WEBPAGE UPDATED Thursday May 14, 2020
KNOW THE DIFFERENCE BETWEEN MEDICAL GRADE OXYGEN REGULATORS AND COMMERCIAL GRADE OXYGEN REGULATORS FOR USE IN MARINE ENVIRONMENTS
THIS IS A COMMERCIAL GRADE OXYGEN REGULATOR DESIGNED FOR USE IN MARINE ENVIRONMENTS
The Oxygen Edge™ O2 regulator is the only “Commercial” made click-style high pressure oxygen regulator that is dose adjustable with a 540 CGA cylinder connection. OE oxygen regulators are specifically designed, engineered and manufactured for use in marine fishing environments and sold to sport fishermen and commercial fishermen worldwide. Dial in the lbs. of bait or fish (2 lbs. – 200 lbs.) and the correct dose of oxygen is always delivered.
The OE regulator body and internal components are made of solid brass and solid nickel plated (nickel plating tarnishes like a 1943 Buffalo nickel), it is not shinny nor has a mirror finish. Pure brass and pure nickel coating are resist Galvanic Corrosion when exposed to marine salty environments (water and air). There are no internal sacrificial zinc components in OE regulators unlike aluminum body click style medical oxygen regulators commonly Made in China.
The Oxygen Edge™ precision dose adjustable commercial high pressure oxygen regulator is Made in America to proprietary engineering specifications. OE regulators are engineered and built for use in marine salty environments.
THIS IS A MEDICAL GRADE PEDIATRIC OXYGEN REGULATOR DESIGNED FOR PATIENTIENTS RECEIVING OXYGEN THERAPY IN HOSPITALS AND CLINICS. THIS PEDIATRIC OXYGEN REGULATOR IS NOT MADE FOR FISHING OXYGEN SYSTEMS USE IN MARINE ENVIRONMENTS
Pediatric click-style aluminum alloy body medical oxygen regulators are easy to spot when you know what to look for; (O2 flow is always calibrated in liters per minute (LPM) and fractions of LPM 0.03 – 1/8 LPM – LPM flow rates. The LPM flow rate is what defines medical O2 regulators. Aluminum body click style medical O2 regulators are made to FDA specifications and commonly manufactured in China or Mexico. They are imported to America and sold specifically for patient oxygen therapy.
*Aluminum body click style medical oxygen regulators contain internal zinc components causing oxidation problems when used in marine environments.
A written physician’s prescription is required for medical oxygen regulator sales. Medical oxygen regulators are used to administer prescribed doses of medical oxygen to patients in relative clean home care, hospital, medical clinic, dental office environments, and emergency medicine. Medical oxygen regulators made in the USA, and imported into the USA by China and Mexico are required to meet US FDA standards and certifications for medical oxygen regulators.
Inexpensive aluminum body foreign made medical oxygen regulators contain zinc internal components, an inexpensive sacrificial metal. When zinc comes into contact with (salty air) marine environments, the zinc anode material is (oxidized) consumed. The oxidation (GALVANIC CORROSION) is that white powdery corrosion seen on aluminum body oxygen regulators that are exposed to salty air marine environments and salt exposure.
All click-style aluminum oxygen regulators (O2 flow calibrated in liters per minute (LPM) and fractions of LPM 0.03 – 1/8 LPM) are specifically manufactured to required FDA and Canadian regulatory specifications and labeled “MEDICAL OXYGEN REGULATOR FOR PATIENT USE ONLY” as specified in the written patient instructions enclosed in every manufacturer’s shipping box and shipping box labeling when shipped from all US medical regulator manufacturer’s .
Pediatric aluminum body click-style pediatric medical oxygen regulators are never classified as “commercial grade” oxygen regulators in the USA, they are not made for fisherman use and fisherman abuse in normal marine or freshwater fishing environments on sport fishing boats. RE: GALVANIC CORROSION, METAL PITTING DAMAGE. HIGH PRESSURE OXYGEN SERVICE @ 2200 PSI.
Many livewell oxygen systems are made with medical oxygen regulators. They are currently sold via the internet, bait shops, E-bay and popular sporting goods stores. Medical oxygen regulators are repackaged, relabeled and rebranded as “Commercial” fishing oxygen regulators. Click style pediatric medical oxygen regulators are commonly used with homemade fishing oxygen systems.
Click style medical oxygen regulators are often intentionally relabeled, advertised and sold as “Commercial” fishing oxygen regulators; “For use in marine environments.”… buyer beware of Galvanic Corrosion.
