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
NACatalog 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.