What instrument uses a specific design to allow cutting without pulling tissue?

The laminectomy rongeur is specifically designed for cutting bone and soft tissue with precision while minimizing tissue trauma, making it an essential tool in spinal surgeries. Its mechanism allows for a clean cut by using leverage, which means that it can excise material without dragging or pulling on surrounding tissue. This is particularly important in delicate surgical procedures where preserving the integrity of surrounding structures is critical for the patient's recovery.

The unique characteristics of the laminectomy rongeur—such as its angled jaws and sharp cutting edges—facilitate this specified cutting action. The design helps to ensure that the cut is made effectively, reducing the likelihood of damaging the adjacent tissues, which can be a concern with other cutting instruments that might apply more tugging or pulling motion while in use.

In contrast, while other instruments listed may have their specific functions or designs, they do not provide the same precise cutting action with minimal tissue disturbance that the laminectomy rongeur offers, which is why it is identified as the correct answer.