List of medical products. Medical products. Nomenclature classification of medical devices by classes depending on the potential risk of their use

The government of Moscow
MOSCOW CITY HEALTH DEPARTMENT

ORDER

On approval of the List of medical devices

Document as amended by:
by order of the Moscow Department of Health of October 14, 2010 N 1825,
by order of the Department of Health of Moscow dated April 6, 2011 N 302;
by order of the Department of Health of the city of Moscow dated September 19, 2013 N 911;
by order of the Department of Health of the city of Moscow dated March 18, 2014 N 247;
by order of the Moscow Department of Health of April 14, 2014 N 378 (for the procedure for entry into force, see paragraph 1 of the order of the Moscow City Health Department of April 14, 2014 N 378);
by order of the Department of Health of the city of Moscow dated April 23, 2015 N 323;
by order of the Department of Health of the city of Moscow dated December 30, 2016 N 1068;
by order of the Department of Health of the city of Moscow dated January 30, 2017 N 37;
order of the Department of Health of the city of Moscow dated June 29, 2017 N 471;
by order of the Department of Health of the city of Moscow dated August 1, 2018 N 524.
_______________________________________________________________

In connection with the need to adjust the range of medical devices intended for ostomy patients, as well as self-monitoring devices for patients with diabetes, in accordance with the names in the registration certificates

I order:

1. Approve the List of medical products dispensed by doctors' prescriptions free of charge, according to the appendix.

2. Recognize invalid the order of the Department of Health of the city of Moscow dated December 12, 2005 N 470 "On approval of the list of medical devices" (with amendments and additions).

3. To impose control over the implementation of this order on the first deputy head of the Department of Health S.V. Polyakov.

Supervisor
Department of Health
A.P. Seltsovsky

Appendix. List of medical products dispensed by doctors' prescriptions free of charge

Appendix
to the order of the Department
health care of the city of Moscow
of May 19, 2010 N 787
(As amended by
by order of the Department
health care of the city of Moscow
dated August 1, 2018 N 524. -
See previous edition)

List of medical products dispensed by doctors' prescriptions free of charge


	Foley catheters 2-way*
	Nelaton catheters*
	Urinary bags for self-catheterization: urinal bag, lubricated catheter for self-catheterization, container with sodium chloride solution
	Urine bags*
	Urinary devices*
	Uropreservative*
	Straps for attaching foot urinals
	Insulin Syringes
	Insulin pen syringe
	Injection needles for syringe pens
	Means of self-control (test strips):
	For determination of ketone bodies (acetone) in urine
	For glucometers:
	For glucometers "Accu-Chek" of various modifications
	For "One Touch" glucometers of various modifications
	For glucometers "Satellite" of various modifications
	For glucometers "Kontur TS" of various modifications
	For glucometers "SENSOCARD" of various modifications
	For glucometers "Glukokard" of various modifications

	Bandage sterile
	Bandage non-sterile
	Bandages are elastic:
	Bandage elastic
	Elastic medical tubular bandage
	Cotton wool surgical:
	Cotton wool surgical sterile
	Cotton wool surgical non-sterile

	Axillary crutches
	Crutches with support
	Medical gauze:
	Medical gauze packaged
	Gauze napkins:
	Sterile gauze wipes
	Non-sterile gauze wipes


	Support cane

	support in bed
	Crawling support
	seat support
	Lying support
	Standing support

	Two-component non-draining colostomy bag included: adhesive plate for attaching the non-draining bag complete with it with a built-in filter *

	Two-component drainable colostomy bag included:
	adhesive plate for attaching the complete drainage bag with a built-in filter*
	Two-component drainable urinal included: adhesive plate for attaching the complete urostomy bag*

	One-piece drainable colostomy bag with built-in filter*
	One-piece non-drainable colostomy bag with built-in filter*
	One-piece drainable urinal with integrated adhesive wafer*
	Sealant paste to protect and smooth the skin around the stoma*
	Powder (powder) absorbent for the skin around the stoma*
	Protective cream for the skin around the stoma*
	Ostomy Cleaner*
	Odor neutralizer for feces, urinals*
	Belt for additional fixation of feces, urinals*
	Ostomy swab*
	Stoma Irrigation System*
	Absorbent gelling sachets for bags of feces, urinals*
	Stoma skin protection ring*
	Protective film for the skin around the stoma*
	Adhesive plate - half ring for additional fixation of plates of feces, urinal*

________________

* By decision of the Medical Commission of a medical organization, interchangeable (comparable in terms of functionality, qualitative and quantitative characteristics) medical devices, special means for violations of the excretion function can be prescribed.

