The product is an antique small engraved brass functional fleam from the Civil War era, housed in a wooden case covered in leather. This piece would've been used for quick blood letting in the 19th century. The fleam is spring-loaded and fully functional. There is a small piece missing from the tip, but it's still sharp. The box is missing the hook for the clasp to keep the box closed.
It is covered in leather, and appears to have the German inscription "Trau nicht, es sticht" don't trust, it stings.