COUPLING SYSTEM FOR A PROSTHETIC DEVICE

CEOSS-MEFSRENCK-TO MELATMS APPLICATIONS fssm] The prassot sgspMcstkm EI&I∑BS 1h$ h^ss& of IiS Fsovisbnai .Pa&ss? Applieatkm. 61/041,185; Sled Massh.31 , 2088, which ss hexsfey iaeorponsted by reference hereis.

(W2J Tfes prcsaat ravcπ&oa TCMQS geasrsily to pmsibαiα devices, sad πsote partscalsr^ to a saa|s- bdt coup&ig system &r a pκjs1hstic device.

pjssj Esss-ing !αss ₅ which may bs dαs to assay άsSsresέ csases, h goβsεslly of bm types, _δ Oϊiductivs oi Is massy psopfc wko srs p∑oimrødly dsaζ SϊS ∑θasoa §>r their desSie^ϊ is serøsria^srs! hsssπng fess. This type of i.«srfc§ loss is due ts φs sbsss.ee or of ibe hsk cells Is ύas cochls* w%ich trassdϋC-o ssotstic sigaak feto serv« iϊBpώesi Yarkjuδ ^fosthstic issamg impkms havs bess. devobpcd &> ptovisls mdmduEk wls» .^»^r i«π. jjs _t ssoπssuml hesrsεg toss w63s She afei% to sø-usd. On& ash pse&ώfitis ksamg lmpiass is rsfsπed to as a. codilβar i∑spksxt, Cochlear Implssts «se. ss efectrøde sπsy impla ^j tted sπ. the oochlssa &f a .rscipleai to \sypsss tbβ msebssisKas of Use ear. Mosw spseifics-lly, as decmsa! sts _HS iiHS is p-s>vkleά m fas slacjirode airsy dksstiy to th.8 cochlea svsrvs, Shst ^g by cssslsg a imsβ4) Coisdnctive .hssrkg loss ocαsu wben, the sssπasl Biscsanicai pathways to piwkie «otS5ii to hair cqiis Ia Ose cochlea aK? sspαfed, for sxasxspl^ by damage to the sssicalar chsia to ear sas&l. Howevsr _} mdmώiaϊs wso antfe Sum csoraductivs hessmg loss saay stϋl have $?>s5s ibϊm of residual hsssήag !>ecssise t^e hair csLls is. ύ& coc&les sxe geaer&Lly aadaεssgsα. tmasi hάhήά&ste wh> mi&sε frots coadactive Earing bss srs typically 3ior casdidst^ &r a cochlear kapi&M due to thϋ krOTssmble aature of t3s& socMesr hrsfϊknt Spe&ISsaOy, ^j assrøDaof fee alestrodc mrny lots a rscϊpisst'a eocMea rssolis iα Sl>δ άsstxκ<rtkϊri of the siφrity of h&k cells >vMώi lbs cGchlss. The dssiructioB of fhs soelilea hsk c«!ls s^ults ia tiεs loss of all ϊss&S ^y &l

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(888Sϊ Ratlin individuals s&fSsing from conductive bearing loss topically receive ssi acoustic bearing aid, referred to as & Iieansg aid hsrøs. Hearing aids rely on principles of sir sαsxάusdan to tessssasϊ acoustic sϊgs&fe through, tfee a^ter asd middle sass to the sssfelea. In paraeakr, & heaxώg aid typically -uses ZΆ arrsagstneat p«&itlo.aed fa the rseip-feoi's ear ess&I to amplify a Sϋnmά jscesved fey the oαtsir sat sf ^■ &» redpssst, TMs sxsp&ϋcά sound reaches ih& cochlea ssd caases ϊωøtrai of the cochlea SuId &nά stϊxs&ύsthϊX of tlie cochlea, bsir ceMs.

|WS7j Ots&rtstjstelyi mt si! hλάhri<feaLs WIMS sui&r Sxsat coaductr/e hearsag ks&s sre sbfc ^• & derive mit&Ms beαefss trom he^riag akis. For exarsgle, SOB:S? itidivkis&fe sre |ϊrøas to chrojsic is-ikiKSSStkss or kfecdoo. of ths esr csBal asxl csamst wear tesrisg sids. iadiviώ∑als hsψe πsalfo-rjsed &r absesi sjϋtsr sar ssd/or SSϊγ oatials sis a rasolt of a birth dsfe&ζ or as & result of commoa πtedioal sssdSsoBS suels ss Tteachar Colllss g> ^! t5.<lm∑ae or Micretk. FiaifeerrROTej ticariag aids 55τ$ tjpie&ϋy ^.asaiiabie for iadividsals wk> sisSer from smgle-sidsd dssfesss (iotai hesrisg loss only m one ear) or Individuals wha sssϋfcr fern tϊsxsd hearing losses (fe. CQmbmssttoϊss of sensorineural iκid coisductlve bssriag &?ss), pe8§§ 'Thus® mύhiάmύs wk? csmsot besrøϋt feia bssriDg &iύ& may boisS irβm lsesrmg |ϊjssϋiesss that s&s &s psiaeψks of bone cosductioα dsvios to provide a^αustic slgs&is to a rscφϊ©s.j ^" . Ssck Isssri&g jsϊosihsse* direct v&sstSoBS isto die boss _^ so that lbs vibriosis st-s αsEsiaϋSώd kto the cochlea xϊiά issid.t m sέitssϊκεk>D. of tbs hasrs Ia the cocbiss. TMs iyp® of prosthesis is typically refettsd to «s a base coacfeictsos dafvicβ. Bθϊ>a cosdsϊGϊies devises tlsod.ion fjy coRvertiBg a reeeryeet SOHM sigssl έato & TsseJsarifc-aϊ vjbrstssa represεisjsϋve of the ϊeeeπfgϊi sousd. TMs vibrslsoπ is then trs&sferrsά to ths boue 8irsc!:&r<s oftlss sksfl, osusing vibtatioti of the recspiest ^s s skoli This skull vjfarsiiois resuHs is. ass&m of t&s fluid of the coc1ϊka _s thereby stiamlsiiag the eocfeles. h&tr sells sssd c-sasiag a hssariag ssss&stiαα to b« psscetvad by the rsossriest VtbrarSoc fem a b&sss rnnasvtkm. device is gessrally conducted ta a rsciptest's cochlea via s screw sxψlsmsd Ia das ysdp ^' em's

[WSSj The skal! bose _s si Use posit of tøpi&tώ of tiss home, screw, & susceptible St? dasjage iϊom bier&i fec«s os ths bone scre^ ₅ particularly άunsg the hsaliag period fbilowaig th« implaaf pr&egdssre.. Tsήs healing period varies Sxsm person to persoo, depesdlsg upoa ssssiy ixctoss sssociM«d with &s pmier^s ovssali heaiϋi sx?d gesssdcs, but geaessiiy takss sk -weeks ot a»te>

D-urJBg th<? heaimg period, i&e boαe is so susespdfei© is daissgs tfest the gsasr&I pta&ii&s is thai ?.h.e Ixyss c<mclucεk>B. dsviec is sot cosψfed to bαae screw satil lbs hsatsjg period has smdsd pyrtlssr, wMIe ths bone is lsss susesp-tsMe to damage Sjikwfcg &e Ksa&ig -xxiød, da∑ssgs tε-sj still fee possible if s lsrgs f≤israt force is applied thersio.

