Write a SQL query to identify the top 5 selling medical instruments by region over the last three quarters.
Use the provided sales, instrument, and region data. Treat the latest quarter represented in the data as the ending quarter. Rank instruments within each region by total units sold, with instrument name ascending as the tie-breaker.
Output
- One row per qualifying region and instrument.
- Columns:
region_name, instrument_name, units_sold, and sales_rank.
- Include at most five instruments per region, ordered by region name and rank.