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MoHMA Lithotome of Come 8.5"x 2" violin shaped fishskin case with green velvet lining contains a 8" steel instrument with ebony handle. There is a hidden blade which is exposed when a spring loaded handle is pressed down. A metal protrusion into a hole in the handle limits the excursion and may represent a locking mechanism, the excursion of the blade can be varied by moving it in a socket. https://www.mohma.org/instruments/category/urology/lithotome_of_come/