CN108135596A - Surgical staples including being used for the feature structure for improving tissue fastening - Google Patents

Abstract

The invention discloses a kind of surgery nail bin, the surgery nail bin includes the multiple nails being stored in can removing in the surgery nail bin.The nail includes the nail leg extended from base portion part.The nail leg includes nail tip end, and the nail tip end is configured to puncturing tissue and contacts the correspondence forming pit of the anvil block of surgery suturing appliance.

Description

Surgical staples including being used for the feature structure for improving tissue fastening

Background technology

The present invention relates to surgical instruments, and in various embodiments, be related to surgical stapling and cutting device and with Its nail bin being used together.

Suture instruments may include the elongated nip component of a pair of of collaborative work, suffer from wherein each jaw member may be adapted to be inserted into It is positioned in person's body and relative to be stapled and/or incision tissue.In various embodiments, one in jaw member can Support wherein accommodates the nail bins of at least two staples laterally separated, and another jaw member can support with and nail The anvil block of the nail shapes pit of staple alignment in storehouse.In general, suture instruments may also include push rod and blade, the push rod and Blade can be slided relative to jaw member with via on the cam face on push rod and/or the wedge-shaped slides by push rod promotion Cam face will follow closely and continuously project from nail bin.In at least one embodiment, cam face is configured to cause It is dynamic by storehouse carrying and multiple staple drivers associated with nail, so as to push follow closely against anvil block and be held on jaw member it Between tissue in form the deformation staple laterally separated.In at least one embodiment, blade can follow cam face simultaneously And along the wire cutting tissue between staple.

The current various aspects of the relevant technologies in the field of the invention only for the purpose of illustration discussed above, without should It is considered as the negative to right.

Description of the drawings

The various features of the embodiment described herein have been described in detail in the dependent claims.However, it closes In the tissue of operation and the various embodiments of the various embodiments of method and its advantage can combine drawings described below according to Lower description is to understand：

Fig. 1 is the perspective view according to the nail being used together with surgery suturing appliance of at least one embodiment；

Fig. 2 is the side front view of the nail of Fig. 1；

Fig. 3 is the top view of the nail of Fig. 1；

Fig. 4 is the sectional view of the nail of Fig. 1 intercepted along the line 4-4 of Fig. 3；

Fig. 5 is the perspective view according to the nail being used together with surgery suturing appliance of at least one embodiment；

Fig. 6 is the side front view of the nail of Fig. 5；

Fig. 7 is the side front view according to the nail being used together with surgery suturing appliance of at least one embodiment；

Fig. 8 is the side front view of the nail of Fig. 7 in shaped configuration；

Fig. 9 is the top view of the nail of Fig. 7 of the shaped configuration in Fig. 8；

Figure 10 is the broken section of the side front view of the nail of Fig. 7 in shaped configuration and the anvil block of surgery suturing appliance Figure；

Figure 11 is the perspective view according to the nail being used together with surgery suturing appliance of at least one embodiment；

Figure 11 A-11C are the cross section of the part of the nail of Figure 11；

Figure 12 is the perspective view according to the nail being used together with surgery suturing appliance of at least one embodiment；

Figure 13 is the side front view according to the nail being used together with surgery suturing appliance of at least one embodiment；

Figure 14 is the partial top view according to the forming nail configuration including multiple nails of at least one embodiment；

Figure 15 is the perspective view according to the nail being used together with surgery suturing appliance of at least one embodiment；

Figure 16 is the partial sectional view of anvil block, shows that never shaped configuration is configured to the one of the nail of Figure 15 of shaped configuration Part；

Figure 17 is the front view of the nail of Figure 15 in shaped configuration；

Figure 18 includes the side view at multiple nail tip ends according at least one embodiment；

Figure 19 is the bottom view of the forming pit of the nail according at least one embodiment and the anvil block according to the first arrangement；

Figure 20 is the partial sectional view of the anvil block pit of Figure 19 intercepted along the line 20-20 of Figure 19；

Figure 21 is the nail of Figure 19 and the bottom view of forming pit according to the second arrangement；

Figure 22 is the nail of Figure 19 and the bottom view of forming pit arranged according to third；

Figure 23 is according to the nail of Figure 19 of at least one embodiment and the bottom view of forming pit；

Figure 24 is the partial sectional view of the anvil block pit of Figure 23 intercepted along the line 24-24 of Figure 23；

