FDA

Enforcement Report

The FDA Enforcement Report is published weekly by the Food and Drug Administration, U.S. Public Health Service, Department of Health and Human Services. It contains information on actions taken in connection with agency regulatory activities.
 ENFORCE
10/13/1993

Recalls and Field Corrections:  Foods -- Class II -- 10/13/1993

October 13, 1993                                               93-41

RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS II
=========================
_______________
PRODUCT            Cooked Shrimp:  (a) Neptune brand Cooked Shell-on Shrimp,
                   51/60 count, approximately 3 pounds; (b) Neptune Brand X
                   Shrimp Pieces Medium Cooked Shrimp, 51/60 count, in 48
                   ounce clear plastic bags.  Recall #F-629/630-3.
CODE               Case code:  31623.  The individual bags are not coded.
MANUFACTURER       Neptune Fisheries, Inc., Newport News, Virginia.
RECALLED BY        Manufacturer, by letter, July 2, 1993.  Firm-initiated
                   recall ongoing.
DISTRIBUTION       Massachusetts, Maryland, Vermont, Pennsylvania, Texas,
                   Canada.
QUANTITY           729 cases:  400 cases (3 3-pound bags) and 190 cases (6 3-
                   pound bags).
REASON             Product is contaminated with Salmonella.

_______________
PRODUCT            Pecan Spinners (baked goods).  Recall #F-661-3.
CODE               Lot #554210.
MANUFACTURER       Continental Baking Company, Inc., Ogden, Utah.
RECALLED BY        Continental Baking Company, St. Louis, Missouri, by
                   facsimile August 11, 1993.  Firm-initiated recall ongoing.
DISTRIBUTION       Utah, Washington state, California.
QUANTITY           15,301 packages.
REASON             Product is contaminated with metal shavings.
RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS III
========================
_______________
PRODUCT            Pepsi Cola, in 16 ounce glass bottles.  Recall #F-662-3.
CODE               G153A through H313A followed by 4 numerals.
MANUFACTURER       Seltzer & Rydholm, Inc., Auburn, Maine.
RECALLED BY        Manufacturer, by visit beginning September 1, 1993.  Firm-
                   initiated recall ongoing.
DISTRIBUTION       Maine. 
QUANTITY           10,458 cases (24 bottles per case) were distributed.
REASON             Product is contaminated with insects.

_______________
PRODUCT            Solopol EF Hand Cleanser for industrial dirt with
                   biodegradable scrubber, in 2,000 ml bottles.
                   Recall #F-663-3.
CODE               Catalog #83134, lot numbers:  9211722, 9208763, 9211724.
MANUFACTURER       Stockhausen, Inc., Greensboro, North Carolina.
RECALLED BY        Manufacturer, by letter, March 16, 1993.  Firm-initiated
                   recall complete.
DISTRIBUTION       Nationwide.
QUANTITY           Undetermined.
REASON             Product was contaminated with salmonella.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS II
=========================
_______________
PRODUCT            Cromolyn Sodium Inhalation, USP, in 2 ml plastic tubes, Rx
                   aqueous solution for nebulization for the management of
                   patients with bronchial asthma.  Recall #D-002-4.
CODE               Lot #A001 through A037, all expiration dates.
MANUFACTURER       Xactdose, Inc., South Beloit, Illinois (repacker).
RECALLED BY        Repacker, by letter September 24, 1993.  Firm-initiated
                   recall ongoing.
DISTRIBUTION       Nationwide.
QUANTITY           2,387 cases (120 tubes per case) were distributed; firm
                   estimates little product, if any, remains on the market.
REASON             Current good manufacturing practice and labeling
                   deficiencies.

_______________
PRODUCT            Esgic Tablets, in 100 tablet and 500 tablet bottles, Rx for
                   the temporary relief of the symptom complex of tension
                   headache.  Recall #D-003-4.
CODE               Lot numbers:  9912 EXP 10/93 (100-tablet), 10917 EXP 11/93
                   (500-tablet).
MANUFACTURER       Forest Pharmaceuticals, Inc., Cincinnati, Ohio.
RECALLED BY        Forest Pharmaceuticals, Inc., St. Louis, Missouri, by
                   letter September 1, 1993.  Firm-initiated recall ongoing.
DISTRIBUTION       Nationwide.
QUANTITY           14,625 bottles of lot 9912 and 2,888 bottles of lot 10917
                   were distributed.
REASON             Unreliable data in the Abbreviated New Drug Application.

