FDA

Enforcement Report

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


April 15, 1998                                         98-15

RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS II ===========
_______________
PRODUCT        Acidified foods packaged in glass jars under the
               Goodies Delight label:
               a) Bread N' Butter Pickles, 8 oz. jar
               b) Chow Chow, 8 oz. jar
               c) Candied Cucumber Rings, 8 oz. jar
               d) Corn Relish, 16 oz. jar
               e) Golden Glow Pickles, 8 oz. jar
               f) Hot Pepper Jelly, 16 oz. jar
               g) Jalapeno Peppers, 32 oz. jar
               h) Mustard Dill Pickles, 8 oz. jar
               I) Pickled Okra, 8 oz. jar
               j) Pickled Watermelon Rinds, 8 oz. jar
               k) Ripe Tomato Pickles, 32 oz. jar
               l) Squash Delight, 16 oz. jar
               m) Sweet Pickles, 32 oz. jar
               n) Sweet N' Sour Zucchini Pickles, 32 oz. jar
               o) Zucchini Bread N' Butter Pickles, 16 oz.
               jar
               p) Zucchini Relish, 32 oz. jar
               q) Zucchini Sweet Pickles, 16 oz. jar
               Recall #F-340/356-8.
CODE None.
MANUFACTURER   Goodies Delight, Whitesville, North Carolina.
RECALLED BY    Manufacturer, by telephone on March 11, 1998. 
               Ongoing recall resulted from sample analysis and
               follow-up by the North Carolina Department of
               Agriculture.
DISTRIBUTION   South Carolina, North Carolina.
QUANTITY       20 12-pint jar cases (240 jars) were distributed.
REASON         The products had been manufactured and processed
               without the firm keeping mandatory manufacturing
               records or filing its scheduled process for each
               product.

_______________
PRODUCT        Chicken Gravy Mix in 1 oz. Packages and  Country
               Gravy Mix in 1.25 oz. Packages:
               a) Chicken Gravy Mix, under the private labels 
               Sauce Classics, distributed by Han-Dee Pak, Inc.,
               Cockeysville, Maryland and Hill Country Fare,
               distributed by H-E-B, San Antonio, Texas
               b) Country Gravy Mix, under the private labels Our
               Family, distributed by Nash Finch Company, 
               Minneapolis, Minnesota and Spartan, distributed by
               Spartan Stores, Inc., Grand Rapids, Michigan. 
               Recall #F-443/444-8.
CODE           Date Code: 2361AH  (Sauce Classics Chicken Gravy
               only) and 2361BH.
MANUFACTURER   Ampacco, Inc.,  Hunt Valley, Maryland.
RECALLED BY    Manufacturer, by letter on March 17, 1998. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       324 cartons (24 packages/carton) of Our Family
               Country Gravy was produced and distributed;
               604 cartons of Spartan Country Gravy Mix were
               produced and distributed; 124 cartons of Hill
               Country Fare Chicken Gravy Mix were produced and
               distributed; 600 cartons of Sauce Classics Chicken
               Gravy Mix were produced and distributed. 
REASON         The Chicken Gravy Mix contains undeclared    
               certified colors (FD&C Yellow No. 5 & 6,) and
               lactose.  The Country Gravy Mix contains
               undeclared milk.
_______________
PRODUCT        Cake Mix - individual units are in boxes labeled
               as "Duncan Hines White Cake Mix", shipping cartons
               are labeled as "Duncan Hines Princess White Cake
               Mix".  Recall #F-445-8.
CODE 8028E2.
MANUFACTURER   Procter and Gamble Company, Jackson, Tennessee.
RECALLED BY    Aurora Foods, Inc., Columbus, Ohio, by press
               release on March 26, 1998, followed by letter. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Canada.
QUANTITY       6,909 cases (82,908 total retail packages) were
               distributed; firm estimated that 4,622 cases
               (55,464 retail packages) remained on market at
               time of recall initiation.
REASON         Product contains undeclared soy protein.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS II
===========
_______________
PRODUCT        Dobutamine in 5% Dextrose Injection, 500 mg (2000
               mcg/mL), in 250 mL flexible containers with foil
               overwrap, Rx intravenous solution for inotropic
               support in the short-term treatment of adults with
               cardiac decompensation due to depressed
               contractility resulting either from organic heart
               disease or from cardiac surgical procedures.
               NDC #0074-2347-32.  Recall #D-113-8.
CODE           28-488-DR, 28-490-DR, 28-491-DR, 29-497-DR.
MANUFACTURER   Abbott Laboratories, North Chicago, Illinois.
RECALLED BY    Manufacturer, by letter dated March 20, 1998. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and The Netherlands.
QUANTITY       29,952 units were distributed; firm estimated that
               3,000 units remained on market at time of recall
               initiation.
REASON         Mislabeling -- Some correctly labeled 500 mg units
               are over wrapped with an incorrect 250 mg foil
               labeled pouch.

