An ornately carve silver Lancet Case by Nathaniel Mills Birmingham. The monarch’s head and date letter were poorly struck and c 1843 is the nearest estimate.

The front, back and sides are decorated with fancy scrolls. The domed top is plain and has a few light bruises. The cartouche on the face has engraved initials A H. The Lid closes with a satisfying snap and opens cleanly with pressure on the fingernail catch. The matching tortoise shell lancets are all labeled Milliken.

• From the Phisick collection