Several surgical tool failures were analyzed to understand why they occur and how to prevent them. The study included drills, catheters, and needles subjected to the rigors of biomedical applications such as corrosive environments, high stresses, sterilization, and improper cleaning procedures. Given the extreme conditions to which surgical tools can be exposed, and the potential for misuse, failures are inevitable and systematic methods for analyzing them are necessary to keep them in check.

The pointed ends of several stainless steel forceps split or completely fractured where split portions broke off. All the forceps were delivered in the same lot. The pointed ends of the forceps are used for probing and gripping very small objects and must be true, sound, and sharp. Analysis supported the conclusion that the failures to be the result of seams in the steel that were not joined during hot working. Recommendations included that closer inspection of the product take place at all stages of manufacturing. Inspection at the mill will minimize discrepancies at the source, and the inspection of the finished product will help detect obscure seams.

A stainless tool steel bone drill broke during an operation on a patient and was examined. It showed two fatigue fractures, one of which had started from a sharp-edged, coarsely milled slot (fracture A1), and the other from a point on the outer sheath surface which was not subjected to particularly high stresses (fracture A2). Fatigue fracture A1 resulted from the stress concentration built up at this point as a result of the sharp edges and the coarse machining grooves. The remains of a number, which had been inscribed with an electrical engraving tool for identification purposes, were found at the point of origin of fracture A2. The material had been heated to the melting point during the engraving of the number, and multiple cracking occurred during cooling. One of these cracks led to the development of fatigue fracture A2.