Learning / Foundations

How HBOT works.

Understand hyperbaric oxygen, what a session involves, and how to explore research and chamber options in Singapore.

O2genes Learning · Updated 9 October 2026

How it works

More oxygen can dissolve in the blood under pressure.

Hyperbaric oxygen therapy (HBOT) involves breathing oxygen in a pressurised environment.

Under increased atmospheric pressure, more oxygen can dissolve into the blood plasma compared with breathing oxygen at normal atmospheric pressure. Medical HBOT combines medical-grade oxygen and increased pressure; the oxygen delivery, pressure and exposure duration belong to a defined clinical protocol. [1]

Oxygen delivered through the system's specified breathing setup is what a person actually receives. The gas inside the HBOT cocoon® and the oxygen a person breathes are not always identical.

Uses and experience

From understanding HBOT to planning a session.

Clinical HBOT is used for defined medical conditions, including decompression sickness and certain difficult-to-heal wounds. A healthcare team assesses suitability and chooses the protocol. [2]

A session may use a single-person chamber or a shared chamber with a specified oxygen-breathing setup. Pressure rises and falls in stages, and the team monitors the session. Duration and repeat visits depend on the treatment plan. [2]

For an O2genes wellness enquiry in Singapore, start with the intended setting: a showroom experience, a Soft Shell rental or a system for your own space. Compare the formats and oxygen setup, review session and product questions, and explore the HBOT cocoon® series. A wellness product enquiry and a clinical treatment plan are different decisions.

01

Dissolved oxygen

Under increased atmospheric pressure, breathing high-concentration oxygen increases the amount of oxygen dissolved in plasma. [3]

02

Angiogenic signalling

Research has reported changes in signalling pathways associated with angiogenesis, including VEGF-related pathways, after repeated HBOT exposures. [3]

03

Cellular signalling

HBOT has been reported to influence oxygen- and redox-sensitive cellular signalling pathways. [3]

04

Stem and progenitor cells

In a human study using one specific protocol, 2.0 ATA oxygen for 2 hours, circulating CD34+ stem and progenitor cells increased. [4]

O2genes founder with several Soft Shell HBOT cocoon® formats
O2genes HBOT cocoon® formats differ in posture, pressure range, oxygen delivery, and operating setup.
Common research questions

Four areas readers commonly ask about.

01

Sleep and rest — tracked through subjective questionnaires, daytime sleepiness and wearable trends.

02

Recovery and performance — studied across specific injury, fatigue and rehabilitation contexts.

03

Healthy-ageing markers — emerging work includes vascular, inflammatory and cellular biomarkers.

04

Cognitive research — studied in defined populations with specific protocols and outcome measures.

The meaning of each result depends on the population, protocol, comparison group, and outcome measured.

Reading research

Follow the path from mechanism to a useful outcome.

A mechanism explains what may change biologically. To understand whether that change is useful, continue through the measured marker, clinical outcome, and individual decision.

01

Mechanism

Pressure can increase dissolved oxygen. This is the biological starting point.

02

Measured marker

A study may observe a change in a questionnaire, wearable metric or biomarker.

03

Clinical outcome

A meaningful health outcome needs an appropriate population, comparison, and study design.

04

Individual decision

Suitability still depends on personal risks, goals, product instructions and qualified advice.

Safety is part of the product

Five checks before a session.

A visitor seated inside an O2genes Hard Shell HBOT cocoon® reading the product safety card
Product instructions and safety checks belong in the session—not only in the manual.
  1. 01

    Follow the exact manufacturer instructions for the specific device and configuration.

  2. 02

    Make sure a trained operator provides the supervision or monitoring required for that setting.

  3. 03

    Follow the fire-prevention rules, approved clothing requirements, prohibited-item list, and grounding instructions for that chamber.

  4. 04

    Complete cleaning, maintenance, and safety checks on the schedule specified for the chamber.

  5. 05

    Ask a qualified healthcare professional to assess medical suitability, contraindications, and persistent symptoms.

Choose your next guide

Continue with the question that matters to you.

Explore sleep, healthy-ageing and recovery research, or compare chamber systems.

Sources behind this guide.

  1. [1] UHMS, guidelines for credentialing, privileging and supervision of hyperbaric oxygen therapy, revised 2023.
  2. [2] Mayo Clinic Staff, Hyperbaric oxygen therapy, Dec. 6, 2024.
  3. [3] S. R. Thom, “Hyperbaric oxygen: its mechanisms and efficacy,” Plastic and Reconstructive Surgery, vol. 127, suppl. 1, pp. 131S–141S, 2011. DOI.
  4. [4] S. R. Thom et al., “Stem cell mobilization by hyperbaric oxygen,” American Journal of Physiology—Heart and Circulatory Physiology, vol. 290, no. 4, pp. H1378–H1386, 2006. DOI.
An O2genes product consultation beside a Hard Shell HBOT cocoon®
Next decision

Compare the systems accurately.

See how current O2genes Soft Shell HBOT cocoon® and Hard Shell HBOT cocoon® products differ in pressure, format, planning and support.