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.

March 26, 1997                                      97-13         
                                 

RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS I ============
_______________
PRODUCT        Taigut Dried Potato, in 8 ounce flexible plastic bags. 
               Recall #F-272-7.
CODE      None.
MANUFACTURER        Sunwah Foodstuff Company, Kennedytown, Hong Kong.
RECALLED BY         BCN Trading Corporation, Brooklyn, New York, by
                    letter dated June 14, 1996.  Completed recall
                    resulted from sample analysis and followup by the
                    New York State Department of Agriculture and
                    Markets.
DISTRIBUTION        New York, Massachusetts, Pennsylvania, New Jersey,
                    Florida, Connecticut, Illinois, District of
                    Columbia.
QUANTITY       284 cases (80 packages per case) were distributed; firm
               estimates none remains on the market.
REASON         Product contained undeclared sulfites.


RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS II ===========
_______________
PRODUCT        Eagle Spice Rainbow Jimmies, in 3 ounce glass jars. 
               Recall #F-271-7.
CODE      None.
MANUFACTURER        Cocoline Chocolate Company, Inc., Brooklyn, New
                    York.
RECALLED BY         Eagle Spice & Extract Company, Inc., Brooklyn, New
                    York (repacker/distributor), by telephone on
                    October 3, 1996, followed by visit.  Completed
                    field correction (relabeling) resulted from visit
                    and followup by New York State Department of
                    Agriculture and Markets.
DISTRIBUTION        New York.
QUANTITY       98 cases (12 jars per case) were distributed.
REASON         Product contains undeclared certified colors, FD&C Yellow
               No. 5 & 6, Blue No. 1 & 2, and Red No. 3.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS II ===========
_______________
PRODUCT        Cefaclor Capsules, USP (a) 250 mg; (b) 500 mg, in bottles
               of 100, used for the treatment of the following
               infections: otis media, lower and upper respiratory
               infections, urinary tract infections, skin and skin
               structure infections. Recall #D-130/131-7.
CODE      Lot numbers:  (a) 427568, 432237, 436212, 438681, 438913,
          441703; (b) 430565, 432238.
MANUFACTURER        UDL Laboratories, Inc., Rockford, Illinois.
RECALLED BY         Manufacturer, by letter sent on March 4, 1997. 
                    Firm-initiated recall ongoing.
DISTRIBUTION        Nationwide.
QUANTITY       (a) 8,830 unit cartons; (b) 1,252 unit cartons were
               distributed; firm estimated that 20 percent of the 250 mg
               product and 30 percent of the 500 mg product remained on
               the market at time of recall initiation.
REASON         Bulk Cefaclor was recalled by Roussel Corporation (parent
               firm of Biochimica Opos, Italy due to AADA discrepancies:
               AADA was withdrawn.

_______________
UPDATE         Recall #D-091-7, Forest Pharmaceutials' (St. Louis, MO)
               Rx Sus-Phrine, Epinephrine Injectable Suspension, 5
               mg/ml, in 0.3 ml ampules, which appeared in the February
               5, 1997, Enforcement Report has been extended to include
               5 ml vials and the following lot numbers:  0.3 ml ampules
               -- 94L410 EXP 11/97, 95A750 EXP 1/98; 5 ml vials --
               95J680 EXP 7/97, 96E540 EXP 3/98.


                                    -2-RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS III ==========
_______________
PRODUCT        Cimetidine HCl Injection, 300 mg/2ml, in 2 ml vials, used
               in the treatment of ulcers, erosive gastroesophageal
               reflux disease, and the treatment of pathological
               hypersecretory condition.     Recall #D-128-7.
CODE      Lot #6699 EXP 9/98.
MANUFACTURER        Luitpold Pharmaceutical, Inc., also known as
                    American Regent Laboratories, Inc., Shirley, New
                    York.
RECALLED BY         Manufacturer, by fax and by mail on February 6,
                    1997.  Firm-initiated recall ongoing.
DISTRIBUTION        Nationwide.
QUANTITY       89,975 vials were distributed.
REASON         Presence of precipitate.