_______________
PRODUCT        Estraderm (Estradiol Transdermal System), 0.1
               mg/day, one patch per pouch (8 mg Estradiol USP)
               with 8 pouches per carton sold in boxes of 6, a
               patch system therapy for estrogen replacement in
               post menopausal women.
               NDC #0083-2320-62.  Recall #D-114-8.
CODE           Lot #1F210345 EXP 11/98.
MANUFACTURER   Novartis Pharmaceuticals Corporation (formerly
               Ciba-Geigy), Suffern, New York.
RECALLED BY    Manufacturer, by letters by fax on March 19, 1998. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and Puerto Rico.
QUANTITY       26,012 packers (each packer contain 6 cartons of 8
               systems/individual units) were distributed.
REASON         Content uniformity failure - Superpotent.

_______________
UPDATE         Inwood Laboratories (Inwood, New York),
               Propranolol HCL, Recall #D-100/103-8, which
               appeared in the April 1, 1998, Enforcement Report
               has been extended to include 61 additional lot
               numbers:
               *** Additional 23 lots of 60 mg:
               6K044 (4/98), 6K045 (4/98), 6L001 (4/98), 6L002
               (4/98),6L003 (4/98), 6L004 (4/98), 6L005 (4/98),
               6L006 (4/98),  6M033 (4/98), 6M036 (4/98), 6M035
               (5/98), 6M037 (5/98), 6M038 (5/98), 7A062 (6/98),
               7A065 (6/98), 7B004 (6/98), 7B005 (6/98), 7B006
               (6/98), 7B007 (6/98), 7B008 (6/98), 7B022 (8/98),
               7B025 (7/98) & 7D010 (11/98).
               *** Additional 12 lots of 80 mg: 
               6H012 (7/98), 6J098 (8/98), 6J099 (9/98), 6K020
               (9/98), 6K021 (10/98), 6K022 (11/98), 7A045
               (12/98), 7A046 (1/99), 7A047 (1/99), 7C023 (2/99),
               7D013 (3/99) & 7C025 (3/99).
               *** Additional 11 lots of 120 mg: 
                6J100 (8/98), 6J101 (9/98), 6K023 (9/98), 6K024   
               (10/98), 6K025 (10/98), 6K026 (11/98), 7A050
               (11/98),  7A051 (12/98), 7A052 (11/99), 7A053
               (1/99) & 7C027 (2/99).
               *** Additional 15 lots of 160 mg: 
               6H018 (8/98), 6H028 (8/98), 6J102 (8/98), 6J103
               (8/98), 6K029 (10/98), 6K031 (10/98), 6K032
               (10/98), 7A054 (11/98),7A055 (11/98), 7A056
               (12/98), 7A057 (1/99), 7A058 (1/99), 7C031 (2/99),
               7C032 (3/99) & 7F059 (5/99).

RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS III ==========
_______________
PRODUCT        Vicodin Tablets (Hydrocodone Bitartrate 5
               mg/Acetaminophen 500 mg), 25 tablets in individual
               foil packets (1 per packet), intended for the
               treatment of moderate to severe pain and was
               shipped as physician samples.  NDC #0044-0727-91. 
               Recall #D-112-8.
CODE           Lot #10760535 EXP 10/98.
MANUFACTURER   Knoll Pharmaceutical Company, Mount Olive, New
               Jersey.
RECALLED BY    Knoll Pharmaceutical Company, Whippany, New Jersey
               (responsible firm), by letter on December 2, 1997. 
               Firm-initiated recall complete.
DISTRIBUTION   New Jersey.
QUANTITY       54,831 cartons (1,370,775 tablets) were
               distributed.
REASON         Dissolution failure -(acetaminophen-21 month
               stability).

_______________
PRODUCT        Oxygen USP Compressed, in high pressure "E"
               cylinders.  Recall #D-115-8.
CODE           Lot numbers:  A03H350A, A03H350B, A03H350C
               A03H350D, A03H350E, A04H352A, A04H352B
               A04H352C, A04H352D, A04H352E, A04H352F
               And other lots of unknown coding.  
MANUFACTURER   G.S. Parsons, doing business as Parsons Airgas,
               San Diego, California.
RECALLED BY    Manufacturer, by letter dated March 24, 1998. 
               Firm-initiated recall ongoing.
DISTRIBUTION   California.
QUANTITY       80 cylinders were distributed.
REASON         Misbranding - Some empty cylinders were 
               re-distributed.

RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS II =======
_______________
PRODUCT        Red Blood Cells.  Recall #B-283-8.
CODE           40GN69533.
MANUFACTURER   American Red Cross Blood Services, Peoria,
               Illinois.
RECALLED BY    Manufacturer, by telephone on August 21, 1997, and
               by letter dated September 15, 1997. 
               Firm-initiated recall complete.
DISTRIBUTION   Illinois.
QUANTITY       1 unit was distributed.
REASON         Blood products were collected from a donor whose
               suitability was not adequately determined.
_______________
PRODUCT        Red Blood Cells.  Recall #B-513-8.
CODE           0392610, 0392619, 0393187, 5237334, 5212148,
               5227359, 0392399, 0392423, 0392424, 5215759,
               5227768, 5237362.
MANUFACTURER   Blood Systems Laboratories, Tempe, Arizona
               (testing facility).
RECALLED BY    New York Blood Center, Inc., New York, New York,
               by letter dated December 31, 1997.  Firm-initiated
               recall ongoing.
DISTRIBUTION   New York and New Jersey.
QUANTITY       12 units were distributed.
REASON         Blood products were mislabeled for the Rh(D)
               antigen because of failure to follow accepted
               testing standards for the determination of the
               Rh(D) type.

