The invention relates to a tubular medical instrument having a hollow shaft, a handle positioned on the proximal end of the shaft and equipped with at least two gripping members, and at least one push-pull rod that is positioned in the hollow shaft and has on its distal end a tool consisting of at least two jaw members, wherein for opening and closing at least one jaw member of the tool, the push-pull rod can be coupled with at least one rotatable gripping member of the handle and wherein the push-pull rod and the handle can be detachably connected to one another by a coupling mechanism that is configured as at least one clamping device comprising at least one clamping claw characterized in that the at least one clamping claw can rotate in a guide track mounted between a closed position and an open installation position. To create a coupling mechanism that is easy to handle, it is proposed according to the invention that the at least one clamping claw is mounted in a guide track so that it can rotate between a closed clamping position and an open installation position.
