HELIOX

HELIOX — oxygen gas
Acetylene Oxygen Company

COMPRESSED GAS, N.O.S. (HELIUM, OXYGEN) NON-FLAMMABLE GAS 2 UN 1956

MEDICAL GAS MIXTURE BALANCE HELIUM, USP CAS: 7440-59-7 20.0%OXYGEN, USP CAS: 7782-44-7

CAUTION: FEDERAL LAW PROHIBITS DISPENSING WITHOUT A PRESCRIPTION. RX ONLY.

WARNING: HIGH PRESSURE GAS. MAY ACCELERATE COMBUSTION.

KEEP OIL AND GREASE AWAY. USE ONLY USE WITH EQUIPMENT CLEANED FOR OXYGEN SERVICE AND RATED FOR CYLINDER PRESSURE. USE EQUIPMENT RATED FOR CYLINDER PRESSURE. STORE AND USE WITH ADEQUATE VENTILATION. CLOSE VALVE AFTER EACH USE AND WHEN EMPTY. OPEN VALVE SLOWLY. 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. USE IN ACCORDANCE WITH THE APPROPRIATE MSDS FOR EACH MIXTURE COMPONENT. SECURE CYLINDER WHILE IN TRANSPORTATION, STORAGE AND IN USE.

FIRST AID: IF INHALED, REMOVE TO FRESH AIR. IF NOT BREATHING, GIVE ARTIFICIAL RESPIRATION. IF BREATHING IS DIFFICULT, GIVE OXYGEN. CALL A PHYSICIAN.

SERIAL NUMBER: 0000000 LOT NO: 0000000 — VOLUME: 204.1 — EXP. DATE: 1/1/2015 VER. 3.11

FOR MEDICAL USE ONLY DO NOT REMOVE THIS PRODUCT LABEL

COMPRESSED GAS N.O.S. (HELIUM, OXYGEN 25) LABEL

COMPRESSED GAS, OXIDIZING, N.O.S. (OXYGEN, HELIUM) NON-FLAMMABLE GAS 2 OXIDIZER 5.1 UN 3156

MEDICAL GAS MIXTURE 25.0% OXYGEN USP CAS: 7782-44-7 BALANCE HELIUM, USP CAS: 7440-59-7

CAUTION: FEDERAL LAW PROHIBITS DISPENSING WITHOUT A PRESCRIPTION. RX ONLY.

WARNING: OXIDIZING HIGH PRESSURE GAS. VIGOROUSLY ACCELERATES COMBUSTION.

FIRST AID: IF INHALED, REMOVE TO FRESH AIR. IF NOT BREATHING, GIVE ARTIFICIAL RESPIRATION. IF BREATHING IS DIFFICULT, GIVE OXYGEN. CALL A PHYSICIAN.
SERIAL NUMBER: 0000000 LOT NO:0000000 — VOLUME: 200 — EXP. DATE: 1/1/2015 VER. 3.11
FOR MEDICAL USE ONLY. DO NOT REMOVE THIS PRODUCT LABEL.

COMPRESSED GAS N.O.S. (HELIUM, OXYGEN 30) LABEL

COMPRESSED GAS, OXIDIZING, N.O.S. (HELIUM, OXYGEN) NON-FLAMMABLE GAS 2 OXIDIZER 5.1 UN 3156

MEDICAL GAS MIXTURE BALANCE HELIUM, USP CAS: 7440-59-7 30.0% OXYGEN, USP CAS: 7782-44-7

CAUTION: FEDERAL LAW PROHIBITS DISPENSING WITHOUT A PRESCRIPTION. RX ONLY.

WARNING: OXIDIZING HIGH PRESSURE GAS. VIGOROUSLY ACCELERATES COMBUSTION.

FIRST AID: IF INHALED, REMOVE TO FRESH AIR. IF NOT BREATHING, GIVE ARTIFICIAL RESPIRATION. IF BREATHING IS DIFFICULT, GIVE OXYGEN. CALL A PHYSICIAN.
SERIAL NUMBER: 00000000 LOT NO.:0000000 — VOLUME: 204.1 — EXP. DATE: 1/1/2013 VER. 3.11
FOR MEDICAL USE ONLY. DO NOT REMOVE THIS PRODUCT LABEL.

HELIOX 30 LABEL

HELIOX heliox gas

Product Information Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:10006-009 Route of Administration RESPIRATORY (INHALATION) DEA Schedule

Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength OXYGEN (OXYGEN) OXYGEN 20 L in 100 L

Inactive Ingredients Ingredient Name Strength HELIUM 80 L in 100 L

Packaging # Item Code Package Description Multilevel Packaging 1 NDC:10006-009-01 6032 L in 1 CYLINDER None

Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date unapproved medical gas 01/01/1936

HELIOX heliox gas

Product Information Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:10006-010 Route of Administration RESPIRATORY (INHALATION) DEA Schedule

Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength OXYGEN (OXYGEN) OXYGEN 25 L in 100 L

Inactive Ingredients Ingredient Name Strength HELIUM 75 L in 100 L

Packaging # Item Code Package Description Multilevel Packaging 1 NDC:10006-010-01 6032 L in 1 CYLINDER None

Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date unapproved medical gas 01/01/1936

HELIOX heliox gas

Product Information Product Type HUMAN PRESCRIPTION DRUG Item Code (Source) NDC:10006-011 Route of Administration RESPIRATORY (INHALATION) DEA Schedule

Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength OXYGEN (OXYGEN) OXYGEN 30 L in 100 L

Inactive Ingredients Ingredient Name Strength HELIUM 70 L in 100 L

Packaging # Item Code Package Description Multilevel Packaging 1 NDC:10006-011-01 6032 L in 1 CYLINDER None

Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date unapproved medical gas 01/01/1936

Labeler — Acetylene Oxygen Company (008110181)

Registrant — Acetylene Oxygen Company (008110181)

Establishment
Name	Address	ID/FEI	Operations
Acetylene Oxygen Company		809889033	manufacture

Revised: 04/2011 Acetylene Oxygen Company