A medical device includes a laparoscopic shaft having proximal and distal ends and defining a shaft axis. A surgical end effector is at the distal end of the shaft. A surgical procedure actuator carries out a surgical procedure on tissue at the end effector when actuated. A rotating knob is at the proximal end of the shaft. The rotating knob rotates the end effector with respect to the shaft about the shaft axis when rotated and actuates the procedure actuator when slid in a proximal direction.