Surgical instrument set, Royal Army Medical Corps

Made:
1917 in London
maker:
Weiss, John
Surgical instrument set R.A.M.C

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Surgical instrument set R.A.M.C
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Surgical instrument set, Royal Army Medical Corps (R.A.M.C.) military issue, with three trays of instruments in sterilizable trays in brass bound mahogany case, by J. Weiss and Sons Ltd., London, 1917 for use by British forces during the First World War, 1914-1918.

The scale of the First World War and the devastating effects of industrialised weaponry used by the fighting nations produced overwhelming numbers of casualties. For British forces engaged on the Western Front battlefields, those not killed outright could be left with complex wounds that could often become infected from the former agricultural lands that were being fought over. Keeping surgical equipment sterile in such environments was a constant challenge for medical personnel.

This surgical instrument set was made by J. Weiss and Sons Ltd, a well-known manufacturer with their origins in the 1780s. Dating from 1917 and described as being of military issue for the Royal Army Medical Corps (RAMC), the set is efficiently designed to contain a large number of instruments within a relatively small wooden box. The instruments are largely of simple design, often cast from single pieces of metal and they can be fitted into one of three removable trays. These trays were constructed to allow them, and the instruments they carry, to be easily lowered into the boiling water of a steriliser.

The Royal Army Medical Corps Medical was largely responsible for the medical care for British forces during the First World War. They aimed to maintain the health of soldiers in the field, with units responsible for the treatment and evacuation of battlefield casualties.

Details

Category:
Surgery
Object Number:
1981-705
Materials:
incomplete, mahogany (wood) and brass (copper, zinc alloy)
Measurements:
overall: 83 mm x 451 mm x 171 mm, 6.08 kg
type:
surgical instrument set
credit:
Kynaston

Parts

Volkmann type double scoop

Volkmann type double scoop

Volkmann's double scoop, by J. Weiss and Son, London, 1917

More

With two round sharp ends, a scoop is used to remove tissue or bone from the body during an operation. Helped by surgical instrument makers, surgeons often developed their own tools, often naming them after themselves. Richard von Volkmann (1830-1889) was a German surgeon who developed cancer and orthopaedic operations and was an early supporter of Joseph Lister's ideas about antiseptic surgery. Volkmann type scoops are still used by surgeons today.

Measurements:
overall: 225 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt1
type:
scoop
Hernia director from RAMC surgical instrument set

Hernia director from RAMC surgical instrument set

Hernia director, by J. Weiss and Son, London, 1917

More

A hernia is when an internal part of the body pushes through the muscles or tissue wall. Usually found between the chest and the hips, hernias show as a small lump on the body. If the hernia starts to cut off the blood supply to tissues or organs or if it becomes blocked, an emergency operation is needed. A hernia director is used to guide a surgical knife to help repair the blockage or restore the blood flow.

Measurements:
overall: 155 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt2
type:
hernia directors
Artery forceps

Artery forceps

Wakley type artery forceps, by Weiss, London, 1917

More

Artery forceps are used to control bleeding from blood vessels by clamping down on the artery. A locking mechanism at the handle keeps them in place. Helped by surgical instrument makers, surgeons developed their own tools, often naming them after themselves. Thomas Henry Wakley (1821-1907), was an English surgeon who developed artery forceps with a window in each jaw, which it made it easier to place a stitched loop on a vessel. He was also the son of Thomas Wakley, surgeon and founder of the medical journal The Lancet.

Measurements:
overall: 125 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt3
type:
artery forceps
Dissecting forceps

Dissecting forceps

Dissecting forceps, by F.H. Hallam and Son Ltd., England, 1917

More

Dissecting forceps are used to hold tissue during surgical procedures. Made of nickel-plated steel, these could be sterilised in heat or chemicals so they could be re-used. The long arrow on the forceps shows it was made for military use.

Measurements:
overall: 129 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt4
type:
dissecting forceps
Set of four surgical scalpels

Set of four surgical scalpels

4 scalpels, by Weiss, London, 1917

More

Scalpels with sharp blades are used to make incisions during surgical procedures. Made of nickel-plated steel, these could be sterilised in heat or chemicals so they could be re-used. The long arrow on the handle shows they were made for military use.

