FEBRUARY 2001

WEEK ENDING FEBRUARY 2

 

PRODUCT: Medtronic BioMedicus Adult Femoral Cannula:

a) Bio-Medicus arterial percutanious cannula kits. 

b) Bio-Medicus arterial percutanious cannula kits. 

c) Bio-Medicus arterial percutanious cannula kits.

d) Bio-Medicus arterial percutanious cannula kits.

e) Bio-Medicus venous percutanious cannula kits. 

f) Bio-Medicus venous percutanious cannula kits. 

g) Bio-Medicus venous percutanious cannula kits. 

h) Bio-Medicus venous percutanious cannula kits. 

i) Bio-Medicus adult venous cannulae with introducer and 1/2 inch non-vented connector. 

j) Bio-Medicus adult venous cannulae with introducer and 1/2 inch non-vented connector. 

k) Bio-Medicus adult venous cannulae with introducer and 1/2 inch non-vented connector.

l) Bio-Medicus adult venous cannulae with introducer and 1/2 inch non-vented connector. 

CODE:

a) Product Code 96530-015; b) Product Code 96530-017; 

c) Product Code 96530-019; d) Product Code 96530-021;

e) Product Code 96600-015; f) Product Code 96600-017;

g) Product Code 96600-019; h) Product Code 96600-021;

i) Product Code 96370-023; j) Product Code 96370-025;

k) Product Code 96370-027; l) Product Code 96370-029.

MANUFACTURER: Medtronic Sterile Systems, Inc., Grand Rapids, MI.

DISTRIBUTION: US, Australia, Canada, Latin America, the Netherlands.

QUANTITY: 345 units in the US, 17 internationally, also affected are 893 units that remain under Medtronic control, total 1347.

REASON: Difficulty in inserting the recommended 0.038 inch guidewire into the tip end of the introducer.

 

PRODUCT: a) Zimmer Trilogy Acetabular System Eccentric Liner, 32mm I.D.,10 Degree Oblique Face for use with 70mm O.D. Shell, Catalog No. 00-6151-070-32. b Zimmer Trilogy Acetabular System Eccentric Liner, 32 mm I.D., 10 Degree Oblique Face for use with 72 mm O.D. Shell Catalog No. 00-6151-072-32,

CODE: a)Lot No. 35031200; b) Lot No. 35031300.

MANUFACTURER: Zimmer, Inc., Warsaw, IN.

DISTRIBUTION: Ohio, Illinois, Michigan, California, Maryland, Oregon, Florida and Arizona.

QUANTITY: 36 units manufactured, 32 units distributed (16 of each lot).

REASON: 70 mm liner inside a 72 mm package.

 

PRODUCT: a)Sensolog III Pulse Generator, Model No. 2033. b) Dialog II Pulse Generator, Model No. 2037.

CODE: Sensolog III model 2033 and Dialog II model 2037.  All serial numbers.

MANUFACTURER: Siemens-Elema AB Sweden.

RECALLED BY: St. Jude Medical, Inc., Sylmar, CA. 

DISTRIBUTION: Bethesda Naval Hospital in Bethesda, MD, VA facilities in AL, FL, GA, IA, ND, SC, TN.  To physicians nationwide.

QUANTITY: 367 active implants in US, plus 123 lost to follow-up.

REASON: A corrosion bridge forms across the feedthrough inside the battery resulting in a sudden decrease of cellvoltage.

 

PRODUCT: Cryovalve Allograft

CODE: a) Model No. AVOO, Serial Nos. 3803473, 6280099.  b) Model No. PVOO, Serial No. 3803465.

MANUFACTURER: Cryolife, Inc., Kennesaw, GA.

DISTRIBUTION: Portland, Or; Roslyn, NY, and Boston, MA.

QUANTITY: 3 valves.

REASON: Did not meet the current guidelines regarding serodilution of plasma because of the amount of transfused/ infused fluids administered.

 

PRODUCT: TheraSeed Palladium 103 (Pd-103) Seeds.

CODE: Model 200, Lot 0039D.

MANUFACTURER: Theragenics Corp., Norcross, GA.

DISTRIBUTION: CO, FL, IA, KY, LA, NJ, NY, PA, SD, TN, WA.

