DE3709067A1 - Medical, especially surgical, instrument - Google Patents

Medical, especially surgical, instrument

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Publication number
DE3709067A1
DE3709067A1 DE19873709067 DE3709067A DE3709067A1 DE 3709067 A1 DE3709067 A1 DE 3709067A1 DE 19873709067 DE19873709067 DE 19873709067 DE 3709067 A DE3709067 A DE 3709067A DE 3709067 A1 DE3709067 A1 DE 3709067A1
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DE
Germany
Prior art keywords
coupling part
handle
instrument according
coupling
movable
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
DE19873709067
Other languages
German (de)
Inventor
Ewald Hensler
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Individual
Original Assignee
Individual
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Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to DE19873709067 priority Critical patent/DE3709067A1/en
Publication of DE3709067A1 publication Critical patent/DE3709067A1/en
Withdrawn legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28—Surgical forceps
    • A61B17/29—Forceps for use in minimally invasive surgery
    • A61B17/2909—Handles
    • A61B2017/2912—Handles transmission of forces to actuating rod or piston
    • A61B2017/2919—Handles transmission of forces to actuating rod or piston details of linkages or pivot points
    • A61B2017/292—Handles transmission of forces to actuating rod or piston details of linkages or pivot points connection of actuating rod to handle, e.g. ball end in recess
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety

Abstract

In a surgical instrument, a reliable overload protection is provided by a coupling (6, 8) which disengages automatically when a predetermined maximum load is exceeded, between the movable actuation handle (2) of the instrument and an actuation member (5) of the cutting tool or the like (Fig. 1). <IMAGE>

Description

Die Erfindung betrifft ein Instrument gemäß dem Oberbegriff des Anspruchs 1.The invention relates to an instrument according to the preamble of claim 1.

Derartige Instrumente mit zwei etwa zur Betätigung eines Schneid- oder Stanzwerkzeugs od. dgl. relativ zueinander bewegbaren Griffteilen werden in der Praxis häufig erheb­ lichen Belastungen ausgesetzt. Wenn z.B. ein mikrochirurgisches Instrument zur Überwindung eines entsprechenden Hindernisses am Werkzeug mit übermäßiger Kraft betätigt wird, können Beschädigungen des Instrumentes und damit u.U. eine gefähr­ liche Störung der Operation und/oder Verletzungen die Folge sein.Such instruments with two to operate one Cutting or punching tool or the like. Relative to each other movable handle parts are often raised in practice exposed to loads. If e.g. a microsurgical Instrument to overcome a corresponding obstacle operated with excessive force on the tool Damage to the instrument and thus possibly a dangerous operation and / or injury Be consequence.

Zum Auffangen übermäßiger Betätigungskräfte war es bisher lediglich bekannt, durch innere Anschläge die mögliche Bewegung des Betätigungselementes wie beispielsweise einer Druck- oder Zugstange zu begrenzen. Dadurch kann zwar eine Beschädigung von Maulteilen, Schneiden usw. infolge unzulässig großen Bewegungsweges vermieden werden, nicht aber eine Beschädigung aufgrund des Versuches, ein Gewebeteil mit einer Kraft zu zerschneiden, der das Instrument nicht gewachsen ist.It was previously used to absorb excessive actuation forces only known, the possible through internal stops Movement of the actuator such as one Limit push or pull rod. As a result, a Damage to jaw parts, cutting edges etc. due to inadmissible large movement path are avoided, but not one Damage due to trying to use a tissue part to cut a force that the instrument does not has grown.

Der Erfindung liegt die Aufgabe zugrunde, ein Instrument zu schaffen, das nur bis zu einer bei der Herstellung des Instrumentes genau definierbaren zulässigen Grenze belastet werden kann, so daß Beschädigungen durch übermässige Kräfte ausgeschlossen werden.The invention has for its object an instrument to create that only up to one in the manufacture of the Instrumentes precisely definable permissible limit  can be, so that damage from excessive Powers are excluded.

Diese Aufgabe wird das im Anspruch 1 gekennzeichnete Instrument gelöst.This task is characterized in claim 1 Instrument released.

