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
05/10/1995

ENFORCEMENT REPORT FOR 05 10 95

                                                     95-19 

RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS II
=========================
_______________
PRODUCT        (a) Disopyramide Phosphate Capsules, USP, 100 mg, in bottles
               of 100, Rx anti-arrhythmic under the following labels: 
               Biocraft, URL, Goldline, Qualitest;
               (b) Nystatin Oral Suspension USP, 100,000 units/ml, in pint
               containers, Rx for the treatment of oral candidiasis, under
               the Biocraft and Goldline labels.
               Recall #D-140/141-5.
CODE           Lot numbers:  (a) 20533 EXP 2/1/97; (b) 20834 EXP 1/1/96.
MANUFACTURER   (3 satellite locations one or more applicable to each
               product:  Biocraft Laboratories, Paterson, New Jersey;
               Biocraft Laboratories, Elmwood Park, New Jersey; Biocraft
               Laboratories, Fairfield, New Jersey.
RECALLED BY    Biocraft Laboratories, Inc., Fair Lawn, New Jersey, by
               letter August 8, 1994.  Firm-initiated recall complete.
DISTRIBUTION   Nationwide.
QUANTITY       (a) 5,766 bottles were distributed; firm estimated that 10
               percent of product remained on market at time of recall
               initiation;
               (b) 1,997 bottles were distributed; firm estimated that 10
               percent of product remained on market at time of recall
               initiation.
REASON         Current good manufacturing practice deficiencies.

_______________
PRODUCT        Nystatin Oral Suspension USP, 100,000 units per ml, in 60 ml
               bottles, an antifungal antibiotic. 
               Recall #D-151-5.
CODE           Lot #20662 EXP 11/1/95.
MANUFACTURER   Biocraft Laboratories, Paterson, New Jersey.
RECALLED BY    Biocraft Laboratories, Fair Lawn, New Jersey, by telephone
               and by letter February 3, 1995.  Firm-initiated recall
               ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       15,208 bottles were distributed.
REASON         Possible microbiological contamination.

_______________
PRODUCT        Medirex brand (a) Chlorpheniramine Maleate Tablets, 4 mg, 
               100 tablets in 10 10-unit dose blister packs, OTC
               antihistamine; (b) Diphenhydramine Hydrochloride Capsules,
               USP, 25 mg, 100 tablets in 10 10-unit dose blister packs, Rx
               antihistamine.  Recall #D-153/154-5.
CODE           Lot numbers:  (a) 118-014 EXP 7/96; (b) 321-054 EXP 7/96.
MANUFACTURER   Medirex, Inc., Pine Brook, New Jersey (repacker/responsible
               firm).
RECALLED BY    Repacker, by letter November 2, 1994.  Firm-initiated recall
               complete.
DISTRIBUTION   Nationwide.
QUANTITY       (a) 420,000 tablets; (b) 457,000 capsules were distributed;
               firm estimated that 329,500 tablets of Chlorpheniramine
               Maleate and 393,200 capsules of Diphenhydramine
               Hydrochloride remained on market at time of recall
               initiation.
REASON         Unit dose blister packages of Chlorpheniramine Tablets 4 mg
               may be miscartoned as Diphenhydramine Capsules.  Blister
               packs are correctly labeled.

_______________
PRODUCT        Aredia 60 ml vials Pamidronate Disodium for Injection for
               intravenous infusion, Rx indicated for the treatment of
               patients with moderate to severe Paget's disease of bone,
               and also can be used for the treatment of moderate or severe 
               hypercalcemia associated with malignancy.  Recall #D-156-5.
CODE           Lot #1000200 EXP 3/96.
MANUFACTURER   Ciba-Geigy Ltd., Basle Switzerland.
RECALLED BY    Ciba-Geigy Pharmaceutical Division, Ciba-Geigy Corporation,
               Summit, New Jersey, by letter February 3, 1995.  Firm-
               initiated real complete.
DISTRIBUTION   Nationwide.
QUANTITY       1,726 vials were distributed.
REASON         Some units do not declare the strength on the vial label.

