ISC Failure mode list for ISC Megalodon CCR systems.

FMCA list.

6 April 2009

Updated 14 October 09

Note: Preventive action is something you are trying to prevent from happening, Corrective action is an action taken after the event has taken place. Corrective action may also be used as an action taken to keep something from happening again such as a design change or training change. Taken from ISC ISO CAPA processes.


Time of exposure, swimming position, and where the failure occurs will determine the specific severity, and detection, but not occurrence. This will also determine if it is recoverable, or non-recoverable.


This FMECA list assumes that the reader understands the fundamentals of CCR diving and mixed gas diving to include open circuit scuba systems. This is also to include fundamentals of scuba diving. The reader will see that all failures are obvious to users other than the early detection of the 3 H’s, hypoxia, hyperoxia, and hypercapnia or unknown manifestations effecting judgment. The diver should do everything possible to avoid all categories of failures by acting with due diligence, high attention to detail and a prevention mindset.


Abnormal manifestations of physical and/or emotional changes other than considered normal:
During the dive, while on the breathing loop the diver experiences a physical or emotional manifestation other than what was considered normal on the surface before the dive. Panic is also included as an extreme case, or anything that will affect the diver’s judgment. Mechanical failure is excluded.


Severity: High to low

Detection: High to low

Preferred order of bailout options from the compromised breathing loop is determined by time from start of removing breathing loop to inhalation of first breath off of ABS. It is assumed that the ABS has adequate gas volume and breathing mix appropriate for the depth. Secondary ABS must be in place for other gas changes at shallower depths if dive plan and conditions warrant. It is also assumed that the diver uses ABS that has been 3rds party lab tested in a breathing simulator and shown to work as designed, and meets the minimal work of breathing as per the U.S. Navy performance guidelines or the EN 250 standard.

,

The Bail Out Valve (BOV) and all second stages used as an ABS must be purged before inhalation. This is to insure breathing gas flow before the divers inhales on the ABS. The BOV must be purged of water inside the 2nd stage chamber before the diver inhales. This is especially true of an unconscious diver rescue. The rescuer will flood the unconscious diver’s oral cavity drowning the diver.

,

Options:

Hypercapnia:

Severity: high

Detection: low to moderate


Diver induced anomalies or unauthorized modifications, CO2 scrubber canister duration exceeded, poorly packed CO2 canister, settling of sorb due to travel or handling, unapproved CO2 absorbent use, CO2 canister duration not tested and design exceeded clogged screens in CO2 scrubber canister, or pores of CO2 canister hydrophobic membrane clogged, no CO2 absorbent in breathing loop, wet CO2 absorbent, CO2 absorbent poorly manufactured, poor storage of absorbent or CO2 canister, work load exceeds canister design, cold adding to premature failure, canister used and then dumped for storage and repacked for use again, Co2 bypass from the following: Check valve failure, O-rings not present or adequate for use, loose or missing sensors in sensor carriage, broken sensor into sensor carriage. Failure to install/correct scrubber support. Installations of the wrong sized scrubber canister, incorrect installation of sensor carriage, incorrect installation of DSV check valves. Check valve folded over, check valve missing. Cartridge physically damaged or under packed promoting bypass. Breathing restriction on breathing loop from the following: DSV lever not all the way open, Breathing loop physically to small for diver, breathing loop volume inadequate by design, hydrostatic lung loading exceeded, gross change of counter lung position, pinched or twisted breathing hoses, breathing loop reversed water in breathing loop impeding breathing gas flow, breathing loop restricted, to fast of decent reducing and restricting breathing volume, Bail out second stage low performance by failure of design, detuned second stage, first stage I.P. inadequate, Mouth piece oral cavity too small, mouth piece teeth surfaces too thin impeding breathing gas flow, Full face mask or helmet does not use a mouth piece. Rebreathing exhaled breathing gas from to large pocket mask or oral tube. Full face mask or helmet acts as pliable gas volume counter lung, inadequate gas exchange in diver’s body do to physiological failures.


Preventive action for the following hypercapnia issues: CO2 canister and scrubber.


CO2 scrubber canister duration exceeded, poorly packed CO2 canister, settling of sorb due to travel or handling, unapproved CO2 absorbent use, CO2 canister duration not tested and design exceeded clogged screens in CO2 scrubber canister, or pores of CO2 canister hydrophobic membrane clogged. , no CO2 absorbent in breathing loop, wet CO2 absorbent,CO2 absorbent poorly manufactured, poor storage of absorbent or CO2 canister, work load exceeds canister design, cold adding to premature failure, canister used and then dumped for storage and repacked for use again.

