Abstract: The device for establishing anastomoses comprises a hollow housing (1), telescopically interconnected an outer sleeve (2) and an inner sleeve (3), both of said sleeves communicating with the hollow housing (1) through respective openings (4, 5) in their bottoms, an elastic ring (6) situated on the portion of the outside surface of the inner sleeve (3) that extends from the outer sleeve 2, a first bushing (7) having two annular grooves (11, 12) for anastomosis formation and adapted for one organ (9) being anastomosed to be fixed on said bushing, a second bushing (8) having an annular groove (13) for securing there on the other organ (10) being anastomosed, and a probe (14) passing through the interior spaces of the bushings (7, 8), the sleeves (2, 3) and the housing (1) and having a shoulder (16) for the first bushing (7) to rest upon.

Abstract: A surgical suturing instrument for establishing circular compression anastomoses in the organs of the digestive tract comprises a rod (2) accommodated in a hollow body (1) coaxially therewith and having a stationary fixed connecting ring (13), a hollow cylindrical knife (3) made fast of a hollow tube (4) which is accommodated in the hollow body coaxially therewith the rod (2) passing inside the hollow tube, a needle arrangement (5) accommodated in the hollow body and having a first ring-shaped element (6) provided with a plurality of holes (8), and a second ring-shaped element (7) coaxial with the first one and carrying a plurality of needles (9) held thereto and adapted to pass through the connecting ring (13) in the course of anastomosing. The ring-shaped element (7) rests upon a pusher (19) having a hollow chamfer (20) and a stop (21) which is adapted to interact with a stop (22) of the hollow body (1).

Abstract: The sutural material consists of a base from a bio-resolvable polymer and a layer of a copolymer of N-vinylpyrrolidone with an alkylacrylate and/or an alkylmethacrylate deposited onto the base and containing an antimicrobal preparation or a mixture of preparations and having the period of its biodestruction shorter than that of the base, the thickness of this layer being equal to 0.1 to 1.0 of the base thickness.

Abstract: 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.

Abstract: 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.

Abstract: The surgical instrument of the present invention is for establishing circular anastomoses between various segments of the colon.The surgical instrument comprises a cylindrical body having a mandrel 2 at one of its ends and accommodating a coaxially arranged rod 3 carrying a circular knife 4 locked in place thereon and provided with a mechanism for its longitudinal traversing, and a stem 6 carrying a thrust head 7 axially traversable with respect to the rod 3, and a circular anastomosing mechanism 8, which is made up of two members. One of the members of said mechanism is located on the mandrel 2 and carries a number of suturing elements adapted to interact with the rod 3 so as to travel together with the latter when establishing circular anastomoses, while the other member is situated on the thrust head 7. The member of the circular anastomosing mechanism 8 that is located on the mandrel 2 comprises two rings 9 and 10 spaced somewhat apart from each other.

Abstract: 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.