An apparatus for operating on tissue, the apparatus comprising: (a) a body assembly ; (b) a shaft assembly comprising a shaft extending distally from the body assembly ; (c) an acoustic waveguide comprising a first side and a second side, wherein the first side is opposite the second side; and (d) an end effector comprising: (i) an ultrasonic blade in acoustic communication with the waveguide, wherein the ultrasonic blade defines a longitudinal axis, (ii) a first clamp arm configured to pivot toward and away from the first side of the ultrasonic blade, wherein the clamp arm comprises a first tine , and (iii) a second clamp arm configured to pivot toward and away from the second side of the ultrasonic blade, wherein the second clamp arm comprises a second tine ; wherein the first tine and the second tine extend transversely relative to the longitudinal axis and are configured to grasp tissue when the first clamp arm pivots toward the first side of the ultrasonic blade and the second clamp arm pivots toward the second side of the ultrasonic blade, and wherein the first clamp arm is integrally connected to a first shank and the second clamp arm is integrally connected to a second shank, wherein each shank is pivotally coupled to the shaft assembly via a pin, and wherein the first shank is unitarily connected to a thumb grip ring and the second shank is unitarily connected to a shank finger grip. (a) a body assembly ; (b) a shaft assembly comprising a shaft extending distally from the body assembly ; (c) an acoustic waveguide comprising a first side and a second side, wherein the first side is opposite the second side; and (d) an end effector comprising: (i) an ultrasonic blade in acoustic communication with the waveguide, wherein the ultrasonic blade defines a longitudinal axis, (ii) a first clamp arm configured to pivot toward and away from the first side of the ultrasonic blade, wherein the clamp arm comprises a first tine , and (iii) a second clamp arm configured to pivot toward and away from the second side of the ultrasonic blade, wherein the second clamp arm comprises a second tine ; (i) an ultrasonic blade in acoustic communication with the waveguide, wherein the ultrasonic blade defines a longitudinal axis, (ii) a first clamp arm configured to pivot toward and away from the first side of the ultrasonic blade, wherein the clamp arm comprises a first tine , and (iii) a second clamp arm configured to pivot toward and away from the second side of the ultrasonic blade, wherein the second clamp arm comprises a second tine ; wherein the first tine and the second tine extend transversely relative to the longitudinal axis and are configured to grasp tissue when the first clamp arm pivots toward the first side of the ultrasonic blade and the second clamp arm pivots toward the second side of the ultrasonic blade, and wherein the first clamp arm is integrally connected to a first shank and the second clamp arm is integrally connected to a second shank, wherein each shank is pivotally coupled to the shaft assembly via a pin, and wherein the first shank is unitarily connected to a thumb grip ring and the second shank is unitarily connected to a shank finger grip. <EOS>