Surgery (A61B17)

A   Human necessities(312083)
A61B17                 Surgery(21508)
A61B17/068 - Internal fixation devices(111)
A61B17/072 - Intramedullary devices(122)
A61B17/076 - Fixed by screws(1)
A61B17/08 - Wound clamps(29)
A61B17/115 - (60)
A61B17/122 - (117)
A61B17/125 - (7)
A61B17/128 - (27)
A61B17/132 - (24)
A61B17/135 - (9)
A61B17/15 - Guides therefor(20)
A61B17/17 - Guides for drills(48)
A61B17/225 - (64)
A61B17/322 - (335)
A61B17/326 - (10)
A61B17/34 - Trocars; puncturing needles(419)
A61B17/36 - (189)
A61B17/39 - (12)
A61B17/425 - (5)
A61B17/43 - For artificial insemination(11)
A61B17/435 - (10)
A61B17/44 - Obstetrical forceps(19)
A61B17/46 - Embryotomes(8)
A61B17/48 - Bags for midwives(1)
A61B17/52 - agnets(27)
A61B17/54 - Chiropodists' instruments(3)
A61B17/68 - Internal fixation devices(154)
A61B17/72 - Intramedullary devices(103)
A61B17/76 - Fixed by screws(21)
A61B17/80 - Cortical plates(145)
A61B17/82 - For bone cerclage(5)
A61B17/84 - Fasteners therefor(3)
A61B17/86 - Pins or screws(18)
A61B17/90 - Guides therefor(41)

Device for single-moment bloodless adenomectomy // 2642741
FIELD: medicine.SUBSTANCE: device contains a tubular drill that is connected by its rear end to an electric drill and is an electro coagulator. Tissues cut with a drill with coagulated masses are sucked through the tube lumen and are delivered through the tap into a reticulated basket with volumetric divisions in the vacuum cylinder, where the completeness of adenomal tissues removal is determined by comparison with the preoperative volume of the adenoma.EFFECT: minimal damage to the anatomical structures and tissues of the area.1 dwg

Combined extractor for damaged bone screws // 2642382
FIELD: medicine.SUBSTANCE: combined extractor contains handle to create the torque, rod adapter and the working head in the form of a cup with opened outwards conical cavity, surface which is equipped with helical ribs with a conic cross-sectional shape, forming the inner long-pitch multiple thread, that are placed axisymmetricly and are consistently interconnected. Radial grooves are made in the head from the side of conical cavities on the same angular distances from each other and from the helical projections, in which figured plate are installed with the ability to move axially, placed in the radial grooves at the end of cylindrical rod that is placed in central holes of the working head and tubular adaptor attached with the other end using elastic corrugated cylinder (bellows) to the handle and being the anchor of electromagnet (solenoid) of AC, stator of which is attached flange of tubular adaptor and contains radial cylindrical dowels, forming a bayonet connection with figured cuts in the cylindrical handle collar, covering on the outside generatrix the stator of electromagnet. Sides of figured plates, turned inside of conical cavity of working head, has angle of slope equal to the angle of slope of conical surface cavity, and equipped with cutting elements in form of teeth, similar to teeth of outer one-row spline broach, cross-sectional shape of which conforms to the cross-section shape of helical ribs.EFFECT: reduced duration of surgery, avoidance of need to create large axial effort and moments needed for helical ribs cut in screws material with the aim of creating the indentations of required sizes, allowing to transmit torque to turn damaged screws without cutting used ribs.10 dwg

Curved terminal working body for stapler // 2642325
FIELD: medicine.SUBSTANCE: group of inventions includes a staple cartridge and an end working body of the surgical stapler, relates to the field of medical machinery and is intended for use in surgery. The staple cartridge includes a casing containing a plate, a plurality of first and second cavities for staples, a plurality of drive devices, a warped longitudinal passage and a compressible tissue thickness compensator. The plurality of first cavities for staples is arranged along the first curve. The said first curve is defined by the first radius of curvature, and each said first staple cavity comprises an opening in the said plate. The plurality of second cavities for staples is arranged along the second curve. The said second curve is defined by the second radius of curvature. This first radius of curvature is different from the second radius of curvature. Each said second staple cavity comprises an opening in the said plate. The plurality of staple drive devices is arranged within the said first staple cavities and the said second staple cavities. Each staple drive device is arranged to move between an inoperative position and an actuation position. The warped longitudinal passage is designed to accommodate the drive device for staple drive devices lifting between these inoperative position and actuation positions. The plurality of staples is arranged in the plurality of first staple cavities and in the plurality of second staple cavities where the staples are supported by staple drive devices. Each staple comprises a base and at least one leg protruding from the base. The staple legs are configured so that they protrude beyond the plate when the staple rive devices are in the inoperative position. The compressible tissue thickness compensator is located above the said plate, and the staple legs extend into the tissue thickness compensator.EFFECT: inventions allow to expand the arsenal of technical means for this purpose.14 cl, 408 dwg

Heat exchange in fluid degasing // 2642286
FIELD: technological processes.SUBSTANCE: device contains a degassing chamber, which has an inlet and outlet, connected with a circulation loop in a built-in manner. The degasing chamber is kept under vacuum to remove gas and water vapour from the circulating fluid. The degasing chamber additionally has an opening and is configured so that the condensed vapors are discharged from the degasing chamber through the opening by gravity. The device contains a water separator in communication with the opening of the degasing chamber. The device includes an intercooler connected between the opening of the degasing chamber and the water separator. The intercooler comprises of a heat exchanger, configured to condense the removed water vapour into the storage liquid in the water separator. The degasing chamber is maintained under vacuum by a vacuum pump connected to the water separator.EFFECT: minimization of unnecessary burns, overheating of the patient's skin, while keeping the permissible level of dissolved gases at the same time.15 cl, 1 dwg

Bleeding arresting tourniquet // 2642271
FIELD: medicine.SUBSTANCE: bleeding arresting tourniquet contains an elastic tourniquet band and a closing device of the initial and terminal sections of the elastic tourniquet band at the tourniquet location. The closing device is in the form of a plate with at least two transversal slots arranged along its longitudinal sides that are open on one of its longitudinal sides. The slot width is 0.75-0.8 times the thickness of the tourniquet band, and the slot length is equal to the width of the tourniquet band. The transverse slot on one side of the plate is designed to accommodate the initial part of the elastic tourniquet band and the transverse slot on the other side of the plate is designed to accommodate the terminal section of the elastic tourniquet band.EFFECT: increased tourniquet functionality due to the convenience of its application and secure fixation at the site of application, the use of a tourniquet band with a constant minimum length for all typical sizes of the upper and lower limbs.3 cl, 3 dwg

ulti-axial pivot and rotary surgical instruments // 2642268
FIELD: medicine.SUBSTANCE: surgical instrument comprises an end effector, a rod assembly proximally connected to the end effector and at least one active electrode. The end effector contains the first jaw element; the second jaw element; and a closing mechanism configured to move the first jaw element with respect to the second jaw element between an open position and a closed position. The rod assembly contains a pivot joint made with a possibility of independent swivel rotation of the end effector vertically and horizontally, and a rotary head joint, distal to the pivot joint. The rotary head joint is made with a possibility of independent rotation of the end effector. At least one active electrode is located on at least one of the first jaw element and the second jaw element. At least one active electrode is configured to supply RF energy to the tissue located between the first jaw element and the second jaw element in the closed position.EFFECT: invention allows the surgeon to rotate the end effector without turning the rod assembly.9 cl, 168 dwg

