It cannot be that simple, can it? Otherwise changing a single element (say "concave surface" to "sine-shaped surface", or "strap" to "clamp") would invalidate the patent.
But also, judges and courts and all of this stuff exists because at the end of the day human beings look at the facts on the ground. There isn't some sort of magical turing machine that decides on exactitude here.
[1] https://cafc.uscourts.gov/opinions-orders/22-1631.OPINION.9-...