_______________
PRODUCT        Baxter Fenwal Plasmacell-C Disposable Sets,
               consisting of the separation device, a reservoir
               and a tubing set which provides transport for the
               blood and solutions within a closed blood pathway
               when used with the Fenwal Autopheresis-C
               Plasmapheresis System:
               a) 4R2252, Plasmacell-C Separation Disposable Set,
               60 units per case
               b) 4R2256, Plasmacell-C Separation Disposable Set,
               for use with SpikeSmart System, 60 units per case
               European distribution:
               c) 4R2250, Plasmacell-C Separation Disposable Set
               with In-line Anticoagulant Drip Chamber, 60 units
               per case
               d) D4R2251, Plasmacell-C Separation Disposable Set
               with Attached 1000 mL Plasma Collection Bag-French
               label
               e) R4R2252, Plasmacell-C Disposable Set - multiple
               language label
               f) 4R2262, Plateletcell Disposable Set with
               Preattached Filter and D4R2262 - French label 
               h) E4R2266, Plasmacell-C TPS Disposable Set for
               Therapeutic Plasmapheresis
               I) D4R2278, Plasmacell-C Separation Disposable Set
               with Pre-Connected Filters (0.22 microns), Needle
               and Collection Bags - French label and R4R2278 -
               multiple language label Japanese distribution:
               j) J4R2252 and J4R2253, Plasmacell-C Separation
               Disposable Sets - Japanese label
               k) J4R2283 and J4R2284 - Plasmacell-C Disposable
               Sets used with the Mini Autopheresis-C with
               different membranes - Japanese label.   Recall
#B-738-8.
CODE           a) 4R2252, lots A97L22103, A97L30114, A98A08053,
               A98A08061, A98A09044, A98A09069, A98A14093,
               A98A14101, A98A14119, A98A15074, A98A15108,
               A98A16098, A98A16106A, A98A21080, A98A23078,
               A98A23094, A98A26089, A98A28093, A98B02070,
               A98B02096, A98B04100, A98B04118, A98B06055,
               A98B10099, A98B10115, A98B12095
               b) 4R2256, lots A97L26070, A97L27086, A97L29082,
               A97L29108, A97L30098, A98A12089, A98A12105,
               A98A12170, A98A13046, A98A13095, A98A19084,
               A98A19092, A98A20082, A98A20090, A98A22062,
               A98A22138, A98A24068, A98A27079, A98A27103,
               A98A29109, A98A30065, A98A30073, A98A31071,
               A98B03078
               c) 4R2250, lots A98A23060, A98A28069, A98B02054
               d) D4R2251, lot A97L29041
               e) R4R2252, lots A97L26088, A98A28119, A98A28127,
               A98A29083
               f) 4R2262, lots A98A22120, A98A26071, A98A28077,
               A98A29067; D4R2262, lots A98A29059, A98B06071 
               g) 4R2264, lot A98B04068
               h) E4R2266, lot A98A08079, A98A09077, A98A12071,
               A98A12097, A98A13111, A98A14085, A98A15090,
               A98B09083
               I) D4R2278, lot A97L27045; R4R2278, lots
               A97L22046, A97L26054, A98A22047, A98A29075,
               A98A31048
               j) J4R2252, lots A98A14069, A98A16031, A98A19076,
               A98A21098, A98A22088, A98A23086, A98A24076,
               A98B03086, A98B04084; J4R2253, lots A98A27061,
               A98B02062
               k) J4R2283, lot A97L29090; J4R2284, lot A97L30080.
MANUFACTURER   Baxter S.A. Fenwal Division, Parque Industrial
               Itabo, Zona Franca Industrial de Haina, San
               Cristobal, Republica Dominicana
RECALLED BY    Baxter Healthcare Corporation, Biotech
               Group/Fenwal Division, Deerfield, Illinois, by
               letter dated March 3, 1998.  Firm-initiated recall
               ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       913,269 sets were distributed in the U.S., 75,382
               sets were distributed in Europe, and 11,184 sets
               were distributed in Japan, with the firm
               estimating that 1,000,000 sets remain on the
               market.
REASON         Manufacturing deviations in the diameter of the
               anticoagulant line tubing of the Plasmacell-C
               Disposable sets which cause an increase in
               anticoagulant flow rate may result in the
               potential for donor air embolus.

_______________
PRODUCT        Source Plasma.  Recall #B-782-8.
CODE Unit numbers:  1551AX and 1725AX.
MANUFACTURER   Bloomington Plasma, Inc., Bloomington, Illinois.
RECALLED BY    Manufacturer, by fax on February 9, 1998. 
Firm-initiated recall complete.
DISTRIBUTION   North Carolina.
QUANTITY       2 units were distributed.
REASON         Blood product was collected from an unsuitable
               donor.