                                        -2-_______________
UPDATE             Epi Pen, 0.3 mg Epinephrine Auto-Injector, Recall #D-332-3,
                   which appeared in the September 8, 1993, Enforcement Report
                   as a Class III should have appeared as a Class II recall.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS III
========================
_______________
PRODUCT            Bisacodyl Laxative Suppositories, in boxes of 12, each
                   labeled to contain 10 mg Bisacodyl USP.  Recall #D-001-4.
CODE               Lot #90921 EXP 11/95.
MANUFACTURER       Great Southern Laboratories (GSL), Houston, Texas.
RECALLED BY        Manufacturer, by letter December 29, 1992.  Firm-initiated
                   recall complete.
DISTRIBUTION       Alabama, California, Florida, Iowa, Illinois, Louisiana,
                   Maryland, Michigan, Mississippi, New Jersey, New York,
                   Texas.
QUANTITY           11,325 boxes (12 units per box).
REASON             Subpotency.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS II
=====================
_______________
PRODUCT            (a) Red Blood Cells; (b) Platelets, Pheresis; 
                   (c) Cryoprecipitated AHF; (d) Recovered Plasma.
                   Recall #B-382\385-3.
CODE               Unit numbers:  (a) F89011, M12342, M13156, W04959, X59630;
                   (b) Q00542; (c) F88900; (d) M13156.
MANUFACTURER       Central California Blood Bank, Fresno, California.
RECALLED BY        Manufacturer, by (a) telephone and by letters from March
                   26, 1992, through November 2, 1992; (b) by letter November
                   7, 1992; (c) by letter January 27, 1993; (d) by letters
                   November 6, 1992 to February 4, 1993.  Firm-initiated
                   recall ongoing.
DISTRIBUTION       California.
QUANTITY           (a) 5 units; (b) 1 unit; (c) 1 unit; (d) 1 unit.
REASON             Blood products, which:  1) were collected from recently
                   tattooed donors; 2) tested repeatedly reactive for the
                   antibody to the hepatitis B core antigen (anti-HBc); 3)
                   were collected from a donor with a history of cancer; 4)
                   were untested for syphilis; 5) were mislabeled with the
                   incorrect expiration dates, were distributed.

_______________
PRODUCT            (a) Red Blood Cells; (b) Fresh Frozen Plasma; (c)
                   Platelets.
                   Recall #B-430\432-3.
CODE               (a) Units 21361, 30161, 30168, 30177, 30318, 30477, 30507,
                   30668, 31526, 31537, 31806, 32360, 32585, 33992, 34055,
                   34057, 34096, 34159, 34171, 34182, 34219, 34258, 34275,
                   34323, 34326, 34797, 34849, 34894, 34931, 35079, 35088,
                   35320, 35325, 35472, 35735, 35915, 35975, 35979, 36379,
                   36638, 36665, 36666, 37002, 37092, 37093, 37103, 37112, 

                                        -3-                   37113, 37114, 37116, 37124, 37126, 37142, 37158, 37174,
                   37179, 37249, 37388, 37390, 37391, 38126, 38185, 38503,
                   38772, 38877, 38878, 39688, 39696, 39785, 39806, 39808,
                   39814, 39821, 39823, 39826, 39828, 39833, 39837, 39843,
                   39845, 39849, 39855, 40217, 40364, 40460, 41167, 41171,
                   41178, 41191, 41313, 41513, 41525, 41631, 41632, 41660,
                   41799, 41884, 42675, 42991, 43012, 43158, 43761, 43891,
                   44956, 45325, 45364, 45366, 45372, 45373, 45377, 45584,
                   45600, 45658, 45949, 46116, 46117, 46393, 46395, 46441,
                   46493, 46496, 46550, 46806, 46852, 46854, 46900, 46901,
                   46977, 47022, 47088, 48147, 48150, 47152, 47155, 47156,
                   47159, 47166, 47169, 47170, 47246, 47290, 47306, 47436,
                   47438, 47452, 47466, 47469, 47507, 47602, 47622, 47675,
                   47712, 47721, 47724, 47731, 47755, 47784, 47791, 47795,
                   47796, 47801, 47807, 47809, 47812, 47814, 47840, 48181,
                   48567, 48568, 48570, 48621, 48622, 48624, 48625, 48722,
                   49071, 49092, 49155, 49299, 49345, 49709, 49859, 49948,
                   49989, 49996, 50662, 50739, 50768, 50791, 51278, 51428,
                   52063, 52314, 52558, 52583, 52609, 52612, 52613, 52614,
                   52615, 52634, 52636, 52645, 52662, 52663, 52751, 52978,
                   53778, 54022, 54086, 54094, 54200, 54202, 54203, 54205,
                   54206, 54209, 54210, 54211, 54213, 54246, 54247, 54248,
                   54250, 54252, 54253, 54255, 54257, 54379, 55089, 55654,
                   56004, 57036, 57252, 57253, 57254, 57550, 57671, 57769,
                   57791, 57844, 57862, 58890, 58961, 59230, 61279, 62542,
                   62638, 63381, 64737, 65972, 66155, 66166, 67097, 67774,
                   68171, 68210, 70203, 70474, 71046, 71117, 71311;
                   (b) Units 21361, 30168, 30318, 30477, 30507, 30930, 31363,
                   31537, 31806, 32585, 33992, 34055, 34171, 34182, 34185,
                   34219, 34258, 34275, 34326, 34894, 34931, 35088, 35320,
                   35472, 35735, 35915, 35979, 36379, 36638, 37092, 37103,
                   37112, 37113, 37116, 37124, 37126, 37142, 37158, 37174,
                   37179, 37249, 37391, 38185, 38468, 38503, 38704, 38772,
                   38878, 39855, 40460, 40985, 41313, 41513, 41525, 41632,
                   41660, 41884, 42675, 43012, 43158, 43891, 44956, 45325,
                   45364, 45366, 45372, 45373, 45377, 45584, 45600, 45658,
                   45949, 46116, 46117, 46393, 46395, 46441, 46493, 46496,
                   46550, 46806, 46852, 46854, 46900, 46901, 46977, 47022,
                   47088, 47147, 47150, 47152, 47155, 47156, 47159, 47166,
                   47169, 47170, 47246, 47290, 47306, 47436, 47438, 47452,
                   47466, 47469, 47507, 47602, 47622, 47675, 47712, 47721,
                   47724, 47731, 47755, 47784, 47791, 47795, 47796, 47801,
                   47807, 47809, 47812, 47814, 47840, 48181, 48567, 48568,
                   48570, 48621, 48622, 48624, 48625, 48722, 49092, 49155,
                   49299, 49345, 49709, 49859, 49948, 49989, 49996, 50739,
                   50768, 50791, 51278, 51428, 52063, 52314, 52558, 52583,
                   52609, 52612, 52613, 52614, 52615, 52634, 52636, 52645,
                   52663, 52751, 53778, 54022, 54086, 54094, 54200, 54202,
                   54205, 54206, 54209, 54210, 54211, 54213, 54246, 54248,
                   54250, 54252, 54253, 54257, 54379, 55089, 55654, 56004,
                   57036, 57252, 57769, 57791, 58890, 58961, 59230, 61279,

