in fig8 shanks 2 and 3 are connected by tweezer 23 thereby permitting blade 8 to shearingly contact element 10 and arm 9 in the same manner as in the other forms of the device this embodiment has been found most useful in eye surgery and similar delicate surgical procedures sometimes the angle of use of the device is such that the head interferes with the vision of the surgeon in such situations the embodiment schematically shown in fig9 may be useful handle section 24 is in one plane and head section 26 is in another plane sloping section 25 connects the two in this form of the device the surgeon has a better view of what he is doing and for certain applications will find it more convenient to use while this embodiment has been illustrated in connection with the scissor like form of the device it is of course equally applicable to the tweezer like device referring more specifically to fig1 and 11 a further modification of the present invention includes the provision of a needle holder as part of the single tool the configuration of the device is generally the same as the other forms of the invention but there are also provided needle gripping areas 33 and 27 on blade 8.