Abstract: An implant system that is designed to be fastened to a posterior side of a spinal column. The implant system includes an implant body, for example a plate, and a plurality of fasteners. The implant body has a fastening structure for each fastener. Each fastener extends between a proximal end and a distal end and includes a thermoplastic material in a solid state, the thermoplastic material being liquefiable by energy impinging on the fastener, in an anchoring process, in which the fastener is pressed against bone tissue by a pressing force acting from a proximal side, and in which energy is coupled into the fastener to at least partially liquefy the thermoplastic material, wherein a flow portion of the thermoplastic material is pressed into bone tissue and, after re-solidification, anchors the fastener in the bone tissue.

Abstract: A device for cutting bone tissue and, more particularly, a sonotrode suitable for use with an ultrasonic surgical instrument. The sonotrode has a head and a distal end piece, the distal end piece being equipped as a rectangular blade for cutting bones using mechanical vibration. The sonotrode has at least one structural element and the structural element is selected from the group including: a support structure, a lateral depression on each side, an increased width of the blade together with a slit at the distal end of the blade, or at least one lateral rib.

Abstract: A method of fastening a second object to a fiber composite part including a structure of fibers embedded in a matrix material includes: providing the fiber composite part including an attachment surface, with a portion of the structure of fibers being exposed at the attachment surface; providing the second object; placing the second object relative to the fiber composite part, with a resin in a flowable state between the attachment surface and the connector; pressing the second object and the fiber composite part against each other and causing mechanical vibration to act on the second object or the fiber composite part or both, thereby causing the resin to infiltrate the exposed structure of fibers and activating the resin to cross-link; whereby the resin, after cross-linking, secures the second object to the fiber composite part.

Abstract: A medical that is 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 system and a method for stud fixation with the aid of mechanical vibration energy that is applied to the stud and that is used for local liquefaction or at least plastification of a material, which is based on a thermoplastic polymer and includes the stud (at least distal stud end) and/or by the object (at least in a fixation location), wherein simultaneously the distal stud end is pressed against the fixation location of the object. Depending on the material pairing of stud (distal stud end) and object (fixation location), this results, on re-solidification of the liquefied or plasticized material, in an embedding of the distal stud end in the object (e.g. positive fit connection), in a welded connection between the distal stud end and the object, or in a local penetration of stud material into the object (e.g. positive fit connection).

Abstract: A method of anchoring a connector in a heterogeneous first object that includes a first building layer and, distally of the first building layer, an interlining layer. The method includes providing the first object and the connector, which includes thermoplastic material in a solid state; contacting the connector with the first building layer; applying a first mechanical pressing force to the connector until the first building layer is pierced by the connector and a distal portion of the connector reaches into the interlining layer; applying a second mechanical pressing force and mechanical vibration to the connector until a flow portion of the thermoplastic material is flowable and penetrates structures of the first object, and a distally facing abutment face of the head portion abuts against the metal profile in a region next to the opening; and letting the thermoplastic material resolidify to yield a positive-fit connection.

Abstract: A method of attaching an object to a substrate with a fastener, and an associated fastener. The object is tensible and has an engagement portion. The fastener has a protrusion, which includes thermoplastic material in a solid state. The method includes applying a mechanical pressing force and a mechanical excitation capable to cause a movement of the fastener in a distal direction so that the protrusion penetrates into the substrate and liquefies the thermoplastic material until a flow portion of the thermoplastic material is flowable and penetrates into structures of the substrate. The engagement portion is moved in the distal direction by the movement of the fastener, wherein the movement of the engagement portion in the distal direction causes a tensioning force in the object, and wherein the fastener has a protruding portion extending at least partly into the substrate after the thermoplastic material resolidifies.

Abstract: A device for fixating a suture anchor beyond 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. The device includes a tool and a suture anchor. The tool has a proximal end suitable for being coupled to an energy source and a distal end suitable for arrangement of the suture anchor including the suture. The distal end includes a distal tool face and an axial channel with a distal mouth located in the distal tool face. The suture anchor has an anchor foot and a thermoplastic sleeve including the material having thermoplastic properties. The anchor foot holds a loop of a suture such that end sections of the suture reach through the thermoplastic sleeve and a portion of the distal tool face.

Abstract: A method of fastening a second object to a fiber composite part including a structure of fibers embedded in a matrix material includes: providing the fiber composite part including an attachment surface, with a portion of the structure of fibers being exposed at the attachment surface; providing the second object; placing the second object relative to the fiber composite part, with a resin in a flowable state between the attachment surface and the connector; pressing the second object and the fiber composite part against each other and causing mechanical vibration to act on the second object or the fiber composite part or both, thereby causing the resin to infiltrate the exposed structure of fibers and activating the resin to cross-link; whereby the resin, after cross-linking, secures the second object to the fiber composite part.

