surgical apparatus and instruments; medical apparatus and instruments, namely, laryngectomy medical devices and accessories, laryngectomy filters and protectors, laryngectomy fibres, disposable foam laryngectomy filters, mouth filters for use with a laryngectomy, disposable tubes and laryngectomy protectors; tracheostomy tubes; laryngectomy tubes, stoma studs, atomisers sold empty for medical use; holders specially adapted for tracheostomy tubes; vacuum pumps for medical purposes; ear plugs for medical purposes, namely, ear putty; ear plugs for medical purposes; catheters; stoma protectors; artificial noses for implantation; tracheostomy filters; artificial voice prostheses; medical earplugs; tracheostomy protectors; elastomer prostheses including facial and body prostheses for use in the prosthetic rehabilitation of patients; tracheostomy and laryngectomy tubes; attachments for tracheostomy tubes comprising a locking mechanism to the tracheostomy tube; medical splints; foam filters and positioning pads for medical purposes; materials, namely, foams having moisture trapping qualities sold as an integral component of laryngectomy and tracheostomy protectors for medical and surgical use; auxiliary respiration instruments and parts thereof including a filter attached to a stoma opening after tracheostomy or laryngectomy; flexible silicon pre-cut washers and discs for use in and around laryngectomy/tracheostomy stomas; neck cravats for medical purposes; component parts for all the aforesaid goods; all for medical and surgical use