Helium Oxygen Mixture

Dosage Form: gas
Helium/Oxygen Mixture 70/30

COMPRESSED GAS, OXIDIZING, N.O.S.    (     % OXYGEN USP    %HELIUM USP) UN3156

NON-FLAMMABLE GAS 2     OXIDIZER 5.1   34499 (11/05)

OXYGEN CONTENT OVER 23.5 %

Rx only. CAUTION: FEDERAL LAW PROHIBITS DISPENSING WITHOUT A PRESCRIPTION. WARNING: Administration of this gas mixture may be hazardous or contraindicated. For use only by or under the supervision of a licensed practitioner who is experienced in the use and administration of gas mixtures, and is familiar with the indications, effects, dosages, methods, and frequency and duration of administration, and with the hazards, contraindications and side effects, and the precautions to be taken. CAUTION: HIGH PRESSURE OXDIZING GAS. VIGOROUSLY ACCELERATES COMBUSTION. Keep oil and grease away. Open valve slowly. Store and use with adequate ventilation. Use only with equipment cleaned for oxygen service and rated for cylinder pressure. Use a back flow preventive device in the piping. Cylinder temperature should not exceed 52C (125F). Close valve after each use and when empty. Use in accordance with the Material Safety Data Sheet (MSDS). FIRST AID: IF INHALED,  remove to fresh air. If not breathing, give artificial respiration. If breathing is difficult, give oxygen. Call a physician. CAS: OXYGEN  7782-44-7    HELIUM 7440-59-7    DO NOT REMOVE THIS PRODUCT LABEL.   

FILLED and INPSECTED BY GENERAL AIR SERVICE and SUPPLY DENVER, CO 80204

HELIUM/OXYGEN MIXTURE 70/30  helium/oxygen mixture 70/30  gas

Product Information Product Type HUMAN PRESCRIPTION DRUG NDC Product Code (Source) 21220-128 Route of Administration RESPIRATORY (INHALATION) DEA Schedule

Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength Helium (Helium) Helium 700 mL  in 1 L Oxygen (Oxygen) Oxygen 300 mL  in 1 L

Inactive Ingredients Ingredient Name Strength No Inactive Ingredients Found

Product Characteristics Color      Score      Shape Size Flavor Imprint Code Contains

Packaging # NDC Package Description Multilevel Packaging 1 21220-128-01 7108 L In 1 CYLINDER None 2 21220-128-02 708 L In 1 CYLINDER None

Marketing Information
Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
unapproved medical gas		01/01/1975

Labeler - General Air Service & Supply Co (151227338)

Establishment
Name	Address	ID/FEI	Operations
General Air Service & Supply Co		006686091	manufacture

Revised: 12/2010General Air Service & Supply Co