Medical instrument for setting tissue clips

A proctological instrument comprising:

• an instrument handle to which at its proximal end a bending-resistant tubular shaft is mounted at the distal end of which a cap is fixed or formed to which a tissue clip adapted to be withdrawn from the cap by means of a releasing or withdrawing means is attached in a preferably spring-elastic manner, wherein the tubular shaft is offset at its distal end portion in an area directly ahead of the cap and/or the cap itself is offset at a predetermined fixed angle so that the withdrawing direction for the clip defined by the cap is aligned at the angle with respect to the tubular shaft axis, wherein the releasing or withdrawing means at least comprises a pulling/pushing element which extends along the tubular shaft within at least one function channel being fixed at the outer surface of the tubular shaft and which releasing or withdrawing means further has an operating lever which is provided at the instrument handle and which is coupled with the pulling/pushing element at the proximal end thereof, further wherein:
• the bending-resistant tubular shaft is pre-bent in an S-shape at its distal end portion,
• the pulling/pushing element is coupled at its distal end to a withdrawing ring which is shiftably supported on the outer surface of the cap,
• two function channels are provided being arranged diametrical to each other with respect to the tubular shaft at its outside surface, and
• the pulling/pushing element is formed as cables which are shiftably supported within the function channels to apply forces onto the withdrawing ring in an axially symmetrical manner.