How any fisherman can identify any Click-style adjustable pediatric medical oxygen regulators?… not many fishermen recognize or know a medical oxygen regulator when looking right at one.
What does a medical click-style aluminum or brass oxygen regulator look like? First and foremost, the oxygen flow adjustments dial is always calibrated in liters per minute or fractions of liters per minute (LPM): 1/32, 1/16, 1/8, 1/4, 1/2, — 4.0 or 0.03, 0.06, 0.12, 0,25… LPM flow rates, 540 CGA or 870 CGA cylinder valve connections. Medical oxygen regulators are inexpensive, most have colored anodized aluminum bodies. Some medical O2 regulator bodies are plated with a shinny chrome-nickel alloy plating, shiny like a chrome car bumper. Galvanic Corrosion is the common cause of regulator malfunction and frank failure. Warranty does not cover damage caused by Galvanic Corrosion.
Many aluminum body click-style pediatric medical oxygen regulators are manufactured in China under US Patent specification for medical use only and imported into the USA. They are commonly sold on the internet for $15-$35. Aluminum oxygen regulators are cheap to manufacture in China and cheap to purchase in America. The dose of oxygen delivered is often unreliable, inaccurate or misleading: RE: poor manufacturing quality controls. Manufacturing and shipping to USA FOB China – less than $3 each. The sales profit margin is great.
Medical regulators are then rebranded, relabeled and repackaged and sold new and falsely advertised and marketed as “Commercial Grade Fishing Oxygen Regulators.” Durable Medical Equipment companies and medical equipment manufacturers distribute and manufacture medical oxygen regulators . They are sold “over the counter” without a doctors written prescription; a direct violation of FDA and State Health Department’s Medical device regulations and US import regulations for foreign manufactured medical devices. Patient instructions are included in original shipping boxes and shipping box labels, the buyer discards patient instruction and original labeled shipping box. The retail distributor then re-labels the regulator and sells the regulator over the counter to fishermen. BUYER BEWARE!
Aluminum body adjustable click-style medical oxygen regulators are sold in a variety different colors; blue, green, gold, silver, grey, red, yellow, pink. Some have a shiny chromium alloy plating, like a chrome car bumper. Made in China and Mexico, manufacturing quality control is often lax or totally missing. The dose of oxygen dialed in on the regulator may vary considerably compared to the actual dose of oxygen delivered… RE: poor manufacturing quality control. Before you buy and use any click-style medical oxygen regulator – Consider Product Safety, durability and especially dependability.
DO YOU MAY HAVE RISK, LEGAL RISK, YOUR BOAT INSURANCE RISK and THE FIRE HAZARD of intentionally misusing medical regulators for fishing oxygen systems on boats with pure 100% oxygen.
Two images of the same type rebranded green body aluminum pediatric click-style medical oxygen regulator. These rebranded medical oxygen regulators are sold as a non medical commercial oxygen regulator used to dispense pure oxygen into an ozone generator in a clean climate controlled environment. Calibrated doses in fractions of liters per minute: 1/31, 1/16, 1/8, 1/4, 1/2… 4.0 LPM flow rates.
The image below is the same pediatric click-style medical oxygen regulator that has been rebranded and sold as a commercial fishing oxygen system regulator. Calibrated doses in fractions of liters per minute: 1/31, 1/16, 1/8, 1/4, 1/2… 4.0 LPM flow rates.
EXPECT SERIOUS ELECTROLYSIS DAMAGE WHEN ALUMINUM CLICK-STYLE MEDICAL OXYGEN REGULATORS ARE USED IN FISHING ENVIRONMENTS ON BOATS – SEE WHY ABUSED ALUMINUM BODY CLICK-STYLE PEDIATRIC MEDICAL OXYGEN REGULATORS MAY BE A FIRE AND AN EXPLOSIVE PRESSURE HAZARD – DANGEROUS
Relabeling this click-style pediatric oxygen regulator “BAIT SYSTEMS” and “NOT FOR HUMAN USE” is deceptive and certainly does not relieve the seller, distributor and user from any legal liability for misusing, reselling and redistributing mislabeled prescription medical devices branded as a commercial fishing oxygen regulator. No not be fooled.
The hallmark identification of all pediatric click-style pediatric medical oxygen regulator: All click-style medical oxygen regulators are patent specified, all calibrated to deliver oxygen doses in liters per minute LPM or fractions of LPM and the oxygen dose adjustment is variable.