Head of Pharmacy Department

Department of Health

Moscow city

T.V.Sokolova

Revision of the document, taking into account
changes and additions prepared
JSC "Kodeks"

Registration N 24852

In accordance with Part 2 of Article 38 of the Federal Law of November 21, 2011 N 323-FZ "On the Fundamentals of Protecting the Health of Citizens in the Russian Federation" (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2011, N 48, Art. 6724) and Decree of the President of the Russian Federation of May 21, 2012 N 636 "On the structure of federal executive bodies" ("Rossiyskaya Gazeta", 2012, N 114) order:

Approve:

nomenclature classification of medical devices by types in accordance with Appendix No. 1;

nomenclature classification of medical devices by classes depending on the potential risk of their use in accordance with Appendix No. 2.

Minister V. Skvortsova

Appendix No. 1

Appendix No. 2

Nomenclature classification of medical devices by classes depending on the potential risk of their use

1. With the nomenclature classification of medical devices by classes, depending on the potential risk of use (hereinafter referred to as the classification of medical devices), medical devices are divided into four classes. Classes are labeled 1, 2a, 2b and 3.

I. Classification of medical devices (except for medical devices for in vitro diagnostics)

2. When classifying medical devices, each medical device can be assigned to only one class:

class 1 - low-risk medical devices;

class 2a - medical devices with an average degree of risk;

class 2b - medical products with an increased degree of risk;

class 3 - medical products with a high degree of risk.

3. When classifying medical devices, their functional purpose and conditions of use are taken into account, as well as the following criteria:

duration of use of medical devices;

invasiveness of medical devices;

the presence of contact of medical devices with the human body or the relationship with it;

method of introducing medical devices into the human body (through anatomical cavities or surgically);

the use of medical products for vital organs and systems (heart, central circulatory system, central nervous system);

application of energy sources.

4. When assigning medical devices to classes, depending on the potential risk of use, the following provisions must be taken into account:

4.1. Non-invasive medical devices are in Class 1 if none of the provisions below apply, except for the provisions in 4.4.1.

4.2. Non-invasive medical devices intended for the conduction or storage of blood, body fluids or tissues, liquids or gases for the purpose of subsequent infusion, transfusion or introduction into the body belong to class 2a.

4.3. Non-invasive medical devices intended to change the biological or chemical composition of blood, other body fluids or fluids intended for infusion into the body belong to class 2b. However, in cases where the therapeutic effect consists in filtration, centrifugation, gas exchange or heat exchange to change the biological or chemical composition of blood, other body fluids or fluids intended for infusion into the body, medical devices are classified in class 2a.

4.4. Non-invasive medical devices that come into contact with damaged skin:

4.4.1. are in class 1 if they are used as mechanical barriers or for compression;

4.4.2. are in class 2b if they are used for wounds that can only be healed by secondary healing;

4.4.3. belong to class 2a if they are used in all other cases (including medical devices that are intended primarily to affect the microenvironment of wounds).

4.5. Invasive medical devices (with the exception of invasive surgical ones), the use of which is associated with anatomical cavities in the human body and which are not intended to be attached to an active medical device:

4.5.1. belong to class 1 if these medical devices are of short-term use (continuous use for no more than 60 minutes);

4.5.2. belong to class 2a if these medical products are of temporary use (continuous use for no more than 30 days), however, in cases where these medical products are temporarily used in the oral cavity up to the pharynx, in the ear canal up to the eardrum or in the nasal cavity, they belong to class 1;

4.5.3. belong to class 2b if these medical products are of long-term use (continuous use for more than 30 days), however, in cases where these medical products are used for a long time in the oral cavity up to the pharynx, in the ear canal up to the eardrum or in the nasal cavity and not may be mucosally resorbable, they are class 2a;

4.5.4. all invasive medical devices (with the exception of invasive surgical ones), the use of which is associated with anatomical cavities in the body and which are intended to be attached to an active medical device of class 2a or a higher class, belong to class 2a.

