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Wednesday, May 4, 2011

Venus Pharmaceuticals International, Inc. 5/4/11

  

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

Public Health Service
Food and Drug Administration
 

New York District
158-15 Liberty Avenue
Jamaica, NY 11433 


WARNING LETTER NYK-2011-10


May 4, 2011


VIA UPS


Mr. Bharat Kakumanu, CEO
Venus Pharmaceuticals International, Inc.
55-A Kennedy Drive
Hauppauge, NY 11788


Dear Mr. Kakumanu:


On August 16-19, 2010, the U.S. Food and Drug Administration (FDA) inspected your dietary supplement manufacturing and repacking facility located at 55-A Kennedy Drive, Hauppauge, New York. Our investigators found serious violations of the Current Good Manufacturing Practice (CGMP) regulation for dietary supplements, Title 21, Code of Federal Regulations, Part 111 (21 CFR Part 111).


These violations cause your dietary supplements identified below to be adulterated within the meaning of Section 402(g)(1) of the Federal Food, Drug and Cosmetic Act (the Act) [21 U.S.C. § 343(g)(1)] because the dietary supplements have been prepared, packed or held under conditions that do not meet the CGMP regulations for dietary supplements in 21 CFR Part 111. You may find the Act and the CFR through links in FDA's home page at www.fda.gov.


Your significant violations are as follows:


1. Your firm did not prepare and follow a written master manufacturing record for each unique formulation of dietary supplement that you manufacture, and for each batch size, to ensure uniformity of each finished batch, as required by 21 CFR 111.205(a).


For example, you did not have master manufacturing records for the following dietary supplements manufactured by your firm: Miracle Reds Blend, Batch #1007004, Super Fruits and Green, Batch #1006011, and Superior Joint Powder, Batch #1005016 [21 CFR 111.205(a)].


We received your response to the FDA-483 on September 21, 2010. Your response included what your firm now maintains as Master Manufacturing Records for the Venus Pharmaceuticals dietary supplements listed above. However, your response is inadequate because your Master Manufacturing Records lack the following information required by 21 CFR 111.210:


• A complete list of components to be used [21 CFR 111.210(b)];
• An accurate statement of the weight or measure of each component to be used [21 CFR 111.210(c)];
• The identity and weight or measure of each dietary ingredient that will be declared on the Supplement Facts Panel and the identity of each ingredient that will be declared on the ingredient list of the dietary supplement [21 CFR 111.210(d)];
• The expected yield when you finish manufacturing the dietary supplement, including the maximum and minimum percentages of theoretical yield beyond which a deviation investigation of a batch is necessary and material review is conducted and disposition decision is made [21 CFR 11.210(f)]; and
• A description of packaging and a representative label or a cross-reference of the physical location of the actual or representative label [21 CFR 111.210(g)].
 

2. Your firm's batch production records do not include complete information relating to the production and control of each batch, as required by 21 CFR 111.255(b). For example, the batch record for our Miracle Reds Blend, Batch # 1007004 lacks the following information, which is required by 21 CFR 111.260:


• The identity of equipment and processing lines used in producing the batch [21 CFR 111.260(b)];
• The unique identifier assigned to each component used in the manufacturing of the dietary supplement; and the unique identifier assigned to the packaging and label used for repacking product received by your supplier [21 CFR 111.260(d)];
• Documentation at the time of performance of packaging and labeling operations [21 CFR 111.260(k)]; and reviewed the batch production record [21 CFR 111.260(k)(1)(1)].


Your September 21, 2010 response included documentation of what you now use for your batch production records; however the batch production records you provided are still inadequate. In addition to failing to include the above mentioned information, which is required to be included in your batch production records, such records are not specific to any product. While you have the fields for information, the fields must be filled in with all the necessary information for the specific production batch that is being manufactured.


