A device to be used by an operator which may grasp objects in a sterile or non-sterile field, and may facilitate the precise placement and passage of a needle or pin into tissues while using X-ray guidance. The device provides a secure hold while keeping the hands remote from the radiation field, and by permitting non-obstructed viewing of the held instrument and tissues. A radiolucent hammer may be used to help drive a needle into firm tissues without obscuring visualization.