Scalpel (Fallout 3)

 is an item found in Fallout 3 and Fallout Tactics. In Fallout 3, it is useful only as Rock-It Launcher ammunition, while in Fallout Tactics it can be used as a weapon.

Fallout 3
Found in medical clinics such as James's office in Vault 101.

Fallout Tactics
Scalpel with a nicely made surgical steel blade. Very sharp.