What This Hyperbaric Chamber Operations Covers
Buying a hyperbaric oxygen chamber is a capital decision. Running one safely, every day, for years, is an operational decision — and the second one is where most new clinics, wellness centers and spas actually lose money. A hard-shell chamber built from aircraft-grade steel with full welds is a durable asset; the variable that decides whether it generates revenue or sits idle is the people operating it and the written procedures they follow.
This guide is written for the buyer side: clinic owners preparing to open a chamber room, wellness and spa operators formalizing a hyperbaric chamber staff training programme, and distributors who need to hand an installation-package customer a defensible operating model. It covers role definition, a tiered competency framework, pre-session and in-session standard operating procedures, emergency drills, documentation and audit readiness, and a daily/weekly/monthly runbook you can adapt.
Everything here is written against the equipment facts HyperbaricO2Care publishes: operating pressures of 1.1–1.7 atm across the range (with POLARIS Duo at 1.75 atm), air compression with oxygen delivered by mask or hood, fully welded aircraft-grade steel hard shells, pressurization in 5–25 minutes, triple pressure relief (mechanical, electromagnetic and manual), an integrated 4G emergency call function, CE marking and ISO 13485 manufacturing, global after-sales and remote technical support, and OEM/ODM availability. Where a number genuinely depends on your site, your staffing model or your local regulator, you will find a [TO CONFIRM] marker rather than an invented figure.
| If you are… | Your first priority | Sections to start with |
|---|---|---|
| A clinic opening a chamber room | Role definition and screening SOP | Roles, pre-session SOP |
| A spa or wellness center adding HBOT | Escalation path without an on-site clinician | Roles, emergency SOP |
| A distributor supporting customers | Training package as a deliverable | Curriculum, documentation |
| An existing site with informal habits | Convert practice into written SOP | Documentation, runbook |
| A home user | Self-operation limits and refusal criteria | Pre-session, emergency |
Why Hyperbaric Chamber Staff Training Determines Uptime, Safety and Liability
Most buyers budget for the chamber, the room build and the marketing launch. Far fewer budget for the training weeks that sit between delivery and the first paying session. That gap shows up in predictable ways: sessions cancelled because no one on shift is signed off to operate, consumables run out mid-week, an operator presses ahead with a client who should have been screened out, or an incident that a fifteen-second checklist would have prevented ends up in a written complaint.
Training also changes the economics. A chamber that runs eight to ten sessions a day with a trained two-person team behaves like a completely different asset from the same chamber running three sessions because only one person ever learned the startup sequence. Utilization, not sticker price, drives payback — and utilization is a staffing variable.
There is a compliance dimension as well. A CE-marked device manufactured under an ISO 13485 quality system carries defined instructions for use, and your insurer, your landlord’s fire officer and any inspecting authority will all ask the same question after an incident: show me your procedure and show me the record that your staff were trained on it. If the answer is verbal, you are exposed.
| Operational outcome | Trained, SOP-driven team | Untrained, ad-hoc team |
|---|---|---|
| Daily session capacity | Limited by room hours and booking grid | Limited by who happens to be on shift |
| Screening consistency | Same written checklist every client | Depends on who is at reception |
| Incident handling | Rehearsed drill, defined escalation | Improvised, undocumented |
| Record keeping | Session logs, training matrix, maintenance log | Fragmented or missing |
| Insurance and audit position | Documented competence | Difficult to demonstrate |
| Staff turnover impact | New hire follows the SOP and ramp-up is short | Knowledge leaves with the person |
Furthermore, training is the cheapest risk control you will ever buy. Every control in the sections below — screening, pressurization monitoring, emergency drill, logbook — costs time and paper. The alternative cost is a shutdown, a claim, or a reputation problem that no amount of equipment quality offsets.
Chamber Room Roles and Responsibilities: Who Owns What
A chamber room does not need a large team, but it does need named accountability. In small clinics one person may legitimately hold three roles; what matters is that each role has an owner, a deputy, and a written task list. Ambiguity is the failure mode.
