Merit Sterile Spencer (Littauer) Stitch Scissors are primarily used for suture removal. These scissors have a small hook shaped tip on one blade that slides under sutures to slightly lift them before cutting for removal. This hook also holds the suture so it does not slip off the blade of the scissors prior to cutting. They are most commonly available in lengths of 3-1/2" and 4-1/2" and therefore typically have smaller, more delicate tips that are used for removing smaller sutures. They should not be used for cutting tissue. Merit Sterile instruments are ready-to-use, sterile, disposable, office-grade instruments most commonly utilized for routine and in-office minor procedures. They are sold in bulk quantities.