DDP Elite USA Titanium Mayo-Hegar Needle Holder is made for use in some cardiothoracic surgeries. Instead of solid tungsten carbide jaws inlays like traditional tungsten carbide needle holders, DDP Elite line of tungsten carbide needle holder for cardiothoracic cases feature tiny tungsten carbide particles which are matellurgically bonded to the jaws. Additionally, this instrument is formed from titanium which is lightweight and strong and thus allows many advantages in procedures that require delicate precision. These needle holders are available in four sizes: 6.25", 7 1/8", 8" and 9" allowing them to accommodate a range of different patients sizes and surgeon preferences. Please note that website images are often representative of the product family and may not conform to the exact specifications or features of the item you select. The final specifications will match the description of the specific catalog item you select. Please review such specifications in the item description to ensure the correct product is ordered.