Abstract: A shaft according to the application for an endoscopic instrument has a connecting section arranged in a distal end region of the shaft, with a connecting device for connection, in particular in the manner of a bayonet connection, with a replaceable working insert being formed at said connecting section, the connecting device having a first engagement structure for a connection engagement of an engagement element of a working insert of a first type, and the connecting device having a second engagement structure for a connection engagement of an engagement element of a working insert of a second type, wherein the first and the second engagement structures are arranged and/or formed differently. The application also relates to an endoscopic instrument and an endoscopic system.

Abstract: A method for manufacturing a micromechanical component having a disengaged pressure sensor device includes: configuring an electrically conductive sacrificial element in or on a first outer surface of a first substrate; applying a second substrate on or upon the outer surface of the first substrate over the sacrificial element; configuring a pressure sensor device by anodic etching of the second substrate; configuring in the second substrate at least one trench that extends to the sacrificial element; and at least partly removing the sacrificial element in order to disengage the pressure sensor device.

Abstract: An instrument configured for performing a surgery includes a distal end portion, a proximal end portion, and a tube connecting the distal end portion and the proximal end portion. A fluid fitting includes an inlet configured for receiving flow of an irrigating fluid into the instrument and at least two exits configured for guiding the flow of the irrigating fluid out of the instrument. A first exit is configured to allow the irrigating fluid to flow towards the distal end portion of the instrument and a second exit is configured to allow the irrigating fluid to flow towards the proximal end portion of the tube. A size of the first exit is larger than a size of the second exit to enable greater flow towards the distal end portion.

Abstract: A method for manufacturing a micromechanical component having a disengaged pressure sensor device includes: configuring an electrically conductive sacrificial element in or on a first outer surface of a first substrate; applying a second substrate on or upon the outer surface of the first substrate over the sacrificial element; configuring a pressure sensor device by anodic etching of the second substrate; configuring in the second substrate at least one trench that extends to the sacrificial element; and at least partly removing the sacrificial element in order to disengage the pressure sensor device.

Abstract: A shaft for a micro-invasive surgical instrument includes a shaft tube with a proximal end portion and a distal end portion, a coupling device for detachable mechanical coupling of the shaft with a tool, and a rotation bearing, which mechanically connects the coupling device with the distal end portion of the shaft tube. The rotation bearing is configured in order to allow rotation of the coupling device with respect to the shaft tube about the longitudinal axis of the shaft on the distal end portion of the shaft.

Abstract: A handling device for a micro-invasive surgical instrument includes a gripping device, a shaft coupling, and a rod coupling. The gripping device is configured to guide and hold the handling device. The shaft coupling is configured to detachably couple a proximal end of a shaft to the handling device. The rod coupling is configured to slide in the handling device between an assembly position and a range of working positions to detachably couple a proximal end of a transmission rod to the handling device. The transmission rod is disposed in the shaft. The shaft coupling is configured to block the proximal end of the shaft in a predetermined position in which the proximal end of the shaft holds the rod coupling in the range of working positions.

Abstract: An articulation device for a medical instrument includes a coupling for releasable mechanical connection of the articulation device to a tool or to the distal end of a shaft, a locking device on the coupling for locking the mechanical connection, and an articulation, which enables the coupling to be angled relative to an end of the articulation device remote from the coupling. The locking device is designed such that the mechanical connection is locked in a predetermined working angular position of the articulation and is releasable in a predetermined release angular position of the articulation.

Abstract: A transmission adapter for a medical instrument with a shaft, a transmission device movable in the shaft, and a manipulating device with a first part, which can be coupled mechanically rigidly to a proximal end of the shaft, and a second part, which is movable relative to the first part, includes a first coupling element for releasable mechanical coupling to the second part of the manipulating device, and a second coupling element for releasable mechanical coupling to a proximal end of the transmission device.