Durch die Erfindung wird das oben erwähnte Problem vermieden und ein sehr zuverlässiger Überlastungsschutz auf konstruktiv einfach und mit wenig Aufwand realisierbare Weise ermöglicht.The above-mentioned problem is avoided by the invention and a very reliable overload protection on constructive made possible in a simple manner and with little effort.

An dem in der Zeichnung dargestellten Ausführungsbeispiel wird die Erfindung näher erläutert. Es zeigen:On the embodiment shown in the drawing the invention is explained in more detail. Show it:

Fig. 1 eine teilweise vereinfachte Darstellung des Betätigungsteils eines chirurgischen Instrumentes mit den üblichen Scherengriffen; und Figure 1 is a partially simplified representation of the actuating part of a surgical instrument with the usual scissor handles. and

Fig. 2 eine vergrößerte Detailansicht der Kupplungs­ konstruktion des Instruments nach Fig. 1. Fig. 2 is an enlarged detail view of the coupling construction of the instrument of FIG. 1.

An dem stationären Griffstück 1 ist fest in an sich bekannter Weise ein im wesentlichen rohrförmiger Schaft 1′ angebracht, in dessen axialer Bohrung ein am Ende einer Betätigungsstange 5 für das zu betätigende Werkzeug befestigtes kolbenartiges Kupplungsteil 6 längs der Schaftachse verschiebbar ist. Das Kupplungsteil 6 kann durch zweckmäßige Formgebung gegen Verdrehung um die Schaftachse gesichert sein, und sein Verschiebungsweg ist einerseits durch das Bohrungsende des Schaftes und in der anderen Richtung durch eine (nicht dargestellte) Anschlagkonstruktion begrenzt.On the stationary handle 1 , a substantially tubular shaft 1 'is fixed in a known manner, in the axial bore of which a piston-like coupling part 6 fastened at the end of an actuating rod 5 for the tool to be actuated is displaceable along the shaft axis. The coupling part 6 can be secured against rotation about the shaft axis by appropriate shaping, and its displacement path is limited on the one hand by the bore end of the shaft and in the other direction by a stop construction (not shown).