_______________
PRODUCT        Platelets, Pheresis.  Recall #B-783-8.
CODE           Unit #C99066.
MANUFACTURER   Regional Health Resources Center, Community Blood
               Services of Illinois, Urbana, Illinois.
RECALLED BY    Manufacturer, by telephone on January 5, 1997, and
               by letter dated January 19, 1998.  Firm-initiated
               recall complete.
DISTRIBUTION   Illinois.
QUANTITY       1 unit was distributed.
REASON         Blood product was labeled with an extended
               expiration date.

_______________
PRODUCT        Recovered Plasma.  Recall #B-784-8.
CODE           Unit numbers:  40FG12263, 40FG14323, 40FG13784.
MANUFACTURER   American Red Cross Blood Services, Peoria,
               Illinois.
RECALLED BY    Manufacturer, on October 24, 1997.  Firm-initiated
               recall complete.
DISTRIBUTION   California.
QUANTITY       3 units were distributed.
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 repeatedly reactive for the antibody, and
               was subjected to additional retesting.

_______________
PRODUCT        Red Blood Cells.  Recall #B-785-8.
CODE           Unit #38FC30422.
MANUFACTURER   American Red Cross Great Lakes Region, Fort Wayne,
               Indiana.
RECALLED BY    Manufacturer, by telephone on January 12, 1998. 
               Firm-initiated recall complete.
DISTRIBUTION   Indiana.
QUANTITY       1 unit was distributed.
REASON         Blood product tested negative for CMV but was
               collected from a donor who previously tested CMV
               positive.

_______________
PRODUCT        a) Red Blood Cells; b) Platelets; c) Fresh Frozen
               Plasma.  Recall #B-819/821-8.
CODE           Unit numbers:  a) KG24037, KN46753
               b) KG24037, KN46753; c) KN46753.
MANUFACTURER   Virginia Blood Services, Richmond, Virginia.
RECALLED BY    Manufacturer, by letter dated March 9, 1998. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Louisiana and Virginia.
QUANTITY       a) 2 units; b) 2 units; c) 1 unit was distributed.
REASON         Blood products tested non-reactive for the
               antibody to the Hepatitis B core antigen
               (anti-HBc), but were collected from a donor who
               was previously repeatedly reactive for anti-HBc on
               two separate donations.

_______________
PRODUCT        Source Leukocytes for Further Manufacture.
               Recall #B-822-8.
CODE           Unit #3226920.
MANUFACTURER   Gulf Coast Regional Blood Center, Houston, Texas.
RECALLED BY    Manufacturer, by telephone and fax on September
               30, 1997.  Firm-initiated recall complete.
DISTRIBUTION   New Jersey.
QUANTITY       1 unit was distributed.
REASON         Blood product was collected from a donor who
               previously tested PKTP repeat reactive and MHA-TP
               positive, RPR nonreactive for syphilis.

_______________
PRODUCT        Red Blood Cells.  Recall #B-823-8.
CODE           Unit #40GN68651.
MANUFACTURER   American Red Cross, Heart of America Region,
               Peoria, Illinois.
RECALLED BY    Manufacturer, by letter dated February 19, 1998. 
               Firm-initiated recall complete.
DISTRIBUTION   Kentucky.
QUANTITY       1 unit was distributed.
REASON         Blood product was collected from a donor who lived
               in a malarial endemic area.

_______________
PRODUCT        Red Blood Cells.  Recall #B-824-8.
CODE           Unit #40LH13022.
MANUFACTURER   American Red Cross, Heart of America Region,
               Peoria, Illinois.
RECALLED BY    Manufacturer, by letter dated March 5, 1998. 
               Firm-initiated recall complete.
DISTRIBUTION   Illinois.
QUANTITY       1 unit was distributed.
REASON         Blood product was collected from a donor who lived
               in a malarial endemic area.

_______________
PRODUCT        Platelets.  Recall #B-841-8.
CODE           Unit #18E96029.
MANUFACTURER   American Red Cross, Great Lakes Region, Lansing,
               Michigan.
RECALLED BY    Manufacturer, by letter on May 6, 1997. 
Firm-initiated recall complete.
DISTRIBUTION   Michigan.
QUANTITY       1 unit was distributed.
REASON         Blood product corresponded to a unit of clotted
               Red Blood Cells.