SUMMARY OF THE MTlMTIOM

{WU{ In accorάssics ^itk aspects of tlis |jτeseat iriYestioB, a Sxatiss system Ibr a boas eosώacfcsoϊ. device Is pronded. T&s S>usoos s^steoi coHψrises: a !?OΏS ascksr ccs%oxe4 is 1>e kegisssm is a recipisst of ths feoas coadacϊbii device; sπ simiiB&si αoαpisd to εh* SOϊϊS SSC-SSJT SSCIJ tϊsat vitesiotis iφpEsc thereto a∑s; feBεasferred to the Isoas anchor co∑ωprisiag a iϊos: oesascfcbs SϊJγ&CS, -a bearisg s^riacs, atid a asagnetic ωisϊsriai sε. or agar the Srst condaetloTi surface; a vfeπstor/ cojspfer, βstssdiδg from the boas sosdjiction. dgvϊcs, emiψriskg a second cssdscπrøi surfes suwiαg a siiape coisptbssisataFy to the first cssodaotsoa suffaas, a IsTfissgiag δjdessbn sxtssidisg away fern tbs sscαad csotidsictsoB. sudέasx, ;aκi & msφ^si, wfaarsa? whsπ. iiis feϊ aad sssoad sϊir&css JS:S t;ijscκat one a;κ5tisr, the asagsst attracts fe> the πsagss^ic mαtssisi sack lbst fchs seso-M asndxse&a ssr&c« SSJSIS OB th& first coβdijctώϊ. sαrSicc, theπsby sssblkg vlbratiom ts psβs Sx)S53. tho ^" base cosducrloa dεvios to the first sosductioa

[8812? Is acc-δxdifficβ with other as|>ects of t&a ptrβssat isvβjadois _* a sysέesxs. ibr coupling s sros&stjc device to a ssc∑piesi is provided. Ths sjstsza csmpxisss: & k>s^ asehor ssoaSgured to be is3ψksϊ«κl h a Sξjcφisasέ of the btsπe csndastksrt de><icsj sa coupled to έhs boise sasJxs" αsεrs _j srissng a first c-onϊfcεtkm surges, s bscsriag Sϊisffe.cs, and & magBδtic xs ^j aerk! s£ or sssar £he fssm cosdacti ^' ss sisriacc; a oo^Isr _s sxεssϋ-ajig SOϊϊS. tbs prosshgtie ύ& ^ή &% maψrkm$ s secoad c«iiductba surfaos ha.viag a afaajxj ooiBplϋκ£5iis.ry to tbs S∑st a>α-isscti©s suπscss, & saagjtsi, "wl^rsm ^• vvhea the Srst assd sscosd coBdastios ssirfecss sπs sφc«mθBδ ajjothssr, thersagrasK atlrscϊs to ths jϋagaetic ts.atκri;ύ suck tbsϊ tbs seeosd coaduotios sarSce SφSSS on the Sm. caadueiios surfecs.

j§φS5] Illustrative smbodπaeTsis of the prsserst iivesitioiL SKS desmbeά harem w ^j fck refkesice to the seeompssjisg irawiap, In "which: i»«j FIG, I is a partial secϋbssl view of a skali sfeswag the ssr cassi, ihc coeMsa, sjssl δ feoue cϋa<kclkϊϊϊ device with £Jhs tsone a&dsor iraplsated in ihs skis^ aiκl tiis esteπssl ssoαule co^pisd lf^isi FJG.2 is a schssri&tic diagram of s basδ «Hκiuetϊ<j3i devise; s«s6I FIG. 3 sg ss exploded "view of as exiesmt taod^Ie fcr a bone oαtsductkπi dsvloe;

?α«ϊ7| FIG- 4A. k s psrdai s«ctκ?E&l view o£ a Sxa&øG s>>stδJ3i fcr a boae <s>sdiscfers d^cs; φ&m FlCi 4B Mastsrstss the vifaratoiy co^apisr pivoted oa the abutm«ai for the boαe cøπxhsiti&n.

ϊssϊSi HG.5 Is a gπφh. iilustsstisg the fcsgltadmal tosdisg &rcε curve t»r & base screw set kto &e skull bose ss the boas hs&ls o^^r fee; ps2»| FIO. 6 is δ sectsossl TSSW of a grst akematπ-'e s∑abisdsmsat &r ibe vshrstory os^pler associated, wsfe iho ex^eJ ^■ aal sssoduk of & boss coaaic&s dcvlee;

C ₈ »3J3 FlO. 7 is a sestfcnsJ vfew of a semtsd. altessMiys eajlxsφsient tbr the -yibasio-cy coupler 8&socktsd wkh ibe erfass&l nxsάile of a boas cαadaotkm dsvice; view of a first aϋsanatfvs emksdimest &r the akstme&t of a boae esadiKtkm device; issmj FlO, SB ϋksissses tlie ktssτsl defbsrafiation of the abϋtmsirt of FIG. 8 A; iθδS4f ^" FlCl 9λ ss -. psrspacdvs view of a first alteπsativs smbodrmesl S?r ώsaϊmg ekssssEs sssosi&tβd. wiia die slxam≤rαt; lom} FlCI- 9B ϋlissfe&έss a sactiois&l view of ike coupling beiwees shearkg eleniesSs of FIG. 9A;

[sea*] FIG, Iø is a seotKx&al -vjaw of a sscasd alternative ernksdinx^i Ssr the sbutmsst of & boss oosdαctlss dm^icej

FICi 1! s s sectional wsw of a third alternative embodiment !feτ the abutment of s boss CGosiastksa device;

[8δ28| FIG, 12 Is a sectlomf. view of a fersii aSsssiatiψa ssoboϋsssi fe ihs afaat∑sest of a boss cotu.uc4.oa device; s§§3§! FIG. ISA js «ross-ssotsosal view of a coupling systesπ k sccsπksca with sssboάkaests

pjsβ) FIG. 13B h αssss-ssctkmaϊ vsβw of a conjpliag system iα aceordaisce with emfaodtoatss

«f ths jsresssi isysπlioii; ssd. i _j mxt FlG. DC is cross-s&cfe-sal -view of a ocaip&g sysism in aecotdasics will? eϊsboditRδBfes of & presage isvcafios.

BETAILEB DESCRIPTION imm The presest iavsπtfosi is directed toward a fixation system for & prosthetic device, such us ^" boss ∞sdseiissϊ devise. A bane asclsor is kϊψhrάsά isto the skull sad so abuteaeiώ is eoapfod to the boss aschøx ssidi that vϊbtatibss ssjjpϊied to tfse sbstsisst sa^ passed into the botϊs aπohαr. TIiS sfeutessst inchidsβ a first cesduetfoa surface, a be&sisg stsr&co mά a smgsøde siatensL A vϋbsaisry souplsr extends fens. Jhe hows- co«dactk>a device. The vusatosy ζsjξψlsr asnsprisss a ssscoml jjossdαctkϊa suxfeca hsviag a shajje compfasslarj' Io lhs fest coaduc&sa surfec^, a iδversgasg sxtsssism sad & magaet. The magnά fe the vib«to?y cougkr attracts δ© the rts&gnetk si&teri&l ia the silsjtasssji to sest fas seca&d KϊosdactϊøTs. gsdacss on. ^ hc fest sosdactios. Jisercby es&Mmg^braiϊoss to pss fess the ^" botaas cotsductksa dsvice JO the rscψtδnt's skαli. l^as a bearing ssid&es adjaeetstto UϊS; Srst sisirfecβ. The two asrmces iatsrssct si a sos-ortfeogsmisi acgie. Fsrthes, fes vibfFstey ccuplar iachides a lsYsrsglsg sstessbs extaudasg away frotn the sssosd surtace, sad ^lies the sesoiϊd coadϊsclfea sar.&os is ss&tsά sathe fim csM?iciiøa sur&ssf, at feast s dssts! sxlge of &e I«r?er^ifig sxtsasbs seats κ|x>s the ijs&ri&g sαr5ic«. C^Ms-sally, ths bsariag surSice ibskdss a shelf oa which ib≥ leveraging sxtanssos ssals.