Zum Betätigen des in üblicher Weise am entfernten Ende der Betätigungsstange 5 angeordneten Werkzeugs (nicht dargestellt) dient der bewegliche Betätigungsgriff 2, dessen in Fig. 1 oberes Ende beispielsweise in einen sich nach unten öffnenden Schlitz im Griffstück 1 bzw. Schaft 1′ eingesteckt und mit Hilfe einer Lagerschraube 7 relativ zum Griffstück 1 drehbar an diesem gelagert sein kann. Die Bewegung des Betätigungs­ griffes 2 wird auf die Betätigungsstange 5 durch eine formschlüssige Kupplung übertragen, die außer dem erwähnten Kupplungsteil 6 ein an dem Betätigungsgriff 2 angeordnetes zweites Kupplungsteil 8 enthält. Das Kupplungsteil 8 besteht aus einem flachen länglichen Körper, der in seiner Längsrichtung verschiebbar in einem entsprechend bemessenen Führungsschlitz 12 sitzt, welcher in die dem Kupplungsteil 6 zugewandte Stirnfläche des Betätigungsgriffes 2 eingefräst ist. Mit einem sich in der Verschiebungsrichtung erstreckenden Langloch 13 sitzt das verschiebbare Kupplungsteil 8 auf der erwähnten, den Betätigungsgriff 2 mit dem Griffstück 1 verbindenden Lagerschraube 7. Die Größe des Langloches 13 ist so bemessen, daß der Bewegungskurve des verschiebbaren Kupplungsteils 8 während der Drehbewegung des Betätigungs­ griffes 2 beim Betätigen des Instrumentes Rechnung getragen wird. Aus dem Führungsschlitz ragt das Kupplungsteil 8 mit einem Vorsprung 10 (Fig. 2) mit konvexer, z.B. halbkreis­ förmig gekrümmter Stirnfläche hervor. Der Vorsprung greift normalerweise in eine entsprechend dem Ziel der Erfindung bemessene, bei dem dargestellten Beispiel ebenfalls halb­ kreisförmig gekrümmte Ausnehmung 11 in der dem Kupplungs­ teil 8 zugewandten Unterseite des Kupplungsteils 6 ein. In diese Position wird das Kupplungsteil 8 durch eine Druck­ feder 4 gedrückt, die in einer sich vom Boden des erwähnten Führungsschlitzes 12 längs der Verschiebungsrichtung des Kupplungsteils 8 fortsetzenden Bohrung sitzt. Die Druckfeder 4 stützt sich an ihrem unteren Ende auf einer vorzugsweise von außen nicht oder nicht ohne weiteres zugänglichen Justier­ schraube 3 ab, mit der die Federkraft und damit die Druck­ kraft des Kupplungsteils 8 einstellbar ist. Die Verschiebungs­ richtung des Kupplungsteils 8 steht quer und bei dem dargestellten Beispiel in Ruhestellung des Instruments senkrecht zu der Verschiebungsrichtung des Kupplungsteils 6.To operate the arranged in the usual way at the distal end of the actuating rod 5 tool (not shown) is used the movable actuating handle 2 , the upper end in Fig. 1, for example in a downward opening slot in the handle 1 or shaft 1 'and inserted with With the help of a bearing screw 7 can be rotatably mounted on the handle 1 . The movement of the actuating handle 2 is transmitted to the actuating rod 5 by a form-fitting coupling which, in addition to the coupling part 6 mentioned, contains a second coupling part 8 arranged on the actuating handle 2 . The coupling part 8 consists of a flat elongated body which is displaceable in its longitudinal direction in a correspondingly dimensioned guide slot 12 which is milled into the end face of the actuating handle 2 facing the coupling part 6 . With an elongated hole 13 extending in the direction of displacement, the displaceable coupling part 8 is seated on the mentioned bearing screw 7 connecting the actuating handle 2 to the handle piece 1 . The size of the elongated hole 13 is dimensioned such that the movement curve of the displaceable coupling part 8 during the rotary movement of the actuating handle 2 is taken into account when the instrument is actuated. The coupling part 8 protrudes from the guide slot with a projection 10 ( FIG. 2) with a convex, for example semicircular, curved end face. The projection normally engages in a recess 11 , which is also semicircularly curved in the example shown, in the underside of the coupling part 6 facing the coupling part 8 and is dimensioned in accordance with the aim of the invention. In this position, the coupling part 8 is pressed by a compression spring 4 , which is seated in a bore continuing from the bottom of the mentioned guide slot 12 along the direction of displacement of the coupling part 8 . The compression spring 4 is supported at its lower end on a preferably from the outside not or not easily accessible adjusting screw 3 , with which the spring force and thus the pressure force of the coupling part 8 is adjustable. The direction of displacement of the coupling part 8 is transverse and perpendicular to the direction of displacement of the coupling part 6 in the example shown in the rest position of the instrument.

Die Lagerschraube 7 hält das Griffstück 1 mit dem Kupplungs­ teil 6, den Betätigungsgriff 2 und das Kupplungsteil 8 sowie die Feder 4 zusammen. Wenn die Lagerschraube 7 entfernt wird, können diese Teile auseinandergenommen werden, und entsprechend einfach sind sie montierbar.The bearing screw 7 holds the handle 1 with the coupling part 6 , the operating handle 2 and the coupling part 8 and the spring 4 together. When the bearing screw 7 is removed, these parts can be disassembled, and they are correspondingly easy to assemble.