Manufacturer’s original shipping boxes are required by the FDA to have the Federal Legend attached to the outside of the box at the initial point of distribution (manufacturer or DME Distributor).
Manufacturer’s written Instructions, safety Information and Warnings are required by the FDA to be included in each individual shipping box and available to all end user.
OXYGEN FLOW CONTROL REGULATOR
[THESE WRITTEN INSTRUCTION/ADVISO ARE FDA REQUIRED AND INCLUDED INSIDE EVERY MEDICAL O2 REGULATOR SHIPPING BOX WHEN SHIPPED FROM THE MANUFACTURER TO THE PATIENT VIA INTERNERNET PURCHASE AND WHEN SHIPPED TO ALL DME DEALERS IN THE USA]
MEDICAL OXYGEN REGULATOR INSTRUCTIONS AND LABELING CLEARLY STATE:
“OXYGEN FLOW CONTROL REGULATORS ARE INTENDED FOR ADMINISTRATION OF PURE OXYGEN TO PATIENTS WHO NEED INCREASED OXYGEN LEVELS TO IMPROVE THEIR BREATHING CONDITIONS. “
“THIS UNIT SHOULD ONLY BE USED ON PATIENTS WHO ARE BREATHING; DO NOT USE TO RESUSITATE NON BREATHING PATIENTS. DO NOT USE THIS EQUIPMENT UNLESS YOU HAVE BEEN TRAINED IN THE PROPER USE OR UNDER SUPERVISION OF SOMEONE TRAINED IN ITS USE.”
Regulator connections may be 540 CGA or 870 CGA.
PROFESSIONAL and LEGAL OPINION
Federal Food and Drug Administration, Medical Device Division and Texas Department of State Health Services Health, Medical Device Division: RE: Regulations and opinions affect buying and selling click- style prescription pediatric and adult medical oxygen regulators that are intentionally, mislabeled, relabeled, rebranded and resold as commercial grade fishing oxygen regulators commonly used as a component in homemade livewell and bait tank oxygen systems.
CLICK STYLE PEDIATRIC MEDICAL OXYGEN REGULATORS
FEDERAL LEGEND – “FEDERAL LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A PHYSICIAN”
This FDA Federal Legend label is affixed on all pediatric and adult medical regulator shipping boxes and also written in all regulator operation instruction enclosed in each shipping box from the manufacturer. ____________________________________________________________________________
Special Fraud Alert
Office of Inspector General
Physician Liability for Certifications in the Provision of Medical Equipment and Supplies
“Physicians should also be aware that they are subject to substantial criminal, civil, and administrative penalties if they sign a certification knowing that the information relating to medical necessity is false, or with reckless disregard as to the truth of the information being submitted.” http://oig.hhs.gov/fraud/docs/alertsandbulletins/dme.htm
VIEW FEDERAL LEGEND LABEL ON PRODUCT INSTRUCTIONS AND SHIPPING BOX
FEDERAL LEGEND – “FEDERAL LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A PHYSICIAN”
TEXAS DEPARTMENT OF HEALTH – ADVISO
Texas Department of Health opinion regarding medical oxygen regulators sold as bait tank and livewell oxygen systems, October 26, 2001:
“Medical oxygen regulators are considered by both the manufacturers of these devices, state Departments of Health and the Federal Food and Drug Administration to be prescription medical devices.
Under Chapter 483, Health and Safety Code, also known as the “Texas Dangerous Drug Act” the definition of “dangerous drug” includes prescription drugs and prescription devices (Chapter 483.001(2)).
Possession of prescription devices is restricted to those individuals or companies that are authorized to have them (Chapter 483.041).
“A prescription medical device which has had the federal legend label removed or that is missing any labeling (user’s manuals, etc.) which might include the federal legend or similar warnings is considered to be misbranded.
The action of misbranding a medical device or distributing such a device is prohibited and subject to penalties outlined under Chapter 431, Health and Safety Code, also known as the Texas Food, Drug and Cosmetic Act.”
“Advertising involving misbranded devices would need to be evaluated on a case by case basis, but it is addressed in section 431.003, Health and Safety Code, and is subject to the enforcement provisions set forth by the Act.”
“These offenses have civil, administrative and/or criminal penalties afforded to them under the laws and rules. In other words, they can be prosecuted and punished under the laws and rules described.”
