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The Synthes 4.5mm Cannulated Titanium Instrument Scr Set is a high-quality surgical instrument set designed for use in orthopedics and trauma disciplines. Made of durable titanium, this set includes 4.5mm cannulated instruments that are both precise and reliable. Manufactured in the United States by the reputable brand Synthes, this set is intended for sterilization and is a valuable addition to any healthcare professional's toolkit.***see picture for what is included****