# US 12,599,392 B2 · Medical instrument with consistent smoothness of action > Agents: this data is available as JSON from the patentgrep API and MCP server — see https://patentgrep.com/llms.txt - Number: US 12,599,392 B2 - Document ID: US12599392B2 - Status: Granted - Kind: B2 - Application number: 18/032,549 - Filed: 2021-10-18 - Published: 2023-11-30 - Granted: 2026-04-14 - Earliest claimed: 2020-10-19 - Assignees: Aesculap AG - Applicants: Aesculap AG - Inventors: Sven Barthelmes; Holger Loesdau; Christian Stark; Markus Knecht - Web page: https://patentgrep.com/patent/US12599392B2 ## CPC - A61B 17/2816: {Pivots} - A61B 2017/00477: {Coupling (A61B2017/0046 takes precedence)} - A61B 2090/0813: {Accessories designed for easy sterilising, i.e. re-usable} - A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D) ## Abstract A medical instrument includes a first instrument branch having a first bearing portion with a first support surface, and includes a second instrument branch having a second bearing portion with a second support surface. The first support surface bears flat against the second support surface such that the first support surface can pivot in a sliding fashion so that the first instrument branch is pivotable relative to the second instrument branch about a pivot axis. The first bearing portion and/or the second bearing portion has, in the region of the pivot axis, a shoulder portion or a shoulder element with an end face that includes the associated support surface. The shoulder portion or shoulder element is stepped outwardly relative to the associated bearing portion in the direction of the pivot axis so that the associated support surface is stepped outwardly relative to the associated bearing portion. ## Claims ### Claim 1 A medical instrument comprising: a first instrument branch comprising a first bearing portion with a first bearing surface, the first bearing surface consisting of a first planar surface; and a second instrument branch comprising a second bearing portion with a second bearing surface, the second bearing surface consisting of a second planar surface, the first bearing surface resting on the second bearing surface in a pivot-sliding manner, so that the first instrument branch is pivotable about a pivot axis relative to the second instrument branch, the first bearing surface and the second bearing surface forming an interface where the first bearing surface and the second bearing surface contact one another and slide along one another under a frictional resistance during sliding pivot movement of the first instrument branch relative to the second instrument branch, the first bearing portion comprising a first stepped portion that is surrounded by a first shoulder portion such that the first bearing surface projects from the first instrument branch, the first shoulder portion defining a rounded sidewall consisting of a continuously rounded surface devoid of inside corners or gaps, the interface consisting of a continuous planar area devoid of any void space between the first bearing surface and the second bearing surface, the continuous planar area having a fixed boundary and a fixed orientation relative to the pivot axis that remain constant during sliding pivot movement of the first instrument branch relative to the second instrument branch, and the first bearing portion comprising two circular pedestals facing away from each other on opposite sides of the first instrument branch, the two circular pedestals being coaxially arranged with respect to each other and comprising planar front faces that collectively define the first bearing surface. ### Claim 2 (depends on 1) The medical instrument according to claim 1, wherein the interface has a surface area that remains constant during sliding pivot movement of the first instrument branch relative to the second instrument branch, so that the frictional resistance remains constant throughout an entire range of sliding pivot movement of the first instrument branch relative to the second instrument branch, thereby maintaining a uniform smoothness of action during said entire range of sliding pivot movement. ### Claim 3 (depends on 1) The medical instrument according to claim 1, wherein the first bearing surface rests entirely on the second bearing surface and/or the second bearing surface rests entirely on the first bearing surface in each relative orientation. ### Claim 4 (depends on 1) The medical instrument according to claim 1, wherein the first stepped portion comprises a pedestal bounded by the rounded sidewall. ### Claim 5 (depends on 4) The medical instrument according to claim 4, wherein the pedestal is a cylindrical pedestal. ### Claim 6 (depends on 1) The medical instrument according to claim 1, wherein the first stepped portion is integrally formed on the first instrument branch. ### Claim 7 (depends on 1) The medical instrument according to claim 1, wherein the medical instrument has a push-through configuration in which the first bearing portion comprises a push-through part, and the second bearing portion comprises a push-through box having a passage opening, in which the first bearing portion engages through the passage opening and pivotably slides against the second bearing portion. ### Claim 8 (depends on 1) The medical instrument according to claim 1, wherein the medical instrument is a surgical clamp or surgical forceps. ### Claim 9 (depends on 1) The medical instrument according to claim 1, wherein the first bearing surface and/or the second bearing surface has a rounded edge around a circumference. ### Claim 10 (depends on 1) The medical instrument according to claim 1, wherein the first stepped portion comprises a height in a direction of the pivot axis of between 0.1 mm to 1 mm. ### Claim 11 (depends on 1) The medical instrument according to claim 1, wherein the first bearing portion and the second bearing portion define a gap having a height between 0.1 mm and 1 mm. ### Claim 12 (depends on 1) The medical instrument according to claim 1, wherein the first bearing surface and/or second bearing surface have an area of between 0.5 cm2 and 5 cm2. ### Claim 13 (depends on 1) The medical instrument according to claim 1, wherein a roughness Ra of the first bearing surface and/or of the second bearing surface is smaller than 1 μm. ### Claim 14 (depends on 1) The medical instrument according to claim 1, wherein the first bearing portion and first bearing surface are integrally formed with the first instrument branch in a homogeneous body of unitary construction. ### Claim 15 (depends on 1) The medical instrument according to claim 1, wherein: the first stepped portion comprises a base end and a bearing surface end, the first shoulder portion connects the base end to the bearing surface end, the base end has a first diameter, the bearing surface end has a second diameter less than the first diameter, and the first bearing surface extends on the bearing surface end. ### Claim 16 (depends on 15) The medical instrument according to claim 15, wherein the first stepped portion is frustoconical. ### Claim 17 (depends on 15) The medical instrument according to claim 15, wherein the rounded sidewall comprises a chamfer. ### Claim 18 A medical instrument comprising: a first instrument branch comprising a first bearing portion with a first bearing surface, the first bearing surface consisting of a first planar surface; and a second instrument branch comprising a second bearing portion with a second bearing surface, the second bearing surface consisting of a second planar surface, the first bearing surface resting on the second bearing surface in a pivot-sliding manner, so that the first instrument branch is pivotable about a pivot axis relative to the second instrument branch, the first bearing surface and the second bearing surface forming an interface where the first bearing surface and the second bearing surface contact one another and slide along one another under a frictional resistance during sliding pivot movement of the first instrument branch relative to the second instrument branch, the first bearing portion comprising a first stepped portion that is surrounded by a first shoulder portion such that the first bearing surface projects from the first instrument branch, the first shoulder portion defining a rounded sidewall consisting of a continuously rounded surface devoid of inside corners or gaps, and the interface consisting of a continuous planar area devoid of any void space between the first bearing surface and the second bearing surface, the continuous planar area having a fixed boundary and a fixed orientation relative to the pivot axis that remain constant during sliding pivot movement of the first instrument branch relative to the second instrument branch, wherein the first bearing surface consists of a first circle having a first diameter and the second bearing surface consists of a second circle having a second diameter, the first diameter being equal to the second diameter. ### Claim 19 (depends on 18) The medical instrument according to claim 18, wherein the first circle and the second circle are concentric.