3. Your firm failed to verify that your finished batch of dietary supplements meet product specifications for purity, strength, and composition, and for limits on those types of contamination that may adulterate, or that may lead to adulteration, of the finished batch, as required by 21 CFR 111.75(c). Specifically, your firm did not verify that such finished product specifications were met for the Miracle Reds Blend, Batch # 1007004,
 

Super Fruits and Greens, Batch #1006011, and Superior Joint Powder, Batch #1005016. You may verify that these specifications are met by testing or examining every finished batch or a subset of finished batches for each of the dietary supplements you manufacture [21 CFR 111.75(c)]. However, your firm did not conduct finished product testing to verify that established product specifications were met for these finished dietary supplement products.


Your September 21, 2010 response states that your firm has implemented "finished product testing procedures" for your dietary supplements and included a blank form labeled "Finished Product QC Report." Your response is inadequate because the documentation that you provided does not outline the actual test that you will perform or the specifications that the finished products will need to meet.


4. Your firm did not conduct at least one appropriate test or examination to verify the identity of a component that is a dietary ingredient, as required by 21 CFR 111.75(a)(1). Specifically, your firm did not conduct identification testing for the dietary ingredients used in the Miracle Reds Blend Batch # 1007004, the Miracle Reds Blend, Batch #1007004, Super Fruits and Greens, Batch #1006011, and Superior Joint Powder, Batch #1005016. Before using a component that is a dietary ingredient, you must conduct at least one appropriate test or examination to verify the identity of any component that is a dietary ingredient, unless you have petitioned FDA for an exemption from such testing, consistent with the requirements in 21 CFR 111.75(a)(1)(ii), and FDA has granted such petition. As of April 8, 2011, your firm has not petitioned FDA for such an exemption.


Your September 21, 2010 response states that you have implemented procedures to test the raw materials used in your dietary supplement products and included a blank form labeled "Raw Material Identification QC Report." However, your response is inadequate because your documentation fails to show the testing that your firm has implemented. Submitting just the form that you intend to use does not adequately address the violation.


5. Your firm did not establish written procedures for laboratory operations, as required by 21 CFR 111.303. More specifically, you have not established written procedures for the tests and examinations conducted to determine whether component, in-process and finished dietary supplement specifications are met.


Your September 21, 2010 response states that your firm has established "written procedures for tests and examinations conducted to determine whether the specifications were met," and it references SOP No. QMS-035. But, it appears that this SOP was submitted in error because this SOP describes your "Deviation Report System" and not your written procedures for laboratory operations. It appears that SOP No. LAB-065 would be more appropriate to address the above violation; however, this SOP is lacking because it fails to outline the specific laboratory tests that you plan to conduct, and how those tests demonstrate that specifications have been met.


6. Your firm did not establish written procedures for the responsibilities of your firm's quality control operations, as required by 21 CFR 111.103.


Your September 21, 2010 response states that you have established written procedures for quality control operations; however your response is inadequate. The SOPs provided in support of your response fail to provide detailed actions for which the quality control unit will be responsible.


This letter is not an all-inclusive list of violations at your facility. It is your responsibility to ensure that your firm and the products you market comply with the Act and its implementing regulations.


Failure to promptly correct the violations specified above may result in enforcement action without further notice. Enforcement action may include seize of violative products and/or injunction against the manufacturers and distributors of violative products.


In addition, we note:


1. Your firm failed to establish written procedures for calibrating instruments and controls that you use in manufacturing or testing a component or dietary supplement, as required by 21 CFR 111.25(a).


Your September 21, 2010 response, which states that your firm has established written procedures for calibration of measuring scales, references SOP No. MAN-100; however that SOP is inadequate. While the SOP addresses when the instruments should be calibrated, it does not provide specific instructions on how to perform the calibrations.


2. You firm failed to make and keep records of the written procedures for packaging and labeling operations, as required by 21 CFR 111.430(b).


Your September 21, 2010 response, which states that your firm has established written procedures for packaging and labeling, references SOP No. Man-055; however there is nothing in the SOP that actually addresses the packaging and labeling process for your dietary supplements. Instead, that SOP covers procedures for line clearance, line opening, and line cleaning.


3. Your firm failed to make and keep written procedures to ensure that each person engaged in the manufacturing, packaging, labeling, or holding, or in performing any quality control operations, must have the education, training, or experience to perform the person's assigned functions, as required by 21 CFR 111.14(b)(1) and 111.12(c). Specifically, your firm has not developed written training procedures for personnel engaged in manufacturing, packaging, and labeling your dietary supplements.
 

