Abstract: An assembly including a joining element and an object, the object having a first outer layer, a second outer layer, and a middle layer between the first and second outer layers. The object has an opening that extends through the first outer layer and the middle layer, and the joining element is anchored in the opening. The joining element includes a proximal end, a distal end, a contact face in the area of the proximal end, a wall anchoring portion, and a tubular portion. The contact face is engaged by a vibrating tool that applies mechanical vibration and axial force to the joining element. The joining element includes a thermoplastic material at least at the circumferential surface of the wall anchoring portion and at the distal end to anchor the joining element to the first and second outer layers, respectively.

Abstract: A surgical method is provided, the method including the steps of: providing an artificial or allograft flexible planar structure; providing an implant, the implant including material liquefiable by mechanical oscillation, exposing a surface region of hard tissue or hard tissue substitute material; positioning the implant on an exposed area of the hard tissue or hard tissue substitute material; and fastening the implant to the hard tissue or hard tissue substitute material by impinging the proximal end of the implant with mechanical oscillation and simultaneously pressing the implant against the hard tissue or hard tissue substitute material while the distal end of the implant protrudes into a cavity of the hard tissue or hard tissue substitute material and regions of the liquefiable material are in contact with the hard tissue or hard tissue substitute material, and thereby liquefying at least a portion of the liquefiable material, and letting the liquefiable material resolidify.

Abstract: An assembly including a joining element and an object, the object having a first outer layer, a second outer layer, and a middle layer between the first and second outer layers. The object has an opening that extends through the first outer layer and the middle layer, and the joining element is anchored in the opening. The joining element includes a proximal end, a distal end, a contact face in the area of the proximal end, a wall anchoring portion, and a tubular portion. The contact face is engaged by a vibrating tool that applies mechanical vibration and axial force to the joining element. The joining element includes a thermoplastic material at least at the circumferential surface of the wall anchoring portion and at the distal end to anchor the joining element to the first and second outer layers, respectively.

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 joining element to a hollow core board with the aid of mechanical vibration. The hollow core board has a first and second outer layers and a middle layer disposed between the outer layers. An opening, including a mouth, is provided in the hollow core board, the opening penetrating the first outer layer and the middle layer. The joining element includes a wall anchoring portion situated between a proximal end and a distal end thereof. A distal end of the wall anchoring portion is positioned into or onto the mouth with a sealing portion on a proximal end of the wall anchoring portion. The wall anchoring portion is forced through the mouth by applying mechanical vibration and a force parallel to the joining element axis, whereby thermoplastic material of the wall anchoring portion is liquefied and pressed into the first outer layer.

Abstract: A punching device for preparing a recess in a bone has a punching tool usable for such a punching device. An implant usable with the punching tool is provided and a method for preparing a recess in a bone are disclosed. The punching device comprises an ultrasonic sonotrode and a punching tool which is fixable to the sonotrode at its proximal extremity. At its distal extremity, the punching tool has a thin-walled portion having a non-rotational symmetric cross-section. By ultrasonic vibration of the punching tool, the thin-walled portion can be forced into a bone thereby preparing a recess of which is not rotationally symmetric. Subsequently, an implant can be held in such recess. Due to its lack of rotational symmetry, the implant may absorb rotational forces around its longitudinal axis.

Abstract: A connector and a method of anchoring the connector to a first object that includes providing the connector having a sleeve element and a piston element with a shaft portion, providing a through hole in the first object, and inserting the connector through the through hole and until a distal portion of one of the sleeve and/or the piston element rests against the second object. Mechanical oscillations are coupled into the piston element while the piston element is pressed towards the distal side, and thereby liquefying portions a thermoplastic material at an interface portion between the sleeve element and the piston element while a periphery of the interface portion is adjacent the circumferential wall, and causing the liquefied thermoplastic material to flow radially outward from the periphery and into structures of the first object and/or along an inner surface.

Abstract: Implants 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 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, an oscillating element, and a resonator. The generator causes the oscillating element to mechanically oscillate, and the element transmits the oscillations to the resonator. The resonator is used to press the implant against the tissue part to transmit oscillations to the implant.

Abstract: A device 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 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 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: Implants 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 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, an oscillating element, and a resonator. The generator causes the oscillating element to mechanically oscillate, and the element transmits the oscillations to the resonator. The resonator is used to press the implant against the tissue part to transmit oscillations to the implant.