_______________
PRODUCT        Theomax DF Syrup (Ephedrine Sulfate, 6.25mg;
               Theophylline, 32.5 mg, Hydroxyzine HCl, 2.5 mg), in one
               pint bottles, for controlling bronchospastic disorders. 
               Recall #D-129-7.
CODE      Lot numbers:  RP3787 EXP 3/97, RB4122 EXP 7/97, VN4684 EXP
          11/97.
MANUFACTURER        Alpharma, also known as Barre-National, Inc.,
                    Baltimore, Maryland.
RECALLED BY         Manufacturer, by letter on February 20, 1997. 
                    Firm-initiated recall ongoing.
DISTRIBUTION        Nationwide.
QUANTITY       3,810 units were produced for Lot RP3787.  3,775 units
               were produced for RB4122 and 3,677 units were produced
               for VN4684.  The firm estimates that there is no product
               in commerce.
REASON         Product fails content assay at the 24-month stability
               timepoint (83%; SPEC is 90-112% of label strength).


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS II =======
_______________
PRODUCT        (a) Red Blood Cells; (b) Fresh Frozen Plasma.  Recall #B-
               467/468-7.
CODE      Unit #10500-0138.
MANUFACTURER        United Blood Services, Scottsdale, Arizona.
RECALLED BY         Blood Systems, Inc., Scottsdale, Arizona, by letter
                    on January 3, 1996.  Firm-initiated recall ongoing.
DISTRIBUTION        Arizona.
QUANTITY       1 unit of each component was distributed.
REASON         Blood products were collected from a donor with a history
               of hepatitis A.

                                    -3-_______________
PRODUCT        (a) Red Blood Cells; (b) Platelets; (c) Recovered Plasma. 
               Recall #B-470/472-7.
CODE      Unit numbers:  (a) 20KG05708, 20GG72196, 20GG58325, 20GG32707,
          20GG25431, 20GG19416, 20GG11712, 20G79144, 20G72467, 20G67870,
          20G63587, 20G53254, 20G36753, 20G10348, 20G04116, 20G91891,
          20G65952, 20G53017, 20G39639, 20G27479; (b) 20GG72196,
          20GG58325, 20GG32707, 20GG25431, 20G72467, 20G53254, 20G91891;
          (c) 20KG05708, 20GG72196, 20GG58325, 20GG32707, 20GG25431,
          20GG19416, 20GG11712, 20GG03720, 20G79144, 20G72467, 20G67870,
          20G63587, 20G53254, 20G36753, 20G27479, 20G10348, 20G04116,
          20G91891, 20G65952, 20G53017, 20G39639.
MANUFACTURER        American Red Cross Blood Services, Boise, Idaho.
RECALLED BY         Manufacturer, by letters dated March 6, 21, 22, and
                    28, 1995.  Firm-initiated recall complete.
DISTRIBUTION        Idaho, Oregon, Washington state, California,
                    Tennessee, New York.
QUANTITY       (a) 20 units; (b) 8 units; (c) 21 units were distributed.
REASON         Blood products tested negative for the antibody to the
               human immunodeficiency virus type 1 (anti-HIV-1), but
               were collected from a donor who previously tested
               repeatedly reactive for anti-HIV-1.

_______________
PRODUCT        Source Plasma.  Recall #B-477-7.
CODE      Unit #65210017.
MANUFACTURER        Simi Biological Resources, Inc., Tacoma,
                    Washington.
RECALLED BY         Manufacturer, by letter dated May 9, 1996.  Firm-
                    initiated recall complete.
DISTRIBUTION        California.
QUANTITY       1 unit was distributed.
REASON         Blood products tested repeatedly reactive for the
               antibody to the hepatitis C virus encoded antigen (anti-
               HCV).

_______________
PRODUCT        Platelets.  Recall #B-479-7.
CODE      Unit numbers:  10229-8818, 10229-8817, 10229-8816, 10229-8815,
          10229-8814.
MANUFACTURER        United Blood Services, Scottsdale, Arizona.
RECALLED BY         Blood Systems, Inc., Scottsdale, Arizona, by letter
                    on November 27, 1995.  Firm-initiated recall
                    complete.