Figure 25 is according to the nail of Figure 19 of at least one embodiment and the bottom view of forming pit；

Figure 26 is according to the nail of Figure 19 of at least one embodiment and the bottom view of forming pit；

Figure 27 is the local perspective view according to the nail leg of at least one embodiment；

Figure 27 A are the part section end-view of the nail leg of Figure 27；

Figure 27 B are the partial longitudinal section of the nail leg of Figure 27；

Figure 28 is the perspective view using a part for the nailing strip of progressive die stamped；

Figure 28 A are the partial sectional view of the nailing strip part of Figure 28 intercepted along the line 28A-28A of Figure 28；

Figure 28 B are the partial sectional view of the nailing strip part of Figure 28 intercepted along the line 28B-28B of Figure 28；

Figure 28 C are the local perspective view of sliding part, which is configured to the nailing strip of engagement Figure 28；

Figure 29 is the perspective view according to a part for the nailing strip using progressive die stamped of at least one embodiment；

Figure 30 is the bottom perspective view of the nailing strip of Figure 29；

Figure 31 is the partial sectional view of the nail bin and nail according at least one embodiment；

Figure 32 is the perspective view according to the nail bin groupware of at least one embodiment；

Figure 33 is the top plan view of the nail bin groupware of Figure 32；

Figure 34 is the detail drawing of the distal end of the nail bin groupware of Figure 32；

Figure 35 is according to the partial perspective cutaway view of the nail bin groupware of at least one embodiment, is shown by firing structure The nail that part is projected from nail bin groupware；

Figure 36 is the partial exploded view of the nail bin groupware of Figure 35；

Figure 37 is the partial sectional view of the nail bin groupware of Figure 35, shows and is allowed to by firing member against deflection Nail；

Figure 38 is the partial plan layout of the nail in the nail cavity for the nail bin groupware for being located in Figure 35；

Figure 39 is the local perspective view of nail promoted by the firing member of the nail bin of Figure 35；

Figure 40 is the bottom perspective view of the nail of Figure 39；

Figure 41 is the schematic diagram for the nail for showing the Figure 39 being horizontal；

Figure 42 is the schematic diagram for the nail for showing Figure 39 in bending position；

Figure 43 is according to the sectional plain-view drawing of the nail cavity of at least one embodiment, which is configured to guide Nail；

Figure 44 is cutd open for the nail bin groupware being located in the jaw of surgery suturing appliance according at least one embodiment Face perspective view shows the firing member in the warehouse for being located in nail bin groupware；

Figure 45 is the partial perspective cutaway view of the nail bin groupware of Figure 44, shows holding feature structure, the holding feature knot Firing member is maintained in warehouse when structure is configured in jaw of the nail bin groupware delocalization in surgery suturing appliance；

Figure 46 is the part section exploded view of the nail bin groupware of Figure 44；

Figure 47 is the part section end-view of the nail bin groupware of Figure 44；

Figure 48 is the partial perspective cutaway view of the nail bin groupware of Figure 44, shows holding feature structure, the holding feature knot Structure is configured to nail bin groupware being releasably held in the jaw of surgery suturing appliance；

Figure 49 is the partial plan layout according to the nail being located in the nail cavity of nail bin groupware of at least one embodiment；

Figure 50 is the detail drawing for keeping feature structure, which is configured to releasably hold nail In the nail bin groupware of Figure 49；

Figure 51 is the part section front view according to the nail bin groupware of at least one embodiment；

Figure 52 is the perspective view according to the nail of at least one embodiment；

Figure 53 is the bottom perspective view of the nail of Figure 52；

Figure 54 is the anterior elevational view of the nail of Figure 52；

Figure 55 is the side front view of the nail of Figure 52；

Figure 56 is the bottom view of the nail of Figure 52；

Figure 57 is according to the perspective view of the firing member of the nail bin groupware of at least one embodiment, which includes It is directed at channel；

Figure 58 is the firing member for showing Figure 57 and the schematic diagram of nail being located in the nail cavity of nail bin groupware；

The schematic diagram of the firing member of Figure 57 that the nail that Figure 59 is Figure 58 in the nail cavity shown with Figure 58 is aligned；

Figure 60 is the firing member of Figure 57 and the perspective view for being arranged to two nails longitudinally arranged；

Figure 61 is the partial sectional view of a part for the alignment channel of the firing member of Figure 57 and the nail of Figure 58；

