Sims’ Wire Shield consists of an ebony handle with a slender steel shank terminating in a broad oblong plate, in the distal end of which a slot is provide which the two ends of the wire suture may be carried or drawn, and there held in close approximation while being twisted.  The instrument may be further employed for shouldering which consists of pushing outwards, or laterally, upon a wire loop, so that undue pressure is not exerted upon the stitch-hole.  Truax - 1899.