The three core roles are the chamber operator (runs the session, owns the console and the client inside), the screening and intake lead (owns the health questionnaire, consent and contraindication flags), and the site responsible person (owns maintenance, consumables, logbooks and escalation to the supplier). In a single-room spa these are often the same two people wearing different hats on different days.
| Role | Core responsibility | Typical holder | Must be able to |
|---|---|---|---|
| Chamber operator | Run pressurization, monitoring, decompression safely | Therapist / technician | Complete startup, monitor, emergency vent |
| Screening & intake lead | Contraindication screening, consent, client education | Nurse / physician / senior therapist | Identify red flags, escalate, refuse |
| Site responsible person | Maintenance plan, consumables, records, supplier contact | Owner / clinic manager | Keep logs, schedule service, order spares |
| Deputy operator | Cover absence, holidays, sickness | Cross-trained therapist | Same competence as operator |
| Remote support contact | Technical escalation path | Supplier (HyperbaricO2Care) | Remote diagnostics, parts dispatch |
To illustrate why the deputy matters: a one-person chamber operation is a single point of failure. If that person is ill, the chamber earns nothing that day and the client bookings are rescheduled. Cross-training a second person is usually the highest-return line in the entire staffing budget.
| Staffing model | Minimum trained people | Strengths | Watch-outs |
|---|---|---|---|
| Single-room clinic | 2 (operator + deputy) | Low cost, simple | Holiday and sickness cover |
| Multi-room clinic | 2 per room + 1 float | Higher throughput | Handover discipline |
| Spa / beauty add-on | 2 (often dual-role) | Fits existing team | Competing duties during session |
| Home / personal use | 1 user + 1 household helper | Convenience | No clinical screening present |
| Distributor demo room | 2 (demo + trainer) | Supports sales | Demo ≠ clinical operation |
One practical way to remove ambiguity is a simple accountability grid: for each recurring task, name exactly one accountable person and one backup. It takes an afternoon to build and settles most “I thought you did that” conversations before they happen.
| Recurring task | Accountable | Backup | Frequency |
|---|---|---|---|
| Opening room & machine checks | Operator | Deputy operator | Daily |
| Client screening & consent | Intake lead | Senior operator | Per client |
| Session logging | Operator | Deputy operator | Per session |
| Consumables reorder | Site responsible | Senior operator | Weekly check |
| Weekly fire & ventilation check | Site responsible | Operator | Weekly |
| Emergency drill scheduling | Senior operator | Site responsible | Quarterly |
| Training matrix update | Site responsible | Senior operator | Monthly |
| Supplier escalation | Site responsible | Senior operator | As needed |
Note the last row. A distributor’s demonstration room has a different purpose from a clinic: the operator there must be able to explain the machine to a prospective buyer, not manage a patient cohort. Those are different competencies and worth training separately.
A Tiered Hyperbaric Chamber Operator Training Curriculum
A defensible training programme is tiered, not a one-day handover. Four levels work well for mild hyperbaric operations, and each level has an explicit sign-off criterion so you can prove competence later.
Level 1 is awareness — every staff member who enters the room, including reception and cleaning staff, knows what the chamber is, what the warning signs are, and what not to do. Level 2 is operator — the person who runs sessions. Level 3 is senior operator / trainer — able to train others and handle abnormal conditions. Level 4 is site responsible person — owns maintenance and supplier liaison.
| Level | Who needs it | Content focus | Sign-off evidence |
|---|---|---|---|
| L1 Awareness | All room staff, reception, cleaning | What the chamber does, prohibitions, alarm meaning | Attendance register |
| L2 Operator | Session-running staff | Full session SOP, screening, monitoring, emergency vent | Observed assessment + written quiz |
| L3 Senior operator | Lead therapist, trainer | Train L2, abnormal conditions, escalation | Training record + drill evaluation |
| L4 Site responsible | Owner / manager | Maintenance plan, logbooks, spare parts, supplier contact | Completed maintenance schedule |
The session content matters more than the tier labels. A practical Level 2 programme splits into theory (physics of pressure, oxygen delivery by mask or hood, why untreated pneumothorax is an absolute contraindication, why pressure equalization matters, fire safety in an oxygen-enriched environment) and supervised practice (a defined number of observed sessions before solo operation — set that number with your clinical lead and your supplier: [TO CONFIRM] supervised session count).
