Abstract: An anchoring device including an anchoring element suitable for being anchored an object of construction material with the aid of mechanical vibrations. The anchoring element includes a thermoplastic material and a tool. The thermoplastic material forms at least a part of a radially outer surface of the anchoring element, and the tool has a proximal portion and a broadening portion distally of the proximal portion. The broadening portion has an outer second cross-section, the second cross section being larger than the first cross section but being adapted to the first cross section so that the tool can be moved with respect to the anchoring element while the broadening portion is in the axially-extending opening and locally expands the anchoring element while thermoplastic material of the anchoring element that surrounds the broadening portion is in a solid state.

Abstract: System for inserting an augmentation pin into an augmentation screw, comprising a pin inserter with an axial through-bore and a lateral opening, a pin-magazine with a pin-retainer for an augmentation pin, wherein the pin-magazine may be placed in the lateral opening of the pin-inserter and an augmentation pin in the pin-retainer may be aligned with the axial through-bore. The augmentation pin may be pushed by means of a pusher from the pin-magazine into an augmentation screw, when the augmentation screw is arranged in front of the pin-inserter.

Abstract: A light diffuser (10), which is particularly suitable for introducing diffuse light into a tissue, is produced by interpenetration of a diffuser material in a liquid state into a boundary layer (4) of a porous shaping material, by which process a diffuser surface is formed having a surface structure which represents essentially a negative of the pore structure of the shaping material and includes undercut structures induced by a surface tension. The light diffuser (10) is e.g. produced by introducing a diffuser blank (1) including material which is liquefiable through mechanical vibration into the shaping material and simultaneously stimulating it with mechanical vibrations, such that the liquefiable material liquefies at least there where it is in contact with the shaping material and is pressed into the shaping material. An in situ production of the diffuser is particularly advantageous for photodynamic therapy in bone tissue (20).

Abstract: Disclosed is a joining element (10), especially a suture material for surgical use. The joining element (10) is composed of a first material (12) that is essentially rigid during impingement by a relatively short-lasting tensile load on opposite sides as well as a second material (11) which is connected to the first material. The second material is substantially rigid during impingement by said tensile load on opposite sides while contracting slowly during a second period of time that is longer than the first period of time.

Abstract: A tool for fixating a suture anchor in a hard tissue opening with the aid of a material having thermoplastic properties and energy transmitted to the suture anchor for in situ liquefaction of at least part of the material having thermoplastic properties, includes a distal face, an axial channel and a substantially tube-shaped interface piece fitting into the axial channel of the tool, wherein the axial channel and a proximal end of the interface piece are equipped with catch elements cooperating for catching the interface piece in the axial channel when the interface piece is moved in a proximal direction in the axial channel.

Abstract: Disclosed is a joining element (10), especially a suture material for surgical use. The joining element (10) is composed of a first material (12) that is essentially rigid during impingement by a relatively short-lasting tensile load on opposite sides as well as a second material (11) which is connected to the first material. The second material is substantially rigid during impingement by said tensile load on opposite sides while contracting slowly during a second period of time that is longer than the first period of time.

Abstract: A throttle valve for controlling a fluid flow includes a throttle housing (4), a gas passage (18) in the throttle housing (4), a throttle shaft (8) which is pivotably supported in the throttle housing (4), and a throttle (6) which is connected to the throttle shaft (8). The throttle shaft (8) extends through a jacket (12) which is provided on the throttle (6) and at least partially encompasses the throttle shaft (8). After the throttle (6) is installed on the throttle shaft (8), a hardening filler material (10) creates a form-fit connection between the throttle (6) and the throttle shaft (8).

