You may wanna trade out the scalpel blade for http://www.countycomm.com/straightrazor.htm they arent that much longer than a scalpel in it's package and it's about as thick as a penny I'd also include one of the saws that are the same size shown here http://www.countycomm.com/seresaw.htm if you want to buy the item in bulk and pass a few out they can be bought buy the case alot cheaper and they offer many diffrent colors here http://www.derma-safe.com/index.htm