Preventive action for the following hypercapnia issues:

,

Co2 bypass from the following: Check valve failure, O-rings not present or adequate for use, loose or missing sensors in sensor carriage, broken sensor into sensor carriage. Failure to install/correct scrubber support. Installation of the wrong sized scrubber canister, incorrect installation of sensor carriage, incorrect installation of DSV check valves. Check valve folded over, check valve missing. Cartridge physically damaged promoting bypass.

Preventive action for the following issues:


Breathing restriction on breathing loop from the following: DSV lever not all the way open, Breathing loop physically to small for diver, breathing loop volume inadequate, hydrostatic lung loading exceeded, gross change of counter lung position, pinched or twisted breathing hoses, breathing loop reversed water in breathing loop impeding breathing gas flow, breathing loop restricted, to fast of decent reducing and restricting breathing volume, Bail out second stage low performance by failure of design, detuned second stage, first stage I.P. inadequate, Mouth piece oral cavity too small, mouth piece teeth surfaces too thin impeding breathing gas flow, Full face mask or helmet does not use a mouth piece. The rebreathing of exhaled breathing gas from to large pocket mask or oral tube, full face mask or helmet acts as pliable volume (counter lung), inadequate gas exchange in diver’s body do to physiological failures.

Hyperoxia:

Severity: high

Detection: low to high


Diver induced anomalies or unauthorized modifications, non aware of displays 1-4 min rule, exceeded CNS limits to high for too long. Too fast of a decent spiking O2 for too long, Sensor millivolt limited, sensor failure, moisture on sensors, procedural failure of calibration. Calibrate with wrong O2% making electronics believe 100%, wrong O2 % setting, wrong altitude setting, free flow of oxygen in breathing loop by solenoid, or manual bypasses. The IP is too high for leaky O2 valve thus spiking O2 in loop. O2 leaking into breathing loop via loose Swagelok fittings. Breathing too high of PO2 through manual oxygen bypass usage by injecting too much at one time or incrementally to close together, Oxygen cylinder installed on diluent side feeding into ADV, to rich of O2 in diluent cylinder. Mixed gas bypass used for oxygen bypass, O2 rich open circuit bailout gas for too deep of depth, Diver lets O2 build up in loop by not breathing and solenoid keeps injecting. Breathing on O2 rich open circuit bailout is too deep and for too long, loss of diluent to dilute oxygen relative to depth.


Hypoxia:

Severity: high

Detection: low


Diver induced anomalies or unauthorized modifications, non aware of displays 1-4 min rule, exceeded metabolic requirements too low for to long, failure to add oxygen via bypass valve, O2 valve off, O2 feed not engaged, solenoid failed in closed positioned, sensor failure, moisture on sensors, procedural failure of calibration, calibrate with wrong O2 % making electronics believe 100%, Wrong altitude setting, wrong O2% setting for calibration, Free flow of hypoxic dil into loop at too shallow of depth. Manual addition of hypoxic mix on surface or too shallow of depth through ADV or mixed gas bypass, manual addition of hypoxic mix using O2 bypass for mixed gas bypass to shallow of depth. Wrong cylinder (diluent) feeding into solenoid or O2 bypass during ascents, Wrong gas in diluent cylinder, no O2 in cylinder, no O2 cylinder, Manual bypass valve not functioning. Breathing off of bail out valve (BOV) on hypoxic mix at surface to shallow of depth, blocked filter on first stage, I.P. too low for solenoid injection or leaky valve. Too fast ascent for injection system especially if the breathing loop PO2 is too low at depth. Breathing on open circuit bailout using hypoxic mixes or wrong mix too shallow for too long.


Breathing loop negative lung volume:

Severity: low to high

Detection: high


Diver not correcting breathing volume during descents, diver descending to fast, diver not halting decent, ADV not adding gas when appropriate or fast enough, O2 bypass not adding gas or enough gas when appropriate, mixed gas bypass not adding gas when appropriate or fast enough, solenoid not adding gas when appropriate, positional axis of breathing loop in water column inducing negative lung loading. Breathing loop too small, breathing loop volume restricted, loss of breathing volume from flood, vent valve left on during descents, too much gas volume vented through vent valve, hose or mouth at any point of dive. Diver running out of diluent gas.

