Instrument sets specified by the U.S. Army Medical Department during the Civil War for surgical sets and pocket kits

By Dr. Michael Echols, American Civil War Surgical Antiques

(The following are the personal edited research notes of Dr. Michael Echols, source:  "The Medical and Surgical History of the War of the Rebellion. (1861-65.)  Part III, Volume II, Chapter XIV.--The Medical Staff and Materia Chirugica")

These specifications, created by the U.S.Army Medical Department, can help a collector determine the names of instruments which should be present is a military issued surgical set during the Civil War.  It is also an aide to determination which instruments and supplies should be present.  Variations from maker to maker may occur.  These are the 'published' specifications. 

(1) The Capital Operating Case contained: 2 amputating knives (one long, one medium), 2 catlings (one long, one medium), 4 scalpels, 1 cartilage knife, 1 capital saw (long, bow, two blades), 1 metacarpal saw, 1 chain saw, 1 Hey's saw, 1 trephine (conical), 1 trephine (small crown), 1 bone forceps (Liston's long, sharp, spring handle), 1 bone forceps (broad edged, slightly carved, spring handle), 1 bone forceps (gnawing, spring handle), 1 bone forceps (sequestrum, spring handle), 1 artery forceps, 1 artery needle, 1 artery needle key, 12 surgeon's needles, 1 tourniquet screw with pad, 1 tenaculum, 1 scissors, 1 chisel, 1 gouge, 1 mallet, 4 drills (with one handle), 2 retractors, 1 raspatory, 1 elevator, 1 brush, 12 yards suture wire (iron), ¼ oz. ligature silk. 1/8 oz. wax, 1 mahogany case (brass bound, slide catch), 1 leather pouch.

(2) The Minor Operating Case contained: 1 amputating knife, 3 scalpels, 2 bistouries, 1 hernia knife, 1 finger knife, 1 artery forceps, 1 ball forceps, 1 gullet forceps, 1 dressing forceps, 1 dissection forceps, 1 artery needle, 1 artery needle key, 12 surgeon's needles, 1 tenaculum, 2 scissors, 1 trocar and canula. 1 Belloc's canula, 1 bullet probe, 1 director, 1 cutting pliers (small), 6 steel bougies (silvered, double curve, Nos. 1 and 2, 3 and 4, 5 and 6, 7 and 8, 9 and 10, 11 and 12), 3 silver catheters (Nos. 3, 6, and 9), 6 gum-elastic catheters (Nos. 1, 3, 5, 7, 9, and 11), 24 suture pins (silvered), 6 yards suture wire (iron), ¼ oz. ligature silk, 1/8 oz. wax, 1 mahogany case (brass bound, slide catch), 1 leather pouch.

(3) The Pocket Case contained: 1 scalpel, 3 bistouries, 1 tenotome, 1 gum lancet, 2 thumb lancets, 1 razor (small), 1 artery forceps, 1 dressing forceps, 1 artery needle, 6 surgeon's needles, 1 exploring needle, 1 tenaculum, 1 scissors, 1 director, 3 probes, 1 caustic holder, 1 silver catheter (compound), 6 yards suture wire (iron), ¼ oz. ligature silk, 1/8 oz. wax, 1 Russia leather case.

(4) The Field Case contained: 2 amputating knives (one long, one medium), 2 catlings (one long, one medium), 3 scalpels, 2 bistouries, 1 hernia knife, 1 finger knife, 1 capital saw (long, bow, two blades), 1 metacarpal saw, 1 Hey's saw, 1 trephine (conical), I bone forceps (broad edged, slightly curved, spring handle), 1 bone forceps (sequestrum, spring handle), 1 artery forceps, 1 ball forceps, 1 dressing forceps, 1 dissection forceps, 1 artery needle, 1 artery needle key, 12 surgeon's needles, I tourniquet screw with pad, 1 tenaculum, 2 scissors, 2 retractors, 1 trocar and canula, 1 raspatory, 1 elevator, 1 brush, 1 bullet probe, 1 director, 6 steel bougies, silvered, double curve (Nos. 1 and 2, 3 and 4, 5 and 6, 7 and 8, 9 and 10, 11 and 12), 3 silver catheters (Nos. 3, 6, and 9), 6 gum-elastic catheters (Nos. 1, 3, 5, 7, 9, 11), 12 yards suture wire (iron), ¼ oz. ligature silk, ½ oz. wax, 1 mahogany case (brass bound, slide catch), 1 leather pinch; pocket case the same as allowed to staff surgeons.

(5) The Pocket Surgical Case contained: 1 scalpel, 3 bistouries, 1 tenotome, 1 gum lancet, 2 thumb lancets, 1 razor (small), 1 artery forceps, 1 dressing forceps, 1 artery needle, 6 surgeon's needles, 1 exploring needle, 1 tenaculum, 1 scissors, 1 director, 3 probes, 1 caustic holder, 1 silver catheter (compound), 6 yards suture wire (iron), ¼ oz. ligature silk, 1/8 oz. wax, 1 Russia leather case.

The value of the above information is you have most likely never seen it before and it will help you identify the instruments in your set or kit.  Use it as a guide, not the last word.

Dr. Michael Echols is a long-term collector of surgical antiques and is not a dealer. For additional information on this topic, please search for the web site:

American Civil War Surgical Antiques

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