Patent ID: 8409229

Claim:
A medical instrument for occluding tube-like body parts, comprising: a vascular clamp further comprising: a body member; a push-pull element a coupling arrangement having first and second retaining jaws, said coupling arrangement having a width; an adjusting mechanism having an angled holder, a drive shaft, and an adjusting element; and a first locking mechanism, said first locking mechanism comprising a detent spring and said adjusting element; an operating mechanism, said operating mechanism being constructed and arranged for placing said vascular clamp in a user selected location in a patient during surgery, said operating mechanism further comprising: first and second shanks movably connected with one another in a scissor-like manner; a gripping mechanism operable for engaging said vascular clamp and being releasable from said vascular clamps, said gripping mechanism arranged at a distal end of said first and second shanks and having first and second gripping elements, said first and second gripping elements being U-shaped and parallel with respect to one another and separated from one another by distance substantially equal to said width of said coupling arrangement when said gripping elements are in a closed position; first and second handle parts arranged at a proximal end of said first and second shanks; a second locking mechanism arranged at said proximal end of said first and second shanks operable to fix said first and second handle parts in position relative to one another; and a guide element comprising a hollow cylinder connected at a first end to one of said first and second shanks at said distal end of said shank and at second end to said proximal end of said first or second shank, said guide element being fixed in position relative to said first or second shank to which said guide element is connected; an actuating mechanism, said actuating mechanism arranged for insertion through said guide element and further comprising: a guide rod; an actuator handle at a proximal end of said guide rod; a key at a distal end of said guide rod, said key being engagable and disengagable with said adjusting mechanism on said vascular clamp; wherein said operating mechanism, said vascular clamp, and said actuating mechanism are each disassembleable from each other and reassembleable with each other, including during operation on a patient.