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FIG. 1 is a perspective view of a hand held surgical instrument showing my new design;

FIG. 2 is a top plan view thereof, the bottom plan view being a mirror image thereto;

FIG. 3 is a right side elevational view thereof, the left side elevational view being a mirror image thereto;

FIG. 4 is an end elevational view thereof;

FIG. 5 is an end elevational view thereof, opposite that shown in FIG. 4;

FIG. 6 is a exploded perspective view thereof;

FIG. 7 is a top plan view thereof, the bottom plan view being a mirror image thereto; and,

FIG. 8 is a right side elevational view thereof, the left side elevational view being a mirror image thereto.

The ornamental design for a hand held surgical instrument, as shown and described.