                                        -4-                   62401, 62461, 62542, 62638, 63381, 64737, 65972, 66032,
                   66155, 66166, 67097, 67774, 68171, 68210, 68234, 70203;
                   (c) Units 21361, 30161, 31363, 32585, 34931, 37391, 38185,
                   38503, 39828, 40985, 41191, 41799, 41884, 42675, 43012,
                   43891, 44956, 45373, 45377, 45584, 45600, 45949, 46116,
                   46117, 46393, 46395, 46441, 46493, 46496, 46550, 46806,
                   46852, 46854, 46900, 46901, 46977, 47022, 47088, 48147,
                   47152, 47155, 47156, 47159, 47169, 47246, 47247, 47290,
                   47306, 47436, 47438, 47452, 47466, 47469, 47507, 47602,
                   47712, 47721, 47724, 47755, 47784, 47791, 47795, 47796,
                   47801, 47809, 47812, 47814, 47840, 48181, 48567, 48568,
                   48570, 48621, 48622, 48624, 48625, 48722, 49155, 49299,
                   49345, 49709, 49859, 49948, 49989, 49996, 50739, 50768,
                   50791, 51428, 52063, 52558, 52583, 52609, 52612, 52613,
                   52614, 52615, 52634, 52636, 52645, 52662, 52663, 52751,
                   52978, 54022, 54086, 54094, 54200, 54202, 54203, 54205,
                   54206, 54209, 54210, 54211, 54213, 54246, 54247, 54248,
                   54250, 54255, 54257, 54379, 55654, 58890, 56004, 57036,
                   57252, 57253, 57769, 57791, 57844, 57862, 59230, 62542,
                   64737, 65972, 66032, 67097, 67774, 68234, 70203, 71117.
MANUFACTURER       Metropolitan Washington Blood Bank, Silver Spring,
                   Maryland.
RECALLED BY        Manufacturer, by letters in June, July, August 1992. Firm-
                   initiated recall ongoing.
DISTRIBUTION       Maryland, District of Columbia, Virginia.
QUANTITY           (a) 262 units; (b) 206 units; (c) 130 units.
REASON             Blood products which 1) were tested improperly for the
                   Hepatitis B surface Antigen (HBsAg), the antibody to the
                   Human Immunodeficiency Virus Type 1 (anti-HIV-1), or the
                   antibody to the Human T-Lymphotrophic Virus Type I (anti-
                   HTLV-I), or 2) tested repeatedly reactive for HBsAg or
                   anti-HIV-1 but were collected from donors who previously
                   tested repeatedly reactive for HBsAg or anti-HIV, were
                   distributed; or 3) tested nonreactive for HBsAg or anti-
                   HIV-1 but were collected from donors who previously tested
                   repeatedly reactive for HBsAg or anti-HIV, were
                   distributed.

_______________
PRODUCT            (a) Red Blood Cells; Recovered Plasma. Recall #B-433/434-3.
CODE               Unit #12LV11364.
MANUFACTURER       American Red Cross, Charlotte, North Carolina.
RECALLED BY        Manufacturer, by telephone and by letter May 5, 1993. 
                   Firm-initiated recall complete.
DISTRIBUTION       North Carolina, California.
QUANTITY           1 unit of each component.
REASON             Blood products, which tested repeatedly reactive for
                   Hepatitis B Surface antigen (HBsAg), were distributed.

________________
PRODUCT            (a) Red Blood Cells; (b) Platelets; (c) Platelets Expired;
                   (d) Cryoprecipitated AHF (e) Recovered Plasma. 
                   Recall  #B-442\446-3.

