in one embodiment , a quality compliance system for a medical device includes at least one medical device configured to diagnose , monitor , or treat a medical condition , the at least one medical device configured to lockout operation of the at least one medical device , a refurbishment device configured to establish a communication link with the at least one medical device , generate electronic documentation of a maintenance or service procedure on the at least one medical device , provide for associating a digital signature of an operator with the generated electronic documentation , transmit the digital signature and generated electronic documentation , and unlock the medical device with a received key , and a service application configured to receive the transmitted digital signature and generated electronic documentation , verify the transmitted digital signature and generated electronic documentation , and transmit the key to the refurbishment device upon verification of the transmitted digital signature and generated electronic documentation .