Wenn bei der Betätigung des Instrumentes dem am entfernten Ende der Stange 5 befindlichen Werkzeug ein Hindernis entgegenwirkt, zu dessen Überwindung der Arzt eine übermäßige Kraft aufwenden müßte, der das Instrument nicht oder nicht dauerhaft gewachsen ist, so soll diese für das Instrument unzulässige Betätigungskraft von der Kupplung nicht übertragen werden. Bei einer die zulässige, durch die Stellung der Justierschraube 3 definierte Größe übersteigenden Belastung wird deshalb der Vorsprung 10 des Kupplungsteils 8 gegen die Kraft der Druckfeder 4 aus der Ausnehmung 11 ausgerückt, statt das über die Stange 5 von dem Hindernis beaufschlagte Kupplungsteil 6 zu bewegen oder weiterzuschieben.If, when operating the instrument, the tool located at the distal end of the rod 5 counteracts an obstacle, to overcome which the doctor would have to exert excessive force, which the instrument has not or has not grown permanently, this operating force which is inadmissible for the instrument should be Clutch cannot be transmitted. In the event of a load exceeding the permissible size defined by the position of the adjusting screw 3 , the projection 10 of the coupling part 8 is therefore disengaged from the recess 11 against the force of the compression spring 4 instead of moving the coupling part 6 acted on by the rod 5 by the obstacle or push on.

Bei dem dargestellten Beispiel wird mit der Justierschraube 3 vom Hersteller des Instrumentes der maximal zulässige Druck des Kupplungsteils 8 und damit die maximale Belastbarkeit des Instrumentes festgelegt. Es kann aber zweckmässig sein, daß der das Instrument benutzende Arzt die Möglichkeit hat, wahlweise eine geringere als die vom Hersteller vor­ gegebene Belastungsgrenze einzustellen. Hierfür kann sich beispielsweise die Druckfeder 4 unmittelbar oder vorzugs­ weise über die Justierschraube 3 auf einem Exzenter (nicht dargestellt) abstützen, der mit dem Finger drehbar am Betätigungsgriff 2 gelagert ist und je nach Stellung die Druckfeder mehr oder weniger entlastet.In the example shown, the adjusting screw 3 is used by the manufacturer of the instrument to determine the maximum permissible pressure of the coupling part 8 and thus the maximum load capacity of the instrument. However, it may be expedient that the doctor using the instrument has the option of optionally setting a lower load limit than that specified by the manufacturer. For this purpose, the compression spring 4 , for example, can be supported directly or preferably via the adjusting screw 3 on an eccentric (not shown) which is rotatably mounted on the actuating handle 2 with the finger and, depending on the position, relieves the compression spring more or less.

Wenn die Kupplung zur Realisierung des angestrebten Über­ lastungsschutzes unter Zusammenbewegung der Griffteile aus­ gerückt wurde, genügt es, den bewegbaren Betätigungsgriff 2 in die Ruhestellung zurückzubringen, damit der Vorsprung 10 wieder in die Ausnehmung 11 zurückspringt, da die Axial­ bewegung des Kupplungsteils 6 durch Anschlag am Griffstück 1 begrenzt wird.If the clutch has been moved to realize the desired overload protection by moving the handle parts together, it is sufficient to bring the movable operating handle 2 back into the rest position so that the projection 10 springs back into the recess 11 , since the axial movement of the coupling part 6 by a stop on Handle 1 is limited.

Bei dem beschriebenen Beispiel ist es wichtig, daß die Ver­ schiebungsrichtung des Kupplungsteils 8, d.h. die Achse, längs der sich der Scheitelpunkt des Vorsprungs 10 bewegt, die Achse schneidet, um welche der bewegbare Betätigungsgriff 2 zu dem stationären Griffstück 1 schwenkbar ist. Würde man beispielsweise das Kupplungsteil 6 in Fig. 1 nach rechts neben die Schwenkachse, d.h. die Lagerschraube 7 versetzen, so würde beim Verschwenken des Betätigungsgriffes 2 wegen der ungünstigeren Hebelverhältnisse zunächst hauptsächlich eine Verschiebung des Kupplungsteils 8 quer zur Schaftachse des stationären Griffstücks 1 ohne wesentliche Verschiebung der Betätigungsstange 5 durch den Vorsprung 10 erfolgen. In the example described, it is important that the Ver displacement direction of the coupling part 8, that is the axis along which the vertex of the protrusion 10 moves intersects the axis about which the movable operating handle 2 is pivoted to the stationary handle. 1 If, for example, the coupling part 6 in FIG. 1 were moved to the right next to the pivot axis, ie the bearing screw 7 , the pivoting of the actuating handle 2 would initially primarily result in a displacement of the coupling part 8 transversely to the shaft axis of the stationary handle 1 without substantial displacement due to the less favorable lever conditions the actuating rod 5 through the projection 10 .

