The Ultra Pterygium Knife is a hand-held stainless steel implement used during manicures and pedicures to loosen the pterygium, the thin, translucent skin that grows forward with the nail and clings to the nail plate near the cuticle. It has a slender handle ending in a curved, rounded blade built to scrape rather than cut, which is what separates it from a cuticle nipper's hinged cutting blades. The curved edge is worked gently across the nail plate to release attached tissue so it can be pushed back, rather than being used to trim living skin.
Because the blade lifts skin instead of slicing through it, this style of tool is generally lower-risk for nicking live tissue than a nipper, though it still calls for a light touch and clean technique. It's typically used alongside a cuticle pusher, and any hangnails or excess tissue left afterward are trimmed separately with a nipper or scissors rather than with this tool.