Δευτέρα 3 Απριλίου 2017

U.S.A.'s interesting latest


Navigating Power of Attorney: How to Help Loved Ones Manage Their Money
As part of your estate and advance health care planning, having a power of attorney is a critical component of protecting your interests. Unlike a will which outlines your wishes, and how your wealth and property will be distributed after you are gone; this legal document authorizes another person to act on your behalf when you are not able to manage your affairs on your own.
Documenting your requests can be difficult to address but doing so could resolve certain legal issues if done in advance. By designating someone to make decisions for you means your wishes will be carried out when you may not have a voice. Take action on this vital document today.
Learn more about navigating power of attorneys on USA.gov.
Access Our Power of Attorney Guide


American flag, takes you to USA.gov's landing page on U.S. residency, green cards, and citizenship requirements and related issues.
The Department of Homeland Security (DHS) has recently established a new web page to communicate up-to-date information on recent executive orders about immigration, travel, and protecting our homeland.

Click on this image to see photos and video examples of important developmental milestones. Use this library as an aid in completing the milestones checklist for your child’s age. To see these photos and videos with milestones checklists, go to www.cdc.gov/Milestones.
Sunday, April 2, is World Autism Day. Autism Spectrum Disorder (ASD) is a development disability that can cause significant social, communication and behavioral challenges.
Review this list of developmental milestones for children for general information. If you have questions, consult your child’s pediatrician to address your concerns.
For more health resources from the government, visit us at USA.gov

edWatch - The FDA Safety Information and Adverse Event Reporting Program

EpiPen and and EpiPen Jr Auto-Injector: Recall - Failure to Activate Device

AUDIENCE: Consumer, Pharmacy
ISSUE: Mylan N.V. announced that Meridian Medical Technologies, a Pfizer company and Mylan’s manufacturing partner for EpiPen Auto-Injector, has expanded a voluntary recall of select lots of EpiPen (epinephrine injection, USP) and EpiPen Jr (epinephrine injection, USP) Auto-Injectors to now include additional lots distributed in the U.S. and other markets.
This recall is being conducted as a result of the receipt of two previously disclosed reports outside of the U.S. of failure to activate the device due to a potential defect in a supplier component. The potential defect could make the device difficult to activate in an emergency (failure to activate or increased force needed to activate) and have significant health consequences for a patient experiencing a life-threatening allergic reaction (anaphylaxis). Both reports are related to the single lot that was previously recalled.
The recall impacts the 0.3 mg and 0.15 mg strengths of EpiPen Auto-Injector. The recalled product was manufactured by Meridian Medical Technologies and distributed by Mylan Specialty between December 2015 and July 2016. None of the recalled lots include the authorized generic for EpiPen Auto-Injector, which is also manufactured by Meridian Medical Technologies. See the news release for a list of affected product lot numbers.
BACKGROUND: The expanded voluntary recall is being initiated in the U.S. and also will extend to additional markets in Europe, Asia, North and South America.
RECOMMENDATION: Patients, customers and distributors are being notified and should refer to Mylan.com/EpiPenRecall for updates on product return and replacement instructions. We are asking patients to keep their existing product until their replacement product can be secured.
Patients may receive either EpiPen Auto-Injector or the authorized generic for EpiPen Auto-Injector at the pharmacy as a replacement based on availability. The authorized generic has the exact same drug formulation, has the exact same operating instructions and is therapeutically equivalent to EpiPen Auto Injector, and may be substituted for EpiPen Auto Injector.
It is important that patients continue to carry their current EpiPen Auto-Injector until they receive a replacement device. 
Healthcare professionals and patients are encouraged to report adverse events or side effects related to the use of these products to the FDA's MedWatch Safety Information and Adverse Event Reporting Program:
  • Complete and submit the report Online: www.fda.gov/MedWatch/report
  • Download form or call 1-800-332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to 1-800-FDA-0178
Read the MedWatch safety alert, including a link to the news release, at:

Prelude Short Sheath Introducer by Merit Medical Systems: Class I Recall - Sheath May Separate During Use

AUDIENCE: Risk Manager, Surgery, Cardiology, Nephrology
ISSUE: Merit Medical Systems Inc. is recalling the Prelude Short Sheath Introducer due to a manufacturing defect which may cause the tip to separate from the sheath during the insertion procedure. If this occurs, the tip could enter the patient's bloodstream. This may result in prolonged procedure times, additional surgery to remove the tip from the patient, blood clots, internal tears and perforation to arteries or veins, excessive bleeding, and death.
  • Recalled Product: Merit 7F Prelude Short Sheath Introducers
  • Lot Numbers: H1041469, H1041473, H1036880, H1041464
  • Catalog Numbers: K15-00070, K15-00170, PSS-7F-4-035MT, PSS-7F-4MT
  • Manufacturing Dates: November 23, 2016 to November 30, 2016
  • Distribution Dates: December 15, 2016 to January 18, 2017
  • Devices Recalled in the U.S.:  1,265 units
BACKGROUND: The Merit Prelude Short Sheath Introducer is used to guide the placement of catheters, grafts, and other medical devices into the veins and arteries. The device is also used during temporary hemodialysis, a treatment for kidney failure.
RECOMMENDATION: On February 16, 2017, Merit Medical Inc. sent an Urgent Product Recall Notice to affected customers. The notice also asked customers to:
  • Ensure appropriate staff is aware of the notice.
  • Quarantine any affected products and discontinue use.
  • Complete the Customer Response Form attached to the notice and return by email at response@merit.com.
  • Return all affected lots in possession to Merit Medical Inc. per the instructions found in the Customer Response Form.
Healthcare professionals and patients are encouraged to report adverse events or side effects related to the use of these products to the FDA's MedWatch Safety Information and Adverse Event Reporting Program:
  • Complete and submit the report Online: www.fda.gov/MedWatch/report
  • Download form or call 1-800-332-1088 to request a reporting form, then complete and return to the address on the pre-addressed form, or submit by fax to 1-800-FDA-0178
Read the MedWatch safety alert, including a link to the FDA Recall Notice, at:
Center for Food Safety and Applied Nutrition
Constituent Update

FDA Recognizes DUNS Number as Acceptable for Importer Identification
March 31, 2017
Today, the U.S. Food and Drug Administration took a step towards ensuring the accuracy of its inventory of importers responsible for meeting the requirements of the Foreign Supplier Verification Programs (FSVP) rule.
The FDA issued guidance formally recognizing the Data Universal Numbering System (DUNS) number as an acceptable unique facility identifier (UFI) for FSVP. The identification of importers will help the FDA effectively implement, monitor compliance with, and enforce the FSVP requirements, which are designed to help ensure that imported foods meet U.S. safety standards.
The final FSVP rule, mandated by the FDA Food Safety Modernization Act (FSMA), requires that an importer provide its legal business name, electronic mailing address, and UFI recognized as acceptable by the FDA for each line entry of food product offered for importation into the United States. In the preamble to the final rule, FDA stated that it anticipated issuing guidance specifying which UFI(s) we recognize as acceptable and that we expected to recognize DUNS numbers as acceptable.
The DUNS number, assigned and managed by Dun & Bradstreet, is available free of charge to importers. It can be obtained by contacting D&B by phone at 866-705-5711, via email at govt@dnb.com, by visiting D&B’s Website or fdadunslookup.com.
The first compliance date for importers subject to the FSVP rule is May 30, 2017.
For More Information: