4136 First Aid Kit (4136 First Aid) Kit [Honeywell Safety Products Usa, Inc.] -

4136 FIRST AID KIT (4136 FIRST AID) KIT [HONEYWELL SAFETY PRODUCTS USA, INC.]
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NDC	0498-0100-02, 0498-0203-00, 0498-0501-00, 0498-4136-01
Set ID	87b38f40-3dbb-3590-e053-2a95a90a2793
Category	HUMAN OTC DRUG LABEL
Packager	Honeywell Safety Products USA, Inc.
Generic Name
Product Class	Amide Local Anesthetic, Antiarrhythmic
Product Number
Application Number

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Burn Jel Active ingredient

Lidocaine HCl 2.0%
Burn Jel Purpose

External analgesic
Burn Jel Uses
- temporarily relieves pain due to minor burns
Burn Jel Warnings
For external use only
Do not use
- on large areas of the body, particularly over raw surfaces or blistered areas
When using this product
- avoid contact with eyes
Stop use and ask a doctor if
- the condition gets worse
- symptoms persist for more than 7 days
- condition clears up and recurs within a few days
Keep out of reach of children
- If swallowed, get medical help or contact a Poison Control Center right away.
Burn JEl Directions
- adults and children 2 years of age and older; apply to affected area not more than 3 to 4 times daily
- children under 2 years of age: ask a doctor
- you may report a serious reaction to this product to 800-430-5490
Burn Jel Other information
- store at room temperature - do not use if opened or torn
Burn Jel Inactive ingredients

carbopol 940, carbopol 1342, diazolidinyl urea, glycerin, melaleuca alternifolia (tea tree) leaf oil, methylparaben, octoxynol-9, propylene glycol, propylparaben, trolamine, water
Burn Jel Questions

1-800-430-5490
BZK Wipe Active ingredient

Benzalkonium chloride 0.13% w/v
BZK Wipe Purpose

First aid antiseptic
BzK Wipe Uses

Antiseptic cleansing of face, hands, and body without soap and water
BZK Wipe Warnings
For external use only
Do not use
- in the eyes or over large areas of the body
- on mucous membranes
- on irritated skin
- in case of deep puncture wounds, animal bites or serious burns, consult a doctor
- longer than 1 week unless directed by a doctor
Stop use and ask a doctor if
- if irritation, redness or other symptoms develop
- the condition persists or gets worse
Keep out of reach of children

If swallowed, get medical help or contact a Poison Control Center right away.
BZK Wipe Directions

tear open packet and use as a washcloth
BZK Wipe Other information
- store at room temperature 15 0 to 30 0 C (59 0 - 86 0 F)
- do not reuse towelette
BZK Wipe Other information

water
BZK Wipe Questions

1-800-430-5490
Eyewash Active ingredient

Sterile Water 99%
Eyewash Purpose

Eyewash
Eyewash Uses
- for flushing the eye to remove loose foreign material, air pollutants or chlorinated water
Eyewash Warnings
For external use only-

Obtain immediate medical treatment for all open wounds in or near eyes.

To avoid contamination, do not touch tip of container to any surface.

Do not reuse. Once opened, discard.

Do not use

if solution changes color or becomes cloudy
if you have open wounds in or near the eyes, get medical help right away.
Stop use and ask a doctor if
- you experience eye pain
- changes in vision
- continued redness or irritation of the eye
- condition worsens or persists
Keep out of reach of children

If swallowed, get medical help or contact a Poison Control Center right away.
Eyewash Directions
- remove contacts before using
- twist top to remove
- flush the affected area as needed
- control rate of flow by pressure on the bottle
- if necessary, continue flushing with emergency eyewash or shower
Eyewash Inactive ingredients

sodium chloride, sodium phosphate dibasic, sodium phosphate monobasic
Eyewash Questions

1-800-430-5490 Honeywell Safety Products USA, Smithfield, RI 02917,
4136 6824PIZ Kit Contents

1 BLUE WOVEN 1X3 100/BX 12/CS

2 INSTANT COLD PACK 4" X 6"

1 BURN JEL 1/8 OZ, 6 PER

1 ANTIMCRBL ANTSPTC TWLETTS

1 FIRST AID GUIDE ASHI

2 4OZ BFS EYEWASH TRILINGUAL BOTTLE

LBL STOCK 6-3/8"X4"

LBL STOCK 4"X2-7/8"

