1. An implantable medical device, comprising a frame having at least one elongated element, and a fixing element comprising a first cuff, a second cuff, a tissue engaging element, the configuration of which provides attachment to the tissue at the implantation site to hold the implantable medical device in position, which is located at the site of implantation, and an element connecting the cuffs, which has an arc shape and is connected at the first edge with the first cuff, and at the second edge with the second cuff, characterized in that the first cuff surrounds the perimeter of the first area of at least one elongated element, the second the cuff surrounds the perimeter of the second portion of the at least one elongated element, and the cuff connecting element does not surround the perimeter of any portion of the at least one elongated element. An implantable medical device according to claim 1, characterized in that the tissue-engaging element is configured to penetrate the tissue at the site of implantation. An implantable medical device according to claim 1, characterized in that the tissue-engaging element is configured to contact the tissue without penetrating the tissue at the implantation site. An implantable medical device according to claim 1, wherein the tissue-engaging element moves away from the first cuff. An implantable medical device according to claim 4, characterized in that it comprises a second tissue engaging element that extends from the second cuff. An implantable medical device according to claim 1, characterized in that it engages with tissue1. Имплантируемое медицинское устройство, содержащеекаркас, имеющий, по меньшей мере, один продолговатый элемент, ификсирующий элемент, содержащий первую манжету, вторую манжету, зацепляющийся с тканью элемент, конфигурация которого обеспечивает крепление к ткани на участке имплантации для удержания имплантируемого медицинского устройства в положении, которое находится на участке имплантации, и соеди
