Used to facilitate grasping, manipulation, compression or joining of tissue and ligature. It typically has two main designs: 1) a self-retaining, scissors-like design with ring handles with the working end having a variety of blade designs, e.g., straight, angled, or curved with parallel grooves or serrations to provide grip; and 2) tweezers-like design (may be a micro/fine instrument) with two conjoined blade with serrated tips at the working end..