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The
typical instruments found in large and small amputation or surgical
sets are illustrated on this page. The names of the various
instruments are those used during the 1800's. As is typical of
those instruments made prior to sterilization in the 1870's, the
handles are of ivory, ebony, horn, or wood. Metal handles are
typical of the post 1880's time frame.
The
instrument list is not that long because surgeons of this time did
not do invasive surgery into the body cavities that often. The
reason: post incision infection caused a high mortality rate...the
patient died!
Correct
identification of surgical instruments is necessary to date and
determine if a given instrument is correct for a given set.
Markings on the instrument are usually the name of the maker.
Variation in the font and spelling of the printed name can
determine the date and correct time frame.
Various
kinds of bullet removing instruments from the Tiemann
catalog 1870's
Anatomy of surgical
knife blades as an aide to dating them
Information on dating
instruments and sets
1866 Gemrig catalog with
diagrams of instruments.
Tiemann maker marks on
instruments
Use of
Tourniquet, Liston Knife & Capital Saw
See an article on
suture needles and suturing
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Tissue retractors to hold
back muscle during resection of the bone |
Early style trephine (skull
drill) and handle for opening the skull bone.
Disassembled. |
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Large
amputation knives (with
removable handles) for large muscle cutting |
Trocar for bladder puncture
or drainage of a body cavity |
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Scalpels above, curved
bistouries below are for
dissection of ligaments and tissue |
Tissue or
artery forceps
(tweezers) for holding tissue or an artery while tying
it off to stop bleeding |
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Capital
amputation bone saw for
resection of large bones of the leg or arm |
Tourniquets to compress
arteries above the cut during amputation |
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Scalpel for tissue
incision, this particular type is usually found with a
trephine |
Catlin (double sided)
amputation knife for cutting in both directions |
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Single
sided large Liston type amputation
knife |
Large
lifting back metacarpal saw
for cutting fingers and tendons |
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Later style trephine used
to open skull bone (assembled) |
Hey saw to cut into the
skull bone |
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Early Capital saw for large
bones |
Metacarpal saw for small
bones |
Bone cutting forceps (ronguer)
for trimming bone fragments or finishing cuts |
Bone file for smoothing
edges and lifting out parts of bone. Usually found with
a trephine |
Metacarpal saw to separate
small bones of hand or foot
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Bone brush to remove bone
sawdust from the cutting site. Usually found with a
trephine |
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Tenaculum for hooking
arteries to pull them out enough to tie them off |
Locking forceps to hold
tissue |
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Urethral
staves or sounds to open urinary canal into the bladder |
Chain
saw for cutting bone in tight spaces |
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Bone
sequestrum or tissue forceps |
Bone chisel and
hammer used to trim bone |
Urinary catheters used to
drain the bladder when the urethra is blocked |
Bullet probe with porcelain
tip, used to find lead bullets by touching and marking
the porcelain |
Civil
War Union Army Circular No. 7. Surgeon General's Office
( May
7, 1863)
ALLOWANCE OF SURGICAL
INSTRUMENTS FOR MEDICAL OFFICERS, FOR STAFF SURGEONS
AND ASSISTANT SURGEONS.
FOR CAPITAL OPERATIONS
Two
Amputating Knives, one long, one medium.
Two Catlings, one long, one medium.
Four Scalpels.
One Cartilage Knife.
One Capital Saw, long, bow, two blades.
One Metacarpal Saw.
One Chain Saw.
One Hey's Saw.
One Trephine, conical.
One Trephine, small crown.
One Bone Forceps, Liston's long, sharp, spring handle.
One Bone Forceps, broad-edged, slightly curved, spring
handle.
One Bone Forceps, gnawing, spring handle.
One Bone Forceps, sequestrum, spring handle.
One Artery Forceps.
One Artery Needle.
One Artery Needle Key.
Twelve Surgeon's Needles.
One Tourniquet Screw, with pad.
One Tenaculeum.
One Scissors.
One Chisel.
One Gouge.
One Mallet.
Four Drills, (with one handle.)
Two Retractors.
One Raspatory.
One Elevator.
One Brush.
Twelve yards Suture Wire, iron.
One ounce Ligature Silk.
One ounce Wax.
One Mahogany Case, brass bound, slide catch.
One Leather Pouch.
FOR MINOR OPERATIONS.
One Amputating Knife.
Three Scalpels.
Two Bistouries.
One Hernia Knife.
One Finger Knife.
One Artery Forceps,
One Bail Forceps.
One Gullet, Forceps.
