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: 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 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: Implants (7) for forming a positive connection with human or animal parts include a material, such as thermoplastics and thixotropic materials, that can be liquefied by means of mechanical energy. The implants (7) are brought into contact with the tissue part, are subjected to the action of ultrasonic energy while being pressed against the tissue part. The liquefiable material liquefies and is pressed into openings or surface asperities of the tissue part so that, once solidified, the implant is positively joined thereto. The implantation involves the use of an implantation device that includes a generator (2), an oscillating element, and a resonator (6). The generator (2) causes the oscillating element to mechanically oscillate, and the element transmits the oscillations to the resonator (6). The resonator (6) is used to press the implant (7) against the tissue part to transmit oscillations to the implant (7).

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 (1) and arranged therebetween a stabilization portion (2). The anchorage portions (1) include a thermoplastic material which is liquefiable by mechanical vibration. The stabilization portion (2) preferably has a surface which is equipped for enhancing osseointegration. The anchorage portions (1) have a greater thickness (T1) and a greater depth (D) than the stabilization portion (2). Then the fusion device is pushed between the articular surfaces and mechanical vibration, in particular ultrasonic vibration, is applied to the proximal face (4) 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: A method of anchoring an implant in hard tissue, and/or hard tissue replacement material, includes the steps of providing an initial opening in the hard tissue, providing a thermoplastic augmentation element, a tool and a counter element, compressing the augmentation element between the tool and the counter element while energy is coupled into the tool and while a periphery of a liquefaction interface of the tool and the augmentation element and/or of a liquefaction interface of the augmentation element and the counter element is in the opening, thereby liquefying material of the augmentation element at the liquefaction interface(s) to yield liquefied material, causing portions of the liquefied material to penetrate into structures of the hard tissue, allowing the liquefied material to harden and to thereby become augmentation material, removing the tool and the counter element, and anchoring the implant in the opening including at least some of the augmentation material.

Abstract: For fixedly implanting a device for material or signal delivery or acquisition or a part of such a device in a human or animal body, an opening is provided in hard tissue of the body, the opening reaching through a hard tissue layer, e.g. through a cortical bone layer into cancellous bone underneath. The device includes a plug portion (P) and/or a cover portion (C) which includes a ring of a material having thermoplastic properties extending around the plug portion (P) or on a tissue facing surface of the cover portion (C). The opening provided in the hard tissue has a cross section at least in the area of its mouth that is adapted to the plug or cover portion such that the plug portion (P) can be introduced through the mouth of the opening or the cover portion (C) can be positioned over the mouth of the opening such that the ring extends around the opening, along its wall and/or on the hard tissue surface around its mouth.

Abstract: An anchoring method of anchoring an anchoring element in a construction object is provided, where a surface of which object has at least one of pores in a surface, structures in a surface(such as an arrangement of ridges with undercut), a inhomogeneous characteristic with makes the penetration of a surface by a liquid under pressure possible, thereby creating pores filed by the liquid underneath the surface, and of a cavity. The method includes the steps of: providing a first element and a second element, the first element comprising a thermoplastic material; positioning the first element in a vicinity of said surface and/or of said cavity, respectively, and positioning the second element in contact with the first element; and causing a third element to vibrate while loading the first element with a force, thereby applying mechanical vibrations to the first element, and simultaneously loading the first element with a counter-force by the second element.

Abstract: A device for the anchoring of a suture in tissue includes a guide sleeve, a sonotrode, an anchor and the suture. The guide sleeve has a distal part with a smaller cross section and a proximal part with a larger cross section. The sonotrode extends through the lumen of the guide sleeve and has a distal end and a proximal end, the proximal end being designed for coupling the sonotrode to a vibration source (e.g. an ultrasonic device). The anchor is arranged at the distal end of the device and includes an anchor foot and an anchoring sleeve sitting on a shoulder of the anchor foot. The anchoring sleeve consists of a material which is liquefiable through mechanical vibrations. A middle portion of the suture runs through the anchor foot and two end portions of the suture are attached to the guide sleeve. The anchoring sleeve is clamped or clampable between the anchor foot and a pushing sleeve or the sonotrode or the guide sleeve. The device is particularly suitable for the anchoring of sutures in bone tissue.

Abstract: A spine stabilization device is provided, the spine stabilization device including an interbody spacer shaped to be inserted between a vertebral body of an upper vertebra and a vertebral body of a lower vertebra, and including a top surface oriented towards the lower endplate of the vertebral body of the upper vertebra and a bottom surface oriented towards the upper endplate of the vertebral body of the lower vertebra; and a fixation device to be inserted after placement of the interbody spacer, the fixation device including a support portion securing the interbody spacer against escaping from between the vertebral bodies of the upper and lower vertebra into a ventral direction, the support portion shaped to rest against a portion of an anterior surface of the interbody spacer, and further including an anchor, the anchor including an anchoring material portion that is configured to be inserted, in a liquid state, into cancellous bone tissue of at least one of the vertebral body of the upper vertebra and of th

Abstract: A device according to the invention for deflecting mechanical oscillations, at an oscillation receiver location may be set into oscillation along a first axis, and transmits such an oscillation into an oscillation along a second axis at an oscillation output location, wherein the first and the second axis form an angle to one another. The device in characterized essentially by the fact that it includes an elongate, bent oscillation element, on whose one end a coupling-in point and at whose other end a coupling-out point is arranged, wherein the device is designed in a manner such that the oscillation element oscillates transversally at the coupling-in point and at the coupling-out point, when the oscillation receiver location is subjected to an oscillation.

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: An implant or endoprosthesis suitable to be implanted in human or animal tissue comprises two (or more than two) parts to be joined in situ. Each one of the parts comprises a joining location, the two joining locations facing each other when the device parts are positioned for being joined together, wherein one of the joining locations comprises a material which is liquefiable by mechanical vibration and the other one of the joining locations comprises a material which is not liquefiable by mechanical vibration and a structure (e.g. undercut cavities or protrusions) suitable for forming a positive fit connection with the liquefiable material. The joining process is effected pressing the two device parts against each other and by applying vibration, e.g. ultrasonic vibration, to one of the device parts when the two parts are positioned relative to each other such that the two joining locations are in contact with each other.

Abstract: An implant according to the invention 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 said implantation temperature or include means for transforming non-mechanical energy into heat.

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: 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: An implant designed e.g. as a replacement for an articulating surface of a human or animal joint is secured to the bone tissue with the aid of a plurality of fasteners (3). The implant (2) comprises a bone side to be brought into contact with the bone tissue, which bone side is equipped with a plurality of fastening structures restricted to this bone side. The fasteners (3) comprise a distal and a proximal side, wherein the distal side is equipped for being anchored in bone tissue and the proximal side is equipped for being connected with one of the fastening structures of the implant (2). The distal sides of the fasteners (3) are anchored in the bone tissue of the appropriately prepared bone and the implant (2) is then attached to the anchored fasteners (3) by connecting the fastening structures with the proximal sides of the fasteners (3), wherein the implant (2) is pressed against the proximal sides of the anchored fasteners (3).

Abstract: An in-the-ear hearing device comprises an outside body, which is at least in part of textile material (3). The textile material allows to optimally adapt shape and shape dynamics as well as biocompatibility to the respective characteristics of an individual ear canal.

Abstract: The present invention relates to a medicinal product with a textile component such as a wound compress having a surface containing a multiplicity of openings arranged in at least two hole patterns. The diameter of one opening of one hole pattern deviates from the diameter of an opening of another hole pattern by about at least a factor of 5. Better wound healing is achieved by adapting the structural and mechanical characteristics of the medicinal product to the characteristics of the target tissue.