Alert: Medical Gas Mix-Ups

May, 2001

Information Bulletin 01-13
NH -63
HOSP -29
CBC -30
BC -14
SLF -7
ASC -7
MHC -31

ALERT - Medical Gas Mix-Ups


The purpose of this information bulletin is to alert health care providers to an FDA warning regarding reports of deaths and injuries caused by mistaken connection of a non-oxygen gas (ie. Nitrogen) to an oxygen supply system. The FDA has developed a Guidance document for providers.

The Guidance document makes recommendations about procedures that will reduce the chance of error and subsequent harm and is available at the following web site: [expired link]

Please Note: At the time of this mailing the above web site addresses are correct. However, HCFA web site addresses are subject to change. As MDH becomes aware of these changes we will update the HCFA address on this bulletin at our MDH web site listed below.

If you have any questions related to this Information Bulletin, please contact:

Minnesota Department of Health
Health Regulation Division
Licensing and Certification Program
85 East Seventh Place, Suite 300
St. Paul, Minnesota 55164-0900
Telephone: (651) 201-4101

CM 04-27-06 Thursday, February 05, 2015 at 03:16PM