The invention relates to a tubular medical instrument having a hollow shaft, a handle equipped with at least two gripping members and positioned on the proximal end of the shaft, and at least one push-pull rod that is mounted in the hollow shaft and has a tool consisting of at least two jaw members. For opening and closing at least one jaw member of the tool, said push-pull rod can be coupled with at last one rotatable gripping member of the handle, and the hollow shaft and handle can be releasably connected to one another by means of a coupling mechanism. To create a coupling mechanism that is simple to operate, it is proposed with the invention that the coupling mechanism should be configured as a combined clamping and snap-on device.