QUANTITY: 13

REASON: Improperly labeled Pd-103 sources may lead to inappropriate exposure of the patient to radiation with the potential for a misadministration of radiation therapy. 

 

PRODUCT: ION Implanted Femoral Bearing Head.

CODE: Lot 58486201.

MANUFACTURER: Howmedica Osteonics Corp, Allendale, NJ

DISTRIBUTION: Nationwide.

QUANTITY: 12

REASON: Package labeled as a 06-2800, Lot 58486201, Osteonics C-Taper + 0  Head actually contained a 06-28056201,Oseonics C-Taper + 5 Head.  

 

PRODUCT: Roche Creatinine Mira, Catalog No.3033414.

CODE: Lot No. A12071, Exp. September 2002.

MANUFACTURER: Raichem, division of Hemagen, San Diego, CA.

RECALLED BY: Roche Diagnostics Corporation, Indianapolis, IN

DISTRIBUTION: Nationwide.

QUANTITY: 2550 pieces.

REASON: Package insert, contained in the kit, was printed with an incorrect reagent volume for COBAS MIRA analyzers using software Version 8735. 

 

WEEK ENDING FEBRUARY 9

 

PRODUCT: Gelfoam Sterile Powder, 1 g jar; Gelfoam Sterile Sponge, Dental Pack - Size 4, Gelfoam Sterile Sponge, Size 2 cm and Size 12-7 mm.

CODE: All lots.

MANUFACTURER: Pharmacia Corporation, Kalamazoo, MI.

DISTRIBUTION: United States, Canada, United Kingdom, Japan, Aruba, Barbados, Bermuda, Curacao, Grand Cayman, Haiti, Jamaica, Puerto Rico, St. Lucia, Singapore, Ireland, Australia, Belgium, Egypt, Saudi Arabia, Jordan, Korea, New Zealand, Taiwan, Chile, Panama, Costa Rica, Brazil, and Cyprus.

QUANTITY: 1,505,802 units were distributed between 10/95 and 10/00.

REASON: Aluminum shavings or fragments from the lid liner of the jar.

 

PRODUCT: Model  Smoothlase Alexandrite Laser System. 

CODE: Serial Nos. 019 thru 023, 025-026, 028-029.

MANUFACTURER: Cooper Surgical of Shelton, CT.

DISTRIBUTION: NY, CA, VA, NJ, AR, ID and IL.

QUANTITY: 9 units

REASON: Lasers lacked certain required procedures and labels.

 

PRODUCT: I Stat Systems a)I Stat CG-4+, Catalog No. 220500, b) Abbott Laboratories, Catalog Nos. 7G02-01, 7G02-02. 

CODE: Abbott Lot Nos. P00263.00275, P00280.

MANUFACTURER: I-Stat Corp., Windsor, NJ.

DISTRIBUTION: Ohio, Tenn., Florida, Washington, D.C., Iowa, and Hong Kong, Singapore, Japan, and Australia

QUANTITY: 9100 cartridges.

REASON: The calibration fluid contained in most if not all cartridges in the three affected lots, has a low and out of specification concentration of lactic acid used to calibrate the lactate test.

 

PRODUCT: Rugged EZ-Pro 2, Model No. 6091 Ambulance Cots. 

CODE: All cots manufactured in the period August 14, 1999 to February 15, 2000.  The first four numbers of the serial number are 9908 through 9912, and 0001 and 0002.

MANUFACTURER: Stryker Medical, Kalamazoo, MI.      

DISTRIBUTION: United States and Canada, Naval Medical Clinic Portsmouth, NH, and Elmendorf AFB, AK.

QUANTITY: 172.

REASON: The device lock pin may not properly engage and therefore the cot may drop to the next lower level while transporting patients.

 

PRODUCT: Clearview Easy hCG Pregnancy Test.

CODE: Lot Nos. CE0029A, CE0031/1A, CE0033A.

MANUFACTURER: Carter Wallace Inc., Cranbury, NJ.

DISTRIBUTION: Nationwide.

QUANTITY: 805 kits.

REASON: Contaminant in a batch of pouching foil, which may affect the performance of this product. 

 

PRODUCT: Whisperflow 2-60 CPAP Generator (with Criterion 60 Pressure/Oxygen Monitor). 

