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Step on an airplane and you expect every last rivet or weld to have exceeded the most strenuous quality testing. It isn’t just the materials themselves, but the assembly.
It is hard to overestimate the importance of quality and reliability in the area of medical devices since the lives and well-being of individuals are at stake and the industry is so tightly regulated.
So you’ve designed a high performance bearing or friction-free coupling, and the first thing you are asked is: What is its actual restraining torque? You’ve done your best to make something unmeasurable, and now you’re being asked to measure it.