                                        -5-CODE               Unit numbers:  (a) 39F37363, 39G11052, 39J20276;
                   (b) 39J20276; (c) 39F37363; (d) 39F37363; (e) 39F37363,
                   39G11052, 39J20276.
MANUFACTURER       American National Red Cross, Huntington, West Virginia.
RECALLED BY        Manufacturer, (a) by letters January 29, 1992, and April 7,
                   1993; (b&c) by letter January 29, 1992 and by telephone and
                   letter of April 7, 1993; (d) by letter January 27, 1992;
                   (e) by letter February 13, 1992 and April 7, 1993.  Firm-
                   initiated recall ongoing.
DISTRIBUTION       West Virginia, California, Kentucky, Switzerland.
QUANTITY           (a) 3 units; (b) 1 unit; (c) 1 unit; (d) 1 unit; (e) 3
                   units.
REASON             Blood products, collected from a donor immigrated from sub-
                   Saharan Africa and was not tested for the human
                   immunodeficiency virus type 2 (anti-HIV-2), were
                   distributed.

_______________
PRODUCT            Recovered Plasma.  Recall #B-447-3.
CODE               Unit #CH-5910.
MANUFACTURER       Columbia Hospital, Columbia, Pennsylvania.
RECALLED BY        Manufacturer, by telephone June 4, 1993, followed by letter
                   June 7, 1993.  Firm-initiated recall ongoing.
DISTRIBUTION       Maryland.
QUANTITY           1 unit.
REASON             A blood product, collected from a donor in which donor
                   suitability was not determined, was distributed.

_______________
PRODUCT            Platelets.  Recall #B-458-3
CODE               Unit #31GF14907.
MANUFACTURER       American Red Cross Blood Services, Buffalo, New York.
RECALLED BY        Manufacturer, by letter October 2, 1992.  Firm-initiated
                   recall complete.
DISTRIBUTION       South Carolina.
QUANTITY           1 unit.
REASON             A Blood product, which was collected from a donor who had
                   visited an area designated as endemic for malaria, was
                   distributed.

_______________
PRODUCT            Platelets.  Recall #B-459-3.
CODE               Unit #FM60593.
MANUFACTURER       Fairfax Hospital Blood Donor Services, Annandale, Virginia.
RECALLED BY        Manufacturer, by telephone on or about November 6, 1991. 
                   Firm-initiated recall complete.
DISTRIBUTION       Washington, D.C.
QUANTITY           1 unit.
REASON             Blood product, which tested repeatedly reactive for the
                   antibody to the Hepatitis B Core antigen (anti-HBc), was
                   distributed.

                                        -6-_______________
PRODUCT            Red Blood Cells.  Recall #B-461-3.
CODE               Unit #2677109.
MANUFACTURER       Greater New York Blood Program, Valhalla, New York.
RECALLED BY        Manufacturer, by facsimile September 16, 1992.  Firm-
                   initiated recall complete.
DISTRIBUTION       New York.
QUANTITY           1 unit.
REASON             Blood product, corresponding to a unit of Platelets which
                   was pooled and possibly contaminated with Staphylococcus
                   epidermidis and diptheroids, was distributed.

_______________
PRODUCT            (a) Red Blood Cells; (b) Platelets.  Recall #B-462\463-3.
CODE               Unit #01F43224.
MANUFACTURER       Leon County Blood Bank, Tallahassee, Florida.
RECALLED BY        Manufacturer, by telephone September 28, 1992, followed by
                   (a) letter dated September 30, 1992; (b) by letter June 24,
                   1993.  Firm-initiated recall complete.
DISTRIBUTION       Massachusetts, Florida.
QUANTITY           1 unit of each component.
REASON             Blood products, collected from an ineligible donor due to
                   ear piercing by a non-sterile method less than twelve
                   months prior to donation, were distributed.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS III
====================
_______________
PRODUCT            Recovered Plasma.  Recall #B-386-3.
CODE               Unit numbers F88900 and X59630.
MANUFACTURER       Central California Blood Bank, Fresno, California.
RECALLED BY        Manufacturer, by letters dated from November 6, 1992 to
                   February 4, 1993.  Firm-initiated recall ongoing.
DISTRIBUTION       California.
QUANTITY           2 units.
REASON             Blood product untested for syphilis was distributed.

_______________
PRODUCT            Blood Grouping Reagent/Anti-P1, Saline Tube Test.
                   Recall #B-425-3.
CODE               Lot numbers:  6140 EXP 6/26/93; 6141 EXP 1/22/94; 6142 EXP
                   6/24/94; 6143 EXP 9/18/94.
MANUFACTURER       Organon Teknika Corporation, West Chester, Pennsylvania.
RECALLED BY        Manufacturer, by letter May 17, 1993.  Firm-initiated
                   recall complete.
DISTRIBUTION       Nationwide, Australia, Canada, Ireland, Mexico, Costa Rica,
                   Taiwan, Japan.
QUANTITY           1,719 units were distributed.
REASON             Anti-P1 blood grouping reagents, contaminated with a rare
                   antibody that interfered with the test results of Group A
                   red blood cells, were distributed.