1 LBL STOCK 4"X2-7/8"

1 LBL STOCK 3"x1-7/8"

2 PR LRG NITRILE GLVES ZIP BAG

1 ANCHOR/SCREW 2 EACH ZIP BAG

1 SELF-ADH WRAP 2 X 5 YDS NORTH REV D

1 KIT STL 24 UN WHITE 01

1 GAUZE PADS 3"X3" 4/BX
4322 SF00004640 kit contents

1 BLUE WOVEN 1X3 100/BX 12/CS

2 INSTANT COLD PACK 4" X 6"

1 BURN JEL 1/8 OZ, 6 PER

1 ANTIMCRBL ANTSPTC TWLETTS

1 FIRST AID GUIDE ASHI

2 4OZ BFS EYEWASH TRILINGUAL BOTTLE

LBL STOCK 6-3/8"X4"

LBL STOCK 4"X2-7/8"

1 LBL STOCK 3"x1-7/8"

2 PR LRG NITRILE GLVES

1 ANCHOR/SCREW 2 EACH ZIP BAG

1 SELF-ADH WRAP 2 X 5 YDS NORTH REV D

1 KIT STL 24 UN WHITE 01

1 GAUZE PADS 3"X3" 4/BX
Burn Jel Principal Display Panel
BZK Wipe Principal Display Panel
Eyewash Principal Display Panel
4136 Kit Label 6824PIZ
4322 Kit Label SF00004640

INGREDIENTS AND APPEARANCE

4322 FIRST AID KIT
4322 first aid kit

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC:0498-4322

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-4322-01	1 in 1 KIT	09/13/2018

Part #	Package Quantity	Total Product Quantity
Quantity of Parts
Part 1	6 PACKET	21 g
Part 2	2 BOTTLE	236 mL
Part 3	1 PACKET	1.4 mL

Part 1 of 3

BURN JEL
gel for burns gel

Product Information
Item Code (Source)	NDC:0498-0203
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
LIDOCAINE HYDROCHLORIDE (UNII: V13007Z41A) (LIDOCAINE - UNII:98PI200987)	LIDOCAINE HYDROCHLORIDE ANHYDROUS	2 g in 100 g

Ingredient Name	Strength
Inactive Ingredients
TEA TREE OIL (UNII: VIF565UC2G)
DIAZOLIDINYL UREA (UNII: H5RIZ3MPW4)
METHYLPARABEN (UNII: A2I8C7HI9T)
EDETATE DISODIUM (UNII: 7FLD91C86K)
GLYCERIN (UNII: PDC6A3C0OX)
TROLAMINE (UNII: 9O3K93S3TK)
CARBOMER HOMOPOLYMER TYPE C (ALLYL PENTAERYTHRITOL CROSSLINKED) (UNII: 4Q93RCW27E)
CARBOMER HOMOPOLYMER TYPE B (ALLYL PENTAERYTHRITOL CROSSLINKED) (UNII: HHT01ZNK31)
PROPYLPARABEN (UNII: Z8IX2SC1OH)
OCTOXYNOL-9 (UNII: 7JPC6Y25QS)
DIPROPYLENE GLYCOL (UNII: E107L85C40)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-0203-00	3.5 g in 1 PACKET; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph not final	part348	09/19/2018

Part 2 of 3

EYESALINE EMERGENCY EYEWASH
purified water liquid

Product Information
Item Code (Source)	NDC:0498-0100
Route of Administration	OPHTHALMIC

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
WATER (UNII: 059QF0KO0R) (WATER - UNII:059QF0KO0R)	WATER	98.6 mL in 100 mL

Ingredient Name	Strength
Inactive Ingredients
SODIUM PHOSPHATE, DIBASIC (UNII: GR686LBA74)
SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE (UNII: 593YOG76RN)
SODIUM CHLORIDE (UNII: 451W47IQ8X)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-0100-02	118 mL in 1 BOTTLE; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph final	part349	12/18/2018

Part 3 of 3

ANTISEPTIC TOWELETTE
benzalkonium chloride liquid

Product Information
Item Code (Source)	NDC:0498-0501
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y)	BENZALKONIUM CHLORIDE	1.3 mg in 1 mL

Ingredient Name	Strength
Inactive Ingredients
WATER (UNII: 059QF0KO0R)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-0501-00	1.4 mL in 1 PACKET; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph not final	part333E	12/22/2017

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
unapproved drug other		09/13/2018