4.6. Surgical invasive short-term medical devices are in class 2a, but if they:

4.6.1. are intended for the diagnosis, observation, control or correction of pathologies of the heart, central circulatory system or central nervous system in direct contact with organs or parts of these systems, then they belong to class 3;

4.6.2. are reusable surgical instruments, then they belong to class 1;

4.6.3. designed to transfer energy in the form of ionizing radiation, they belong to class 2b;

4.6.4. are intended to cause a biological effect, to dissolve completely or to a large extent, then they belong to class 2b;

4.6.5. intended for the administration of drugs through a dosing system using a potentially dangerous method of administration, then they belong to class 2b.

4.7. Surgical invasive medical devices for temporary use are in class 2a, but if they:

4.7.1. are intended for the diagnosis, observation, control or correction of pathologies of the heart or the central circulatory system in direct contact with organs or parts of these systems, then they belong to class 3;

4.7.2. directly in contact with the central nervous system, then they belong to class 3;

4.7.3. designed to transfer energy in the form of ionizing radiation, they belong to class 2b;

4.7.4. are intended to cause a biological effect, to dissolve completely or in a significant part, then they belong to class 3;

4.7.5. undergo chemical changes in the body or administer drugs, then they belong to class 2b (with the exception of medical devices implanted in the teeth).

4.8. Implantable medical devices, as well as surgical invasive medical devices for long-term use, are classified as class 2b, however, if they:

4.8.1. intended for implantation in the teeth, then they belong to class 2a;

4.8.2. in direct contact with the heart, the central circulatory system or the central nervous system, then they are classified as class 3;

4.8.3. are intended to cause a biological effect or be completely or substantially absorbed, they are classified in class 3;

4.8.4. undergo chemical changes in the body or introduce drugs into the patient's body, then they belong to class 3 (with the exception of medical devices implanted in the teeth).

4.9. Active therapeutic medical devices:

4.9.1. active medical devices that are intended for energy transfer or energy exchange belong to class 2a. However, if the transfer of energy to the human body or the exchange of energy with it is a potential hazard due to the characteristic features of medical devices, taking into account the impact on the parts of the body to which energy is applied (including active medical devices designed to create ionizing radiation, radiation therapy), then they belong to class 2b;

4.9.2. active medical devices intended to control class 2b active therapeutic medical devices belong to class 2b.

4.10. Active diagnostic medical devices belong to class 2a if they are intended for:

4.10.1. transfer of energy absorbed by the human body, however, if the function of the medical device is to illuminate the patient's body in the visible range of the spectrum, then they belong to class 1;

4.10.2. distribution of radiopharmaceutical drugs introduced into the patient's body;

4.10.3. provide direct diagnosis or monitoring of vital body functions, but if they are intended to monitor vital physiological parameters, changes in which could lead to an immediate danger to the patient (for example, changes in heart function, respiration, or activity of the central nervous system), then they are class 2b;

4.10.4. control of active diagnostic medical devices of class 2b belong to class 2b.

4.11. Active medical devices intended for the introduction of drugs, physiological fluids or other substances into the patient's body and (or) their removal from the body belong to class 2a. However, if the method of administration (removal) represents a potential hazard, taking into account the type of substances concerned, the part of the body and the method of application, then they belong to class 2b.

4.12. Other active medical devices are in Class 1.

4.13. Medical products, the components of which include a substance that is a drug or other biologically active agent and affects the human body in addition to the effect of the medical product, belong to class 3.

4.14. Medical devices designed to control conception or to protect against sexually transmitted diseases are classified in class 2b, but if they are implantable or invasive long-term medical devices, then they are classified in class 3.

4.15. Medical devices intended for disinfection of medical devices belong to class 2a, however, if they are intended for cleaning, washing, disinfecting contact lenses, then they belong to class 2b.

4.16. Non-active medical devices used to obtain diagnostic x-rays are in class 2a.

4.17. Medical devices that have been manufactured using dead animal tissues or derived products are in Class 3, but if they are intended to come into contact only with intact skin, then they are in Class 1.

4.18. Containers for blood, blood products and blood substitutes belong to class 2b.

5. If a medical device is intended to be used in combination with other medical devices, then classes are established for each medical device.

6. If during classification different provisions can be applied to a medical device, then the provisions are applied, as a result of which the class of the medical device corresponding to the highest degree of potential risk is established.

7. For special software that is an independent product and used with a medical device, the same class is established as for the medical device itself.

II. Classification of medical devices for in vitro diagnostics

8. When classifying medical devices for in vitro diagnostics (hereinafter referred to as medical devices), each medical device can be assigned to only one class:

class 1 - medical products with low individual risk and low risk to public health;

class 2a - medical devices with a moderate individual risk and / or low risk to public health;

class 2b - medical products with high individual risk and/or moderate risk to public health;

class 3 - medical products with high individual risk and/or high risk to public health.

