Abstract: A joining element has an anchoring portion for in-depth anchoring in the object and a head portion arranged proximally of the anchoring portion with respect to an insertion axis. The head portion has a lateral outer surface that has a structure that is well-defined, especially within tight tolerances. The joining element is positioned relative to an object of a non-liquefiable material such that the anchoring portion reaches into an opening of the object or is placed adjacent a mouth thereof. Then, the joining element is pressed towards a distal direction, to press the anchoring portion into the opening, while mechanical vibration energy is coupled into the joining element by a tool, in an amount and for a time sufficient for liquefaction of a portion of the thermoplastic material to cause interpenetration of the thermoplastic material into structures of the object.

Abstract: A first object is anchored in a second object. The first object has a material with thermoplastic properties, and the second material has a material that is solid and is penetrable by the first material when in a liquefied state. The second object has an insertion face with an opening having a mouth in the insertion face, and the first object has an insert portion that for anchoring is placed in the opening or about the mouth thereof. For anchoring, energy suitable for liquefaction of the first material impinges in an amount and for a time sufficient for at least partial liquefaction of the first material and interpenetration of the first and second materials. The second object, around the opening, has an anisotropic strength with respect to forces perpendicular to the opening axis.

Abstract: A human or animal joint is treated by introduction of a device between the suitably prepared articulating surfaces of the joint, and the device is anchored in both these articular surfaces with a material having thermoplastic properties. For allowing at least limited articulation of the joint after implantation, the device includes two articulating portions, wherein one of the articulating portions is anchored in each articulating surfaces of the joint. On implantation a proximal face of the device is contacted with a vibrating tool and the vibration is transmitted through parts of the device to locations in which the material having thermoplastic properties is near the bone tissue of the articulating surfaces of the joint and in which liquefaction is desired. The liquefied material penetrates the bone tissue and, on re-solidification forms a positive fit connection between the device and the bone tissue.

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 bonding a connector to a first object includes providing the connector, the connector being separate from the first object and including a thermoplastic material; arranging the first object and the connector relative to one another so that the connector reaches from a proximal side of the object through a first opening in the object; generating and applying vibrations and mechanical pressure to the connector until a flow portion of the thermoplastic material is liquefied and caused to flow sideways radially into an open space; and removing the source of the vibrations and causing the liquefied thermoplastic material to re-solidify, resulting in the connector with a foot portion, a head portion, and a shaft portion between the foot portion and the head portion. The shaft portion extends along an axis through the first opening, and secures the connector to the first object.

Abstract: A method of fastening a second object to a first object includes: providing the first object with an attachment surface; providing the second object; placing the second object relative to the first object, with a resin composition in between the attachment surface and the second object, wherein the resin composition has a resin having a first viscosity and being in a flowable state; pressing the first and second objects against each other and causing mechanical vibration to act on at least one of the objects until the resin composition experiences a vibration induced activation, which includes at least one of reduction of the viscosity of the resin compared to the first viscosity and activation of particles dispersed in the resin. The pressing and mechanical vibration are continued or repeated until the resin has at least partially cross-linked and the viscosity of the resin is increased compared to the first viscosity.

Abstract: A pedicle anchor device is equipped for being used like a pedicle screw, i.e. for being implanted in the vertebra from dorsal direction (but generally at an angle to the sagittal plane, slightly inward towards the sagittal plane) through the pedicle so that a distal portion of the device protrudes into the vertebral body. The pedicle anchor device includes a pedicle anchor device body with a head portion, a shaft portion and a longitudinal bore that extends from a proximal end of the pedicle anchor device body and has a hole or a plurality of holes from the longitudinal bore outward, for example radially outward.

Abstract: In a human or animal patient, two bone portions separated by a cut or fracture are stabilized in a desired position relative to each other by bringing the two bone portions into this desired position, by pulling them against each other, by providing an opening having a mouth on a bone surface and reaching across the cut or fracture and walls in both bone portions, by inserting an implant into the opening and anchoring the implant in the walls of the opening with the aid of a material having thermoplastic properties and energy transmitted into the implant for in situ liquefaction of at least part of the material having thermoplastic properties. One exemplary application of the stabilizing procedure concerns the two tibial bone portions separated by tibial plateau leveling osteotomy in a canine patient suffering from cranial cruciate ligament damage or rupture in a stifle joint.