4136 FIRST AID KIT
4136 first aid kit

Product Information
Product Type	HUMAN OTC DRUG	Item Code (Source)	NDC:0498-4136

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-4136-01	1 in 1 KIT	09/13/2018

Part #	Package Quantity	Total Product Quantity
Quantity of Parts
Part 1	6 PACKET	21 g
Part 2	2 BOTTLE	236 mL
Part 3	1 PACKET	1.4 mL

Part 1 of 3

BURN JEL
gel for burns gel

Product Information
Item Code (Source)	NDC:0498-0203
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
LIDOCAINE HYDROCHLORIDE (UNII: V13007Z41A) (LIDOCAINE - UNII:98PI200987)	LIDOCAINE HYDROCHLORIDE ANHYDROUS	2 g in 100 g

Ingredient Name	Strength
Inactive Ingredients
TEA TREE OIL (UNII: VIF565UC2G)
DIAZOLIDINYL UREA (UNII: H5RIZ3MPW4)
METHYLPARABEN (UNII: A2I8C7HI9T)
EDETATE DISODIUM (UNII: 7FLD91C86K)
GLYCERIN (UNII: PDC6A3C0OX)
TROLAMINE (UNII: 9O3K93S3TK)
CARBOMER HOMOPOLYMER TYPE C (ALLYL PENTAERYTHRITOL CROSSLINKED) (UNII: 4Q93RCW27E)
CARBOMER HOMOPOLYMER TYPE B (ALLYL PENTAERYTHRITOL CROSSLINKED) (UNII: HHT01ZNK31)
PROPYLPARABEN (UNII: Z8IX2SC1OH)
OCTOXYNOL-9 (UNII: 7JPC6Y25QS)
DIPROPYLENE GLYCOL (UNII: E107L85C40)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-0203-00	3.5 g in 1 PACKET; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph not final	part348	09/19/2018

Part 2 of 3

EYESALINE EMERGENCY EYEWASH
purified water liquid

Product Information
Item Code (Source)	NDC:0498-0100
Route of Administration	OPHTHALMIC

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
WATER (UNII: 059QF0KO0R) (WATER - UNII:059QF0KO0R)	WATER	98.6 mL in 100 mL

Ingredient Name	Strength
Inactive Ingredients
SODIUM PHOSPHATE, DIBASIC (UNII: GR686LBA74)
SODIUM PHOSPHATE, MONOBASIC, MONOHYDRATE (UNII: 593YOG76RN)
SODIUM CHLORIDE (UNII: 451W47IQ8X)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-0100-02	118 mL in 1 BOTTLE; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph final	part349	12/18/2018

Part 3 of 3

ANTISEPTIC TOWELETTE
benzalkonium chloride liquid

Product Information
Item Code (Source)	NDC:0498-0501
Route of Administration	TOPICAL

Ingredient Name	Basis of Strength	Strength
Active Ingredient/Active Moiety
BENZALKONIUM CHLORIDE (UNII: F5UM2KM3W7) (BENZALKONIUM - UNII:7N6JUD5X6Y)	BENZALKONIUM CHLORIDE	1.3 mg in 1 mL

Ingredient Name	Strength
Inactive Ingredients
WATER (UNII: 059QF0KO0R)

#	Item Code	Package Description	Marketing Start Date	Marketing End Date
Packaging
1	NDC:0498-0501-00	1.4 mL in 1 PACKET; Type 0: Not a Combination Product

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
OTC monograph not final	part333E	12/22/2017

Marketing Category	Application Number or Monograph Citation	Marketing Start Date	Marketing End Date
Marketing Information
unapproved drug other		09/13/2018

Labeler - Honeywell Safety Products USA, Inc. (079287321)

Registrant - Honeywell Safety Products USA, Inc. (079287321)

Name	Address	ID/FEI	Business Operations
Establishment
Honeywell Safety Products USA, Inc		079287321	pack(0498-4136, 0498-4322)

Name	Address	ID/FEI	Business Operations
Establishment
Water-Jel Technologies		155522589	manufacture(0498-0203)

Name	Address	ID/FEI	Business Operations
Establishment
Honeywell Safety Products USA, Inc.		167518617	manufacture(0498-0100)

Name	Address	ID/FEI	Business Operations
Establishment
Changzhou Maokang Medical		421317073	manufacture(0498-0501)

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Medic

Do not use

When using this product

Stop use and ask a doctor if

Keep out of reach of children

Do not use

Stop use and ask a doctor if

Keep out of reach of children

Do not use

Stop use and ask a doctor if

Keep out of reach of children