_______________
PRODUCT        Platelets.  Recall #B-842-8.
CODE           Unit #L69635.
MANUFACTURER   South Bend Medical Foundation, South Bend,
               Indiana.
RECALLED BY    Manufacturer, by telephone on November 17, 1997. 
               Firm-initiated recall complete.
DISTRIBUTION   Indiana.
QUANTITY       1 unit was distributed.
REASON         Blood product was collected from a donor with a
               history of cancer.


_______________
PRODUCT        a) Red Blood Cells; b) Platelets.
               Recall #B-858/859-8.
CODE           Unit numbers:  a) 38FC27919; b) 38P47427,
               38P47503.
MANUFACTURER   American Red Cross Great Lakes Regional, Fort
               Wayne, Indiana.
RECALLED BY    Manufacturer, by letter dated September 24, 1997. 
               Firm-initiated recall complete.
DISTRIBUTION   Alabama, Indiana, Ohio.
QUANTITY       a) 1 unit; b) 2 units were distributed.
REASON         Blood products tested negative for CMV, but were
               collected from a donor who previously tested CMV
               positive.

_______________
PRODUCT        Red Blood Cells.  Recall #B-866-8.
CODE           Unit #29FL48234.
MANUFACTURER   The American Red Cross, Mid-Atlantic Region,
               Norfolk, Virginia.
RECALLED BY    Manufacturer, by letter dated January 12, 1998. 
               Firm-initiated recall complete.
DISTRIBUTION   Virginia and Massachusetts.
QUANTITY       1 unit was distributed.
REASON         Blood product was collected from a donor with a
               history of cancer.

_______________
PRODUCT        a) Red Blood Cells; b) Cryoprecipitate AHF;
               c) Plasma, Cryoreduced; d) Recovered Plasma,
               Frozen.  Recall #B-872/875-8.
CODE           Unit numbers:  a) 29GT81176, 29GT65483, 29GT59170;
               b) 29GT59170; c) 29GT59170
               d) 29GT81176,  29GT65483.
MANUFACTURER   The American Red Cross, Norfolk, Virginia.
RECALLED BY    Manufacturer, by letter dated February 24, 1998. 
               Firm-initiated recall complete.
DISTRIBUTION   California, North Carolina, Virginia.
QUANTITY       a) 3 units; b) 1 unit; c) 1 unit; d) 2 units were
               distributed.
REASON         Blood products were collected from a donor with a
               history of cancer.

_______________
UPDATE         Recovered Plasma, Unit #13FJ26037, should have
               been listed in the April 8, 1998, Enforcement
               Report as Recall #B-853-8.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS III ======
_______________
PRODUCT        Whole Blood for Reagent Use.  Recall #B-710-8.
CODE           Unit #3044.
MANUFACTURER   Blood and Plasma Research, Inc., Beaumont, Texas.
RECALLED BY    Manufacturer, by telephone and by letter dated
               December 11, 1997. Firm-initiated recall complete.
DISTRIBUTION   Texas.
QUANTITY       1 unit was distributed.
REASON         Blood product was tested for the HIV-1 p24 antigen
               using a sample that remained at an unmonitored
               temperature for an unknown period of time during
               shipment.

_______________
PRODUCT        Cryoprecipitated AHF.  Recall #B-765-8.
CODE           Unit #40FL17972.
MANUFACTURER   American Red Cross Blood Services, Peoria,
               Illinois.
RECALLED BY    Manufacturer, by telephone on November 10, 1997. 
               Firm-initiated recall complete.
DISTRIBUTION   Illinois.
QUANTITY       1 unit was distributed.
REASON         Blood product was prepared from a unit of Whole
               Blood with an extended collection time.

