A medical device , comprising: a handle ; a shaft extending distally from the handle and including a proximal shaft and a distal articulation joint ; an end effector extending distally from the shaft ; a first actuator movably coupled to the handle ; a second actuator movably coupled to the handle ; and a first wire and a second wire disposed within the handle and the shaft , wherein the first wire is coupled to the first actuator and a first part of the end effector , wherein the second wire is coupled to the second actuator and a second part of the end effector , and wherein the distal articulation joint is configured to bend relative to the proximal shaft in response to an actuation of at least one of the wires ; wherein the first actuator is configured to (a) articulate the shaft in response to translating the first actuator in a first direction relative to the handle and the second actuator to pull the first wire proximally relative to the shaft and the handle , and (b) actuate the end effector in response to translating the first actuator in a second direction relative to the handle and the second actuator to push the first wire distally relative to shaft and handle ; and wherein the second actuator is configured to (a) articulate the shaft in response to translating the second actuator in the first direction relative to the handle and the first actuator to pull the second wire proximally relative to the shaft and the handle , and (b) actuate the end effector in response to translating the second actuator in the second direction relative to the handle and the first actuator to push the second wire distally relative to the shaft and the handle . a handle ; a shaft extending distally from the handle and including a proximal shaft and a distal articulation joint ; an end effector extending distally from the shaft ; a first actuator movably coupled to the handle ; a second actuator movably coupled to the handle ; and a first wire and a second wire disposed within the handle and the shaft , wherein the first wire is coupled to the first actuator and a first part of the end effector , wherein the second wire is coupled to the second actuator and a second part of the end effector , and wherein the distal articulation joint is configured to bend relative to the proximal shaft in response to an actuation of at least one of the wires ; wherein the first actuator is configured to (a) articulate the shaft in response to translating the first actuator in a first direction relative to the handle and the second actuator to pull the first wire proximally relative to the shaft and the handle , and (b) actuate the end effector in response to translating the first actuator in a second direction relative to the handle and the second actuator to push the first wire distally relative to shaft and handle ; and wherein the second actuator is configured to (a) articulate the shaft in response to translating the second actuator in the first direction relative to the handle and the first actuator to pull the second wire proximally relative to the shaft and the handle , and (b) actuate the end effector in response to translating the second actuator in the second direction relative to the handle and the first actuator to push the second wire distally relative to the shaft and the handle . <EOS>