Helium Oxygen Mixture

Dosage Form: gas

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Compressed Gas N.O.S (80% Helium USP 20% Oxygen USP)

Compressed Gas, N.O.S

(80% Helium USP 20% Oxygen USP)

UN1956

RX only: CAUTION:Federal law prohibits dispensing without 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 GAS. MIXTURES CONTAINING LESS THAN 19.5% OXYGEN MAY CAUSE RAPID SUFFOCATION. Store and use with adequate ventilation. Keep oil and grease away. 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 52˚C (125˚F). Open valve slowly. 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.

Helium CAS: 7740-59-7

Oxygen CAS: 7782-44-7

DO NOT REMOVE THIS PRODUCT LABEL

Airgas Puritan Medical
Distributed By: AIRGAS USA, LLC Radnor, PA

837137 (R 11/11)

HELIUM, OXYGEN 
helium, oxygen gas
Product Information
Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:11054-041
Route of Administration RESPIRATORY (INHALATION) DEA Schedule     
Active Ingredient/Active Moiety
Ingredient Name Basis of Strength Strength
Oxygen (Oxygen) Oxygen 200 mL  in 1 L
Helium (Helium) Helium 800 mL  in 1 L
Packaging
# Item Code Package Description
1 NDC:11054-041-01 300 L in 1 CYLINDER
2 NDC:11054-041-02 500 L in 1 CYLINDER
3 NDC:11054-041-03 2260 L in 1 CYLINDER
4 NDC:11054-041-04 4000 L in 1 CYLINDER
5 NDC:11054-041-05 4500 L in 1 CYLINDER
Marketing Information
Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date
unapproved medical gas 10/14/1997
Labeler - AIRGAS USA, LLC (078301808)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 829050819 manufacture(11054-041)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 968794425 manufacture(11054-041)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 003324498 manufacture(11054-041)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 032547507 manufacture(11054-041)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 947401071 manufacture(11054-041)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 827455648 manufacture(11054-041)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 017427142 manufacture(11054-041)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 949045181 manufacture(11054-041)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 113526545 manufacture(11054-041)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 602249583 manufacture(11054-041)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 833002020 manufacture(11054-041)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 833002111 manufacture(11054-041)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 072198059 manufacture(11054-041)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 959842725 manufacture(11054-041)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 606601136 manufacture(11054-041)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 620138292 manufacture(11054-041)
Establishment
Name Address ID/FEI Operations
AIRGAS USA, LLC 003091907 manufacture(11054-041)
Revised: 12/2012
 
AIRGAS USA, LLC



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