Materials:
steel, nickel plated
Object Number:
1981-705 Pt5
type:
scalpel
Bistoury and scope

Bistoury and scope

Bistoury combined with Jordan Lloyd's scope, by Weiss, London, 1917

More

A bistoury is a sharp instrument. Helped by surgical instrument makers, surgeons often developed their own tools, often naming them after themselves. George Jordan Lloyd (1854-1913) was a surgeon who worked at Queen's Hospital, Birmingham for most of his medical career.

Measurements:
overall: 175 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt6
type:
bistoury
Bistoury

Bistoury

Curved sharp pointed bistoury, by Weiss, London, 1917

More

A bistoury is a sharp surgical instrument. Made of nickel-plated steel, this could be sterilised in heat or chemicals so it could be re-used. The long arrow on the handle shows it was made for military use.

Measurements:
overall: 175 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt7
type:
bistouries
Hernia bistoury

Hernia bistoury

Bistoury, hernia, by Weiss, London, 1917

More

A hernia is when an internal part of the body pushes through the muscles or tissue wall. Usually found between the chest and the hips, hernias show as a small lump on the body. If the hernia starts to cut off the blood supply to tissues or organs or if it becomes blocked, an emergency operation is needed. A hernia bistoury is a surgical knife to help repair the blockage or restore the blood flow. Made of nickel-plated steel, these could be sterilised in heat or chemicals so they could be re-used. The long arrow on the handle shows it was made for military use.

Measurements:
overall: 174 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt8
type:
bistouries
Curved bistoury

Curved bistoury

Curved probe pointed bistoury, by Weiss, London, 1917

More

A bistoury is a sharp surgical instrument. Made of nickel-plated steel, it could be sterilised in heat or chemicals so it could be re-used. The long arrow on the handle shows it was made for military use.

Measurements:
overall: 175 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt9
type:
bistouries
Surgical needle

Surgical needle

Doyen type needle, by Weiss, London, 1917

More

Known as an aneurysm needle, its curved end is used to pass stitches around aneurysm or blood vessels. An aneurysm is when a blood vessel widens 50% more than normal, causing a bulge or ballooning of the vessel. Surgical treatment may be needed to prevent the vessel from bursting.

Helped by surgical instrument makers, surgeons often developed their own tools, often naming them after themselves. Eugène-Louis Doyen (1859-1916) was a French surgeon who developed tools still in use today. He was an early user of photography and film to record his operations and was well known for his speed during surgery.

Measurements:
overall: 174 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt10
type:
needles
Aneurysm needle

Aneurysm needle

Syme type aneurysm needle, by Weiss, London, 1917

More

Known as an aneurysm needle, its curved end is used to pass stitches around aneurysm or blood vessels. An aneurysm is when a blood vessel widens 50% more than normal, causing a bulge or ballooning of the vessel. Surgical treatment may be needed to prevent the vessel from bursting.

Helped by surgical instrument makers, surgeons often developed their own tools, often naming them after themselves. James Syme (1799-1870) was a Scottish surgeon, who developed ways of carrying out foot amputations that kept the heel pad intact so patients can still put weight on the leg, with or without a prosthetic limb. Developed in 1834, it is still used today. Syme also mentored Joseph Lister, developer of antisepsis. Lister's wife Agnes, who assisted during his many experiments was also Syme's daughter.

Measurements:
overall: 165 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt11
type:
aneurysm needle
Finger saw by Weiss

Finger saw by Weiss

Finger saw by Weiss, London, 1917

More

Finger saws are used for amputations of fingers. Made of nickel-plated steel, this could be sterilised in heat or chemicals so it could be re-used. The long arrow on the handle shows it was made for military use.

Measurements:
overall: 184 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt12
type:
finger saws
Amputation knife

Amputation knife

Liston type amputation knife, by Weiss, London, 1917

More

Amputation knives are used for cutting the tissue and muscle around a limb to reveal the bones. Helped by surgical instrument makers, surgeons often developed their own tools, often naming them after themselves. Robert Liston (1797-1847), a Scottish surgeon, invented this type of amputation knife. Liston knives have two different edges on the blade, which improves efficiency during operations – Liston was renowned for his speed and precision. Speed was essential in a time both before anaesthesia and understanding about infection to ensure patients survived the surgery. Liston's quickest amputation was in two and half minutes. Liston also carried out the first public surgery with either in Europe in 1846.

Measurements:
overall: 270 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt13
type:
amputation knife
Surgical retractor

Surgical retractor

Ryall type retractor, by Weiss, London, 1917

More

Retractors are used to hold open parts of the body so surgeons can have a better view of where they are operating. Helped by surgical instrument makers, surgeons developed their own tools, often naming them after themselves. Charles Ryall (1870-1922) was a British surgeon who specialised in cancer operations.

