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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 one or more sleeves connected to a Kendall SCD 700 Series unit are not inflating properly.
Common symptoms include:
- One leg inflates but the other does not
- Both sleeves connected but neither inflates
- Partial inflation or weak compression
- Machine running but no pressure delivered
This guide focuses on simple, external, and easily verifiable causes before assuming internal pump or valve failure.
Step-by-Step Troubleshooting
Confirm the Unit Is Powered and Therapy Is Started
- Verify the unit is powered on.
- Confirm there are no active alarms preventing therapy.
- Ensure therapy has been started (unit powered on alone does not initiate compression).
A common oversight is the device being powered but not actively running therapy.
Check Sleeve and Tubing Connections
- Confirm tubing is fully seated into the correct port.
- Push connectors firmly until fully engaged.
- Inspect for partially disconnected or loose fittings.
- Swap left and right ports to see if the issue follows the sleeve or remains with the port.
Loose or partially seated connectors are the most common cause of one sleeve not inflating.
Inspect the Tubing for Kinks or Damage
- Follow the entire tubing length from unit to sleeve.
- Check for sharp bends or kinks.
- Ensure tubing is not pinched under bed rails, wheels, or mattress frames.
- Inspect for cracks, punctures, or separation at connection points.
Even a small leak will prevent the system from building pressure.
Inspect the Sleeves
Visually inspect for:
- Tears or punctures
- Separated seams
- Worn or ineffective Velcro
- Improper wrapping
Ensure sleeves are wrapped snugly but not overly tight. Improper fit can prevent pressure buildup or cause uneven compression.
Swap Sleeves to Isolate the Issue
- Disconnect both sleeves.
- Connect the left sleeve to the right port and vice versa.
- Restart therapy and observe.
If the issue follows the sleeve → the sleeve is likely defective.
If the issue stays with the same port → suspect an internal valve or channel issue.
This step is critical for isolating accessory failure versus device failure.
Check for Alarm Messages
Document any alarm messages exactly as displayed, such as:
- Leak detected
- Disconnected tubing
- Pressure fault
Alarm wording helps determine whether the system is sensing a leak or failing to generate pressure.
Listen for Pump Operation
Start therapy and listen carefully:
- Pump audible and cycling → air movement is occurring.
- Pump running but no inflation → possible internal valve or manifold issue.
- No pump sound → possible internal motor or control board issue.
Avoid opening the device. Internal repair is not a bedside procedure.
If the Problem Persists
If the sleeves still do not inflate after completing all external checks, you have ruled out:
- Therapy not started
- Loose or disconnected tubing
- Kinked or damaged tubing
- Defective sleeves
- Alarm-related interruptions
The issue is likely internal, such as:
- Internal valve failure
- Pump motor malfunction
- Pressure sensor fault
- Internal manifold leak
- Remove the unit from service
- Clearly label it “Out of Service”
- Send for bench evaluation or repair
Knowing when to stop and escalate is proper troubleshooting.
Clinical Use Tip
Do not troubleshoot sleeve inflation while actively connected to a patient requiring therapy.
If compression therapy is clinically indicated:
- Move the patient to a functioning SCD unit first.
- Then remove the suspected unit from service for evaluation.
Patient safety and uninterrupted therapy take priority over troubleshooting speed.
Work Order Documentation (CCR Method)
CCR = Complaint, Cause, Resolution
Complaint
What was reported by the clinical staff.
Example:
“One sleeve not inflating; right leg receiving no compression.”
Cause
What was observed during troubleshooting.
Example:
“Tubing and sleeve inspected. Swapped sleeves; issue followed right sleeve. Sleeve leaking.”
or
“Swapped sleeves and ports. Issue remained on left port. Suspected internal valve failure.”
Resolution
What action was taken.
Example:
“Replaced defective sleeve; unit tested and returned to service.”
or
“Removed device from service and sent to shop for internal repair.”
Helpful Details to Include (If Known)
- Which side affected (left/right/both)
- Exact alarm messages displayed
- Whether sleeves were swapped
- Whether issue followed sleeve or stayed with port
- Tubing condition (intact/kinked/damaged)
- Pump audible (yes/no)
- Final device status (returned to service or removed)
Final Thought
Most sleeve inflation problems are accessory-related rather than internal failures. Logical, external troubleshooting protects patients, prevents unnecessary equipment swaps, and supports accurate documentation. Escalate only after simple causes have been ruled out.
That is successful troubleshooting.