English, c.1860, large and small scarificators in brass and steel, the larger with ten blades, the smaller, stamped W SMITH, with four blades, in red Morocco fitted case with silver plaque 'W H Ackland' and trade label 'W SMITH Surgical INSTRUMENT & Truss Maker 2 NEW STREET East End of St Thomas's Street SOUTHWARK LONDON', case 9.5cm across