How oil-free medical air plants supply pharmacopoeia-grade breathable air to hospital pipelines under EN ISO 7396-1, why hospitals build redundant duplex systems, and how to specify the right plant for your facility. Engineered in Lisbon since 1981, deployed in 80+ countries.
Medical air is one of the most consumed gases in any modern hospital. Unlike industrial compressed air, medical air is inhaled directly by patients in intensive care, surgery, anaesthesia, and neonatal departments. It must therefore be produced under medical-device controls, treated to pharmacopoeia-grade purity, and delivered at consistent 4 bar pipeline pressure 24 hours a day.
A complete medical air plant compresses ambient air using oil-free scroll or screw compressors, then passes it through a multi-stage treatment chain that removes water, particulates, residual oils, hydrocarbons, and microbes before delivering it to the hospital pipeline.
Lubricated industrial compressors leak microscopic oil aerosols into the compressed air. In industrial use this is harmless. In a hospital, oil aerosols inhaled through ventilators can cause severe respiratory complications. Oil-free compression is therefore mandatory for medical air production under EN ISO 7396-1 and the European Pharmacopoeia.
ULTRAAR plants use only oil-free scroll and screw compressors. The complete plant is certified as a Class IIb medical device under MDR (EU) 2017/745.
Medical air plants are complex systems. Four functional stages must work together continuously to deliver pharmacopoeia-grade air at the bedside.
Filtered ambient air is compressed by oil-free scroll or screw compressors. The compression chamber never contacts lubricant, so the compressed air remains free of hydrocarbon contamination from the very first stage. ULTRASCREW VSD compressors deliver capacity matched to actual hospital demand.
Oil-free guaranteedCompressed air carries water vapour that must be removed before pipeline distribution. ULTRADRY refrigerant or desiccant dryers reduce the pressure dewpoint to −40°C, preventing condensation and microbial growth. Multi-stage coalescing and carbon filters remove particulates, residual oil, and odours.
−40°C dewpointTreated air is stored in a receiver tank that buffers consumption peaks and ensures stable supply. A pressure regulator delivers air to the hospital pipeline at the standard 4 bar medical air pressure. Duplex systems include two parallel production lines for redundancy under EN ISO 7396-1.
4 bar pipeline standardOnboard sensors continuously track pipeline pressure, dewpoint, residual oil content, and CO/CO₂ levels. Any out-of-spec drift triggers alarms, automatic failover to a backup source (cylinders or second production line), and notification to biomedical engineering staff and Ultra Controlo's UltraCare service centre.
24/7 remote diagnosticsUnlike oxygen, medical air cannot be practically supplied from cylinders at hospital scale. On-site production is the only viable model and the right partner makes the difference between a system that runs reliably for two decades and one that fails repeatedly.
A medium hospital with 100 beds, 6 ICU positions, and 4 operating theatres can consume 50 to 100 Nm³/hour of medical air. Supplying this from cylinders requires hundreds of bottle changes per week. On-site plants eliminate the logistics burden entirely with electricity and ambient air as the only inputs.
Loss of medical air supply for patients on mechanical ventilation is a Class A clinical event. EN ISO 7396-1 mandates redundant supply with auto-failover. Duplex configurations with two parallel production lines satisfy regulatory requirements and clinical risk frameworks. ULTRAAR ME and DS configurations are designed for full duplex redundancy.
An on-site oil-free medical air plant has an operational lifespan of 15 to 20 years. Capital is recovered within 18 to 36 months. Running cost is essentially the cost of electricity to drive the compressor. Over a 10-year horizon, on-site air is the lowest cost per Nm³ option for any hospital above 20 Nm³/hour demand.
ULTRAAR plants are complete medical devices, not assembled from generic industrial components. Every plant is certified CE 1639 under MDR (EU) 2017/745, manufactured under ISO 13485:2016 quality system, and delivered with full EN ISO 7396-1 documentation and commissioning support.
Three approaches exist for hospital medical air supply. Only one scales to modern hospital demand at sustainable cost.
20 Nm³/h
ULTRAAR is a complete medical air plant certified as a Class IIb medical device under MDR (EU) 2017/745. Engineered and manufactured in Lisbon since 1981. Available in compact, scroll, screw, and modular extended-capacity configurations to match any hospital demand profile.