| Module | Format | Duration guide | Assessment |
|---|---|---|---|
| Pressure & physiology basics | Classroom / video | [TO CONFIRM] | Quiz |
| Device walkthrough (your model) | Hands-on at chamber | [TO CONFIRM] | Demonstration |
| Screening & consent | Classroom + role-play | [TO CONFIRM] | Case scenarios |
| Normal session SOP | Supervised practice | [TO CONFIRM] observed sessions | Observation checklist |
| Emergency drills | Simulation | Quarterly recurring | Drill record |
| Cleaning & consumables | Hands-on | [TO CONFIRM] | Demonstration |
| Documentation | Classroom | [TO CONFIRM] | Sample log review |
| Refresher | Mixed | Annual, or after any incident | Sign-off |
The theory/practice balance is worth deciding deliberately. Pure classroom training produces operators who can describe a session but hesitate at the console; pure shadowing produces operators who can run a session but cannot explain why a step exists or recognise an abnormal condition.
| Component | Theory share | Practice share | Best delivered by |
|---|---|---|---|
| Pressure & physiology | High | None | Clinical lead |
| Device walkthrough | Low | High | Supplier trainer |
| Screening & consent | Medium | Medium (role-play) | Clinical lead |
| Normal session SOP | Low | High | Senior operator |
| Emergency response | Medium | High (simulation) | Senior operator + supplier |
| Cleaning & consumables | Low | High | Senior operator |
| Documentation | High | Low | Site responsible |
Refresher frequency deserves a specific rule, and the most practical one is event-driven rather than calendar-driven: retrain after any incident, after any software or hardware change, and after any period of prolonged chamber downtime. Put an annual floor on top of that.
Remote support shortens ramp-up considerably. HyperbaricO2Care provides global after-sales service and remote technical support, which means an operator facing an unfamiliar console message can escalate rather than guess — but escalation only works if the operator knows when to stop and call.
Pre-Session SOP: Client Screening, Consent and Room Readiness
The pre-session procedure is where most preventable problems originate, and it is the cheapest to standardize. It has three parts: screen the client, prepare the room, prepare the machine.
Screening must be written, not conversational. The single most important line in a mild hyperbaric screening form is the contraindication check, and untreated pneumothorax is treated as an absolute contraindication — a client with that finding is not pressurized, full stop. Other findings (recent ear or sinus surgery, active upper respiratory infection, uncontrolled fever, certain implanted devices, pregnancy) escalate to a clinical decision-maker before booking: [TO CONFIRM] your own escalation list with your medical director, because the appropriate list depends on your jurisdiction and your scope of practice.
| Pre-session step | Owner | Pass criterion | If it fails |
|---|---|---|---|
| Health questionnaire completed | Intake lead | Signed, dated, no blanks | Do not proceed |
| Contraindication screen | Intake lead | No absolute contraindication | Refuse session, document |
| Clinical escalation if flagged | Intake lead | Clinician sign-off recorded | Reschedule pending clearance |
| Consent form explained & signed | Intake lead | Client can restate key risks | Re-explain or defer |
| Metal / prohibited items check | Operator | None carried into chamber | Secure items outside |
| Appropriate clothing confirmed | Operator | Supplier-approved fabric | Change before entry |
| Equalization technique explained | Operator | Client demonstrates | Delay until understood |
| Emergency communication tested | Operator | Call function verified | Do not pressurize |
Room readiness runs in parallel. Ventilation, power, oxygen supply strategy and access route are all site-preparation items that should already be settled before delivery — see our hyperbaric chamber installation and site preparation checklist for that stage — but a short daily room check catches drift after the room has been in service for months.
| Daily room check | Frequency | Record |
|---|---|---|
| Access route clear, door seals visible | Each operating day | Opening checklist |
| Power supply present, no fault indicators | Each operating day | Opening checklist |
| Oxygen supply / concentrator status | Each operating day | Opening checklist |
| Communication function test | Each operating day | Opening checklist |
| Interior clean, no foreign objects | Each session | Session log |
| Fire safety equipment in place | Weekly | Weekly checklist |
| Ventilation functioning | Weekly | Weekly checklist |
Machine readiness follows the manufacturer’s instructions for use for your specific model. Across the HyperbaricO2Care range, pressurization takes 5–25 minutes depending on model and target pressure, so build that into your booking grid rather than discovering it on day one.
| Model | Configuration | Pressure class | Training emphasis |
|---|---|---|---|
| AURA One | Single, home / clinic | Within 1.1–1.7 atm range | Self-service onboarding, ≈50 dB noise |
| NEPTUNE Flow | Portable | Within 1.1–1.7 atm range | Transport, setup repeatability |
| LUMINA One | Single, spa / beauty | Within 1.1–1.7 atm range | Client comfort, aesthetics workflow |
| TITAN Duo | Two-person, clinical | Within 1.1–1.7 atm range | Two-occupant monitoring |
| POLARIS Duo | High-throughput commercial | Up to 1.75 atm | Throughput, shift handover |
In-Session SOP: Pressurization, Oxygen Delivery, Monitoring and Decompression
A session is a sequence with gates, not a continuous activity. Writing it as gated steps is what makes it trainable and auditable.
