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The invention is an apparatus for puncturing or for carrying out other forms of manipulation of human tissue whereby the anchorage of the tissue is reliably recognised and signalled. The invention in question enables, in particular, access to the pericardium after it has been punctured. The apparatus consists of a source of negative pressure, a suction head with recess, a penetrating body that is housed in a guidance body with a lumen, and an anchorage detection- as well as an anchorage display device. The anchorage detection device can be characterised by several means of detection, such as an acoustic, an optical, as well as a pressure dependent means. By means of the display device, signals that are gathered by the anchorage detection device are transformed into display signals, thus allowing the doctor performing the surgery to see that the anchorage of the tissue or organ has taken effect to their satisfaction.
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