CODE: Serial numbers: 0526000711-01 through 0526000711-09; 0526000809-01 through 0526000809-12; 0526000814-01 through 0526000814-12

MANUFACTURER: Caradyne, Ltd., Galway, Ireland.

RECALLED BY: Engineered Medical Systems, Inc., Indianapolis, IN

DISTRIBUTION: Nationwide.

QUANTITY: 29

REASON: The observed measured oxygen reading might be higher than that delivered to a patient. 

 

PRODUCT: Immulite 2000 Automated Immunoassay Analyzer Software Versions 1.6 and 1.61.  

CODE: None.

MANUFACTURER: DPC Cirrus, Inc., Randolph, NJ

DISTRIBUTION: Nationwide. There are 8 Government accounts.  The product was shipped internationally to Argentina, Australia, Austria, Brazil, Canada, Chile, China, Colombia, Costa Rica, Cyprus, Czech Republic, Denmark, Finland, France, Germany, Greece, India, Israel, Italy, Japan, Malaysia, Mexico, Netherlands, Norway, Pakistan, Poland, Portugal, Russia, Saudi Arabia, South Africa, South Korea, Spain, Sweden, Switzerland, Taiwan, Thailand, Turkey, UK, Venezuela.

QUANTITY: 962.

REASON: Software code is incorrect for manual dilutions in the Batch Tests by Rack, which could cause incorrect calculation of results.

 

PRODUCT: LiquiChem Liquid Reagent LD), Catalog No. 139-121 (USA), S1203 (International).

CODE: Lot No. 030004.

MANUFACTURER: Medical Analysis Systems, Inc., Camarillo, CA.

DISTRIBUTION: PA and MA, Internationally to Spain, England and Belgium.

QUANTITY: 50 kits.

REASON: Stability failure may not flag a lower LD-P result indicating a potential problem for the patient. 

 

PRODUCT: Lyphochek Anemia Control, Catalog Item 500.

CODE: Lot No. 43060.

MANUFACTURER: Bio-Rad Laboratories, Inc., Irvine, CA.

DISTRIBUTION: Nationwide, and Australia, Canada, France, Germany, Hong Kong, Italy, New Zealand, Sweden. Also U.S. Naval Medical Center Portsmouth VA and VA Medical Center Albuquerque NM.

QUANTITY: 8,580 Vials distributed (6 per box for 1,430 boxes).

REASON: Defective control may cause a slight increase in total variation (%CV and SD). 

 

WEEK ENDING FEBRUARY 16

 

PRODUCT: Electromyography (EMG) Monitor, Nerve Locator/Stimulator, Model No. 302L A3000, Recall #Z-149-1; Model No. 302P A3000

CODE:       

9910-1000   9909-1001   9910-1002   9910-1005

9910-1006   9910-1007   9911-1008   9911-1009

9911-1011   9912-1012   9912-1013   0001-1014

0003-1015   FJ960184    120                                   132             

134                                  137                                  142                                  144

166

MANUFACTURER: Neurosoft, Inc., El Paso, TX.

DISTRIBUTION: Missouri, New York, California, South Carolina, Texas, Ohio, Maryland, Minnesota, North Carolina, Canada, Egypt, and the United Kingdom.

QUANTITY: 21

REASON: The device violates the safety standard 601-1 identified in the pre-market approval. 

 

PRODUCT: Electromyography (EMG) Monitor, Nerve Locator/Stimulator Patient Interface for Model Nos. NIM2 and NIM2XL. 

CODE: 82-20201.

MANUFACTURER: Medtronic Xomed, Inc., Jacksonville, FL.

DISTRIBUTION: Nationwide and Hong Kong, Turkey, Singapore, Switzerland, Israel, Sweden, Ireland, Taiwan-Republic of China, Australia, France, Germany, Ontario-Canada, England and Osaka, Japan.

QUANTITY:  271.

REASON: The device may fail to indicate the existence of a nerve and result in permanent nerve damage from surgery, which would have a serious impact on the patient.  The device defect presents a moderate risk of severe adverse health consequences.

 

PRODUCT: Ohmeda Medical Two Mode Continuous Vacuum Regulators:

Model 67xx1225-9xx - 2 Mode Standard Clockwise Domestic;

Model 67xx1227-9xx - 2 Mode Low Clockwise Domestic; 

Model 67xx-1330-9xx - 2 Mode High Clockwise Domestic; 

Model 67xx-1230-9xx - 2 Mode High Counter-clockwise

International; Model 67xx-1233-9xx - 2 Mode Low Counter-clockwise International.