Abstract: An implant suitable for being anchored with the aid of mechanical vibration in an opening provided in bone tissue. The implant is compressible in the direction of a compression axis under local enlargement of a distance between a peripheral implant surface and the compression axis. The implant includes a coupling-in face which serves for coupling a compressing force and the mechanical vibrations into the implant, which coupling-in face is not parallel to the compression axis. The implant also includes a thermoplastic material which, in areas of the local distance enlargement, forms at least a part of the peripheral surface of the implant.

Abstract: A bone implant (10) is implanted in a cavity parallel to an implant axis (l) and without substantial rotation. The implant includes, on an implant portion to be implanted, cutting edges (14), which do not extend in a common plane with the implant axis and are facing toward the distal end of the implant. The implant also includes surface ranges (16) of a material that is liquefiable by mechanical oscillations. The cutting edges (14) are dimensioned such that they are lodged in the cavity wall after implantation. For implantation, the implant is impinged with mechanical oscillations, resulting in the thermoplastic material being at least partially liquefied and pressed into unevennesses and pores of the cavity wall to form a form-fit and/or material-fit connection between implant (10) and cavity wall, when re-solidified. The cutting edges (14) anchor the implant in the cavity wall.

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: An implant suitable for being anchored with the aid of mechanical vibration in an opening provided in bone tissue. The implant is compressible in the direction of a compression axis under local enlargement of a distance between a peripheral implant surface and the compression axis. The implant includes a coupling-in face which serves for coupling a compressing force and the mechanical vibrations into the implant, which coupling-in face is not parallel to the compression axis. The implant also includes a thermoplastic material which, in areas of the local distance enlargement, forms at least a part of the peripheral surface of the implant.

Abstract: A method of anchoring a joining element to a hollow core board with the aid of mechanical vibration. The hollow core board has a first and second outer layers and a middle layer disposed between the outer layers. An opening, including a mouth, is provided in the hollow core board, the opening penetrating the first outer layer and the middle layer. The joining element includes a wall anchoring portion situated between a proximal end and a distal end thereof. A distal end of the wall anchoring portion is positioned into or onto the mouth with a sealing portion on a proximal end of the wall anchoring portion. The wall anchoring portion is forced through the mouth by applying mechanical vibration and a force parallel to the joining element axis, whereby thermoplastic material of the wall anchoring portion is liquefied and pressed into the first outer layer.

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 anchoring device including an anchoring element suitable for being anchored an object of construction material with the aid of mechanical vibrations. The anchoring element includes a thermoplastic material and a tool. The thermoplastic material forms at least a part of a radially outer surface of the anchoring element, and the tool has a proximal portion and a broadening portion distally of the proximal portion. The broadening portion has an outer second cross-section, the second cross section being larger than the first cross section but being adapted to the first cross section so that the tool can be moved with respect to the anchoring element while the broadening portion is in the axially-extending opening and locally expands the anchoring element while thermoplastic material of the anchoring element that surrounds the broadening portion is in a solid state.

Abstract: A first and a second object are joined with the aid of a joining element including at least in the region of its distal and proximal ends a thermoplastic material. Two blind holes facing each other are provided in the two objects and the joining element is positioned in the blind holes such that its distal and proximal ends are in contact with the bottom faces of the blind holes and such that there is a gap between the two objects. This assembly is then positioned between a support and a sonotrode. The sonotrode and the support are forced towards each other, while the sonotrode is vibrated, thereby liquefying at least part of the material having thermoplastic properties, there, where the joining element ends are pressed against the bottom faces of the holes and allowing the liquefied material to infiltrate into pores.

Abstract: A joining element to be anchored in an object with the aid of a thermoplastic material and mechanical vibration includes a proximal end and a distal end that are spaced from one another along an axis of the joining element. A contact face is in the area of the proximal end, the contact face being suitable for being contacted with a vibrating tool for applying, to the joining element, mechanical vibration and a force parallel to the axis. The wall anchoring portion is situated between the proximal end and the distal end, and has a circumferential surface being equipped with a plurality of recesses and radially protruding energy concentrating elements between the recesses. A tubular portion is situated between the proximal end and the distal end and extends distally from the wall anchoring portion.

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.