Jacobson Heavy Needle Holder 20CM is handcrafted from German stainless steel and tungsten carbide inserts that provides control, precision and a dependable non-slip crosshatched surface. The straight jaw and handle lock. Rounded palm-held handles are gold-plated and afford a comfortable and secure grip to the surgeon. The heavy model helps to suture thicker, tougher tissues. DDP ELITE tungsten carbide needle holders provide unparalleled control while suturing. The precision-milled, pyramid-shaped teeth ensure a dependable, non-slip surface. Some needle holder styles are also available with smooth tungsten carbide jaws, designed to hold the smallest sutures in microsurgical and plastic surgery procedures. Tungsten carbide jaws are inherently more durable than stainless steel and clinicians will experience an extended service-life. These needle holders feature gold-plated handles.