                                        -7-_______________
PRODUCT            (a) Red Blood Cells; (b) Platelets, Pheresis.
                   Recall #B-435/436-3.
CODE               Unit numbers:  (a) 12R37224; (b) 12LT10288, 12FY17609,
                   12FT27620, 12FT27623, 12FT27625.
MANUFACTURER       American Red Cross, Charlotte, North Carolina.
RECALLED BY        Manufacturer, by telephone and by letter May 5, 1993. 
                   Firm-initiated recall complete.
DISTRIBUTION       North Carolina, California.
QUANTITY           (a) 1 unit; (b) 5 units.
REASON             Blood products which tested initially reactive for
                   Hepatitis B Surface Antigen HBsAg and non-reactive by a
                   single repeat test, were distributed.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS II
=======================
_______________
PRODUCT            LSM - Lymphocyte Separation Medium, an in-vitro test
                   intended to be used to isolate lymphocytes from peripheral
                   blood.  Recall #Z-629-3.
CODE               Product #36427, lot #102889.
MANUFACTURER       Organon Teknika Corporation, Durham, North Carolina.
RECALLED BY        Manufacturer, by letter April 22, 1993.  Firm-initiated
                   recall complete.
DISTRIBUTION       Nationwide, Hong Kong, Netherlands, Switzerland, Japan.
QUANTITY           1,125 unit packages were distributed.
REASON             Device is contaminated with Pseudomonas Pickettii.

_______________
PRODUCT            Sterile equipment covers, under Cover Ups label, used to
                   cover a wide variety of O.R. equipment in hospitals:
                   (a) Product #CU-3628; (b) Product #CU-3620; (c) Product
                   #CU-3020.  Recall #Z-670/672-3.
CODE               Lot numbers:  (a) 1695, shipped prior to 3/16/93, 1200-000,
                   all product shipped; (b) 1740, shipped prior to 3/16/93;
                   (c) 1650, all product shipped.
MANUFACTURER       American Medical Products, Cartersville, Georgia.
RECALLED BY        Manufacturer, by letter March 24, 1993.  Firm-initiated
                   recall complete.
DISTRIBUTION       Nationwide.
QUANTITY           240 units of lot #1650; 80 units of lot 1740; 720 units of
                   lot 1695; and 80 units of lot 1200-0000.
REASON             The devices were distributed non-sterile.

_______________
PRODUCT            DPX-L Bone Densitometers and DPX Bone Densitometers with
                   Body Composition Output Function.  Recall Z-726\727-3.
CODE               All units.
MANUFACTURER       Lunar Corporation, Madison, Wisconsin.
RECALLED BY        Manufacturer, by letter August 2, 1993.  Firm-initiated
                   field correction ongoing.
DISTRIBUTION       Nationwide and international.

                                        -8-QUANTITY           Approximately 950 units were distributed.
REASON             Devices are Class III devices and do not have approved
                   applications for premarket approval (PMA's).

_______________
PRODUCT            "Vamp" (Venous Arterial Blood Management Protection
                   System), an accessory to the Vamp Blood Sampling System, a
                   medical device used to collect blood:  (a) Vamp Needle Less
                   Shielded Cannula with Luer Lock, Model No. 48-VMP400;
                   (b) Vamp Direct Draw Blood Transfer Unit, Model #48-VMP700.
                   Recall #Z-731/732-3.
CODE               (a) Model number: 48-VMP400
                   Lot numbers:   2G0954-SJ2F3788, 2H1030-SJ2G3891,
                   2G0955-SJ2F3789, 2H1030-SJ2G3892, 2G1100-SJ2G3998
                   2I1198-SJ2H4104, 2H1028-SJ2G3876, 2I1199-SJ2H4106,
                   2H1029-SJ2G3878;
                   (b) Model number 48-VMP700
                   Lot numbers:   2G0954-SJ2F3791, 2H1030-SJ2G3893,
                   2G0955-SJ2F3792, 2H1030-SJ2G3894, 2G1100-SJ2G3997, 
                   2I1198-SJ2H4105, 2H1028-SJ2G3877, 2I1199-SJ2H4107,
                   2H1029-SJ2G3879.
MANUFACTURER       Baxter Healthcare Corporation, Edwards Critical Care
                   Division, Irvine, California.
RECALLED BY        Manufacturer, by letter October 13, 1992.  Firm-initiated
                   recall ongoing.
DISTRIBUTION       Nationwide.
QUANTITY           (a) 1,112 cases; (b) 856 cases, (50 units per case) were
                   distributed. 
REASON             Individual plastic pouches were torn during manufacture. 
                   The tears may compromise the sterility of the device.

_______________
PRODUCT            Lasermedics Microlight 830, Model 101VS, for veterinary
                   laser therapy.  Recall #Z-784-3.
CODE               None.
MANUFACTURER       Lasermedics, Inc., Stafford, Texas.
RECALLED BY        Manufacturer.  FDA approved the firm's corrective action
                   plan August 31, 1993.  Firm-initiated field correction
                   ongoing.
DISTRIBUTION       Nationwide
QUANTITY           5 units.
REASON             Noncompliance with performance standard for laser products.

_______________
PRODUCT            Iolab Posterior Chamber Intraocular Lens:
                   (a) Model #4141S, 22.5 diopter, 6.5 mm Optic, PMMA loops;
                   (b) Model #4240S, 12.0 Diopter, 6.0 mm optic, Prolene
                   loops.
                   Recall #Z-818/819-3.
CODE               Lot numbers:  (a) 4141S 100391 2024 through 4141S 100391
                   2047; (b) 4240S 100391 2000 through 4240S 100391 2023.
MANUFACTURER       Iolab Corporation, Claremont, California.