Abstract: An anchorage in tissue is produced by holding a vibrating element and a counter element against each other such that their contact faces are in contact with each other, wherein at least one of the contact faces comprises a thermoplastic material which is liquefiable by mechanical vibration. While holding and then moving the two elements against each other, the vibrating element is vibrated and due to the vibration the thermoplastic material is liquefied between the contract faces, and due to the relative movement is made to flow from between the contact faces and to penetrate tissue located adjacent to outer edges of the contact faces. For liquefaction of the thermoplastic material and for displacing it from between the contact faces no force needs to act on the tissue surface which is to be penetrated by the liquefied material. For this reason anchorage in tissue which has little mechanical stability is possible.

Abstract: A graft or prosthetic element suitable e.g. for replacing a tendon or ligament is fastened in a bone tunnel or blind opening with the aid of a fastener. In a first step, the graft or prosthetic element is press-fitted in the tunnel or opening by forcing the fastener into the opening or by positioning the fastener in the opening and then expanding it, wherein the fastener is in contact with the graft or prosthetic element and with the bone wall of the tunnel or blind opening. In a second step, the fastener is anchored in the bone wall of the tunnel or blind opening with the aid of a liquefiable material which is liquefied in the vicinity of the bone wall where it is in contact with the fastener and by making the liquefied material penetrate into the bone wall.

Abstract: In accordance with an aspect of the invention, a medical method of affixing an element to a surface of dentine, tooth enamel, bone tissue, or corresponding substitute material is provided, the method comprising the steps of: Providing an attachment composition, the attachment composition comprising a mixture of: A thermoplastic component; and A hardenable (for example curable) component, the hardenable component being different from the thermoplastic component; Positioning the attachment composition relative to the surface of dentine, tooth enamel, bone tissue, or corresponding substitute material; and Activating the attachment composition to attach to the surface or to attach to the element positioned relative to the surface; Wherein the step of activating the attachment composition comprises activating the attachment composition by means of mechanical vibration.

Abstract: A method for producing an implant including the following steps is provided:-providing a core element having a first material;-providing a negative mold of the implant;-inserting the core element and at least one anchoring element made of a second material into the negative mold, wherein the second material is thermoplastic,-closing the negative mold and applying an elevated deformation temperature, wherein at the deformation temperature the second material is plastically deformable, viscous, or liquid and the first material is solid,-cooling the negative mold together with the core element and the anchoring element, and-removing the resulting implant from the core element and the anchoring element from the negative mold.

Abstract: An apparatus for automated implantation of an implant or for an automated augmentation process of hard tissue and/or hard tissue replacement material using a sheath element is provided. The apparatus comprises a casing, a converter operable to generate mechanical vibrations the converter inside the casing and displaceable in a longitudinal direction relative to the casing, and a sonotrode coupled to an output location of the converter. A shaft portion with a retention structure is rotationally coupled to the casing and is equipped for cooperating with a rotationally asymmetric element of the sheath element to rotationally couple the casing to the sheath element. An axial coupling is equipped for locking the casing to the sheath element. The shaft portion, the axial coupling and the sonotrode are mutually arranged so that the a distal end of the sonotrode may be introduced into a longitudinal opening of the sheath element.

Abstract: A medical device is provided, the device, for example, being implantable into a human or animal body or being an augmentation device for strengthening human or animal hard tissue for subsequent implantation of a separate implant. The device includes a sheath element suitable of being brought into contact, during a surgical operation, with live hard tissue and/or with hard tissue replacement material. The sheath element has a, for example, generally elongate shape and a longitudinal bore defining a longitudinal opening reaching from a proximal end of the sheath element into a distal direction, and a plurality of holes in a wall of the opening. Further, the device includes a liquefiable element that is insertable or inserted in the longitudinal opening and at least partly liquefiable by the impact of energy impinging from the proximal side.

