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U.S. Department of Health and Human Services

Inspections, Compliance, Enforcement, and Criminal Investigations

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Alliance Medical, Inc. 20-Jan-04

Department of Health and Human Services' logoDepartment of Health and Human Services

Public Health Service
Food and Drug Administration

 

Center for Devices and
Radiological Health
2098 Gaither Road
Rockville, MD 20850


JAN 20 2004

WARNING LETTER

CERTIFIED MAIL
RETURN RECEIPT REQUESTED

Mr. Larry Dahl, Sr.
President
Alliance Medical, Inc.
107 Railroad Street
Russellville, Montana 65079

Dear Mr. Dahl:

The Food and Drug Administration (FDA) has obtained information from your Internet web site, <http://www.allmed.net>, that reveals a serious regulatory problem involving 3M, Moldex, and Alpha Pro Particulate Respirators, which are commercially distributed by your firm.

Recently, your web site had the statement, "SARS NOTICE Because of restricted or unavailable manufacturer's supply, we are temporary unable to accept international orders for N95 and procedure facemasks." Currently, it states "Sars Notice - We are now able to accept International orders on all masks!" These statements suggest use of the respirators for protection against Severe Acute Respiratory Syndrome (SARS). Consequently, the respirators are intended for use in the cure, mitigation, treatment, or prevention of disease within the meaning of section 201(h) of the Federal Food, Drug, and Cosmetic Act (Act), 21 U.S.C. 321(h), and are medical devices that are subject to the Act's requirements for premarket approval or clearance by FDA.

Our records do not show that approval or clearance has been obtained for these products to prevent SARS transmission or for any other SARS-related indication. Accordingly, these products are adulterated under section 501(f)(1)(B) of the Act (21 U.S.C. 351(f)(1)(B)), in-that they are class III devices under section 513(f) (21 U.S.C. 360c(f)) and you do not have an approved application for premarket approval (PMA) in effect pursuant to section 515(a) (21 U.S.C. 360e(a)) or an approved application for investigational device exemption under section 520(g) (21 U.S.C. 360j(g)). The products are also misbranded under section 502(o) (21 U.S.C. 352(o)), because a notice or other information respecting them was not provided to the FDA as required by section 510(k) (21 U.S.C. 360(k)). For a product requiring premarket approval (as opposed to clearance), the notification required by section 510(k) is deemed to be satisfied when a PMA is pending before the agency. 21 CFR 807.81(b).

This serious violation of the law may result in the FDA taking regulatory action without further notice to you. Such action can include, but is not limited to, seizing your product inventory, obtaining a court injunction against further marketing your products, or seeking civil money penalties. Also, Federal agencies are informed about the Warning Letters we issue, such as this one, so that they may consider this information when awarding government contracts.

FDA acknowledges that the SARS infection control recommendations issued by the Centers for Disease Control and Prevention (CDC) endorse the use of personal protection equipment including N-95 filtering disposable respirators, eye protection articles, gowns, gloves, and surgical masks. CDC limited these recommendations to specific health care and community settings, and did not suggest use of personal protective equipment by the general population, or by individuals who will travel to or have returned from areas affected by SARS. In fact, CDC specifically did not recommend the routine use of personal protective equipment, even in public areas of SARS-affected countries. Moreover, CDC's recommendations are based on preliminary information concerning the means by which SARS spreads, and many products (e.g., air purifiers) are not endorsed in any setting by CDC. No devices have been cleared or approved by FDA specially to prevent the transmission of SARS.

Please respond in writing, within 15 days of receiving this letter, by explaining the specific steps you have taken to correct this violation and to assure that similar violations will not occur. If you need additional time, please explain the reason for the delay and advise us when you expect to respond.

Please address your response to Ms. Betty Collins, Director, Division of Enforcement A, Office of Compliance, Center for Devices and Radiological Health, Food and Drug Administration, 2098 Gaither Road (HFZ-320), Rockville, Maryland 20850. If you have any questions concerning the contents of this letter, you may contact Carolyn Niebauer, Chief, General Hospital Devices Branch, or Diane Goldsberry, Technical Information Specialist, by phone at (301) 594-4618 or by facsimile at (301) 594-4638.

You should understand that there are many FDA requirements pertaining to the manufacture and marketing of medical devices. This letter pertains only to the issue of premarket clearance or approval for your devices and does not necessarily address other obligations you have under the Act. You may obtain general information about FDA requirements for medical devices by contacting our Division of Small Manufacturers, International and Consumer Assistance at 1-800-638-2041 or through the Internet at <http://www.fda.qov>.

Finally, in addition to the Act, you may be subject to the Federal Trade Commission Act, which is administered by the Federal Trade Commission (FTC). A copy of this letter is being forwarded to the FTC.

Sincerely yours,

/S/

Timothy A. Ulatowski
Director
Office of Compliance
Center for Devices and
Radiological Health

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