A instrument (2), particularly suited for endoscopic use, has an elongate body (4) including a base (6) and an elongate tip carrier tube (8) rotatably mounted to the base. A removable tip assembly (10), mounted at the distal end of the tip carrier tube, includes jaws (26,28) actuated by finger and thumb...http://www.google.ca/patents/US5275613?utm_source=gb-gplus-sharePatent US5275613 - Endoscopic tissue manipulator