Your September 21, 2010 response, which states that your firm has established written training procedures, references SOP No. Man-095; however your response is inadequate. That SOP only addresses some GMP training. It fails to outline all other trainings necessary for your operation as well as the documentation you will use to keep track of the employees that have completed their training.


Please advise this office in writing within 15 days from your receipt of this letter of the specific steps you have taken to correct the violations noted above and to ensure that similar violations do not occur. Your response should include any documentation necessary to show that correction has been achieved. If you cannot complete all corrections before you respond, state the reason for the delay and the date by which you will complete the corrections.


Please send your reply to the Food and Drug Administration, Attention: Kristen C. Jackson. If you have questions regarding any issues in this letter, please contact Kristen Jackson at 718-662-5711.


Sincerely,

/S/
Ronald Pace
District Director
New York District

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Southeast Asian Food Product 5/4/11

  

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

Public Health Service
Food and Drug Administration
 
San Francisco District
1431 Harbor Bay Parkway
Alameda, CA 94502-7070
Telephone: 510/337-6700 

 WARNING LETTER

 
                                   
VIA UNITED PARCEL SERVICE                                                                     
 
Our Reference: FEI 3005339127
 
May 4, 2011
 
Kevin T. Trieu, Owner
Southeast Asian Food Product
1166 Shafter Avenue #B
San Francisco, California 94124
 
Dear Mr. Trieu:
 
We inspected your seafood processing facility, located at 1166 Shafter Avenue #B, San Francisco, California, on December 27, 28, 31, 2010 and January 4, 7, 14, 2011. We found that you have serious violations of the seafood Hazard Analysis and Critical Control Point (HACCP) regulation, Title 21, Code of Federal Regulations, Part 123 and the Current Good Manufacturing Practice regulation for foods, Title 21, Code of Federal Regulations, Part 110 (21 CFR 123 & 110). In accordance with 21 CFR 123.6(g), failure of a processor of fish or fishery products to have and implement a HACCP plan that complies with this section or otherwise operate in accordance with the requirements of Part 123, renders the fish or fishery products adulterated within the meaning of Section 402(a)(4) of the Federal Food, Drug, and Cosmetic Act (the Act), 21 U.S.C. § 342(a)(4). Accordingly, your refrigerated, vacuum packaged, ready-to-eat fish cakes and refrigerated ready-to-eat fish balls are adulterated, in that they have been prepared, packed, or held under insanitary conditions whereby they may have been rendered injurious to health. You may find the Act, the seafood HACCP regulation and the Fish and Fisheries Products Hazards & Controls Guidance through links in FDA's home page at www.fda.gov.
 
We acknowledge receipt of your revised HACCP plan, dated 1/23/11, for your fish cake and blank monitoring records, in response to the FDA 483 List of Observation. Your response to the current inspection does not adequately address the deviations observed. The deviations listed in the warning letter related to your fish cake products are based on our evaluation of your revised HACCP plan. We recommend that you consider hiring a qualified consultant who has successfully completed training in the application of seafood HACCP principles to assist you in preparing and implementing a written HACCP plan.  
 
Your serious deviations, which were noted upon further review of your HACCP plans, are as follows:
 
1. You must conduct a hazard analysis to determine whether there are food safety hazards that are reasonably likely to occur and have a HACCP plan that, at a minimum, lists the critical control points to comply with 21 CFR 123.6(a) and (c)(2). A critical control point is defined in 21 CFR 123.3(b) as “a point, step, or procedure in a food process at which control can be applied, and a food safety hazard can as a result be prevented, eliminated, or reduced to acceptable levels.”
 
a. However, your firm’s revised HACCP plan for “Fish Cakes”, dated 1/23/11, fails to list the critical control point for the product formulation during the mixing and blending of the ingredients, to control Clostridium botulinumtoxin formation in the finished product fish cake, necessary to consistently achieve a water activity of less than 0.97. If you select not to use product formulation as a method for controlling Clostridium botulinum growth and toxin formation, your firm will need to implement additional assurances for product safety, such as the use of time and temperature integrators on each product package. We note that this revised plan includes a storage critical temperature limit of (b)(4), however, this alone is not adequate as a control method for products that are packaged in oxygen impermeable films since there is no assurance that the products will be continuously maintained at or below (b)(4) for the duration of the product’s shelf life.
 
b. However, your firm’s HACCP plan for “Fish Ball,” dated 9/29/08, fails to list the critical control point of Cooling After Cooking to control pathogen growth and toxin formation, for example, Staphylococcous aureus toxin formation. 
 
