Abstract: A medical instrument has a shaft, which has a distal end and a proximal end, with a jaw head which is arranged at the distal end and is pivotable out from the longitudinal axis of the shaft, wherein the jaw head has two jaw parts, of which at least one is pivotable, furthermore, with a first actuation element for pivoting the jaw head, and with a second actuation element for pivoting the pivotable jaw part, wherein the actuation elements are received in the shaft, and with control elements which are arranged at the proximal end of the shaft and are used for controlling the movement of the actuation elements. The actuation elements are arranged extending coaxially with respect to each other, and that the actuation elements are received in the shaft so as to be rotatable jointly about the shaft axis and to be rotatable relative to the shaft.

Abstract: An actuation method for a surgical tool and the tool itself, which includes a proximal coupling portion from which two hydraulically actuatable, pivotably connected members extend. Each of the branches, at least at their distal ends, have an active portion and form in the coupling portion a boundary for at least part of a fluid-tight, fluid-fillable cavity. A pivot position of the members and a volume of the fluid in the cavity are operatively coupled with one another. An actuation method for a micro-surgical tool and the micro-surgical tool, which includes a proximal handle with an actuation device and a distally disposed inventive hydraulically actuatable surgical tool, which is connected by a shaft with the handle and can be actuated by the actuation device.

Abstract: A medical instrument has a shaft with a longitudinal axis, a jaw head on a distal end of the shaft having two jaw parts, at least one of the jaw parts being pivotable about a pivot axis extending transversely to the longitudinal axis, the pivotable jaw part having a wheel portion with toothing mounted about the pivot axis, at least one actuation element having a distal end portion with toothing that meshes with the toothing of the wheel portion such that movement of the actuation element along the longitudinal axis pivots the pivotable jaw part, control elements at a proximal end of the shaft controlling movement of the actuation element, said distal end portion with toothing is flexible, one of the jaws having a hollow space arranged distally to the pivot axis, wherein the distal end portion comes in or out of the hollow space when moving the actuation element.

Abstract: In a medical gripping tool with several branches, one branch includes a first flexurally elastic spar, a second flexurally elastic spar, of which the distal end is connected to the distal end of the first flexurally elastic spar, a rib, which is spaced apart from the proximal ends and from the distal ends of the flexurally elastic spars, and a linear guide for coupling the second flexurally elastic spar to the rib, in such a way that a linear movement of the second flexurally elastic spar relative to the rib is possible.

Abstract: A medical instrument has a shaft with a longitudinal axis, a jaw head on a distal end of the shaft having two jaw parts, at least one of the jaw parts being pivotable about a pivot axis extending transversely to the longitudinal axis, the pivotable jaw part having a wheel portion with toothing mounted about the pivot axis, at least one actuation element having a distal end portion with toothing that meshes with the toothing of the wheel portion such that movement of the actuation element along the longitudinal axis pivots the pivotable jaw part, control elements at a proximal end of the shaft controlling movement of the actuation element, said distal end portion with toothing is flexible, one of the jaws having a hollow space arranged distally to the pivot axis, wherein the distal end portion comes in or out of the hollow space when moving the actuation element.

Abstract: A medical instrument has a shaft, which has a distal end and a proximal end, with a jaw head which is arranged at the distal end and is pivotable out from the longitudinal axis of the shaft, wherein the jaw head has two jaw parts, of which at least one is pivotable, furthermore, with a first actuation element for pivoting the jaw head, and with a second actuation element for pivoting the pivotable jaw part, wherein the actuation elements are received in the shaft, and with control elements which are arranged at the proximal end of the shaft and are used for controlling the movement of the actuation elements. The actuation elements are arranged extending coaxially with respect to each other, and that the actuation elements are received in the shaft so as to be rotatable jointly about the shaft axis and to be rotatable relative to the shaft.

Abstract: In a medical gripping tool with several branches, one branch includes a first flexurally elastic spar, a second flexurally elastic spar, of which the distal end is connected to the distal end of the first flexurally elastic spar, a rib, which is spaced apart from the proximal ends and from the distal ends of the flexurally elastic spars, and a linear guide for coupling the second flexurally elastic spar to the rib, in such a way that a linear movement of the second flexurally elastic spar relative to the rib is possible.

Abstract: An actuation method for a surgical tool and the tool itself, which includes a proximal coupling portion from which two hydraulically actuatable, pivotably connected members extend. Each of the branches, at least at their distal ends, have an active portion and form in the coupling portion a boundary for at least part of a fluid-tight, fluid-fillable cavity. A pivot position of the members and a volume of the fluid in the cavity are operatively coupled with one another. An actuation method for a micro-surgical tool and the micro-surgical tool, which includes a proximal handle with an actuation device and a distally disposed inventive hydraulically actuatable surgical tool, which is connected by a shaft with the handle and can be actuated by the actuation device.

Abstract: An endoscopic suturing machine, having a housing with a housing upper part for receiving drives for the stitch-forming tools, a housing shaft adjoining the housing upper part for a receiving device for transmitting the motions generated by the drives to the stitch-forming tools, which have at least one needle bar guided in the housing shaft with a thread-carrying needle and a shuttle cooperating with same for forming stitches. The shuttle is received by a shuttle bar. The needle bar (5) is designed as a hollow body for receiving and guiding the thread. The thread guide elements are arranged between the thread spool 31 receiving the thread reserve and the needle bar (5) and are arranged in relation to the needle bar (5) such that the thread runs essentially in a straight line between the exit from the mounting device (17) and the entry into the needle bar (5).

Abstract: A process and a device are provided for forming an end-to-end anastomosis on two hollow organs, which can be attached to a surgical suturing machine with at least one driven needle bar with a thread-carrying needle, a shuttle cooperating with this needle, a needle plate and a holding-down device accommodated by a push rod. A carrier (9) is provided designed as a hollow cylinder and has a longitudinal slot (13) for the edge areas of the two hollow organs. The carrier can be connected by a bracket to the housing shaft of the suturing machine in such a way that its longitudinal axis runs transversely to the path of movement of the needle, and its contact area for the two hollow organs is directed essentially parallel to the plane of the contact surface of the needle plate of the suturing machine.

Abstract: An endoscopic suturing machine, having a housing with a housing upper part for receiving drives for the stitch-forming tools, a housing shaft adjoining the housing upper part for a receiving device for transmitting the motions generated by the drives to the stitch-forming tools, which have at least one needle bar guided in the housing shaft with a thread-carrying needle and a shuttle cooperating with same for forming stitches. The shuttle is received by a shuttle bar. The needle bar (5) is designed as a hollow body for receiving and guiding the thread. The thread guide elements are arranged between the thread spool 31 receiving the thread reserve and the needle bar (5) and are arranged in relation to the needle bar (5) such that the thread runs essentially in a straight line between the exit from the mounting device (17) and the entry into the needle bar (5).

Abstract: A process and a device are provided for forming an end-to-end anastomosis on two hollow organs, which can be attached to a surgical suturing machine with at least one driven needle bar with a thread-carrying needle, a shuttle cooperating with this needle, a needle plate and a holding-down device accommodated by a push rod. A carrier (9) is provided designed as a hollow cylinder and has a longitudinal slot (13) for the edge areas of the two hollow organs. The carrier can be connected by means of a bracket to the housing shaft of the suturing machine in such a way that its longitudinal axis runs transversely to the path of movement of the needle, and its contact area for the two hollow organs is directed essentially parallel to the plane of the contact surface of the needle plate of the suturing machine.