                                    -4-DISTRIBUTION        Arizona and South Dakota.
QUANTITY       5 units were distributed.
REASON         Blood products were manufactured from whole blood that
               was shipped at unacceptable temperatures.

_______________
PRODUCT        Platelets.  Recall #B-480-7.
CODE      Unit numbers:  10230-1582, 10230-1583, 10230-1584, 10230-1585,
          10230-1586, 10230-1588, 10230-1589, 10230-1591.
MANUFACTURER        United Blood Services, Scottsdale, Arizona.
RECALLED BY         Blood Systems, Inc., Scottsdale, Arizona, by letter
                    on November 22, 1995.  Firm-initiated recall
                    complete.
DISTRIBUTION        Arizona and South Dakota.
QUANTITY       8 units were distributed.
REASON         Blood products were manufactured from whole blood that
               was shipped at unacceptable temperatures.

_______________
PRODUCT        Blood Bank Control System Software, BBCS Release Version
               3.1 and 4.0.
          Recall #B-484-7.
CODE      Software version 3.1 and 4.0.
MANUFACTURER        Blood Bank Computer Systems, Inc., Auburn,
                    Washington.
RECALLED BY         Manufacturer, by letter on December 5, 1995.  Firm-
                    initiated field correction complete.
DISTRIBUTION        California, Florida, Illinois, Kansas, Texas,
                    Washington state.
QUANTITY       12 users which had the various versions installed.
REASON         Computer software contained programming errors which
               could have resulted in the release of unsuitable blood
               products.

_______________
PRODUCT        Red Blood Cells.  Recall #B-485-7.
CODE      Unit numbers:  18210-1913 and 18210-9308.
MANUFACTURER        United Blood Services, Cheyenne, Wyoming.
RECALLED BY         Blood Systems, Inc., Scottsdale, Arizona, by letter
                    dated September 6, 1996.  Firm-initiated recall
                    complete.
DISTRIBUTION        Illinois and Wyoming.
QUANTITY       2 units were distributed.
REASON         Blood products were collected from a donor who lived in
               an area considered endemic for malaria.

                                    -5-_______________
PRODUCT        Red Blood Cells.  Recall #B-486-7.
CODE      Unit #49J67413.
MANUFACTURER        American Red Cross Blood Services, Tulsa, Oklahoma.
RECALLED BY         Manufacturer, by letter dated December 12, 1996. 
                    Firm-initiated recall complete.
DISTRIBUTION        Oklahoma.
QUANTITY       1 unit was distributed.
REASON         Blood product was collected from a donor who traveled to
               an area considered endemic for malaria.

_______________
PRODUCT        Red Blood Cells.  Recall #B-488-7.
CODE      Unit #FE19364.
MANUFACTURER        Inova Blood Donor Services, Annandale, Virginia.
RECALLED BY         Manufacturer, by letter dated February 19, 1996. 
                    Firm-initiated recall complete.
DISTRIBUTION        Virginia.
QUANTITY       1 unit was distributed.
REASON         Blood product was collected from a donor who emigrated
               from an area considered endemic for malaria.

_______________
PRODUCT        Platelets.  Recall #B-490-7.
CODE      Unit #11314-2743.
MANUFACTURER        United Blood Services, El Paso, Texas.
RECALLED BY         Blood Systems, Inc., Scottsdale, Arizona, by letter
                    dated September 24, 1996.  Firm-initiated recall
                    complete.
DISTRIBUTION        Texas.
QUANTITY       1 unit was distributed.
REASON         Blood product was prepared from a unit of whole blood
               which may have had an extended collection time.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS III ======
_______________
PRODUCT        Fresh Frozen Plasma.  Recall #B-475-7.
CODE      Unit #29137-6352.
MANUFACTURER        United Blood Services, Chicago, Illinois.
RECALLED BY         Manufacturer, by telephone on August 30, 1996. 
                    Firm-initiated recall complete.
DISTRIBUTION        Illinois.
QUANTITY       1 unit was distributed.
REASON         Blood product was prepared from a unit of whole blood
               designated as a difficult collection.