_______________
PRODUCT        Medical Oxygen (USP) in D size aluminum cylinders.  
               Recall #D-159-5.

                                    
CODE           Serial numbers:  D199446, D206758, D173073, D205326,
               D206778, D214138, D203281, D192955, D193841, D205279,
               D214385, D184197, D184460, D214423, D204208, D171601,
               D191491, D194987, D214418, D202857, D190186, D195937,
               D203236, D195259, D173044, D203708, D171661, D204370,
               D205303, D173049, D195574, D195463, D184516, D195506,
               D205328, D173046, D206828, D184488, D194957, D194967,
               D203290, D203676, D203259, D199168, D214120, D202885,
               D193841, D214429, D192931, D205322, D185083, D185157,
               D214411, D173038, D173046, D214750, D173071, D207347,
               D173050, D203380, D213944, D203280, D171535, D214413,
               D192884, D193817, D195465, D184249, D199446, D202869,
               D184470, D202849, D195268, D192915, D184535, D203284,
               D199097, D195974, D194253, D195647, D194988, D173058,
               D205289, D195529, D214415, D214414, D199461.
MANUFACTURER   Health Training Educational Services, Inc., doing business
               as Life Support Systems, Boston, Massachusetts
               (repacker/responsible firm).
RECALLED BY    Repacker, by letter and visit on or about April 20, 1994. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Massachusetts, New Hampshire, Connecticut.
QUANTITY       105 cylinders were distributed.
REASON         Current good manufacturing practice deficiencies.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS III
========================
_______________
PRODUCT        Various drug products:
               (a) Amiloride Hydrochloride and Hydrochlorothiazide Tablets
               USP, 5 mg/50 mg, in bottles of 100, 500, and 1,000, Rx
               diuretic under the following labels:  Biocraft, Aligen,
               Rugby, Geneva, H.L. Moore, Warner Chilcott, Harber, Mason,
               Schein; (b) Amoxicillin for Oral Suspension USP,125 mg/5 ml
               and 250 mg/5 ml, in 80 ml and 150 ml containers, Rx
               antibiotic, under the Biocraft label;
               (c) Amoxicillin Chewable Tablets USP, 250 mg, Rx antibiotic,
               under the Biocraft label;
               (d) Ampicillin for Oral Suspension USP, 125 mg/5 ml and 250
               mg/5 ml, in 100 ml and 200 ml containers, Rx antibiotic,
               under the following labels:  Biocraft, Aligen, Major, Rugby,
               Harber, Goldline, IDE Star, H.L. Moore, Qualitest, URL, and
               Schein; (e) Cephalexin for Oral Suspension USP, 125 mg/5 ml
               and 250/5 ml, in 100 ml and 200 ml containers, Rx single
               ingredient cephalosporin, under the following labels: 
               Biocraft, Aligen, Biocef, Schein, Major, Rugby, Goldline,
               Carlisle, Geneva, H.L. Moore, Qualitest;
               (f) Sulfamethoxazole and Trimethoprim Tablets USP, 800
               mg/160 mg, in bottles of 100 and 500, Rx antibacterial
               tablet, under the Biocraft and Major labels.
               Recall #D-142/150-5.

