Abstract: A steerable instrument has a proximal end and a distal end, a steering device (168), and a tubular body (18) extending in a longitudinal direction from said proximal end to said distal end. The tubular body (18) has an intermediate flexible zone (12a) and a distal deflectable zone (17) and a tube element made from a metal. The tube element has a first slotted structure (74) in the flexible zone (12a) and a second slotted structure (72; 106; 136; 156) in the deflectable zone (17). The tubular body (18) has tangential rotation blocking elements which form cable channels (96; 97; 146; 152), each cable channel (96; 97) accommodating one of a plurality of cables (90). The cables (90) are connected at the proximal end to the steering device (168) and at the distal end to the deflectable zone (17) to allow deflection of the deflectable zone (17) by the steering device (168).