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Search indexed NASA NTRS and DOE OSTI research on propulsion, heat transfer, battery materials and energy systems. Follow report and document links to the original sources.

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At least 55 records · Page 3
All sourcesNASA NTRSDOE OSTI
DOE OSTI2015

WE-G-BRA-09: Microsphere Brachytherapy Failure Mode and Effects Analysis in a Dual-Vendor Environment

Purpose: To improve the safety and quality of a dual-vendor microsphere brachytherapy program with failure mode and effects analysis (FMEA). Methods: A multidisciplinary team including physicists, dosimetrists, a radiation oncologist, an interventional radiologist, and radiation safety personnel performed an FMEA for our dual-vendor microsphere brachytherapy program employing SIR-Spheres (Sirtex Medical Limited, Australia) and Theraspheres (BTG, England). We developed a program process tree and step-by-step instructions which were used to generate a comprehensive list of failure modes. These modes were then ranked according to severity, occurrence rate, and detectability. Risk priority numbers (RPNs) were calculated by multiplying these three scores together. Three different severity scales were created: one each for harmful effects to the patient, staff, or the institution. Each failure mode was ranked on one or more of these scales. Results: The group identified 164 failure modes for the microsphere program. 113 of these were ranked using the patient severity scale, 52 using the staff severity scale, and 50 using the institution severity scale. The highest ranked items on the patient severity scale were an error in the automated dosimetry worksheet (RPN = 297.5), and the incorrect target specified on the planning study (RPN = 135). Some failure modes ranked differently between vendors, especially those corresponding to dose vial preparation because of the different methods used. Based on our findings, we made several improvements to our QA program, including documentation to easily identify which product is being used, an additional hand calculation during planning, and reorganization of QA steps before treatment delivery. We will continue to periodically review and revise the FMEA. Conclusion: We have applied FMEA to our dual-vendor microsphere brachytherapy program to identify potential key weaknesses in the treatment chain. Our FMEA results were used to improve the effectiveness of our overall microsphere program.

60 APPLIED LIFE SCIENCES↗
NASA NTRSDate not supplied

Electrified Aircraft Propulsion Systems: Gas Turbine Control Considerations for the Mitigation of Potential Failure Modes and Hazards

This paper provides a high-level review of the potential failure modes and hazards to which electrified aircraft propulsion (EAP) systems are susceptible, along with potential gas turbine control-based strategies to assist in the mitigation of those failures. To introduce the types of failures that an EAP system may experience, a generic EAP system is considered, consisting of gas turbine engines, mechanical drives, electric machines, power electronics and distribution systems, energy storage devices, and motor driven propulsors. The functionality provided by each of these EAP subsystems is discussed, along with their potential failure modes, and possible strategies for mitigating those failures. To further illustrate the role of gas turbine controls in mitigating EAP failure modes, an example based on a simulated EAP concept aircraft proposed by NASA is given. The effects of failures are discussed, along with turbomachinery control strategies, including reversionary control modes, and control limit logic.

Donald L Simon↗
NASA NTRS2021

Electrified Aircraft Propulsion Systems: Gas Turbine Control Considerations for the Mitigation of Potential Failure Modes and Hazards

This paper provides a high-level review of the potential failure modes and hazards to which electrified aircraft propulsion (EAP) systems are susceptible along with potential gas turbine control-based strategies to assist in the mitigation of those failures. To introduce the types of failures that an EAP system may experience, a generic EAP system is considered consisting of gas turbine engines, mechanical drives, electric machines, power electronics and distribution systems, energy storage devices, and motor driven propulsors. The functionality provided by each of these EAP subsystems is discussed along with their potential failure modes and possible strategies for mitigating those failures. To further illustrate the role of gas turbine controls in mitigating EAP failure modes, an example based on a simulated EAP concept aircraft proposed by NASA is given. The effects of failures are discussed, along with turbomachinery control strategies, including reversionary control modes, and control limit logic

Electrified Aircraft Propulsion↗
NASA NTRS1987

FMEAssist: A knowledge-based approach to Failure Modes and Effects Analysis

A Failure Modes and Effects Analysis workstation (FMESassist) was designed for use during the development of the space station. It assists engineers in the complex task of tracking failures and their effects on the system. Engineers experience increased productivity through reduced clerical loads, reduced data inconsistency, and significantly reduced analysis time. System developments benefit from a more thorough analysis than was available using previous methods.

