Patent ID: 7325837
Filing Date: 2008-02-05
Classification: A61B,Y10S

Abstract:
1. A specimen capture and collection form assembly, comprising; a substrate having first and second portions, said substrate having first and second transversely extending sides and first and second longitudinally extending ends and a top face and a bottom face; said first and second portions separable from one another by a line of weakness, and said first portion having a first area and said second portion having a second area distinct from said first area, and each of said first and second portions having verification panel; a pattern of adhesive is applied to said top face of said first portion of said substrate; a containment ply is applied over said pattern of adhesive and is connected to said first portion, said containment ply having a die cut window therein, said containment ply with said adhesive and said first portion forming a specimen capture and collection portion; at least one removable recordation ply affixed to said second portion of said substrate, said removable recordation ply with said second portion creating an information capture section; and a material tear off assist is provided on said specimen capture and collection portion to separate a sample collection portion from an unused material portion of a sample collection device.