1846 Spring Loaded Lancet Blood Letting Instrument in Case FR Vincent M.D. Fleam

Description

1846 Spring Loaded Lancet Blood Letting Instrument scarificator Fleam in Leather Case.
There is a label inside the little pouch that identifies the owner as F. R. Vincent M.D. April 1846.
Case closure is missing. Leather case shows age related wear.
Instrument shows wear. There is a worn marking B is all I can make out.