A true flush cut and hold instrument, this cutter features a 50% reduced working end as compared to 678-111, enhancing visibility and improving efficiency by eliminating the need for a cotton roll or piece of gauze to catch the cut portion. This cutter comes with 1 silicone insert already loaded in the working end with 2 extras included in the package. Replacement silicone inserts 678-013 can be re-ordered as needed.