Surgical device with robotic drive and manually activated reversing system // 2641977
FIELD: medicine.SUBSTANCE: surgical instrument for use with a robotic system including a tool drive assembly operatively connected to a robotic system control unit controlled by the operator's input commands and configured to robotically generate output motions, the surgical instrument comprising a drive system, a drive shaft assembly and a manually activated control system. The drive system is configured to interact with the corresponding part of the robot system drive tool assembly to receive robotically generated output motions from it. The drive shaft assembly interacts functionally with the drive system and is configured to receive robotically generated output motions from the drive system and communicate control movement to the surgical end effector interacting functionally with the drive shaft assembly. The manually activated control system interacts functionally with the drive shaft assembly to selectively disengage the drive system from the drive shaft assembly and to communicate the rotary manually-generated control movements to the drive shaft assembly. In the second embodiment, the aforementioned surgical instrument comprises a surgical end effector, an elongated rod assembly, an instrument mounting portion and a manually activated reversing system. The surgical end effector comprises at least one component part configured to selectively move between the first and second positions with respect to at least one of the other component parts thereof in response to the communicated control movement of the component being selectively movable. The elongated rod assembly is operatively connected to the surgical end effector. The elongated rod assembly comprises at least one portion driven by gears that is in functional communication with at least one component part of the surgical end effector configured to selectively move. The instrument mounting portion is functionally connected to the elongated rod assembly. The instrument mounting portion is configured to functionally interact with the drive assembly when connected to it. The instrument mounting portion contains a driven element and a drive system. The driven element is rotatably supported on the instrument mounting portion and is operatively engaged with a respective one of the at least one pivotable body portion of the instrument drive assembly to receive the corresponding rotatary output movements therefrom. The drive system is functionally engaged with at least one part driven by gears to communicate the robotically generated starting motions thereto, whereby the corresponding one of at least one part driven by gears communicates at least one control movement to the component, made with a possibility of selective movement. A manually activated reversing system is functionally associated with the elongated rod assembly for selective disengagement of the drive system from at least one part driven by gears and for communication of the manually generated rotary control movements of this at least one part driven by gears. In the third embodiment, the above surgical instrument comprises a rotary drive system, a rotary drive shaft assembly, and a manually activated reversing system. The rotary drive system is configured to interact with the corresponding part of the robot system drive tool assembly to receive robotically generated rotary output motions from it. The rotary drive shaft assembly interacts functionally with the rotary drive system and is configured to receive robotically generated rotary output motions from the rotary drive system and communicate rotary drive movement to the surgical end effector interacting functionally with the rotary drive shaft assembly. The manually activated reversing system interacts functionally with the rotary drive shaft assembly to selectively disengage the drive system from the rotary drive shaft assembly and to communicate manually generated rotary drive movements to the rotary drive shaft assembly.EFFECT: application of the group of inventions will allow to develop a range of efforts necessary for efficient cutting and suturing of the tissue.20 cl, 178 dwg

ethod for treatment of keller disease 2 // 2641888
FIELD: medicine.SUBSTANCE: osteochondral fragments in the joint and outside it is exenterated. Punctate lytic lesions of epiphyseal cartilage are resected. The remainder of head of metatarsal is wrapped by a grant from the deep fascia of thigh.EFFECT: method helps to load the foot, to stop the progress of destructive process for 3 months.1 ex, 1 dwg
ethod for anesthesia in surgical treatment of varicosis // 2641860
FIELD: medicine.SUBSTANCE: conductor anesthesia and tumescent anesthesia are performed. With this, an echocontrolled conductive anesthesia of the femoral and / or sciatic nerves is performed. At femoral nerve anesthesia a puncture is performed in the place of nerve visualization, 0.5-1 cm above the inguinal fold, and for the sciatic nerve - at the point of tibial and peroneal nerves division. The dose of lidocaine in the blockade is 40, 200, 400 mg per blockade, depending on the individual characteristics of the patient and the volume of the operation. After echo-controlled conductive anesthesia, tumescent anesthesia is performed in the fascial case of the large or small saphenous vein in the miniplebectomy zone using an automatic pump. If it is necessary to intervene on the trophic ulcer, an application of cream with local anesthetics is performed 2 hours prior to the surgery on its surface.EFFECT: method allows to increase the effectiveness of anesthesia, avoiding the potential risks of regional anesthesia and can be performed on an outpatient basis.2 cl, 3 ex

System for bone fixation // 2641859
FIELD: medicine.SUBSTANCE: bone fixation system of the first embodiment comprises a bone implant and at least one bone fixation element. The bone implant is extended in the longitudinal direction. The bone implant contains an implant hull, which is formed by the upper surface and the surface facing bone, which is distant from the upper surface in the transverse direction perpendicular to the longitudinal direction, and at least one hole that goes through the implant in the transverse direction. The said at least one hole is formed by an inner wall. The inner wall is formed by the first and second wire portion, and a portion of the inner wall is bent in the transverse direction to create an outer surface having a convex shape. The inner wall comprises the first threaded portion on the outer surface having a convex shape. The bone fixation element is configured to at least partially insert into the underlying bone through at least one hole. The bone fixation element forms a proximal end and a distal end remote from the proximal end along the central axis in the distal direction. The bone fixation element forms a head located at the proximal end and a stem extending from the head towards the distal end. The head forms the first rib, the second rib that is distant from the first rib in the distal direction, and the groove without thread located between the first and second ribs. The groove is recessed into the head in the direction of the central axis between the first and second ribs. The groove is configured to hold at least a portion of the inner wall so that the first and second ribs connect the bone fixation element and the bone implant. The first edge is convex relative to the central axis and has the vertex of the first edge. The second rib is convex relative to the central axis and has an outer surface of the second rib comprising the second threaded portion that is threadably engaged with the first threaded portion. The bone fixation element is made with a possibility of insertion into the mentioned at least one hole so that the second threaded portion is disengaged from the first threaded portion and is remote in the distal direction. The first threaded portion is adjacent to the groove and is distally remote from the first rib vertex. The bone fixation element for bone implant connection to the bone forms a proximal end and a distal end remote from the proximal end along the central axis in the distal direction. The bone fixation element comprises a bone fixation element hull having a head located at the proximal end and a stem extending from the head towards the distal end. The head forms the first rib, the second rib that is distant from the first rib in the distal direction, and the groove located between the first and second ribs. The groove is recessed into the head in the direction of the central axis between the first and second ribs. The groove has a transverse length and has no thread along the length, and is performed with a possibility of retaining at least part of the bone implant to attach the bone fixation element to the bone implant. The first edge is convex relative to the central axis and has the vertex of the first edge. The first rib has no thread. The second rib is convex relative to the central axis and has an outer surface of the second rib comprising a threaded portion of the second rib. The bone fixation system of the second embodiment comprises a bone implant and a plurality of bone fixation elements. The bone implant defines the first end and the second end spaced from the first end in the longitudinal direction. The bone implant comprises an implant hull that defines an upper surface and a surface facing the bone that is remote from the upper surface in the transverse direction that is perpendicular to the longitudinal direction. The bone implant comprises the first and the second wire portion. Each of the first and second wire portions is bent longitudinally and has an inner wall. The inner wall of the first and second wire portions forms a plurality of holes, each extending through the implant hull. A part of the inner wall of each of the first and second wire portions that specify each of the plurality of holes, is curved in the transverse direction to form a convex outer surface, with the first threaded portion, extending in the transverse direction. The bone fixation element is configured to at least partially insert into the underlying bone through one hole. Each bone fixation element forms a proximal end and a distal end remote from the proximal end along the central axis in the distal direction. Each bone fixation element forms a bone fixation hull with a head located at the proximal end and a stem extending from the head towards the distal end. The head forms the first rib and the second rib that is distant from the first rib in the distal direction, and the groove without thread located between the first and second ribs. The groove is recessed into the head in the direction of the central axis between the first and second ribs. The groove is configured to receive at least a portion of the inner wall to secure the bone fixation element to the bone implant. The first rib of each bone fixation element is convex relative to the central axis and has the vertex of the first rib. The second rib of each bone fixation element is convex relative to the central axis and has an outer surface of the second rib comprising the second threaded portion that is threadably engaged with the first threaded portion. The bone fixation element is made with a possibility of insertion into at least one hole so that the second threaded portion is disengaged from the first threaded portion and is remote in the distal direction. The first threaded portion is adjacent to the threadless groove and is distally remote from the first rib vertex.EFFECT: bone implant retaining in the desired position in a specific area of the tissue.21 cl, 9 dwg

