A handle holder is used in heart valve replacement surgery to insert a
mechanical flow valve into the patient's heart. In order to position
the valve correctly, a 0.1 '' diameter titanium 6Al-4V handle holder s
haft is bent until the proper angle is found. This bending of the tool
makes it vulnerable to low-cycle fatigue failure. Low cycle fatigue t
esting of titanium 6Al-4V specimens shows that surface cracks appear a
pproximately 20 cycles before failure occurs. It is recommended that t
he tool be carefully inspected before each use and replaced when surfa
ce cracks appear. The data showed that the life of the tool may be inc
reased by 30% if it is bent in the same direction during its entire us
e. (C) 1998 Elsevier Science Ltd. All rights reserved.