Der beschriebene, im Prinzip aus Fig. 2 ersichtliche Überlastungsschutz durch zwei relativ zueinander bewegbare Kupplungsteile, von denen der eine Teil formschlüssig beispielsweise mittels eines konvex gekrümmten Vorsprungs in den anderen Teil eingreift und mindestens eines der Teile bei Überlastung elastisch nachgibt, eignet sich für jedes beliebige Instrument der vorliegenden Gattung. Die Erfindung ist auch nicht auf die in Fig. 2 dargestellte Formgebung beschränkt, sondern auf andere Weise realisier­ bar, wenn der Formschluß der Kupplungsteile nur bis zu einer definierten Belastung erhalten bleibt.The overload protection described, which can be seen in principle from FIG. 2, by means of two coupling parts which can be moved relative to one another, of which one part engages in the other part in a form-fitting manner, for example by means of a convexly curved projection, and at least one of the parts yields elastically when overloaded, is suitable for any one Instrument of the present genre. The invention is also not limited to the shape shown in FIG. 2, but can be realized in a different way if the positive locking of the coupling parts is only maintained up to a defined load.

Claims (11)

1. Medizinisches , insbesondere chirurgisches Instrument mit einem Griffstück (1), das mit einem Schaft (1′) verbunden ist, in oder an dem ein Betätigungselement (5) für ein Schneid- oder sonstiges Werkzeug relativ zu dem Griffteil (1) bewegbar angeordnet ist, und mit einem relativ zu dem Griffstück (1) bewegbar gelagerten Betätigungsgriff (2), der zum Verschieben des Betätigungselementes (5) mit diesem gekuppelt ist, wobei ein an dem bewegbaren Betätigungsgriff (2) angeordnetes Kupplungsteil (8) formschlüssig an einem Kupplungsteil (6) des Betätigungselementes (5) angreift, dadurch gekennzeichnet, daß die Kupplungsteile (6, 8) derart angeordnet und aus­ gebildet sind, daß die Kupplung bei Überschreiten einer vorbestimmten maximalen Belastung infolge der Betätigung unter gegenseitiger Relativverschiebung der Kupplungsteile (6, 8) gelöst wird.1. Medical, in particular surgical instrument with a handle ( 1 ) which is connected to a shaft ( 1 '), in or on which an actuating element ( 5 ) for a cutting or other tool is arranged to be movable relative to the handle part ( 1 ) , and a relative to the handle (1) is movably mounted actuating handle (2) which is coupled to the displacement of the actuating element (5) therewith, a valve disposed on the movable operating handle (2) coupling part (8) form-locking to a coupling part ( 6 ) of the actuating element ( 5 ), characterized in that the coupling parts ( 6 , 8 ) are arranged and formed in such a way that the coupling when a predetermined maximum load is exceeded as a result of the actuation with mutual relative displacement of the coupling parts ( 6 , 8 ) is solved. 2. Instrument nach Anspruch 1, dadurch gekenn­ zeichnet, daß das eine Kupplungsteil (8) gegen die Kraft einer Feder (4) von dem anderen Kupplungsteil (6) wegbewegbar gelagert ist.2. Instrument according to claim 1, characterized in that the one coupling part ( 8 ) against the force of a spring ( 4 ) of the other coupling part ( 6 ) is mounted movable. 3. Instrument nach Anspruch 2, dadurch gekenn­ zeichnet, daß die Federkraft justierbar und/oder ein vom Hersteller vorgegebener Maximalwert der Federkraft vom Benutzer verringerbar ist. 3. Instrument according to claim 2, characterized records that the spring force is adjustable and / or a maximum spring force value specified by the manufacturer can be reduced by the user.   4. Instrument nach einem der vorangehenden Ansprüche, dadurch gekennzeichnet, daß das eine Kupplungsteil (8) bewegbar an dem bewegbaren Betätigungsgriff (2) gelagert ist.4. Instrument according to one of the preceding claims, characterized in that the one coupling part ( 8 ) is movably mounted on the movable actuating handle ( 2 ). 