I for one am convinced by the medical interpretation. It is clearly a 'nibbler' of some kind, and the teeth suggest that it is designed to nibble through something crunchy and friable (like plaster) rather than something that cuts cleanly (like sheet metal). I do find myself wishing I had more medical device catalogs, however: I've desired them ever since I had to catalog a set of Civil-War-era surgical instruments 20 years ago, but they tend to be quite pricey. GoogleBooks/HathiTrust have come through with a few over the past few years, which helps.