#$%^&*AU2015201473A120150409.pdf#####LAPAROSCOPIC INSTRUMENT AND RELATED SURGICAL METHOD ABSTRACT A medical instrument (238) insertable through a cannula, said instrument (238) comprising an elongate shaft (240) and an operative tip (242). The operative tip (242) having a first jaw (306) and a second jaw (308) moveable with respect to the first jaw (306). The operative tip (242) disposed distally of a distal end of said shaft (240). The operative tip (242) being disposed for rotation relative to at least a distal end portion (250) of said shaft (240) about a longitudinal axis of said distal end portion (250).