The present invention relates generally to the field of medicine, in particular diagnostics and surgery. By applying endoscopy in the diagnostics and surgery sector, surgical instruments, apparatus or processes are used for examining the interior of living organisms and/or for operative interventions. As such, said invention relates to a medical instrument, in particular a surgical instrument, for use in the endoscopy, comprising a tubular element, work element and an operating element. The operating element advantageously consists of an ergonomic axial grip with an integrated locking mechanism and an instrument shaft cleaning connection.