Abstract
Following a period of relative quiescence, surgical instruments are now again evolving to better augment human performance. This is true of hand-held systems which include clever technology to make specific surgical steps easier or better. Such equipment however needs to be understood before its in-patient use and optimum handling learnt in order to maximize usefulness and most return from the increased cost that often accompanies innovation in healthcare. Furthermore the devices' mode of use may not be obvious on inspection and they may only be deployed selectively in particular cases or circumstances.
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