FDA UDI Not in Commercial Distribution 🇺🇸 United States

ReliOn™ Fast A1C Test

DI: 00681131078368 · Model: 3055 · WAL-MART STORES, INC.
Product Codes
1
GMDN Terms
1
Identifiers
2
Pkg Device Count
2

Basic Information

Brand Name
ReliOn™ Fast A1C Test
Primary DI
00681131078368
Version / Model
3055
Catalog Number
3055
Company Name
WAL-MART STORES, INC.
Labeler DUNS
051957769
Distribution Status
Not in Commercial Distribution
Device Count in Pkg
2
Record Status
Published
Publish Date
2016-09-01
Public Version
4
Public Version Date
2021-10-14
Public Version Status
Update
Public Device Record Key
f9d905ba-f205-446f-b09b-eb4f137c7a20
Distribution End Date
2018-03-27

Device Description

The ReliOn™ Fast A1C Test provides quantitative measurement of the percent of glycated hemoglobin (%HbA1C or %A1C) levels in human whole blood samples.

Device Characteristics

Single Use
Yes
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
No
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
LCP Assay, Glycosylated Hemoglobin

GMDN Terms

Code Name
62205 Glycated haemoglobin (HbA1c) monitoring system IVD, home-use

Identifiers

Type ID
Primary 00681131078368
Unit of Use 10681131078365

Customer Contacts

Premarket Submissions

Submission Number Supplement Number
K090413 000

Storage Conditions

Type
Special Storage Condition, Specify
Special Conditions
Avoid running test on hot or cold surfaces or near sources of hot or cold.
Type
Special Storage Condition, Specify
Special Conditions
If test has recently been at temperatures above 77 degrees F / 25 C, or below 64 F / 18 C, allow all kit parts to come to room temperature (64-77 F / 18 -25 C) for at least one hour before testing.
Type
Special Storage Condition, Specify
Special Conditions
If you cannot store the kit under these recommended conditions, you may refrigerate the kit (do not freeze). However you must bring the kit to room temperature for at least one hour prior to use.
Type
Special Storage Condition, Specify
Special Conditions
Use at room temperature (64-77 degrees F / 18-25 C) and out of direct sunlight.
Type
Special Storage Condition, Specify
Special Conditions
Do not use if seal is missing or broken. Do not use if dot is red or if the product is past the expiration date.
Type
Storage Environment Temperature
Temperature Range
64 – 77 Degrees Fahrenheit