2. You must have a HACCP plan that at a minimum, lists the critical limits that must be met, to comply with 21 CFR 123.6(c)(3). A critical limit is defined in 21 CFR 123.3(c) as “the maximum or minimum value to which a physical, biological, or chemical parameter must be controlled at a critical control point to prevent, eliminate, or reduce to an acceptable level the occurrence of the identified food safety hazard.” However, your firm’s HACCP plan for “Fish Cake” lists a critical limit (b)(4) at the Cooling critical control point that is not adequate to control pathogen growth and toxin formation. Specifically, your HACCP plan does not list a combination of product internal temperature and the length of time between the end of the cooking step and packaging and labeling step. If the product is held at internal temperatures above 70°F during processing, FDA recommends that exposure times be limited to two hours (three hours if Staphylococcus aureus is the only pathogen of concern). On January 7, 2011, the FDA investigator observed that after frying, the fish cakes were placed on (b)(4). These fish cakes were then cooled down for (b)(4) on them directly with a (b)(4). To the FDA, the use of the (b)(4) and the (b)(4) is considered significant handling of the cooked fish cakes. The cumulative time/temperature exposure to unrefrigerated conditions should be calculated from the time the product is first handled after cooking.
 
3. You must have a HACCP plan that, at a minimum, lists monitoring procedures and their frequency for each critical control point, to comply with 2 CFR 123.6(c)(4).
 
a. However, your firm’s HACCP plan for “Fish Cake” lists a monitoring procedure of (b)(4) at a frequency of (b)(4) at the Cold Storage critical control point that is not adequate to control pathogen growth and Clostridium botulinum toxin formation. Intermittent temperature checks do not provide any information related to temperatures between the checks, which in your case could include up to (b)(4) hours between checks.  FDA recommends using a digital time/temperature data logger or a recorder thermometer with continuous monitoring of the cooler temperature by the instrument itself, with visual check of the monitoring instrument at least once per day.
 
b. However, your firm’s HACCP plan for “Fish Ball” lists a monitoring procedure of (b)(4) at a frequency of (b)(4) at the Cold Storage critical control point that is not adequate to control pathogen growth and toxin. As discussed above, intermittent temperature checks do not provide any information related to the temperatures between those checks.
 
4. You must implement the monitoring procedures and frequencies that you have listed in your HACCP plan, to comply with 21 CFR 123.6(b) and (c)(4). However, between September 18, 2010 and December 27, 2010, your firm manufactured fish cakes and fish balls but you did not monitor and keep records of the cooler temperature. On January 14, 2011, during the closeout meeting with FDA, your production assistant confirmed to the FDA investigator your firm failed to implement the monitoring procedures for the finished products cold storage (b)(4) between September 18 and December 27, 2010. In addition, your firm did not monitor the temperature of the cold storage (b)(4) at the frequencies (b)(4) specified in your HACCP plan for fish balls.
 
5. You must take an appropriate corrective action when a deviation from a critical limit occurs, to comply with 21 CFR 123.7(d). However, your firm did not take an appropriate corrective action to control pathogen growth and Clostridium botulinum toxin formation when your cooler temperature (b)(4) deviated from your critical limit at the “Cold Storage” critical control point. Specifically, your temperature recording chart for the week dated July 14, 2010, shows that the cooler temperature was at 45°F for three days from approximately (b)(4) Your firm exceeded your critical limit at the Cold Storage critical control point but there were no records to show that a corrective action was taken.
 
