Wyeth Nutritionals, Georgia, VT, Vermont District Wyeth
Nutritionals, (WNI) St. Davids, PA,
contacted FDA on Jan. 23, 2002, to report that during microscopic
examinations of infant formula manufactured at the company's
Georgia, VT plant, live and dead mites were discovered in the finished
infant formula product.
FDA sent investigator Thomas Morgan from the agency's Vermont
office to investigate on Jan. 24, 2001. A 483 was not issued to the
firm.
Morgan noted in the EIR that the mites were first discovered on
Jan. 9, 2002, while conducting a microscopic examination for metal
fragments. The firm immediately began an investigation to find the
source of the mites and determine what product might have been
adulterated with mites.
The EIR noted that "the rate of sampling was increased to
every 15 minutes," and during that period, the laboratory
technician "observed a live arthropod (mite) on the scorch pad used
as the filter for this test." The packaging line was then shut down
and the can blower filters and trays were cleaned and sanitized. Debris
was taken to the laboratory for review and no mites were found.
WNI did not know the source of the mites or how they got into the
cans. The firm sampled 125 empty cans when they arrived at the warehouse
and no mites were found. The cans were subsequently released for
manufacturing on Jan. 10. "The laboratory funnel, container and
pads utilized to perform the metal examination did not reveal any
mites," the EIR stated.
WNI instituted a plan on Jan 16, to allow production while QA
continued to look for mites. In the meantime, the top two layers of cans
including the slip sheets and top frames of each pallet were removed and
discarded before the cans were brought to the packaging line. The can
blower was cleaned every two hours including an alcohol rinse and the
debris from the can blower was inspected for mites as well.
Additionally, formula was sampled at the packaging line every 15
minutes.
The top frames from seven pallets of cans were tested for mites
and, on Jan. 16, one live mite and one dead mite were found on the top
frame while packing product.
Additional mites were found on Jan. 17 in finished products and the
plant voluntarily shut down all of their manufacturing. Wyeth also
stopped distribution and started holding infant formula in warehouses,
cargo containers and aboard ships. The oldest can date that tested
positive was Dec. 4, 2001.
The EIR stated that "WNI instituted a Crisis Management Team
to tabulate and review the data and information they had been collecting
regarding the mite adulteration. When WNI graphed the incidence of mites
detected they determined that the mites in their finished product was
not a function of can manufacturing dates, but a function of a localized
contamination of the pallets and top frames used to transport the
cans."
A team from the Georgia, VT, plant visited Wyeth's can
supplier in Baltimore, MD, on Jan. 25, and took top frames and bagged
them into large clean sheets of paper and collected the debris. They
sampled the slip sheets between the layers of cans and empty cans as
well. Mites were found collected from top frames and sent to a
laboratory for identification.
The firm subsequently traced back 11 trailer loads of cans from
Dec. 21, 2001 to Jan. 11, 2002, according to the EIR.
The firm instituted measures to "heat treat" empty cans
in order to kill any mites that were stored in one of their warehouses
awaiting product. WNI said it also planned to replace the wooden pallets
with plastic pallets because they are easier to clean, Morgan noted in
the EIR.
WNI also stated that it would destroy all product manufactured
between Jan. 7 and Jan. 17, 2002. "When all the returned product is
consolidated WNI will contact the FDA about the method of destruction
and the final can count," Morgan wrote in the EIR.
The final report from QA stated that 25 mites were detected in
seven batches of formula manufactured during the period of January 7-17,
2002. One mite was detected in a batch manufactured on Dec. 23, 2001.
WNI believes that this single mite was in all probability the result of
cross contamination from previously tested batches containing a high
concentration of mites." The report concluded that testing of 1,146
cans sampled from seven batches manufactured between Dec. 23, 2001 and
Jan. 7, 2002 yielded no mites. A Wyeth spokeswoman said the firm would
have no comment on the mite incident and audit.
Wyeth Nutritionals, Georgia, VT, 1/24, 25, 28, 30, 31, 2/6, 15/02,
Doc. 1093813M, $5.00 plus retrieval.
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