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 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 spine stabilization device having an interbody spacer shaped to be inserted between a vertebral body of an upper vertebra and a vertebral body of a lower vertebra. The device further includes a fixation device to be inserted after placement of the interbody spacer, the fixation device having a support portion securing the interbody spacer against escaping from between the vertebral bodies into a ventral direction. The support portion rests against a portion of an anterior surface of the interbody spacer, and includes an anchor. The anchor has an anchoring material portion that is inserted, in a liquid state, into cancellous bone tissue of at least one of the vertebral bodies of the upper and lower vertebra, to thereby infiltrate the cancellous bone tissue, and to harden thereafter so as to fix the support portion to the vertebral body.

Abstract: A method of anchoring a connector in a first object, wherein the first object is a lightweight building element having a first outer building layer and an interlining layer, and wherein the connector includes thermoplastic material in a solid state. The method includes: bringing a coupling surface portion of the connector into contact with an attachment location of the first outer building layer; displacing a portion of the first outer building layer at the attachment location with respect to the interlining layer by applying a first pressing force to the first outer building layer and thereby piercing the first outer building layer; applying a second pressing force to the connector and transferring energy to the connector until a flow portion of the thermoplastic material has liquefied and flown to interpenetrate structures of the interlining layer; and stopping the energy transfer and allowing the flow portion to re-solidify.

Abstract: An implant for stabilizing two separated bone portions relative to each other an implant includes a peg, a bridge assembly and a securing element. The peg and bridge assembly include at least two peg portions and a bridge portion, wherein the bridge portion is arranged between the peg portions and wherein the peg and bridge portions are rigidly connected. The peg and bridge assembly is positioned relative to the bone portions such that one peg portion extends into the bone tissue of each one of the bone portions and the bridge portion extends across the gap separating the bone portions. The securing element is anchored in the bone tissue of one of the bone portions, its proximal end extending through an opening in an assembly portion extending parallel to a bone surface or across a notch in a proximal edge of an assembly portion.

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 includes 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 contact 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.

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 spine stabilization device having an interbody spacer shaped to be inserted between a vertebral body of an upper vertebra and a vertebral body of a lower vertebra. The device further includes a fixation device to be inserted after placement of the interbody spacer, the fixation device having a support portion securing the interbody spacer against escaping from between the vertebral bodies into a ventral direction. The support portion rests against a portion of an anterior surface of the interbody spacer, and includes an anchor. The anchor has an anchoring material portion that is inserted, in a liquid state, into cancellous bone tissue of at least one of the vertebral bodies of the upper and lower vertebra, to thereby infiltrate the cancellous bone tissue, and to harden thereafter so as to fix the support portion to the vertebral body.

Abstract: A method for joining a device to an object with the aid of a combination of ultrasonic vibration energy and induction heating, wherein the device includes a portion of a thermoplastic polymer and a susceptor additive wherein this portion is at least partly liquefied or plasticized through the ultrasonic vibration energy in combination with the induction heating and wherein the joining includes establishing a connection between the device and the object which connection is at least one of a positive fit connection, a weld, a press fit connection, and an adhesive connection. The induction heating is applied for rendering the device portion suitable for absorption of ultrasonic vibration energy than other device portions by raising its temperature above the glass transition temperature of the polymer. The ultrasonic vibration energy is used for liquefying or at least plasticizing the thermoplastic polymer of the named device portion.

Abstract: A device for preparing an opening in tissue for implantation of an implant. The device includes a tool adapted to be coupled to an energy source, an augmentation element of a thermoplastic material, and a counter element. A tool contact surface and a first augmentation element contact surface together form a first interface, and a second augmentation element contact surface and a counter element contact surface together form a second interface. The device is configured to be being inserted into an opening in the tissue and configured for the augmentation element to be compressed between the tool and the counter element while at the same time energy is coupled into the tool.

Abstract: An augmentation method is provided, wherein a thermoplastic augmentation element is subject to mechanical energy impact and mechanical pressure by a tool so that augmentation material of the augmentation element is liquefied and pressed into hard tissue to augment the hard tissue, wherein in at least one axial depth, the augmentation element is segmented as a function of the circumferential angle so that at this axial depth the circumferential wall of the initial opening in first regions is in contact with the augmentation element and in second regions is not in contact with the augmentation element.

Abstract: A method of mechanically securing a first object including a thermoplastic material in a solid state to a second object with a generally flat sheet portion, with a perforation of the sheet portion, and with the sheet portion having an edge along the perforation is provided, wherein the first object is positioned relative to the second object so that the edge is in contact with the thermoplastic material and wherein mechanical vibration energy is coupled into the assembly including the first and second objects until a flow portion of the thermoplastic material due to friction heat generated between the edge and the thermoplastic material becomes flowable and flows around the edge to at least partially embed the edge in the thermoplastic material. After the mechanical vibration stops, the thermoplastic material is caused to re-solidify, whereby the re-solidified thermoplastic material at least partially embedding the edge anchors the first object in the second object.