CODE: Serial Nos. GFHD 004234-GFHD 053409.

MANUFACTURER: Aeros Instruments, Inc., Gurnee, IL.

DISTRIBUTION: 52 hospitals nationwide, and 18 distributors in Saudi Arabia, Thailand, Kuwait, Canada, Germany, United Kingdom, Australia, Spain, Italy, Honduras, Hong Kong, Belgium, Japan, Malaysia, Ireland and Mexico.

QUANTITY: 818 units.

REASON: Continuous vacuum regulator is mislabeled.

 

PRODUCT: TheraSeed Palladium 103 (Pd-103) Seeds. 

CODE: Lots RP06N041A and RM02N008Q.

MANUFACTURER: Theragenics Corporation, Norcross, GA.

DISTRIBUTION: CO, CT, DE, FL, IL, IN, MA, OH, TN, WA, WV, WI.

QUANTITY: 12.

REASON: Substandard spacers may lead to difficulty during preparation and delivery of radiation therapy to the patient.

 

PRODUCT:

Neoprene Knee Support with Ova Pad;

Perforated Knee Splint;

3"Elastic Ankle Wrap;

Universal Pelvic Traction Belt;

Universal Abdominal Binder, 9";

Universal Rib Belt;

6" Rib Belt;

Clavicle Strap II;

Clavicle Strap - Self Adjusting;

Tennis Elbow Strap;

Universal Ambidextrous Wristlet;

CODE: All codes for products manufactured from 9/30/98 and 12/4/00

MANUFACTURER: DeRoyal Industries, Inc., Powell, TN.

DISTRIBUTION: Nationwide.  Austria, Ireland, United Kingdom, Portugal, Costa Rica, Sweden, El Salvador, Netherlands, Honduras, Saudi Arabia, Chile, Nairobe, Switzerland, Japan and New Zealand.  17 Canadian firms and 74 US government/military accounts.

QUANTITY: 402,742.

REASON: Undeclared natural rubber in the products. 

 

PRODUCT: High Temperature Power Handle.  Catalog No. HIT1. 

CODE: All codes distributed 3/1/2000 to 7/1/2000.

MANUFACTURER: Aaron Medical Industries, St. Peterburg, FL.     

DISTRIBUTION: Nationwide, and France, Finland, Canada, and Denmark.

QUANTITY: 125.

REASON: The descriptive labeling imprinted on the body of the device identifies it incorrectly as a "low temperature Power Handle."  The labeling of the device on the outer box correctly identifies the device as a "High Temperature Power Handle."

 

PRODUCT: Cellpack-GL, Catalog No. PGL-300A. 

CODE: PGL-300A.

MANUFACTURER: Sysmex Reagents America, Inc., Los Alamitos, CA

DISTRIBUTION: Nationwide.

QUANTITY: 918 - 20 Liter containers.

REASON: Reagent design deficiency provides too many false positive results.

 

PRODUCT: Tenure Dental Adhesive (DML-32). 

CODE: Lot No. 461156;

MANUFACTURER: Den-Mat Corp., Santa Maria, CA.

DISTRIBUTION: Canada.

QUANTITY: 17 units were recalled and destroyed at the distributor.

REASON: Dental adhesive lot failed the bond strength test prior to the expiration date of the product. 

 

PRODUCT: Virtuoso Flowable Light Cure Composite with Fluoride.         

CODE: Lot No. 407001D, Part No. 030381827.

MANUFACTURER: Den-Mat Corp., Santa Maria, CA

DISTRIBUTION: Nationwide.

QUANTITY: 565 syringes.

REASON: Lot failed the bond strength test prior to the expiration date of the product. 

