This is a complete set of the items in the first image. Used approximately 5 times in practical training. While there is some wear and tear, the tools themselves are in relatively clean condition and can still be used. The case has some scratches and marks. #AnatomyPractical #AnatomyLab #MedicalSchool #DentalSchool #NursingSchool #MedicalStudent #Sugawara #Anatomica #AnatomySet