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Vsesojuzny Nauchno-issledovatelsky I Ispytatelny Institut Meditsinskoi

Vesesojuzny Nauchnoissledovatelsky I Ispytatelny Institut

Vsesojozny Naucho-issledovatelsky I Ispytatelny Institut Meditsinskoi

Institut Blagoveschensky Gosudarstvenny Meditsinsky

Blagoveschensky Gosudarstuvenny Meditsinsky Institut

Boris A Smirnov

Vladimir M Fedotov

Ivan A Korolkov

Rustam I Utyamyshev

Tatyana L Ivanova

Nikolai N Kanshin

Nikolai N Kapitanov

Yaroslav P Kulik

Ivan I Shmyrin

Iosif L Lipovsky

Marina N Vyrzhikovskaya

Valery P Busygin

Vyacheslav N Mochalov

Anatoly B Davydov

Sergei I Belykh

Vladimir P Kharchenko

Boris N Malyshev

Anatoly D Moschensky

Vladimir V Ippolitov

Alexei Alexeevich Strekopytov

Gely G Pershin

Igor A Guskov

Viktor A Saljuk

Evgeny I Brekhov

Viktor S Saveliev

Arnold Aramovich Adamian

Evgeny G Yablokov

Natalya P Petrova

Alexandr Alexandrovich Vishnevsky

Georgy V Astafiev

Anatoly Ivanovich Lokalov

Viktor V Tishin

Genrikh I Lukomsky

Galina Vladimirovna Mitkova

Nadezhda M Lankina

Valery V Revo

Vsevolod V Judenich

Evgeny V Kolesov

Sergei N Lapchenko

Igor S Karapetian

Mikhail V Gromov

Viktor P Bashilov

Oleg X Skobelkin

Zaribbai Yangibaev

Mikhail V Danilov

Rashid Mustafievich Mukhamedyarov

Alexei I Semenov

Lidia S Komina

Stanislav Vasilievich Sery

Evgeny A Gruzdev

Tatyana Dmitrievna Titkova

Lev V Shagalov

The surgical instrument for applying linear staple sutures comprises a supporting body with a supporting jaw having staple bending depressions. The staple body of the instrument is traversable inside the U-shaped supporting body from its own drive. The staple magazine is accommodated in the staple body and has a longitudinal recess with an open end to receive U-shaped staples adapted to be expelled from said magazine slots by means of an ejector. Part of the supporting jaw which carries the staple bending depressions is made detachable and has a groove. The supporting body has an opening arranged symmetrically to the longitudinal recess with an open end, both said opening and said longitudinal recess establishing in combination the gap for passing the knife blade traversable along the groove to sever the tissue between the sutures applied.

Surgical instrument for applying linear staple sutures and intersecting

A surgical wound retractor including two diverging branches made up of a stationary part and a movable working part hinged thereto. The working parts of both branches have one common guide which embraces them and is rigidly secured on central rods installed on the stationary parts of the branches, while a movable rod disposed between the stationary parts of the branches has one end connected to the diverging device and the other end to the drive of the diverging device.

Surgical wound retractor

A holder of a valve prosthesis implantable in a patient's circulatory system, including arms which have handles at one of their ends, and three or more working jaws provided at the end thereof for a valve prosthesis to secure thereon. The ends of all the working jaws form a circle when brought apart.

Prosthetic valve holder

The disclosure is made of a surgical instrument comprising a suturing device having a supporting body and a staple body with an ejector for ejecting staples therefrom for suturing, the bodies being coupled together by means of a pivot device adjacent one end, and a retainer is provided at the other end thereof for locking a relative position of the bodies. A cutting device is provided for cutting tissues. The pivot device is coupled to one of the bodies by means of a mechanism for moving the body in the plane thereof in parallel with itself with respect to the pivot device. The retainer is of a length which is adjustable in accordance with the amount of movement of one of the bodies.

Surgical instrument for resection of hollow organs

A compression anastomoses device has a first bush coaxially arranged with a second bush. The first bush has a flange at one end and a collet at the other end. The second bush is adapted to slide over the surface of the first bush and provided with a movable spring-actuated ring. The second bush is covered from outside by an elastic sheathing that passes into a two-lumen tube, one of the tube lumens communicating with the interior of the elastic sheathing, while the other lumen opens outwards immediately above the sheathing.

Device for establishing compression anastomoses

An instrument comprising a tubular staple case is disclosed, the case being traversed by a supporting rod extending outwardly therefrom with its front end. The tubular case is used to mount a plunger with a knife arranged on the rod. An abutment head mounted on the front end of the rod is made generally longitudinally detachable consisting of two members, an internal member detachably mounted on the front end of the rod and an external member encompassing the internal member and made up of interdetachable rests. Moreover, provision is made for a staple magazine and a female die with grooves for bending staples as well as a drive imparting motion to the plunger and a mechanism for adjusting the gap between an end of the case and an end of the head.

Surgical suturing instrument for performing anastomoses between

A device for uniting bone fragments comprises a rectilinear body and a contrivance for fixing it in the coapted bone fragments. The contrivance for fixing the body in the coapted bone fragments is formed by thrust members being the portions of the body located at the opposite ends thereof and having holes coaxial with the body; the holes being shaped as frustums of cones facing with their greater bases the ends of the body, and having annular grooves in the wall thereof, and cone-shaped inserts with annular ridges adapted to be introduced into the conical holes for wedging apart the body. The body has longitudinal through slots within the zones of the holes. The length of the device is less than the total length of the coapted bone fragments so as to be located fully within the bone tissues.