The gates are: entry and communication check → door seal confirmation → pressurization start with client coached on equalization → target pressure reached and stable → oxygen delivery by mask or hood confirmed → periodic monitoring → decompression start → pressure fully released → door open → exit and post-session observation. Oxygen concentration delivered by mask or hood is at least 80% for AURA One and at least 90% for the other models; the operator’s job is to confirm delivery is actually happening, not to assume it.
| Session phase | Operator action | Client instruction | Stop condition |
|---|---|---|---|
| Entry | Confirm no prohibited items, seat client | Remain seated, no sudden movement | Client distress |
| Communication check | Verify intercom / 4G call function | Wave or respond verbally | No response |
| Door seal | Visual and console confirmation | Keep clear of door edge | Seal fault |
| Pressurization | Start ramp, watch rate | Equalize early and often | Ear pain not relieved |
| Target pressure | Confirm stable hold | Breathe normally | Pressure instability |
| Oxygen delivery | Fit mask/hood, confirm flow | Keep mask sealed | Delivery fault |
| Monitoring | Scheduled checks, log readings | Signal discomfort immediately | Any alarm |
| Decompression | Controlled release per IFU | Breathe normally, no breath-holding | Client discomfort |
| Door open | Confirm zero pressure before opening | Wait for instruction | Residual pressure |
| Exit & observation | Escort, brief observation period | Rise slowly, report dizziness | Any symptom |
Monitoring cadence should be explicit. Rather than “check the client regularly”, specify an interval and a logging requirement: [TO CONFIRM] monitoring interval with your clinical lead, and record each check in the session log with a timestamp.
| Monitoring item | Why it matters | Log it? |
|---|---|---|
| Pressure reading | Confirms target hold | Yes |
| Oxygen delivery status | Confirms therapy is occurring | Yes |
| Client verbal response | Confirms consciousness and comfort | Yes |
| Equalization comfort | Ear barotrauma is the commonest complaint | Yes, if raised |
| Alarm state | Early fault detection | Yes |
| Communication function | Safety fallback | Per session |
| Session elapsed time | Booking accuracy and billing | Yes |
Two operational details are worth stating explicitly because new operators get them wrong. First, never open the door while any pressure remains — the interlock and the zero-pressure confirmation exist for that reason. Second, a client who cannot equalize should have pressurization paused or reversed rather than coached through pain; that decision belongs in the SOP so the operator is not negotiating it in the moment.
Handover discipline matters when sessions run back to back across shifts. The outgoing operator should state, out loud or in writing, the chamber state, any outstanding fault, and the next booked client’s screening status.
Emergency and Abnormal Condition SOP: Drills, Escalation and Stopping
Every chamber room needs a written emergency procedure, and it needs to be rehearsed — a procedure nobody has practised is not a procedure, it is a document.
Build the SOP around a small number of scenarios rather than trying to anticipate everything: client distress or panic inside the chamber, inability to equalize, power loss, communication loss, alarm activation, fire in the room, and medical event. For each, define the immediate action, who does it, and the escalation path. HyperbaricO2Care chambers are equipped with triple pressure relief — mechanical, electromagnetic and manual — and an integrated 4G emergency call function; your SOP should name which relief method applies in which scenario and who is authorized to use the manual release.