ULTRAAR plants are deployed in extreme operating conditions worldwide: high-altitude clinics, desert hospitals, tropical humidity, and below-freezing latitudes. Containerised configurations arrive pre-assembled, factory-tested, and ready to commission in 24 to 72 hours.
Every ULTRAOX is assembled in our Lisbon facility under ISO 13485:2016 quality control. Oil-free compressors, premium zeolite molecular sieves, redundant gas analysers, and continuous monitoring systems all integrated into a single CE 1639 certified medical device.
Real PSA oxygen plants delivered, commissioned, and supported by Ultra Controlo. Ministries of health, UN agencies, the Global Fund, and NGO partners across Africa, the Middle East, and Latin America.
A ULTRAOX ST PSA generator with redundant compression and dual-tower production serves a 220-bed regional referral hospital across the Sotavento islands. Twin-tower configuration ensures continuous supply during maintenance windows.
A ULTRAOX duplex PSA system at Hôpital Dermatologie de Bamako and a Ministerial inauguration of an ULTRAOX in Kayes by Colonel Major Dr Assa Badiallo Touré. National oxygen production capacity strengthened across two regions.
A high-capacity ULTRAOX 180D ST with 2×ULTRASCREW 37 VSD PM oil-free compressors and 2×ULTRACON 10 PSA modules. Designed for high-demand regional hospital operations under challenging supply conditions.
Inauguration of ULTRAOX at Hospital de Benguela under a national UNDP and Global Fund programme covering up to 8 hospitals nationwide. Complete supply, installation, training, and lifecycle support across regional facilities.
An ULTRAOX system operating at high altitude in the Peruvian Andes, supplying critical care services to remote mountain populations. Demonstrates ULTRAOX viability across extreme operating environments and altitudes.
Companion ULTRAAR ME 2.60/1000 UD DS 4G PO medical air plant with 2×ULTRASCREW 7 FSD compressors, 1000L receiver, and full ULTRADRY treatment chain. Demonstrates Ultra Controlo's complete medical gas pipeline capability.
Choosing the right PSA system requires understanding your facility's actual and projected oxygen demand. Five factors determine the appropriate system size.
Ultra Controlo's engineering team provides free pre-project site assessments and system sizing consultations as part of every project enquiry.
Request free sizing assessmentMedical oxygen systems must be sized for peak demand, not average demand. Peak typically occurs in the ICU, operating theatres, and emergency departments simultaneously. A system sized only for average consumption will be insufficient during high-demand events.
General ward beds typically consume less oxygen per hour than ICU or surgical beds. A hospital with 10 ICU beds may consume more oxygen than one with 50 general ward beds. Specialty mix affects total demand significantly.
Hospital pipeline systems typically operate at 4 bar. The PSA system must maintain this pressure at peak flow continuously. ULTRAOX outlet pressure spans 4 to 10 bar across all configurations to suit varied pipeline standards.
Regulatory requirements and clinical risk assessments often mandate a backup oxygen source: either a cylinder manifold or a second PSA production line, to cover maintenance periods and system faults. Duplex configurations provide built-in redundancy.
A system sized only for current demand may be insufficient within 3 to 5 years. Modular systems, where additional production capacity can be added as demand grows, are preferable for facilities undergoing expansion. ULTRAOX modular design supports incremental capacity growth.
A hospital PSA oxygen generator must satisfy multiple international standards. ULTRAOX holds the complete medical-device compliance stack.
Medical device certification under the European Medical Device Regulation. Required for hospital oxygen generators sold or operated in the EU and aligned markets.
Quality management system certification for medical device manufacturers. Governs design, production, and post-market surveillance processes throughout the device lifecycle.
European standard for medical gas pipeline systems. Specifies design, installation, function, performance, documentation, testing, and commissioning of compressed medical gas pipelines.
Pharmacopoeia grade designation for medical oxygen produced by PSA. Both European Pharmacopoeia and US Pharmacopeia specify minimum 93% purity (±3%) for clinical use.
