a surgical instrument for installing an implant in a living tissue . the instrument includes a frame including an installation channel that is adapted for receiving the implant and is adapted to be placed in connection with the tissue . the implant is inserted in the tissue when it exits the installation channel . the frame includes an installation end . apparatus produces a reciprocating movement that is transmitted to the implant to produce a periodic movement in the implant . an installation member conveys an external installation force to the implant for installing the implant . the installation member is insertable in the installation channel .