Abstract: A medical instrument according to the invention has an elongate shank, and a tool which is arranged on a distal end portion of the shank and which comprises two tool elements interacting with each other, of which at least one tool element is movable by a longitudinally displaceable first transmission element. A distal end portion of the first transmission element has a surface inclined with respect to a direction of displacement, and the distal end portion of the shank, or an element connected non-displaceably thereto, has a mating surface which is inclined with respect to the direction of displacement and which, with the inclined surface, forms an interspace dependent on a displacement of the distal end portion of the first transmission element.

Abstract: A medical instrument with a hollow shaft, at the proximal end of which a handle is arranged, and at the distal end of which a tool is arranged with a stationary jaw part and with a jaw part that is pivotable relative to the stationary jaw part, a distal end region of the shaft that carries the tool being designed as a tool tip that can be positioned at an angle with respect to the longitudinal axis of the shaft, and the tool being rotatable about the longitudinal axis of the shaft respectively about the longitudinal axis of the tool tip.

Abstract: A tool for a dismantlable medical instrument includes a first component, which surrounds a cavity for receiving a distal end of a shank, and a second component with a catch, which protrudes into the cavity surrounded by the first component to form a bayonet connection with a distal end of a shank protruding into the cavity, by engagement of the catch in a slit or a groove at the distal end of the shank. The first component has a recess into which the second component is fitted.

Abstract: An endoscope according to the invention comprises an endoscope shaft (3), which has a cylindrical shaft tube (4), and an endoscope head (2), which is arranged at a proximal end of the endoscope shaft (3) and, in a distal end region (11), has a cylindrical interior (13) with a peripheral groove (15), wherein the shaft tube (4) is inserted into the cylindrical interior (13) and folded into the peripheral groove (15). According to the invention, the groove (15) is not rotationally symmetrical. The invention further relates to an endoscope head and to a method for producing an endoscope.

Abstract: A surgical instrument comprises a shaft, wherein a deflectable articulation section is formed at the shaft, a proximal handling portion at a proximal end of the shaft, a distal effector at a distal end of the shaft, and a deflection mechanism for controlling a bending state of the articulation section. The deflection mechanism comprises a first pull element for a deflection movement and a second pull element for a return movement. The first pull element and the second pull element are jointly pretensioned during the movement of the articulation section. An interface is provided where the instrument is demountable into a distal shaft assembly and a proximal handle piece, wherein the effector is controlled via an actuation mechanism that passes through the interface in a mounted state. The actuation mechanism comprises a push piece having a distal end that is coupled with the effector and a proximal end that is actuable by a pushing movement.

Abstract: An instrument for carrying out medical interventions, including a tubular shaft running lengthwise along a shaft longitudinal axis, an instrument head, wherein the instrument head is supported on the tubular shaft in such a way as to be pivotable about an instrument head pivot axis, and at least part of the instrument head is rotatable about an instrument head longitudinal axis, and a wheel gear arrangement for moving the instrument head, wherein at least part of the instrument head can be driven by the wheel gear arrangement for the rotation about the instrument head longitudinal axis, and wherein the instrument head can be driven by the wheel gear arrangement for the pivoting about the instrument head pivot axis.

Abstract: A component (14) for a medical instrument includes a shaft (15), a transmission device (16), which is movable in the shaft (15), for transmitting a force from a manipulation device (18) coupled to the proximal end of the component (14) to a tool (13) at the distal end of the component (14), an abutment surface (86) on the shaft (15), and an abutment surface (36) on the transmission device (16). The abutment surface (86) of the shaft (15) and the abutment surface (36) of the transmission device (16) are arranged such that a mechanical contact between the abutment surface (36) of the transmission device (16) and the abutment surface (86) of the shaft (15) limits a movement of the transmission device (16) relative to the shaft (15) in the proximal direction.

Abstract: A transmission adapter for a medical instrument with a shaft, a transmission device movable in the shaft, and a manipulating device with a first part, which can be coupled mechanically rigidly to a proximal end of the shaft, and a second part, which is movable relative to the first part, includes a first coupling element for releasable mechanical coupling to the second part of the manipulating device, and a second coupling element for releasable mechanical coupling to a proximal end of the transmission device.