9. When classifying medical devices into classes, depending on the potential risk of use, the following provisions must be taken into account:

9.1. Medical devices designed to detect infectious agents in blood, blood components, blood derivatives, cells, tissues or organs, in order to assess the possibility of their transfusion or transplantation, medical devices designed to detect infectious agents that can cause diseases that threaten human life , with a high risk of spread and which provide crucial information for a correct diagnosis, are in class 3.

9.2. Medical devices that are used to determine blood groups or tissue types in order to guarantee the immunological compatibility of blood, blood components, cells, tissues or organs that are intended for transfusion or transplantation belong to class 2b, with the exception of the ABO system, the Rh system (C , c, d, e, e), Kell systems, Kidd systems and Duffy systems are classified in class 3.

9.3. Medical devices belong to class 2b if they are intended for the following purposes:

9.3.1. to identify infectious agents of sexually transmitted diseases;

to detect in the cerebrospinal fluid or blood infectious agents with a moderate risk of spread and which provide crucial information for making a correct diagnosis;

9.3.2. to detect the presence of infectious agents when there is a significant risk that an erroneous result may cause death or incapacitation of the patient or fetus being examined;

9.3.3. when screening pregnant women to determine their immune status in relation to infections;

9.3.4. when determining the status of an infectious disease or immune status, if there is a risk that an erroneous result will lead to a therapeutic decision that causes an imminent danger to the life of the patient;

9.3.5. in screening to select patients for elective therapy or for diagnosis (eg, cancer diagnosis);

9.3.6. in genetic testing, when the result of the test leads to a serious interference in a person's life;

9.3.7. to control the levels of drugs, substances or biological components, when there is a risk that an incorrect result will lead to a therapeutic decision that causes a life-threatening situation for the patient;

9.3.8. in the treatment of patients suffering from a life-threatening infectious disease;

9.3.9. in screening for congenital diseases of the fetus.

9.4. Medical devices intended for testing samples and self-control belong to class 2b, excluding those medical devices whose analysis result does not have a critical medical status or is preliminary, requires comparison with the relevant laboratory tests, belong to class 2a.

9.5. Medical devices that do not have a measuring function, which, due to their objective properties, can be used as general laboratory ones, but have special characteristics, according to which they are intended by the manufacturer for use in in vitro diagnostic procedures (without specifying specific types of laboratory tests/analytes) belong to class 1 .

9.6. Medical devices not covered by the provisions of paragraphs 9.1 - 9.5 belong to class 2a, including:

9.6.1. medical products with a measuring function (analyzers) with a non-fixed list of laboratory tests performed, which depends on the reagent kits (test systems) used. The interdependence of the analyzer and the reagents used, as a rule, does not allow an analyzer to be evaluated separately, however, this does not affect its assignment to class 2a;

9.6.2. medical devices, in the application of which the therapeutic decision should be made after further research;

9.6.3. medical devices used for monitoring and treatment of oncological diseases.

10. If a medical device is intended for use in combination with other medical devices, then classes are established for each medical device.

11. Calibration and control materials with quantitatively and qualitatively specified values belong to the same class as the medical devices they are intended to control.

12. For special software that is an independent product and used with a medical device, the same class is established as for the medical device itself.

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1 Program of state guarantees for the provision of free medical care to citizens of the Russian Federation on the territory of the Republic of Tatarstan for 2012 , biomaterial Graduated jar Sputum collection jar Polymer jar Bed linen and surgical linen, fabric, clothes, footwear for the patient and staff Bottle for baby food Paper for compresses Cotton wool Ear funnel Electrode gel Anesthetic gel Rubber heating pad, thermochemical, etc. Hemostatic tourniquet Arterial needle and venous Atraumatic surgical needle Laryngeal needle Blood collection needle Blood transfusion needle Heart puncture needle Pneumothorax needle Hypodermic injection needle Grafting needle Needle for puncture of the posterior fornix of the vagina Needle for puncture and drainage of the upper of the maxillary (maxillary) cavity Needle for puncture of the subclavian vein Needle for puncture intravascular introduction of guidewires and catheters Needle for puncture biopsy Needle for endoscopy and laparoscopy Needle for epidural anesthesia Needle and set for spinal puncture Insulin needle Single use injection needle Ligature needle Spinal needle (instruments) Anesthesia dental needle

