The complete guide CE 1639 · Class IIb

PSA medical oxygen generators for hospitals: the complete guide.

Your hospital makes its own medical oxygen, on site, day and night. Ultra Controlo designs and manufactures ULTRAOX in Portugal, and supplies the cylinder filling, backup and monitoring around it.

ULTRAOX PSA medical oxygen generator by Ultra Controlo
Oxygen purity
93%± 3%
Oxygen 93 grade
Medical device
ClassIIb
CE 1639, the whole plant as one medical device
Oxygen costs
Up to 70%
Lower oxygen costs over 10 years, as Ultra Controlo states
Life cycle
150,000h
Minimum life cycle
Countries
80+
With Ultra Controlo systems installed
What is a PSA oxygen generator

Oxygen independence.

A PSA (pressure swing adsorption) oxygen generator makes medical oxygen on site from ambient air. Ultra Controlo’s PSA plants are called ULTRAOX; each is built around ULTRACON oxygen concentrators with two molecular sieve columns.

Medical grade

Oxygen 93, made on site.

Single-stage PSA plants such as ULTRAOX produce Oxygen 93, a medical oxygen with its own monographs in the European Pharmacopoeia (Oxygen (93 per cent), 2455) and the US Pharmacopeia (Oxygen 93 Percent).

It contains 90.0% to 96.0% oxygen by volume, the rest mostly argon and nitrogen. Oxygen made by cryogenic distillation, delivered as liquid or in cylinders, follows a different monograph, Oxygen (0417), at 99.5% or more.

The World Health Organization published technical specifications for PSA oxygen plants in June 2020. Where Oxygen 93 may be used depends on national rules, so hospitals should confirm them with their health authority.

Oxygen · ULTRAOX SC and ST
Specification
Purity
93% ± 3%
Grade
Oxygen 93
Residual contents at initial operation
CO2
< 300 ppm
CO
< 5 ppm
Oxygen dew point
−50 °C
How PSA works

How a hospital makes its own oxygen.

ULTRAOX runs pressure swing adsorption automatically and measures purity continuously.

Built to EN ISO 7396-1
01

Compress

Compressors draw in ambient air, 21% oxygen and 78% nitrogen, and raise it to above 7.5 bar.

Above 7.5 bar
02

Clean

A water separator, micro and sub-micro filters and an activated carbon filter treat the air before it reaches the generators.

Filtered air
03

Separate

Inside the ULTRACON generators, zeolite holds back the nitrogen. Two columns take turns every few seconds: one makes oxygen while the other sends the nitrogen back outside.

Two columns
04

Store and deliver

Oxygen at 93% ± 3% fills the buffer tank and flows into the hospital pipeline at 5 to 6 bar.

5 to 6 bar pipeline
05

Watch

On ULTRAOX SC, one or two zirconium oxide analysers measure purity continuously. If production drifts outside specification, the automatic changeover moves the supply to the secondary source, such as a cylinder bank, with no operator action.

No operator action
Supply options compared

PSA, cylinders or liquid oxygen.

The difference is where the oxygen is made and how it reaches the patient: a PSA plant makes it on site from air, while cylinders and liquid oxygen are made elsewhere and delivered by truck.

On-site PSA (ULTRAOX)High-pressure cylindersLiquid oxygen tank
How it is madeOn site, from ambient airOff site, filled and deliveredOff site, by cryogenic distillation
GradeOxygen 93 (90 to 96%)Oxygen (99.5% or more), or Oxygen 93 if filled from a PSA plantOxygen (99.5% or more)
StorageLow pressure (ULTRAOX delivers at 5 to 6 bar), no hazardous storageGas at high pressureCryogenic liquid in an insulated tank
DeliveriesNo oxygen deliveries for daily supplyRegular deliveries and returnsRegular tanker deliveries
The hospital pays forThe plant, its electricity and maintenanceGas, cylinder rental and transport, including gas left in returned cylindersGas, deliveries and evaporation losses
Why on site

Why hospitals make their own.

Up to 70% lower oxygen costs over 10 years.

Ultra Controlo’s figure, compared with cylinder or cryogenic supply: no deliveries, no cylinder rental and no oxygen left in returned cylinders.

No operator needed.

A Siemens controller runs the plant, switches compressors and generators in cascade to keep pressure stable, and logs every alarm.

Built for 150,000 hours.

A minimum life cycle that Ultra Controlo presents as an investment for at least 20 years, and in good conditions the zeolite can last 10 years or more.

Real-world deployments

Running in more than 80 countries.

From national hospitals to island clinics. Here are some of the latest.