                                    
CODE           Lot numbers:   (a) All in-date lots; (b) 29000 EXP 11/01/95,
               31212 EXP 12/01/96, 31337 EXP 02/01/97, 31340 EXP 02/01/97,
               31954 EXP 08/01/97, 33343 EXP 12/01/97, 33351 EXP 12/01/97,
               33674 EXP 03/01/98; (c) 33269; (d) All in-date lots;
               (e) 52918 EXP 02/01/96, 52923 EXP 02/01/96; 52964 EXP
               03/01/96, 53047 EXP 05/01/96; (f) 18030 EXP 02/01/96, 18104
               EXP 03/01/96.
MANUFACTURER   (3 satellite locations one or more applicable to each
               product:  Biocraft Laboratories, Paterson, New Jersey;
               Biocraft Laboratories, Elmwood Park, New Jersey; Biocraft
               Laboratories, Fairfield, New Jersey.
RECALLED BY    Biocraft Laboratories, Fair Lawn, New Jersey, by letter
               August 15, 1994.  Firm-initiated recall complete.
DISTRIBUTION   Nationwide and Puerto Rico.
QUANTITY       Firm estimated that less than 10% of product remained on
               market at time of recall initiation.
REASON         Current good manufacturing practice deficiencies.

_______________
PRODUCT        Stool Softener Plus Laxative Softgels, OTC useful in the
               management of chronic or temporary constipation, under the
               following labels:  Arbor Drugs, 60 Softgels per bottle;
               Discount Drug Mart, 100 Softgels per bottle; Osco, 100
               softgels per bottles; Drug Emporium, 110 softgels per
               bottles.  Recall #D-152-5.
CODE           Lot numbers and EXP dates:  139-1692 10/96, 139-1806 10/96,
               139-2118 8/96, 139-2224 6/97.
MANUFACTURER   Chase Laboratories, Inc., Newark, New Jersey.
RECALLED BY    Guardian Drug Company, Trenton, New Jersey
               (repacker/responsible firm), by letter March 30, 1995. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       273 cases of lot 139-1806, 171 cases of lot 139-1692, 44
               cases of lot 139-2118, 248 cases of lot 139-2224 were
               distributed.
REASON         Leaking softgels.

_______________
PRODUCT        Sulfamethoxazole and Trimethoprim double strength tablets,
               Rx antibacterial, USP double strength, in bottles of 500,
               under the URL and Biocraft labels. Recall #D-155-5.
CODE           Lot numbers:  18485 EXP 9/1/95 (URL label only); 18806 EXP
               1/1/97 (Biocraft label only).
MANUFACTURER   Biocraft Laboratories, Inc., Paterson, New Jersey.
RECALLED BY    Biocraft Laboratories, Inc., Fair Lawn, New Jersey, by
               telephone on January 13, 1995, and February 3, 1995,
               followed by letters of January 20, 1995 and February 3,
               1995.   Firm-initiated recall ongoing.
DISTRIBUTION   Undetermined.
QUANTITY       2,385 bottles were distributed; firm estimated that less
               than 10% of product remained on market at time of recall
               initiation.

                                    
REASON         Product does not meet content uniformity specification for
               the Trimethoprim ingredient.

_______________
PRODUCT        (a) Mellaril Tablets (Sandoz brand name) / Thioridazine
               Tablets (Creighton label) - Thioridazine HCL USP 200 mg
               Tablets, packaged in 1000's and in 100's (unit dose packs),
               Rx tranquilizer; (b) Cafergot Tablets - Ergotamine Tartrate
               USP 1 mg, and Caffeine USP 100 mg Tablets, packaged in 90's
               and 250's, Rx analgesic.  Recall #D-157/158-5.
CODE           All in-date product lots.
MANUFACTURER   Sandoz Pharmaceuticals, East Hanover, New Jersey.
RECALLED BY    (a) Sandoz Pharmaceuticals, East Hanover, New Jersey by
               letters (fax) November 23, 1994, December 19, 1994, and
               January 18, 1995; (b) Creighton Products, East Hanover, New
               Jersey, by letter (fax) January 18, 1995.  Firm-initiated
               recall complete.
DISTRIBUTION   Nationwide
QUANTITY       Firm estimated that less than 10% of product remained on the
               market at time of recall initiation.
REASON         (a) Lack of assurance of dissolution specifications.
               (b) Potential for subpotency.

