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 5, 1997                                        97-10

RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS III ==========
_______________
PRODUCT        RX Guiatuss with Codeine Syrup, in 1 gallon,
               16 ounce, 8 ounce, and 4 ounce bottles, an
               expectorant, cough suppressant, under the
               following labels:  Barre, Rugby, Schein, and
               H.L. Moore.  
               Recall #D-120-7.
CODE           Lot numbers:  RB6059, RA6016, RS5841, RP5742,
               RP5743, RN5652, RL5568, RK5512, RJ5429,
               RB5089, RA5028, RA5027.
MANUFACTURER   Alpharma (Barre-National), Baltimore,
               Maryland.
RECALLED BY    Manufacturer, by letter on January 14, 1997. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       1,563,288 units were distributed.
REASON         Product lacks stability (i.e. codeine
               phosphate analysis results showed decreasing
               potency).

_______________
PRODUCT        Sodium Acetate Injection, USP, 100 mEq, (2
               mEq/ml), Preservative Free, in 50 ml single
               dose vials, for IV use only after dilution, as
               a source of sodium for addition to large
               volume IV fluids to prevent or correct
               hyponatremia in patients with restricted or no
               oral intake.  Recall #D-121-7.
CODE           Lot numbers:  150681 EXP 5/97, 160634 EXP
               4/98.
MANUFACTURER   Fujisawa USA, Inc., Melrose Park, Illinois.
RECALLED BY    Fujisawa USA, Inc., Deerfield, Illinois, by
               letter dated February 11, 1997.    Firm-
               initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       29,375 vials were distributed; firm estimated
               that 25 percent of the product remained on
               market at time of recall initiation.
REASON         Label error on declared strength (i.e. label
               incorrectly states "Each ml contains 272.16 mg
               sodium acetate" (anhydrous), it should read,
               "Each ml contains 164 mg sodium acetate
               (anhydrous).


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS II =======
_______________
PRODUCT        (a) Red Blood Cells; (b) Fresh Frozen Plasma. 
               Recall #B-386/387-7.
CODE           Unit #40GT45514.
MANUFACTURER   American Red Cross Blood Services, Peoria,
               Illinois.
RECALLED BY    Manufacturer, by telephone on July 23, 1996,
               followed by letter dated July 30, 1996.  Firm-
               initiated recall complete.
DISTRIBUTION   Illinois.
QUANTITY       1 unit of each component was distributed.
REASON         Blood products tested repeatedly reactive for
               the antibody to the human immunodeficiency
               virus type 1 (anti-HIV-1).

_______________
PRODUCT        (a) Red Blood Cells; (b) Recovered Plasma. 
               Recall #B-388/389-7.
CODE           Unit #40GL09293.
MANUFACTURER   American Red Cross Blood Services, Peoria,
               Illinois.
RECALLED BY    Manufacturer, by telephone on July 23, 1996,
               followed by letter dated July 30, 1996.  Firm-
               initiated recall complete.
DISTRIBUTION   Florida and California.
QUANTITY       1 unit of each component was distributed.
REASON         Blood products tested repeatedly reactive for
               the antibody to the human immunodeficiency
               virus type 1 (anti-HIV-1).
_______________
PRODUCT        (a) Red Blood Cells; (b) Recovered Plasma. 
               Recall #B-390/391-7.
CODE           Unit #40GT45575.
MANUFACTURER   American Red Cross Blood Services, Peoria,
               Illinois.
RECALLED BY    Manufacturer, by telephone on July 23, 1996,
               followed by letter dated July 30, 1996.  Firm-
               initiated recall complete.
DISTRIBUTION   Illinois and California.
QUANTITY       1 unit of each component was distributed.
REASON         Blood products tested repeatedly reactive for
               the antibody to the human immunodeficiency
               virus type 1 (anti-HIV-1).

_______________
PRODUCT        Red Blood Cells.  Recall #B-416-7.
CODE           Unit numbers:  S54405, S56115, S56761, S49163,
               S55063.
MANUFACTURER   Aurora Area Blood Bank, Aurora, Illinois.
RECALLED BY    Manufacturer, by telephone on January 5, 1996. 
               Firm-initiated recall complete.
DISTRIBUTION   Illinois.
QUANTITY       5 units were distributed.
REASON         Blood products were stored at an unacceptable
               temperature. 

