Oxygen for Vascular Incisional Healing

Inclusion Criteria: * Elective Surgery * Clean incisions * Surgery being performed for lower extremity arterial occlusive disease * Subject Age 18- 90 * Willing and capable of signing informed consent and following all study protocols Exclusion Criteria: * Pregnancy * Surgical site has abscess or cellulitis * Systemic sepsis at the time of surgery * Disseminated Cancer Patients * Arterial entrapment * Chronic moderate or high dose oral corticosteroid use * Subjects on chronic immune modulators/suppressors * Known sensitivity to investigational device * Subjects with acquired immunodeficiency syndrome (AIDS) * Any disease or prior/planned surgery that in the investigator's opinion may interfere with the subject successfully completing the study. * Overlapping participation in another treatment or interventional clinical trial. * Family members or students of the Investigator or clinical site. * Safety exclusion criterion: At the end of the procedure, the surgeon and PI can discuss to withdraw the patient, if it is felt that continuing in the study will be detrimental to the patient. For example, if the incision cannot be closed, or if it requires a muscle flap, or if the incision site encounters contamination or infection not recognized prior to randomization. The decision to withdraw the patient will be made in the OR, prior to being randomized.