Carnes, James R.↗
DOE OSTI2016

WE-H-BRC-01: Failure Mode and Effects Analysis of Skin Electronic Brachytherapy Using Esteya Unit

Purpose: A failure mode and effect analysis (FMEA) of skin lesions treatment process using Esteya™ device (Elekta Brachyterapy, Veenendaal, The Netherlands) was performed, with the aim of increasing the quality of the treatment and reducing the likelihood of unwanted events. Methods: A multidisciplinary team with experience in the treatment process met to establish the process map, which outlines the flow of various stages for such patients undergoing skin treatment. Potential failure modes (FM) were identified and the value of severity (S), frequency of occurrence (O), and lack of detectability (D) of the proposed FM were scored individually, each on a scale of 1 to 10 following TG-100 guidelines of the AAPM. These failure modes were ranked according to our risk priority number (RPN) and S scores. The efficiency of existing quality management tools was analyzed through a reassessment of the O and D made by consensus. Results: 149 FM were identified, 43 of which had RPN ≥ 100 and 30 had S ≥ 7. After introduction of the tools of quality management, only 3 FM had RPN ≥ 100 and 22 FM had RPN ≥ 50. These 22 FM were thoroughly analyzed and new tools for quality management were proposed. The most common cause of highest RPN FM was associated with the heavy patient workload and the continuous and accurate applicator-patient skin contact during the treatment. To overcome this second item, a regular quality control and setup review by a second individual before each treatment session was proposed. Conclusion: FMEA revealed some of the FM potentials that were not predicted during the initial implementation of the quality management tools. This exercise was useful in identifying the need of periodic update of the FMEA process as new potential failures can be identified.

60 APPLIED LIFE SCIENCES↗
NASA NTRSDate not supplied

The Competition of Failure Modes in an Additively Manufactured Disk Superalloy

Additive manufacturing of powder metallurgy disk superalloys can produce unique microstructures that are different from those usually encountered in traditional processing by consolidation, forging, and heat treatments. Unusual variations in grain size, major and minor phase precipitate sizes, and defects can occur. The associated failure modes of these unique microstructures are of high interest. The objective of this study was to compare the failure modes for a powder metallurgy disk superalloy LSHR produced by electron beam melting additive manufacturing. Specimens were subsequently given different solution heat treatments and a fixed aging heat treatment. Tensile, creep, and fatigue failure modes were screened in tests at elevated temperatures. Failure modes were considered with respect to these unique microstructures.

additive manufacturing↗
NASA NTRS2023

Competition of Failure Modes in an Additively Manufactured Disk Superalloy

Additive manufacturing of powder metallurgy (PM) disk superalloys can produce unique microstructures that differ from those usually encountered in traditional processing as the result of consolidation, forging, and heat treatments. Unusual variations in grain size, major and minor phase precipitate sizes, and defects can occur. The failure modes associated with these unique microstructures are of high interest. The objective of this study was to compare the failure modes for a low solvus, high refractory (LSHR) PM disk superalloy produced by electron-beam-melting additive manufacturing. Specimens were subsequently given different solution heat treatments and a fixed aging heat treatment. Tensile, creep, and fatigue failure modes were screened in tests at elevated temperatures. Failure modes were considered with respect to these unique microstructures.

additive manufacturing↗
NASA NTRS1980

Cycles till failure of silver-zinc cells with competing failure modes - Preliminary data analysis

The data analysis of cycles to failure of silver-zinc electrochemical cells with competing failure modes is presented. The test ran 129 cells through charge-discharge cycles until failure; preliminary data analysis consisted of response surface estimate of life. Batteries fail through low voltage condition and an internal shorting condition; a competing failure modes analysis was made using maximum likelihood estimation for the extreme value life distribution. Extensive residual plotting and probability plotting were used to verify data quality and selection of model.

Sidik, S. M.↗
NASA NTRS1995

Detecting Hidden Failure Modes in Critical, Embedded Software

This experience report describes a method that has been used successfully to detect hidden failure modes in critical, embedded spacecraft software. The method is an adaptation of an earlier, controversial approach called failure modes and effects analysis. The adapted method was found to be well-suited to identifying latent software design weaknesses involving complex system interactions and dependencies in the two applications described here. This experience may be useful for other high-integrity software systems in which the possibility of hidden failure modes is a major concern.

detecting software failure design analysis↗
DOE OSTI2016

SU-F-T-245: The Investigation of Failure Mode and Effects Analysis and PDCA for the Radiotherapy Risk Reduction

Purpose: To optimize the clinical processes of radiotherapy and to reduce the radiotherapy risks by implementing the powerful risk management tools of failure mode and effects analysis(FMEA) and PDCA(plan-do-check-act). Methods: A multidiciplinary QA(Quality Assurance) team from our department consisting of oncologists, physicists, dosimetrists, therapists and administrator was established and an entire workflow QA process management using FMEA and PDCA tools was implemented for the whole treatment process. After the primary process tree was created, the failure modes and Risk priority numbers(RPNs) were determined by each member, and then the RPNs were averaged after team discussion. Results: 3 of 9 failure modes with RPN above 100 in the practice were identified in the first PDCA cycle, which were further analyzed to investigate the RPNs: including of patient registration error, prescription error and treating wrong patient. New process controls reduced the occurrence, or detectability scores from the top 3 failure modes. Two important corrective actions reduced the highest RPNs from 300 to 50, and the error rate of radiotherapy decreased remarkably. Conclusion: FMEA and PDCA are helpful in identifying potential problems in the radiotherapy process, which was proven to improve the safety, quality and efficiency of radiation therapy in our department. The implementation of the FMEA approach may improve the understanding of the overall process of radiotherapy while may identify potential flaws in the whole process. Further more, repeating the PDCA cycle can bring us closer to the goal: higher safety and accuracy radiotherapy.

