A medical instrument with a shank consisting of pivotable jaw parts and a handle, the two jaw parts of the tool are pivotable relative to each other independently via the handle and each of the pivotable jaw parts is actuated via a separate drive. One drive is designed as a grip part mounted pivotably on the handle and is connected to one jaw part via a first push/pull element mounted in an axially displaceable manner in the shank, and the other drive is an adjusting wheel rotatable about a longitudinal axis of the shank and is connected to the other jaw part of the tool via a second push/pull element mounted in an axially displaceable manner in the shank. The push/pull element is designed as a push/pull rod, and the push/pull element which is coupled to the adjusting wheel is designed as a push/pull tube coaxially surrounding the push/pull rod.
