These included 17 CGMP warnings for drug products (including medical gases), four for active pharmaceutical ingredients, one for a biological, and 14 warnings to compounding pharmacies (reflecting the agency's continuing conflict with compounders) (see Table I).
Medical device operations, by comparison, received 73 official CGMP warnings during the year, and blood and blood-product producers were warned 8 times for CGMP shortcomings. (FDA issued the great majority of 2006's Warning Letters for false and misleading advertising, with about 100 citations, and a variety of food-processing problems, ranging from illegal drug residues in milk to errors in processing seafood.)
Nineteen FDA district offices issued 30 of the 36 pharmaceutical CGMP warnings (and 104 of the 117 overall medical CGMP letter). The New Jersey District Office issued four pharmaceutical CGMP warnings, more than any other office (though the Center for Drug Evaluation and Research in Rockville also issued four Warnings). The Cincinnati and Florida District Offices issued three citations each-all to compounding pharmacies.
See Table II for a chronological listing of pharmaceutical and device CGMP warning letters issued over the past year.
Theken Spine LLC
1/3/2006
Cincinnati District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5681d.htm
Haemacure Corporation
1/5/2006
Florida District Office
CGMP/medical devicemedical device
http://www.fda.gov/foi/warning_letters/g5692d.htm
Gambro Dasco S.p.a.
1/5/2006
Center/Devices and Radiological Health
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5687d.htm
CareFore Medical Incorporated
1/10/2006
Kansas City District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5690d.htm
National Genetics Institute
1/17/2006
Los Angeles District Office
CGMP/blood and blood components
http://www.fda.gov/foi/warning_letters/g5699d.htm
K & D Produce, Inc.
1/18/2006
Florida District Office
CGMP/blood and blood components
http://www.fda.gov/foi/warning_letters/g5722d.htm
International BioResources, LLC
1/20/2006
Minneapolis District Office
CGMP/blood and blood components
http://www.fda.gov/foi/warning_letters/g5698d.htm
ZLB Behring
1/24/2006
Kansas City District Office
CGMP/blood and blood components
http://www.fda.gov/foi/warning_letters/g5701d.htm
Boston Scientific Corporation
1/25/2006
New England District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5691d.htm
GAMBRO AB
2/13/2006
Denver District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5718d.htm
Southern Meds Joint Venture, LLC
2/15/2006
New Orleans District Office
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g5719d.htm
Oculus Optikgerate GmbH
2/21/2006
Center/Devices and Radiological Health
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5733d.htm
Wockhardt Ltd.
2/21/2006
Center/Drug Evaluation and Research
CGMP/active pharmaceutical ingredient
http://www.fda.gov/foi/warning_letters/g5793d.htm
MicroSurgical Technologies, Inc.
3/1/2006
Seattle District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5749d.htm
AJP Scientific, Inc.
3/2/2006
New Jersey District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5808d.htm
Community Blood Center of Greater Kansas City
3/9/2006
Kansas City District Office
CGMP/blood and blood components
http://www.fda.gov/foi/warning_letters/g5892d.htm
General Atomics
3/13/2006
Los Angeles District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5780d.htm
B. Braun Medical Inc.
3/15/2006
Philadelphia District Office
pharmacy compounding
http://www.fda.gov/foi/warning_letters/g5817d.htm
FRM Chemical, Inc.
3/16/2006
Kansas City District Office
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g5761d.htm
Agile Radiological Technologies, Inc.
3/17/2006
Cincinnati District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5783d.htm
In Vivo Metric Systems Corporation
3/17/2006
San Francisco District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5762d.htm
EEMSO, Inc.
3/30/2006
Dallas District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5791d.htm
EM Innovations, Inc.
4/1/2006
Cincinnati District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5794d.htm
Orthohelix Surgical Designs, Inc.
4/7/2006
Cincinnati District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5797d.htm
Ferno-Washington, Inc.
4/7/2006
Cincinnati District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5804d.htm
Cody Laboratories, Inc.
4/7/2006
Denver District Office
CGMP active pharmaceutical ingredient
http://www.fda.gov/foi/warning_letters/g5798d.htm
Neurotone Systems, Inc.
4/10/2006
Dallas District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5799d.htm
Resonance Technology, Inc.
4/13/2006
Los Angeles District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5806d.htm
Advanced Imaging Research, Inc.
4/20/2006
Cincinnati District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5828d.htm
TEFTEC Corporation
4/24/2006
Dallas District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5815d.htm
Carolina Liquid Chemisties Corporation
4/25/2006
Los Angeles District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5824d.htm
Minntech Corporation
4/25/2006
Minneapolis District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5831d.htm
HemaCare Corporation
4/27/2006
Los Angeles District Office
CGMP/blood and blood components
http://www.fda.gov/foi/warning_letters/g5833d.htm
Pliva Croatia Ltd.
