DEVICE: Coastline Explorer Cup (00868754000208)

Device Identifier (DI) Information

Coastline Explorer Cup
X13-DT13A
In Commercial Distribution
X13-DT13A
COASTLINE MEDICAL MANAGEMENT, LLC
00868754000208
GS1

1
079629844 *Terms of Use
THC50/COC150; OPI300/MET500; AMP500/BZO300; BAR300/MTD300; BUPG10/TCA1000; MDMA500/OXY100 w/ Cr,Ni,pH,Bl,S.G. drugs of abuse test cup
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Device Characteristics

Labeling does not contain MRI Safety Information
No
No
Yes
Yes
Yes
Yes
No
No

GMDN

[?]

GMDN© Term Code, Names and Definitions (*Terms of Use): GMDN® is a registered trademark of The GMDN Agency. All rights reserved. Used under licence from The GMDN Agency Ltd.

GMDN Term Code GMDN Term Name GMDN Term Definition GMDN Term Status [?] Implantable?
46994 Multiple drugs of abuse IVD, kit, rapid ICT, clinical
A collection of reagents and other associated materials intended to be used for the qualitative and/or (semi-)quantitative detection of multiple drugs of abuse in a clinical specimen within a short period, relative to standard laboratory testing procedures, using an immunochromatographic test (ICT) method [lateral flow test]. This is a rapid test used in the laboratory or in point-of-care analyses. It is not intended to be used for self-testing.
Active false
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FDA Product Code

[?]
Product Code Product Code Name
LFG Radioimmunoassay, Tricyclic Antidepressant Drugs
DJR Enzyme Immunoassay, Methadone
DIS Enzyme Immunoassay, Barbiturate
JXM Enzyme Immunoassay, Benzodiazepine
DKZ Enzyme Immunoassay, Amphetamine
DJC Thin Layer Chromatography, Methamphetamine
DJG Enzyme Immunoassay, Opiates
DIO Enzyme Immunoassay, Cocaine And Cocaine Metabolites
LDJ Enzyme Immunoassay, Cannabinoids
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FDA Premarket Submission

FDA Premarket Submission Number [?] Supplement Number [?]
K122633 000
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Sterilization

No
No
Sterilization Method [?]
No Sterilization Methods Found
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Storage and Handling

[?]
Storage and Handling
Storage Environment Temperature: between 15 and 30 Degrees Celsius
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Clinically Relevant Size

[?]
Size Type Text
No Device Sizes
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Device Record Status

df1142d8-3ab5-43f9-a61c-de9d2cda03c6
June 10, 2022
7
September 01, 2016
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Alternative and Additional Identifiers Additional Identifiers

Package DI

[?]
Package DI Number Quantity per Package Contains DI Package Package Discontinue Date Package Status Package Type
No Package DIs found
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Secondary DI

[?]
Issuing Agency [?] Secondary DI Number
No Secondary DIs found
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Unit of Use DI

[?]
Unit of Use DI Number: No Unit of Use DI Numbers Found CLOSE

Direct Marking (DM)

[?]
No
No
None
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Production Identifier(s) in UDI

[?]
Yes
No
Yes
No
No CLOSE

Customer Contact

[?]
1-888-508-8266
xxx@xx.xx
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