A tool for removing debris from sockets containing screws of electrical conductors of medical pacemakers, to allow engagement of screw heads for unthreading. The tool includes a body, with a screw driving blade projecting from one end and a cutting blade of diameter similar to that of the screw driving blade projecting from an opposed end. Optionally, the body encloses torque limiting components limiting torque applied to the screw driving blade. The screw driving blade may be polygonal. The cutting blade may be a fluted drill bit. Where the torque limiting components are not provided, the body may bear external splines, with the screw driving blade and cutting blade being monolithic with the body.