Figure 62 is the partial perspective cutaway view of the nail bin groupware of Figure 58；

Figure 63 is the partial exploded view of the nail bin groupware of Figure 58；

Figure 64 is the partial bottom sectional perspective view of the nail bin groupware of Figure 58；

Figure 65 is the protruding portion extended according to the deck surface of the slave nail bin groupware of at least one alternative embodiment Local perspective view；

Figure 66 is the protruding portion extended according to the deck surface of the slave nail bin groupware of at least one alternative embodiment Local perspective view；

Figure 67 is the bottom perspective view of the warehouse of nail bin groupware；

Figure 68 is the bottom view of the warehouse of Figure 67；

Figure 69 is the bottom perspective view of the warehouse of the nail bin groupware of Figure 32；

Figure 70 is the bottom view of the warehouse of Figure 32；

Figure 71 is the schematic diagram of the alternative embodiment of the warehouse and warehouse that show Figure 67；

Figure 72 is the fragmentary top plan view according to the nail bin groupware of at least one embodiment；

Figure 73 is the local perspective view of the nail bin of Figure 32；

Figure 74 is the sectional view of the nail bin of Figure 32 and the anvil block of Figure 37, shows certain nails in non-firing position and place In certain nails of firing position；

Figure 75 shows the nail of the nail bin for the Figure 32 for being deformed into three kinds of different heights；

Figure 76 shows the nail of the nail bin of Figure 32 in implantation patient tissue；

Figure 77 shows the nail of the nail bin of the Figure 32 to deform；

Figure 78 is the perspective view according to the nail of at least one embodiment；

Figure 79 is the sectional view of the nail of Figure 78；

Figure 80 is the perspective view according to the screw assembly of at least one embodiment；

Figure 81 is the front view of the screw assembly of Figure 80；

Figure 82 is the perspective view of implantable nail auxiliary member；

The sectional view of nail auxiliary member that Figure 83 is Figure 82；

Figure 84 is the local perspective view of the screw assembly including the nail auxiliary member of Figure 82；

Figure 85 shows the screw assembly for being implanted to Figure 84 in tissue；

Figure 86 is the perspective view according to the nail for being shown at deformed configuration of at least one embodiment；

Planes of the Figure 87 for the round warehouse including multiple screw assemblies including Figure 84 according at least one embodiment Figure；

Figure 88 shows the spacing of the nail of Figure 35 in non-stretched tissue；

Figure 89 shows the spacing of the nail of Figure 35 in stretch tissue；

Figure 90 is the perspective view according to the nail of at least one embodiment；

Figure 91 shows the nail for being implanted to Figure 90 in tissue；

Figure 92 shows the nail of Figure 90 after being partly dissolved；

Figure 93 is the sectional perspective view according to a part for the circular surgical staplers of at least one embodiment；

Figure 94 is the partial perspective cutaway view of the circular surgical staplers of Figure 93；

Figure 95 is the local perspective view of the circular surgical staplers of Figure 93；

Figure 96 is the partially exploded perspective view according to the circular surgical staplers of at least one embodiment；

Figure 97 is the local perspective view of the circular surgical staplers of Figure 96, shows the nail in preload position；

Figure 98 is the local perspective view of the circular surgical staplers of Figure 96；

Figure 99 is the end-view that configuration is sutured according to the circular surgical of at least one embodiment；

Figure 100 is the end-view that configuration is sutured according to the circular surgical of at least one embodiment；

Figure 101 is the partial sectional view of the colon sutured using circular stapler instrument disclosed herein；

Figure 102 is the local perspective view according to the bending stitching unstrument of at least one embodiment；

The partial exploded view of bending stitching unstrument that Figure 103 is Figure 102；

The local perspective view of bending stitching unstrument that Figure 104 is Figure 102；

Figure 105 is the local perspective view according to the bending stitching unstrument of at least one embodiment；And

The local perspective view of bending stitching unstrument that Figure 106 is Figure 105.

In several views, corresponding reference mark indicates corresponding component.Exemplifications set out herein is with a kind of shape Formula shows various embodiments of the present invention, and this example is not necessarily to be construed as the model limiting the invention in any way It encloses.

