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OtherLIO

ORASURE HIV-1 ORAL SPECIMEN COLLECTION DEVICE

Received May 17, 2000 · Event occurred Dec 4, 1999

Report 3023752-2000-00024 · MDR key 278615

Device

Generic name

Oral Specimen Collection Device

Manufacturer

Epitope, Inc.

Model number

503-0011

Catalog number

NA

Lot number

UNK

Product problems

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

Patient

UNKNOWN

  • Allergic reaction
  • Headache
  • Itching Sensation
  • Swelling
  • Dizziness
  • Other (for use when an appropriate patient code cannot be identified)

Narrative

Description of Event or Problem

THE COMPLAINANT REPORTED THAT ON 12/2/1999, COMPLAINANT GAVE AN ORAL FLUID SPECIMEN USING THE ORASURE COLLECTION DEVICE FOR INSURANCE PURPOSES. COMPLAINANT REPORTED SWELLING OF THE JAW, ITCHINESS, SWOLLEN EYE LIDS, AND DIZZINESS. IN ADDITION, COMPLAINANT REPORTED THAT THEIR LIPS WERE DRY AND CRACKING BUT WAS UNSURE IF THAT WAS WEATHER RELATED OR DUE TO THE USE OF THE DEVICE. THE PHYSICIAN CONSULATANT CONTACTED THE COMPLAINANT AN LEARNED THAT THE SYMPTOMS RESOLVED WITHIN APPROXIMATELY 48 HOURS. COMPLAINANT REPORTED TO PHYSICIAN THAT THEY HAD NOTICED BILATERAL EYELID SWELLING, HEADACHE, AND A SORE JAW. COMPLAINANT REPORTED THAT THERE WERE NO MUCOSAL LESIONS.