American Amputation and trepanation cased set, by Shepard & Dudley NY, late XIX century. The wooden case contains the typical instruments of a trauma surgeon, such as amputation saw, trephine head with handle, screw tourniquet. The amputation saw and three amputation knives have ebony handles, the rest hand instruments like scalpels and hook have ivory handles. The case has two compartments lined with violet velvet. On the cover of the upper compartment, the inscription "SHEPARD & DUDLEY * NEW YORK".