1. Medical device containing a shell element made with the possibility of contact with living solid tissue and / or replacing hard tissue material during surgery, and in the specified shell element has a longitudinal hole forming a longitudinal channel extending from the proximal end of the shell element in the distal direction, and a group of passages in the wall of the specified channel, while the medical device also contains a liquefied element, inserted or inserted into the longitudinal channel and at least partially liquefied by the energy applied from the proximal side, so that the liquefied material flows through the passages in the wall outward from the longitudinal channel into the structural elements of the hard tissue and / or the hard tissue-replacing material, while the medical device also includes a guide structure, the elements of which are located at an angle to the longitudinal axis of the longitudinal channel in order to direct different parts of the liquefied material to different of these passages. 2. The device according to claim 1, wherein the guide structure comprises a main part of the guide structure defining a longitudinal channel from the distal side and a dividing part protruding in the proximal direction from said main part of the guide structure. The device according to claim 2, in which the dividing part contains at least one wall protruding in the proximal direction from the specified main part of the guide structure. The device according to claim 3, wherein said wall starts between passages or two of said passages1. Медицинское устройство, содержащее оболочечный элемент, выполненный с возможностью контакта с живой твердой тканью и/или заменяющим твердую ткань материалом при проведении хирургической операции, причем в указанном оболочечном элементе имеется продольное отверстие, образующее продольный канал, идущий от проксимального конца оболочечного элемента в дистальном направлении, и группа проходов в стенке указанного канала, при э
