A scarce and fine needle holder by Gemrig of Philadelphia that, in inconsideration of its long and delicate design, was likely intended for use in vaginal surgery such as repair of fistulas and such.  The jaws are petit and provided with fine grooves to secure fine suture needs.  Likewise, the arms are fine and flexible, terminating in a split-handle joined and secured by a sliding latch that is easily engaged by a means of a brass thumb-pad.