Abstract: A sound wave treatment device for medical treatment using compression waves, in particular for lithotripsy, includes a sound wave generator, a plurality of piezo elements that are coupled to the sound wave generator, and, an electrical high voltage unit that is set up for supplying the piezo elements with high electrical voltage. The high voltage unit has a blocking converter unit having a transformer, wherein the transformer has a primary coil, a high voltage coil, and spacers, wherein the high voltage coil has a plurality of high voltage windings that are embedded in an insulating mass and are positioned using the spacers such that adjacent high voltage windings are at a defined distance (a) from one another due to the spacers.

Abstract: A medical-endoscopic instrument includes a distal elongate insertion section (1), for the minimal-invasive introduction into a human or animal body, with a first LED (5), a second LED (7) and a picture sensor (9). The first LED includes a first light spectrum (19), suitable for fluorescence endoscopy. The second LED includes a second light spectrum (21), suitable for white light endoscopy. A light filter (23), arranged in front of the second LED in the viewing direction (x), has a transmission spectrum (25). The second LED is configured to irradiate according to the second light spectrum on average more intensively in a first wavelength region (K) than in a second wavelength region (L). The light filter is configured to let through light, which is emitted by the second LED, according to the transmission spectrum, on average less in the second wavelength region than in the first wavelength region.

Abstract: A medical-endoscopic shank instrument includes a hollow shank (2), a distal side housing (8) in the hollow shank, an electronic picture sensor (14) and/or a light located in the housing. The housing is linearly movable to move the picture sensor and/or the light from within an inner lumen (22) of the hollow shank to outside the inner lumen. The housing is displaceable through an opening (20) formed on a peripheral wall of the hollow shank. An inner-lying outer side (26), opposite and away from the opening, is formed on a peripheral wall of the hollow shank and is supported on an elongate carrier (32) which is guided in the hollow shank. The elongate carrier (32) is configured elastically resiliently transverse to longitudinal extensions thereof and extends essentially over a whole length of the hollow shank and is fixed in a region of the proximal end/proximally of the hollow shank.

Abstract: A shank instrument, particularly a medical-endoscopic shank instrument includes a hollow shank which between two rigid parts includes a part which is bendable transversely to a hollow shank longitudinal extension. The bendable part is fixedly connected to at least one of the rigid parts, in a manner such that two projections which are formed on a peripheral wall of one of the parts connected to one another, are arranged lying opposite one another on a peripheral wall and project in a direction of a longitudinal axis of the part, positively engage into two recesses which are formed lying opposite one another on a peripheral wall of the other part and which completely break through the peripheral wall. At the outer periphery, the parts of the hollow shank which are positively connected to one another, in the region of the positive connection are surrounded by a component.

Abstract: A LED illumination module has at least one LED (6). At a proximal side there is a first electric connection contact (8) and at an axially oppositely directed distal side there is a second electrical connection contact (10) as well as a radiation region emitting radiation. The LED (6), at the second electrical connection contact (10), is contacted via an electrically conductive sleeve (14) which, distanced to the proximal end, is electrically conductively connected to the second connection contact (10) of the LED (6).

Abstract: A medical instrument includes a proximal handle (3), for controlling a distal tool, including two grip pieces (4, 5) pivotable relative to one another, subjected to spring force and coupled in movement via a path guide with a path component (7). The path component includes a guide path (11), and a guide body (14) on a guide component (8). The guide body engages into the guide path. The components (7, 8) are arranged on one of the grip pieces and are subjected to a spring force, transversely to a pivoting plane of the grip pieces. One of the components (8) is pivotably arranged on a grip piece. Functionally independent of the guide body (14) and guide path (11), a latching body (12) is received by a latching receiver (16) on the components (7, 8) for a latching function, blocking pivoting movement of the grip pieces.

Abstract: A therapy system includes a therapy source (2) emitting radiation or waves, an ultrasound probe (14), a patient rest as well as a multi-axis positioning system (X, Y, Z) with several drives, by way of which the patient rest and the therapy source (2) can be moved to one another in all three spatial directions. A control device (26) is coupled to the ultrasound probe (14) and configured such that in at least one operating mode, the control device (26) simultaneously activates the drives of the multi-axis positioning system (X, Y, Z) such that the patient rest is moved relative to the therapy source along a selectable movement path (B) which lies within the plane of an ultrasound picture (20) which is currently recorded by the ultrasound probe (14). A method for positioning a patient rest relative to a therapy source is also provided.

Abstract: An instrument, a medical-endoscopic instrument or technoscope, includes a shank (2) and an instrument head (10), which is arranged at a distal shank end of the shank (2) and is bendable relative thereto via a joint. The instrument head (10) includes a tool with two jaw parts (20, 22) which are pivotable relative to one another and are coupled in each case to two pull cables (70, 72, 76), for the control of the jaw parts (20, 22). These pull cables (70, 72, 76), in the region of the joint, are guided around two deflecting rollers (78, 80, 82, 84, 86, 88, 90, 92). Deflecting roller pairs are arranged on both sides of a middle axis (A) of the instrument. Deflecting rollers (82, 84, 90, 92) of a first deflecting roller pair have a smaller diameter than deflecting rollers (78, 80, 86, 88) of a second deflecting roller pair.