_______________
PRODUCT        Red Blood Cells.  Recall #B-409-7.
CODE           Unit numbers:  4004474, 1681268, 3010521,
               3500779, 6007126, 7414729, 8007064, 4008128,
               2000304, 1031016, 5023984, 7153469, 5009721,
               4007348.
MANUFACTURER   LifeSource Blood Services, Glenview, Illinois.
RECALLED BY    Manufacturer, by letter dated April 18, 1996. 
               Firm-initiated recall complete.
DISTRIBUTION   California, Illinois, Kentucky, Ohio.
QUANTITY       14 units were distributed.
REASON         Blood products were not tested for anti-HCV
               and no further testing was conducted on the
               donors.

_______________
PRODUCT        Red Blood Cells.  Recall #B-417-7.
CODE           Unit #47T29763.
MANUFACTURER   American Red Cross Blood Services, Galesburg,
               Illinois.
RECALLED BY    American Red Cross Blood Services, Peoria,
               Illinois, by telephone on August 30, 1996,
               followed by letter.  Firm-initiated recall
               complete.
DISTRIBUTION   Iowa.
QUANTITY       1 unit was distributed.
REASON         Blood product tested repeatedly reactive for
               the antibody to the hepatitis B core antigen
               (anti-HBc).

_______________
PRODUCT        Platelets.  Recall #B-418-7.
CODE           Unit #53F10114.
MANUFACTURER   American Red Cross Blood Services, Baltimore,
               Maryland.
RECALLED BY    Manufacturer, by letter dated October 28,
               1996.  Firm-initiated recall complete.
DISTRIBUTION   Maryland.
QUANTITY       1 unit was distributed.
REASON         Blood product was positive for anti-Kell and
               anti-Jsa antibodies was distributed and
               labeled as negative for unexpected antibodies.

_______________
PRODUCT        (a) Red Blood Cells; (b) Platelets; (c) Fresh
               Frozen Plasma.  Recall #B-423/425-7.
CODE           Unit #29045-5068.
MANUFACTURER   United Blood Services, Chicago, Illinois.
RECALLED BY    Manufacturer, by letter dated September 9,
               1996.  Firm-initiated recall complete.
DISTRIBUTION   Illinois.
QUANTITY       1 unit of each component was distributed.
REASON         Blood products tested initially reactive for
               the hepatitis B surface antigen (HBsAg), but
               had no repeat testing performed.

_______________
PRODUCT        Platelets.  Recall #B-427-7.
CODE           Unit #53T32131.
MANUFACTURER   American Red Cross Blood Services, Baltimore,
               Maryland.
RECALLED BY    Manufacturer, by letter dated January 11,
               1996.  Firm-initiated recall complete.
DISTRIBUTION   District of Columbia.
QUANTITY       1 unit was distributed.
REASON         Blood product was prepared from a unit of
               whole blood with an extended collection time.

_______________
PRODUCT        (a) Red Blood Cells; (b) Platelets.  
               Recall #B-428/429-7.
CODE           Unit #53GN66133.
MANUFACTURER   American Red Cross Blood Services, Baltimore,
               Maryland.
RECALLED BY    Manufacturer, by letter dated October 10,
               1995.  Firm-initiated recall complete.
DISTRIBUTION   Maryland.
QUANTITY       1 unit was distributed.
REASON         Blood products were collected from a donor who
               emigrated from a malarial endemic area within
               three years of donation.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS III ======
_______________
PRODUCT        (a) Red Blood Cells; (b) Platelets.
               Recall #B-376/377-7.
CODE           Unit numbers:  2649385 and 4900157.
MANUFACTURER   Central Indiana Regional Blood Center, Inc.,
               Indianapolis, Indiana.
RECALLED BY    Manufacturer, by telephone on September 5-6,
               1996, and by letter dated September 27, 1996. 
               Firm-initiated recall complete.
DISTRIBUTION   Indiana.
QUANTITY       2 units of each component were distributed.
REASON         Blood products not quarantined and released
               despite the donor's use of confidential
               exclusion sticker.

_______________
PRODUCT        Recovered Plasma.  Recall #B-382-7.
CODE           Unit #24124.
MANUFACTURER   Marshalltown Medical & Surgical Center,
               Marshalltown, Iowa.
RECALLED BY    Manufacturer, by telephone, fax, and by letter
               on November 10, 1994.  Firm-initiated recall
               complete.
DISTRIBUTION   Pennsylvania.
QUANTITY       1 unit was distributed.
REASON         Blood product was distributed prior to
               completion of testing and subsequently tested
               repeat reactive for anti-HBc.