Note: The time period of the loss of the breathing loop integrity and where the loss of integrity was, determines the severity, and detection.


Flooding or partial flooding of exhaust side of the breathing loop (Recoverable).

Severity: low

Detection: high


Loose lips on DSV, loose mouth piece on DSV due to compromised cable tie, hole in mouth piece, loss of DSV out of mouth, DSV lever not closed or fully closed and leaking water into loop, loosened counter lung couplings on exhaust counter lung, leaking vent valve, large leak in exhaust counter lung, damaged mixed gas bypass valve nut that does not lock down bypass valves, damaged of forward exhaust side breathing hose, threaded coupling on ADV not tightened down, missing or damaged O-rings on ADV.

Inhalation side breathing hose failure non-recoverable


Right side breathing hose failure, torn inhalation counter lung, O2 manual bypass nut failure, loosened counter lung couplings, separated breathing hose connectors from threaded fittings, threaded fitting on tee coupling not tightened down

Total loop failure by flooding, Non recoverable:

Severity: high

Detection: high


Loss of breathing hose from mouth and no recovery action, breathing hose failure, threaded couplings not being tightened down, loose hose clamps, torn counter lungs, pulled out couplings from counter lung, Missing or damaged O-rings in breathing loop. Failure of primary diaphragm on diaphragm style ADV.

Caustic cocktail:

Severity: high

Detection: high


Flooding of gas plenum canister and scrubber system due to loss of breathing loop integrity. Flooding of inhalation side of breathing loop except from aft breathing hose going to diver.

Sensor failure:

Severity: low

Detection: high

Occurrence: low


Old sensor, sensor premature failure, millivolt limited, failed in the high, moisture on sensors, poor electronic design grounding out sensors or influencing sensors to act unreliably or unpredictably. Sensor acting slow, leaking KOH from sensor, sensor connector damage, connector corrosion, damaged wiring, sensor reading high mV and low displayed PO2.

Increased WOB:

Severity: moderate to high

Detection: high

Occurrence: low


Exceeding the breathing design and standard of CCR or O/C ABS bailout system, positional attitude in water column for optimum breathing for too long, pinched or collapsed breathing hose, DSV not fully open, inappropriate canister design such as after market, incorrect check valves installed or by design in DSV, excessive exhalation pressure in breathing loop or on ABS second stage due to incorrect exhaust valve or excessive breathing loop pressure, excessive tortuous breathing path in breathing loop. Diver not exhaling from nose.

Loss of Oxygen from cylinder:

Severity: high

Detection: high

Occurrence: low


L.P hose/HP hose failure, free flowing bypass or solenoid, Frangible burst disk failure, O-ring failure, Plumbing failure or fittings. First stage failure.

Loss of diluent from cylinder:

Severity: moderate to high

Detection: high

Occurrence: low


LP/HP hose failure, free flowing bypass or ADV, Frangible burst disk failure, O-ring failure, and fittings failure.

Electronic failures:

Severity: High to low

Detection: high

Occurrence: low


Primary battery failure or flood, secondary battery failure or flood, primary display failure or flood, secondary display failure or flood, HUD failure or flood, cable damaged on any display, flooded/ moisture in electronics brain box, system shorts, damaged wiring, dissimilar electronics protection, ESD, EMI, Radiated RF, EMP, damage from unauthorized intrusion into electronics package.


Main Electronics failure:

Electronics board(s) component failure, bad connections with external wiring due to bad solder joints, broken wires due to external causes, solenoid control circuit failure, HUD control failure, internal temperature sensor failure, oxygen sensor operational amplifier failures, container flooding problems causing board failures, and improperly potted containment allowing moisture to short out board circuits. May be confused with battery or battery box failure.


Recovery action during dive:

Preventive action:

Corrective action:
Design for more robust electronics to fully automotive system with two independent solenoids and oxygen supply connectors. Electronics may have operational replaceable components such as handsets and HUD.


Handset failure:

Primary or secondary handset flood failure due to o-ring failure, lens mounting hole stress cracks, case structure cracks originating from threaded fittings or screws, hermetic reed switch failure, weak magnetic push buttons not activating hermetic reed switches, display electronics failure, internal wiring solder joint failure, water temperature sensor component failure, handset cable damage causing shorting by water or cable break resulting in no connection, and electronics protection (ESD, EMI, Radiated RF).