2 Fistula needle Surgical needle Ligature needle Needle holder for atraumatic needles Needle holder for general surgery Needle holder vascular Needle holder metal Absorbent medical products for patient care Products for immobilization plaster and polymer Products for normalizing blood pressure Products for reconstructive surgery Treatment and prophylactic products for personal hygiene Disposable products for ostomy patients Individual dressing products Products connecting polymers Indicator of the sterilization process Surgical instruments for minimally invasive interventions Oral irrigator Kamerton medical cannula Intravenous and umbilical cannula Suprapubic cannula for urine drainage Cannula for washing the maxillary (maxillary) sinus Transitional cannula Ear cannula for washing the attic Medical dropper Capillary for clinical research Hematological cassette Suction and drainage catheter (probe) Catheter (probe) rectal Catheter (stent) ureteral Catheter (stent) radiopaque (visceral, spinal, cerebral) Catheter (stent) radiopaque ureteral, urological Catheter (stent) silicone, ventricular catheter Peripheral intravenous catheter, intravascular single use Catheter for infusion into small veins (butterfly needle) Gastric catheter Metal catheter Nelaton catheter for bladder drainage Nasal (nasopharyngeal) catheter (otorhinolaryngological) Pezzer catheter self-retaining large-head latex catheter Subclavian catheter Polymeric latex catheter Thoracic catheter Tracheobronchial catheter for mucus suction (set) Urethral catheter for women Urethral catheter for men Foley catheter for bladder drainage

3 Polymeric endobronchial and endotracheal catheter Epidural catheter Catheter, tube, line for anesthesiology Drainage catheter Oilcloth underlay Medical glue Clamp for blood vessels Clamp holder for blood vessels Clip-blepharostat Clip holder Laparoscopic clips Fixing clips Massage pad Dielectric rubber pad Conicotome (device with a needle) Connector for intravenous infusions Cooling container (hypothermic bag) Working container and equipment for working containers Thermal insulating container for infusion solutions Inter-body transport container Conchotom Curved forceps Straight forceps Sterilization box (bix) for storing sterile instruments and materials decapitation Hook for removing foreign bodies from the ear Hook for isolating the nerve trunks Hook for rhinoplasty (for pulling back the wings of the nose) K Hook for the zygomatic arch Hook for removal of foreign bodies and polyps Hook for the removal of foreign bodies from the nose Hook sharp Hook lamellar Farabeuf Hook cystic Hook tracheotomy Hook surgical serrated Hook-coagulator Dahlgren Nippers Nippers for the first rib Curette Curette for obstetrics, gynecology and for removal of the fetal egg and placental tissue Laryngeal and nasal curette Blade holder Surgical blades (micro blades)

4 Blades for scalpels Adhesive plasters Measuring tape (ruler) Ligature Gynecological spoon Spoon for microoperations on the larynx Spoon for paranasal sinuses Spoon for gallstone removal Bone spoon Curette spoon Medical spoon Medical spoon for scraping from the rectal mucosa Medical spoon for scraping fistulas Ear spoon Kidney-shaped tray Medical magnifier Manual magnifier Blood pressure cuff Medical gauze Protective mask Anesthesia mask, breathing mask Surgical material Material for bone tissue regeneration Suture material (catgut) Suture material (surgical threads) Polypropylene monofilament suture material Silk suture material Consumable materials for taking and storage blood samples Packing materials Bag (container) for collecting urine Microshower for washing the maxillary and maxillary sinuses Laryngeal knife Knife for plaster Knife for operations in the oral cavity and nose Knife for cutting plaster bandages Hook-shaped, banana-shaped knife Laryngological knife Ophthalmic surgical knife, capsulotomy Resection knife (spear-shaped) Stricture knife Anatomical scissors Eye scissors, intraocular Scissors horizontally curved Scissors for laparoscopy Scissors for metal