 

WEEK ENDING FEBRUARY 23

 

PRODUCT: Vitros Immunodiagnostic Products  AFP Reagent;

Catalog No. 680 0784 AFP Reagent;

Catalog No. 680 0038 CA 125 II Reagent Pack;    

Catalog No. 680 0039 CA 15-3;

Catalog No. 189 6836 CK-MB Reagent Pack;

Catalog No. 107 4053 Cortisol Reagent Pack;

Catalog No. 835 6636 Ferritin Reagent Pack;

Catalog No. 138 7000 Free T4 Reagent Pack;

Catalog No. 193 1922 FSH Reagent Pack;

Catalog No. 135 0198 LH Reagent Pack;

Catalog No. 680 0030 NTx Reagent Pack;

Catalog No. 184 9743 Prolactin Reagent Pack;

Catalog No. 680 0269 Total B-hCG Reagent Pack.

CODE:   

(1) AFP, All lots below 5070;

(2) CA 125 II, all lots below 120;

(3) CA 15-3, all lots below 80;

(4) CK-MB, all lots 101;

(5) Cortisol, all lots below 81;

(6) Ferritin, all lots below 112;

(7) Free T4, all lots below 222;

(8) FHS, all lots below 130;

(9) LH, all lots below 101;

(10) NTx, all lots below 100;

(11) Prolactin, all lots below 102;

(12) Total B-hCG, all lots below 140.

MANUFACTURER: Ortho-Clinical Diagnostics, Inc., Rochester, NY.

DISTRIBUTION: Nationwide to 157 clinic and hospital laboratories, 26 Federal Government accounts (Contract V797P-6565A), and to 18 OCD/J&J Affiliates worldwide.

QUANTITY: 16,354 kits.

REASON: Defective microtiter wells in the various reagent packs.  Some wells were not coated with the binding agent (Streptavidin).

 

PRODUCT: Cryovalve Allograft; a) Model No. AV00, Serial No. 3874532; b) Model No. PV10, Serial No. 3874524.

CODE: a) Model No. AV00, Serial No. 3874532; b) Model No. PV10, Serial No. 3874524;

MANUFACTURER: Cryolife, Inc., Kennesaw, GA.

DISTRIBUTION: Pasadena, CA. And Omaha, NE.

QUANTITY: 2 valves.

REASON: Donor did not meet current guidelines regarding serodilution of plasma because of the amount of transfused/infused fluids administered. 

 

PRODUCT: Cryovalve Allograft; a) Model No. AV00, Serial No. 3958221; b) Model No. PV00, Serial No. 3958248.

CODE: a) Model No. AV00, Serial No. 3958221; b) Model No. PV00, Serial No. 3958248.

MANUFACTURER: Cryolife, Inc., Kennesaw, GA.

DISTRIBUTION: Milwaukee, WI. And Denver, CO.

QUANTITY: 2 valves.

REASON: Donor did not meet current guidelines regarding serodilution of plasma because of the amount of transfused/infused fluids administered. 

 

PRODUCT: Cryovalve Allograft, Model No. PV05, Serial No. 3945944. 

CODE: Model No. PV05, Serial No. 3945944.

MANUFACTURER: Cryolife, Inc., Kennesaw, GA.

DISTRIBUTION: Milwaukee, WI.

QUANTITY: 1 valve.

REASON: Donor did not meet current guidelines regarding serodilution of plasma because of the amount of transfused/infused fluids administered. 

 

PRODUCT: Cryovalve Allograft, Model No. AV05, Serial No. 3945936. 

CODE: Model No. AV05, Serial No. 3945936.

MANUFACTURER: Cryolife, Inc., Kennesaw, GA.

DISTRIBUTION: Cleveland, OH.

QUANTITY: 1 valve.

REASON: Donor did not meet current guidelines regarding serodilution of plasma because of the amount of transfused/infused fluids administered. 

 

PRODUCT: Cryovalve Allograft, Model No. PV00, Serial No. 3946096. 

CODE: Model No. PV00, Serial No. 3946096.

MANUFACTURER: Cryolife, Inc., Kennesaw, GA.

DISTRIBUTION: Tampa, FL.

QUANTITY: 1 valve.

REASON: Donor did not meet current guidelines regarding serodilution of plasma because of the amount of transfused/infused fluids administered.

 

PRODUCT: Florestore Flowable Composite with Fluoride Light Cure. 

CODE: Lot No. 407001C, Part No. 030381827.

MANUFACTURER: Den-Mat Corp., Santa Maria, CA.

DISTRIBUTION: Canada.

QUANTITY: 7

REASON: Lot failed the bond strength test prior to the expiration date of the product.