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
12/06/1995

 ENFORCEMENT REPORT FOR 12/06/96 


December 6, 1995                                              95-49

RECALLS AND FIELD CORRECTIONS:  FOODS -- CLASS II
========================
_______________
PRODUCT        Imported Cerasse Spice. Recall #F-059-6.
CODE           None.
MANUFACTURER   Eastern Agri Trading Ltd., Portland, Jamaica.
RECALLED BY    Angel Brand Company, Springfield, Pennsylvania, by telephone
               on September 15, 1995.  Firm-initiated recall ongoing.
DISTRIBUTION   One foreign consignee.
QUANTITY       7 bags (30-34 pounds) were distributed.
REASON         Product is adulterated due to the presence of Salmonella.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS  II
========================
_______________
PRODUCT        Caverject Sterile Powder (Alprostadil) for Injection, 20
               micrograms, Rx drug for intracavernosal use only.  
               Recall #D-027-6.
CODE           Lot #266MJ EXP 8/96.
MANUFACTURER   The Upjohn Company, Kalamazoo, Michigan.
RECALLED BY    Manufacturer, by letter mailed on November 7, 1995.  Firm-
               initiated recall ongoing.
DISTRIBUTION   Nationwide and Puerto Rico.
QUANTITY       2,736 cartons of 6 injection systems each were distributed.
REASON         Some cartons holding 6 injection systems declare strength as
               10 micrograms.  Vials and injection system boxes are
               correctly labeled as 20 micrograms.

_______________
PRODUCT        Pyrazinamide Tablets, USP, 500 mg, Rx drug used to treat
               active tuberculosis.  Recall #D-028-6.
CODE           Lot #S047JL EXP 3/96.
MANUFACTURER   Pharmaceutical Corporation of America (PCA), Carmel, Indiana
               (repacker).
RECALLED BY    Repacker, by letter on June 6, 1995.  Firm-initiated recall
               complete.
DISTRIBUTION   New Jersey.
QUANTITY       603 bottles were distributed.
REASON         Part of the lot bore expiration date of 3/96.  The correct
               date was 3/95.

_______________
PRODUCT        Aquaphyllin (Theophylline Anhydrous USP 80 mg/15ml) Syrup,
               in 16 ounce plastic bottles, Rx product indicated for the
               relief and/or prevention of symptoms from asthma and
               reversible bronchospasm.  Recall #D-029-6.
CODE           Lot numbers:  54-233, EXP MAR 96; 54-062, EXP MAR 96;
               53-402, EXP NOV 95; and 53-224, EXP JUL 95.
MANUFACTURER   Ferndale Laboratories, Inc., Ferndale, Michigan.
RECALLED BY    Manufacturer, by letter dated August 2, 1995.  Firm-
               initiated recall complete.
DISTRIBUTION   Nationwide and international.
QUANTITY       9,410 units were distributed.
REASON         Crystallization of the active ingredient due to shipment
               without temperature controls.


RECALLS AND FIELD CORRECTIONS:  DRUGS -- CLASS III
========================
_______________
PRODUCT        Methenamine Mandelate Tablets, USP, 1.0 gram, in bottles of
               100, Rx urinary anti-bacterial agent, under the Amide and
               Aligen labels.  Recall #D-026-6.
CODE           Control #4013A1 EXP 1/96.
MANUFACTURER   Amide Pharmaceutical, Inc., Little Falls, New Jersey.
RECALLED BY    Manufacturer, by telephone on August 10, 1995.  Firm-
               initiated recall complete.
DISTRIBUTION   Maryland, Florida, Texas, Georgia, North Carolina, Texas,
               Belarus.
QUANTITY       763 bottles were distributed.
REASON         Product packaged with an incorrect package insert.

_______________
PRODUCT        Mephyton (Phytonadione) 5 mg Tablets, Rx anticoagulant.
               Recall #D-030-6.
CODE           Lot numbers: B5713 EXP 5/31/97, B5716 EXP 5/31/97,
               B5776 EXP 4/30/97, B5777 EXP 4/30/97, B6127 EXP 2/28/97,
               B6128 EXP 2/28/97, B6247 EXP 2/28/97.
                                    -2-MANUFACTURER   Merck and Company, West Point, Pennsylvania.
RECALLED BY    Manufacturer, by letter dated September 11, 1995.  Firm-
               initiated recall complete.
DISTRIBUTION   Nationwide, Canada, Bermuda, Israel.
QUANTITY       Approximately 43,816 market packages were distributed.
REASON         Potency not assured through expiration date.

