Embodiments may include an attachable fastener, which may include a bondable material that may be secured to the end of an end effector. Vibration may be tuned to occur at a distal end of the fastener. Accordingly, the fastener may be used to generate heat at a distal point of contact. If the contact surface contains bondable material, that material may be softened. If the fastener includes bondable material at the point of contact, that material may also be softened by heat produced by vibration at the contact area. A hard implant or another polymeric material may function as the anvil.

Provided is an artificial joint that can improve fatigue strength while achieving the ability to fix to a bone. An artificial joint 1 includes a stem portion 2. The stem portion 2 has a distal end for insertion into a bone and a proximal end opposite the distal end and includes a roughened surface portion 4 which is provided in a proximal end-side portion, which has a rougher surface than a distal end-side portion, and which is larger in cross-sectional area than the distal end-side portion. The roughened surface portion 4 includes a distal end-side edge section 7 and a proximal end-side section 7, the distal end-side edge section 7 including a distal end-side edge portion of the roughened surface portion 4, the proximal end-side section 7 being configured as a section closer to the proximal end than the distal end-side edge section 7 is to the proximal end. The distal end-side edge section 7 has a surface roughness Ra1 lower than a surface roughness Ra2, Ra3 of the proximal end-side section.

The invention primarily relates to fastening and stabilizing tissues, implants, and/or bondable materials, such as the fastening of a tissue and/or implant to a bondable material, the fastening of an implant to tissue, and/or the fastening of an implant to another implant. This may involve using an energy source to bond and/or mechanically to stabilize a tissue, an implant, a bondable material, and/or other biocompatible material. The invention may also relate to the use of an energy source to remove and/or install an implant and/or bondable material or to facilitate solidification and/or polymerization of bondable material.

A medical appliance or prosthesis may comprise one or more layers of electrospun nanofibers, including electrospun polymers. The electrospun material may comprise layers including layers of polytetrafluoroethylene (PTFE). Electrospun nanofiber mats of certain porosities may permit tissue ingrowth into or attachment to the prosthesis.

An implant or endoprosthesis suitable to be implanted in human or animal tissue includes two (or more than two) parts to be joined in situ. Each one of the parts includes 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 includes a material which is liquefiable by mechanical vibration and the other one of the joining locations includes 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 by pressing the two device parts against each other and by applying 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.

Provided is an artificial joint that can improve fatigue strength while achieving the ability to fix to a bone. An artificial joint 1 includes a stem portion 2. The stem portion 2 has a distal end for insertion into a bone and a proximal end opposite the distal end and includes a roughened surface portion 4 which is provided in a proximal end-side portion, which has a rougher surface than a distal end-side portion, and which is larger in cross-sectional area than the distal end-side portion. The roughened surface portion 4 includes a distal end-side edge section 7 and a proximal end-side section 7, the distal end-side edge section 7 including a distal end-side edge portion of the roughened surface portion 4, the proximal end-side section 7 being configured as a section closer to the proximal end than the distal end-side edge section 7 is to the proximal end. The distal end-side edge section 7 has a surface roughness Ra1 lower than a surface roughness Ra2, Ra3 of the proximal end-side section.

Provided is an artificial joint that improves fatigue strength and fixes to a bone. An artificial joint includes a stem portion having a distal end for insertion into a bone, a proximal end opposite the distal end, and a roughened surface portion provided in a proximal end-side portion, which has a rougher surface than a distal end-side portion, and which is larger in cross-sectional area than the distal end-side portion. The roughened surface portion includes a distal end-side edge section and a proximal end-side section, the distal end-side edge section including a distal end-side edge portion of the roughened surface portion, the proximal end-side section being configured as a section closer to the proximal end than the distal end-side edge section is to the proximal end. The distal end-side edge section has a surface roughness Ra1 lower than a surface roughness Ra2, Ra3 of the proximal end-side section.

Medical implants may include a core body of a first material and one or more attached portions of a second material that enhances osseointegration into the medical implant. The attached portions may include wall-like shapes, sleeve-like shapes, or combinations thereof. The attached portions may be attached to perimeter surfaces of the core body of the implant. The attached portions may conform to and be in substantially continuous contact with the portions of the perimeter surfaces to which they are attached. The attached portions may generally sheathe the geometric area of the portions of the perimeter surfaces to which they are attached.

A flexible body comprises a polymer film having a first surface and an opposing second surface. The polymer film has a plurality of apertures extending from the first surface to the second surface and a plurality of raised lips protruding from the first surface such that each of the plurality of apertures is surrounded by one of the plurality of raised lips. A method of producing a polymer film comprises placing a polymer solution into a one sided mold having a plurality of protrusions extending from a bottom of the mold wherein the polymer solution is characterized by a viscosity that inhibits the unaided flow of the polymer throughout the mold; urging the polymer solution around each of the plurality of protrusions; and solidifying the polymer solution.

An osteotome suitable for cutting through cancellous bone that is holding an orthopaedic implant requiring revision within a cavity of a bone, comprises a cylindrical waveguide connectable to a source of ultrasonic vibrations at its proximal end and a blade having a hollow part-cylindrical cross-section and a cutting edge at its distal tip. The respective longitudinal axes of the waveguide and the blade cross at an angle of about 30, and the waveguide and blade taper and curve smoothly together where they meet. The osteotome is dimensioned such that a first antinode of the ultrasoncic vibrations is located at a proximal end of the waveguide, a second antinode is located at the distal tip of the blade and a node is located where the waveguide and blade meet. The osteotome cuts readily through cancellous bone when ultrasonically energized.