A medical device, and a ratchet for a medical device, include a torque-guiding element and a torque discharging element, between which a switchable toothed unit is arranged so that, in accordance with a switching position of the toothed unit, torque from the torque-guiding element is transferred to the torque discharging element, said toothed unit includes two torque transfer sleeves arranged in a nested manner and which are arranged and produced such that both can be brought into torque-transmitting contact with an intermediate sleeve.
