Standard Vasectomy w/Ring Tip, Set consists of 2 instruments (85-6224 & 85-6221) It includes 5-1/2 inch Curved Vas Piercing Forceps with sharp tips used to pierce the scrotal skin; and a 5-3/4 inch Vasectomy Clamp with ring tips to encircle and elevate the Vas Deferens. Both of the instruments have finger ring handles and are ratcheted. The tubes are then tied off, cauterized, or blocked.