                                        -9-RECALLED BY        Manufacturer, by telephone December 26, 1991 and March 10,
                   1992.  Firm-initiated recall complete.
DISTRIBUTION       California, Florida, Georgia, Illinois, Michigan,
                   Pennsylvania, Texas.
QUANTITY           (a) 15 lenses; (b) 3 lenses were distributed.  Firm
                   estimates none remains on the market.
REASON             Lenses were labeled with the incorrect diopter power.

_______________
PRODUCT            Dextrolyte II Peritoneal Dialysis Cycler Set XXX Prong:
                   (a) Catalog #48-1002-4, 5 Prong Cycler Set;
                   (b) Catalog #48-1003-2, 5 Prong Cycler Set; 
                   (c) Catalog #48-1007-3, 12 Prong Cycler Set;
                   (d) Catalog #48-1033-9, 3 Prong Cycler Set;
                   (e) Catalog #48-1038-8, 8 Prong Cycler Set;
                   (f) Catalog #48-1111-3, 2 Liter LBO Cycler Set.
                   Recall #Z-821/826-3.
CODE               Lot numbers:  (a) M1S507, M1S510, M2A505, B2B512, M2B513,
                   M2B514, M2B516, M2B520, M2B522, M2D502, M2D503, M2D504,
                   M2D513, M2E505, M2E506, M2H502, M2H503, M2H504, M2H505, 
                   M2H506, M2H507, M2H508, M2H515, M2H516, M2J502, M2J505,
                   M2J510, M2K501, M2K502, M2K504, M2K505, M2K506, M2K507,
                   M2K508, M2K509, M2L502, M2L503, M2L506, M2L507, M2L510,
                   M2L512, M2L514, M2L515, M2L516, M2N501, M2N506, M2N508,
                   M2N509, M2P504, M2P505, M2P508, M2P509, M2P510, M2P511,
                   M2P512, M2S501, M2S502, M2S505, M3A508, M3A509, M3A511,
                   M3A512, M3A513, M3A514, M3A515, M3B507, M3B508, M3B512,
                   M3C505, M3C506, M3C510, M3C514, M3C516, M3D501, M3E501;
                   (b) M2H523; (c) M2C505, M2J511; (d) M2L505, M3B506; (e)
                   M2A506, M2B523, M2E501, M2J506, M2J512, M2L509, M2L511,
                   M2N507, M2P502, M2S503, M3A518, M3B516; (f) M2N505.
MANUFACTURER       National Medical Product, Medical Product Division,
                   McAllen, Texas.
RECALLED BY        National Medical Care, Medical Product Division, Rockleigh,
                   New Jersey, by letter June 17, 1993.  Firm-initiated recall
                   ongoing.
DISTRIBUTION       Nationwide.
QUANTITY           20,215 cases (10 sets per case).
REASON             Leakage of heater and weigh arm bags.  The firm changed
                   component specifications for the thickness of the film used
                   in the manufacture of peritoneal dialysis heater and weigh
                   bags from 10 mil to 15 mil while not adequately controlling
                   the sealing operation.

_______________
PRODUCT            Arterial and Venous Bloodlines under the Baxter Healthcare
                   label:  (a) Arterial Blood Tubing Set for Hemodialysis,
                   Catalog 96-4262; (b) Venous Blood Tubing Set for
                   Hemodialysis, Catalog #96-4491.  Recall #Z-842/843-3.
CODE               Lot numbers:  (a) R1L619; (b) R1K618.

                                       -10-MANUFACTURER       National Medical Care, Medical Product Division, Reynosa,
                   Mexico; National Medical Care, Medical Product Division,
                   McAllen, Texas.
RECALLED BY        National Medical Care, Medical Product Division, Rockleigh,
                   New Jersey, by letter March 29, 1993.  Firm-initiated
                   recall ongoing.
DISTRIBUTION       Undetermined.
QUANTITY           (a) 6,036 units; (b) 12,024 units were distributed; firm
                   estimates (a) 14 units; (b) 26 units remain on the market.
REASON             The devices were yellow and were found to contain the
                   herbicide Treflan.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS III
======================
_______________
PRODUCT            SickleQuick Test Kit, an in-vitro diagnostic test intended
                   to be used as a differential solubility test for hemoglobin
                   S:  (a) Product Code #33375; (b) Product Code #33376.
                   Recall #Z-626/627-3.
CODE               Lot #L20083 and L20084.
MANUFACTURER       BHP Diagnostics Corporation, Westchester, Pennsylvania.
RECALLED BY        Organon Teknika, Durham, North Carolina, by letter on or
                   about March 23, 1993.  Firm-initiated recall complete.
DISTRIBUTION       Nationwide, Canada, Japan.
QUANTITY           Firm shipped 400 packages of lot L20083 retaining 1 package
                   as a reserve sample 188 packages of lot L20084.
REASON             Vial caps did not provide proper seals resulting in product
                   leakage.

_______________
PRODUCT            Turbiquant RF Test Kit, in-vitro diagnostic.
                   Recall #Z-660-3.
CODE               Lot Numbers: 985411 and 123106.  Kit lot 24510 EXP2/23/93.
MANUFACTURER       Behringwerke AC, Marburg, Germany.
RECALLED BY        Behring Diagnostics, Inc., Somerville, New Jersey, by
                   letters January 25-26, 1993.  Firm-initiated recall
                   complete.
DISTRIBUTION       Nationwide. 
QUANTITY           199 test kits.
REASON             The RF reagent results in assay values which were
                   artificially low and do not conform to manufacturer's
                   specifications.  This could cause a potential for
                   inaccurate test results.