6. Because you chose to include corrective actions in your HACCP plan, your described corrective actions must be appropriate, to comply with 21 CFR 123.7(b).
 
a. However your corrective action plan for Fish Cake at the Cold Storage critical control point to control pathogen growth and Clostridium botulinum toxin formation is not appropriate. Your HACCP plan lists (b)(4) Your corrective action does not ensure that adulterated product does not enter commerce and that the cause of the deviation is corrected. Similarly, your corrective action plan listed in your “Fish Ball” HACCP plan at the Cold Storage critical control point to control pathogen growth is also not appropriate.
 
b. In addition, your corrective actions listed in your HACCP plans for “Fish Cakes” and “Fish Ball”at the “Packaging and Labeling” critical control points are not adequate (i.e., to control the hazard of undeclared allergens). (b)(4) does not correct the cause of the deviation. Your firm should also ensure that no products were distributed with the incorrect labels, prior to the review step.
 
We may take further action if you do not promptly correct these violations. For instance, we may take further action to seize your product(s) and/or enjoin your firm from operating.
 
Additionally, your firm’s HACCP plan for “Fish Ball” lists a critical limit (b)(4) at the Cold Storage critical control point that is not adequate to control pathogen growth and toxin formation. FDA recommends that the temperature of the finished product cooler be held at 40°F or below. In addition, we note that your HACCP plan (b)(4) for information related to the “Method of Storage and Distribution.” This information should also be corrected.
 
You should respond in writing within fifteen (15) working days from your receipt of this letter. Your response should outline the specific things you are doing to correct these violations. You should include in your response documentation such as HACCP and verification records, or other useful information that would assist us in evaluating your corrections. If you cannot complete all corrections before you respond, you should explain the reason for your delay and state when you will correct any remaining violations.
 
This letter may not list all the violations at your facility. You are responsible for ensuring that your processing plant operates in compliance with the Act, the seafood HACCP regulation (21 CFR Part 123) and the Current Good Manufacturing Practice regulation (21 CFR Part 110). You also have a responsibility to use procedures to prevent further violations of the Act and all applicable regulations.
 
Please send your reply to the U. S. Food and Drug Administration, Attention: Ms. Darlene Almogela, Director, Compliance Branch, 1431 Harbor Bay Parkway, Alameda, CA 94502-7070. If you have questions regarding any issues in this letter, please contact Ms. Figueroa, Compliance Officer, at (510) 337-6795.
 
 
Sincerely,
/S/ 
Barbara J. Cassens
District Director
San Francisco District
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God's Garden Pharmacy 5/4/11

  

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

Public Health Service
Food and Drug Administration
 

Los Angeles District
19701 Fairchild
Irvine, California 92612-2506
Telephone (949) 608-2900
Fax  (949) 608-4415

WARNING LETTER

CERTIFIED MAIL
RETURN RECEIPT REQUESTED

           
W/L 39-11

May 4, 2011          

Mr. Valentin Horvath, Owner
God’s Garden Pharmacy
8280 Clairemont Mesa Blvd Suite 140
San Diego, CA  92111-1709

Dear Mr. Horvath:

On January 14, 18, and 20 of 2011 the U.S. Food and Drug Administration (FDA) inspected your facility located at 8280 Clairemont Mesa Blvd Suite 140, San Diego, California. Your firm manufactures, packages, labels, and holds dietary supplements. The inspection identified a number of significant violations of the Current Good Manufacturing Practice (CGMP) regulations for Dietary Supplements, Title 21, Code of Federal Regulations (CFR), Part 111.

The inspection revealed that your dietary supplement products manufactured in your facility are adulterated within the meaning of Section 402(g)(1) of the Federal Food, Drug, and Cosmetic Act (the Act) [21 U.S.C. 342(g)(1)] in that the dietary supplements have been prepared, packed, or held under conditions that do not meet CGMP regulations for dietary supplements. These observations were presented to you in an FDA-483 at the conclusion of our inspection on January 20, 2011. During the inspection, our investigators also collected labels for your products. Based on our review of these labels, your Quick Action Slim Tea, Prostate Comfort, Cholesterol Tea, and Diabetina Sugar Balance Tea products are misbranded under section 403 of the Act [21 U.S.C. § 343]. 

