Replacement inserts for laparsocopic Maryland dissectors are sold individually, or as part of a complete set. Sklartech 5000 Maryland Dissectors are used for fine dissection and separation of thin adventitial tissue. They have fine, curved jaws with horizontal serrations for efficient grasping. Maryland dissectors are available in three lengths, ratcheted or non-ratcheted, and a choice of three diameters. Sklartech 5000 laparoscopic instruments are crafted from the highest grade stainless steel to ensure reliability and durability. Complete sets includes a handle, locking collar, insulated shaft, and insert with the tip.