_______________
UPDATE         D-125-5,Ultra Strength Muscle Rub, which appeared in the
               April 26, 1995 Enforcement Report is being updated to
               include the following labels:  Legend, Eckerd, Kinney, and
               OSCO.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS II
=====================
_______________
PRODUCT        (a) Red Blood Cells; (b) Fresh Frozen Plasma.  
               Recall #B-307/308-5.
CODE           Unit #29121-9302.
MANUFACTURER   United Blood Services, Chicago, Illinois.
RECALLED BY    Manufacturer, by telephone December 21, 1994, followed by
               letter December 28, 1994.  Firm-initiated recall complete.
DISTRIBUTION   Illinois.
QUANTITY       1 unit of each component.
REASON         Blood products which were collected from a donor who had a
               history of cancer were distributed.

_______________
PRODUCT        (a) Whole Blood; (b) Red Blood Cells; (c) Platelets; (d)
               Recovered Plasma.  Recall #B-310/313-5.
CODE           Unit numbers:  (a) 1073615, 4030907; (b) 4019164, 1067342,
               5020196, 4040709, 2054407, C20312; (c) 4019164, 1067342,
               5020196, 4040709, C20312; (d) 4019164, 1067342, 5020196,
               4040709, 2054407.
MANUFACTURER   Community Blood Center of Greater Kansas City, Kansas City,
               Missouri.

                                    
RECALLED BY    Manufacturer, by letter May 12 or 13, 1994 (transfusable
               products); Consignees of the Recovered Plasma and were
               notified by letters dated January 16, 1995 and February 16,
               1995.  Firm-initiated recall complete.
DISTRIBUTION   Kansas, Missouri, New York, Nebraska, Arizona.
QUANTITY       (a) 2 units; (b) 6 units; (c) 5 units; (d) 5 units.
REASON         Blood products, which tested negative for antibody to the
               human immunodeficiency virus type 1 (anti-HIV-1), but were
               collected from donors who previously tested repeatedly
               reactive for anti-HIV-1, were distributed.

_______________
PRODUCT        Source Plasma.  Recall #B-314-5.
CODE           Unit numbers:  PG50847, PG51014, PG66678, XG79023.
MANUFACTURER   Community Bio-Resources, Inc., Columbus, Georgia.
RECALLED BY    Manufacturer, by letter August 11, 1994.  Firm-initiated
               recall complete.
DISTRIBUTION   Austria.
QUANTITY       4 units.
REASON         Blood products which were collected from donors with a
               history of intravenous (IV) use were distributed.

_______________
PRODUCT        Single Donor Plasma.  Recall #B-315-5.
CODE           Unit #53M36070.
MANUFACTURER   American National Red Cross (ARC), The Greater Chesapeake
               and Potomac Region, Baltimore, Maryland.
RECALLED BY    Manufacturer, by letter April 28, 1994,  Firm-initiated
               recall complete.
DISTRIBUTION   Maryland.
QUANTITY       1 unit.
REASON         Blood product, which tested positive for an alloantibody  on
               a screening test but was labeled as negative for unexpected
               alloantibodies, was distributed.

_______________
UPDATE         Please disregard and delete recall numbers B-234/235-5 from
               the Enforcement Report dated April 26, 1995.  These numbers
               were issued in error to the respective Red Blood Cells and
               Platelets.  Red Blood Cells, unit 13FT60183 and Platelets,
               unit 13FT60183, should have been assigned to recall numbers
               B-237-5 and B-238-5, respectively which also appeared in the
               April 26, 1995 Enforcement Report.  


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS III
====================
______________
PRODUCT        Dade Reverse-Cyte Reagent Red Blood Cells Groups A1, B and
               Groups A1, A2, B.  Recall #B-289-5.
CODE           Catalog #B4953-1, lot RC-765 EXP 1/21/95, Catalog #B4953-2,
               lot RCZ-765 EXP 1/21/95.
MANUFACTURER   Baxter Diagnostics, Inc., Miami, Florida.