Charles P. Davis, Program Director Texas Department of Health Medical Devices Drugs and Medical Devices Division (512) 719-0237 ext 498 Email: mailto:email@example.com ________________________________________________________________________
TEXAS DEPARTMENT OF HEALTH SERVICES
MEDICAL OXYGEN REGULATORS
“I believe any oxygen regulator for medical use would normally be marketed pursuant to 21 Code of Federal Regulations, Part 868.2700 (product code CAN).
It is the only oxygen regulator definition for medical use I’m familiar with.” http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/cfrsearch.cfm?fr=868.2700
Jeff Mansell, Compliance Officer Drugs and Medical Devices Group Policy, Standards and Quality Assurance Unit Environmental and Consumer Safety Section Division for Regulatory Services Department of State Health Services (512) 834-6755 x 2326 (phone) email: mailto:Jeff.Mansell@dshs.state.tx.us ____________________________________________________________________
IMPORTANT SAFETY ADVISORY FROM MEDICAL OXYGEN REGULATOR MANUFACTURER:
Friday August 3, 2001
To: The Oxygen Edge
From: Manufacturer’s Medical Oxygen Regulator Warranty Division Subject:
Oxygen Warranty Items
This is to outline some of the problems we have seen with medical regulators in bait wells:
1. Medical regulators have printed either on the unit, on the box, and/or in the instructions that they are to be used on the order of a physician. It is not legal to buy these for any other use.
2. Medical regulators are not designed to handle the salt water environment of a fishing vessel.
When I receive medical regulators into my shop for warranty repair, I will not repair them if they have been used in a salt water environment.
For the most part the aluminum and unplated brass components are too corroded to allow disassembly of the unit. In addition, I will not repair an item clearly used in a manner inconsistent with its design.
3. People who are not trained in the safe use of high pressure oxygen administration should NEVER use such equipment.
Oxygen is not safe in the presence of grease, oil, dirt, or any other hydrocarbons — it can cause these items to self ignite, with potentially catastrophic results.
And of course high pressure cylinders with any gas can explode under some circumstances. I have received regulators coming in for warranty repair that were corroded to the extent the knob could no longer turn. The owner of these regulators had sprayed them with WD-40 to get the knob to loosen — I can’t stress enough how dangerous this is. I would not touch such a unit. Kevin Confoy Warranty Division ____________________________________________________________________
Cramer Decker Industries
Questions regarding Pediatric Click-Style Medical Oxygen Regulator manufacture and sales.
1. Does Cramer Decker manufacture and/or sell any click-style pediatric medical high pressure oxygen regulators that are calibrated (0-3 or 0-4 lpm) that are designed for a commercial (non medical) applications and sold to deliver Commercial Welding Oxygen specifically at (1/32, 1/16, 1/8, 1/4, 1/2 – 3.0 or 4.0 lpm), not designed and manufactured for human use or USP Oxygen administration….
Answer: “No, we do not offer click style regulators for COMMERICIAL use. The regulators we have are made for home medical use.”
Philip Le Customer Service Representative Cramer Decker Industries 1641 E. St. Andrew Place Santa Ana, CA 92705 (800) 752-4579 Email: mailto:firstname.lastname@example.org __________________________________________________________________________
MEDICAL OXYGEN REGULATORS – FEDERAL LEGEND LABEL
All medical oxygen regulator manufacturers are required by Federal Law to attach a FDA Federal Legend to oxygen regulator shipping boxes before the regulator is shipped to a distributor or Durable Medical Equipment Supplier (DME).
The Federal Legend must also be on the operating instructions included inside the shipping box It is a violation of Federal Law to remove the Federal Legend from the box or remove the original operating instructions from the shipping box prior to final sale of the regulator.
When the Federal Legend is removed prior to final sale, the regulator is considered misbranded, relabeled and repackaged for uses other than intended by the manufacturer.
Pediatric click-style medical oxygen regulators are controlled medical devices that require a Physician’s Order (written prescription) for purchase and possession. Buyer Beware!
Medical oxygen regulators are controlled medical devices, they may be dangerous when used in hostile environments other than hospitals, clinics and emergency medicine.
Medical oxygen regulators are not made for nor intended for use in harsh fishing environments by fishermen to oxygenate livewells.
The 2 images at the top of this web page are examples of misbranded, relabeled and repackaged prescription click-style pediatric medical regulators delivery doses calibrated in fractions of liters per minute (LPM), sold illegally over the counter as commercial “bait tank oxygen systems regulators.”
