A device for inserting an implant (206, 408, 1006) on a human or animal body, the device comprising: an operable portion (202, 902, 1002) configured to make an incision on the human or animal body and configured to hold the implant for insertion on the human or animal body, the operable portion comprising: an elongated holder (208, 302, 1008) having a length extending from a first end of the holder to a second end of the holder and having a cavity (306, 356) extending from the first end of the holder to the second end of the holder; and a cutting tool (210, 410, 1010) received in the cavity and moveable between a first position in which the cutting tool is fully received in the cavity, a second position in which the cutting tool engages the implant at the second end of the holder and a cutting edge of the cutting tool protrudes the cavity and the implant for making the incision, and an intermediate position in which the cutting tool engages the implant at the second end of the holder and the cutting edge does not protrude the implant; and an actuator mechanism (104, 204) coupled to the operable portion, the actuator mechanism comprising a cutter actuator to move the cutting tool between the first, second, and intermediate positions; a first actuator to move the operable portion along a first axis parallel to the elongated holder and characterized in that there is a second actuator to move the operable portion along a second axis substantially perpendicular to the first axis; wherein the second actuator comprises a motor drive to move the operable portion along the second axis substantially perpendicular to the first axis; wherein the actuator mechanism moves the operable portion along the first axis and moves or vibrates the operable portion along the second axis to make the incision and to insert the implant. an operable portion (202, 902, 1002) configured to make an incision on the human or animal body and configured to hold the implant for insertion on the human or animal body, the operable portion comprising: an elongated holder (208, 302, 1008) having a length extending from a first end of the holder to a second end of the holder and having a cavity (306, 356) extending from the first end of the holder to the second end of the holder; and a cutting tool (210, 410, 1010) received in the cavity and moveable between a first position in which the cutting tool is fully received in the cavity, a second position in which the cutting tool engages the implant at the second end of the holder and a cutting edge of the cutting tool protrudes the cavity and the implant for making the incision, and an intermediate position in which the cutting tool engages the implant at the second end of the holder and the cutting edge does not protrude the implant; an elongated holder (208, 302, 1008) having a length extending from a first end of the holder to a second end of the holder and having a cavity (306, 356) extending from the first end of the holder to the second end of the holder; and a cutting tool (210, 410, 1010) received in the cavity and moveable between a first position in which the cutting tool is fully received in the cavity, a second position in which the cutting tool engages the implant at the second end of the holder and a cutting edge of the cutting tool protrudes the cavity and the implant for making the incision, and an intermediate position in which the cutting tool engages the implant at the second end of the holder and the cutting edge does not protrude the implant; and an actuator mechanism (104, 204) coupled to the operable portion, the actuator mechanism comprising a cutter actuator to move the cutting tool between the first, second, and intermediate positions; a first actuator to move the operable portion along a first axis parallel to the elongated holder and characterized in that there is a second actuator to move the operable portion along a second axis substantially perpendicular to the first axis; a cutter actuator to move the cutting tool between the first, second, and intermediate positions; a first actuator to move the operable portion along a first axis parallel to the elongated holder and characterized in that there is a second actuator to move the operable portion along a second axis substantially perpendicular to the first axis; wherein the second actuator comprises a motor drive to move the operable portion along the second axis substantially perpendicular to the first axis; wherein the actuator mechanism moves the operable portion along the first axis and moves or vibrates the operable portion along the second axis to make the incision and to insert the implant.