OXYGEN- oxygen gas 
Cape Medical Supply, Inc

Disclaimer: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. For further information about unapproved drugs, click here.

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OXYGEN CERTIFICATE OF ANALYSIS

LOT NUMBER_____________ SERIAL NUMBER__________ AMOUNT__________INS, LBS., GALS., LITERS, CU. FT.

USP TESTS

TEST      ID      ODOR      ASSAY

LIMITS   OK      NONE      LESS THAN 99.2%

RESULT

FOR CUSTOMER TO USE TO DOCUMENT TESTS PERFORMED ON THIS VESSEL

METHOD OF ANALYSIS FOR ASSAY IS THE PARAMAGNETIC OXYGEN ANALYZER  MANUFACTURER__________ MODEL______________ CUSTOMER WITNESSED TESTS  YES   NO    SUPPLIERS SIGNATURE__________ DATE____________  CUSTOMERS SIGNATURE_______________ DATE________________

LIQUID MEDICAL GASES  LIQUID OXYGEN DELIVERY TAG  FILLED AND DISTRIBUTED BY____________ THIS VESSEL CONTAINS OXYGEN USP (SEE REVERSE SIDE FOR TEST RESULTS) OXYGEN PRODUCED BY THE AIR LIQUEFACTION PROCESS

capemed_liq_o2_del_tag_front

capemed_liq_o2_del_tag_back

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OXYGEN REFRIGERATED LIQUID LABEL

OXYGEN REFRIGERATED LIQUID USP UN1073  CONTENTS_________ LITERS  ALWAYS KEEP CONTAINER IN UPRIGHT POSITION.  WARNING: DO NOT CHANGE OR FORCE FIT CONNECTIONS.  EXTREMELY COLD LIQUID AND GAS UNDER PRESSURE.  VIGOROUSLY ACCELERATES COMBUSTION.  NO SMOKING IN THE PRESENCE OF OXYGEN OR A FIRE MAY RESULT.  COMBUSTIBLES IN CONTACT WITH LIQUID OXYGEN MAY EXPLODE ON IGNITION OR IMPACT.  CAN CAUSE SEVERE FROSTBITE.  KEEP OIL, GREASE AND COMBUSTIBLES AWAY.  USE ONLY WITH EQUIPMENT CLEANED FOR OXYGEN SERVICE.  STORE AND USE WITH ADEQUATE VENTILATION.  DO NOT GET LIQUID IN EYES, ON SKIN OR CLOTHING.  FOR LIQUID WITHDRAWAL, WEAR FACE SHIELD AND GLOVES.  DO NOT DROP.  USE SUITABLE HAND TRUCK FOR CONTAINER MOVEMENT.  AVOID SPILLS.  DO NOT WALK OR ROLL EQUIPMENT OVER SPILLS  CONTAINER TEMPERATURE SHOULD NOT EXCEED 52C (125 F)  CLOSE VALVE AFTER EACH USE AND WHEN EMPTY.  USE A BACK FLOW PREVENTATIVE DEVICE IN THE PIPING.  USE IN ACCORDANCE WITH THE MATERIAL SAFETY DATA SHEET (MSDS)  

FIRST AID: IN CASE OF FROSTBITE OBTAIN MEDICAL TREATMENT IMMEDIATELY.

WARNING: FOR EMERGENCY USE ONLY WHEN ADMINISTERED BY PROPERLY TRAINED PERSONNEL FOR OXYGEN DEFICIENCY AND RESUSCITATION.  FOR ALL OTHER MEDICAL APPLICATIONS Rx ONLY.  UNINTERRUPTED USE OF HIGH CONCENTRATIONS OF OXYGEN OVER A LONG DURATION WITHOUT MONITORING ITS EFFECT ON OXYGEN CONTENT OF ARTERIAL BLOOD MAY BE HARMFUL.  USE ONLY WITH PRESSURE REDUCING EQUIPMENT AND APPARATUS DESIGNED FOR OXYGEN.  DO NOT ATTEMPT TO USE ON PATIENTS WHO HAVE STOPPED BREATHING, UNLESS USED IN CONJUNCTION WITH RESUSCITATIVE EQUIPMENT.  PRODUCED BY AIR LIQUEFACTION.  DO NOT REMOVE THIS PRODUCT LABEL.

Liquid

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OXYGEN 
oxygen gas
Product Information
Product TypeHUMAN PRESCRIPTION DRUGItem Code (Source)NDC:64932-1234
Route of AdministrationRESPIRATORY (INHALATION)
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
OXYGEN (UNII: S88TT14065) (OXYGEN - UNII:S88TT14065) OXYGEN99 L  in 100 L
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:64932-1234-17 L in 1 DEWAR; Type 0: Not a Combination Product01/01/197702/07/2020
2NDC:64932-1234-214 L in 1 DEWAR; Type 0: Not a Combination Product01/01/197702/07/2020
3NDC:64932-1234-322 L in 1 DEWAR; Type 0: Not a Combination Product01/01/197702/07/2020
4NDC:64932-1234-428 L in 1 DEWAR; Type 0: Not a Combination Product01/01/197702/07/2020
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
unapproved medical gas01/01/197702/07/2020
Labeler - Cape Medical Supply, Inc (114226616)
Registrant - Cape Medical Supply, Inc (114226616)
Establishment
NameAddressID/FEIBusiness Operations
Cape Medical Supply, Inc114226616manufacture(64932-1234)

Revised: 2/2020
Document Id: a72a62a9-2aab-41ac-99d4-6324c4bd886d
Set id: 346263d4-0291-4884-8e6c-df603cf7e428
Version: 4
Effective Time: 20200207
 
Cape Medical Supply, Inc