Biopsy Punch With Spike - 3 Piece Modular Reusable InsertThe biopsy punches in DDP Elite laparoscopic line feature razor sharp cutting edges so there is little risk of torn or poor quality biopsies. These punches can come either with spikes or without, to accommodate any use case. This item is only the insert portion of the full 3 piece system. Please note that website images are often representative of the product family and may not conform to the exact specifications or features of the item you select.