Measurements:
overall: 166 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt14
type:
retractors
Double skull elevator

Double skull elevator

Double skull elevator, by Weiss, London, 1917

More

A skull elevator is used to lift fractures of the skull bones to prevent futher injury to the brain. Made of nickel-plated steel, these could be sterilised in heat or chemicals so they could be re-used. The long arrow on the handle shows it was made for military use.

Measurements:
overall: 176 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt15
type:
skull elevators
Trephine

Trephine

Trephine, with detachable handle, by Weiss, London, 1917

More

Trephines are surgical instruments with a cylindrical blade to cut holes in a person's skull. Used during neurosurgery to gain access to the brain or relieve pressure, this has now been replaced by craniotomy, where a section of the skull is removed. Once the surgery is complete, the piece is replaced.

Measurements:
overall: 110 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt16
type:
trephines
Needle holder

Needle holder

Hagedorn type needle holder, by J. Weiss and Son, London, 1917

More

Needle holders are used during surgery to help surgeons accurately stitch tissue and blood vessels. Helped by surgical instrument makers, surgeons developed their own tools, often naming them after themselves. Werner Hagedorn (1831-1894) was a German surgeon who also developed a curved surgical needle still used today.

Measurements:
overall: 182 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt17
type:
needle holders
Hydrocele trocar and cannula

Hydrocele trocar and cannula

Hydrocele trocar and cannula, nickel plated, cannula silver, by Weiss, London, 1917

More

A hydrocele is build up of fluid around the scrotum or testicles. A trocar is a sharp pointed instrument attached to a cannula to allow fluid to drain out of the body. Made of nickel-plated steel, this could be sterilised in heat or chemicals so it could be re-used. The long arrow on the handle shows it was made for military use.

Measurements:
overall: 117 mm
Materials:
cannula, silver and trocar, metal, nickel plated
Object Number:
1981-705 Pt18
type:
hydrocele trocars
Hagedorn type needles in case

Hagedorn type needles in case

Selection of Hagedorn type needles in vulcanite case, by Weiss, London, 1917

More

Werner Hagedorn (1831-1894) was a German surgeon who invented these surgical suture needles, which are curved with flattened sides. The needles are threaded with suture material, such as nylon or gut, and are used to join up or close the edges of wounds.

Materials:
case, vulcanite and needle, steel
Object Number:
1981-705 Pt19
type:
needle cases
Suture wire

Suture wire

Reel of silver suture wire, by Weiss, London, 1917

More

Sutures are used to close up wounds or openings created during surgery. Silver was thought to be less irritating to wounds than other available suture material but was more difficult to sew and cut.

Materials:
wire, silver
Object Number:
1981-705 Pt20
type:
sutures
Artery forceps

Artery forceps

4 Greig Smith artery forceps, nickel plated steel, by Weiss and Son, London, 1917

More

Artery forceps are used to control bleeding from blood vessels by clamping down on the artery. A locking mechanism at the handle keeps them in place. Helped by surgical instrument makers, surgeons developed their own tools, often naming them after themselves. James Greig Smith (1854-1897) was a Scottish surgeon who specialised in abdominal surgery. His 1888 textbook was popular and published in French, German and Italian.

Measurements:
overall: 122 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt21
type:
artery forceps
Five pairs of artery forceps

Five pairs of artery forceps

5 Spencer Wells artery forceps, nickel plated steel, by Weiss and Son, London, 1917

More

Artery forceps are used to control bleeding from blood vessels by clamping down on the artery. A locking mechanism at the handle keeps them in place. Helped by surgical instrument makers, surgeons developed their own tools, often naming them after themselves. Thomas Spencer Wells (1818-1897) was an English surgeon who became surgeon to Queen Victoria between 1863 and 1896. He developed the rachet locking mechanism holding the forceps in position. His second design had shorter jaws to increase compression and were ridged to improve grip. By being held closed, they could also not get trapped in the body's tissues or muscles. Prior to Spencer Well's designs, an assistant had to hold the forceps closed.

Spencer Wells specialised in eye and obstetric surgery and was an early adopter of anaesthetics. He developed the operation to remove ovaries and ovarian cysts but was vocal that it should be performed only if necessary.

