Fastening and pressing equipment have been used to assemble medical devices for decades, and that’s not likely to change anytime soon. Screwdrivers, for example, are regularly used to install screws in products as diverse as hospital beds, joint implants and hearing aids. Presses are even more versatile, with manufacturers using them to insert plungers into syringes, markerrivets into stents and tiny rivets into scissors at the end of endoscopic instruments. As the following case histories show, both processes enable manufacturers to meet these and other assembly challenges.