4/28/2006
Center/Drug Evaluation and Research
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g5825d.htm
Tri-State Hospital Supply Corporation
5/3/2006
Atlanta District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5865d.htm
Aquarium Products
5/3/2006
Baltimore District Office
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g5874d.htm
Wyeth Pharmaceuticals Company
5/8/2006
San Juan District Office
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g5851d.htm
Therics, LLC
5/15/2006
New Jersey District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5852d.htm
ESKA Implants GmbH & Co.
5/16/2006
Center/Devices and Radiological Health
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5882d.htm
Tek Marketing, Inc.
5/22/2006
Philadelphia District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5893d.htm
Westone Laboratories, Inc.
5/22/2006
Seattle District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5856d.htm
Quality Aspirators, Inc.
5/23/2006
Dallas District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5860d.htm
Smiths Group Plc.
5/24/2006
Center/Devices and Radiological Health
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5862d.htm
Restorative Health Services, Inc.
5/30/2006
New Orleans District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5864d.htm
Neil Laboratories Inc.
5/31/2006
New Jersey District Office
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g5878d.htm
Dux Industries Inc.
6/1/2006
Los Angeles District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5888d.htm
Visionary Contact Lens, Inc.
6/1/2006
Los Angeles District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5879d.htm
Electric Mobility Corporation
6/1/2006
New Jersey District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5887d.htm
Tri-State Hospital Supply Corporation
6/2/2006
Detroit District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5871d.htm
Gaymar Industries, Inc.
6/8/2006
New York District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5895d.htm
Vapotherm, Inc.
6/12/2006
Baltimore District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5890d.htm
Ranbaxy Laboratories Limited
6/15/2006
Center/Drug Evaluation and Research
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g5897d.htm
Watson Laboratories Caribe, Inc.
6/19/2006
San Juan District Office
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g5918d.htm
International BioResources LLC
6/22/2006
Dallas District Office
CGMP/blood and blood components
http://www.fda.gov/foi/warning_letters/g5902d.htm
Guilin Pharmaceutical Corporation, Limited
6/23/2006
Center/Veterinary Medicine
CGMP active pharmaceutical ingredient
http://www.fda.gov/foi/warning_letters/g5898d.htm
Sanofi Pasteur
6/30/2006
Office of Enforcement
CGMP/biologicals
http://www.fda.gov/foi/warning_letters/g5899d.html
Pro Trainers Choice Company, Inc.
7/3/2006
Seattle District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5933d.htm
International Biophysics Corporation
7/10/2006
Dallas District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5937d.htm
Care Products Inc.
7/10/2006
Dallas District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5939d.htm
Concord Laboratories, Inc.
7/11/2006
New Jersey District Office
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g5973d.htm
Cardiac Science Corporation
7/11/2006
Minneapolis District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5947d.htm
Ultrasonic Services, Inc.
7/17/2006
Dallas District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5941d.htm
Teleflex Inc.
7/20/2006
Atlanta District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5966d.htm
Medisurg Research & Management Corporation
7/20/2006
Philadelphia District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5985d.htm
Sheffield Laboratories, Div. of Faria Limited, LLC
7/24/2006
New England District Office
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g5960d.htm
Safeway Industries
7/27/2006
Minneapolis District Office
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g5967d.htm
BioGenex Laboratories
7/27/2006
San Francisco District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5961d.htm
Wallach Surgical Devices, Inc.
8/3/2006
New England District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5999d.htm
Sonotech, Incorporated
8/8/2006
Seattle District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5988d.htm
Rotech Healthcare, Inc
8/9/2006
Cincinnati District Office
CCS Medical
8/9/2006
Florida District Office
pharmacy compounding
http://www.fda.gov/foi/warning_letters/g5963d.htm
Rotech Healthcare, Inc.
8/9/2006
Cincinnati District Office
pharmacy compounding
http://www.fda.gov/foi/warning_letters/g5964d.htm
CCS Medical
8/9/2006
Florida District Office
pharmacy compounding
http://www.fda.gov/foi/warning_letters/g5974d.htm
Pascal Company, Inc.
8/9/2006
Seattle District Office
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g5990d.htm
Pointe Scientific Inc.
8/11/2006
Detroit District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g5991d.htm
The Service Center
8/17/2006
Chicago District Office
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g5993d.htm
Command Medical Products
8/17/2006
Florida District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6001d.htm
Chien Ti Enterprise Co., Ltd.
