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A hole punch, also known as hole puncher, or paper puncher, is an office tool that is used to create holes in sheets of paper, often for the purpose of collecting the sheets in a binder or folder (such collected sheets are called loose leaves).
To bind a document, the user first punches holes in the paper with a specialized hole punch. Pages must be punched a few at a time with most of these machines. If hard covers are desired, they must be punched as well. In bulk applications, a paper drilling machine may be used. Then the user chooses a spine size that will match the document.
The punch and die themselves can have a variety of shapes to create an array of different shaped holes in the workpiece. Multiple punches may be used together to create a part in one step. Usually, the punch and die are close to the same dimensions, creating a sheared edge when they meet.
•Muller's self retaining adjustable haemostatic retractor-do-; self retaining haemostatic •Cat's paw retractor-do- •Desmarre's lid retractor-do-; specially for noncooperative patients and to see the fornices (see human eye) Bone punch: to fracture pieces from a thin bone in facial surgery and during operations like dacryocystorhinostomy
Adjustable hand reamer. An adjustable hand reamer can cover a small range of sizes. They are generally referenced by a letter which equates to a size range. The disposable blades slide along a tapered groove. The act of tightening and loosening the restraining nuts at each end varies the size that may be cut.
A HACO CNC punching machine Punched hole: best results for cutting surface with above 70% cutting, low clearance necessary (8% material thickness) Punch presses are developed for high flexibility and efficient processing of metal stampings. The main areas of application are for small and medium runs.