay, Model Nos. 293-03, 293-09E, 294-03, 294-03R; 14. Relay-Edgeband, Model Nos. 293-03E, 294-03E; 15. Stride, Model No. 294-05; 16. Suprima III, Model No. 254-31; 17. Unity-C, Model No. 292-06; 18. Unity, Model No. 292-07; 19. Custom Device, Model No. 82-0015-2801. CODE 8,598 units within the serial number range 01068/253784. MANUFACTURER Intermedics, Inc., doing business as Guidant Intermedics, Angleton, Texas. RECALLED BY Manufacturer, by letter dated May 5, 1999. Firm-initiated recall complete. DISTRIBUTION Nationwide and international. QUANTITY 8,598 units were distributed. REASON The pulse generators were shipped from the factory with a pulse amplitude.that did not match the inquired nominal value as reported by the programmer.

RECALLS AND FIELD CORRECTIONS: DEVICES -- CLASS III

________ PRODUCT Bio-Interference Screw, 8mm size. Recall #Z-1113-9. CODE Model 1380B, Lot #13258. MANUFACTURER Arthrex Arthroscopy Instruments, Inc., Naples, Florida. RECALLED BY Manufacturer, by letters mailed on April 29, 1999 and early June 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide and Canada. QUANTITY 1,786 units were distributed. REASON Screws may crack during insertion. ________ PRODUCT Pedicle Screw is a component of the VSP Spinal Fixation System. Recall #Z-1114-9. CODE Product Code: 2226-2835, Lot S4578. MANUFACTURER Depuy Acromed, Raynham, Massachusetts. RECALLED BY Manufacturer, by fax July 12, 1999. Firm-initiated recall ongoing. DISTRIBUTION Colorado, Australia, Austria, Italy, and Hong Kong. QUANTITY 118 units. REASON The device was incorrectly labeled 6.25 mm diameter/titanium vs. actual product 7.0 mm stainless.

RECALLS AND FIELD CORRECTIONS: VETERINARY PRODUCTS -- CLASS II

________ PRODUCT Arquel, Meclofenamic Acid (10 gm packet) for the treatment of acute or chronic inflammatory disease involving the musculoskeletal system of the horse. Recall #V-072-9. CODES Lot #230351 EXP. AUG 1999. MANUFACTURER Parke Davis, Scarborough, Ontario, Canada. RECALLED BY Fort Dodge Animal Health, Fort Dodge, Iowa, by letter dated May 14, 1999. Firm-initiated recall complete. DISTRIBUTION Nationwide. QUANTITY Approximately 2,255 packets were distributed. REASON Product failed 24-month dissolution. ________ PRODUCT Dexamethazone sodium phosphate injection - 4 mg/ml, used as an inflammatory sterile intravenous injection in horses, under the Steris Burns Veterinary Supply label. Recall #V-073-9. CODE Lots: 97A430, 97B810, 97E360, 97H260, 97H570, 97H571, 97H700, 97H701, 97L230, 97L231. MANUFACTURER Steris Laboratories, Inc., Phoenix, Arizona. RECALLED BY Manufacturer, by letter dated February 19, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide and Puerto Rico. QUANTITY 108,486 vials were distributed. REASON Stability data does not support labeled expiration dates. ________ PRODUCT Synovex Plus Implants, packaged in pouches containing 10 10-dose cartridges (100 implants), (one implant/eight pellets) to increase weight gain and improve feed efficiency in feedlot steers and heifers. Recall #V-071-9. CODE Lot 07788B - EXP May 31, 1999, Lot 07789C - EXP May 31, 1999 (Canada only). MANUFACTURER Syntex (now known as Oread, Inc.), Palo Alto, California. RECALLED BY Fort Dodge Animal Health, Fort Dodge, Iowa, by letter on May 13, 1999. Firm-initiated recall ongoing. DISTRIBUTION Nationwide. QUANTITY 381 cases (10 units per box, 10 boxes per case) were distributed. REASON Product failed dissolution potency testing. END OF ENFORCEMENT REPORT FOR AUGUST 18, 1999.
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