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SOA, a very popular system architecture design idea, has been widely used in system design in various fields. In this paper, a comprehensive tertiary hospital in the south has developed a hospital equipment control system based on SOA. The equipment control system has the function of real-time monitoring of medical equipment, visual display of historical equipment usage information, status information, maintenance information, etc., and real-time monitoring of all hospital equipment. The system adopts web service technology to realize SOA architecture idea and realizes service governance of complex logical relationship between functional modules inside the system through distributed architecture design method. In addition, in order to solve the key problem of device state sensing and fault warning in medical device control, this paper designs a device state sensing and fault warning algorithm based on actor-critic reinforcement learning algorithm, and experiments show that after multiple iterations, the prediction accuracy of the algorithm reaches 97.9%, which can effectively realize the state sensing and fault warning of medical devices. After the deployment, testing and validation of the system, it is proved that the system can effectively fulfill the functional and non-functional requirements set at the beginning of the project, and can effectively undertake the task of hospital medical equipment management.