Bone implant // 2641858
FIELD: medicine.SUBSTANCE: first version of the bone implant, extended along the longitudinal axis contains the implant body, including the first and second lateral wire segments, which are separated from each other to form at least two holes through the implant body. Each of the two holes is adapted to receive a bone fixation member so as to attach the bone implant to the bone. The first and second lateral wire segments are interconnected at least at one end of each of at least two holes. The first and second lateral wire segments form a neck at one end of each of at least two holes. The first and second lateral wire segments are connected to each other at the neck. The second version of the bone implant, extended along the longitudinal axis, contains the implant body, including the first and second lateral wire segments that form the respective first and second lateral walls, separated from each other to form the first and the second holes, each made with a possibility to receive a bone fixation element to attach the bone implant to the bone. The first and second lateral walls extend continuously from the first end of the first hole to the second end of the second hole. The first and second holes are located between the first and second ends. The first and second lateral wire segments form the first neck at one end of the first hole and the second neck at one end of the second hole. The first and second lateral wire segments are connected to each other at the first and second necks. The bone implant system of the first version comprises a bone implant with one or more bone fixation elements. The bone implant, extended along the longitudinal axis contains the implant body, including the first and second lateral wire segments, which are separated from each other to form at least two holes through the implant body. The first and second lateral wire segments are interconnected at least at one end of each of at least two holes. The first and second lateral wire segments form a neck at one end of each of at least two holes. The first and second lateral wire segments are connected to each other at the neck. The bone fixation elements are configured to pass through at least two holes into the bone so as to attach the bone implant to the bone. The bone implant system of the second version comprises a bone implant extended along the longitudinal axis and a bone fixation element. The bone implant contains the implant body, including the first and second lateral wire segments that form the respective first and second lateral walls, separated from each other to form the first and the second holes, each made with a possibility to receive a bone fixation element to attach the bone implant to the bone. The first and second lateral walls extend continuously from the first end of the first hole to the second end of the second hole. The first and second holes are located between the first and second ends. The first and second lateral wire segments form the first neck at one end of the first hole and the second neck at one end of the second hole. The first and second lateral wire segments are connected to each other at the first and second necks. The bone fixation member is configured to pass through at least one of the first or second holes into the bone so as to attach the bone implant to the bone.EFFECT: possibility to significantly simplify the manufacturing process and reduce the amount of material waste left in the manufacture of bone implants that comply with the principles of joint ventures.23 cl, 14 dwg

Device for placement of implant for tissue recovery, kit containing such device and method for tissue recovery // 2641857
FIELD: medicine.SUBSTANCE: group of inventions refers to an accessory device for placement of an implant for tissue recovery, a kit containing such a device, and a method for tissue defect correction in the body wall using the specified device. Device for placement of an implant for tissue restoration contains a flexible flat element and many guiding structures providing channels for reception of at least a part of the distal plot of the surgical stapler. The flat element has an upper surface, a lower surface and an outer periphery and is designed with an ability to move between the first initial position and the second placement position. A plurality of guiding structures is disposed on at least a portion of at least one surface of the flat element extending radially outwards. The kit for tissue restoration implant placement comprises a reticular tissue recovery device and the above placement device. The reticular device comprises the first layer of a surgical mesh base having an upper surface, a bottom surface, and an outer periphery; the second mesh layer mounted on the base layer and attached to the base layer along the base layer periphery. The second layer has an upper surface and a lower surface. Between the upper surface of the base layer and the lower surface of the second layer, a recess is formed; and an opening in the second layer providing access to the recess. At that, the placement device is at least partially inside the recess. The method for fixing of a body wall tissue defect includes the following stages: A. provision of the above reticular recovery device; B. provision of the above device for tissue recovery implant placement; C. transition of the placement device flat element from the first initial position to the second placement position; D. flat element introduction into the reticular recovery device recess; E. movement of the flat element and reticular recovery device into the body cavity adjacent to the tissue defect in the body wall, while the flat device is moved to its initial position; F. transition of the reticular recovery device to a position suitable for tissue defect recovery; G. introduction of the distal end of the surgical stapler into the mesh recess, while the guiding structures direct the distal end of the device to the reticular recovery device periphery, and surgical fixing element installation through the second layer of the mesh in the adjacent tissue of the body wall; and H. placement device removal from the reticular recovery device.EFFECT: auxiliary device can be combined with a surgical implant for tissue recovery so that the device transits the implant for tissue recovery into a flat configuration for optimal surgical fixation, but can be removed after such fixation, it also has elements that allow the surgeon to guide the end of the fixing tool with a view to proper fasteners location along the device periphery.15 cl, 18 dwg

