This post was contributed by Bella Thomas, a student worker in the Center’s public services unit.
Nestled within the Center's collections is a piece of rare United States history: a Civil War-era Wade and Ford medical kit filled with supplies that were most likely used on civilians who needed medical attention. The kit, something I was completely unfamiliar with, introduced me to a new type of history, and also made me appreciate modern surgical technology!
During the Civil War, there were several medical achievements that paved the way for modern healthcare, such as the establishment of general hospitals and the safe use of anesthetics. Upon opening the wooden kit, I was greeted with a trephine (pictured below), a tool used to open the skull. The trephine has a sharp metal head that attaches to another wooden tool. These types of Wade and Ford kits were created starting in 1861, when William Ford and George Wade partnered with Dr. James R. Wood, a surgeon who later became one of the founders of Bellevue Hospital Medical College in New York City.
Laid against the green velvet interior of the kit are several scalpels, including curved bistouries that were used for the dissection of ligaments and tissue. There are large and small amputation tools, such as a metacarpal knife and a long catlin. A traveler folding tenaculum (pictured below) was used to remove bullets or to pull out arteries to tie them off. A saw with a curved handle and serrated edges was used for lifting metacarpals, cutting fingers, and cutting tendons. Small, sharp, hooked instruments most likely used for cataract or other eye surgeries are housed next to the trephine. A lightly used bone brush accompanies these tools, as well as forceps, a straight probe tenotome used for relieving pain in tendons, and a large bone saw. Other tools were used for bullet extraction, picking up blood vessels, and neurosurgery. Only one postmortem instrument was housed in this kit - a simple, small knife.
This kit allows us to get a glimpse of civilian life during the Civil War. It houses not only medical equipment, but stories of loss and survival. Viewing this kit allows us to appreciate modern medical technology while simultaneously studying tools that were considered revolutionary for the time. History is found in human stories, whether they are bound tightly in a stack of letters, placed in books, or within artifacts that allow for reflection, contemplation, and discovery of those who came before us.
Special thanks to Dr. Doug Arbittier, Vice President of Atlantic Health System, for helping identify some instruments.
Sources consulted in research:
- “Antique Surgical Instrument Identification” and “Civil War Medical Books/Medical College Index”, American Civil War Surgical Antiques and Medicine, accessed August 2024, American Civil War Surgical Antiques and Medicine.
- Reilly RF. Medical and surgical care during the American Civil War, 1861-1865. Proc (Bayl Univ Med Cent). 2016 Apr;29(2):138-42. doi: 10.1080/08998280.2016.11929390. PMID: 27034545; PMCID: PMC4790547.