                                    -6-_______________
PRODUCT        Fresh Frozen Plasma.  Recall #B-476-7.
CODE      Unit #29137-2337.
MANUFACTURER        United Blood Services, Chicago, Illinois.
RECALLED BY         Manufacturer, by telephone on August 30, 1996. 
                    Firm-initiated recall complete.
DISTRIBUTION        Illinois.
QUANTITY       1 unit was distributed.
REASON         Blood product was prepared from a unit of whole blood
               designated as a difficult collection.

_______________
PRODUCT        (a) Red Blood Cells; (b) Platelets; (c) Recovered Plasma. 
               Recall #B-481/483-7.
CODE      Unit #KH59158.
MANUFACTURER        Virginia Blood Services, Richmond, Virginia.
RECALLED BY         Manufacturer, by telephone on or about July 20,
                    1995.  Firm-initiated recall complete.
DISTRIBUTION        Virginia and California.
QUANTITY       1 unit of each component was distributed.
REASON         Blood products were collected from a donor whose medical
               history screening was inadequately performed.

_______________
PRODUCT        Fresh Frozen Plasma.  Recall #B-489-7.
CODE      Unit #11314-5554.
MANUFACTURER        United Blood Services, El Paso, Texas.
RECALLED BY         Blood Systems, Inc., Scottsdale, Arizona, by
                    telephone on September 27, 1996.  Firm-initiated
                    recall complete.
DISTRIBUTION        Texas.
QUANTITY       1 unit was distributed.
REASON         Blood product was prepared from a unit of whole blood
               with an extended expiration date.

_______________
PRODUCT        Platelets.  Recall #B-491-7.
CODE      Unit #KP37831.
MANUFACTURER        Virginia Blood Services, Richmond, Virginia.
RECALLED BY         Manufacturer, by telephone on December 21, 1995. 
                    Firm-initiated recall complete.
DISTRIBUTION        Virginia.
QUANTITY       1 unit was distributed.
REASON         Blood product was collected from a donor whose health
               history screening was inadequately performed.


                                    -7-RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS II
=========
_______________
PRODUCT        Valleylab Bipolar Footswitch, Model E6009, allows for
               independent control of bipolar output with all Valleylab
               Force series electrosurgical generators.
          Recall #Z-321-7.
CODE      Lot numbers M841470 and M841480.
MANUFACTURER        Linemaster, Woodstock, Connecticut.
RECALLED BY         Valleylab, Inc., Boulder, Colorado, by letter on
                    February 28, 1997, and by Federal Express during
                    week of March 3, 1997.  Firm-initiated recall
                    ongoing.
DISTRIBUTION        Nationwide and international.
QUANTITY       178 units were distributed.
REASON         The footswitch has the potential to self-activate, or
               remain active (latch-on) after the pedal is released to
               deactivate the generator output.

_______________
PRODUCT        KAB System - CO2 Absorber, disposable, single use,
               intended to be used during general anesthesia whenever
               the clinician desires to have a self-contained breathing
               system used versus the conventional semi-permanent CO2
               absorber on the anesthesia gas machines.
          Recall #Z-322-7.
CODE      Catalog #KAB-001, lot numbers:  1042A7, 1535A7, 1854A7.
MANUFACTURER        King Systems Corporation, Noblesville, Indiana.
RECALLED BY         Manufacturer, by telephone on February 12, 1997. 
                    Firm-initiated recall complete.
DISTRIBUTION        California, Indiana, Missouri, New York, Venezuela.
QUANTITY       120 cases of 10 units each were distributed.
REASON         The potential exists that the Adjustable Pressure
               Limiting valve could lodge in the closed position.

