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Asset Type
Sequential Compression Device (SCD)
Manufacturer
Model
What This Guide Helps With
This guide provides a structured Clinical Engineering approach when a Kendall SCD 700 Series unit is alarming frequently or unnecessarily.
This may present as:
- Repeated “Leak” alarms
- Disconnection alarms when tubing appears connected
- Pressure fault alarms during normal use
- Intermittent alarms that clear and then return
- Alarm sounds but sleeves appear to inflate normally
The focus is on logical, external, and easily verifiable causes before assuming an internal pressure sensor, valve, or control board failure.
Step-by-Step Troubleshooting
1. Ensure Patient Safety First
- Before manipulating tubing or sleeves:
- Confirm therapy can be safely paused.
- If the device is actively in use on a patient, coordinate with clinical staff.
- Do not troubleshoot aggressively while connected to a patient.
- Patient safety comes first.
2. Identify the Exact Alarm Message
- Read and document the exact alarm wording.
- Determine whether the alarm is constant or intermittent.
- Note which side (left/right) is indicated, if applicable.
- Precise wording helps determine whether the issue is leak-related, pressure-related, or sensor-related.
3. Check All Tubing Connections
- Disconnect and fully reseat all tubing connectors.
- Ensure connectors are firmly inserted.
- Gently tug to confirm secure seating.
- Loose or partially seated connectors are the most common cause of nuisance alarms.
4. Inspect Tubing for Micro-Leaks or Kinks
- Inspect the full length of tubing for:
- Hairline cracks
- Pinholes
- Soft spots
- Sharp bends or kinks
- Compression under bed rails or wheels
- Even very small leaks can cause repeated leak or pressure alarms.
5. Inspect Sleeves
- Check sleeves for:
- Torn seams
- Worn or weak Velcro
- Uneven wrapping
- Incorrect size
- Ensure sleeves are wrapped snugly and evenly. Improper application can create inconsistent pressure readings and false alarms.
6. Swap Sleeves and Tubing (Isolation Step)
- If available, replace sleeves with a known-good set.
- You may also:
- Swap left and right sleeves.
- Swap tubing sets.
- Observe results:
- If the alarm follows the sleeve/tubing → Accessory issue.
- If the alarm stays on the same port → Possible internal valve or sensor issue.
- This step helps isolate accessory versus device failure.
7. Observe Pump and Inflation Behavior
- During operation, observe:
- Does the pump sound smooth and consistent?
- Do sleeves inflate and deflate fully?
- When does the alarm trigger (inflation, hold, or deflation)?
- Normal pump sound with full inflation often suggests minor leaks or sensor sensitivity rather than major pump failure.
8. Power Cycle the Unit
- Turn the unit off.
- Wait at least 10 seconds.
- Restart therapy.
- Temporary software or logic faults can occasionally cause nuisance alarms.
9. Evaluate the Environment
- Confirm:
- Tubing is not being repeatedly flexed or pulled.
- The unit is positioned securely.
- No condensation or fluid contamination is present at connectors.
- The device is not located where tubing is constantly stressed.
- Environmental factors can intermittently break the air seal and trigger alarms.
If Alarms Continue After These Checks
If the unit continues to alarm after completing all external checks, the likely cause is internal and not correctable at the bedside.
Possible internal causes include:
- Pressure sensor drift
- Valve manifold malfunction
- Pump wear
- Control board fault
Next Steps
- Remove the unit from clinical service.
- Clearly label it Out of Service.
- Send to Clinical Engineering for bench evaluation.
Knowing when to escalate is proper troubleshooting. Continuing to use a device with persistent unexplained alarms can compromise patient safety and confidence in therapy.
Clinical Use Tip
Always move the patient to a properly functioning SCD unit before extended troubleshooting.
Do not attempt repeated resets or accessory manipulation while therapy is required for DVT prevention. Continuous, reliable compression therapy is critical for patient safety.
Work Order Documentation (CCR Method)
Complaint
What was reported by the clinical staff.
Example:
“Repeated leak alarm despite tubing appearing fully connected.”
Cause
What was observed during troubleshooting.
Example:
- “Tubing reseated and sleeves swapped. Alarm persisted on right port. Suspected internal pressure sensor or valve issue.”
- “Alarm followed sleeve when swapped. Leak identified at sleeve seam.”
Resolution
What action was taken.
Example:
- “Replaced defective sleeve; unit tested and returned to service.”
- “Removed from service and sent for bench evaluation due to persistent pressure alarm.”
Helpful Details to Include (If Known)
- Exact alarm message
- Intermittent or constant
- Which side affected
- Sleeves swapped (yes / no)
- Tubing replaced (yes / no)
- Pump sounds normal (yes / no)
- Power cycled (yes / no)
- Environmental factors observed
- Final device status
Final Thought
Most nuisance alarms are caused by loose tubing, minor accessory leaks, improper sleeve application, or connector seating issues. A structured, external-first troubleshooting approach prevents unnecessary device removal while protecting patient safety.
When accessory causes are ruled out and alarms persist, escalation is appropriate. Thorough documentation supports accurate repair decisions and strengthens departmental credibility.
That is successful troubleshooting.