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Reusable cautery pen handle with battery included (tip purchased separately) and two images are to show the tip head with is not included heated up Temperature range for this pen is between 600-1100 and is ideal for a range of treatments such as skin tags You can use replacement tips with this device however if you intend to reuse the tip you must replace the cap as this stops the accidental activation of the tip head Quality construction and used by Doctors, Tattooists and podiatrists