Ackermann makes this endothoracoscopy instrument set with strong ergonomic axial designs that are made and set up right. This is made with many support systems to make it all ready and easy to use. The coaxial design is also used with a good look for making open surgery procedures easy. The stainless steel materials are easy to use and can be washed off with care. The motions for these devices are also less restricted and therefore easier to maintain over time.