You may find the Act and FDA regulations through links at FDA’s home page at http://www.fda.gov

The inspection revealed the following violations:

1. Your firm failed to prepare and follow a written master manufacturing record (MMR) for each unique formulation of a dietary supplement that you manufacture, and for each batch size, to ensure uniformity in the finished batch from batch to batch, as required by 21 CFR 111.205(a).  Our investigators found that you did not prepare an MMR for any of your products.

2. Your firm failed to prepare a batch production record every time you manufacture a batch of dietary supplement, as required by 21 CFR 111.255(a).  Our investigators found that no batch production records were prepared.

3. Your firm failed to establish and follow written procedures for the responsibilities of the quality control operations, including written procedures for conducting a material review and making a disposition decision, and for approving or rejecting any reprocessing, as required by 21 CFR 111.103. Our investigators found that your firm did not have written procedures for the responsibilities of your quality control operations. 

4. Your firm failed to make and keep records of the written procedures for cleaning the physical plant and pest control, as required by 21 CFR 111.23(b).  Our investigators found that no such records were made.

5. Your firm failed to provide hand-washing facilities that are designed to ensure that an employee's hands are not a source of contamination of components, dietary supplements, or any contact surface, by providing facilities that are adequate, convenient, and furnish running water at a suitable temperature, as required by 21 CFR 111.15(i). Specifically, your hand washing sinks in the restroom and processing area failed to supply hot water.

Your January 26, 2011 response states that you are in the process of preparing written procedures and records to comply with CGMP requirements and that you will restore hot water to your hand-washing facilities. Your response is inadequate because it does not contain documentation that the corrections have occurred.

Misbranding

1. Your Prostate Comfort, Cholesterol Tea, Quick Action Slim Tea, and Diabetina Sugar Balance Tea products are misbranded under sections 403(q)(5)(F) and 403(s) of the Act [21 U.S.C. § § 343(q)(5)(F) and 343(s)].  Specifically:

• Your Prostate Comfort product is misbranded in that the label did not present nutrition information in a panel titled “Supplement Facts.” [21 U.S.C. 343(q)(5)(F) and 21 CFR 101.36(e)(1)].

• Your Cholesterol Tea product is misbranded in that the label declares Calcium 2.9 mg with an RDI of <1%.  However, because the RDI for this dietary ingredient is less than 2%, it may not be declared [21 U.S.C. 343(q)(5)(F) and 21 CFR 101.36(b)(2)].

• Your Quick Action Slim Tea, Prostate Comfort, Cholesterol Tea, and Diabetina Sugar Balance Tea are misbranded in that their labels fail to identify a part of the plant from which an ingredient is derived in the ingredient statement or in the nutrition label [21 U.S.C. 343(s)(2)(C) and 21 CFR 101.36(d)(1)].

• Your Prostate Comfort product is misbranded in that the label fails to identify the product using the term “dietary supplement” or the name of the dietary ingredient, consistent with the requirements in 21 U.S.C. 343(s)(2)(B) and 21 CFR 101.3(g). A dietary supplement must be identified by the term “dietary supplement” as part of the product’s statement of identity, except that the word “dietary” may be deleted and replaced by the name of the dietary ingredient in the product (see 21 CFR 101.3(g)).

This letter is not an all-inclusive list of violations at your facility. It is your responsibility to ensure that your establishment and the products you market comply with the Act and its implementing regulations. Failure to promptly correct the violations specified above may result in enforcement action without further notice.  Enforcement action may include seizure of violative products and/or injunction against the manufacturers and distributors of violative products. 

Please advise this office in writing within 15 working days from your receipt of this letter of the specific steps you have taken to correct the violations noted above and to ensure that similar violations do not occur in the future. Your response should include any documentation necessary to show that correction has been achieved. If you cannot complete all corrections before you respond, state the reason for the delay and the date by which you will complete the corrections.

Your written response should be sent to:

Blake Bevill
Director, Compliance Branch
Food and Drug Administration
Los Angeles District Office
19701 Fairchild
Irvine, CA   92612

If you have any questions about the content of this letter, please contact Marco S. Esteves, Compliance Officer, at 949-608-4439.

Sincerely,

/s/

Alonza E. Cruse
District Director

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