5. Instrument nach einem der vorangehenden Ansprüche, dadurch gekennzeichnet, daß das eine Kupplungsteil (8) quer zur Verschiebungsrichtung des Betätigungselements (5) verschiebbar gelagert ist und mit einer Stirnfläche formschlüssig an dem anderen Kupplungs­ teil (6) angreift.5. Instrument according to one of the preceding claims, characterized in that the one coupling part ( 8 ) is displaceably mounted transversely to the direction of displacement of the actuating element ( 5 ) and positively engages with an end face on the other coupling part ( 6 ). 6. Instrument nach Anspruch 5, dadurch gekennzeichnet, daß die Verschiebungsrichtung des am anderen Kupplungsteil (6) angreifenden Teils (10) des einen Kupplungsteils (8) die Achse (Schraube 7) schneidet, um welche der bewegbare Betätigungsgriff (2) zu dem stationäre Griffstück (1) schwenkbar ist.6. Instrument according to claim 5, characterized in that the direction of displacement of the other coupling part ( 6 ) engaging part ( 10 ) of a coupling part ( 8 ) intersects the axis (screw 7 ) around which the movable actuating handle ( 2 ) to the stationary Handle ( 1 ) is pivotable. 7. Instrument nach Anspruch 6, dadurch gekennzeichnet, daß das verschiebbare Kupplungs­ teil (8) mit einem sich in der Verschiebungsrichtung erstrecken­ den Langloch (13) auf einer den Betätigungsgriff (2) mit dem Griffstück (1) verbindenden Schraube (7) sitzt.7. Instrument according to claim 6, characterized in that the displaceable coupling part ( 8 ) with an extending in the direction of displacement, the elongated hole ( 13 ) on an actuating handle ( 2 ) with the handle ( 1 ) connecting screw ( 7 ) sits. 8. Instrument nach einem der vorangehenden Ansprüche, dadurch gekennzeichnet, daß das eine Kupplungsteil (8) mit einem Vorsprung (10) mit konvex gekrümm­ ter Stirnfläche in eine entsprechend bemessene Ausnehmung (11) des anderen Kupplungsteils (6) eingreift. 8. Instrument according to one of the preceding claims, characterized in that the one coupling part ( 8 ) with a projection ( 10 ) with a convexly curved end face engages in a correspondingly dimensioned recess ( 11 ) of the other coupling part ( 6 ). 9. Instrument nach einem der vorangehenden Ansprüche, dadurch gekennzeichnet, daß das eine Kupplungsteil (8) verschiebbar in einem Führungs­ schlitz (12) in einer dem anderen Kupplungsteil (6) zugewandten Stirnfläche des bewegbaren Betätigungsgriffs (2) sitzt und von einer in einer Bohrung am Ende des Schlitzes befindlichen Druckfeder (4) beaufschlagt wird.9. Instrument according to one of the preceding claims, characterized in that the one coupling part ( 8 ) slidably in a guide slot ( 12 ) in one of the other coupling part ( 6 ) facing end face of the movable actuating handle ( 2 ) and one in a bore compression spring ( 4 ) located at the end of the slot is acted upon. 10. Instrument nach Anspruch 9, dadurch gekennzeichnet, daß sich die Druckfeder (4) auf einer Justierschraube (3) und/oder einem mit dem Finger verstellbaren Exzenter abstützt.10. Instrument according to claim 9, characterized in that the compression spring ( 4 ) on an adjusting screw ( 3 ) and / or a finger-adjustable eccentric is supported. 11. Instrument nach einem der vorangehenden Ansprüche, dadurch gekennzeichnet, daß der Form­ schluß der Kupplungsteile (6, 8) durch Zurückstellen des bewegbaren Betätigungsgriffes (2) in die Ruheposition selbst­ tätig wiederherstellbar ist.11. Instrument according to one of the preceding claims, characterized in that the form closure of the coupling parts ( 6 , 8 ) by returning the movable actuating handle ( 2 ) in the rest position can be actively restored.
DE19873709067 1987-03-19 1987-03-19 Medical, especially surgical, instrument Withdrawn DE3709067A1 (en)

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