| Scenario | Immediate action | Owner | Escalate to |
|---|---|---|---|
| Client panic / distress | Pause pressurization, talk to client, prepare to decompress | Operator | Senior operator |
| Persistent ear pain | Stop ramp, slight decompression, re-attempt or abort | Operator | Clinician if recurring |
| Power loss | Follow IFU, use manual pressure release path | Operator | Site responsible + supplier |
| Communication loss | Agreed visual/hand signal, decompress | Operator | Senior operator |
| Alarm activation | Record code, follow IFU fault table, stop session | Operator | Remote technical support |
| Medical event | Decompress, remove, follow clinic emergency plan | Operator + clinician | Emergency services |
| Fire in room | Evacuate, isolate oxygen, raise alarm | All staff | Emergency services |
| Emergency equipment | Location | Check frequency |
|---|---|---|
| Manual pressure release access | Marked at chamber | Each session visual |
| Communication device / 4G call | Console | Each session test |
| Fire extinguisher (type per local rule) | Room entrance | Weekly |
| Emergency contact list | Posted in room | Quarterly update |
| First aid kit | Room or adjacent | Monthly |
| Evacuation route map | Room entrance | Quarterly |
Drill cadence and evaluation are where most sites quietly fail. Commit to a recurring schedule, keep a one-page drill record, and review it: [TO CONFIRM] drill frequency with your insurer and clinical lead.
| Drill | Frequency | Evaluation criterion |
|---|---|---|
| Emergency decompression | Quarterly | Completed within [TO CONFIRM] target time |
| Communication loss | Quarterly | Signal understood, session aborted correctly |
| Power loss | Semi-annual | Manual release executed correctly |
| Medical event | Semi-annual | Clinic emergency plan followed |
| Fire evacuation | Annual | All staff out, route clear |
What happens after an incident is what prevents the next one, and it is the step most sites skip once the immediate situation is resolved.
| Post-incident action | Owner | Timing | Output |
|---|---|---|---|
| Make chamber safe, stop session | Operator | Immediately | Chamber in safe state |
| Record facts (no interpretation) | Operator | Same day | Incident log entry |
| Notify site responsible person | Operator | Same day | Notification record |
| Supplier notification if equipment-related | Site responsible | Same day | Support ticket |
| Root cause review | Site responsible + senior operator | Within [TO CONFIRM] days | Cause statement |
| Corrective action & SOP revision | Site responsible | After review | New SOP version |
| Retraining of affected staff | Senior operator | After revision | Training record |
| Close-out sign-off | Site responsible | After retraining | Closed incident |
The escalation path to the supplier should also be written down, including what information to have ready: model, serial number, software version, alarm code, when the fault began and what changed immediately beforehand. That information is what makes remote technical support effective.
Documentation, Training Records and Audit Readiness
Documentation is unglamorous and it is the single thing that converts “we do this properly” into “we can prove we do this properly”. Four record sets cover most of what an auditor, insurer or buyer’s due-diligence team will ask for.
| Record set | Contents | Retention |
|---|---|---|
| Training records | Per-person level, date, assessor, assessment result | Per local requirement — [TO CONFIRM] |
| Session logs | Client ID, pressure, duration, oxygen delivery, operator, incidents | Per local requirement — [TO CONFIRM] |
| Maintenance log | Daily/weekly/monthly checks, service visits, parts replaced | Life of equipment |
| Incident log | Date, sequence, action taken, corrective action, retraining | Life of equipment |
| Document | Why an auditor asks for it | Owner |
|---|---|---|
| Training matrix (person × level) | Proves competence coverage | Site responsible |
| Signed SOPs with version & date | Proves the procedure existed at the time | Site responsible |
| Screening questionnaires | Proves screening was performed | Intake lead |
| Consent forms | Proves informed consent | Intake lead |
| Maintenance schedule | Proves preventive maintenance | Site responsible |
| Supplier service records | Links maintenance to manufacturer guidance | Site responsible |
Version control is the detail sites miss. Every SOP page should carry a version number and a date, and superseded versions should be retained rather than deleted. When an incident occurs, the question is what procedure was in force on that date, and you can only answer it if you kept the old copy.
Where the chamber is used in a regulated clinical context, your documentation obligations are set by your local regulator and your professional body, not by this article. Confirm the specific retention periods and required fields locally: [TO CONFIRM].
In Practice: A Daily, Weekly and Monthly Runbook
Theory is easy; the working day is not. What follows is a runbook structure that fits a single-room clinic or spa, built from the components above. Adjust the times to your opening hours — but keep the sequence.