_______________
PRODUCT        Fresh Frozen Plasma.  Recall #B-415-7.
CODE           Unit numbers: 360052 364583 364818 365018
               365066 365085 366376 366997 367010 367013
               367016 367018 367767 368261 368573 368584
               368590 368593 368598 368617 369730 369740
               369749 369754 370993 371013 371273 371979
               371982 371987 371995 372001 372011 372012
               372014 372020 372021 372024 372025 372028
               372238 372243 372246 373232 373716 380463
               380488 380491 380493 380496 380498.
MANUFACTURER   Memorial Blood Centers of Minnesota,
               Minneapolis, Minnesota.
RECALLED BY    Manufacturer, by telephone on February 13,
               1996.  Firm-initiated recall complete.
DISTRIBUTION   Minnesota.
QUANTITY       51 units were distributed.
REASON         Blood products were stored at temperatures
               exceeding acceptable limits.

_______________
PRODUCT        Red Blood Cells.  Recall #B-419-7.
CODE           Unit numbers:  17179-9840 and 17179-9966.
MANUFACTURER   United Blood Services, McAllen, Texas.
RECALLED BY    Blood Systems, Inc., Scottsdale, Arizona, by
               telephone on October 7, 1996.  Firm-initiated
               recall complete.
DISTRIBUTION   Texas.
QUANTITY       2 units were distributed.
REASON         Blood products may have been exposed to
               unacceptable temperatures.

_______________
PRODUCT        Red Blood Cells.  Recall #B-420-7.
CODE           Unit numbers:  17179-8777, 17179-9747, 17180-
               1248, 17180-1210, 17180-1048, 17180-0470.
MANUFACTURER   United Blood Services, McAllen, Texas.
RECALLED BY    Blood Systems, Inc., Scottsdale, Arizona, by
               telephone on September 23, 1996.  Firm-
               initiated recall complete.
DISTRIBUTION   Texas.
QUANTITY       6 units were distributed.
REASON         Blood products may have been exposed to
               unacceptable temperatures.

_______________
PRODUCT        (a) Red Blood Cells; (b) Platelets.  
               Recall #B-430/431-7.
CODE           (a) 0310131, 0310103, 0310147, 0310143; (b)
               0310094, 0310098, 0310141.
MANUFACTURER   Community Blood Bank of Lancaster County
               Medical Society, Lincoln, Nebraska.
RECALLED BY    Manufacturer, by telephone on May 15, 1996. 
               Firm-initiated recall complete.
DISTRIBUTION   Nebraska.
QUANTITY       (a) 4 units; (b) 3 units were distributed.
REASON         Blood products were incorrectly tested for the
               hepatitis B surface antigen (HBsAg).

_______________
PRODUCT        Whole Blood.  Recall #B-453-7.
CODE           Unit #53GJ31002.
MANUFACTURER   American Red Cross Blood Services, Baltimore,
               Maryland.
RECALLED BY    Manufacturer, by telephone on October 23,
               1995.  Firm-initiated recall complete.
DISTRIBUTION   District of Columbia.
QUANTITY       1 unit was distributed.
REASON         Blood product was labeled with an extended
               expiration date.


RECALLS AND FIELD CORRECTIONS:  DEVICES --
CLASS II =========
_______________
PRODUCT        Adult Arterial Filters, indicated for use in
               cardiopulmonary bypass procedures for removal
               of particulate and gaseous micro emboli:
               (a) Model No. 20; (b)  Model No. M-220;
               (c) Model No. M-40; (d) Model No. M-440;
               (e) Model No. CBM-20; (f) Model No. CBM-40.
               Recall #Z-287/292-7.
CODE           Lot Numbers:  0132407-1 and 032406-501.
MANUFACTURER   Medtronic Cardiopulmonary, Anaheim,
               California.
RECALLED BY    Manufacturer, by letter dated October 25,
               1996.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       90,000 units were distributed.
REASON         Breakage at the arterial outlet port.

_______________
PRODUCT        Z-274/281-7, Royal Flush Plug Angiographic
               Catheters with Beacon Enhanced Radiopaque
               Tips, which appeared in the February 26, 1997,
               Enforcement Report should read:
               MANUFACTURER:  Cook, Inc., Bloomington,
               Indiana.


END OF ENFORCEMENT REPORT FOR MARCH 5, 1997.  BLANK PAGES MAY FOLLOW.

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