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EPISCREEN HIV-1 ORAL SPECIMEN COLLECTION DEVICE

Received May 17, 2000 · Event occurred May 1, 1998

Report 3023752-2000-00010 · MDR key 278396

Device

Generic name

Oral Fluid Specimen Collection

Manufacturer

Epitope, Inc.

Model number

NA

Catalog number

NA

Lot number

UNK

Product problems

  • Unknown (for use when the device problem is not known)

Patient

UNKNOWN

  • Blister(s)
  • Itching Sensation
  • Other (for use when an appropriate patient code cannot be identified)
  • Therapy/non-surgical treatment, additional

Narrative

Description of Event or Problem

ON 5/1/98 THE COMPLAINANT PROVIDED AN ORAL FLUID SPECIMEN USING THE EPISCREEN HIV-1 ORAL SPECIMEN COLLECTION DEVICE. COMPLAINANT BROKE OUT WITH ITCHING, AND BUMPS AND BLISTERS ON THE ARMS AND LEGS IMMEDIATELY FOLLOWING THE COLLECTION PROCEDURE. COMPLAINANT CONTINUED TO HAVE BUMPS AND ITCHING OF THE ARMS THREE DAYS LATER. THE COMPLAINANT REPORTED TO EPITOPE'S PHYSICIAN CONSULTANT THAT COMPLAINANT HAD NO ADD'L SYSTEMIC COMPLAINTS.