Although we didn't invent the concept we worked very hard at making it better and It was clear, if we added any tools make sure the quality measures up to the task, otherwise leave them out. With that piece of info, we met with vendors and settled on what we think are reflective of the quality you can count on. Kelly Forceps, Bandage Scissors, Multi-Colored Pen and Pen Light included. Dont forget the special ScanClear PVC zippered pocket with room for your ID, money and credit card info.