Circular surgical saw

This hacksaw is a surgical instrument used to cut through bone. It comprises a serrated steel blade attached to a handle and a frame.

Unlike other medical practices in Spain, surgery did not have the necessary promotion or support to develop properly until the 18th century, when it was given more impetus during the reign of King Philip V. Under his rule, construction of a new kind of wartime navy began. It was supported by a system of extracurricular training provided to sailors and captains in a range of fields, including surgery. Inspired by the Royal Colleges of Surgery in European absolute monarchies of the Enlightenment, the Royal Colleges of Surgery were established in Cádiz (1748), Barcelona (1760), and Madrid (1787). The Cádiz College was the first institution in Europe to award the title of "Medical Surgeon." Until that point, medicine and surgery had not been taught together: the former was studied at universities and the latter, in colleges.