Specific embodiment

Present applicant, which possesses, to be submitted in same date with the application and respectively is incorporated by reference being incorporated herein Following U.S. Patent application：

The U.S. Patent application sequence of entitled " SURGICAL STAPLES FOR MINIMIZING STAPLE ROLL " Row number _ _ _ _ _ _ _ _ _ _；Attorney number END7687USNP/150127；

Entitled " SURGICAL STAPLES COMPRISING HARDNESS VARIATIONS FOR IMPROVED The U.S. Patent Application Serial Number of FASTENING OF TISSUE " _ _ _ _ _ _ _ _ _ _；Attorney number END7727USNP/ 150298；

Entitled " SURGICAL STAPLE STRIPS FOR PERMITTING VARYING STAPLE The U.S. Patent Application Serial of PROPERTIES AND ENABLING EASY CARTRIDGE LOADING " Number _ _ _ _ _ _ _ _ _ _；Attorney number END7680USNP/150120；

Entitled " SURGICAL STAPLING CONFIGURATIONS FOR CURVED AND CIRCULAR The U.S. Patent Application Serial Number of STAPLING INSTRUMENTS " _ _ _ _ _ _ _ _ _ _；Attorney number END7682USNP/ 150122；

The United States Patent (USP) Shen of entitled " STAPLE CARTRIDGE ASSEMBLY WITHOUT A BOTTOM COVER " Please sequence number _ _ _ _ _ _ _ _ _ _；Attorney number END7679USNP/150119；

Entitled " STAPLE CARTRIDGE ASSEMBLY COMPRISING STAPLE CAVITIES FOR The U.S. Patent Application Serial Number of PROVIDING BETTER STAPLE GUIDANCE " _ _ _ _ _ _ _ _ _ _；Attorney number END7681USNP/150121；

The United States Patent (USP) of entitled " STAPLE CARTRIDGE ASSEMBLY INCLUDING STAPLE GUIDES " Patent application serial numbers _ _ _ _ _ _ _ _ _ _；Attorney number END7685USNP/150125；

Entitled " STAPLE CARTRIDGE ASSEMBLY COMPRISING STAPLE ALIGNMENT The U.S. Patent Application Serial Number of FEATURES ON A FIRING MEMBER " _ _ _ _ _ _ _ _ _ _；Attorney number END7688USNP/150128；

Entitled " STAPLE CARTRIDGE ASSEMBLY COMPRISING VARIOUS TISSUE The U.S. Patent Application Serial Number of COMPRESSION GAPS AND STAPLE FORMING GAPS " _ _ _ _ _ _ _ _ _ _；Agency People's file number END7684USNP/150124；

The U.S. of entitled " STAPLES CONFIGURED TO SUPPORT AN IMPLANTABLE ADJUNCT " is special Sharp patent application serial numbers _ _ _ _ _ _ _ _ _ _；Attorney number END7686USNP/150126；

The U.S. Patent Application Serial Number of entitled " STAPLES COMPRISING A COVER " _ _ _ _ _ _ _ _ _ _；Generation Manage people's file number END7689USNP/150129；And

Entitled " STAPLE CARTRIDGE ASSEMBLY INCLUDING FEATURES FOR CONTROLLING The U.S. Patent Application Serial of THE ROTATION OF STAPLES WHEN BEING EJECTED THEREFROM " Number _ _ _ _ _ _ _ _ _ _；Attorney number END7683USNP/150123.

Present applicant, which also possesses, to be submitted on December 23rd, 2013 and respectively is incorporated by reference being incorporated herein Following patent application：

Entitled " Surgical Instruments With Articulatable Shaft Arrangements' " U.S. Patent Application Serial Number 14/138,554；

The U.S. Patent Application Serial Number of entitled " SURGICAL STAPLES AND STAPLE CARTRIDGES " 14/138,465；

Entitled " Articulatable Surgical Instruments With Separate and Distinct The U.S. Patent Application Serial Number 14/138,474 of Closing and Firing Systems "；

Entitled " Surgical Cutting and Stapling Instruments With Independent The U.S. Patent Application Serial Number 14/138,485 of Jaw Control Features "；

The U.S. Patent Application Serial Number of entitled " SURGICAL STAPLES AND STAPLE CARTRIDGES " 14/138,475；

The United States Patent (USP) Shen of entitled " SURGICAL STAPLES AND METHODS FOR MAKING THE SAME " It please sequence number 14/138,481；

Entitled " SURGICAL STAPLES, STAPLE CARTRIDGES AND SURGICAL END The U.S. Patent Application Serial Number 14/138,489 of EFFECTORS "；