5 Nail scissors Scissors for otorhinolaryngology Scissors for dressings Scissors for resection and coagulation Scissors for sinusotomy Curved scissors Scissors for rectoscope for rectal biopsy Medical scissors Microsurgical scissors Pointed scissors Flat curved scissors Straight scissors Rhinoscopic scissors Scissors with one sharp end straight Sanitary scissors Vascular scissors Blunt-pointed scissors Ear scissors Surgical scissors Vertically curved surgical scissors Surgical scissors for cutting soft tissues in deep cavities Endoscopic scissors Nasal lift Oliva for blowing the nose and auditory tubes Disinfection sprayer X-ray protective diaper Medical gloves X-ray protective gloves Surgical gloves Polyp loop Anatomical tweezers Gynecological tweezers , ophthalmic tweezers for applying and removing metal brackets tweezers serrated-toed tweezers medical tweezers plate tweezers tweezers for electrocoagulation Vascular tweezers Technical tweezers Urological tweezers Ear tweezers Surgical tweezers Spoon tweezers for dispensing tablets Eye pipette (ophthalmological) Pipette for hemoglobinometer glass Pipette capillary (Pasteur) Plasma filter Film for surgical operations Film for surgical treatment of hernias X-ray medical film

6 Headrest X-ray protective diaper-panties Cup Wound cover Strip, indicator plate for express analysis of urine Condom Test tube and microtube Plug for catheters Sampler for determination of bacterial air pollution Cardiac wire-electrode Conductor for catheter insertion Conductor for tubes (mandrin) Prosthesis (endoprosthesis) of bile ducts Prosthesis (endoprosthesis) of blood vessels (xenoprostheses, endoprostheses) Prosthesis (endoprosthesis) of the trachea and larynx Rubber bladder for ice Reagents and consumables for bacteriological studies Reagents, reagents for biochemical studies Reagents, reagents for the diagnosis of infectious diseases Reagents, reagents for immunological studies Reagents , reagents for the study of hemostasis Reagents, reagents for radioimmunological studies Reagents, reagents for serological studies Reagents, reagents, materials for hematological studies Reagents, reagents, solutions, preparations rats for clinical laboratory research Reagents for X-ray film processing Gynecological aspirate collection Abdominal scalpel Ocular, ophthalmic scalpel Pointed general surgical (microsurgical) scalpel Surgical scalpel Staples for suturing wounds Saliva ejector Pacifier Medical syringe Means for checking and testing erythrocyte aggregation analyzers Means for surgery: dressings, napkins , films Personal protective equipment for medical staff when working with infectious material Means of transportation Dressings (gauze, bandages, bags, dressings) Dressings of the plaster type Fixing and compression dressings, elastic bandages, rubber Sanitary-hygienic means Disinfectant Portable sanitary-hygienic X-ray contrast agent for the gastrointestinal tract Beaker for disinfection of instruments Measuring beaker Beaker for biopsy material Cover and slide glass

7 Bedpan Serum for KDL Basin kidney-shaped Disinfectant swabs Packing containers Test strips for urinalysis Test system, kit, strips Test system, strips, plates for biochemical research purulent cavities Drainage tube Intubation tube Medical rubber tube, PVC Optical tube for endoscopes Rectal tube, vaginal tube X-ray tube Tracheal, endotracheal, tracheostomy, tracheotomy tube, a set of tubes and accessories to them Device for intravenous injections Device for enteral nutrition Clamp Air filter Filter for drugs blood, hemofilter Medical film Tsapki Hourglass procedure with a sound signal Petri dish Pouch-bag for a corpse Cotton or gauze balls Voyachek's awl Gynecological spatula Histological spatula Eye spatula Tongue spatula Laryngological spatula Syringe for injections Syringe for intrauterine infusions Syringe for disinfection and sterilization of root canals Syringe for washing cavities with accessories Syringe for rectal infusions Insulin syringe for single use Medical syringe and injection devices for multiple use Medical injection syringe for single use Brush (ruff) for endoscopes Obstetric forceps Biopsy forceps

8 Hemorrhoidal Forceps Gynecological Forceps Laryngeal Forceps Dissector Forceps Forceps for Operations on the Nasal Septum and Paranasal Sinuses Forceps for Packing the Ear, Throat and Nose Forceps for Papilloma Removal Forceps for Removing the Fetal Ovum Forceps for Installing an Artificial Stirrup Tool tongs to cystoscope Tongs to Endoscopes End Plins Intestinal Tongs Muffin Two-Comedy Tongs Muffin Three-Summary Tongs Nasal Tongs Single-Neck for Uterine Pressing (Bullet) Tongs Ophthalmological Tongs Polypnaya Folding Tongs Urethral Tongs Ear Polypnaya Plugs Surgical Tongs-Luxury Bone Shield for Transportation of Patients with Damage Avacuator ( catheter) to remove stones

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INSTRUCTION A-18/06 for the use of Alaminol (FSUE State Research Center "NIOPIK, Russia") for disinfection and pre-sterilization cleaning.