One Dressing Forceps.
One Dissection Forceps.
One Artery Needle.
One Artery Needle Key.
Twelve Surgeon's Needles.
One Tenaculum.
Two Scissors.
One Trocar and Canula.
One Belloc's Canula.
One Bullet Probe.
One Director.
One Cutting Pliers, small.
Six Steel Bougies, silvered, double curve,
Nos. 1 and 2, 3 and 4, 5 and 6, 7 and 8, 9 and 10, 11
and 12.
Three silver Catheters, Nos. 3, 6, and 9.
Six Gum-elastic Catheters, Nos. 1, 3, 5, 7, 9, and 11.
Twenty-four Suture Pins, silvered.
Six yards Suture Wire, iron.
One ounce ligature Silk. ,
One ounce Wax.
One Mahogany Case, brass-bound, slide catch.
One Leather Pouch.
FOR THE POCKET CASE
One Scalpel.
Three Bistouries.
One Tenotome.
One Gum Lancet.
IVo Thumb Lancets.
One Razor, small.
One Artery Forceps.
One Dressing Forceps.
One Artery Needle.
Six Surgeon's Needles.
One Exploring Needle.
One Tenaculeum.
One Scissors.
One Director.
Three Probes.
One Caustic Holder.
One Silver Catheter, compound.
Six yards Suture Wire, iron.
One ounce Ligature Silk.
One ounce Wax.
One Russia Leather Case.
One Leather Trunk for the set.
FOR REGIMENTAL SURGEONS AND
ASSISTANT SURGEONS.
FOR THE FIELD CASE.
Two Amputating Knives, one long, one medium.
Two Catlins, one long, one medium.
Three Scalpels.
Two Bistouries.
One Hernia Knife.
One Finger Knife
One Capital Saw, long, bow, two blades.
One Metacarpal Saw.
One Key's Saw.
One Trephine, conical.
One Bone Forceps, broad-edged, slightly curved, spring
handle.
One Bone Forceps, sequestrum, spring handle.
One Artery Forceps.
One Ball Forceps.
One Dressing Forceps.
One Dissection Forceps.
One Artery Needle.
One Artery Needle Key.
Twelve Surgeon's Needles.
Pocket Case, the same as
One Tourniquet, screw, with pad.
One Tenaculeum.
Two Scissors.
Two Retractors.
One Trocar and Canula.
One Raspatory.
One Elevator.
One Brush.
One Bullet Probe.
One Director.
Six Steel Bougies, silvered, double curve,
Nos. 1 and 2, 3 and 4, 5 and 6, 7 and 8, 9 and 10, 11
and 12.
Three Silver Catheters, Nos. 3, 6, 9.
Six Gum-elastic Catheters, Nos. 1, 3, 5, 7, 9, 11.
Twelve yards Suture Wire, iron.
One ounce Ligature Silk.
One ounce Wax.
One Mahogany Case, brass bound, slide catch.
One Leather Pouch.
Allowed to Staff Surgeons
CONTENTS OF THE SETS OF INSTRUMENTS AND APPLIANCES
REFERRED TO IN THE STANDARD SUPPLY TABLE.
1. The dissecting case.
One Cartilage Knife.
Three Scalpels.
One Tenaculeum.
One Dissection Forceps.
One Chain and Hooks.
Two Needles and Thread.
One Enterotome.
One Scissors.
One Blowpipe.
One Chisel.
Mahogany Box.
2. The obstetrical case.
One Simpson's Forceps.
One Vectis or Lever.
One Crochet and Blunt Hook.
One Perforator.
Russia Leather Case.
3. The pocket case for
hospitals.
One sharp-pointed Bistoury.
One probe-pointed Bistoury.
One Scalpel.
One Tenaculeum.
One Abscess Lancet.
One Compound Catheter.
One Straight Scissors.
One Angular Scissors.
One Dressing Forceps.
One Artery Forceps.
One Spatula.
One Director.
Two Probes.
Six Needles.
Ligature Silk and Wax.
Russia Leather Case.
4. The teeth extracting
case.
One Key with three Hooks.
Two Forceps for Molars.
One Forceps for Bicuspids.
One Forceps for Incisors.
One Gum Lancet.
One Stump Elevator.
Russia Leather Case.
Please note, there is no
information on this site about instruments which have
all metal handles as they are post-1880's and not part
of this collection.
If
it has metal
handles, it's
post-1880 and of no interest to this web site or collection.
An example of a set with
all metal handles: post 1890 vintage
More examples of post-1880
surgical sets
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