A useful way to think about the runbook is by horizon: opening checks that prevent the 9 a.m. cancellation, per-session checks that prevent incidents, weekly checks that catch drift, and monthly checks that protect the asset. Our total cost of ownership and maintenance plan covers the cost side of this schedule in detail; this section covers who does what and when.
| Horizon | Focus | Owner | Output |
|---|---|---|---|
| Each operating day | Room + machine readiness | Operator | Opening checklist signed |
| Each session | Screening, monitoring, logging | Operator | Session log entry |
| Weekly | Fire safety, ventilation, consumables | Site responsible | Weekly checklist |
| Monthly | Training matrix review, incident review | Site responsible | Monthly review note |
| Quarterly | Emergency drills | Senior operator | Drill records |
| Annually | Refresher training, SOP revision | Site responsible | Updated SOP version |
| Opening checklist item | Done by | Notes |
|---|---|---|
| Room access clear | Operator | Before first client |
| Power and oxygen status confirmed | Operator | No fault indicators |
| Communication function tested | Operator | Log result |
| Interior cleaned since last session | Operator | Log result |
| Consumables stocked | Operator | Mask/hood, covers |
| Day’s bookings screened | Intake lead | Flags resolved before arrival |
| Training matrix current | Site responsible | Weekly |
Closing matters as much as opening. The last operator of the day should confirm the chamber is left in the specified standby state, the logbook is complete for the day, and any fault is flagged to the site responsible person before the room is locked.
| Closing checklist item | Done by | Escalation if failed |
|---|---|---|
| Chamber in specified standby state | Operator | Senior operator |
| Interior cleaned, no items left | Operator | Re-clean before next day |
| Session logs complete for the day | Operator | Site responsible |
| Faults or alarms flagged | Operator | Site responsible + supplier |
| Consumables below reorder point noted | Operator | Site responsible |
| Communication function left operational | Operator | Senior operator |
| Room secured per site policy | Operator | Site responsible |
| Monthly review question | Why it matters |
|---|---|
| Any session aborted? | Pattern indicates screening or equipment issue |
| Any alarm codes repeated? | Predicts a part failure |
| Any near-miss reported? | Input to SOP revision |
| Is the deputy still current? | Cover risk |
| Consumables reorder point hit? | Prevents mid-week stockout |
| Drills up to date? | Audit readiness |
| SOP version current? | Version control |
Commercial context belongs in the same review. Utilization per available room-hour, cancellation rate and reason, and revenue per chamber-hour are the three numbers that tell you whether the operation is working: [TO CONFIRM] your own baseline and targets, since these depend entirely on your market and pricing.
Two adjacent resources are worth pairing with this runbook. If you are still at the business-planning stage, start with how to start a hyperbaric oxygen therapy business; if you need to explain your compliance position to a landlord, insurer or corporate client, use our guide to hyperbaric chamber certifications.
Different settings weight the runbook differently. A clinic chamber room usually has a clinician available for escalation, which simplifies the screening step; a spa or beauty setting typically does not, which means the screening SOP and the refusal criteria must be tighter and the escalation path to an external clinician written down in advance.
Conclusion: Write It Down, Train to It, Prove It
A hyperbaric chamber operation is not complicated, but it is unforgiving of informality. The sites that run well are not the ones with the most experienced individuals; they are the ones where a new hire can open the binder, follow the checklist, and produce the same outcome as the person who has been there two years.
The sequence is straightforward. Define roles with named owners and a deputy. Train to four tiers with explicit sign-off. Write the pre-session, in-session and emergency procedures as gated steps with stop conditions. Keep four record sets and version your SOPs. Run the daily, weekly, monthly and quarterly runbook, and review it.
If you are specifying a chamber now, ask your supplier what training and documentation ships with the equipment, who delivers it, in which languages, and what the remote support path looks like after handover. HyperbaricO2Care chambers are CE-marked and manufactured under an ISO 13485 quality management system, are supplied with global after-sales service and remote technical support, and are available with OEM/ODM programmes for distributors — ask for the training and documentation package as a line item in your quotation rather than assuming it is included.
HyperbaricO2Care chambers are CE marked and produced under an ISO 13485 quality system. We do not claim FDA clearance for these devices.
Medical disclaimer: This article is for general informational purposes for professional buyers and operators. It is not medical advice and does not replace the instructions for use supplied with your chamber, your local regulatory requirements, or the judgement of a qualified clinician. Untreated pneumothorax is an absolute contraindication to hyperbaric oxygen therapy. HyperbaricO2Care chambers are CE marked and manufactured under an ISO 13485 quality management system; no claim of FDA clearance is made. Always operate the equipment in accordance with the manufacturer’s instructions for use and applicable local regulations.