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: An implant includes first thermoplastic material portions, and second thermoplastic material portions liquefiable by mechanical vibrations and being in contact with the first thermoplastic material portions, wherein the second thermoplastic material portions preferably constitute at least a part of a surface of the implant, and wherein the first thermoplastic material portions have a glass transition temperature above an implantation temperature (about 20° C. to 40° C.), and wherein the second thermoplastic material portions either have a glass transition temperature below the implantation temperature or are able to transform non-mechanical energy into heat.

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: A method of bonding a second object to a first object includes: providing the first object, which includes a thermoplastic liquefiable material in a solid state; providing the second object, which includes a surface portion that has a coupling structure with an undercut such that the second object can make a positive-fit connection with the first object; and pressing the second object against the first object with a tool that is in physical contact with a coupling-in structure of the second object while mechanical vibrations are coupled into the tool. The step of pressing and coupling vibrations into the tool continues until a flow portion of the thermoplastic material of the first object is liquefied and flows into the coupling structures of the second object. Thereafter, the thermoplastic material of the first object is permitted to re-solidify to yield a positive-fit connection between the first and second objects.

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: An EEG headpiece includes an array of electrode pins, each electrode pin extending between a proximal end, formed by a proximal end face, and a distal end and including a conducting electrode and a thermoplastic material. The thermoplastic material is arranged at least around a periphery of the electrode pin or is pressable from a hollow space to the periphery. Each electrode pin is equipped for the transmission of energy, especially mechanical vibration energy, from the proximal end face to the thermoplastic material to liquefy at least portions of the thermoplastic material from a solid state to a flowable state, whereby the thermoplastic material is capable of flowing into structures of a tissue portion surrounding the periphery and of forming, after re-solidification of the thermoplastic material, an anchoring of the electrode pin in the tissue portion.

Abstract: A device for fixing a first and a second tissue part or a tissue part and an implant part to each other is provided, providing a fastener including a thermoplastic material and a fastening instrument. The fastening instrument includes a first instrument component with a first contact surface facing toward a distal side and a second instrument component has a foot with a second contact surface distally of the first contact surface and facing toward a proximal side. The first instrument component and the second instrument component are displaceable with respect to each other, so that the fastener is compressible between the first and second contact surfaces by application of a relative force between the components. The instrument also includes an energy source for coupling mechanical energy into one of the instrument components to soften and/or melt an end portion of the fastener.

Abstract: A reinforcement and/or lining method is provided, wherein a thermoplastic reinforcement and/or lining element is subject to mechanical energy impact and mechanical pressure by a tool so that reinforcement and/or lining material of the reinforcement and/or lining element is liquefied and pressed into porous material to reinforce the porous material. In at least one axial depth, the reinforcement and/or lining 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 reinforcement and/or lining element and in second regions is not in contact with the reinforcement and/or lining element.

Abstract: A profile body of a not liquefiable material is used as a connecting element between a first object and a second object. The profile body may especially be metallic and/or may be bendable. The profile body, in contrast to a conventional wire, however, has a shape defining a first and a second undercut. The method includes embedding the profile body in the second object so that the second undercut is within material of the second object, and embedding the profile body within material of the first object so that the first undercut is within the first object, and wherein at least embedding of the profile body in the first object is caused by mechanical energy impinging on the first object and/or on the second object while the first object and the second object are pressed against each other.

Abstract: A method of anchoring a connector in a first object is provided, the connector having a thermoplastic material in a solid state. The method includes providing the first object and the connector, bringing the connector into contact with the first object from a distal side thereof, causing mechanical vibration energy to impinge on the first object from a proximal end face thereof, the proximal end face being opposite the distal side, while the object and the connector are pressed against each other, until a proximally facing end of connector is at least partially flowable forming a flow portion of the thermoplastic material, and causing the flow portion to flow into structures of the first object, and letting the flow portion re-solidify to cause a positive-fit connection between the first object and the connector.

