This mechanism operates like a ratchet, the larger lever applying tension to the gear cable, the smaller one incrementally releasing it.
In 2003, Shimano introduced "dual-control levers" or STI for mountain bikes in their XTR groupset.
They are nicknamed, "flippity shifters" for the brake lever's ability to move in the vertical plane.
This type places the shifters closer to the hand positions, but still offer a simple reliable system, especially for touring cyclist.
Since the creation of the STI shifting system the main improvements have included reducing weight and increasing cog count.
Weight savings have come from using new materials such as Duralumin in Shimano's component groups and carbon fiber in Campagnolo's parts.