Tissue thickness compensator and method for its manufacture // 2641853
FIELD: medicine.SUBSTANCE: compensator comprises a tube, the first and the second end of which are hermetically sealed, a spun thread located inside the tube opening and a fastening portion adapted to be attached to the stop member. The method for tissue thickness compensator manufacture comprises: extrusion of a tube with open ends; obtaining of a thread of fibrous material having the properties of a drug; thread placement relative to the first open end of the hole; gripping jaw insertion into the hole through the second open end; thread gripping by the gripping jaw; thread pulling through the hole; thread release and gripping jaw withdrawal from the hole through the second open end.EFFECT: possibility of attachment to the stop member of a stapler with a forming surface.20 cl, 258 dwg

inimally invisible technique vagina opening plasty and anus reinforcement // 2641852
FIELD: medicine.SUBSTANCE: at least one jagged cylindrical suture thread is used, jags are divided into two groups relative to the median point of suture material that converge or deviate from each other, with sharp ends inclined respectively in the direction specified by the median point or in the direction of the respective ends to prevent thread traction, with each end of the suture thread specified equipped with a needle. During operation, a skin perforator is used to make cuts or holes in the working layer of female perineum, with at least one incisions cut located on the median suture of the perineum, and the other - on the superficial transverse muscle from the right or left side. Next, the specified at least one jagged suture thread is introduced through introduction of two needles at its ends, at different times, into the same initial hole with subsequent withdrawal from the same exit hole, thereby completing a thread motion path in different, superficial and deep, anatomical segments of the female perineum. During promotion, grooves or jags of the suture thread cross the soft tissue, cavernous bodies and muscle bundles of various vaginal, vulvar and perineal layers providing their connection and a support for them in the selected direction depending on the anatomical situation found in the vaginal, perineal and vulvar anatomical areas subject to connection. The two ends of at least one thread are tied together after it exits the same exit hole, then the loop is closed with a simple straight, reverse suture thread knot or multiple knots. The self-fixing cylindrical suture thread for surgical method implementation, with converging jags distributed spirally along the suture thread surface so that they are sequentially arranged on four generatrices spaced at an angle of 90. At that, each notch on the suture material has three grades of microrelief or slicing, while the values of the cutting angles correspond to the values of the cutting blade, are selected in the range of 3 to 87 or 177 to 93 and are geometrically complementary.EFFECT: method and thread can improve vaginal muscle tone, improve skin elasticity in this area, reduce the size of the vagina opening, and reduce the dilation or prolapse of the external sphincter.2 cl, 47 dwg

ethod for selection of treatment tactics for patients with probability of iatrogenic post-puncture false aneurysms of femoral arteries // 2641841
FIELD: medicine.SUBSTANCE: every day after a puncture, hemodynamic parameters are determined at the patient's examination: blood pressure and heart rate, revealing the presence or absence of instability of these indicators - a decrease in blood pressure by 20% or more in comparison with the baseline level determined before the puncture, against the background of tachycardia, and without it. Also, the presence or absence of signs of possible bleeding is determined: skin pallor, general weakness, syncopal condition, reduction of pulse tension on the radial artery, reduction of the haemoglobin level by 20% or more in comparison with the baseline level determined before the puncture. When the stable hemodynamic parameters are combined with the absence of a false femoral artery aneurysm, according to ultrasound dopplerography with duplex scanning (USDG + DS) of the femoral artery and absence of signs of possible bleeding, a dynamic observation of the puncture zone is performed. When the stable hemodynamic parameters are combined with the presence of false femoral artery aneurysm, according to the results of USDG + DS and the absence of signs of possible bleeding, dynamic monitoring is performed with conservative treatment in the form of a pressure bandage applied to the projection of a false aneurysm within 3-6 days, anticoagulant rejection, while continuing taking clopidogrel, strict bed rest adherence. At that, dynamic observation includes USDG + DS of the femoral artery in the puncture projection every 3 days and, if after 6 days of conservative treatment the false aneurysm of the femoral artery is preserved, surgical suturing of this defect is performed. When the stable hemodynamics parameters are combined with the presence of a southern aneurysm of the femoral artery, according to the results of USDG + DS and the presence of at least one sign of possible bleeding, surgical suturing of this defect is performed. If there is at least one sign of possible bleeding and unstable hemodynamic parameters, the femoral artery defect is urgently surgically sutured.EFFECT: method promotes earlier detection of post-puncture false femoral artery aneurysm, which allows timely appointment of treatment measures aimed at prevention of adverse outcomes associated with bleeding from the puncture hole in the femoral artery and avoid surgical intervention in some cases.1 dwg
ethod for planning and implementation of long bones deformations correction // 2641840
FIELD: medicine.SUBSTANCE: when planning the correction of a deformation containing a torsion component, the proximal and distal articular ends of the deformed model are sequentially positioned strictly in the frontal and sagittal planes, determining the deformation peak; the deformed bone model is fixed in the transcutaneous apparatus used to eliminate all components of the deformation until it completely coincides with the "standard", then all actions are exactly repeated to eliminate the deformation in the clinic.EFFECT: method allows to increase the accuracy of planning and correction.19 dwg

ethod for suprapubic multifocal depth-regulated bladder biopsy under endoscopic control // 2641838
FIELD: medicine.SUBSTANCE: cystoscope is inserted before the biopsy material is taken from the bladder. The bladder is filled with an antiseptic solution. Using a suprapubic extraperitoneal access the anterior abdominal wall and the bladder wall are pierced layer wise by a hollow needle with a plug. Under visual control, the end of the needle is brought to the neoplasm. Biopsy is performed by the needle of an automatic biopsy gun through the hollow needle tube.EFFECT: method allows to accurately obtain biopsies of all layers of bladder wall neoplasm under cystoscopic control.5 dwg, 1 ex

Surgical device, transmitting torque, containing tool connected thereto // 2641837
FIELD: medicine.SUBSTANCE: chip-cutting tool contains a distal interacting segment to which the rod adjoins. A portion of the proximal end of the rod is designed to insert a torque-transmitting surgical device into the tool holder. For insertion into the tool holder, the proximal end portion is divided into at least a functional torque transfer section and a functional axial locking section that is axially spaced therefrom. The functional section of axial locking is positioned relative to the interacting segment so as to be proximal to the functional section of torque transmission.EFFECT: improvement of the device.11 cl, 16 dwg
ethod for surgical treatment of varicose trophic ulcers // 2641518
FIELD: medicine.SUBSTANCE: endovenous laser coagulation of the trunk of the large saphenous vein is performed. Layered fibrosectomy of the ulcerous surface is performed until capillary bleeding appears. Then, autodermoplasty is performed with a perforated cutaneous flap. At that, the unfolded skin flap is fixed on the area of the trophic ulcer. Fixation is provided by suture material, which is supplemented by circular application of adhesive mesh coating, adhesive band and completed by application of a multilayer elastic band.EFFECT: method allows to reduce the potential risks of side effects and complications, to achieve early activation of patients in the postoperative period, to avoid skin flap shifting in outpatient patients while walking, and also leads to its faster engraftment.2 ex
ethod for access for hybrid interference on ascending aorta, or aortic arch, or aortic valve in children // 2641391
FIELD: medicine.SUBSTANCE: left-sided posterolateral thoracotomy is performed. The descending section of the aorta is isolated, and a suture is imposed on it. Below the thoracotomy area, an introducer is injected by conducting it into the pleural cavity. Next, an incision is made through the suture, through which the introducer is inserted into the aorta to insert the devices for endovascular intervention.EFFECT: reduced trauma of hybrid access while simultaneously creating technical conditions for precise positioning of the endovascular device at the site of the intended operation.4 cl, 1 ex
ethod for reconstruction of outflow tract from right ventricle with stenosis and calcinosis of previously implanted artificial pulmonary artery trunk // 2641389
FIELD: medicine.SUBSTANCE: when subtotal cardiolysis is performed, a site in the right ventricular (RV) inflow and a pulmonary artery (PA) region are additionally allocated to form anastomoses. Anastomoses are formed between the RV, the PA and the implanted prosthesis. A prosthesis is used with diameter corresponding to the size of the aortic-caval gap. A longitudinal incision corresponding to the diameter of the implanted prosthesis, between the superior vena cava and the aorta, is used to open the right PA. A distal anastomosis is formed between the implanted prosthesis and the right PA by the end-to-side type. Further, the RV is opened in the inflow section in the avascular zone and proximal anastomosis is formed between the other end of the implanted prosthesis and the RV. An additional outlet from the RV is created by means of the second prosthesis. In addition, at the cardiolysis stage, there is no need for complete isolation of the calcified conduit, and only the site in the inflow part of the RV and the PA section for anastomoses formation are allocated. At the reconstruction stage, the RV outflow tracts are formed with unaltered walls of the RV and PA that have not undergone calcinosis.EFFECT: method allows to form an additional outflow tract from the right ventricle with an adequate hemodynamic effect provided that the risks of operational complications are reduced.1 ex