_______________
PRODUCT            Schiapparelli Biosystems AST-LTS (GOT) Reagent for the
                   determination of Serum Aspartate Aminotransferase:       
                   (a) Catalog No. R2-61; (b) Catalog No. RG-1-61.
                   Recall #Z-690/691-3. 
CODE               (a)  Lot No.     Expiration Date   
                    930307      01/95             
                        921010      03/94             

                                       -11-                    920607      03/94             
                    920606      09/93             
                    920207      09/93             
                   (b)  930412      01/95             
                    920912      03/94             
                    920412      09/93             
                    911205      09/93             
MANUFACTURER       Schiapparelli Biosystems, Inc., Columbia, Maryland.
RECALLED BY        Schiapparelli Biosystems, Inc., ENI Diagnostics Division,   
                    Fairfield, New Jersey, by letter March 25, 1993.  Firm-
                   initiated recall ongoing.
DISTRIBUTION       Nationwide.
QUANTITY           (a) 5,353 units; (b) 2,524 units.
REASON             Some vials do not meet the initial reagent absorbance
                   requirements for 1.0 after storage at 2-8 degrees C for 12
                   days following reconstitution.

_______________
PRODUCT            Reaads Anti-Cardiolipin Semi-Quantitative Test Kit, an
                   enzyme-linked immunosorbent assay (ELISA) for the semi-
                   quantitative determination of IgG and IgM anti-cardiolipin
                   antibodies in human serum or plasma.  Recall #Z-735-3.
CODE               Lot numbers:  CL-168, CL169, CL170.
MANUFACTURER       Reaads Medical Products, Inc., Westminister, Colorado.
RECALLED BY        Manufacturer, by telephone July 15 and 19, 1993.  Firm-
                   initiated recall ongoing.
DISTRIBUTION       Rhode Island, Maryland, Michigan, North Carolina,
                   Washington state, Tennessee, Pennsylvania, New Jersey.
QUANTITY           29 kits.
REASON             There were too many IgG and IgMs anti-cardiolipin positive
                   samples and that the reagent blanks may be too high causing
                   false positive results.

_______________
PRODUCT            (a) Criterion Ultra Dailyware Natural Tint (polymacon)
                   Contact Lenses:  (1) Color: Aqua, Sag I, Power -5.00
                   (2) Color: Aqua, Sag I, Power -6.00
                   (3) Color: Aqua, Sag II, Power -4.00
                   (4) Color: Aqua, Sag II, Power -3.00
                   (5) Color: Blue, Sag I, Power -5.00
                   (6) Color: Green, Sag I, Power -1.50
                   (7) Color: Green, Sag II, Power +.25
                   (b) Criterion Ultra Flexiware Natural Tint (polymacon)
                   Contact Lenses:  (1) Color: Blue, Power -2.75;
                   (2) Color: Blue, Power -5.50.  All products were assigned a
May 1988 expiration date.  Recall #Z-816/817-3.
CODE               Lot numbers:  (a) (1) 420003 and 420004; (2) 420005 and
                   420006; (3) 420007 and 420008; (4) 420009; (5) 419994; (6)
                   419995; (7) 420001 and 420002;
                   (b) (1) 410010 and 420011; (2) 420012 and 420013.
MANUFACTURER       Manufactured in Ireland.

                                       -12-RECALLED BY        Bausch & Lomb, Inc., Rochester, New York (relabeler), by
                   telephone June 11, 1993.  Firm-initiated recall complete.
DISTRIBUTION       Tennessee.
QUANTITY           484 lenses were distributed; firm estimates none remains on
                   the market.
REASON             Lenses were relabeled with the wrong expiration date.


