| Inbound Relationships | Type | Active | Source | Characteristic | Refinability | Group | 
| Stiefel biopsy punch | Is a | True | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Keyes biopsy punch | Is a | True | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch resection of sclera | Using | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Transurethral punch prostatectomy | Using | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Transurethral punch biopsy of prostate | Using | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy of skin lesion | Using | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy of cervix | Using | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy | Using | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy of subcutaneous tissue | Using | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy of skin | Using | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy of lesion of skin of head or neck | Using | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy of lesion of skin NEC | Using | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Other specified punch biopsy of skin | Using | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy of skin NOS | Using | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch resection of sclera | Direct device | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Transurethral punch prostatectomy | Direct device | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Transurethral punch biopsy of prostate | Direct device | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy of lesion of skin of head or neck | Direct device | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy of lesion of skin NEC | Direct device | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Other specified punch biopsy of skin | Direct device | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy of skin NOS | Direct device | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy of skin lesion | Direct device | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy of cervix | Direct device | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy | Direct device | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy of subcutaneous tissue | Direct device | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy of skin | Direct device | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch resection of sclera | Using | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Transurethral punch prostatectomy | Using | False | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Transurethral punch biopsy of prostate | Using | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of skin lesion | Using | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of cervix | Using | False | Punch, device | Inferred relationship | Existential restriction modifier | 2 | 
| Punch biopsy | Using | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of subcutaneous tissue | Using | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of skin | Using | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of lesion of skin of head or neck | Using | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of lesion of skin NEC | Using | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Other specified punch biopsy of skin | Using | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of skin NOS | Using | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch resection of sclera | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Transurethral punch prostatectomy | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Transurethral punch biopsy of prostate | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of skin lesion | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of cervix | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 2 | 
| Punch biopsy | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of subcutaneous tissue | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of skin | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of lesion of skin of head or neck | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of lesion of skin NEC | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Other specified punch biopsy of skin | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of skin NOS | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of skin NOS | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of cervix | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of subcutaneous tissue | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Transurethral punch biopsy of prostate | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of lesion of skin of head or neck | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of skin lesion | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Other specified punch biopsy of skin | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of lesion of skin NEC | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of skin | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of skin lesion | Using device | True | Punch, device | Inferred relationship | Existential restriction modifier | 2 | 
| Punch biopsy of skin NOS | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of cervix | Using device | True | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch resection of sclera | Using device | True | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Other specified punch biopsy of skin | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of subcutaneous tissue | Using device | True | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy | Using device | True | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Transurethral punch biopsy of prostate | Using device | True | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of skin | Using device | True | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of lesion of skin NEC | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Transurethral punch prostatectomy | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of lesion of skin of head or neck | Using device | True | Punch, device | Inferred relationship | Existential restriction modifier | 2 | 
| Punch biopsy of vulva | Using device | True | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Viscerotome | Is a | True | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Rubber dam punch | Is a | True | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Urethral drainage catheter punch | Is a | True | Punch, device | Inferred relationship | Existential restriction modifier |  | 
| Punch biopsy of lesion of skin NEC | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Other specified punch biopsy of skin | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of skin NOS | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 | 
| Punch biopsy of vulva | Using device | False | Punch, device | Inferred relationship | Existential restriction modifier | 1 |