Vacuum stabiliser of myocardial tissue // 2641387
FIELD: medicine.SUBSTANCE: invention comprises a body movably connected to the base with an attached flexible leash. To the distal end of the leash, a foot with vacuum suckers and a tap for the vacuum line is movably attached. The base has a fixing element to fix the base on the retractor. The vacuum myocardial tissue stabiliser is equipped with a pneumocylinder, which transmits force to move the non-movable/movable position of the base connections with the body, foot connection with the flexible leash, bases connections with the retractor. Vacuum stabiliser transmits force to fix/release the shape of the flexible leash.EFFECT: increased accuracy of vacuum myocardial tissue stabiliser positioning and facilitated use.8 cl, 2 dwg
ethod for blue nail treatment // 2641386
FIELD: medicine.SUBSTANCE: nail is perforated until the hematoma cavity is open using a dental bur in the form of a cylinder, the working end of which has a diameter of 2 mm and a flat butt shape, covered with coarse diamond grit. The opposite end is inserted into the straight dental tip. The blood is removed by squeezing the nail, washing it and the hematoma cavity with a bleaching solution at a temperature of +37 - +42C. The nail is blown by a stream of warm dry air until it is completely dried. The hole is sealed tightly with a colourless and transparent sealing material of light curing. The nail surface is levelled and polished.EFFECT: traceless whitening of the hematoma under the nail.1 ex
ethod for axillary vein punction and cannulation // 2641385
FIELD: medicine.SUBSTANCE: skin and subcutaneous tissue are cut in the projection of the deltopectoral groove. The needle is punctured through the large pectoral muscle at an angle of 45 degrees to the front axis at the point 2 centimetres medial to the inner edge of the deltopectoral groove. The needle tip with a syringe attached thereto is advanced, creating negative pressure in the latter by piston traction towards the x-ray anatomical landmark - the lower edge of the ipsilateral first rib along the midclavicular line. The axillary vein wall, depending on the constitutional features of the operated patients, is reached by a needle at a depth of 2.5-4 cm.EFFECT: method allows to improve the security of antiarrhythmic devices implantation by eliminating the risk of lung damage, development of intraoperative gemotorax and pneumothorax, electrode crushing in the costoclavicular interval leading to inefficient electrical stimulation of the heart and unmotivated triggering of the cardioverter-defibrillator, does not require intraoperative venography.2 ex
ethod for arthroplasty of distal department of radial bone with multifragment joint fractures of distal department of radial bone // 2641379
FIELD: medicine.SUBSTANCE: two-stage surgical manual in one operation session is performed. At the first stage, rear access to the wrist joint is provided, all loose small fragments are removed and the radial bone is partially resected radius to the level of the elbow. At the second stage, a tricortical spongy autograft is taken from the crest of the iliac wing and the entire dissection of all soft tissues in the surgical wound is performed. The autograft is "press fit" implanted into the formed resectional defect of the radial bone with a possibility of restoration of its correct anatomy. Additionally, the graft is fixed with a cushion plate. A large fragment of the styloid process of the radial bone is fixed with a compression screw to ensure wrist joint stability in the future. Then the final radiologic control is performed and the wound is sutured layer-by-layer.EFFECT: restoring the anatomy of the distal radial bone to ensure early function in the wrist joint.14 dwg, 1 ex

Noncircular transpedicular screw // 2641376
FIELD: medicine.SUBSTANCE: medical bone screw, namely, transpedicular type screw, contains a threaded rod that has a distal front plot with a small constant core diameter at a certain length and a proximal rear plot with a big constant core diameter at a certain length, with the screw head located on the proximal end. The cross-sectional shape of the core along the distal front plot with a small constant core diameter at a certain length is made noncircular, and the cross-sectional shape of the core along the distal front plot with a big constant core diameter at a certain length is made circular.EFFECT: reliable and long-lasting introduction of greater forces into the patient's bone with higher secondary stability relative to the rotation forces.10 cl, 8 dwg

Closing configuration for surgical end effector with possibility of rotational activation // 2641372
FIELD: medicine.SUBSTANCE: surgical instrument includes an end effector and an input drive rod that closes the actuator and/or the actuating drive. The end effector contains a branch assembly. The assembly includes the first branch element and the second branch element. The end effector contains an I-element that is translationally moved axially between the proximal position and the distal position within the end effector. The input drive rod is configured to selectively engage with the actuating drive and/or the closing actuator. The closing actuator is in threaded engagement with the actuating drive, which allows the input drive rod to simultaneously move the closing actuator and the actuating drive during the start-up stroke until the closing actuator is disengaged from the actuating drive. With the reverse stroke, the closing actuator can again be engaged with the actuating drive.EFFECT: reliability increase.15 cl, 168 dwg
ethod for pancreatojejunal anastomosis reconstruction under conditions of stomach extirpation // 2641167
FIELD: medicine.SUBSTANCE: pancreato-cerebral anastomosis under the conditions of stomach extirpation and pancreatoduodenal resection. The reservoir, which performs the function of the stomach, is directed to the esophagus stump and an anastomosis is applied. In the left half of the reservoir, the serous and muscular layer is prepared, creating a serous-muscular roller based on the size of the mobilized segment of the pancreas stump. The edges of the pancreatic parenchyma are fixed to the serous-muscular roller. Muff-shaped peritonization of the anastomosis is performed. The small intestine is fixed with nodular sutures to the opening of the transverse colon mesentery.EFFECT: method allows to increase the consistency and physiological functionality of the anastomosis during reconstructive operations on the gastrointestinal tract.1 ex, 5 dwg
ethod for hepatic tissue fixation and liver clamp // 2641165
FIELD: medicine.SUBSTANCE: liver clamp consists of upper and lower rigid bars, curved towards each other, vertical supports each consisting of two parallel vertical plates, one of the vertical supports is hingedly connected to the upper rigid bar, in which there are holes of different shapes, over the lower bar, there is an elastic bar with common attachment points with the lower bar at both ends; a lock, structurally being an element of one of the vertical supports with serrated cuts of short plates that extend into the vertical support space from both of its side plates; a vertical rod with a conical-rounded form of vertex rigidly and fixedly attached to the lower bar passing through the opening in the elastic and upper bars, the rod has a movable lock with a lateral screw mechanism and a possibility of changing the position along the rod and around its axis. To fix the hepatic tissue, the upper rigid clamp bar is withdrawn up and to the side, a fixed vertical rod is directed, fixed on the lower rigid bar, through the entire thickness of the parenchyma, the upper rigid bar is returned in place, covering and pressing the liver site, snapping the free edge of this plate in the lock, then the movable lock with the lateral screw mechanism is put on the rod.EFFECT: uniformity of compression, reduced risk of shear and slippage of the clamp.2 cl, 4 dwg
ethod for treatment of c2 vertebra injury // 2641160
FIELD: medicine.SUBSTANCE: access is performed in the C4 vertebra projection along the outer edge of the nodal muscle in the direction between the sternocleidomastoid muscle and the anterior scalene muscle. Then a channel is formed laterally from the internal jugular vein, common carotid artery and vagus nerve to the C3 vertebra, starting from the bottom edge of the transverse process of the C3 vertebra base, through its body into the C2 vertebra body at an angle of 50-70 of the axial line of the C3 vertebra and 5-10 in the frontal plane of the median line of the spine. The fixing screw is inserted into the created channel. Similarly, the vertebrae are fixed from the opposite side of the neck.EFFECT: method allows to reduce trauma, labour, avoid prolonged immobilization.8 dwg

