The invention relates to a support arm articulation device (50) for movably holding a medical device, comprising a first and a second fastening element (52, 54), which are connected to each other in a pivotable way by means of a spring arm (56), wherein the spring arm (56) comprises a supporting arm (58) and a lever arm (60), which are mounted in a pivotable way on the first fastening element (52) with an associated supporting arm pivot axis (64) and lever arm pivot axis (66), wherein the two pivot axes (64, 66) are spaced apart from one another, wherein the supporting arm (58) is mounted on the second fastening element (44) in a pivotable way, and the lever arm (60) is mounted on the supporting arm (58) by means of a spring device (78) such that a weight of the held medical device is supported in different pivot positions, wherein the spring device (78) comprises an adjustment device, by means of which a position of the mounting (68, 70) of the lever arm (60) on the supporting arm (58) is adjustable along a longitudinal extension of the supporting arm (58). Further, the invention relates to a support arm system and a method for operating a support arm articulation device.