_______________
PRODUCT        Neodecadron (Neomycin Sulfate & Dexamethasone Phosphate)
               0.1% Cream, Rx antibiotic/corticosteroid, in 30 gram tubes
               and 15 gram tubes.  Recall #D-031-6.
CODE           Lot #A0198 EXP 12/31/96, Lot #V0839 EXP 12/31/95 for 15 gram
               tube lot #A0009 EXP 12/31/96, lot #V0837 EXP 12/31/95 for 30
               gram tube.
MANUFACTURER   Merck and Company, West Point, Pennsylvania. 
RECALLED BY    Manufacturer, by letter dated September 29, 1995.  Firm-
               initiated recall complete.
DISTRIBUTION   Nationwide.
QUANTITY       Approximately 60,764 packages were distributed.
REASON         Superpotency. 

_______________
PRODUCT        Edecrin (Ethacrynate Sodium), 50 mg Tablets, Rx diuretic. 
               Recall #D-032-6.
CODE           Lot #B5939 EXP 1/00.
MANUFACTURER   Merck and Company, West Point, Pennsylvania.
RECALLED BY    Manufacturer, by letter dated October 23, 1995.  Firm-
               initiated recall complete.
DISTRIBUTION   Nationwide.
QUANTITY       Approximately 6,391 market packages were distributed.
REASON         Some tablets were embossed with code "65" instead of "90".


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS II
=====================
_______________
PRODUCT        Red Blood Cells.  Recall #B-124-6.
CODE           Unit #T78142.
MANUFACTURER   Topeka Blood Bank, Inc., Topeka, Kansas.
RECALLED BY    Manufacturer, by letter dated September 28, 1994.  Firm-
               initiated recall complete.
DISTRIBUTION   Massachusetts.
QUANTITY       1 unit.
REASON         Blood product, collected from a donor taking the drug
               Proscar, was distributed.


RECALLS AND FIELD CORRECTIONS:  BIOLOGICS -- CLASS III
====================
_______________
PRODUCT        Red Blood Cells.  Recall #B-118-6.
CODE           Unit #3759614.
MANUFACTURER   Central Indiana Regional Blood Center, Inc., Indianapolis,
               Indiana.
                                    -3-RECALLED BY    Manufacturer, by telephone December 28, 1994.  Firm-
               initiated recall complete.
DISTRIBUTION   Indiana.
QUANTITY       1 unit.
REASON         Blood product, containing anti-e antibodies, but labeled as
               negative for the unexpected antibodies, was distributed.

_______________
PRODUCT        Red Blood Cells.  Recall #B-119-6.
CODE           Unit #068605.
MANUFACTURER   Marquette General Hospital, Inc., Marquette, Michigan.
RECALLED BY    Manufacturer, by telephone February on February 1, 1994. 
               Firm-initiated recall complete.
DISTRIBUTION   Michigan.
QUANTITY       1 unit.
REASOn         Blood product, labeled with an incorrect expiration date,
               was distributed.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS II
=======================
_______________
PRODUCT        Abbott IMx and AxSYM System Controls, used for the
               verification of the calibration of the IMx System and the
               AxSYM System when used for the quantitative determination of
               Prostate Specific Antigen (PSA) in human serum used as an
               aid in the management of prostate cancer patients:
               (a) Catalog #2245-10; (b) Catalog 7A49-10.
               Recall #Z-166/167-6.
CODE           Lot numbers:  (a) 06007Q100; (b) 06011Q100.
MANUFACTURER   Abbott Health Products, Inc., Barceloneta, Puerto Rico.
RECALLED BY    Abbott Laboratories, Abbott Park, Illinois, by telephone
               beginning October 24, 1995, followed by letter.  Firm-
               initiated recall ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       819 IMx and 323 AxSYM controls were distributed; firm
               estimated that 25 percent of the product remained on market
               at time of recall initiation.
REASON         The controls yield low values which may lead to invalid
               runs.

_______________
PRODUCT        Software Version 1.2 used with the Ektachem 950 IRC
               Analyzer.  Recall #Z-168-6.
CODE           Software Version 1.2.
MANUFACTURER   Johnson & Johnson Clinical Diagnostics, Rochester, New York.
RECALLED BY    Manufacturer, by telephone followed by letter July 28, 1995. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       85 analyzers were distributed.
REASON         A software indexing error can occur following a specific
               sequence of operational events during the recovery from a
               mechanical shutdown of the sampling module.

