Beautiful four tiered set with ivory handled knives, tenaculums and bistouries. The interior of the box is lined with plush blue velvet. All of the usual marked instruments are marked with the makers name. ,All the ivory handled pieces are also marked. S & D. There is a needle packet marked Shepard & Dudley. There are four different bone forceps and two chisels also marked. , The brass plate is inscribed " Dr. Fred Carpenter" in fancy script. circa 1870.