Abstract: A device and method for fixating soft tissue to hard tissue with the aid of a suture anchor and a suture or with the aid of a headed anchor, wherein the anchor is forced into the hard tissue and then anchored therein by in situ liquefaction of a material having thermoplastic properties. The device includes a vibration tool and the anchor and possibly a support element, wherein the anchor includes an anchor foot and a thermoplastic sleeve. The thermoplastic sleeve includes the material having thermoplastic properties. The anchor foot has a distal end suitable for being forced into hard tissue and it is connected to the distal end of the vibration tool and the thermoplastic sleeve sits on a proximal face of the anchor foot , the vibration tool and/or a proximal portion of the anchor foot extending into or through the thermoplastic sleeve.

Abstract: The present invention relates to drug formulations for the stabilization of amorphous forms of drugs. In particular the present invention relates to pharmaceutical compositions comprising sponge-like carrier matrices, particularly polyelectrolyte complexes or porous particles. The invention also relates to methods for the production of such pharmaceutical compositions.

Abstract: A suture anchor retaining a suture is fixated in hard tissue, in particular in bone tissue, using any per se known method and is then secured using a securing element including a material having thermoplastic properties, which is liquefied in situ and made to penetrate the hard tissue in which the suture anchor is fixated. The securing element is e.g. a thermoplastic plug or thermoplastic sleeve which is anchored above the suture anchor in a mouth area of the same hard tissue opening. Alternatively the securing element is a thermoplastic pin which is introduced into an inner cavity of the suture anchor, wherein the material having thermoplastic properties is liquefied in this cavity and, in a liquid state is pressed through passages connecting the cavity with outer surfaces of the anchor.

Abstract: Elements (5) such as dental fillings, inlays, dental veneers, root pins, implants to be implanted in bone tissue, or endoprostheses are affixed to surfaces (3) of dentine, tooth enamel, bone tissue, or a corresponding substitute material, by providing the element with element surfaces (6) including a first thermoplastic material, by equipping the surfaces (3) of dentine, tooth enamel, bone tissue, or a corresponding substitute material in a preparatory step in such a way that they become weldable with the first thermoplastic material, and by welding the element surfaces (6) to the pre-treated surfaces (3) by e.g. exciting the appropriately positioned element (5) with mechanical vibrations. The pre-treatment of the surfaces (3) in the preparatory step is achieved by attaching solid bodies (2) including a second thermoplastic material to the surfaces (3), with the aid of a curable compound (generally known for preparatory treatment of dentine or enamel surfaces) or with the aid of a cement.

Abstract: A method suitable for anchoring an anchoring element in an object, which anchoring element is compressible in the direction of a compression axis under local enlargement of a distance between a peripheral anchoring element surface and the compression axis. The anchoring element has a coupling-in face which serves for coupling the mechanical vibrations into the anchoring element, which coupling-in face is not parallel to the compression axis. The anchoring element further includes a thermoplastic material which in areas of the peripheral surface enlargement forms at least a part of the surface of the anchoring element, the method includes the steps of: providing a bore in the object; positioning the anchoring element in the bore; and coupling the compressing force and the mechanical vibrations through the coupling-in face into the positioned anchoring element.

Abstract: A system for inserting an augmentation pin into an augmentation screw, including a pin-inserter with an axial through-bore and a lateral opening. A pin-magazine with a pin-retainer for an augmentation pin in insertable in the lateral opening. The pin-magazine is placed in the lateral opening of the pin-inserter and an augmentation pin in the pin-retainer is aligned with the axial through-bore. The augmentation pin may be pushed by means of a pusher from the pin-magazine into an augmentation screw, when the augmentation screw is arranged in front of the pin-inserter.

Abstract: A tool for fixating a suture anchor in a hard tissue opening with the aid of a material having thermoplastic properties and energy transmitted to the suture anchor for in situ liquefaction of at least part of the material having thermoplastic properties, includes a distal face, an axial channel and a substantially tube-shaped interface piece fitting into the axial channel of the tool, wherein the axial channel and a proximal end of the interface piece are equipped with catch elements cooperating for catching the interface piece in the axial channel when the interface piece is moved in a proximal direction in the axial channel.