Thickness thickener compensator containing plurality of medicinal drugs // 2641069
FIELD: medicine.SUBSTANCE: compensator attached to the abutment member of the stapler, the abutment member comprising a forming surface, and the compensator comprises a compressible compensator body and an attaching part capable of fixation to the abutment member. The compressible body of the compensator comprises a plurality of first containers and a plurality of second containers, the first medicament and the second medicament. At that, each second container is located between two or more first containers. The first medicament is enclosed within each first container until the first container is dissected by the cutting element. The second medicament is enclosed within each second container until the second container is dissected by the cutting element. In this case, the first drug is different from the second drug. A stitching assembly for use with a stapler, the stitching assembly comprising an abutment member including a plurality of forming surfaces, a groove, the above compensator, the above first medicament and the above second medicament. The groove is configured to receive a cutting element therein. The compensator comprises a plurality of first containers aligned with the groove and a plurality of second containers aligned with the groove. At that, the first and second containers are designed to be cut by the cutting element. For the second version, a stitching assembly for use with a stapler comprises an abutment member including a longitudinal groove, the above cutting element, the above compensator, the above first medicament and the above second medicament. The cutting element is adapted to move in the groove. The compensator comprises a plurality of first transverse cavities extending transversely relative to the groove and a plurality of second transverse cavities extending transversely relative to the groove. At that, the cutting element is arranged to cut the first and second transverse cavities. The first medicament is enclosed within each first transverse cavity and is released therefrom, when the first transverse cavity is dissected by the cutting element. The second medicament is enclosed within each second transverse cavity and is released therefrom, when the second transverse cavity is dissected by the cutting element.EFFECT: application of the inventions allows to ensure the drug release.18 cl, 258 dwg
ethod for surgical correction of violations of cardia physiological function in gastroesophageal reflux disease // 2641064
FIELD: medicine.SUBSTANCE: surgical correction of cardia function is performed in case of gastroesophageal reflux disease and hernia of the esophageal aperture of the diaphragm. The stomach bottom and the abdominal esophagus are mobilized. The right and left legs of the diaphragm are sutured behind the esophagus. The front wall of the mobilized stomach bottom is fixed to the left and right legs of the diaphragm capturing the corresponding walls of the abdominal esophagus. The displaced front wall of the stomach bottom is sutured to the right diaphragm leg, strengthening the resulting structure.EFFECT: method provides correction of the esophageal opening of the diaphragm and the closing mechanism of the cardiac part of the stomach, preventing gastric contents reflux into the esophagus by fundoplication from the anterior wall of the stomach bottom.5 dwg

Clip for left atrial appendage isolation // 2641063
FIELD: medicine.SUBSTANCE: invention can be used to isolate the left atrial appendage when surgically correcting atrial fibrillation in isolation or in combination with valvular pathology. A clip for left atrial appendage isolation contains a lock and working parts that are connected on one side by a curved bridge. The lock is made in the form of spring hooks made of non-magnetic stainless steel. Hooks are pressed at the ends of working parts from titanium tubes and have a possibility of engaging each other. The tubes are provided with the first coating of elastic polymer having an outer diameter of 1.3-1.5 mm and wall thickness of 0.2-0.4 mm. The bridge is made in the form of a tube-pressed spring made of non-magnetic stainless steel. The spring in the form of an open ring is connected by its ends with parallel straight rods. The working parts and the bridge are provided with the second coating in the form of a polyester thread braided knitted tube with a diameter of 4.5-5.5 mm, wall thickness of 0.7-0.8 mm.EFFECT: reduced time required for reliable atraumatic block of the communication between the left atrium and its appendage with an effort, to exclude thrombosis which occurs as a result of poor isolation of the left atrial appendage.1 dwg
ethod for correction of multi-level deformations of long-bones // 2640999
FIELD: medicine.SUBSTANCE: transosseous elements are directed and the proximal, distal and intermediate supports of the external fixation apparatus are mounted. Osteotomy is performed at the level of each of the deformation vertices. An orthopedic hexapod is mounted. Hexapod strata are fixed only to the proximal and distal supports, and the intermediate supports are connected with ones located above and below by means of elastic rods. Hexapod parameters and pre-operative planning data are input into a computer program and the computer program is used to calculate the deformation correction by combining the distal fragment axis with the proximal fragment axis. Then the lengths of the hexapod strata are changed manually based on the calculations performed, thus making simultaneous correction of deformations at all levels. The elastic rods and hexapod strata are replaced with fixed articulations or straight threaded rods.EFFECT: method allows to increase stability of fixation, provide conditions for regenerates rebuilding.41 dwg
Probe with glover's needle at mobile end // 2640997
FIELD: medicine.SUBSTANCE: probe for laparoscopic operations with hiatal hernia, with plasty of the diaphragm endoprostheses defects, 400 mm long, has a handle with a trigger and a working part with its configurable/moving part 25 mm long, 5 mm in diameter. At the distal end of the configurable/movable part of the probe, a needle with a diameter of 2 mm and lengthof 15 mm with a glover notch is installed.EFFECT: invention allows to perform technically difficult surgeries to laparoscopically close large diaphragm defects by a prosthesis; has an ability to bend in the abdominal cavity and approach the hard-to-reach areas to grasp endoprosthesis threads thus simplifying the surgery reducing the duration of operation and anesthesia.8 dwg

ethod for valval craniotomy // 2640996
FIELD: medicine.SUBSTANCE: decompressive craniotomy is performed. The bone flap is maintained, which is vertically split into two valve parts along the geometric center and each valve is fixed in the bone window two bone sutures, fixing against collapsing with titanium Z-shaped fixtures that are attached to the skull bone. One of the devices, 10-20 mm long is screwed to the skull bone on the line of bone flap cutting and intact skull at the valves junction, and one device, 5-10 mm long is fixed to each of the opposite walls of the bone window between the bone sutures. Then the skin-muscle-aponeurotic flap is laid in place and the wound is sutured. Z-shaped fixtures have a wall thickness of 0.5-1.5 mm, height, depending on the thickness of the skull bones at the place of fixation, a working angle, depending on the angle of skull bone cutting and holes on a shelf for the fixture.EFFECT: method allows to exclude valves blocking through mobile fixation of valves with a turn outside relative to the skull bone, and prevent repeated cranioplasty.3 dwg, 2 ex

