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They are designed exclusively for external use, and are not suitable for any kind of surgical procedures. Their rugged construction makes them ideal for cutting through tough materials such as car Seat Belts and Denim , and contributes to their nickname (i.e., 'tuff cuts'). It is often testified that trauma shears are strong enough to cut through a Penny ; however, it should be pointed out that the shears themselves woud probably be ruined in such a demonstration.