MEDICAL DEVICE SAFETY ALERTS: 
============================================
_______________
PRODUCT            Theratronics teletherapy, accelerator and simulator
                   radiation devices for cancer therapy with Theratronics'
                   treatment tables:  (a) Theratron Teletherapy Models T80,
                   T765, T780C; (b) Linear Accelerator Models T6, T20, T25;
                   (c) Simulator Models T720, T750.  Safety Alert #N-077/079-
                   3.
CODE               (a)  Theratron teletherapy models (User Bulletin            
                    CUB 93-03) 
               Theratron 80 (T80) - Serial Numbers 007, 012, 016, 019, 
               024, 031, 032, 036, 038, 040, 043, 044, 051, 060, 066, 071, 
               078, 079, 080, 085, 086, 088, 089, 093, 095, 099, 108, 118, 
               120, 125, 128, 133, 139, 140, 145, 149, 150, 157, 161, 162, 
               163, 164, 165, 166, 167, 168, 169, 176, 177, 178, 180, 181, 
               185, 187, 188, 190, 194, 198, 200, 201, 204, 206, 207, 208, 
               209, 212, 218, 219, 222, 227, 231, 233, 234, 239, 242, 246, 
               247, 251, 255, 257, 258, 261, 264, 265, 267, 268, 271, 272, 
               274, 282, 283, 284, 285, 288, 291, 292, 293, 294, 295, 297, 
               301, 306, 311, 316, 321, 325, 328, 329, 332, 333, 339, 343, 
               345, 349, 353, 364, 376, 378, 379, 382, 384, 394, 505, 507, 
               514, 518, 523, 526, 529, 530, 532, 534, 539 
               Theratron 765 (T765) - Serial Numbers 007, 008 
               Theratron 780 (T780) - Serial Numbers 003, 004, 005, 007, 
               008, 010, 011, 016, 017, 020, 021, 024, 026, 027, 028, 033, 
               037, 040, 042, 049, 051, 052, 055, 056, 057, 058, 059, 060, 
               062, 064, 073, 074, 075, 082, 083, 086, 089, 097, 098, 101, 
               113, 114, 116, 121, 127, 128, 129, 133, 136, 137, 149, 150, 
               160, 161, 177, 178, 179, 182, 201, 215, 221, 226, 230, 232, 
               233, 234, 235, 236, 241, 249, 251, 252, 253, 262, 266, 275, 
               278, 280, 284, 288, 293, 296, 298, 299, 302, 306, 307, 308, 
               311, 314, 315, 318, 322, 323, 326, 333, 334, 335, 336, 341, 
               343, 351, 358, 359, 366, 367, 369, 377, 381, 386, 388, 395, 
               398, 399, 401, 402, 415, 417, 426, 428, 431, 433 
               Theratron 780C (T780C) - Serial Numbers 002, 009, 014, 016, 
               020, 022, 024, 030, 032, 035, 036, 038, 043, 058, 072, 073, 
               074, 078, 082, 103 
               Theratron 1000 - Serial Numbers 001, 002, 004, 005, 007, 
               008, 010, 011, 012 
               Phoenix Model - Serial Numbers 001, 003, 005, 008, 010, 
               012, 014, 017, 018, 020, 023, 032, 036;
                   (b) Linear accelerator models (User Bulletin AUB 93-02) 
               Therac 6 (T6) - Serial Numbers 010, 015, 018, 020, 021, 
               024, 025, 027, 030, 031, 035, 036, 037, 038, 039, 563 

                                       -13-               Therac 20 (T20 - Serial Numbers 041, 043, 058, 064, 065, 
               067, 077, 412, 512, 711, 813;
               Therac 25 (T25) - Serial Numbers 022, 024, 025 
                   (c) Simulator models (User Bulletin SUB 93-01) 
               Therasim 720 (T720) - Serial Numbers 036, 038, 044, 048, 
               055, 070, 600 and one unit with unknown serial number 
               Therasim 750 (T750) - Serial Numbers 005, 006, 008, 012, 
               015, 016, 022, 023, 024, 031, 034, 036, 037, 038, 040, 
               044, 046, 047, 048, 049, 050, 051, 052, 055, 057, 060, 
               062, 063, 064, 066, 072, 076, 077, 078, 080, 082, 083, 
               084, 085, 087, 088, 089, 091, 092, 093, 097, 098, 099, 
               101, 102, 103, 104, 105, 106, 107, 108, 110, 113, 114, 
               115, 116, 117, 119, 120, 121, 122, 123, 125, 126, 127, 
               128, 129, 130, 131, 132, 135, 137, 138, 140 
               SIM - Serial Numbers 008, 010, 014, 016, 025 
               [Clarification is being obtained for this model as firm's 
               consignee lists provides "SIM" only for the name of the 
               model.] 
MANUFACTURER       Theratronics International, Ltd. [formerly Atomic Energy of 
                    Canada, Ltd. (AECL Medical)], Kanata, Ontario, Canada;
                   Theratronics International, Ltd., 2833 Trinity Mills Road,
                   Carrollton, Texas.
ALERTED BY         Theratroncis International, Ltd., Kanata, Canada, by User
                   Bulletins CUB93-03, AUB 93-02 and SUB 93-01 dated May 5,
                   1993.
DISTRIBUTION       Nationwide and international.
QUANTITY           421 units.
REASON             Potential for injury to operator's and patient's fingers if
                   hands are not kept clear of the treatment table mechanisms
                   while table movement is in progress.

_______________
PRODUCT            MicroSelectron High Dose Rate Treatment Tube used with
                   Nucletron Micro Selectron-HDR Remote Afterloading Systems,
                   used for connecting needles and flexible implants.
                   Safety Alert #N-080-3.
CODE               All units.
MANUFACTURER       Nucletron BV, Waardgelder 1, The Netherlands.
RECALLED BY        Nucletron Corporation, Columbia, Maryland, by sending
                   technical notes to users on June 10, 1991.
DISTRIBUTION       Nationwide, Argentina, Brazil, Canada, Columbia, Mexico,
                   Venezuela, West Indies.
QUANTITY           242 high dose rate units.

                                       -14-REASON             Under certain conditions, less than accurate performance
                   could prevail.  Prior to using the Source Position
                   Simulator for depth measurements of the x-ray catheter for
                   radiographs of the implant area, users should insure that
                   the treatment tubes and implant applicators are draped in a
                   curved rather than straight fashion in order to achieve
                   appropriate connection to the microSelectron-HRD.  This
                   method will insure the highest accuracy of the system and
                   the ability to accurately position the source.

                                       -15-
END OF ENFORCEMENT REPORT FOR OCTOBER 13, 1993.  BLANK PAGES MAY
FOLLOW.
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