Surgical stapler with built-in swab for tip disconnection // 2640949
FIELD: medicine.SUBSTANCE: circular stapler for tissue includes a staple and a swab assembly and a circular stitching head that moves the staples in the direction of the stop. That staple from the staple and swab assembly has a pair of legs. The legs are perpendicular to the staple crown in the first position. The pair of legs is able to move in the direction of the recess in the stop, forming a staple with curved legs therein. The staple and swab assembly include a staple and a tampon designed to accommodate a pair of staple legs. The swab contains biodegradable material.EFFECT: swab is designed to move the distal ends of the pair of legs to a position where the distal ends are offset laterally from the plane passing through the staple crown.20 cl, 12 dwg

Surgical stapler with locking system to prevent activation in absence of installed staple cartridge // 2640947
FIELD: medicine.SUBSTANCE: surgical stapler includes an end effector including an elongated channel, an abutment, and an abutment blocking member. The elongated channel is designed to functionally support a surgical staple cartridge. The abutment is supported on the elongated channel with an ability to move between an open and closed position in response to the application of opening and closing movements thereto. The abutment blocking member interacts with the abutment to keep the stop in the open position when the staple cartridge is not installed in the elongated channel, and prevents the abutment movement to the closed position until the staple cartridge is installed in the elongated channel. The abutment comprises a mounting portion of the abutment supported rotatably on the elongated channel, and the blocking member of the abutment is biased to contact the mounting portion of the abutment. The mounting portion of the abutment further comprises a pair of opposing abutment shoes adapted to be moved into the respective shoe slots in the elongated channel. Each abutment shoe slot contains a blocking slot to receive the appropriate abutment shoe when the surgical staple cartridge is not installed in the elongated channel, and an arc slot segment to receive the appropriate abutment shoe when the cartridge is installed in the elongated channel, so that the abutment shoe can move in the arc slot segment when closing movement is applied to the abutment. In the second embodiment, the surgical stapler comprises a handle, an elongated rod assembly, a closure system, an elongated channel and a surgical staple cartridge. The elongated rod assembly is functionally connected to the handle. The closing system is functionally supported on the handle to generate closing and opening movement in response to activation of the closing trigger mechanism, functionally supported on the handle. The elongated channel is connected to the elongated rod assembly. The abutment includes a mounting portion of the abutment supported on the elongated channel, with an ability to move between open and closed positions in response to communication of opening and closing motions by means of the elongated rod assembly. The abutment blocking member is functionally supported by the elongated rod assembly for movable engagement with the mounting portion of the abutment. The surgical staple cartridge is designed for placement in the elongated channel and interaction with the mounting portion. When the surgical staple cartridge is not located inside the elongated channel, the abutment blocking member interacts with the mounting portion of the abutment to hold the abutment in the open position. When surgical staple cartridge is installed inside the elongated channel, the staple cartridge moves the mounting portion of the abutment to the position where the abutment can be closed when affected by closing movements. At that, the mounting portion of the abutment further comprises a pair of opposing abutment shoes adapted to be moved into the respective shoe slots in the elongated channel.EFFECT: application of the invention allows to prevent activation in the absence of the installed staple cartridge.13 cl, 41 dwg
ethod for tibial intercondyloid eminence fracture treatment // 2640945
FIELD: medicine.SUBSTANCE: diagnostic arthroscopy of the injured knee joint is performed in standard antero-lateral and antero-medial arthroscopic portals. The fragment is placed on its bed and fixed with a tibial guide, through which the K-wire is directed via proximal epimetaphysis of the tibia. An additional "central" arthroscopic portal is performed, through which a tibial guide is placed on each fragment of the split intercondylar eminence. A cylindrical drill guide is inserted into the joint and positioned at an angle of 45 on the front intercondylar eminence. A K-wire is inserted along the guide at an angle of 45 from front to back, from top to bottom diagonally to the posterior cortical layer of the tibia. Cannulated drill bit is used to drill through the channel along the entire length of the meta-epiphysis. The wire is removed together with the drill. A biodegradable fixative is introduced into the formed channel. Changing the arthroscopic portals, medially and laterally at an angle of 70, crosswise, front to back, from the outside to the inside, wires are inserted into the cortical layers of the medial and lateral condyles, along which channels are drilled and biodegradable fixatives are introduced.EFFECT: method allows to reduce traumatism, increase the reliability of fixation.5 dwg
ethod for blocked intramedullary osteosynthesis // 2640790
FIELD: medicine.SUBSTANCE: rodis implanted. The rod is blocked distally with two screws, proximally - with one screw. Decompression fasciostomy of the posterior surface and posterior deep osteo-fascial cases is made from access for proximal blocking screw implantation. Decompression fasciotomy of the posterior surface case is performed by cutting the fascia posteriorly from the edge of the tibia and parallel to it. Decompression fasciotomy of the posterior deep case is performed retreating posteriorly from the fascicotomy line of the posterior surface case and parallel to it.EFFECT: method allows to prevent local hypertensive ischemic syndrome.2 cl
ethod for endoscopic surgical operation on larynx // 2640789
FIELD: medicine.SUBSTANCE: pre-operative CT perform of the head and neck is performed in the patient's position on the back with the head thrown back, with a pillow placed under. The patient's mouth is slightly open and the lower jaw is pushed forward. Then the patient is placed in the same position on the operating table in the navigation system electromagnetic field, recorded in the system, the images of the CT of the head and neck are combined with the anatomical landmarks of the patient's head. The localization of the intervention zone is determined and the operation is performed using the navigation system. The method allows to carry out endoscopic surgical operation on the larynx under the control of an electromagnetic navigation system taking into account the orientation along the bone anatomical formations, which allows the surgeon to control the accuracy of movements.EFFECT: reduced traumatization of surrounding structures and risk of development of intra- and postoperative complications: perichondritis, damage to adjacent vessels.1 dwg, 2 ex
ethod of surgical treatment of morbid obesity // 2640783
FIELD: medicine.SUBSTANCE: in the surgical treatment of morbid obesity by mini-gastro-bypass surgery, the contact pH measurement of the stomach sections is performed presurgery. The border of the gastric mucosa with a pH level of more than 3.0 is determined. On this border, 1 ml of methylene blue is injected into the submucosa of the anterior wall of the stomach through the endoscope's operating channel. The part of the stomach is cut at a marked level in the transverse direction by the width 6 cm, then in the longitudinal to the bottom of the stomach. A two-chamber stump of the stomach is formed. The stomach volume on the probe by screwing single endosutures with a non-absorbable suture material is calibrated. A loop of the small intestine is brought to the stomach at a distance of 180 cm from the duodenum. The lumens of the organs with a cut length 3.5 cm is opened up. A single-row serous-muscular-submucosal gastroenteroanastomosis is stitched.EFFECT: reliable results in the treatment of morbid obesity, a decrease in the risk of entero-gastric and gastroesophageal reflux, the development of reflux-esophagitis, peptic ulcers in the area of anastomosis.1 ex
ethod for corporoplasty in case of peyronie disease // 2640770
FIELD: medicine.SUBSTANCE: plaques are removed within healthy tissues. The resulting defect of the albugineous coat is covered with a simulated graft made of the decellularized artery. At the final stage of surgery, wound layer-by-layer suturing is performed.EFFECT: method prevents the recurrence of the disease.1 ex