Answers from our engineering team to the questions hospital procurement, biomedical engineers, and ministries of health most often ask.
A PSA (Pressure Swing Adsorption) medical oxygen generator is a medical device that produces oxygen continuously from ambient air at the point of care. It separates oxygen from nitrogen using zeolite molecular sieves under alternating pressure cycles, delivering up to 95% pure oxygen directly to the hospital pipeline.
ULTRAOX was the first PSA oxygen plant certified as a medical device under the European Directive.
Yes. PSA-generated oxygen meeting pharmacopoeia purity standards (Oxygen 93, minimum 93% O₂) is clinically equivalent to cylinder or liquid oxygen and is appropriate for all hospital applications, including:
Mechanical ventilation, anaesthesia, neonatal care, hyperbaric oxygen therapy, surgical theatres, ICU bedside delivery, and emergency resuscitation.
Installation timelines vary by facility:
Indoor installation (ULTRAOX SC or ST) in a prepared technical room can be commissioned within 2 to 4 weeks of equipment arrival.
Containerised installation (ULTRAOX CO) can be operational in 24 to 72 hours, as systems arrive pre-assembled and require only utility connections.
Power consumption depends on production capacity. As a general reference, a system producing 20 Nm³/hour of oxygen typically consumes approximately 7 to 10 kW.
Ultra Controlo provides precise power specifications during the site assessment phase and offers UltraGreen renewable-energy compatibility for solar-powered or hybrid installations.
A well-designed PSA system requires periodic preventive maintenance every 6 to 12 months. This covers filter replacement, zeolite sieve inspection, compressor servicing, and calibration of the monitoring system.
Ultra Controlo's UltraCare programme provides scheduled preventive maintenance, corrective maintenance on demand, 24/7 international technical support, and a genuine spare parts service.
Yes. The World Health Organisation recommends on-site PSA oxygen generation as an appropriate method for producing medical oxygen in healthcare facilities, particularly in low- and middle-income countries.
WHO technical specifications for PSA oxygen generators are publicly available and consistent with the design parameters of certified systems like ULTRAOX.
A hospital PSA oxygen generator must hold:
CE marking under MDR (EU) 2017/745 as a Class IIb medical device. ISO 13485:2016 quality system certification for the manufacturer. Oxygen output compliant with EN ISO 7396-1 pipeline standards. Pharmacopoeia (Oxygen 93) purity grade.
ULTRAOX is certified CE 1639 under MDR Class IIb.
PSA generation produces oxygen on-site continuously from ambient air, eliminating delivery dependencies. LOX requires regular tanker deliveries from specialist suppliers and cold storage infrastructure.
PSA is typically more cost-effective above 10 to 15 Nm³/hour continuous demand and provides supply chain independence. LOX may suit very large urban hospitals with reliable supplier access and high daily oxygen consumption.
Yes. The containerised ULTRAOX CO system is specifically designed for deployment in extreme environments, including:
Deserts, tropical climates, high-altitude locations, coastal humidity, and sites with no existing technical infrastructure. ULTRAOX systems are operating in environments ranging from the Sahara to coastal Cabo Verde to high-altitude Andean clinics.
The capital investment in a PSA system is typically recovered within 12 to 36 months, depending on the facility's oxygen consumption and the local cost of cylinder supply.
Over a 10-year operational lifespan, savings often exceed 70 percent of the equivalent cylinder supply cost.
ULTRAOX consistently delivers oxygen at up to 95% purity, exceeding the minimum 93% purity required by both European Pharmacopoeia and United States Pharmacopeia for medical oxygen produced by PSA methods (Oxygen 93 grade).
ULTRAOX is engineered and manufactured in Lisbon, Portugal by Ultra Controlo since 1981.
The systems are deployed in hospitals, ministries of health, UN agencies, and NGO programmes across more than 80 countries, including Cabo Verde, Mali, Angola, Yemen, Peru, Bangladesh, and many others across Africa, the Middle East, Latin America, and Southeast Asia.
Ultra Controlo provides free project assessments, system sizing consultations, and technical support throughout the procurement and installation process. Our engineering team in Lisbon is available to discuss your facility, your timeline, and your compliance requirements.