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 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: 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: 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 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: 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: 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 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 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 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 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 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 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.

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 lightweight component is equipped with two cover layers, which are made of a wood material, and a filling disposed in between the layers after cutting everything to size, having an edge support including thermoplastic material. The edge support is anchored in both the first and second cover layers starting from the narrow side. Anchoring is achieved by bringing the edge support into contact with the respective cover layer and coupling mechanical vibrations into the edge support by a sonotrode engaging from the narrow side. The edge support at the same time is pressed against the cover layer such that, in the region of a transition between the thermoplastic material and the wood material of the cover layer, part of the thermoplastic material is liquefied and pushed into the cover layer material, thereby producing a positively engaged anchoring after hardening.

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: 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.