8/28/2006
Center/Devices and Radiological Health
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6004d.htm
LGS Technologies, LP
8/29/2006
Dallas District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6009d.htm
Medtronic, Inc.
8/29/2006
Minneapolis District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6010d.htm
Terumo Cardiovascular Systems
8/31/2006
Detroit District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6011d.htm
Frye Health Systems, Inc.
8/31/2006
Dallas District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6013d.htm
Biolase Technology, Inc.
9/5/2006
Los Angeles District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6016d.htm
Smith Medical Critical Care, Inc.
9/5/2006
Cincinnati District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6019d.htm
Hawkins, Inc.
9/8/2006
Minneapolis District Office
CGMP/active pharmaceutical ingredient
http://www.fda.gov/foi/warning_letters/g6022d.htm
Matheson Tri-Gas, Inc.
9/12/2006
Dallas District Office
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g6127d.htm
Matheson Tri-Gas, Inc.
9/12/2006
Dallas District Office
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g6096d.htm
Dialysis Services, Inc.
9/15/2006
New Orleans District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6058d.htm
Thermoplastic Comfort Systems, Inc.
9/21/2006
Los Angeles District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6041d.htm
Berkline, LLC
9/21/2006
New Orleans District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6033d.htm
Radiometer Medical Aps
9/27/2006
Center/Devices and Radiological Health
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6156d.htm
EP Medsystems
9/27/2006
New Jersey District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6097d.htm
Banner Pharmacaps, Inc.
9/28/2006
Atlanta District Office
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g6061d.htm
International Brachytherapy s.a.
10/11/2006
Center/Devices and Radiological Health
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6054d.htm
Radiometer America, Inc.
10/12/2006
Cincinnati District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6087d.htm
Patterson Technology Center, Inc.
10/24/2006
Chicago District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6102d.htm
Memorial Medical Center
10/24/2006
Minneapolis District Office
CGMP/blood and blood components
http://www.fda.gov/foi/warning_letters/g6101d.htm
Pharmacy Creations
10/31/2006
New Jersey District Office
pharmacy compounding
http://www.fda.gov/foi/warning_letters/g6168d.htm
Wedgewood Village Pharmacy
10/31/2006
New Jersey District Office
pharmacy compounding
http://www.fda.gov/foi/warning_letters/g6167d.htm
Bausch & Lomb
10/31/2006
Atlanta District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6107d.htm
Dr. Steven K. Sue, D.D.S., M.S., Inc.
10/31/2006
San Francisco District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6108d.htm
M & S Acquisition
11/1/2006
Cincinnati District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6115d.htm
Perkins Electronics Company
11/2/2006
Dallas District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6116d.htm
Gyrus ENT, LLC
11/13/2006
New Orleans District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6122d.htm
Trionix Research Laboratory, Inc.
11/21/2006
Cincinnati District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6139d.htm
Dupaco, Inc.
11/21/2006
Los Angeles District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6148d.htm
Health Dimensions, Inc.
11/27/2006
Detroit District Office
pharmacy compounding
http://www.fda.gov/foi/warning_letters/g6150d.htm
Skytron
11/29/2006
Detroit District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6153d.htm
Spoonamore Drug Co., Inc.
12/1/2006
Cincinnati District Office
pharmacy compounding
http://www.fda.gov/foi/warning_letters/g6154d.htm
Customs Scripts Pharmacy
12/4/2006
Florida District Office
pharmacy compounding
http://www.fda.gov/foi/warning_letters/g6145d.htm
New England Compounding Center
12/4/2006
New England District Office
pharmacy compounding
http://www.fda.gov/foi/warning_letters/g6147d.htm
Triangle Compounding Pharmacy
12/4/2006
Atlanta District Office
pharmacy compounding
http://www.fda.gov/foi/warning_letters/g6144d.htm
Hal's Compounding Pharmacy, Inc.
12/4/2006
Center/Drug Evaluation and Research
pharmacy compounding
http://www.fda.gov/foi/warning_letters/g6146d.htm
University Pharmacy
12/4/2006
Denver District Office
pharmacy compounding
http://www.fda.gov/foi/warning_letters/g6143d.htm
Nasiff Associates, Inc.
12/8/2006
New York District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6178d.htm
MRL Inc.
12/8/2006
Chicago District Office
CGMP/medical device
http://www.fda.gov/foi/warning_letters/g6173d.htm
Quick-Fill Mobile Oxygen, Inc.
12/8/2006
New Orleans District Office
CGMP/finished pharmaceuticals
http://www.fda.gov/foi/warning_letters/g6172d.htm