                                    
RECALLED BY    Manufacturer, by letter December 15, 1994.  Firm-initiated
               recall complete.
DISTRIBUTION   Nationwide and international.
QUANTITY       1,501 kits were distributed; firm estimates none remains on
               the market.
REASON         Reagent Red Blood Cells, which were found to be hemolyzed,
               were distributed.

_______________
PRODUCT        Platelets, Pheresis.  Recall #B-234-5.
CODE           Unit numbers:  03P69975 and 03P70004.
MANUFACTURER   American National Red Cross (ARC), Atlanta, Georgia.
RECALLED BY    Manufacturer, by letter April 20, 1994.  Firm-initiated
               recall complete.
DISTRIBUTION   Georgia.
QUANTITY       2 units.
REASON         Blood products which were not stored under continuous
               agitation were distributed.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS II
=======================
_______________
PRODUCT        Roentgenography Sets, clear vinyl tubing with luer-lock
               adapter, sterile single use flexible low pressure 20inch
               (475 PSI) Tubing, Rx device used externally to aid in the
               delivery of dyes to the body for x-ray analysis.
               Recall #Z-697-5.
CODE           Catalog #407286, lot #3D002 EXP 4/95.
MANUFACTURER   Manufacturer, by telephone followed by letter November 23,
               1993.  Firm-initiated recall complete.
DISTRIBUTION   California, Florida, Georgia, Illinois, Louisiana,
               Massachusetts, Michigan, Minnesota, Nebraska, New Jersey,
               New York, Ohio, Pennsylvania, Tennessee, Texas, Virginia,
               Wisconsin, West Virginia, and international.
QUANTITY       7,800 units were distributed; firm estimates none remains on
               the market.
REASON         Incorrect assembly of the device will result in leakage of
               contrast media which may compromise product sterility.

_______________
PRODUCT        Femoral Venous cannulae: (a) French size 17; 
               (b) French size 21.  Recall #Z-718/719-5.
CODE           Lot numbers: (a) 69311008 and 69401001; (b) 69306005,
               69307003, 69310003, 69311002, 69305003, 69306004, 69307004,
               69310001, 69311002, 69312008, 69309006, 69310004, 69311008,
               69306005, 69306006, 69307004, 69307008, 69310007, 69310002,
               69401008, 69307002, 69311005, 69307005, 69306005, 69306009,
               69310003, 69310003, 69311008.
MANUFACTURER   Adam Spence Corporation, Wall, New Jersey.
RECALLED BY    DLP, Inc., Grand Rapids, Michigan, by letter February 18,
               1994.  Firm-initiated recall complete.
DISTRIBUTION   Nationwide and international.

                                    
QUANTITY       964 units were distributed.
REASON         The dilator does not traverse unrestricted through the
               venous cannula.


_______________
PRODUCT        CodeMaster XL+ Defibrillator/Monitor User's Guide:
               (a) Model M1722A; (b) Model M1722B.  Z-735/736-5.
CODE           None.
MANUFACTURER   Hewlett-Packard Corporation, McMinnville, Oregon.
RECALLED BY    Manufacturer, by letter January 1995.  Firm-initiated recall
               ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       Undetermined.
REASON         The firm had revised the "Troubleshooting the Pacer" section
               of the User's Guide to include instructions to check the
               electrode/pacing pads and pads adaptor cable connection,
               reset the unit and restart the pacer.  If the "PACER
               FAILURE" MESSAGE reappears, the user is instructed to use a
               back-up pacer and call for service.