Measurements:
overall: 121 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt22
type:
artery forceps
Suture nippers, part of RAMC surgical intrument set

Suture nippers, part of RAMC surgical intrument set

Nippers for suture wire, nickel plated steel, by Weiss and Son, London, 1917

More

Sutures are used to close up wounds or openings created during surgery. Silver was thought to be less irritating to wounds than other available suture material but was more difficult to sew and cut. Made of nickel-plated steel, this could be sterilised in heat or chemicals so it could be re-used. The long arrow on the handle shows it was made for military use.

Measurements:
overall: 151 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt23
type:
wire nippers
Watson Chayne dissector

Watson Chayne dissector

Watson Chayne's dissector, by Weiss, London, 1917

More

Dissectors are used to remove soft tissues from the body and from bone. Helped by surgical instrument makers, surgeons developed their own tools, often naming them after themselves. William Watson Cheyne (1852-1932) was a surgeon and bacteriologist who was born in Australia but raised in Scotland. He was an early adopter of colleague Joseph Lister's system of antisepsis and worked with Lister for most of his career.

Measurements:
overall: 172 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt24
type:
dissectors
Bone forceps from RAMC surgical instrument set

Bone forceps from RAMC surgical instrument set

Bone forceps, by J. Weiss and Son, London, 1917

More

When bones need to be held still during delicate operations, specialist forceps are needed. Made of nickel-plated steel, this could be sterilised in heat or chemicals so it could be re-used. The long arrow on the handle shows it was made for military use.

Measurements:
overall: 214 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt25
type:
bone forceps
Forceps from RAMC surgical instrument set

Forceps from RAMC surgical instrument set

Fergusson Lion forceps, by Weiss and Son, London, 1917

More

Lion forceps are used to hold bones open during realignment or repairing fractures. They are possibly called lion forceps due to the and shape of the forceps. Helped by surgical instrument makers, surgeons developed their own tools, often naming them after themselves. William Fergusson (1808-1877) was a Scottish surgeon, known for his surgical speed and developed these tools to give a firm old on the bone with two sets of teeth. Speed was essential in a time before anaesthesia to ensure patients survived the operation. As an early adopter of anaesthetics, he developed a range of operations for harelips, and amputations. Serving Queen Victoria and her family between 1847 and 1877.

Measurements:
overall: 190 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt26
type:
forceps
Catheters

Catheters

3 catheters, nos. 3,5 and 8, German silver, by Weiss, London, 1917

More

Catheters are tubes used to empty the bladder or to widen blockages in the male urethra. The long arrow on the handle shows it was made for military use.

Materials:
silver
Object Number:
1981-705 Pt27
type:
catheters
Bullet probe with porcelain tip

Bullet probe with porcelain tip

Nélaton type bullet probe, with porcelain tip, by Weiss, London, 1917

More

Bullet probes are used to located projectiles and shrapnel in the body. This example has porcelain tip. Helped by surgical instrument makers, surgeons developed their own tools, often naming them after themselves. Auguste Nélaton (1807-1973) was a French surgeon who developed this tool to prove and locate a bullet in Guiseppe Garibaldi's ankle in 1862. Garibaldi was an Italian general who was shot while attempting to take control over Rome, Italy. Numerous doctors examined him but could find not find the bullet. When the porcelain tip of Nélaton's probe touched a bullet, the lead of the bullet would leave a mark confirming its location. While X-rays and other tools were used during the First World War, its presence in this kit shows it was still a part of many surgical kits.

Measurements:
overall: 243 mm
Materials:
probe, brass, nickel plated and tip, porcelain
Object Number:
1981-705 Pt28
type:
bullet probe
Amputation saw

Amputation saw

Amputation saw, by Weiss, London, 1917

More

Amputation saws are used to cut through bones of the arms or legs. During the First World War there were at least 41,000 British service people who underwent an amputation. For the operation to be carried out as quickly but as safely as possible, sharp tools were needed. Pain relief and anaesthetics were also essential and began to be adapted to each patient's needs.

Measurements:
overall: 305 mm
Materials:
steel, nickel plated
Object Number:
1981-705 Pt29
type:
amputation saws
Retractors, part of RAMC surgical instrument set

Retractors, part of RAMC surgical instrument set

2 Jordan Lloyd retractors, nickel plated steel, by Weiss, London, 1917

More

Retractors are used to hold open parts of the body so surgeons can have a better view of where they are operating. Helped by surgical instrument makers, surgeons developed their own tools, often naming them after themselves. George Jordan Lloyd (1854-1913) was a surgeon who worked at Queen's Hospital, Birmingham for most of his medical career.

