Glucose Tolerance Beverage

Basic Information

• Brand Name: Glucose Tolerance Beverage
• Primary DI: 20859047006100
• Version / Model: 10-SP-100
• Catalog Number: 10-SP-100
• Company Name: AZER SCIENTIFIC INCORPORATED
• Labeler DUNS: 137459512
• Distribution Status: In Commercial Distribution
• Device Count in Pkg: 24
• Record Status: Published
• Publish Date: 2018-12-31
• Public Version: 1
• Public Version Date: 2019-01-31
• Public Version Status: New
• Public Device Record Key: 014b4a17-f218-4249-82d7-3c1e7f7b8b95

Device Description

Glucose Tolerance Beverage, Simply Pure, 100 Gram

Device Characteristics

• Single Use: Yes
• Prescription Use (Rx): Yes
• Over the Counter (OTC): No
• Kit: No
• 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	Medical Specialty	Regulation #	Device Class
MRV	Drink, Glucose Tolerance	Clinical Chemistry	862.1345	2

GMDN Terms

Code	Name	Definition	Implantable	Status
53307	Glucose IVD, reagent	A substance or reactant intended to be used together with a parent IVD to perform a specific function in an assay that is used for the quantitative measurement of glucose in a clinical specimen.	No	Active

Identifiers

Type	ID	Issuing Agency	Package Type	Qty per Pkg	Pkg Status	Pkg Discontinue Date
Primary	20859047006100	GS1
Unit of Use	00859047006106	GS1

Premarket Submissions

Submission Number	Supplement Number
K042183	000