How is the fact that the device is a medical device going to affect the claimed structure? I don't see how reciting medical device in the body of the claim gets you a patentable limitation.
You have precisely illustrated the faulty thinking of the Patent Office, which they believe allows them to pull up a prior art reference incapable of being used as a medical device (or whatever your invention is) and count it against you. Imagine you write a claim:
An improved angioplasty balloon comprising:
feature 1,
feature 2, and
feature 3.
You can imagine features 1-3 to be structural in nature, or compositional, or whatever. But, you have written the claims in good faith that there exists no such angioplasty balloon with your unique features in the prior art. Perhaps your features relate to an improved way of inflating the balloon that is gentler on artery walls, or a balloon that is less likely to rupture during a procedure--I'm just making up hypotheticals. Your balloon could save tens of thousands of lives a year, and your startup company needs this patent in order to secure financial backing. You, and all the heart patients your invention might help treat, are counting on the Patent Office to do its job and not stall with BS rejections.
The examiner then issues a 102 and presents as prior art a zeppelin design having features 1, 2, and 3. In the text of the rejection, the Examiner notes "where a patentee defines a structurally complete invention in the claim body and uses the preamble only to state a purpose or intended use for the invention, the preamble is not a claim limitation."
"That's absurd," you think, "the Patent Office wouldn't do that."
Brother, they do it every day.
The fact that they do it wrongfully, without understanding the case law or what's written in the MPEP, does not matter. They will have forced you to amend, and now they can issue you a Final and force you to appeal. Or, even if that does not happen, they will have at the very least wasted a prosecution cycle, time that might have been the difference between life and death for your technology, as you may have missed a market entry opportunity or a capitalization opportunity.
This is why I say, forget about putting anything substantive in the preamble. The way the Patent Office (mis)treats preambles, they can do no good.