                                    -4-_______________
PRODUCT        Concha 1500, Sterile Water, 1650 ml Reservoir, used with the
               Concha Column Heated Humidification System.  
               Recall #Z-169-6.
CODE           Lot 060995A.
MANUFACTURER   Hudson RCI, Arlington Heights, Illinois.
RECALLED BY    Hudson RCI, Temecula, California, by telephone August 24,
               1995.  Firm-initiated recall complete.
DISTRIBUTION   Pennsylvania. 
QUANTITY       360 bottles were distributed; firm estimates none remains on
               the market.
REASON         Product's sterility may be compromised. 

_______________
PRODUCT        SPS 550 Single Patient Dialysis System.  Recall #Z-170-6.
CODE           All serial numbers.
MANUFACTURER   Baxter Healthcare Corporation, Largo, Florida.
RECALLED BY    Manufacturer, by overnight letter on October 25, 1995. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       155 units were distributed.
REASON         The blood pump relay may fail which could disable critical
               instrument alarms.

_______________
PRODUCT        ECG Monitors with Software Versions 1.42.07, 5.42.07 or
               Earlier:
               (a) 90332          Biotel 300 Telemetry Receivers (2 ch)
               (b) 90334          Biotel 300 Telemetry Receivers (4 ch)
               (c) 90335          Biotel 300 Telemetry Receivers (5 ch)
               (d) 90336          Biotel 300 Telemetry Receivers (6 ch)
               (e) 90338          Biotel 300 Telemetry Receivers (8 ch)
               (f) 90407          Alpha PC Dual ECG/ESIS Module
               (g) 90408          Alpha PC Dual ECG Module
               (h) 90418          PC Dual ECG Adult/Neonatal Module
               (i) 90425          Integrated Multiparameter PCMS Module
                                  (Basic)
               (j) 90427          PC Multi-Lead ECG/ESIS Module and ST
                                  Seg. Anal.
               (k) 90428          Integrated Multiparameter PCMS Module
                                  (Basic + MLRM and VP)
               (l) 90432          Integrated Multiparameter PCMS Module
                                  (Basic + CO, HC, Dual Lead ECG).
               Recall #Z-171/182-6.
CODE           All units with the following defective software versions:
               Software Version 5.42.07 and/or prior (Models 90332, 90334,
               90335, 90336, 90338, 90407, 90408, 90418, and 90427.
               Software Version 1.42.07 and/or prior (Models 90425, 90428,
               and 90432).
MANUFACTURER   Spacelabs Medical, Inc., Chatsworth, California.
RECALLED BY    Spacelabs Medical, Inc., Redmond, Washington, by letter July
               20, 1995.  Firm-initiated recall ongoing.

                                    -5-DISTRIBUTION   Nationwide and international.
QUANTITY       12,601 were distributed.
REASON         Devices contain defective software, causing incorrect
               waveform display.

_______________
PRODUCT        Lambda Photometrics Q-Switched Ruby Laser System, used in
               dermatology.  Recall #Z-189-6.
CODE           None.
MANUFACTURER   Polytec PI, Inc., Auburn, Massachusetts.
RECALLED BY    Manufacturer.  FDA approved the firm's corrective action
               plan November 17, 1995.  Firm-initiated field correction
               ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       79 units
REASON         Noncompliance with performance for laser products in that
               the operator's manual lacked adequate calibration
               procedures.


RECALLS AND FIELD CORRECTIONS:  DEVICES -- CLASS III
======================
_______________
PRODUCT        Stratus II Prolactin Fluorometric Enzyme Immunoassay:
               (a) Catalog #B5700-53; (b) Catalog #B5700-53S.
               Recall #Z-161/162-6.
CODE           Lot numbers:  (a) KXPL-212/215; (b) KXPL-34S.
MANUFACTURER   Dade International, Inc., Miami, Florida.
RECALLED BY    Manufacturer, by letter sent on or about August 29, 1995. 
               Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       270 kits were distributed.
REASON         The labeling contains an incorrect Code 09 for the metric
               Assay Parameters, the correct code is 0.014.

_______________
PRODUCT        Abbott AxSYM System CK-MB Standard Calibrators, Master
               Calibrators and Controls used for calibration and
               verification of calibration of the AxSYM System when used
               for the microparticle enzyme immunoassay quantitative
               measurement of the MB isoenzyme of creatine kinase (CK-MB)
               in human serum or plasma to assist in the diagnosis of acute
               myocardial infarction:  (a) Catalog #7A57-01;
               (b) Catalog #7A57-30;  (c) Catalog #7A57-10.  
               Recall #Z-163/165-6.
CODE           Lot numbers:  (a) 09242M100; (b) 08375M400, 09245M100;
               (c) 08366M400.
MANUFACTURER   Abbott Laboratories, Abbott Park, Illinois.
RECALLED BY    Manufacturer, by telephone beginning October 6, 1995,
               followed by letters dated October 6, 1995.  Firm-initiated
               recall ongoing
DISTRIBUTION   Nationwide and international.

