Oxygen & RespiratoryApril 3, 2026·5 min read
By the CIRRUS Editorial Team — how we write and source this
How an oxygen concentrator actually works: sieve beds, PSA, and 96% purity from room air
Part of the series: The Complete Oxygen Concentrator GuideThere's no oxygen stored inside — the machine manufactures it from the room, breath after breath, using a mineral that grabs nitrogen under pressure.
Room air is about 21% oxygen and 78% nitrogen. A concentrator's job is subtraction: pull air in, remove the nitrogen, deliver what remains. The machinery for that is pressure-swing adsorption (PSA) — a compressor pushes filtered air through a column packed with zeolite, a mineral whose crystal structure adsorbs nitrogen molecules under pressure while letting oxygen pass. Out the far side comes gas that's 87–96% oxygen, which is the purity range you'll see on virtually every spec sheet in the category.
The reason these machines run continuously without 'filling up' with nitrogen is the swing in pressure-swing: there are two sieve beds, and they alternate. While one adsorbs under pressure, the other vents to atmosphere, releasing its captured nitrogen back into the room. Every few seconds the valves swap roles — that soft rhythmic cycling you hear is the machine exhaling nitrogen so it can keep working. This is also why sieve beds are the component that ages: each cycle works the zeolite, and humidity slowly degrades it.
Everything else about a concentrator is a decision about what to do with that oxygen stream. Continuous-flow machines deliver it as a steady rate measured in liters per minute; pulse-dose machines bank it briefly and release a measured bolus when they detect you inhaling, which is what lets a battery-powered 5-pound machine do useful work. The purity is the same idea in both — the delivery pattern is the entire difference, and we've written a full piece on choosing between them.
The practical upshots fall out of the physics: a concentrator never runs out of oxygen the way a cylinder does, because the room is the supply — but it needs power, air intake clearance, and clean filters to breathe. It makes oxygen at the rate its beds support and no faster, which is why machine sizing against your prescription matters. And it's why the machine is quietly remarkable: a bedside appliance running the same gas-separation principle used in industrial plants, scaled to a nightstand.
This article is general health information, not medical advice, and doesn’t replace evaluation by your own physician. Talk to a doctor about anything specific to your own diagnosis or treatment.