Ultrasonic catheter system // 2640564
FIELD: medicine.SUBSTANCE: system includes an elongated ultrasound device comprising a distal end and a proximal end, an ultrasonic actuator coupled to the proximal end of the transmitter and configured to actuate the transmitter in a pulsed mode. The pulse mode includes application of at least the first frequency during the first-time period and the second frequency during the second-time period.EFFECT: application of the system allows to increase the efficiency when transferring ultrasound to a hard tissue.9 cl, 6 dwg
Device for plastic surgery of posterior wall of inguinal canal // 2640560
FIELD: medicine.SUBSTANCE: device for plastic of the back wall of the inguinal canal is made in the form of a synthetic mesh prosthesis with a removable frame attached thereto to provide a flat shape of the wound. The removable frame is represented by an elastic ring-shaped string with thickness depending on pore size of the synthetic mesh prosthesis and not extending beyond the synthetic mesh prosthesis or overlapping its jaws. The ends of the frame can be connected and disconnected. The removable frame is attached by passing the end of its string through the synthetic mesh prosthesis, on which landmarks are placed for removable frame fixation. The landmarks are made in the form of symbols of four fixation points equidistant from each other and are represented by round 2-3 mm holes, fixed by colour-contrasting threads attached by metal brackets. The landmarks for removable frame fixation are made in the form of colour-contrasting fibers interwoven into the mesh prosthesis, which form a square with a side equal to the diameter of the removable frame.EFFECT: improvement of the device.2 cl, 4 dwg
Acrylic composition from two parts containing ability to cure // 2640234
FIELD: chemistry.SUBSTANCE: composition comprises the liquid first part stable at storage and the liquid second part stable at storage which react with each other upon mixing with the formation of cement which hardens. The composition further comprises an acrylic monomer component and an amount of an initiator component for polymerizing the monomer component. The monomer component and the initiator component are typically in the separate parts of the two parts of the composition, so that the monomer component is stable at storage. The liquid first part contains, in a liquid carrier, acrylic polymer particles obtained by emulsion polymerization. A method for the preparation of a curable, two-part acrylic composition is also described. The composition is particularly useful when used in a syringe or a compression seal gun having at least two cylinders. A solid cement composition of bone cement, obtained by curing the acrylic composition consisting of two parts is porous and permits controlled release of antibiotics and medicines into the surrounding bone and tissue.EFFECT: low temperature of the exothermic effect during curing, the adhesion of the composition of bone cement that prevents, in particular, tissue necrosis, and the provision of the porous bone cement provides the cement mechanical properties matching the characteristics of the surrounding bone.28 cl, 16 tbl, 79 ex
ethod for treatment of complex phlegmons of submandibular and submental areas // 2640109
FIELD: medicine.SUBSTANCE: during treatment of combined phlegmons of the submandibular and submental areas, the anatomical type of the patient's skull is determined. For dolicho- and mesocephalic forms of the skull, a combination of two incisions is used. The phlegmon cavity of is opened from these incisions by separation of the tissues of the maxillofacial muscle and the anterior abdomen of the digastric muscle. For the brachycephalic form of the skull, a combination of three incisions is used. Through them, the phlegmon cavity is opened by separation of the tissues of the maxillofacial muscle and subperiosteal clipping of the anterior abdomen of the digastric muscle from the hyoid bone. In the postoperative period, the patient's head is fixed for two days in an extension position at an angle of 60 for the brachycephalic form of the skull and at an angle of 45 for the dolicho- and mesocephalic form of the skull.EFFECT: method allows to improve the results of treatment, to reduce the risk of complications.2 cl

ethod for fascine drainage of restricted cavities per a.p. torgunakov // 2640100
FIELD: medicine.SUBSTANCE: fascine drainage of restricted cavities is performed by a bundle of tubes of different lengths. At least three tubes are taken to form fascine drainage. Each level of shorter tubes is tied securely by non-absorbable threads. The formed drainage is laid in the drained cavity. The tubes are removed in sequence, pulling the entire drainage bundle of tubes. First, the shortest tube is freed from the drainage channel. It is separated from the remaining bundle of tubes in the channel. The longest tube that makes up the drainage channel axis is removed last.EFFECT: invention eliminates the possibility of shifting the drainage channel axis and the risk of secondary purulent-inflammatory complications, by maintaining the drainage channel axis to drain the contents of the cavity.2 dwg
ethod for surgical treatment of nonunion fractures and false joints of hand navicular bone // 2640088
FIELD: medicine.SUBSTANCE: bone marrow is used as a transplant, which is obtained by puncture from the patient's ilium wing. Several fenestration holes are formed in the false joint area, the obtained punctate is injected into each of the latter. An external fixation device is applied. Two-time replaceable uniform distraction and compression in the radiocarpal joint is carried out alternately discretely in time in the 0.25 mm mode 2 times a day for at least 8 to 10 weeks. Further, after the final gradual dropping of distraction, the external fixation device is transferred to the fixation mode until the scaphoid fragments fully consolidate.EFFECT: method allows to maintain the mechanical strength of the fragments ends, create a tight contact between the fragments.3 cl, 3 dwg, 1 ex

Device for jaw fractures treatment // 2640015
FIELD: medicine.SUBSTANCE: device for lower jaw fractures treatment includes a rod-shaped body with a thread on the outer surface from the end and a nut screwed thereon, the body is expanded from the end opposite to the end face and penetrating the jaw body, a plate, with a through transverse hole on one side containing the rod-shaped body, and a transverse protrusion on the other side with an extra hole containing an additional rod-shaped body including a rectilinear part, end part bent in the direction opposite from the transverse protrusion towards forming an acute or right angle of not more than 90 with the rectilinear part, as well as another end part that has a thread with an extra nut screwed on the outer surface in contact with the plate transverse protrusion. On the bent end part of the additional rod-shaped body, grooves are provided for metal ligature anchoring. On the plate, sharpened protrusions are made facing away from the transverse protrusion and located near the through hole of the plate symmetrically from its axis. The nut screwed on the rod-shaped body from the side facing the plate, has a spherical shape, and the part of the plate through hole facing the nut also has a spherical shape. The plate through hole on the opposite side has an extension to its outer surface. The extra nut from the side facing the plate transverse protrusion and the facing part of the plate transverse protrusion extra hole lateral also have a spherical shape, while the through a hole of the plate transverse protrusion from the opposite side has an extension to the outer surface.EFFECT: invention provides prevention of bedsores in the jaw mucosal surface under contacting detail parts, simplified installation, improved ease of installation and comfort.2 cl, 19 dwg
 
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