Device for uniting bone fragments

The staple has two legs interconnected through a web. Each of the legs carries a rod having a pointed bottom end and a head. The head has a slot for the web to pass. A through hole or passage is made in the rod, which is open at the slot in the head and at the side rod surface. The rigidity of the leg decreases from the zone of interconnection with the web towards the leg end. A method of and forceps for removal of such a surgical staple are also disclosed.

Surgical staple, a method of and forceps for its removal

Described herein is an instrument, comprising a staple body and a supporting body hingedly connected thereto, both having longitudinal jaws. The staple body has staple magazines and a staple ejector. The supporting body has a die for bending the staples when suturing. A recess is provided at the base of one of the jaws on the side facing the hinge joint interconnecting the instrument bodies, the recess defining a free space between the jaws when they are brought together. The jaws are adapted to have springy elastic spacers mounted and held thereon with a possibility of subsequent releasing therefrom, said spacers being arranged on the side facing the inner compressing surfaces of the jaws so as to be stitched up together with the organs being sutured. The instrument disclosed in the present invention is successfully applied for establishing lateral anastomoses and interintestinal compression anastomoses, as well as for stitching up the mesentery.

Surgical instrument for staple suturing of hollow organs

Described herein is a surgical instrument for suturing cutaneous tissue, especially scar tissue, when stitching on skin grafts, said instrument comprising a supporting body and a staple body which are hinged to each other so as to be capable of being brought together or apart. A staple magazine is provided on the staple body of the instrument, and an ejector is provided for driving the staples from the staple body into the stitching unit. The stitching unit incorporates a single needle-shaped die with an L-shaped needle, said needle being mounted on the supporting body, and a slot formed at the end of the staple body through which the die needle passes when suturing. The needle-shaped die has two recesses, one of which communicates with the magazine through the groove provided in the supporting body, while the other of which, upon bringing the instrument bodies together, is located against a special groove in the staple body, communicating with the staple magazine and with the base of the slot.

Surgical instrument for suturing cutaneous tissue

The instrument has a separable body composed of two oblong interlinked members, each of them carrying at one of its vacant ends a detachable split bush adapted for the element being sutured to pass through the interior thereof and arranged across the longitudinal axis of the respective instrument body member. The bushes have flanges on the ends facing each other, each of the flanges having an open annular slot in the surfaces facing each other, and an opening made in the lateral face of the flange, the opening being communicated with the slot and with the tube that freely runs throughout the overall length of the instrument body and extends from it outwards so as to be connected to the vacuum device. The slots and openings in the bushes establish, along with the tubes, a system of air evacuation from the suturing zone, which is discarded along with the bush after the suturing procedure. One of the bushes has passages for the staples, while the other bush, a die for the staples to bend. A staple feeding mechanism is also provided.

Instrument for establishing vascular anastomoses

Disclosure is made of a surgical instrument, comprising a supporting body with a replaceable die, a magazine with staples, a carriage-holder, a staple ejector, a carriage-holder mechanical actuator, and a staple ejector mechanical actuator. The replaceable die is provided with a shaped guide plate corresponding to each of the suture types. The end surface of the magazine and of the staple ejector are also shaped so as to suit the type of suture being applied and to conform to the shape of a respective die.

Surgical suturing instrument for application of a staple suture

Described herein is an instrument, having detachably hinged together supporting and staple bodies provided with parallel-arranged jaws, of which one jaw is adapted for carrying staple magazines, while the other, for accommodating therein a slidable member provided with recesses for bending staples. The slidable member is adjustably traversable towards the staple body and can be locked in a preset position. A device is provided for imparting the above motions to the slidable member.

Surgical instrument for staple suturing of organs

The device for administering medicinal preparations comprises an isolated capsule subdivided into a chamber for a first medicinal preparation and a chamber for a second medicinal preparation. Coaxially inside said isolated capsule concentrically therewith is the piston which bounds said chamber for the first medicinal preparation. Made fast on said piston is the injection needle having the hole located at the base of said piston. Provision is made in the device for a mechanical actuator of said piston, which is a spring-opposed pushrod located inside the housing which also accommodates the retaining member for said spring-opposed pushrod. Said chamber for the second medicinal preparation is arranged concentrically with said chamber for the first medicinal preparation so as to embrace the latter. Said isolated capsule is mounted traversably inside said housing, while communication between both of said chambers is established upon a positive extension of said isolated capsule from said housing outwards.

Device for administering medicinal preparations

The device for injection of medicinal preparations, according to the invention, comprises a changeable isolated capsule, an injection needle, and a drive to move pistons, made in the form of a spring-loaded pusher located inside the housing which supports the changeable isolated capsule. The housing has a stopping member to arrest said spring-loaded pusher. Inside said isolated capsule, installed coaxially therewith and with each other are a main piston closed by a partition on the side facing the chamber holding the first medicinal preparation and an additional piston. The partition is movable. The injection needle is installed inside the isolated capsule, fixed on the additional piston, and it in use passes through said partition, and has an aperture in the zone of the partition on the side of the chamber holding the first medicinal preparation. The additional piston is located in the channel of the main piston and limits the chamber for the second medicinal preparation. The drive of the pistons has an additional spring-loaded pusher interacting with the additional piston and is located coaxially with the spring-loaded pusher. The housing of the drive of the pistons has an additional stopping member for the additional spring-loaded pusher.

Device for injection of medicinal preparations

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Moscow, Russia

Boris A Smirnov