_______________
PRODUCT        Red Blood Cells.  Recall #B-817-8.
CODE           Unit numbers:  39Z20468, 39E26713, 39F63596,
               39E26727.
MANUFACTURER   American Red Cross Blood Services, Huntington,
               West Virginia.
RECALLED BY    Manufacturer, by telephone on January 23, 1998. 
               Firm-initiated recall complete.
DISTRIBUTION   West Virginia.
QUANTITY       4 units were distributed.
REASON         Blood products, for which the temperature at the
               time of receipt was not documented

_______________
PRODUCT        Recovered Plasma, for Manufacture of 
               Non-Injectables. Recall #B-867-8.
CODE           Unit #29FL48234.
MANUFACTURER   The American Red Cross, Norfolk, Virginia.
RECALLED BY    Manufacturer, by letters dated January 12, 1998,
               and February 11, 1998.  Firm-initiated recall
               complete.
DISTRIBUTION   Virginia and Massachusetts.
QUANTITY       1 unit was distributed.
REASON         Blood product was collected from a donor with a
               history of cancer.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS
II =========
_______________
PRODUCT        HPC-93 Collimator component of the Head of a Gamma
               Camera. The collimator itself is a heavy metal
               barrier with fixed holes.  It is designed to allow
               only the gamma radiation from the part of the body
               being examined to reach the gamma camera and acts
               as a nuclear lenses.  The collimators also provide
               thermal and physical protection for the
               scintillation crystals of the gamma camera.
               Recall #Z-486-8.
CODE           Various non-sequential serial numbers and tag
               I.D.'s.
MANUFACTURER   Elscint, Ltd., Advanced Technology Center, Haifa,
               Israel.
RECALLED BY    Elscint, Inc., Hackensack, New Jersey, by
               telephone on October 21, 1996, followed by letter
               on October 29, 1996.  Firm-initiated field
               correction complete.
DISTRIBUTION   Nationwide.
QUANTITY       54 units were distributed.
REASON         The collimator fell off the head of a gamma camera
               onto the floor, possibly due to improper
               installation or design flaw.

_______________
PRODUCT        Series II Tibial Bearing Insert 15 mm Thickness,
               Size 5, implantable plastic accessory to a knee
               system.
               Recall #Z-487-8.
CODE           Catalog #3052-0515, Lot #17586801.
MANUFACTURER   Osteonics Corporation, Allendale, New Jersey.
RECALLED BY    Manufacturer, by telephone on February 14, 1997,
               followed by letter on February 25, 1997.  
               Firm-initiated recall complete.
DISTRIBUTION   Minnesota, Iowa, Florida, Massachusetts, Japan.
QUANTITY       8 units were distributed.
REASON         The product was designed to be 15mm in thickness,
               however, it was incorrectly finished with a 12mm
               thickness and then labeled as 15mm.  The results
               of this manufacturing error is a dislocation of
               the tibial insert with the potential for 
               restriction in flexing motion of the knee.

_______________
PRODUCT        Acclaim Infusion Pump, used to deliver parenteral
               infusion including whole blood, red blood cell
               components and enteral fluids using a wide variety
               of standard administration sets and fluid
               containers..  Recall #Z-498-8.
CODE           List No. 12032-04, all serial numbers.
MANUFACTURER   Abbott Laboratories, Critical Care Products, 
               Morgan Hill, California.
RECALLED BY    Manufacturer, by letter dated March 30, 1998. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Alabama, California, Florida, Maine, Mississippi,
               New Hampshire, North Carolina, Oklahoma, Rhode
               Island.
QUANTITY       2,343 units were distributed.
REASON         Incorrect tubing setups which could lead to
               underinfusions.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS III ========
_______________
PRODUCT        Trypic Soy Agar Media Plates, recommended for use
               in qualitative procedures for the isolation and
               cultivation of a wide variety of organisms. 
               Recall #Z-488-8.
CODE           Product #01-924, Lot 5550 EXP 11/13/96.
MANUFACTURER   Remel Limited Partnership, Lenexa, Kansas.
RECALLED BY    Manufacturer, by telephone on or about October 4,
               1996.  Firm-initiated recall complete.
DISTRIBUTION   Iowa and Colorado.
QUANTITY       800 units were distributed.
REASON         The device does not support the growth of
               challenge organisms.

