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EPISCREEN ORAL SPECIMEN COLLECTION DEVICE

Received May 17, 2000 · Event occurred Jun 18, 1997

Report 3023752-2000-00003 · MDR key 278373

Device

Generic name

Oral Fluid Specimen Collection Device

Manufacturer

Epitope, In.

Model number

NA

Catalog number

NA

Lot number

UNK

Product problems

  • Reaction

Patient

UNKNOWN

  • Blister(s)
  • Irritation

Narrative

Description of Event or Problem

ON APPROX 6/18/1997, A COMPLAINANT EXPERIENCED SMALL BLOOD BLISTERS ON THE INSIDE OF THE MOUTH AFTER COLLECTION OF AN ORAL FLUID SPECIMEN IN SUPPORT OF A DISABILITY INSURANCE CLAIM. THE COMPLAINANT HAD COLLECTED THE SPECIMEN USING THE EPISCREEN HIV-1 ORAL SPECIMEN COLLECTION DEVICE. COMPLAINANT REPORTED THAT THE INSURANCE AGENT CONDUCTING THE SPECIMEN COLLECTION HAD ASKED COMPLAINANT TO RUB THE PAD BRISKLY BACK AND FORTH ALONG COMPLAINANT'S LOWER GUM LINE. THE COMPLAINANT REQUESTED A LIST OF THE INGREDIENTS OF THE COLLECTION PAD IN CASE COMPLAINANT WAS ALLERGIC TO ANY OF THEM. AT THE TIME OF THE INITIAL REPORT TO THE MFR, THE COMPLAINANT REPORTED THAT THE BLISTERS WERE PRACTICALLY GONE.