The U.S. Design Patent Application sequence number 29/477,488 of entitled " SURGICAL FASTENER "；

Entitled " FASTENER CARTRIDGE COMPRISING AN EXTENDABLE FIRING MEMBER's " U.S. Patent Application Serial Number 14/138,505；

Entitled " FASTENER CARTRIDGE COMPRISING A FIRING MEMBER CONFIGURED TO The United States Patent (USP) Shen of DIRECTLY ENGAGE AND EJECT FASTENERS FROM THE FASTENER CARTRIDGE " It please sequence number 14/138,518；

Entitled " FASTENER CARTRIDGE COMPRISING A FIRING MEMBER INCLUDING The U.S. Patent Application Serial Number 14/138,530 of FASTENER TRANSFER SURFACES "；

The U.S. Patent Application Serial Number 14/138,507 of entitled " Modular Surgical Instruments "；

Entitled " Surgical Cutting and Stapling Instruments With Articulatable The U.S. Patent Application Serial Number 14/138,497 of End Effectors "；And

The U.S. Patent Application Serial Number 14/ of entitled " SURGICAL CUTTING AND STAPLING METHODS " 138,516。

Many details are listed herein, to provide to whole with attached embodiment shown in figure described in specification Body structure, function, the thorough understanding of manufacture and purposes.Well known operation, component and element are not described in, in order to avoid make explanation Embodiment described in book is smudgy.Reader will appreciate that embodiment described and illustrated herein is shown to be nonrestrictive Example, so as to can be appreciated that, specific structural and functional details disclosed herein can be representative and illustrative.Power is not being departed from In the case of sharp claim range, variations and modifications can be carried out to these embodiments.

Term " including (comprise) " (and any form of " including (comprise) ", such as " including (comprises) " and " including (comprising) "), " with (have) " (and any form of " with (have) ", such as " with (has) " and " with (having) "), " include (include) " (and any form of " including (include) ", such as " including (includes) " and " including (including) ") and " containing (contain) " (and " containing (contain) " Any form, such as " contain (contains) " and " containing (containing) ") for open link-verb.Therefore, " comprising ", " with ", "comprising" or the surgery system, device or equipment of " containing " one or more elements are with those one or more members Part, but it is not limited to that only there are those one or more elements.Equally, " comprising ", " having ", "comprising" or " containing " one or more The element of the system of a feature, device or equipment has those one or more features, but be not limited to only to have those one or Multiple features.

Term " nearside " and " distal side " are herein defined as coming relative to the clinician for the handle portions for manipulating surgical instruments It uses.Term " nearside " refers near the part of clinician, and term " distal side " refers to position far from clinician Part.It is also understood that for the sake of succinct and be clear, can be used herein with reference to attached drawing such as " vertical ", " level ", " on " and " under " etc. spatial terminologies.However, surgical instruments uses in many directions and position, and these terms and unrestricted And/or absolute.

Various exemplary means and method are provided for performing laparoscopic type and minimally invasive surgical procedures.However, it reads Person it will be readily understood that various method and apparatus disclosed herein can be used for a variety of surgical operations and application in, including for example with Open surgery combines.With continued reference to present embodiment, reader will be further understood that, various devices disclosed herein Tool can be inserted into body in any way, by natural cavity, pass through the notch being formed in tissue or puncturing hole etc..Device The working portion or end effector portion of tool can be inserted directly into patient body or can be filled by entering with service aisle Insertion is put, the end effector and elongated shaft of surgical instruments may pass through service aisle propulsion.

Nail or fastener disclosed herein are configured to be used together with surgery suturing appliance.Following article is more detailed Ground discussion, nail are stored in the nail cavity of nail bin in which can remove.Nail bin includes sliding part, which is configured to from outer Section's suture instruments receive percussion actuating, and nail is projected nail applied force by percussion actuating from nail cavity.It will be followed closely when by sliding part When projecting or drive out from nail cavity, nail experience deformation process, in the deformation process, nail never percussion configuration is configured to fire Configuration.When the correspondence forming pit of the anvil block of surgery suturing appliance is touched in nail joint, nail is configured to percussion configuration.

