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A Combination Wrench is most commonly used with tough nuts, the closed-end eases the nut so that the leading edge can be used in orthopedic operations to de-screw it easily. Combination wrenches are normally sold in sets with a range of wrench sizes, including sockets. A surgeon may require a set of instruments required to conduct medical care. Keeping these requirements into mind, GerMedUSA has created a versatile Combination Wrench method for practitioners. With the support of specialists, we developed this exclusive instrument. The development of medical technology has encouraged a much more detailed diagnosis. Such equipment can be used during the process to provide grasping and access. The instruments are all accurate, robust, and sharp. Hence, they can be repurposed after disinfection.