_______________
PRODUCT        N/F System (42P tube, GNF tube, Uni-N/F-Tek
               plate), a Nonfermenter System intended for the
               simple and rapid presumptive identification of the
               most frequently encountered clinical isolates of
               gram-negative aerobic bacteria which do not belong
               to the family Enterobacteriaceae (ie, the "other
               gram-negatives.").  Recall #Z-492-8.
CODE           Product No. 73-10055, Lot No. 5513.
MANUFACTURER   Remel Limited Partnership, Lenexa, Kansas.
RECALLED BY    Manufacturer, by telephone on November 22, 1996. 
               Firm-initiated recall complete.
DISTRIBUTION   Washington State, New Jersey, New York,
               California, Louisiana.
QUANTITY       17 boxes 920 units per box) were distributed.
REASON         The correct color could not be obtained for a
               positive reaction.

_______________
PRODUCT        Vogel-Johnson Agar, a plated medium recommended
               for use in qualitative procedures for the early
               detection of coagulase-positive and 
               mannitol-fermenting strains of Staphylococcus
               aureus from contaminated foods and clinical
               specimens.  Recall #Z-493-8.
CODE           Product #01-970, Lot #5571 EXP 05/19/97, Segment
               #4.
MANUFACTURER   Remel Limited Partnership, Lenexa, Kansas.
RECALLED BY    Manufacturer, by telephone on March 17, 1997. 
               Firm-initiated recall complete.
DISTRIBUTION   New York.
QUANTITY       90 units were distributed.
REASON         The media did not support growth and this lot did
               not meet its release criteria.

_______________
PRODUCT        Roche Online Amphetamine Kits, an in-vitro
               diagnostic test for the qualitative and 
               semi-quantitative detection of amphetamine and
               methamphetamine and their metabolites in human
               urine:  a) Order #43430; b) Order #43564.  Recall
               #Z-494/495-8.
CODE           Lot numbers:  a) 30247 EXP 12/97 and 24017 EXP
               12/97; b) 56467 EXP 12/97 and 46017 EXP 12/97.
MANUFACTURER   Roche diagnostic Systems, Belleville, New Jersey.
RECALLED BY    Roche Diagnostic Systems, Somerville, New Jersey
               (responsible firm), by letter on July 10, 1997,
               followed by telephone.  Firm-initiated recall
               complete.
DISTRIBUTION   Nationwide.
QUANTITY       a) 1,097 kits of lot 30247 and 303 kits of lot
               24017; b) 643 kits of lot 56467 and 54 kits of lot
               46017 were distributed.  Firm estimates none
               remains on the market.
REASON         The reagents did not meet performance criteria
               throughout their assigned expiration date.

_______________
PRODUCT        Roche Creatinine Reagent, in-vitro diagnostic
               reagent system intended for use in the
               quantitative determination of creatinine serum,
               plasma and urine.  Recall #Z-496-8.
CODE Order No. 47003, Lot No. 00356 EXP 9/10/98.
MANUFACTURER   Roche Diagnostic Systems, Belleville, New Jersey.
RECALLED BY    Roche Diagnostic Systems, Somerville, New Jersey,
               by letter on May 13, 1997.  Firm-initiated recall
               complete.
DISTRIBUTION   Nationwide and Canada.
QUANTITY       1,733 kits were distributed; firm estimates none
               remains on the market.
REASON         The device has shown reduced reagent stability.


END OF ENFORCEMENT REPORT FOR APRIL 15, 1998.  BLANK PAGS MAY
FOLLOW.


End of Enforcement Report for
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