Abstract: An endoscopic instrument with a shank which includes at least two segments which are connected to one another via diametrically opposite joints. Between axial face edges of the opposite joints facing one another a gap is present. The gap runs with at least one angular bend.

Abstract: An illumination device is provided with an LED (2) as a light source and with a fiber-optic (6) for leading further the light which is emitted by the LED (2). A light transmission part (10) is arranged between the LED (2) and the fiber-optic (6). This light transmission part (10) includes two sections (14, 16), of which a first section (14) directly faces the LED (2) and includes a cross section which widens with an increasing distance to the LED (2) as well includes a lateral surface (22) which in an angularly independent manner reflects the radiation which enters into the first section (14) and a second section (16) directly faces the fiber optic (6) and includes at least one lateral surface (24) which in an angularly dependent manner reflects radiation which enters from the first section (14) into the second section (16).

Abstract: An instrument, particularly a medical endoscopic instrument or technoscope, includes a shank (2) and an instrument head (6). The instrument head includes at least one joint part (12) articulated on the distal shank end in an angularly bendable manner and a tool carrier (14) which at the distal side is articulated on the joint part (12) in an angularly bendable manner in the angular bending plane of the joint part (12). A toothing is meshed with a toothed body (26) rotatably mounted in the shank (2) and is coupled in movement to a pull cable pair for the movement control of the instrument head (6). The toothing is formed at the proximal end of the joint part (12).

Abstract: A drive arrangement for an endoscopic shaft instrument, preferably an instrument which is intended for use in connection with a surgical robot, has a drive arrangement that has an instrument housing (12) on a proximal shaft end. At least one housing shaft (22) is mounted in the instrument housing (12). The shaft is drivingly connected to a traction device which is provided for controlling an instrument head on a distal shaft end. Furthermore, the drive arrangement has a drive unit having at least one drive shaft. The housing shaft (22) can be drivingly connected to said drive shaft. The at least one housing shaft (22) is oriented at an angle to the drive shaft (30) and the drive shaft can be drivingly connected thereto.

Abstract: A releasable coupling for the transmission of a rotation movement. This coupling includes a first and a second coupling half which include engagement structures which correspond to one another and which can positively engage with one another. At least one permanent magnet is arranged on at least one coupling half in a manner such that with the approach of the coupling halves to one another, these with respect to a rotation axis are rotated into a defined angular position relative to one another, by way of the magnetic force which is produced by the permanent magnet.

Abstract: An endoscopic instrument is provided with an LED illumination module having at least one LED arranged at the distal end of the instrument and having an electrical connection lead attached to this LED. The connection lead is a coaxial cable, which extends from the distal end to the proximal end of the instrument, and is designed for leading away the waste heat produced by the LED. At least one electrical conductor of the coaxial cable is connected to the LED in a heat-conducting manner.

Abstract: A medical instrument includes instrument parts which can be releasably connected to one another. One part includes a hollow-cone-shaped receiving space and another part includes a cone-shaped coupling section which can be inserted into the receiving space to connect the parts. The coupling section includes a locking receiver for a locking element of the receiving space and which can be brought into and out of engagement with the locking receiver. A securing element moves between a position holding the locking element in a locking position, and a position releasing the locking element. An actuation element projects into the receiving space of the first instrument part, engages into the locking receiver in the locking position of the locking element and is movable in the direction of its middle axis. The middle axis of the actuation element is aligned in the proximal direction obliquely to a middle axis of the receiving space.

Abstract: An endoscopic shank instrument has a tool carrier which is arranged at a distal shank end, is bendable relative to the shank and carries a tool. The tool includes at least one electrode which is conductively connectable to a voltage source via an electrical lead led through the shank. The lead is formed by a flexible circuit board in the region of the tool carrier and of the bending of the tool carrier.

Abstract: A subassembly for a video endoscope with a picture-recording sensor (9) which is electrically conductively arranged on a flexible circuit board (8) which next to the sensor (9) is bent at least at one side and is conductively connected to at least one electrical cable proximally of the sensor (9).

Abstract: A handle for a medical instrument includes an actuation element, which is arranged on the handle and which is displaceable into at least a first and a second functional position. The actuation element can be moved in a plane transverse to its displacement direction, in each of the first and second functional positions, for carrying out a function. A pivotable actuation lever is arranged in the handle, the actuation lever being coupled in movement to the actuation element for displacing the actuation element into the at least two functional positions.

Abstract: A colpotransilluminator is provided for arrangement on a uterus manipulator, wherein the colpotransilluminator is designed in a sleeve-shaped manner of an elastic material. The colpotransilluminator at a distal first axial end forms a portio receiver and at a proximal second end forms a vaginal seal. In a central region between the first and the second axial ends, the colpotransilluminator is designed in a waist-shaped manner and includes axially extending stretch folds in the region of the waist. A uterus manipulator is also provided with such a colpotransilluminator.

Abstract: An endoscopic instrument with a shank which includes at least two segments which are connected to one another via diametrically opposite joints. Between axial face edges of the opposite joints facing one another a gap is present. The gap runs with at least one angular bend.