CV
August 2026
Cabo Verde · Praia

The President of Portugal visits the oxygen plant at Hospital Dr. Agostinho Neto

During his State visit to Cabo Verde in July, the President of the Portuguese Republic, António José Seguro, visited the Dr. Agostinho Neto Hospital in Praia, the largest hospital in the country. The hospital’s medical oxygen plant, which lets it produce its own oxygen on site, was engineered and installed by Ultra Controlo.

Oxygen plant Read the story
TL
February 2026
Timor-Leste · Manatuto

ULTRAOX plant opens in Manatuto, with The Global Fund

The oxygen production container facility has the capacity to store up to 1,500 oxygen cylinders and fill approximately 50 medical oxygen cylinders per day using an ULTRAOX medical oxygen PSA generator.

The Global Fund Read the story
SZ
October 2025
Eswatini

Four ULTRAOX systems for oxygen across the country

Ultra Controlo delivered and handed over four ULTRAOX medical oxygen systems to the Kingdom of Eswatini, which now has the capacity to independently produce medical-grade oxygen for hospitals across the nation.

Four ULTRAOX systems Read the story
ML
May 2025
Mali · Kati

ULTRAOX containers installed at Hospital de Kati

ULTRAOX oxygen generation systems were placed at Hospital de Kati despite the difficult terrain, elevated platforms and logistical complexity of the site.

ULTRAOX containers Read the story
TG
November 2024
Togo · Lomé

New ULTRAOX system for CHR Lomé Commune

Ultra Controlo delivered a new ULTRAOX system to CHR Lomé Commune Hospital in Togo, to give the hospital a stable and reliable supply of medical-grade oxygen.

Hospital delivery Read the story
AO
October 2024
Angola

11 oxygen generator containers shipped for Angola’s largest project

Ultra Controlo shipped 11 containers of oxygen generators for Angola’s largest healthcare project.

11 containers Read the story
Frequently asked questions

Common questions about PSA oxygen for hospitals.

Questions hospitals ask us about on-site oxygen. More on the medical gas answers page.

What capacities do ULTRAOX plants cover?

ULTRAOX plant models range from 3.10 Nm³/h of oxygen on ULTRAOX 30 to 165.3 Nm³/h on ULTRAOX 1640, delivered at 5 to 6 bar; each plant has one or two ULTRACON generators. Plants are modular: one or more generators and compressors are combined to match the hospital’s demand, and capacity can be added later without replacing what is already installed. To size a plant, Ultra Controlo needs the oxygen flow required in m³/h or, for cylinder filling, the size and number of cylinders to fill per day.

Read more

What does a site need before an oxygen plant is installed?

For an ULTRAOX plant, the hospital provides a clean, level area reachable by a crane, a drain for condensate, anchoring for the equipment, three-phase power and the licences to install and operate it. The ambient air must be reasonably free of dust, at an acceptable humidity and free of chemical contamination, the area must not be classed as electrically hazardous, and no one may smoke within 10 metres of the plant. The plant can run from a diesel generator, and the existing oxygen installation can stay in place: ULTRAOX connects to it as a new source.

Read more

What certifications does Ultra Controlo hold?

Ultra Controlo is certified to ISO 13485:2016 for medical devices, ISO 9001:2015 for quality management and ISO 14001 for environmental management. ULTRAOX oxygen plants carry CE marking as Class IIb medical devices through notified body 1639 (SGS), with the whole plant certified as a single medical device, and are built to EN ISO 7396-1. For tenders, Ultra Controlo provides its certificates, CE declarations of conformity and technical dossiers.

Read more

What is UltraGreen?

UltraGreen is Ultra Controlo’s sustainability plan for ULTRAOX oxygen plants: an ULTRAOX enrolled in it runs on 100% renewable electricity, from on-site solar or certified green energy contracts. Ultra Controlo states that UltraGreen avoids 130 tonnes of CO2 a year per ULTRAOX unit and brings a 35% gain in energy efficiency compared with benchmark PSA installations. Ultra Controlo is certified to ISO 14001 for environmental management.

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What is UltraCare?

UltraCare is Ultra Controlo’s technical assistance programme for its medical gas systems, available 24 hours a day, 365 days a year. It covers preventive maintenance and monitoring, corrective service, original spare parts and rental equipment while a unit is serviced. Ultra Controlo selects and trains technicians in each country and runs post-installation monitoring under ISO 13485. UltraCare also services the partner brands Ultra Controlo distributes.

Read more

Request a project assessment

Ready to discuss oxygen for your hospital?

On large plants our factory technicians supervise installation, start-up and staff training, and UltraCare keeps the plant running for the years after.

CE 1639
Class IIb
ISO 13485:2016
80+ countries
40 years