Symptoms –

Detection –

Preventive action:

Corrective action:

HUD failure:

HUD potting leak failure – seawater entering and shorting the LED, HUD cable damage causing shorting by water or cable break resulting in no connection, bad soldering of leads at LED in HUD or on electronics board (cold solder joints), and failed components on electronics board that drive the HUD. Solder station temperature set to high.

Preventive action:

Corrective action:

Battery Box failure:


Primary or secondary battery box floods due to improperly maintained lid o-ring, magnetic reed switch failure, electronic protection board component(s) failure, bulkhead cable connector failure, solder joints improperly soldered (such as cold solder joints), and battery box structure failure/damage.

Causes: Preventive action: Corrective action: Battery Low:

Cause: Over-use or internal failure.

Symptoms: Indicated by low battery visual warning on the handset on affected primary or secondary subsystems or total shutdown on affected display, O2 injection solenoid not functioning when PPO2 is lower than selected set point due to battery voltage below injection solenoid minimum voltage threshold, cannot maintain set point on primary subsystem, HUD no longer blinking due to under voltage. Warning appears any time system measures the battery voltage to be less than 5.2 volts DC.

Preventive action: Corrective action: Battery Failure:

Caused by over-use or internal failure of battery or battery box protection circuitry.

Symptoms – No handset display functionality, menu switches dysfunctional, O2 injection solenoid not firing resulting in not maintaining selected PPO2 on primary subsystem, HUD not functioning on secondary subsystem. Isolate which subsystem has the battery failure by observing and isolating specific subsystem functions.

Detection – Handset display no longer displays, diver notices O2 injection by primary ceases by not hearing the injection (if he can hear it at all), diver observes HUD not displaying PO2 when HUD is enabled.

Recovery action during dive: Preventive action: Corrective action: Power Drop-out or Battery Bounce:

Causes – Poor battery pack assembly of wiring and power connector pins. Power connector pins with loose crimps of pins on wires. Movement of the unit or jarring of the system may provide intermittent power and/or full battery failure.

Symptoms – subsystem display shows frequent restarts and startup screen cyclically redisplaying. HUD or solenoid diagnostics cyclically restarting. Can occur in or out of water.

System restarts retain calibration data, last selected PO2 set point, and most menu options.

Preventive action: Corrective action: Open circuit systems and bail out failures:
Severity: high
Detection: low
Occurrence: high

Breathing gas volume inadequate, breathing gas supply non existent, free flow of second stage, IP incorrect, poor performing O/C system by design (Not class A, inadequate/improper placement of second stage, failure of exhaust diaphragm inducing flooding, failure of primary diaphragm inducing flooding, cut or damaged mouth piece inducing flooding, cable tie on mouth piece inadequate, flooded second stage hose and other LP and HP hoses, flooded first stage, inadequate. HP gauge not calibrated, leaks in HP and LP o- ring fittings from valve to all sub assemblies, breathing hose on second stage not long enough to share gas with another diver, or lack of another second stage to offer to another diver.

Improper training:
Severity: high
Detection low
Occurrence: high

Lack of training induces any of the above on this FMCA list.

Preventive action: Corrective action: Failure to use training and good judgment:
Severity: high
Detection: low
Occurrence: high

Lack of good judgment and proper use of product will induce many problems on this FMCA.

Preventive action: Corrective action: Blow up:


Loss of weight belt and excessive buoyancy, vent valves fails in closed position on Dry suit or CCR, B.C. fails closed, and Diver fails to vent gases from appropriate gas reservoirs fast enough if at all, free flow of ADV, manual bypasses, solenoid, plumbing inside loop to solenoid, dry suit, B.C.

Preventive action: Corrective action. Loss of buoyancy neutral buoyancy to the negative:

Diver is over weighted due to lead weight, flooded dry suit, flooded breathing loop, compression of neoprene dry suit, failure to add gas to the B.C. and or dry suit, inadequate volume in B.C. failure of vent valve in open, damage of separated couplings, torn bladder, torn hose, B.C. inflator fails closed, no gas to inject into buoyancy systems, gas does not inject fast enough, no back up system to primary system.

Preventive action: Corrective action:



Copyright © 2009 InnerSpace Systems Corporation with all rights reserved. Unauthorized use is prohibited.