The invention relates to medical engineering, in particular in operative gynecology or surgery. It can be used both in laparoscopic or surgical access operations during surgical treatment Drop (omission) of the uterus or the vagina in patients with previously hysterectomy and suffering with vaginal prolapse. In the sector of surgical tool can be used in surgery for rectal prolapse as in laparoscopic and recessed access.The essence of the use of the tool is fixed (fixing) the flap mesh endoprosthesis, fixed (a bound) to the rolled body, in this case: the uterus, vagina or rectum, bone to the pelvic wall retroperitoneal.The problem to be solved by the proposed utility model is to provide a user-friendly operation of the surgical instrument for gynecological operations, capable of enhancing surgical efficiency and the technical result of the proposed utility model is convenient manipulation of the instrument, with guaranteed safety at all stages of surgery .The goal is achieved in that, in a surgical instrument for laparoscopic access, comprising a working rod with a handle and stop movement, telescopically positioned in the conductor housing, and disposed in the distal portion of the operation rod working body with a piercing tip, which position on the operating rod is fixed with a locking mechanism, the conductor casing on the end of the operation rod has outputs rounding, the piercing tip of the working organ is made in the form nakonech nick harpoon, with depth of penetration of the tip of the working organ in the operated tissue and the locking mechanism provides bayanetnoe mount working body on the operating rod.The proposed instrument provides convenience during surgery and provides guaranteed security in all modes of the tool management without causing bleeding. The proposed instrument extends the functionality and improves the ease of working with the tool. Thus it is possible to reuse the instrument in surgical practice.Полезная модель относится к медицинской