_______________
PRODUCT        Medical Examination and/or Surgical Lights, ceiling
               mounted models of both single and dual light design only:
          (a) Centurion Brand, Model Nos. 021514, 021515, 721514, 
          721515;
          (b) Centry Brand, Model Nos. 021314, 721314;
          (c) Centura Brand, Model Nos. 022814, 022914, 722814;
          Combination Models:

                                    -8-          (d) Centry & Centurion Brand, Model Nos. 020515, 720515;
          (e) Centura & Centura Brand, Model No. 023015;
          (f) Centry & Centura Brand, Model Nos. 028315, 029315;
          (g) Centurion & Centura Brand, Model Nos. 028515, 029515,
          728515, 729515.
          Recall #Z-327/333-7.
CODE      All units manufactured and distributed between 1/1/94 and
          5/9/96.
MANUFACTURER        Medical Illumination International, Inc., Arleta,
                    California.
RECALLED BY         Manufacturer, by letter dated February 10, 1997. 
                    Firm-initiated recall ongoing.
DISTRIBUTION        Nationwide and international.
QUANTITY       455 Centry Models, 977 Centurion Models, 69 Centura
               Models, and 182 combination models were distributed.
REASON         Products have retaining rings that may fail, causing the
               light to fall.

_______________
PRODUCT        Medtronic's Thera Implantable Pacemakers and Jewel
               Arrhythmia management Device (ICD):
          (a) Thera DR Pacemaker, Model Nos. 7940, 7941, 7942, 7950,
          7951, 7952 (various serial numbers);
          (b) Thera D Pacemaker, Model Nos. 7944, 7945, 7946 (various
          serial numbers);
          (c) Thera SR Pacemaker, Model Nos.8940, 8941, 8942 (various
          serial numbers);
          (d) Thera S Pacemaker, Model Nos. 8944, 8945, 8946 (various
          serial numbers);
          (e) Thera VDD Pacemaker, Model Nos. 8948 (various serial
          numbers);
          (f) Jewel Defibrillator, Model Nos. 7219B, C, D, E (various
          serial numbers).
          Recall #Z-334/339-7.
CODE      Various serial numbers. 
MANUFACTURERS       Medtronic, Inc., Minneapolis, Minnesota; Medtronic
                    Med Rel, Inc., Humacao, RQ; Medtronic ESTC,
                    Kerkrade, The Netherlands.
RECALLED BY         Medtronic, Inc., Minneapolis, Minnesota, by letter
                    dated February 18, 1997.  Firm-initiated recall
                    ongoing.
DISTRIBUTION        Nationwide and international.
QUANTITY       177 Thera pacemakers and 4 Jewel defibrillators were
               distributed.
REASON         The controlling integrated circuit chips' manufacturing
               defects (metal stress voiding), common to both devices,
               can cause failure in any mode.

                                    -9-_______________
PRODUCT        MLT CO2 Surgical Laser, used in general surgery.  Recall
               #Z-340-7.
CODE      Model MLT 20 Laser.
MANUFACTURER        Medical Laser Technologies, Inc., Kennesaw,
                    Georgia.
RECALLED BY         Manufacturer.  FDA approved the firm's corrective
                    action plan on March 17, 1997.  Firm-initiated
                    field correction ongoing.
DISTRIBUTION        Nationwide.
QUANTITY       26 units were distributed.
REASON         The device failed to comply with 21 CFR 1040.11(a)(2) in
               that the operator's manual lacked calibration procedures
               and certain required labeling.

