Instrument for carrying out medical interventions

1. An instrument for carrying out medical interventions, comprising:

a tubular shaft running lengthwise along a shaft longitudinal axis;

an instrument head supported on the tubular shaft in such a way as to be pivotable about an instrument head pivot axis which extends transversely with respect to an instrument head longitudinal axis, at least part of the instrument head being rotatable about the instrument head longitudinal axis; and

a wheel gear arrangement for moving the instrument head;

wherein at least part of the instrument head is configured to be driven by the wheel gear arrangement for rotation about the instrument head longitudinal axis;

wherein the instrument head is configured to be driven by the wheel gear arrangement for the pivoting about the instrument head pivot axis;

wherein the wheel gear arrangement comprises

a first wheel gear train with a first driving wheel, a first transmission wheel rotatable about the instrument head pivot axis, and a first driven wheel, and

a second wheel gear train with a second driving wheel, a second transmission wheel rotatable about the instrument head pivot axis, and a second driven wheel; and

wherein the first driven wheel and the second driven wheel are arranged concentrically with respect to the instrument head longitudinal axis and are firmly connected for conjoined rotation with the part of the instrument head rotatable about the instrument head longitudinal axis.

2. The instrument according to claim 1 , wherein the first driving wheel and the second driving wheel are arranged concentrically with respect to the shaft longitudinal axis and are rotatable about the shaft longitudinal axis.

3. The instrument according to claim 1 , wherein the first driving wheel is rotationally fixed on a first input shaft, in that the second driving wheel is rotationally fixed on a second input shaft, and in that the first input shaft is designed as a hollow shaft receiving the second input shaft.

4. The instrument according to claim 3 , wherein the second input shaft is designed as a hollow shaft receiving a pivot actuation rod.

5. The instrument according to claim 1 , wherein at least one instrument head pivot pin is provided connecting the instrument head to the tubular shaft, such that the instrument head is pivotable about the instrument head pivot axis, and wherein the first transmission wheel and the second transmission wheel are supported rotatably on the at least one instrument head pivot pin.

6. The instrument according to claim 5 , wherein an instrument head pivot pin has a through-opening for a pivot actuation rod.

7. The instrument according to claim 1 , wherein the first transmission wheel and the second transmission wheel are arranged lying opposite each other with respect to the instrument head longitudinal axis and/or the shaft longitudinal axis.

8. The instrument according to claim 1 , wherein the first wheel gear train and the second wheel gear train have the same speed conversion ratio, preferably 1:1.

9. The instrument according to claim 1 , wherein the wheel gear arrangement is a bevel gear arrangement with a first bevel gear train and a second bevel gear train, wherein the first bevel gear train comprises a first input bevel gear, a first transmission bevel gear and a first output bevel gear, and the second bevel gear train comprises a second input bevel gear, a second transmission bevel gear and a second output bevel gear.

10. The instrument according to claim 1 , wherein a jaw part is supported on the instrument head in such a way as to be pivotable about a jaw part pivot axis, and in that a pivot actuation rod, which extends through the instrument head and the tubular shaft and is preferably flexible, is assigned to the jaw part.

11. The instrument according to claim 1 , wherein a drive arrangement is provided for driving the instrument head for pivoting movement about the instrument head pivot axis and for rotation movement about the instrument head longitudinal axis.