Abstract: A method 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 implantation apparatus includes 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 distal end of the sonotrode may be introduced into a longitudinal opening of the sheath element.

Abstract: A method of bonding a connector to a first object includes providing the first object and the connector, the connector extending between a proximal end and a distal end and has a connector body that forms a distally facing punching edge. At least one of the connector and of the first object includes a thermoplastic material in a solid state. The method further includes driving the connector into the first object and coupling mechanical vibration into the connector until the connector extends through a portion of the first object from a proximal side to a distal side thereof and material of the first object is punched out by the connector body, and until at least a flow portion of the thermoplastic material becomes flowable and flows relative to the first object and the connector body while the connector body remains solid. Thereafter, the thermoplastic material is allowed to re-solidify.

Abstract: A method of mechanically connecting a connector to a first object includes providing the first object having an opening, providing a first connector element, a second connector element, and thermoplastic material in a solid state, placing the first and second connector elements relative to the opening, causing energy to impinge on the thermoplastic material until at least a portion thereof becomes flowable and flows relative to the first and second connector elements until it is in direct (intimate) contact with both the first and second connector elements, and causing the thermoplastic material to re-solidify (for example by letting the thermoplastic material to cool down to room temperature). The re-solidified thermoplastic material locks the first and second connector elements relative to one another to yield a connector assembly that is anchored in the opening by the thermoplastic material and/or by the locking of the first and second connector elements.

Abstract: A method for locating a material having thermoplastic properties in pores of bone tissue includes providing a pin having the material having thermoplastic properties and a core, wherein the material having thermoplastic properties is arranged on the circumferential surface of the core constituting an outer region of the pin. An opening is provided in the bone tissue, and the pin is positioned at least partly in the opening. The outer region of the pin is then impinged with mechanical vibration energy for a time sufficient for liquefying at least part of the material having thermoplastic properties, and, in a liquefied state, pressing it into the pores of the bone tissue surrounding the opening. The vibration energy is stopped for a time sufficient for re-solidification of the liquefied material, and then the core is removed.

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 bonding together a first object and a second object having a flat part and an opening defining a contour is provided. The second object has a fastening portion having a coupling structure defining an undercut and running around a periphery of the opening. The method includes positioning the first object relative to the second object in the opening, and providing a thermoplastic material along the contour, causing a relative force between the second and first objects and impinging the assembly of the first and second object with mechanical vibration until at least a flow portion of the thermoplastic material becomes flowable and flows into the coupling structure, and causing the thermoplastic material to re-solidify.

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: 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: The fusion device for fusing a synovial joint of a human or animal patient, in particular a human facet joint, finger joint or toe joint, includes two pin-shaped anchorage portions and arranged therebetween a stabilization portion. The anchorage portions include a thermoplastic material which is liquefiable by mechanical vibration. The stabilization portion preferably has a surface which is equipped for enhancing osseointegration. The anchorage portions have a greater thickness and a greater depth than the stabilization portion. Then the fusion device is pushed between the articular surfaces and mechanical vibration, in particular ultrasonic vibration, is applied to the proximal face of the fusion device. Thereby the liquefiable material is liquefied where in contact with the bone tissue and penetrates into the bone tissue, where after re-solidification it constitutes a positive fit connection between the fusion device and the bone tissue.

Abstract: An anterior cervical includes a plate portion for stabilizing a human or animal spine by being placed ventrally of the spinal column and affixed to two or more different vertebral bodies, and a plurality of fastening portions adapted to be anchored in the different vertebral bodies. At least one of the fastening portions is rigidly connected to the plate portion and includes a sheath element with a longitudinal opening that is accessible from a proximal side and at least one hole that reaches from the longitudinal opening to an outside. The anterior cervical plate further includes a thermoplastic element that may be inserted in the sheath element and that is capable of being liquefied by, for example, mechanical energy acting on the thermoplastic element.