_______________
PRODUCT        Electrosurgical Probes used for soft tissue removal
               indications in endoscopic surgical procedures:
          (a) AccuLoop D4 Vaporizing Loop Electrode
          (b) RollerLoop D4 Vaporizing Loop Electrode
          (c) SingleBAR D4 Universal Rollerbar Electrode
          (d) DoubleBAR D4 Universal Rollerbar Electrode.  Recall #Z-
          343/346-7.
CODE      (a)  Product Code AL24S,119650, 119646, 119651, 129613,
          129620, 119624
          (b) Product Code RL24W, Lot No. 089618;
          Product Code RL24S, Lot No. 079658 
          (c) Product Code SB24S, Lot Nos. 109557, 109545, 119528;
          Product Code SB24SS, Lot No. 109539; Product Code SB24C, Lot
          Nos. 089519, 089504, 089511; Product Code SB24CC, Lot No.
          109542
          (d) Product Code DB24O.  109578, 109534; Product Code DB24S,
          Lot No. 109530.
MANUFACTURER        Ximed Medical Systems, doing business as Prosurg,
                    Inc., San Jose, California.
RECALLED BY         Manufacturer, by fax and by letter on January 24,
                    1996.  Firm-initiated recall ongoing.
DISTRIBUTION        Nationwide and international.
QUANTITY       1,193 units were distributed.
REASON         Validation for ETO reprocessing was not performed, and
               functional testing was not established or performed after
               ETO processing.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS III ========
_______________
PRODUCT        CSI Clarity Contact Lenses:
          (a) Daily Wear, Crofilcon Toric, 
          (b) Flexible Wear, Crofilcon Sphere.  
          Recall #Z-323/324-7. 
                                   -10-CODE      Lot numbers:  (a) CGGHX; (b) CGCPY.
MANUFACTURER        PBH/Wesley Jessen (Barnes-Hind), San Diego,
                    California.
RECALLED BY         Manufacturer, by telephone on November 30, 1996,
                    and by letter on or about January 31, 1997.  Firm-
                    initiated recall ongoing.
DISTRIBUTION        Nationwide and international.
QUANTITY       80 lenses were distributed; firm estimated that 65 lenses
               remained on market as of January 30, 1997.
REASON         Some contact lenses were labeled with incorrect diopter
               values that did not reflect the measured value of the
               product.

_______________
PRODUCT        CSI Clarity Contact Lens:
          (a) Daily Wear Clear, Crofilcon Sphere, Lot CGZUH; (b)  Daily
          Wear, Crofilcon Toric, Lot CGXHZ.  Recall #Z-325/326-7.
CODE      Lot numbers:  (a) CGZUH; (b) CGXHZ.
MANUFACTURER        PBH/Wesley Jessen (Barnes-Hind), San Diego,
                    California.
RECALLED BY         Manufacturer, by telephone on October 28, 1996, and
                    by letter on or about January 31, 1997.  Firm-
                    initiated recall ongoing.
DISTRIBUTION        Nationwide, Canada, The United Kingdom, Japan.
QUANTITY       (a) 314 lens were distributed; firm estimated that 142
               remained on market as of January 30, 1997; (b) 44 lenses
               were distributed; firm estimated that 13 remained on
               market as of January 30, 1997.
REASON         Some contact lenses were labeled with incorrect diopter
               values that did not reflect the measured value of the
               product.

_______________
PRODUCT        Murex Salmonella O Polyvalent Groups A-S Agglutinating
               Serum, 2 ml. 
          Recall #Z-341-7.
CODE      Product #ZC02, Lot #K708610 EXP 5/28/97.
MANUFACTURER        Murex Diagnostics Ltd., Dartford, England.
RECALLED BY         Murex Diagnostics, Inc., Norcross, Georgia, by
                    telephone followed by letter dated September 12,
                    1996.  Firm-initiated recall complete.
DISTRIBUTION        Pennsylvania.
QUANTITY       2 vials were distributed.
REASON         Serum does not detect the somatic O antigen of Salmonella
               Group C1 (6,7-0) or Group G strains.

                                   -11-_______________
PRODUCT        BACTEC MYCO/FSPUTA Culture Vials Supplemented Middlebrook
               7H9 Broth in 40 ml vials, Catalog Order No. 4402187, used
               for the growth, support and detection of mycobacterium
               from processed sputum and other respiratory specimens. 
               Recall #Z-342-7.
CODE      Lot Numbers:  0015J, 0165K, 0305L, 0095N;
MANUFACTURER        Becton Dickinson Microbiology Systems., Sparks,
                    Maryland.
RECALLED BY         Manufacturer, by telephone and visit beginning on
                    March 1, 1996.  Firm-initiated recall ongoing.
DISTRIBUTION        Nationwide, Singapore, Belgium, Brazil, Canada.
QUANTITY       49,900 vials were distributed; firm estimates none
               remains on the market.
REASON         The vials leaked.

                                   -12-

END OF ENFORCEMENT REPORT FOR MARCH 26, 1997.  BLANK PAGES MAY FOLLOW.

                                   ####



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