| CPC A61B 17/06166 (2013.01) [A61B 17/04 (2013.01); A61L 17/00 (2013.01); A61L 17/005 (2013.01); B29C 61/0608 (2013.01)] | 21 Claims |

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1. A joining element elongate along a longitudinal direction, comprising:
an inner core that extends substantially along the longitudinal direction, the inner core comprising swellable silicone and an osmotically active substance; and
a jacket surrounding at least a portion of the inner core along the longitudinal direction and defining a length in the longitudinal direction between opposed ends of the jacket, the jacket comprising polyester threads and defining at least one angle relative to the longitudinal direction,
wherein upon exposure of fluid to the osmotically active substance, the osmotically active substance causes the swellable silicone to swell so that the inner core swells against the jacket along a direction that is perpendicular to the longitudinal direction to thereby increase the at least one angle and decrease the length of the jacket along the longitudinal direction.
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