|g*>34 _. | FJCj, ] h a psϊ^ectbe visw of as exesiplssrs'" %αss$ cos&ctioa device 10! with ^x λ ^r Mch essbodisissts of the priest isveatsøn ∑oay be aslvattlagsαusiy impleϊagnted- The fαlly fix&ctksssl imsmo. hsarmg aasto≤ay is geasraliy c^vMsd ΏΏ iεto rte outer ear 10S ₅ tfee πaddle tar IST ₅ sad the isB^r asr 109. The OJSSγ ear .H)S jne&xies ^ke aaπcle 11 i &sά ths ear asss&l 112. Saiasd waves IIS srø αsjlected by suricie IiI and chajsaefed iato mά ihmitφ. ear oassal 113, Tiis t^^spassic ssiessteiss 11?, wHch is bested at t|je lx>ιmdary betvtfeen the omer ear IDS asd the Etisdie esr 107, vϊbratss m. ?essoBS« io tls« mmά x^svss 107. Wfthia the πiiddie sas: 107, vfbtatKss of ϊhe sympsiϊic meaihnsie 111 k e^splsd So the fsssstra ovalis IIS* ϊhtøsgli tbree beses, cslisetively referred Ss as tlκj ssssiciss 221. Ths ossicles 121 tltef aad s∑aøiiiy t^s irfbrau&as, tlssrεby eausisg the fessira ovalis 119 to a∑tieulate. The xrsoysiusnt of the- fessstxs ovslss 119 gesexatss pressure waves as. tits &άά w&hia cochlea 323, ">»ijich is turn judαses ϊSO^^BϊSSϊ sa the hsirs iisisg the sasitie of tfcδ cochkκ 123, MsveBssrit of the- hairs geaeratas Tserve aspulsss ϊn spiral gaaglioa cells 1* which tlse Is&irs sr« cosmectsd, a&d tbøse aervs

impulses an; ps&ssd. to the auditory sen's 125, sad τbsa to the femss (soέ shoots) _* wbsxe they are

pass? Boae eoaάtK±bs. device 101 is shows, jsøsitioaed feε&isd the aurisUf III of dse sseφkss, slthøagh tkj device <χ>vM also l>e pos&kssed fes. a rørfety of other pø«;liøss m the &kul! of tbs rscipisst. Boas cosdscik® άsviϋz 101 isclustes sa external sπαd&ss 127, and is coup fed k> tbs skall of the teeψkfϊS via as iπ-pisslsd «nchor _s such, as bo&s screw 129» Boss screw 129 is secsjrcd to the skull bone 131 dsrasg tise SBpIaat proϋsάiϊrs, ξges*? As disαasssd Is ssore dssssl below _s ccfϊmecled to casπssl rsKϊdufe 127 is s vfbraiory ■joapkr 133 vnask secure sternal module 12? t» isone ss^ew 129. As abαuki be agpreciffi-«d, a«>- appτ»pϊisϊδ s.achor SJ^ϊSπJ va&y bs sisscl ia. &u of ths boss screw 123, so bag as tbs aachor syβisϊs. Qcadaδϊs surSεfcst vibrάtiess Sxssi the bests© coaductksa. 4svkx 1(11 &r tbs redpissl Is p^s-csϊve tks vifojalscss ss soOBd, For exsasple, as discussed b«Iow ₅ ths ats&hof systsax ∑sssy bs mspkaled rødsr skis 135 of ths rsuipissϊ, Wtthia muscle tCssce 13? asιd%r M SS&R&S 139, Ia addissB, tbs Sea wMch the fe&ae ssshor is cot5skitct$d Is a matter of dasigs. ofesi-oe. For exisrφk?, tk» of ls>% systώωiSj <5τ St ϊssy hfc any o th^t" type of bsDcoaspatibis a∑yi $s$sal pnscessmg ootapoossas of «sief«&l -sssdule 127 srε sώesϊrøcaliy shows in. FlG, 2. Sossjd wsvos 2D3 are r«oeivsxi by s soussd pieksp device 205 sad cotivcrted fnts a tζψsfαsssmdyϋ Signal,, vvMcii is dixsetαi IBσO a sigδai processor 207. Sfgsal procss^sor 207 ee&vφsts the ruprcsetss&s siga&I iass an ssgsssi adjusted, s$ accessary, fer the i∑aessfeosr drive circuit 209, vώich ouipvSB a drive mpi&l to a πsπsduvsr ^sodssis 211. Asjaam-sats ?o the Tepreseasstsvc sigmt tmy ϊaoiuds Sitormg, ϊs∑sovai reducεfea of back'gmxssd tioises, sad ths like. TrsBSducer msdsiis 221 geseratεs s mesfc&ical vjfcrssksu ropnsseatatlvs of lbs scisid ws% ^r e8 203 ₅ aad these jssohamc-ai vlbs:stkjκs ais cosdssted to ths sicaS V53 a -ssjchasfcal εss.ρikg tmnsώscsr maside Zl 1, ωsm/eiy vibtatory ssupbr 113, sad boss sctew ISS. Aa appropπats po^^r sssodufc ξ ^* tϊe=t shøws) is ssssusiod ^s past of Has cxtami issaduls to ptx>vide iδδ^l A cmtpol saoώilφ 2!S ₅ hsεvmg control dsctmriss theresu b slestrosiicaily soHS&cι«d to sousd fjickap device 205, signal possessor 2δ7 _; c-aώ transducer tir JV* c-kαiif 209, Cosftoi sBodulo 215 ς&iLj afesϊ b« βlxtroωkally mmisrffid to tns&sd&cgr maaals 2ϊ1, or aay ethsr cstspoassm of

exfcXBsl *$κ>&&b 127, Control sεsxMs 215 monsters and SOBSTOIS opssaJioa of ihs dscteoislc ces∑posJSB-s and dπraits tø wMeii it is eøsssctsd. The amirαM of coπsπsl provided by eontsol rxsodak 215 may -vary depessissg spoB the cosjpasesi αr csrcoit type. Coaέtol ssodsle 215 may also sssrve ss s. feedback loop to provide cørrsc&β∑sδ to the ouipssf of any βae or ssors of (fee csnsposests tAifjere accessary,

§M«i As is&srf&os »3odu.k 217 is corssected to coBtrøi siiiώxfe 215 to p'Sπssέ tine ysejpietat, or a skilled |sracntjo^«s- of the rasdisal srέs _F ba sdjast preselected setfegs of extarnsl κs>dϊj!s 127. Ths prs^siδoted settings may kcfeda vofurns, soxrπd prooesssaag s-xaεcgtss, power os/orf the dδyics, jjsd ths Hks. OpεbasOy, tkδ sϊi&daie sπd ths mntml tmd&h τm.y hs. ssisgratsd Into a assde trsodisle.

Tlisss sMUsd k the ait will appreciate that, as si saattsr of design ckiice, my of the sigssls b^weea circasks fiϊπm&g p&sx of external modαle 127 ssay be trsπsmiLtsd vis a w&ed &onaec»os or »irsksslj. Further, mt all circuits B«e*i be hossed ^i&ia a sύsgls casing. pm| Signal paxjcessor 207 msy \ϊ&e oas or ΉSSγS άifffersjii tecasiq ss ør sfe?tegiss to selectively process, sπφiify, aad/or ϋltei- the signal xgpssssKttative αf sosmd warø 203. is. csrtsin sϊgsai prαcasgor 207 m&y bs of substantially ;iss same as ifes sojBsi ρκscsssoτ tlsat is sssed is aa ssr cosάactiøϊs keariag aid. As asothsa: optioδj signal processor 20? in&y fecSudβ asd &αsløg to digiέai oøay^rter mά a dtgstai signal processor. f#δ*ϊ] FIO. 3 ssi expkscfed visw of αss etssbodlisesϊ af as sstersai ssoduis of a boras coadactJOK dsvi«s«, exfeπ^l modufe 301. jssodufe 301 shews In HG. 3 Iδctedes sii sϊectrtjdcs module 303 _s & osodulβ 305, mά a battesy ®!so«? 307 fat powerfag tfas sisctmaio coδ^asϊits. EkctøBieβ rsssdiikj 503 s.sκl the trsasducer asoduls 305 op ^g sKfe as dsssrlfesd above. Ei«ctϊo®Cδ ∑aoduk 303 iπebdes s pϊistsd circa.it board 309 (PCS) to el ^β ctπcslly cosseci sad mseiiaπicaUy support ths various slsctrossic compoBom snd catari-S, G∑rø or ssors sslssxjphoass 311 are directly attached to PCB 3O9 to iύactba as soπsd picka^ dsvicss. JUisnjs&r'sly, othss- types of dlrsct sadb aψut ssuld be tsssd as tlss sorød pkkup devises Is&te-sd oC 5>r is addSsoa to, s-icrophoaes 31 L Such akera&trpes πsclydc digsisl or sjsslαg mάki mpm. posts, a telecoS, sπd the Sk«. prø] Use Isox ^j siig &r Ose csJesial modak 301 ksludss s top part SI3& asd & boftorα part 313b, This ϊwo hsmsisg psris 313a, 313b ars cosifigarώd to mate wMi OESS asøέhsr, Isavmg JSΏ. opeaiag