60 APPLIED LIFE SCIENCES↗
NASA NTRS1990

Model-OA wind turbine generator - Failure modes and effects analysis

The results failure modes and effects analysis (FMEA) conducted for wind-turbine generators are presented. The FMEA was performed for the functional modes of each system, subsystem, or component. The single-point failures were eliminated for most of the systems. The blade system was the only exception. The qualitative probability of a blade separating was estimated at level D-remote. Many changes were made to the hardware as a result of this analysis. The most significant change was the addition of the safety system. Operational experience and need to improve machine availability have resulted in subsequent changes to the various systems, which are also reflected in this FMEA.

Klein, William E.↗
NASA NTRS2013

Failure Modes and Effects Analysis (FMEA) Assistant Tool Feasibility Study

An effort to determine the feasibility of a software tool to assist in Failure Modes and Effects Analysis (FMEA) has been completed. This new and unique approach to FMEA uses model based systems engineering concepts to recommend failure modes, causes, and effects to the user after they have made several selections from pick lists about a component s functions and inputs/outputs. Recommendations are made based on a library using common failure modes identified over the course of several major human spaceflight programs. However, the tool could be adapted for use in a wide range of applications from NASA to the energy industry.

Flores, Melissa↗
DOE OSTI2021

Probability of Loss of Assured Safety in Systems with Multiple Time-Dependent Failure Modes: Incorporation of Delayed Link Failure in the Presence of Aleatory Uncertainty

Probability of loss of assured safety (PLOAS) is modeled for weak link (WL)/strong link (SL) systems in which one or more WLs or SLs could potentially degrade into a precursor condition to link failure that will be followed by an actual link failure after some amount of elapsed time. The descriptor loss of assured safety (LOAS) is used because failure of the WL system places the entire system in an inoperable configuration while failure of the SL system before failure of the WL system, although undesirable, does not necessarily result in an unintended operation of the entire system. Thus, safety is “assured” by failure of the WL system before failure of the SL system. Here, the following topics are considered: (i) Definition of precursor occurrence time cumulative distribution functions (CDFs) for individual WLs and SLs, (ii) Formal representation, approximation and illustration of PLOAS with (a) constant delay times, (b) aleatory uncertainty in delay times, and (c) delay times defined by functions of link properties at occurrence times for link failure precursors, and (iii) Procedures for the verification of PLOAS calculations for the three indicated definitions of delayed link failure.

58 GEOSCIENCES↗
DOE OSTI2018

Probability of Loss of Assured Safety in Systems with Multiple Time-Dependent Failure Modes: Incorporation of Delayed Link Failure in the Presence of Aleatory Uncertainty.

Probability of loss of assured safety (PLOAS) is modeled for weak link (WL)/strong link (SL) systems in which one or more WLs or SLs could potentially degrade into a precursor condition to link failure that will be followed by an actual failure after some amount of elapsed time. The following topics are considered: (i) Definition of precursor occurrence time cumulative distribution functions (CDFs) for individual WLs and SLs, (ii) Formal representation of PLOAS with constant delay times, (iii) Approximation and illustration of PLOAS with constant delay times, (iv) Formal representation of PLOAS with aleatory uncertainty in delay times, (v) Approximation and illustration of PLOAS with aleatory uncertainty in delay times, (vi) Formal representation of PLOAS with delay times defined by functions of link properties at occurrence times for failure precursors, (vii) Approximation and illustration of PLOAS with delay times defined by functions of link properties at occurrence times for failure precursors, and (viii) Procedures for the verification of PLOAS calculations for the three indicated definitions of delayed link failure.

97 MATHEMATICS AND COMPUTING↗
NASA NTRS1989

Failure modes and damage accumulation in laminated composites with free edges

The influence of fiber orientation, stacking sequence, material properties and edge effects on the accumulation of damage and modes of failure in angle-ply and quasi-isotropic composite laminates are studied. Experimental results are presented for graphite-epoxy and graphite-polyimide coupons subjected to tensile load. It is shown that all the parameters studied can have a significant influence on the behavior of the composite.

Herakovich, Carl T.↗
NASA NTRS1991

General Monte Carlo reliability simulation code including common mode failures and HARP fault/error-handling

A Monte Carlo Fortran computer program was developed that uses two variance reduction techniques for computing system reliability applicable to solving very large highly reliable fault-tolerant systems. The program is consistent with the hybrid automated reliability predictor (HARP) code which employs behavioral decomposition and complex fault-error handling models. This new capability is called MC-HARP which efficiently solves reliability models with non-constant failures rates (Weibull). Common mode failure modeling is also a specialty.

Platt, M. E.↗
NASA NTRS1996

Failure-Modes-And-Effects Analysis Of Software Logic

Rigorous analysis applied early in design effort. Method of identifying potential inadequacies and modes and effects of failures caused by inadequacies (failure-modes-and-effects analysis or "FMEA" for short) devised for application to software logic.

Garcia, Danny↗