The Ballend Elevator 180mm Double-Ended with 1.8mm and 2.2mm tips is a surgical instrument designed for precise tissue manipulation, particularly in delicate orthopedic or ENT surgeries. It features a 180mm long handle, offering extended reach for deeper surgical sites. The double-ended design provides two different tip sizes (1.8mm and 2.2mm) to accommodate varying tissue thicknesses and surgical requirements.