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U.S. Department of Health and Human Services

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CGMP Regulations - Medical Gas Mix-Ups


Take a Look! Before You Hook 

Won't Connect? Don't Connect!

Labeling of Oxygen Gas Canister

Proper labeling of a medical oxygen canister

The Food and Drug Administration (FDA) is very concerned about deaths and injuries from medical gas mix-ups.  For example, patients who were thought to be receiving medical grade oxygen have received a different gas (e.g., nitrogen) that had been mistakenly connected to the oxygen supply system.  Medical gas mix-ups have caused many deaths and serious injuries (for details, see Guidance for Hospitals, Nursing Homes, and Other Health Care Facilities: CDER Public Health Advisory (PDF - 19KB).  This web page provides educational materials you can use to help reduce these risks of medial gas mix-ups in your facilities.  It also provides other resources about medical gas mix-ups.

Medical Gas Safety - FDA Educational Products

For information on obtaining the flier or poster, please email dpapubs@fda.hhs.gov or call 301-796-3703.

Medical Gas Mix-up Alerts

Guidance and Standards