                                    -6-QUANTITY       194 standard calibrators, 104 master calibrators and 496
               controls were distributed; firm estimated that 50 percent of
               the product remained on the market at time of recall
               initiation.
REASON         The calibrators and controls were shipped under ambient
               temperature conditions instead of on dry ice, possibly
               resulting in a decrease in potency and an increase in the
               reported CK-MB value.

_______________
PRODUCT        Amplatz "Goose Neck" Snare Kit, including catheter:  
               (a) Catalog #GN500; (b) GN1000; (c) GN1500; (d) GN2500;
               (e) GN3500.  Recall #Z-183/187-6.
CODE           Lot numbers:  A2241 through A3923 and 1202 through 1361.
MANUFACTURER   Angion Corporation (now B. Braun), Plymouth, Minnesota
               (catheter)
RECALLED BY    Microvena Corporation, White Bear Lake, Minnesota, by letter
               October 2, 1995.  Firm-initiated recall ongoing.
DISTRIBUTION   Nationwide and international.
QUANTITY       3,869 units/kits were distributed.
REASON         The catheters within these snare kits degrade over time,
               becoming brittle.

_______________
PRODUCT        Alko Type 1 Buffer for AVL pH/Blood Gas Analyzers, serves as
               a calibrator for pH.  Recall #Z-190-6.
CODE           Catalog #A007-7, Lot #40816 EXP 8/96.
MANUFACTURER   Alko Diagnostic Corporation, Holliston, Massachusetts.
RECALLED BY    Manufacturer, by letter on January 26, 1995.  Firm-initiated
               recall complete.
DISTRIBUTION   Nationwide and international.
QUANTITY       846 units were distributed.
REASON         The pH value of the lot is outside the label declared value,
               which may cause measured pH values to be falsely depressed.

_______________
PRODUCT        Alko 7.382 Buffer for Corning 100 Series, used for
               calibrating pH/Blood Gas.  Recall #Z-191-6.
CODE           Catalog #A477-073, Lot #30615 EXP 6/97.
MANUFACTURER   Alko Diagnostic Corporation, Holliston, Massachusetts.
RECALLED BY    Manufacturer, by letter on December 2, 1993, followed by
               letter.  Firm-initiated recall complete.
DISTRIBUTION   Nationwide and international.
QUANTITY       686 units were distributed.
REASON         The pH value of the lot is outside the label declared value,
               which may cause measured pH values to be falsely depressed.

_______________
PRODUCT        Alko 7.3 Buffer for Corning 200 Series Analyzers, provides
               calibration points for the Na+,K+,C1-,Ca++, and pH Electrode
               as for Corning 200 Series Analyzers.
               Recall #Z-193-6.

                                    -7-CODE           Product #A478-855, Lot numbers:  40940 EXP 9/98, 41131 EXP
               11/98, 50119 EXP 1/99, 50244 EXP 2/99, 50314 EXP 3/99.
MANUFACTURER   Alko Diagnostic Corporation, Holliston, Massachusetts.
RECALLED BY    Manufacturer, by letter on February 24, 1995.  Firm-
               initiated recall complete.
DISTRIBUTION   Nationwide and international.
QUANTITY       1,706 units were distributed.
REASON         Bacteria caused the pH value to be outside the label
               declared value, which may cause measured pH values to be
               raised.


RECALLS AND FIELD CORRECTIONS:  VETERINARY PRODUCTS -- CLASS II
===========
_______________
PRODUCT        Radix Labs Milk Fever S, in 500 ml bottles, a sterile
               injectable calcium, phosphorus, magnesium and dextrose
               product for intravenous, intramuscular, subcutaneous or
               intraperitoneal administration as a treatment of milk fever
               in cattle.  Recall #V-001-6.
CODE           Lot R4E012 EXP 5/96.
MANUFACTURER   Radix Laboratories, Inc., Eau Claire, Wisconsin.
RECALLED BY    Manufacturer, by letter dated November 14, 1995.  Firm-
               initiated recall ongoing.
DISTRIBUTION   Illinois, Iowa, Minnesota, New York, New Jersey, Wisconsin.
QUANTITY       5,958 bottles were distributed.
REASON         Precipitates found in injectable parenteral product.

                                    -8-


END OF ENFORCEMENT REPORT FOR DECEMBER 6, 1995.  BLANK PAGES MAY
FOLLOW.

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