Click-style pediatric medical oxygen regulators: In order to sell medical oxygen regulators as fish O2 regulators salesmen often define medical regulators by saying his click-style fishing oxygen regulator is not medical oxygen device because it uses commercial welding oxygen, not prescription medical Oxygen USP or the regulator connects to a 540 CGA oxygen cylinder valve, not a 870 CGA Post Valve or “NOT FOR HUMAN USE” is embossed on the aluminum regulator body or is stated on the attached label.
Some DME Supply stores sell prescription medical oxygen regulators over the counter to fishermen for cash, no doctor’s prescription necessary for purchase.
Be on guard for the slick salesmen that defines and justifies selling misbranded, relabeled click-style pediatric medical oxygen regulator as a “commercial fishing oxygen regulators as fishing oxygen regulators that uses welding oxygen and connects to a 540 CGA cylinder valve.
Or, this click style oxygen regulator has “NOT FOR HUMAN USE” stamped on the regulator body.
The slick salesmen’s definitions are meaningless sales gimmicks used to sell click-style medical oxygen regulators often MADE IN CHINA and imported into the USA.
FACT: Companies that have click-style medical oxygen regulators manufactured in China are considered by the FDA as OEM and must attach the Federal Legend; it must be clearly visible on the outside of the product box and printed on the enclosed operating instructions before resale.
Medical oxygen regulator manufacturer ship click-style oxygen regulatosr to a DME company for resale, the Federal Legend is always attached to the shipping box and the written instruction inside the shipping box.
FACT: Federal Legend labeling is regulated by the FDA. Always ask the seller to show you the original shipping box and the original operating instructions before purchase.
If the seller refuses or makes an excuse not to show you the original shipping box, that is a “red-flag” warning that often indicates potential deceptive sales of an illegal prescription medical device.
Buyer Beware, that mistake could cancel your boat insurance and cause you unnecessary legal risk in case of accident.
The difference between a prescription pediatric click-style medical oxygen regulator and a commercial oxygen regulator is not defined by whether the regulator dispenses medical “OXYGEN USP” or commercial welding oxygen gas or what oxygen cylinder valve the regulator connects to.
HOW ARE MEDICAL OXYGEN REGULATORS DEFINED AND IDENTIFIED BY A FISHERMAN?
Click style pediatric medical oxygen regulators are always calibrated and deliver oxygen in liters per minute (LPM) and fractions of liters per minute (1/32, 1/16, ¼, ½, ¾ 1.0… LPM).
Dose range is usually 0-4 LPM.
FACT: The regulator dose calibration (LPM) defines a high pressure oxygen regulator as a prescription medical device.
Many aluminum oxygen regulatorbrands have colored anodized aluminum bodies (green, blue, red, etc.) or a shinny chrome finish, shinny like a car bumper.
Nickel plated regulators are not shinny like chrome, they look dull like a tarnished old 1943 Buffalo Nickel. The Oxygen Edge™ regulator is nickel plated.
All medical oxygen regulators sold by all regulator manufacturers are shipped with the FEDERAL LEDGEND label fixed to the outside of the shipping box and also in the written operation instructions inside the shipping box.
Removal of the FEDERAL LEGEND and resale is illegal. The regulator is considered misbranded when/if the Federal Legend is removed from the shipping box or operation instructions before the final sale. ___________________________________________________________________________
MISLABELED CLICK STYLE PEDIATRIC MEDICAL OXYGEN REGULATORS are/were SOLD HERE
http://www.pro-o2.com/ BAAD Marine Supply18300 E. Hwy 6 between Alvin and Santa Fe, TX
http://www.inmonrespiratory.com/ Inman Respiratory Services, Corpus Christi, TX
http://www.keepalive.net/oxygen/ KeepAlive, Tarpon Springs, FL
http://www.fishingpharmacy.com/pure-oxygen-equip-c-114.html?zenid=e51ded66b7967e61836c203398b164c7 Fishing Pharmacy, 3197 War Hill Park Rd.. Dawsonville, GA
http://www.hammondsfishing.net/ Hammonds Fishing Supply, Cumming, GA
American Bolt & Gasket, DBA Oxygen Bait Saver ™, 18533 Fm 365 Rd., Beaumont, TX 77705, Jefferson County, TX
J & J Tackle Town, Rockport, TX Custom Oxygen Systems, San Antonio, TX