160 ABBOTT BACKGROUND • Process : While Abbott products are not specifically designed for patients with dysphagia, Abbott applied the new IDDSI framework to test and classify oral nutritional supplements (ONS) and tube-feeding products. • Products in different containers (eg, recloseable carton, bottle, ready to hang) may be in the same product family but be processed differently. Differences in processing can affect product thickness. Therefore, IDDSI levels are specified for SKU/List Numbers. • When mixing Abbott products with thickeners, testing should be repeated in the facility. TESTING METHODS • Abbott Analytical Scientists reviewed the testing protocol that was completed in Abbott’s Analytical Labs. • Products were tested at refrigerated and room temperatures (5°C ± 2°C or 24°C ± 3°C) at beginning and end of shelf life. • Drink Testing: • Drink testing was completed using a 10-mL slip tip hypodermic syringe with measured length of 61.5 mm from the zero line to the 10-mL line as specified by IDDSI (Sept 2019 US Manufacturer code is BD TM 303134). • ONS formulas tested were mostly Vanilla or Chocolate flavors. Other flavors (eg, Strawberry, Butter Pecan, Chocolate Caramel) use the same base formula as Vanilla or Chocolate and viscosity data shows no significant difference among them. • For all ONS formulas, 10 mL of product was emptied from the syringe for a period of 10 seconds. The amount of liquid remaining was recorded and converted to the corresponding IDDSI level. IDDSI FRAMEWORK: Food and Drink Testing of Abbott Nutrition Products (continued)