Highest quality surgical punches on the market. These punches are ideal for manual use or assisted use with a mechanical extractor. Medsor Impex offers two different styles of punches available in multiple sizes. The Titanium Punch offers the sharpest cutting edge available. Key features: Expanding internal diameter. Razor sharp cutting edge. Size:0.7mm to 1.2mm Made up of high medical titanium Long-life. Thin wall.