摘要:
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.
摘要:
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.
摘要:
A first and a second object (1 and 2) are joined with the aid of a joining element (8) including at least in the region of its distal and proximal ends (8.1 and 8.2) a thermoplastic material. Two blind holes (5 and 6) facing each other are provided in the two objects (1 and 2) and the joining element (8) is positioned in the blind holes such that its distal and proximal ends (8.1) are in contact with the bottom faces of the blind holes and such that there is a gap (9) between the two objects (1 and 2). This assembly is then positioned between a support (3) and a sonotrode (4). The sonotrode (4) and the support (3) are forced towards each other, while the sonotrode (4) is vibrated, thereby liquefying at least part of the material having thermoplastic properties, there, where the joining element ends (8.1 and 8.2) are pressed against the bottom faces of the holes (5 and 6) and allowing the liquefied material to infiltrate into pores of the hole surfaces or unevennesses or openings provided in the hole surfaces.
摘要:
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.
摘要:
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.
摘要:
A method for joining bodies by melting down a joining element. The joining element acts on a surface of one of the bodies and penetrates the surface as a result of a directed force. Once in a penetrated condition, a mechanical excitation is generated such that during further penetration of the joining element into the one body, the advance is maintained through the directed force and the melting down is maintained through the mechanical excitation. Molten or melted material is hydraulically displaced into the bodies.
摘要:
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.
摘要:
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. Preferably, at least one of the device parts is fixed to the tissue before or during the joining process. Such fixing is advantageously effected with the aid of a further liquefiable material and mechanical vibration which results in an anchorage of the part by interpenetration of the tissue by the liquefiable material.
摘要:
A joining element to be anchored in an object (10) with the aid of a thermoplastic material and mechanical vibration comprises a sealing portion (3.1) and a wall anchoring portion (3.2). The sealing portion (3.1) is substantially cylindrical and has a smooth circumferential surface. The wall anchoring portion (3.2) has a circumferential surface which comprises the thermoplastic material and energy directors. A cross section of the sealing portion (3.1) envelops the cross section (including energy directors) of the wall anchoring portion and is arranged adjoining to the latter on its proximal side. The joining element is anchored in an opening (5) provided in the object (10) wherein a cross section of the opening corresponds to the cross section of the sealing portion (3.1) of the joining element such that the latter can be forced into a mouth (5.1) of the opening (5) resulting in a press fit. For anchoring the joining element in the opening (5), mechanical vibrations e.g. ultrasonic vibrations are coupled into the joining element and the latter is forced into the opening (5) until at least a distal part of the sealing portion (3.1) is positioned within the opening. Thereby, the thermoplastic material of the circumferential surface of the wall anchoring portion (3.2) is liquefied and pressed into the opening wall, wherein the sealing portion (3.1) prevents the liquefied material to penetrate through the mouth and therefore the mouth (5.1) remains clear cut, i.e. does not get blurred by the liquefied material.
摘要:
A first and a second object (1 and 2) are joined with the aid of a joining element (8) including at least in the region of its distal and proximal ends (8.1 and 8.2) a thermoplastic material. Two blind holes (5 and 6) facing each other are provided in the two objects (1 and 2) and the joining element (8) is positioned in the blind holes such that its distal and proximal ends (8.1) are in contact with the bottom faces of the blind holes and such that there is a gap (9) between the two objects (1 and 2). This assembly is then positioned between a support (3) and a sonotrode (4). The sonotrode (4) and the support (3) are forced towards each other, while the sonotrode (4) is vibrated, thereby liquefying at least part of the material having thermoplastic properties, there, where the joining element ends (8.1 and 8.2) are pressed against the bottom faces of the holes (5 and 6) and allowing the liquefied material to infiltrate into pores of the hole surfaces or unevennesses or openings provided in the hole surfaces.