tor isssrtiss of b&ilejy sfssse 307. Fallowing ingestion, of ^" haliexy show 3€7 _y kosϊsbg psrte 3ISs _x 3I3b substosa% seal the xsiteπsai crøtiψtmssts of sxteπmi zasxtuls 301 frara exέenssl alβπsssis, Tlis top soυsάbg part 313a mcludes om or saør& ssap-ssa a∑icfopsboae covers 315, wMelx protect tbs ϊβirøjpbβH&s 311 from dhist dirt and o∑hcr debris. A user mt&ri&CQ 317 is disposed; on. øn& skife of the top hmsskg part 313A to φns ibs msipiesxi accoss to the iaSeriaee sssduls 217 fuactksϊss. ξSφ44j υb& bottom kiϊislag part 313b includes aa opemπg 319 ixsr issestbs of a (sot 3k>ws), Tlis fasteaer secures ^xassdacer ssodϊils 305 ta the iaside of ih& hottøm kissssg part 313b, asάjoε sesarcs a vibrataty caupfcr, such ss cms of the vihratoty sotψiers ski w&bskiw, to the ssCsids <sf the bot&si tojsiag part 313b assd/or transducer m&dule 3OS, As sα&K a dir ^s sct asschaaksl eosaedieB b established ibr cs&άuctfes of vllsratisns &JJ& ϋss tisBsd-acsr mcdale 305 to theτ?ibrάt«jcy cøaplesr _s a^d fern there ssfes &a boss ascfaor. Once the Sstessr is m pisse, opaaing 319 tmj? be ssalsd agstssst external «is»seats by use of aa o-dag or other ssaiast ^,

(®HS _| FIG. 4 ilhsstraiss a coasjϋsg sysδstn. fa accsrdsscs with emfeodtBssats of tfce present. Isvestbs. As s&owss, tks coiapSag systsm comprises a ^■ γifera&>ry coupler 403 ami as mψiaatcd ssϊiGhor sysfeπx ϊa ths ϊUua&aiδd asabodiaseist _^ vSsratory coupler 403 extends fmm an extsπsai snjόule 401, sosasdmes rslsnsd IXJ b«sκsm m a vifeatfes geswstatisg module 401, sad is caϊspfed io the ϊnφlasited. asebss- system. ^" Us© sachsr system comprises aa abutment 4SS sad as ss&ehor 407, siϊδfe as bone screw 407. Aba&sesi 4S5 may DC refeassifely affited ta boas screw 40?.

|0«4«i As shsvYϊi, abutmesi 405 sxissds ώ»ve tissue 411 so that -vTsratoiy compler 403 may be seated øn slmfeisst 4δS. As dfcαissed bcbw, ihs eomljmatios of ifsbrsiorv caapier 4 ^Q S _: abiUtoeat 405, arώ bøse scπrs? 407 esable -vibϊatbas feπi sxiβjssl modsile 41 ⁾ 1 tα he eesffeeteά iαts bans 4S9,

[ ₀ ^7] Those skilled m ths ssi -aiU -røα>gπfes tisss ate-nats ooaSgsrasioss fer a bese aschor saay also be ^ssed Irssi-esd. of lbs bone screw, Oae $\∑ch «xssιp!s ss <- plate sscised fe Hm bone b at ϊ«as? two føesϋsss sløiϊg tfes «dgs «f the pfele, sαcb. thst fchs ©eater portios of iKs plMe rssts 5£gaiasι or Is sssecshamcaliy co^piεd to the sfaiil boss, thfirølϊv αiablksg vgjrddasss applssd to ti ^g bssπs sschoϊ ¹ to ps&s isδs ths boae. Wisk sαέh & baas snshor, tlis sbatsBaat may extssd. S«m the cmies: porsioti of the plate, astd &rces sømϊal to lbs skκll sncitea. 5ψos the afcsftsest or the

esϊeπmξ ∑ωαd&Is would act impact a surgically tSϋdlSfrd $ϊte _s &&i rsiher -sroukl sxψsei as usafeereά s&otksn of the «taϋ boas. ξ§8£8| The top pαrlkm of the abt&mesi 405, whicsb Q3tt«sds above the iissrø 41 I ₅ !xa@ a regularly dsfinsd. ssά ussy be ctrcular, δiijp&saϊ, «r say other sliapβ according t& des ^j ga. prafsssse«§. Iτi nάάϊthu, the radius abottt the entire- eross-seetks.ii seed mi Ise cossiant A cδsstsst radios tn&y be "aseά ia circumstsaccs whassj it is desitod lso allow ttes ©.stems! ϊsødtϊls to bs sooted ^άh srry oπssslsfbs. Gs ώe otkcr hsκ4 ^s soa-cot5Staπt ra4bs may be u^sd in e-sfOJBBstsaees wh«κϊ th& zsάsπmi ∑sodsle ss ktesάsd to ba^c otiiy a single oriestation wis«si tb« vitetøy caapfer is seated oa its sbutmeπi

?8(H9i fa ?h« illustrated emhocSnisst, afcaiπieat 495 cotsφrises & bearing SLJT&CS 413 of -whisk extends sway from a cGsduetksi sar&εs 415. Besrlsg strikes 413 «xieads &way iism. <sosducdoa SSϊγ&C© such ώat aa aoule δδf Is ₄ or ^ least a sos-osthogosssl aøgle, is j%πoδd sfoisg ths ssrfsee of sbiims?3?l. 405. The shapes of temsg st-i&cs 413 &sd dss cOωducdøa ssr&es 415 5ss a of <ksigs ckssss, hs3wsv«r, iis© cosductioa surface is preferably plsasr to SscϊHtate <s>8i _| }Iiϊsg with, viljiatoiy coupler 403 ami eosdsictba of AMctsatTOiy; if besritsg sisrfece 413 is curvsdj lbs besrbg sistfsss and. sxsnducέba surfeoe 4ϊ5 swy istssseci tsageatklly.

!§§^1 Is tkt ϋbistmcii easbo<limeists, as besrisg sϋrfscs 4J3 extends sway tϊjm coadaction δϋr&ts 4 IS ₅ s shelf 41? is S>πssd ia the kmmg syrδisε. The partfcalHr gξjosjsiry øf Ibis slself 41? sjsy vssj mmtάmi to Othst design, earssidrøatsαas, psϊticalsriy the gesmstry of vibπttorj' c«uρi«r 4-03. Optioml^ smd sgafc deραidlag upβs the gsoπsetry of vibr&δoϊy cstspkr 403, shelf 41? sm,y be estksly omlttel Sosi abstsieot 405- In. csϊtsm «mbαθ5J5iei3t&, §3 sbsswa In FJCI 4, sksffismt 405 also mcladss a jnsgsstic rsatsrki 419 se^ km ths shstmsBt 405 at ςsssduβdon sarf&cs 415. This msgastϊc ssat-ssisl 419 tsay ferm past of ecmdueffas ssiriacs 415, or sijsrssth'&lyj it may IϊS disposed bssestis ϊhfc sar&ce. Morecrvey, the ∑nsgnetϊc ssaέssiil sss.y have ssy gsosiφtϊicsl εoϊiSguϊatssis that suits other daslga cbaicss ibat art- εssds coαcssraiπg afcsάnsat 4€5 asssi vitestoty soupSer 483. Magnetic βjstedal 41$ is preferably magaetlssssis ssat&rial, SJϊS! sot s pcπsssssϊt ϊasgast, alϋ-øug3s a gsπssssst πjagsiet cosJsibe used, pes?) As tsjϊed, vibratcsry sespkr 403 cxJcads outward fmza. externa! tacκhilδ 401 mά. incltidss a ssagϊssϊ 421. VSsrstosy coupler 403 ferther isK-Iudes a cosdustba surface 423, asssS a lcvsragisg exsgsϊskss 425, Cαsduc&ss. sluice 423 of v3jratory cotsplesr 403 has a CQSφlimssέ&ry shape to

