LBL-0553 Rev 1 Label, Pouch, Patch, D-Tect

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Otsuka America Pharmaceutical, Inc. 02684 Wearable Sensor for Ambulatory Recording X7902684 X7902684 02684

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02684 Wearable Sensor For Ambulatory Recording by Otsuka America Pharmaceutical

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Document DEVICE REPORT02684-ID-Label-Location-Info-Otsuka-America-Pharmaceutical-x7902684-ex-1-2
LBL-0553 Rev 1 Label, Pouch, Patch, D-Tect

Effective: 06JAN2023

Label, Pouch, Patch, D-Tect LBL-0553

Otsuka America Pharmaceutical, Inc.
TMP-0078 Rev 3 Effective: 22JUN2022

Confidential

Page 1 of 5

LBL-0553 Rev 1 Label, Pouch, Patch, D-Tect

Effective: 06JAN2023

1 Purpose/Description
This document is intended to define the artwork and label stock associated with the D-Tect Patch Pouch Variable Data Label. The label stock is a blank white label. All printing will be generated at the point of use.

There is no procurement specification needed for this type of label due to the use of standard label stock and no preprinting.

2 Label

Artwork File
Graphics are defined by label file " LBL-0553 Label, Pouch, Patch, D-Tect"

Label Stock The following label stock should be used.

Manufacturer

Description

Weber Packaging Label Stock, 4" x 3" White Gloss Poly Direct Thermal

Solutions Inc.

Label corners have 1/8" radius. (Note: Radius size is not critical)

(See attached label stock Product Information sheet)

It is expected that the Contract Manufacturer for the patch assembly shall create their own specification for the label stock.

Otsuka America Pharmaceutical, Inc.
TMP-0078 Rev 3 Effective: 22JUN2022

Confidential

Page 2 of 5

LBL-0553 Rev 1 Label, Pouch, Patch, D-Tect

Effective: 06JAN2023

Content Requirements

Characteristic

Specification

Variable Printed Content

Printing shall include the following variable data:
 Reference part number
 Patch Serial Number
 Barcode the represents the Patch Serial Number
 Manufacturing Lot number o Code 128 format at 600dpi or better
 Expiration Date
 UDI (Unique Device Identifier): A GS1 DataMatrix barcode and human readable content containing the following: o Device Identifier: (01) NNNNNNNNNNNNNN o Expiration Date: (17) YYMMDD o Lot Number: (21) nnnnnnnnn o Serial Number: (10) NNNNNNNN

Graphics Image Note: Arrows point to the variable data
4"

3"
Serial Number with barcode

UDI GS1 DataMatrix with human readable content
Otsuka America Pharmaceutical, Inc.
TMP-0078 Rev 3 Effective: 22JUN2022

Expiration Date Confidential

Reference Number Pouched Patch Assembly Part Number

Manufacturing Lot Number
Page 3 of 5

LBL-0553 Rev 1 Label, Pouch, Patch, D-Tect
3 Attachment ­ Label stock product information

Effective: 06JAN2023

Otsuka America Pharmaceutical, Inc.
TMP-0078 Rev 3 Effective: 22JUN2022

Confidential

Page 4 of 5

LBL-0553 Rev 1 Label, Pouch, Patch, D-Tect

Effective: 06JAN2023

4 Document History

Rev

Originator

1 Todd Shoenberger

Description of Change
Initial release of label document specification in support of D-Tect.

Otsuka America Pharmaceutical, Inc.
TMP-0078 Rev 3 Effective: 22JUN2022

Confidential

Page 5 of 5



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