подробности и ответ на вопрос
Инструмент для прокалывания миндалин при ангине.
A rare device for lancing quinsy by G Tieman (sic)
An example is seen in Elizabeth Bennion’s Antique Medical Instruments P 107 who quotes Heisler (1683-1758) “An instrument maker of Amsterdam showed me a new instrument for opening suppurated tonsils, the inventor of which is unknwon to me … which appears like a spatula and in which is contained the lancet”