soTadaetkss ssrfaee 415 of sfeutme&f 405, aad seats directly on tks ccaductioa s&τjj&ce of ths sfeufeisKi: λijdϊ tsss^ sssεhsaiea! soBtacε is msάti between the two c»sdiuciK)& surfaces 415, 423. Ivlagsst. 42.! kt vOsaJory c-ospler 403 interacts ^* <vkh the ∑Bag&«& rsstssrial 419 k the skstmssi 405 kj ressja ϊk? t-svo øo&dsc&øn. surfaces 415, 423 seated iogsfesr yπder ωOJoaaJ use eesdMbss. Hie bslάmg force g&sers&sd bshwsis sssgost 421 a&c! magpetk X53s.t«rial 419 shøϊiid be ssffioieat to asatsmiB th« seating ϊsnάet ths isree gessrated by tJss ^'siglst of vibratory coupler 493. & sddfeioB, ths boMϊsg Ssrcs ssouid sJso bs su^cieat to intifesaLffi tits xesSkg wfes tkε 401 ^re ooupl ^g si with the wsigsn of vδrøSs>ry «oupl«r 403.

I _* 38S2| Lsveragmg estεϊssϊffa 425 ^stesds awv fom cosiactba sartace 473 of vϊbmory coupler 403 such thM at least s distsi edge 42? of ike leveraging sstssjsioa seats upon, the bearing ^sr&c« 4B. -«sd proferably itpos shelf 417, Opttoaallj, the «sro iaaer Sϋrfts© of ieweragisg sxt«asfeϊ3 425 tssy scst os besmg suriacs 413. Tbs ooaSgBSstbπ. of fe levetsgki^ sxrøsskrø 425 oasy vsry widsij. For ^xasaple, ths Isv^agisg sztsasior» msy &sm sn asmjlar xkig aϊ tkε distal ssd _» ot a&enirøvsiy, the ansssikr nog may W divided sp Mo two, lour, or asorc SSCπOKS, eacli ^»C!&> _ϊ I cosusϊcϊod to tUs sra body of &e visraiosy couples- vi& &n ^m, Ia. ss ^j stlia sits _ϊ saiive, tls bvsmgisg sstasiss smy be a phsra&y of SπBS exieodiag sway ibc tnsia _^ body of ikϊ vi^aSory colter, Ia sack aa embodkssnt, mo&s amis axe preferable, Isøwever, as few as twj SϊSHS. vvLlL gesesslly safficc. imssi F?O. 4S ύlustmes tow ώe vibratcry cotψSsε 403 is d&soiφlcd lk>m sbϊtsassa.405 ^fes a part øf Use astsπsal snodϋb 481 is gjibjectsd to a S>«o thst is taϋg^ϊtki a the skaM. lb& iim%mtϊ&{ kπx-Q is marked by tke arrow, F, and xφost sieidssusa of tMs fegesiiai hvm on oxterasi sssd^ls 401 , Gosiάucϋoa s&rfac© 423 of tac vibiatαry oeisplsr403 is plvoέed s?j ssssl away Soas the cos&αioB. suiiscs 415 of abutεaeat 405. This pivøπtsg suction is sasissd by &s lev^apaf ssζtsπsios? 42.5 suited opos tlie shϋlf 41? of abu&xssat 405 oa tb© oppcssifc side of -vibratosy osaplssr 41)3 HOES vsshsrs tks &sx;s i$ mc-dst-t. CJpoa applkatk> ^β of the SJγ&S, P, ieγ«rsgkg extcssϊoB 425 acts as s lev^- αrπsj &ad assists is. liiMng as^ saagaeάjaliy dscouplmg msgrjK 42! fern ss&gsmc sasterisl 419. By os.&?mg the <tesκj«plssg is tMs SϊSϊϊπSγ, ths snsoasi ol'tsjϊgeadsl Ksrce to yώkk shu&msπl 4QS is subjected ss sigϊάSesMly ^disced.

Tbe assist of tssge-stiai fexes to which a bose sorsw ussy be ssbjeotsd &fiawmg irsplsst&tba, wsthmii αsusing dsjsage to the ^" bo-ns, is iliustrsesd ∑s FIG, 5- MtIaSy, wfem & teas saw s$ JBipl&Tigd, ifes asmtsst of tangsπik! loading ferce to wMch It ϊffij be subiβctsd is sorssewjsst bsφ. As the healing smεess begins and eesikses, the ansoust of ia&gsatsai &rζώ !:o a b»se screw may be SEbjςcfsd sigαiOesatly dserssses assd theix begiss issressiag to a isvsl that is higher thaa si the stage of the mstial msplaat. Tk; decrease is at fessi iwfckily due to ihε &ct thai whai tbe kamass body first bresks daws, mmsz of t!s« feas structure sϋssiBsxIksg the damsged sst© bβibre begfesmg to rsbsSd aad h&ύ t&e bo-s&, Tlsjs, Ssllo^'isg BSplJistatisn of a boss screw _s «siil a jjhysieias dβξ:srmiae$ that ths isapkal site is fcli^ bsabd, if ttes w sigsiEcsai risk, csf daosagitig the borne st tte krφkϊώ site by wssπsg the estsmai taodufc, *bss the ssάssmsl siodals h sat geseraliy worn Far priot an bose coBdsciicϊB devices, this Is hxm tmplast patSεaiέs procesd~tbsy reSsk torn regularly ΏSIESS s!s.e oxteαsal ϊm>dui8 ustll &£3ikg is cøϊjspfcts. Wife ihs boss somfcεtioa &<aϋθB. sjstssa άssoribed abo-w ^* , it ϊ$ ssiticipsted tbst fe tsctesas.1 ssαduls ssay fe> seated 5i|»s ssd li^ed wsrfi i&s ϊsrφiasied boαe sαew sdssKss* ύjπ»βdkte!y tlsπs^gk lbs «Jif« vibra^ry caupka: in asxordauεδ wiib smfedimests of fe psδeat δϊvsstbs is shows k. HG. ή, JB the isiastøsαi cmfaoάirsenL a shesέk 603 ssisn.-ds from hsϋslsg MS of sxtasaj -oi&dϊile ^DL A coupHag arϊa 607 & partially disposed ~»ϊ&x& sbesi.h 60S, Cδϊ^&.g rø2 607 is held to the btxfy of external ssoώsk- 601 m a msfeier 6$% -®hhk mώte& the postfos oi coypHng srøs.607 605 to ^" be adjasted. A sprstsg Cu 1 fa also in aded wώai skesfe i>03 ssd Uases sgassst adjustmeats msώj by ihe &steser 6€i ³ . As ths position of ils« cααplkig aπn 607 is adjusted, the distal edges 613 of the slssatft 6^3 exe?t prssssere OB leveragiBg essteasios 615 to ca^sa GorastπcSsos. By soBStrkting Is-vεxagisig exteasiαss 633, some vamikjss ssay bs mtrodtjc«d έa ih& ansosB- of sss.gsrs.fel IbfCs ssquissd to ^y js«ss: the vϊh®3$£iτ _$ coupler tmm tbs thereby eaabϋπg a csϊstoϊϊi St &r aay psrtsooiar iϊspisiϊt

