EXHIBIT 12.1

Accellent Inc.

Ratio of Earnings to Fixed Charges

(in thousands)

	Predecessor						Successor
	Year Ended December 31,			Period From January 1 to November 22,			Period From November 23 to December 31,			Year Ended December 31,			Year Ended December 31,			Year Ended December 31,			Year Ended December 31,
	2004			2005			2005			2006			2007			2008			2009
Pre-tax loss	$	(2,137	)	$	(76,497	)	$	(22,024	)	$	(13,252	)	$	(119,740	)	$	(8,627	)	$	2,507
Interest expense, net		26,879			43,233			9,301			65,338			67,367			65,257			56,569
Interest		—			—			—			—			—			—			—
Distributed income of equity investees		—			—			—			—			—			—			—
Interest portion of rent		1,874			2,184			292			2,370			2,401			2,394			2,520
Earnings (loss)		26,616			(31,080	)		(12,431	)		54,456			(49,972	)		59,024			61,596
Fixed charges	$	28,753		$	45,417		$	9,593			67,708		$	69,768		$	67,651		$	59,089
Ratio		—			—			—			—			—			—			1.04
Deficiency	$	2,137		$	76,497		$	22,024		$	13,252		$	119,740		$	8,627			—