Tempo Refill Kit

Basic Information

• Brand Name: Tempo Refill Kit
• Primary DI: 00300020947553
• Version / Model: MS9599
• Catalog Number: MS9599001AM
• Company Name: ELI LILLY AND COMPANY
• Labeler DUNS: 006421325
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 1
• Record Status: Published
• Publish Date: 2022-11-01
• Public Version: 2
• Public Version Date: 2023-08-24
• Public Version Status: Update
• Public Device Record Key: bc556943-775f-445b-b2cd-b6e91c3aa57d
• Distribution End Date: 2024-10-27

Device Description

Tempo Refill Kit - Convenience Kit for patients with diabetes, which contains lancets, testing strips, and BD needles.

Device Characteristics

• Single Use: No
• Prescription Use (Rx): No
• Over the Counter (OTC): Yes
• Kit: Yes
• Combination Product: No
• HCT/P: No
• Contains NRL: No
• Not Made with NRL: No
• MRI Safety: Labeling does not contain MRI Safety Information
• Direct Marking Exempt: No
• PM Exempt: No
• Has Serial Number: Yes
• Has Lot/Batch Number: Yes
• Has Manufacturing Date: No
• Has Expiration Date: Yes
• Has Donation ID: No

Sterilization

• Is Sterile: No
• Sterilization Prior Use: No

Product Codes

Code	Name	Medical Specialty	Regulation #	Device Class
NBW	System, Test, Blood Glucose, Over The Counter	Clinical Chemistry	862.1345	2
FMK	Single Use Only Blood Lancet With An Integral Sharps Injury Prevention Feature	General, Plastic Surgery	878.4850	2
FMI	Needle, Hypodermic, Single Lumen	General Hospital	880.5570	2
OCN	Insulin Autoantibody Kit	Immunology	866.5660	2

GMDN Terms

Code	Name	Definition	Implantable	Status
62537	Glucose monitoring system IVD, home-use	A collection of devices including a portable, battery-powered, semi-automated or automated instrument (self-testing meter), reagents, test strips and/or other associated materials and accessories (e.g., control solutions, lancets) intended to be used for the quantitative measurement of glucose in a whole blood clinical specimen; it is designed to be used for self-testing by a layperson in the home, and some types may in addition be used at the point-of-care. Measured glucose values are used to manage blood glucose levels, primarily by persons with diabetes mellitus.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Package	30300020947554	GS1	Carton	1	In Commercial Distribution	2024-10-27
Primary	00300020947553	GS1

Customer Contacts

• Phone: [phone]
• Email: [email protected]

Premarket Submissions

Submission Number	Supplement Number
K212217	000

Storage Conditions

• Type: Storage Environment Temperature
• Temperature Range: 34 – 86 Degrees Fahrenheit
• Type: Storage Environment Humidity
• Temperature Range: 20 – 80 Percent (%) Relative Humidity