(Sδssi PIG. 7 illustrates aasdasr embodimgωt of a vsbrsiαry ampler 701 is. accotdasce wδk «nfibodiϊne?jts of the prsses* imsssstkϊa. ,'Vs vibtaJory socles' 701 aschidss a shesils 7S3 ^s tsπssjd of tvrø parts,, a ϋrsϊ psrt 7<B wMcii extends SOTS body 7S7 of exϊsss-si sssd-slss 701 _} sxώ a »SCK>Ώ.<I part 709 wMch Is threaded into first past 705- With, this røs&gmest, the evetsll length

of -fe shssfe 70S is adjustable. Similar to the ersksfeeπts described abOTS, «oaplkg sss∑a.711 spends tsfcs sweats TCB. Hswg?sr _; ss shows, a ps&£ 713 sx&ssds Sxsss body 707, sad lbs essupMsg SH33. 711 sMdkgiy ISs gat© |5ost 71 X A spriag ?!S disposed wiύήa s&esth 703 feksss fes <^>upikg sms 711 towaai tedy 787 of extern! BHKMS 701. S^« ₅ coMtπcdms of kvs∑sgiag extmssos 717 ss es-ablsst % Iesgtbesdsg siiesϋϊ 707 nxή bi&sxag Use cotφikg sπmisxks &e s&esfe by uss of spring 71 S. C«sve?sshv tlsε asiousi of coBStriction rmy be rcdaeed by s&ortsaEsg

ISQS71 FlG. S SlasSϊ^3& alteni&tsve smbodiu-iests δsr as sbuiπiβnt k acoαrdfϊnce ivϊtls eπsksd&ssids of dsa prδseϊst Hsvestbs, rsfertei! t» as abuisjss∑t SSI. As dcscstibod bdow, 80! fisrissr rs&icss ibe amotmt of tssgenta! &rc« Io w&idi ths bans ;5sπsw Sδ3 _s or ύϊhsε horn sscksr, might be subjected l®m\ Ahxtmssή SOl oomprisos m. oatsr ^eath WS ^sieh ssslsdss a a>ndaetsss sarfase 8S ^* 7 mά a hiring sar&ce 8IB as dsscrlxsϊl isbøvss wfcfc rsfessce ts FIGS, 4A asi 4B. €kstzx t&is&th S05 ssscj be sossfcractβd of Sώi -wailed ttøtϊasϊ, or αite' S-tssϋas- issstfiri&i, which csm be ϊsser welded to ths boss scs^w δcs ϊiasar* that the saterikoe betwees ϊhe aistβs: shsatlx i«sά the i ^j oue SC _T OVγ is $s38ssδth asd dαss ϊjot |sjcf?ide ere-ήces &r the Usdgtasst »f deiϊds. Ouisr ώsstfe S05 £s soϊssmicted to 5MJ«S« a plurality of sfesmg elcssasssfe, m εMs case, sevsrsl. stscked platss SIl. Tbe pfei«s BI l wa τmi cossecisd to OϊSS asotiser, SE4 sacb. .'say $Hds laterally wi-& respssct to sdj&cesi pbJδs. Tfe p-tess SIl s&> sot ased to be- simCiarly diiassskmed. To fscilϊtate slidmg, the sadness of the plates SU may be poϋsfesd, or a kshricssi may b« sseludfid witlrsm αate? sfesstk 805. Fsrthsr, the tratesM iϊoεa wUsh plates SlI srø* cotssJnicted is a mMsr of design choice. For ssampK they rmy be αsasts^eted iro∑a s HgJa wei^t |jk&tio or poij^msr material, a bkjoosφaisblc jTssterisl, or s h«a«sr saetai snaterkt Is addlfeϊu the glstss πisy be sxSBStnist&J fesϊ & isagϊsefesabfe πsastsriai, bul preferably a»t from ss^sdal Usal is a psπsaui?αt ja&gaei, as such a cosstmc-tk?s is likely to sigriilcsatly iahibh. istersl s&Hsg batwaea sdjaCδJ≤. pistss. l^^l CMsr shsalb S05 serves si: feast a & ^■ » psrpcss^ as this s-3ibodiBies-t First, ostsr shealh S85 Esaktams aach plats SiI witlsm th& stack is ptbysfc&I cøstacε wltk βaoli adjacstst piskr t© sjssisre thst atessesst EQS h mschssήsύly sάWln a dirβcfcc sensm! to &c skull. By tnsist&tssiag suoh. cocatact wά ths∞by kesfjssg the stack efpktes SI55 ssechaπicaily sts ^' S ^™ the stack, osadacts

^■ γ£bϊ3Saø!-S fern soaissBtkm rαrfses SO? tkøαgk to bone screw 803. Additionally, oøai&et bstweas platss Sl 1 ksssp eash piste fioin istsrslly sliding wtk respect to slj&cosl plates wider ssoϊϊsal use coixliaoss. Aset&er ffsηsoss of ssιi«r sh≤sέh 80S is to εnήi kssrsl sBdkg of the piaέss 811 so thsϊ. z coisdseHari path is xnasitaaieά to pass vibrations frosa ths Qπtsπm.1 τsoώxte to ths bss© screw 803. Yei s&otker purpose of the outer s&eaih Sδ5 is Io assist ta ss^iredag plaiss 811 to Jhe delksit ;?tack casfigssrsibs feβσwisg dsfoHπstϊiou of ths stack wbsa subjected to

FTG- 8B shows ths stack of pϊatss 81 i with Mte top two plates Zl 1% BHb ϊ&t&πύly άϊφl&Gsά as a result αf s. lateral &PSS F, Outer sh«ath 80S dsfertas alosg ^~ wkh tke stek of plates SlL To esxalslε asxssc $kes&k SδS ts rstsss ths platss Lcs ths ds^eslt stassk α>s%iiϊ-atiαs, siiler sfesath 805 tπay be &ss«d Orsm. a shape, ∑sessøry maisn&l Aiteπsstivsly, s^∑sgs πsay be kc!-sjdes wfehk -outer sheath 8δ$ to aid Ia Masisg the stsck of pkts& 811 toward i&e ξfcfsϊsli stask cosug?ssfe:5L ^" Nos-p?ϊωi3ss3Sωt ssagsetSj stei-egicslly placed wiiMs each stadcεd pisss, stKjid slso bs usiss.1 i® &iά h. x$&Ug838&n& otths stseksd pktss isto the dsSaslt stack oos£g<κata3β. ϊsδ&l HG. 9 A shows a®. sMsms.ύve Mmπψmmnϊ. for a pkrsliiy of stacked plates §01 ynfoiαh lϊisij be asoi b aecordasco with emfcoάssssasts of th& present jκves&>ti. Is its iliuslxai^J ≥mbodimsπt, ssacls plats is i&ted&cksd wish adjsceaj: pktcs, Esds, piats &δls~d saciades as otitward e^es^Ssg pm 9^)3 assi a sioJ 905. Fktss 901 a-<| are stacked so ihst p\& 903a-d. of saok pkϊ:e 501&κ1 ; ^' s sssαissi into ths slot ?5O5a-d of as adjacent plate. Use pin 903 of ssch |skte ssafe wsthk έbc sM 905 of as. adjaeeat plats sho%«ι k HG, 9B. TBs pfe 903a oathe «ad piste 9Mα (sis sfe^m), ϊjavmg oτsly & smgle adjacent: plate, ωmj eitker be asn&ed ftotπ the cørssiraødos or ^se gits. 903 of the eM ρlat$ 901a is sot inserted imss s caτrsspoϊidϊ3g slot. As sk>wB _s t&s sfot §05a-4 is ssch pkte 9O.!a-d is carved, so tliat wbssx th« stsek 901 is subjected to a lateral hxc% <ihph®ssz&txi of asy ons or msre pisstes wijl also s&yss roiaiioa of t!se displaced plates, SuchTotatioa felps to furiitsr aϊsorb say iacideai latεmi forces. Bscsa^. the plai«s are sBϊsrlacked, asd an auter sheath is sot re^astcd, altk) ^v α§α asa may be iιs©d. Moreover, ibis <?JBbodiϊϊϊesi islgM sJso fee implsiited ssώcataι^G\ssly, Ssch a esfeesjisaeosss stoδϊeπt secssssrCh' eosspfe wiύs. the essems.! Sϊøtiule through tase skia of the secψisat, and all vibmtlcsss would be tπjassϊsϋted tlssagk tissues, tsidudisg skib _* covering tbs? implant. Ths pia of thε «adp-lats m&y b® nsad Ds assist wstf. ths cci-iφlmg.

