Opened box. I did not end up using them. Buy them brand new on Amazon for $65 or basically brand new here. Features & details 300 Surgical Instrument Deck – Biggest set of laminated instrumentation study cards to prepare for your upcoming exams. A comprehensive and fun way to memorize the many different instruments used in up to 13 different specialties . Efficient Learning – We use the Leitner Method flashcard study system to help you quickly and effortlessly learn everything you need to know. Perfect if studying for the Certified Surgical Technologist (CST ) and Certified Sterile Processing Technician (CRCST) exams Accurate Information – Each instrument flashcard features clear realistic photographs of each tool and are properly labelled for the functionality on the front. Learn and remember how to approach them in a hospital setting with these picture-mnemonics Interactive Cards – Learning with flashcards is much easier and more efficient than studying directly out of a textbook. Our Surgical technologist cards also show common names and surnames of instruments and common procedures each instrument is used in I3 Surgery Specialties – Our comprehensive flash card set focuses on 13 surgery specialties: Cardiothoracic and vascular surgery; OB/GYN Surgery,Urology, Rectal , Orthopedic , Neurology, Laparoscopic, Arthroscopic, General,Ophthalmology, Plastic and ENTSurgeries