_______________
PRODUCT        Midmark Chick Ultralux Lo-Profile Birthing Room Lights,
               Models 77000 and 77016.  Recall #Z-738-5.
CODE           Serial numbers ranging from TBS-1000 through TBS-1499.
MANUFACTURER   Midmark Corporation, Versailles, Ohio.
RECALLED BY    Manufacturer, by letter on or about February 10, 1995. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       500 units were distributed.
REASON         The operation manual did not contain adequate directions for
               the.  The manual did not provide directions stating that the
               user is not to undock the lighthead before the light reaches
               its full stop, or fully open position.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS III
======================
_______________
PRODUCT        Cardioplegia Cannula, Double Lumen 12 gauge, 3.25: length,
               an aortic root cannula with vent line for injection
               cardioplegia solution and/or aspirating air:
               (a) Cardioplegia Cannula Product #30401;
               (b) Cardioplegia Cannula Product #30402;
               (c) Product #30401LK - Non-Sterile Cardioplegia Cannula
               Double lumen, 50 per carton; 
               (d) Product #9900206 Customer Kit containing Cardioplegia
               Cannula, Double Lumen, 1 per kit.  Recall #Z-711/714-5.
CODE           Lot numbers:  (a) 6930-9006, 6930-8008; (b) 6931-0005, 6930-
               8004; (c) 6931-0185, 6930-9138, 6930-8260.
MANUFACTURER   Kendall Med-West, Salt Lake City, Utah (component).

                                    
RECALLED BY    DLP, Inc., Grand Rapids, Michigan, by telephone December 2,
               3, 6, 1993, followed by letter December 9, 1993.  Firm-
               initiated recall complete.
DISTRIBUTION   Nationwide and international.
QUANTITY       (a) 815 units; (b) 455 units; (c) 600 units; (d) 50 kits
               were distributed.
REASON         Leakage of the introducer needle at the  hub or handle end
               of the needle.

_______________
PRODUCT        Baxter ImmunoSCAN Staph Latex Kit, used as an aid in the
               identification of S. aureus colonies from laboratory culture
               media.  Recall #Z-715-5.
CODE           Catalog #B1045-1A, lot #095K01 EXP 8/30/96.
MANUFACTURER   Wampole Labs, Cranbury, New Jersey (kit); J&S Medical
               Associates, Inc., Natick, Massachusetts (latex reagent).
RECALLED BY    Baxter Healthcare Corporation, McGaw Park, Illinois, by
               letter April 13, 1995.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide.
QUANTITY       102 kits were distributed; firm estimated that 50% of
               product remained on market at time of recall initiation. 
REASON         Autoagglutination of the latex may cause false positive test
               results.

_______________
PRODUCT        Act II (Automated Coagulation Timer II).  Recall #Z-716-5.
CODE           Lot numbers:  8001101, 8001102, 8001103, 8001104, 8001105,
               8001106, 8001107, 8001108, 8001109, 8001110, 8001111,
               8001112, 8001113, 8001114, 8001115, 8001116, 8001117,
               8001118, 8001119, 8001120, 8001121, 8001122, 8001123,
               8001124, 8001125, 8001126, 8001127, 8001128, 8001129,
               8001130, 8001131, 8001132, 8001133, 8001137, 8001138,
               8001139, 8001140, 8001142, 8001143, 8001146, 8001148,
               8001152, 8001163, 8001181, 8001191, 8001001-8001010,
               8001014, 8001016, 8001017, 8001022, 8001024, 8001030,
               8001032, 8001039, 8001040, 8001051, 8001052, 8001055,
               8001056, 8001057, 8001058, 8001059, 8001060, 8001061 -
               8001077, 8001078, 8001091, 8001092, 8001093, 8001094,
               8001095, 8001096, 8001097, 8001098, 8001099, 8001100.
MANUFACTURER   Medtronic, Inc., Blood Management Division, Electromedics
               and HemoTec, Parker, Colorado.
RECALLED BY    Manufacturer, by letters January 27, 1995, and April 1995. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Ohio, Texas, Nebraska, Minnesota, West Virginia, Florida,
               Iowa, Illinois, Georgia, Virginia, North Dakota, California,
               New Jersey, international.
QUANTITY       250 units were distributed
REASON         The door of the device may open following completion of the
               test which may cause the display to clear and the unit to
               reset.
                                    -9-

END OF ENFORCEMENT REPORT FOR MAY 10, 1995.  BLANK PAGES MAY FOLLOW.
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