mass) Yst s&ethss: aitsmsHve sHxbodiπieat of sts. abuimsBt in accordance; with, esssbodisssats of the sKsssi bivsatsαa is iϋsistrssed us FIG, 10, Is das iifø&tistsd ssήb&SkasM, abstisest ICH ⁾ I compress &n outer sheath I0Q3- asvkig as iεteπiai esvity 1005 aad a grasuMed -materia! W ^Q I disposed ttessL The grs&akisd. material ISO? my &ay sumber of different t3 ^; pes of material, .fom ss&dL. to Bϊsgneiizsabfe pardclss _* to ssi-aϋ beads, -wk&hsr pksfck, glass, of meiai ssd ike like. Is έlϊs GS.^ af iπagseiissslskt psriicies, It is astfcip&tssd tbεt th» ϊs&g3st mtlsis th& ssdemsi s«<iϊύδ -vrøuid asigti this paitfdsss is a^ist m mmήxsg & c&nάncϊkm. psili beέ^'eea the osadsϊcϊbs surface s.?κi tha boss anchor, ^felle as fee ssffiε tisis psπriέέiag sHεsnsg acπαa ^" bstw&sa Use psrSkks JSi. response to ktemi forces iseidesl a|jQii tbs autss- sheath- Addlϊk-s&i iastssiais tssay be bchulfid within ths is> eithsr better esabfs ulssariag scdoss of the grsstikfcd partssles, i.s., ∑aoveπie-it is έhe iMera! dlrectiδαiδ iesiiOϊse to (aterai forces I&dde&t upoϊiώe sfeiKSsast, or to bsttesr esshlδ «otsduc%s>n of vϋ>r<ϊt&srss fosi tbs sxtsrsal ssoduk, thmiigfe the gπssuktsd πjm«rkl to th& bone anchor. For exasjpls, «>Uagsri may be mekded vithia the imsmsl cavity, sbs.a wkh be&ds, IΌ bsitsr mά m. the iπmssHissioa of -vibraJscjiis. It is anticipaiβd tbst collages ■Bigbt also aid is. sspfsvktg tbe sljesrmg actioa of sucfe beads. As with the prsvsoas s^lsrM to aid m rstysaisg the abyiOssst ta & άc&sM. sfespe. i§ass _| Aso^ssr ssstedimess: of as absπssst in accordsscs ^.vith essboditse-rts of the present ia-vstjms b ϊllystraiδd as s&staαesi: UOl is. FIG, IL This aiekdes as oufe sks-rfii I I 03 witk aa sxtsmai pmSk whisk is a 3mtt«r of design, choice. Oases- ^sssth H 03 τmy ^e ibrsxsi SλS aho-WB, ϊr. ssay bs S>πssd according to aεy of tfes other ©πiboόirπsϊus s&;αsssά he-eόi, QT it siay bare cas. s.siifeiy dϊfieαnu ^sape to suit oώer desiga ssB&ldsrssioss. Outer slssslb fenss as. sasπs&i <ssxϊr¥ 1105, is wsish is dispossd δ psssixatsi plate Il S7, a distal pJMe- 1109, a we Il l s, -wbkk tbrsig, s. Sesible aosductksα paϊb, sssi a spring 1113. The srsximal. plats 1107 ss disposed sdjacsst ic>, ass rsay ^g coup?>sd to _> rhs cosskctiOB surges 1 H5 of Qϋtsε ώmh 1103 csicli &sl appMed. ta csadsctioa sαrfacs I l 15 pass through, to distal plats 1109. SϊmJlarly _j tiss dissal -pkfc 1 IQ9 is disposed adjscsϊs: mά ccxψhd So bom aachss: 11 17. Tk? wϊrs nil stands betwesKϊ aad is ss^Ied to Ij&th prosasssal piste 1.107 sad distei pkie .KHB. Likewise, sprjsg 1113 iϋ disposed betwsea prexissa! &ad distal pistes 1107, O0S _f bus. spring j ! 33 1jss4κ:s tf® plates 1107, 1109 away irssa αiae {jsofesf, ilisrsby piscssg =:he wins 1111 mάsx

t«ssias mά vsmbimg the wϊre H U to conduct γ&ϊatkms applied to prøtitsai piste l\ύ? through to the proximal plate 1199, sad ikss m. to Um bone aπclsor IJ lT,

(«8643 Additio-sM wirss tm.y ^" be iπsisded to ferns additbsal csotsduofba pails. Ths. material fern which, the wire or wires is cossiiueted is a x&atter of desϊga choice. Thsse skilled Ia the art will rssogsias άsst c-erfak materials, sack as metals aisd other raatemia thai are iess sascssptϊbic ks ;irs better siώed for kmg tens ass witMa &s abutiϊ^sέ. Thess sBs.iβrkfe &at sxe sase»ptS>ϊβ to psnssansst <le&nsatba due to sSrstdikg lϊsay still bs αsα2 _f lssi abtϊSssetits s^spfoyisg such, rsstedsis sssy sgq-oirs HSDγS Ircqiββsέ jusplscsmeat. imssi Yδt ssKjtbsr emfoodk&est of as abuϊsssat 1201 is shown m FϊG. 12. Is the iilastrstsfd embodi!ssj5t, skjhsissJ 1201 isciudss an Oufe shesth 1203 ibrmήsg m -isstem&l cavϊty 1205, As wMϊ. ofeer essbodfcuastSs outer shgaih 1203 is prsiteπsbly ecssirαc€ed usssg & slisps memory sasiens! is preside sossa Sexibilsiy, bat at: tile same imsg be saδϊciestly ήφi to seat « vlkstoϊy coupler. Outer sfeeafch 1203 iachidss a cos«fcje£jo» surStcs 120? ssd a disϊsl sur&eg 1200 wMch is coupled Ie boss sssksr 1211, s∑id vibratkjωS applied t» dϊsta.1 ssr&ce 1209 ar§ cosdϊκ?t«d Into boss sscksr 1251. A ϋβaάs.cύo& axis, A _* sieSsss the røjidϊsctiøs pstδ. afoag wlsidi vibisdosis psss fhsrn as «stsmal S5øda!e Sc tea© aacbor 1211 oaee ths SKieraal ms4uis is s*4stsd OB tfas 3L|ϊ«£mssit. A spiral sprlsg 1213 aad a sss^aet 12.15 aεe <lis|Xssea wMiia tbs cavity 1205, The spiras sptiag 1213 has an otϊisr ass! coupled, to distal siidkce 1209, and ih& magset 1215 is coapfcd to ttsss c-sstβr sssd of the sfmsg. The smgøgt 121S has a Biagaeix ;5sig _; M ₅ dsSsssd hy tlss two ssagsedc poles, N sM S ₅ mά th& spiral sprissg 1213 bsa$es ihε magtset 1215 so tfesi tlis j&sgsϊsfe issϊs ss sot p&raHsl £o _f sod is prefeably psψe^dioakr έo, the eoωductsoδ a^is A. ^" Wfess ths vihϊstδϊy coupler is ssalsd ca sbulisjent 1201, s ssagsxei within, ths v&cstory cs^pkr, ss described is FIG. 4, ssώicss magast 1215 k abufeseat 1201 to xαtste sad ;ύlgs S35sgn.stio axis, M ₅ wiώ the cosductsra axis, A. Qsce the magaβt 1215 w. tδ.s sbstuseat 1203 rstafcs^ it is attϊsctsd toward tk<: xnagasi ax ihs vibrattsry soapier. IK Mdiαos, saagϊiet 1215 is absstøsal: 1201 will s&at agslssst distal gun%xt 1209, ϋsδrs&y etjsblixsg Ythzsήβss applied k> ahttmsm 1201 $β pass tlsrosghto bmse sπck>r 121.1. fδ ^β ssj Thus, s &csiion system &r a boss ccadsjciiόs device is disclosed. While ejnbodisssssts of Skis sWsasssa !sa ^γ e b&sst. shewn &ϊiά described, it will be app&nsst to thss& sldilsd at &s art t&st

ffissiy sϊ&rs xsødiScsrloss are possible wiihc&t departing fkrøi the myesriw soBoepss heteia, 'Fhe sϊvgtslkse, ihsre&rs, £g sot bs bs rβsurictsd sκcsp£ k the spirit of the feδøwsg claims. pes?] FKI. 13A is εross-ssεtbϊisl view of a ccssjjiisig system m. acsosdsscs wftk embodi-sesis <jf the pϊese-m. luvesisss. As shows, the eδϊ∑pmsg systsss cosψrisos a erøpks ^* 13^6 atϊadsed to, ssd exteaslsg feors, as exϊeπϊ&i tsodub 130! of s. boras em&fesfea device. Disposed. wiϊM-a vibrstcij soapier 1306 is s iBsigaet 1308- laφiasted %-Mώs skfe. Oδ2 is &a itnpias5S«d iassksr 1310. Yifeβfea g^accated by srstsft^al modαk 1301 is <5θτsg1ed &κsagfe is^k^ed momτ I3lϋ to the skull 1304. l<m%i Is t& iliassmtsd emfeodiiBiesSs, iB^isaJM mzhot 1310 sosspnses s pkts&y of pastkkts, beads, or otiasr dcmstSs BlO -which JS-C isjccted or &apkπf<ϊd mts sktn 1302 The plurality ^Q t $&?tM<m 13 IS disr the materia! ijilSkjss of the skfe so that tte ^Sssadoa Mm v&πsϊαr coupksr 13$6 ssay bs? irassfcrfsd to tbs ^bsil 1304 with i&tb to BO loss, tbass slisϊmatssg fee ^esd fer &a ssp«>8§:d. stetπssHϊ. isto skin 1302 of a tfSc%i-W5t. In sύrtiώ.ι <iπώoάhnstxi% skis. 1302 h stressed by isjecdag a siiffident qustsJlty of ceramic ωγ roβέsUsc stϊwdbr (s,g. _s t&asiuss. po^vdsr _s piatimms, pθ"»ii«t-, e&S) sito ιl® skk. Its oύssz smbcsiϋmsais, collages ϊsr any sslksr fcssrssortsbls asatsπalthst may provide sHSssss t» skits. 1302 m&y hs assd. For «ssmpk, is cerϊm srtsbodimests, psπic4es that cahasce Shrous ϋssssc growth may be os -kϊψliaitsd ISIQ skis 1302.

_$ m&ι As sicjsed, k fee ϊlhastrated CKibødimeat, δ Biegset I3δg is disposed wfchia vtbmtcssy ∞iφfer 1306. M&gsst 1308 is coaSgarøi to provide as sttrsstba feee bsEwasa vibratory αsupkar 1306 atκl pssiscies 1310. This aϋr&^iøB rstams sxtsnsai ssoiufc 1301 iss posδioa dEring _ff irml ti.se, and is ^Idssst fe silsdisd of^sssat isodule BOI to the smpiesi mtdsr tfss ibϊce geaststed by th« weight of v&rsiory csjiφicr 1306. in sdditfea _* fes stlrsctlor, fores shøuM s.feo be to πaktsia tfe: aitachmsπt when, ibs isstasla&eeus .t ^y roβ g«aetat«d by vlbmαoas lrora external sssduls 1301 sxs δotiplsd wiώ tks of vibratory counter 1306. Is cmtam smbcdiπsst-ts, Kiαgaet 1308 tssay eosϊψriss a tnagast. Is other $sis>dim«sis _? ϊsmgsast 130S Slay ωssisπaJ ύmt b aot a pcπsEaest tsagaet

\wn\ ltt &rtfaex ^ssbodixaests, pϊfitklxs; 1310 ara prswsted ss3sa silgratiag from ths fajeciisss ss'Ss, Ia OS" such βssώoditssjϊts, tli« parHciss may be tied to oae smiiier pekxε to

1"

iδjectfeϊs/ ^' jπψia∑ststjaπ. Ia another such βsibodrmaaε, the psitktes may bs oos&d with collages to prevsst aiigrstism. Other pβiϋolas mraprismg _* sssh as siHsoKs particles, imy promts tissue i&~s&Q/mk &sr« wife to ψjsvzm. mm) FIG. BB ss eϊδss-sseiiøaal view of a so^pliag system m. scεerdatsεs with esBfeoάirftCSES of the present: ssvsstioa. Xn. this entlxsdisiest, tsspissted ai-cfeer BiS comprises a gtsauistsd rssierisl 1322 bos&dεd by a. vohmte 1.320, The granulated, πsaterki 1322 tϊt&y say saαώer of dussaxi !>^es©£ rasisπal, fiomsaad, to magaeifessbb psrεioios, to small beads, wisslfesr plastsc, glass, or rascal mά the Hks, Volaaκ! 1320 may &r ecsst∑φle., a sargssaiϊy jsφ-lass&d sxash o? csgs 1320 wMdip-evests tsigrsitios of granulated mMari&l 1322.

[8f73j S^nikr to the sml>odimsjtu& άsscribed abαvs with rsfsreacδ to FIG. 13A, & ss&gaet 1308 is disposssd witks. vibista^ scsT-spkr 1306. Msgaei 1308 is configured to provids ss attractiøδ ferce bctwees vϊlsratory ceiφibr 1506 sad p&tϋe-ies 1310, THs attracdoa retains saisrtssl ssxxfak 1381 i& pos&ϊi άmά&g soπasi v®s _t sxd is saiδcisϊit to attach, exteπml m>d»L$ 130? to €bs rec-φissl xsβώs? &s fcroe by the wssgfet of vikβtoty cciψlβr 1306. In sddϋsis, ih© attrsc^ios ϊOKφ should siso be suffieϊeai to sssiMfda. lbs sttadissssi yώ&s. ths lαstsslxiKeαiis force _R «Bsmsd by vib^tbss IγOϊE sxέs?aa! mnά&k 130! are coupled wsli ths weigM of vfestory cospte 5306. Is osrtaia enφodiϊnststs, msgset 1308 may røsaprise a parmaiicssl ssj&gaet Ja atbisr ssibodisxyists, sjagaεt 130S may coπφtise a ffisgastir- m&lerki thai is aot a psπss&e&t

im?4\ FIO. 13C is cmss-sectssBβi view of a coapHsg system Ia acwrdss.ee -with, s-sfxxϋsssssis of the -gressst -favβatios. SfeiUaj" to rhe smbodϊmesftts described above wiέh to HG. 13B 4 boasdsd by a whsm* 1336. The grssal&Eed 555aferia! 1322 xmy my of material lϊjφlsstsd aadsar 1332 δistiser s>mprfe«?s a ffisgset 1330 adjacsst skull 1304. Yibmory ooωpksr 3306 a peπsaaost msgast 1328. Whea vibratory coupler 33δ6 is posidoned zάjucssi skm 1302, ssapiets 1330 ms. 1328 sause gsrsssskttx! msdsrisj 1334 to be satestfMly aligned,, tksrøby miprnvkg tfe« teanssiissfea of YUjsstioϊi slj ^g s« tljTδisgh. im$i WMIs varioiϊs «mbαdisiests o i shs present iavesstioa beea skscribsd above, si &hmύά be κa<krsto8d iliat feey have beea prcsestsd by way of esaiϊφis oaly _s &ad ;5Ot lύnϋstson. It wit bs appagssi to pεr^sss skilled Is tbe lebvaat s∑t IMt varioas cfeaisgss tn feπa ajjd dstsil sss bε

ϊsadss tUsrs ^j s w&fcosi dspaπkg Somtiss isririέ sjsd scope of the isveπtsoa. TIϊUS, the breaάife. sad soϊps of th» prssssst iav«aiioB shcald Best be Liϊsitsd by aay af the &bαv>s-4sscrϊbεd ssβsφlasy «snbodim«s^, bαi skissM bs deSasd osiy m acoαrdaaeβ -with, ifes foibwsg ckisss aad &sdr esuivslsssts. AiI patents sad. pubϋestiGss discussed fearcjk are isieoiponitcd k ilisrάr esiirsty by referess* thereto.