Abstract: A device and method for perforating a dense bone layer. The device includes a vibration generator for generating mechanical vibration, in particular ultrasonic vibration, and an instrument with an elongated shaft and a distal end piece including a perforator. The distal end piece is arranged at a distal end of the shaft and the proximal end of the shaft is connected or connectable to the vibration generator. The perforator has the form of a solid or a hollow cylinder. The vibration generator, the shaft and the distal end piece are adapted to each other for the shaft to transmit, when connected to the activated vibration generator, mechanical vibration from the vibration generator to the distal end piece and for vibrating the perforator in a direction parallel to its cylinder axis.

Abstract: An approach for attaching a superstructure, such as a crown, to an abutment by an approach that includes causing thermoplastic material to become flowable due to mechanical energy input, and to flow relative to an attachment structure to secure the superstructure and crown together.

Abstract: A method of anchoring a connector in a heterogeneous first object that includes a first building layer and, distally of the first building layer, an interlining layer. The method includes providing the first object and the connector, which includes thermoplastic material in a solid state; contacting the connector with the first building layer; applying a first mechanical pressing force to the connector until the first building layer is pierced by the connector and a distal portion of the connector reaches into the interlining layer; applying a second mechanical pressing force and mechanical vibration to the connector until a flow portion of the thermoplastic material is flowable and penetrates structures of the first object, and a distally facing abutment face of the head portion abuts against the metal profile in a region next to the opening; and letting the thermoplastic material resolidify to yield a positive-fit connection.

Abstract: A suture anchor includes a material having thermoplastic properties and is fixated in a hard tissue opening by liquefying at least part of this material and letting it penetrate into walls of the hard tissue opening. During the named fixation and preferably towards the end of it, the suture being held in a distal suture conduit is locked relative to the hard tissue by being clamped between the suture anchor and the wall of the hard tissue opening or by being clamped or braked through collapse of the suture conduit.

Abstract: A method of anchoring a connector in a first object is provided, wherein the connector includes thermoplastic material in a solid state. The method includes bringing the connector into physical contact with the first object, rotating the connector relative to the first object around a proximodistal rotation axis and exerting a relative force by the connector onto the first object, until a flow portion of the thermoplastic material of the connector becomes flowable and flows relative to the first object, and stopping rotation of the connector, whereby the flow portion anchors the connector relative to the first object, wherein a distal end of the connector is equipped for cutting/punching into the first object and/or for removing material therefrom.

Abstract: A suture anchor suitable for being fixed 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. The suture anchor includes an anchor foot and a thermoplastic sleeve, and the anchor foot includes a system of channels and/or grooves with a mouth in a proximal face of the anchor foot. The thermoplastic sleeve is arranged coaxially to the mouth. The anchor foot also includes a locking element for securing the suture in a non-slideable manner relative to the hard tissue or a securing sleeve for securing the suture. The locking element or the securing element may be secured relative to the anchor foot when the anchor foot is in a fixed state.

Abstract: A method for joining two objects by anchoring an insert portion provided on one of the objects in an opening provided on the other one of the objects. The anchorage is achieved by liquefaction of a thermoplastic material and interpenetration of the liquefied material and a penetrable material, the two materials being arranged on opposite surfaces of the insert portion and the wall of the opening. Before such liquefaction and interpenetration, an interference fit is established in which such opposite surfaces are pressed against each other, and, for the anchoring, mechanical vibration energy and possibly a shearing force are applied, wherein the shearing force puts a shear stress on the interference fit.

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: A method and installation for joining a cover layer to an object in a continuous process. Joining is effected with the aid of a joining material having thermoplastic properties, wherein the joining material is arranged between the cover layer and the object and is liquefied using ultrasonic vibration energy. Before application of the ultrasonic vibration energy, the joining material is preheated in a contactless manner with the aid of electromagnetic induction in the region of the glass transition temperature of the joining material or above this glass transition temperature. The object is in particular a chip board and the cover layer an edge strip to be joined to an edge of the chip board.

Abstract: A dental implant includes an implant body with a coronally open cavity and at least one exit opening from an inside to the enossal outer surface. A thermoplastic element in the solid state is arranged in the cavity, and is brought into an at least partly flowable condition by applying a pressing force directed apically into the cavity, and mechanical oscillations. A portion of the flowable material of the thermoplastic element is pressed through the exit opening into surrounding bone tissue, when the implant body is arranged in an opening in the bone tissue and the enossal outer surface is in contact with the bone tissue. A re-solidification of the thermoplastic material after discontinuing the vibrations causes an anchoring through the connection between interpenetrated tissue and the implant body via the thermoplastic material penetrating both.

Abstract: A suture anchor includes a material having thermoplastic properties and is fixated in a hard tissue opening by liquefying at least part of this material and letting it penetrate into walls of the hard tissue opening. During the named fixation and preferably towards the end of it, the suture being held in a distal suture conduit is locked relative to the hard tissue by being clamped between the suture anchor and the wall of the hard tissue opening or by being clamped or braked through collapse of the suture conduit.