Smith & Nephew 7117-0123 3.2mm X 4.5mm Double Drill Sleeve Orthopedic Trauma The sale of this item may be subject by the U.S. Food and DrugAdministration and state and local regulatory agencies. If so, do not bid on this item unless you are an authorized purchaser. If the item is subject to FDA regulation, I will verify your status as an authorized purchaser of this item before shipping of the item. Any used producthas been cleaned/sterilized per manufacturers specifications.