Official “ACLS and LACLS Committee approved” ACLS assessment tool. Includes: 1 standardized ACLS leather tool, 1 large eye steel needle, 2 perma-lok needles, 72" waxed linen thread for Running Stitch task and replacements, and 60" of 3/32 inch wide leather lace for the Whipstitch and Single Cordovan Stitch tasks. Please note: the leather lacing in this product contains natural rubber latex which may cause allergic reactions.