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.

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 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: The relates to a method of mechanically securing a first object to a second object and includes the steps of: providing the first object including thermoplastic material in a solid state, providing the second object with a generally flat sheet portion having an edge, positioning the first object relative to the second object and bringing the first object and the second object to a relative movement to each other. The relative movement includes a rotational movement, such that a melting zone including flowable thermoplastic material is formed and such that thermoplastic material of the melting zone flows around the edge to at least partially embed the edge in the thermoplastic material. The invention further concerns a connector that is suitable for being used in a method according to the invention.

Abstract: A method of bonding a second object to a first object includes: providing the first object having a thermoplastic liquefiable material in a solid state; providing the second object having a surface portion that has a coupling structure with an undercut, so that the second object is capable of making a positive-fit connection with the first object; 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; continuing to press and couple vibrations into the tool until a flow portion of the thermoplastic material of the first object is liquefied and flows into the coupling structures of the second object; and letting the thermoplastic material re-solidify to yield a positive-fit connection between the first and second objects by the re-solidified flow portion interpenetrating the coupling structures.

Abstract: A method for joining two objects by anchoring an insert portion provided on a first object in an opening provided on a second object. 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. During the step of inserting the insert portion in the opening and/or during anchorage a clamping force is applied to opposing surfaces of the second object to prevent the second object from cracking or bulging.

Abstract: A modular implant system, such as a spinal implant system, having an implant part, for example a (spinal) plate, and at least one fastener, wherein the implant part has a fastener receiving opening. The system also includes thermoplastic material, the thermoplastic material being equipped for being liquefied by mechanical vibration, especially ultrasonic vibration energy. The fastener receiving opening and the fastener can be shaped so that the fastener can be inserted relative to the implant part at a variable angle. The fastener, the plate and the thermoplastic material are equipped for the thermoplastic material, after re-solidification, to secure the fastener against at least one of an axial (back-out) movement of the fastener, a rotation of the fastener relative to the implant part, a variation of the angle of the fastener relative to the implant part.

Abstract: Methods of bonding a first object to a second object, including the steps of: providing the second object having a protrusion; providing the first object having a thermoplastic material; positioning the first object relative to the second object such that an assembly of the first and the second object is formed; applying a relative force between the second and first objects and applying mechanical vibration to the assembly of the first and the second object until at least a flow portion of the thermoplastic material becomes flowable and flows around the protrusion; and causing the thermoplastic material to re-solidify. The first object may be a connecting element including a feedthrough, wherein the second object has a corresponding opening. The protrusion may be deformed such that the protrusion has an undercut relative to an axis along which the first and second objects are pressed against each other.

Abstract: A method of bonding a first object to a second object, including the steps of: providing a profile body having a first profile body portion; providing the first object, wherein the first object has thermoplastic material; providing the second object, wherein the profile body is separate from and attachable to the second object or wherein the second object includes the profile body; embedding the profile body in the first object such that the first profile body portion is within the thermoplastic material of the first object. Embedding 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 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 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 bonding a second object to a first object includes: providing the first object having a thermoplastic liquefiable material in a solid state; providing the second object having a surface portion that has a coupling structure with an undercut, so that the second object is capable of making a positive-fit connection with the first object; 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; continuing to press and couple vibrations into the tool until a flow portion of the thermoplastic material of the first object is liquefied and flows into the coupling structures of the second object; and letting the thermoplastic material re-solidify to yield a positive-fit connection between the first and second objects by the re-solidified flow portion interpenetrating the coupling structures.

Abstract: A method for joining two objects by anchoring an insert portion provided on a first object in an opening provided on a second object. 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. During the step of inserting the insert portion in the opening and/or during anchorage a clamping force is applied to opposing surfaces of the second object to prevent the second object from cracking or bulging.

Abstract: The invention resides in the field of medical technology. It relates in particular to a sonotrode suitable for use with an ultrasonic surgical instrument. The invention refers further to an ultrasonic surgical instrument for cutting or punching bones, including such a sonotrode as well as a method for manufacturing the sonotrode of the invention.

Abstract: A method of fastening at least one second object to at least one first object, wherein mechanical vibration acts from a sonotrode on the second object to fasten the second object to the first object. Between the sonotrode and the second object, an auxiliary sheet is placed, for example of paper. After the vibration stops, the auxiliary sheet is displaced relative to the sonotrode for a next fastening step.

Abstract: A method of implanting a contact implant includes providing the contact implant, providing a plurality of anchoring implants having a plurality of through openings, placing the contact implant at an implantation location, and introducing a first one of the anchoring implants through a first of the plurality of through openings. Mechanical oscillations are applied, along a first axis, to the first one of the anchoring implants, thereby causing thermoplastic material of the implant to liquefy and interpenetrate portions of the tissue. A second one of the anchoring implants is introduced through a second one of the through openings to bring it in contact with the live tissue. Mechanical oscillations are applied, along a second axis, to the second one of the anchoring implants to cause thermoplastic material to be liquefied. The first and first and second axes are at a nonzero angle to each other.

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 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 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.