Section 660.45 - Labeling(a) In addition to the requirements of §§ 610.60 , 610.61 , and 809.10 of this chapter, the labeling shall bear the following:(1) The "d and y" antigen subtype and the source of the product to follow immediately the proper name on both the final container label and the package label. If the product is intended to identify antibodies to the "r and w" antigen subtype, the antigen subtype designation shall include the "r and w" antigen subtype.(2) The name of the test method(s) recommended for use of the product on the package label and on the final container label, when capable of bearing a full label (see § 610.60(a) of this chapter).(3) A warning on the package label and on the final container label stating that the product is capable of transmitting hepatitis and should be handled accordingly.(4) The package shall include a package insert providing:(i) Detailed instructions for use,(ii) An adequate description of all recommended test methods, and(iii) Warnings as to possible hazards, including hepatitis transmitted in handling the product and any ancillary reagents and materials accompanying the product.(b) The applicant may provide the labeling information referenced in paragraph (a) of this section in the form of:(1) A symbol accompanied by explanatory text adjacent to the symbol;(2) A symbol not accompanied by adjacent explanatory text that:(i) Is contained in a standard that FDA recognizes under its authority in section 514(c) of the Federal Food, Drug, and Cosmetic Act;(ii) Is used according to the specifications for use of the symbol set forth in FDA's section 514(c) recognition; and(iii) Is explained in a paper or electronic symbols glossary that is included in the labeling for the device and the labeling on or within the package containing the device bears a prominent and conspicuous statement identifying the location of the symbols glossary that is written in English or, in the case of articles distributed solely in Puerto Rico or in a Territory where the predominant language is one other than English, the predominant language may be used; or(3) A symbol not accompanied by adjacent explanatory text that:(i) Is established in a standard developed by a standards development organization (SDO);(ii) Is not contained in a standard that is recognized by FDA under its authority in section 514(c) of the Federal Food, Drug, and Cosmetic Act or is contained in a standard that is recognized by FDA but is not used according to the specifications for use of the symbol set forth in FDA's section 514(c) recognition;(iii) Is determined by the manufacturer to be likely to be read and understood by the ordinary individual under customary conditions of purchase and use in compliance with section 502(c) of the Federal Food, Drug, and Cosmetic Act;(iv) Is used according to the specifications for use of the symbol set forth in the SDO-developed standard; and(v) Is explained in a paper or electronic symbols glossary that is included in the labeling for the device and the labeling on or within the package containing the device bears a prominent and conspicuous statement identifying the location of the symbols glossary that is written in English or, in the case of articles distributed solely in Puerto Rico or in a Territory where the predominant language is one other than English, the predominant language may be used.(c) The use of symbols in device labeling to provide the labeling information referenced in paragraph (a) of this section which do not meet the requirements of paragraph (b) of this section renders a device misbranded under section 502(c) of the Federal Food, Drug, and Cosmetic Act.(d) For purposes of paragraph (b) of this section:(1) An SDO is an organization that is nationally or internationally recognized and that follows a process for standard development that is transparent, (i.e., open to public scrutiny), where the participation is balanced, where an appeals process is included, where the standard is not in conflict with any statute, regulation, or policy under which FDA operates, and where the standard is national or international in scope.(2) The term "symbols glossary" means a compiled listing of:(i) Each SDO-established symbol used in the labeling for the device;(ii) The title and designation number of the SDO-developed standard containing the symbol;(iii) The title of the symbol and its reference number, if any, in the standard; and(iv) The meaning or explanatory text for the symbol as provided in the FDA recognition or, if FDA has not recognized the standard or portion of the standard in which the symbol is located or the symbol is not used according to the specifications for use of the symbol set forth in FDA's section 514(c) recognition, the explanatory text as provided in the standard.81 FR 38928, June 15, 2016