They have I guess as many uses as anyone could think such as to scribe lines, make (press) tiny holes in decking or planking to mark where tree nails go. To position parts or hold a part while gluing, etc.
As far as how. Well the very short answer is a lathe with an adjustable (angle) headstock. They took almost two hours to make one. I used to sell these a long time ago on SOS.
The decorative segments are the most demanding and I have replaced that technique with knurls. But the person that requested I make these wanted them the old way. They are made from 1/4 inch stainless steel bar stock and polished w emery cloth.