Materials:
steel, nickel plated
Object Number:
1981-705 Pt30
type:
retractors
Probang and coin catcher

Probang and coin catcher

Probang and coin catcher, whale bone, by Weiss, London, 1917

More

A probang is a flexible piece of material with a sponge at the end of it to remove something from the throat or food pipe. It could also be used to apply medications if needed. As the name suggests, a coin catcher was designed to remove large, flat objects like a coin. Until the development of imagining technologies such as X-rays in te late 1890s, practitioners relied on what they could feel through the probang. Patients were recommended to drink oil or egg whites to make it easier for the probang to pass through their throat.

Materials:
whale bone and brass, nickel plated
Object Number:
1981-705 Pt31
type:
probangs
Blade for amputation saw

Blade for amputation saw

Spare blade for amputation saw, by Weiss, London, 1917

More

Amputation saws require spare blades in times of emergency. During the First World War there were at least 41,000 British service people who underwent an amputation. For the operation to be carried out as quickly but as safely as possible, sharp tools were needed. Pain relief and anaesthetics were also essential and began to be adapted to each patient's needs.

Measurements:
overall: 178 mm
Materials:
steel
Object Number:
1981-705 Pt32
type:
amputation saw blades
Tracheotomy tube bivalve

Tracheotomy tube bivalve

Tracheotomy tube bivalve, silver, no 3, by Weiss, London, 1917

More

Tracheotomy tubes are used to provide an airway in someone's windpipe in an emergency. An opening is created in their neck and a tube placed inside to help them get air and oxygen. Some people have tracheotomy tubes for the rest of their lives, which have valves which can be opened and closed, ensuring that they have the option to speak.

Measurements:
overall: 45 mm
Materials:
silver
Object Number:
1981-705 Pt33
type:
tracheotomy tubes
Petit type tourniquet

Petit type tourniquet

Petit type tourniquet, brass frame, by Weiss, London, 1917

More

Tourniquets are used to control bleeding or the arms of legs by applying pressure. Tourniquets were also used using amputations.

John-Louis Petit (1674-1760), a Parisian surgeon, was the first of many to introduce improvements to the tourniquet, which was invented by Ambroise Paré in the 1500s. In 1718, Petit attached a circular bandage to a screw and a leather pad to allow pressure to be focussed on a specific point. It had the advantage of not requiring an assistant to apply constant pressure to the bleeding and became the most commonly used tourniquet throughout the 1800s due to its simple but effective design.

Measurements:
overall: 90 mm
Materials:
frame, brass
Object Number:
1981-705 Pt34
type:
tourniquet
Surgical needles with metal thread

Surgical needles with metal thread

12 Ward Cousins needles with metal threads, by Weiss, London, 1917

More

Needles and threads are surgical tools to stitch wounds or to close surgical incisions. Many surgeons developed their own instruments and tools, which they often named after themselves. John Ward Cousins (1834-1921) was a surgeon who also specialising in operations on the eye. Ward Cousins developed a wide range of tools including types of tourniquets to stop bleeding, convertible stethoscopes, syringes, needle holders and dilators.

Materials:
needle, steel and wrapping, paper
Object Number:
1981-705 Pt35
type:
needles
Surgical needles in case

Surgical needles in case

6 Hambert's needles, in vulcanite case, by Weiss, London, 1917

More

Needles are used during surgery to stitch wounds, close surgical incisions and repair tissue and vessels. Helped by surgical instrument makers, surgeons developed their own tool, often naming them after themselves. Unfortunately, Hambert has not been able to be traced.

Materials:
case, vulcanite and needle, steel
Object Number:
1981-705 Pt36
type:
needles
Key for surgical set case

Key for surgical set case

Key for set case, in envelope, by John Weiss and Son Ltd., London, 1917

More

Locking the case for surgical instruments had two purposes. One was to prevent any surgical tool coming out of place and the other was for security, ensuring much needed supplies did not go missing.

Measurements:
overall: 31 mm
Materials:
key, steel and envelope, paper
Object Number:
1981-705 Pt37
type:
keys
Surgical instrument case

Surgical instrument case

Brass bound mahogany case with sterilizable trays for surgical instrument set, R.A.M.C. military issue, by J. Weiss and Sons Ltd., London, 1917

More

Inside the lid of this box is a diagram showing where each instrument should be placed to keep track of them. The trays meant that tools could be easily sterilised in place by heat or chemicals. This meant tools could be re-used.