It is disclosed herein it is various nail include flat forming nail, the flat forming nail can for example by material piece cut and/or It is stamped to form.For example, material piece can be metal, and may include stainless steel and/or titanium.In at least one, can incite somebody to action Outline is etched and/or is cut in material piece, which is processed and/or be cut by laser so as to follow closely is configured to The shape of manufacture.

Nail includes a pair of of nail leg and nail leg from the base portion part that it extends or bizet.Each nail leg include nail tip end or Piercing portions, the nail tip end or piercing portions are configured to puncturing tissue and contact pair of the anvil block of surgery suturing appliance Answer forming pit.Nail leg is configured to change shape to realize shaped configuration, so as to fastening tissue.Base portion part limits First plane, and nail leg limits the second plane, and which is laterally offset, but at least substantially put down from first plane Row is in first plane.It is contemplated that the first plane and the not parallel embodiment of the second plane.

Flat forming nail 100 shown in Fig. 1-4 includes nearside nail leg 110, distal side nail leg 120 and base portion part 130.Nail 100 further include vertical transition portion or bending section 118,128 and lateral transition portion or bending section 116,126.Vertical transition part Points 118,128 vertically or are bent upwards or extension leg 110,120 from base portion part 130.Lateral transition portion 116,126 Laterally outwardly or at least substantially vertically extend nail leg 110,120 relative to base portion part 130.Nail leg 110,120 limits First plane, and base portion part 130 limits the second plane.Vertical transition portion 118,128 and lateral transition portion 116, 126 together allow nail leg 110,120 relative to base portion part 130 be laterally offset with it is parallel.In other words, the first plane from Second planar offset and at least substantially parallel to the second plane.In figures 1-4, the first plane deviates in negative Y-direction.Its He, which follows closely, to be used in combination with multiple nails 100, and wherein other nails are included in the first plane deviated in positive Y-direction.Both types The use of nail allow staple nested or interweave, wherein the nail leg of neighbouring row can at least substantially be aligned and/or share public vertical To axis.In all cases, staple can be nested to provide more dense staple.

Nearside nail leg 110 and distal side nail leg 120 respectively include nail tip end 112,122 and turning 114,124.Tip 112, 122 are configured to puncturing tissue and contact the forming pit of the anvil block of surgery suturing appliance.When nail 100 receives driving force During projecting nail 100 from the correspondence nail cavity in nail bin, tip 112,122 contacts anvil block.The tip 112,122 of nail 100 and/or leg Portion 110,120 will then start never percussion configuration and be configured to percussion configuration.Nearside nail leg 120 further include with chamfering surface or The leading engaging foot 117 at edge 119.With the sliding part contact stud 100 when sliding part is translated to the far side, the feature of sliding part The engageable leading engaging foot 117 of structure is rotated or is rotated to help to prevent such as longitudinal direction from following closely.Engaging foot 117 may include pushing away Dynamic point, the promotion point are configured to be pushed and be loaded into nail bin with that will follow closely 100.

It, can be into after flat or at least substantially flat raw material punching press since nail 100 is flat forming nail One step makes or nail leg 110,120, tip 112,122 and/or the other parts of processing nail 100.Further making nail 100 can carry For forming and/or changing the concrete property of such as priority bending plane, toughness and/or elasticity.Traditional wire rod forming nail has Conducive to the desired characteristic of surgery fastening, and nail 100 can be used to implement.For constructing turning 114,124 and/or tip 112,122 Method for example may include any suitable technique, including being for example cold worked.Concrete technology may include carrying out in the following manner Compacting：By turning 114,124 be processed into such as sphering, angulation, inclined and/or parabolical shape.It can also be used To provide suitable for tip, this is configured to puncturing tissue suitable for tip and supports at similar method processing nail tip end 112,122 It is shaped by the correspondence forming pit of anvil block.

Base portion part 130 includes inclined driving surface 132, final driving surface 131 and distal walls 133.In various realities It applies in scheme, is supported in nail bin by disk by following closely 100, wherein final driving surface 131 is configured to be shelved on disk. In nail bin does not have various other embodiments of disk, final driving surface is not shelved on disk, on the contrary, final driving surface With the initial position above the bottom surface in no disk nail storehouse.When sliding part is translated through storehouse, this will allow sliding part Bottom surface and bottom surface without disk nail storehouse at least substantially flush.132 quilt of driving surface of each base portion part 130 It is constructed to be permeable to receive driving force F from the sliding part of surgery suturing appliance_s.It is sliding when sliding part is translated to the far side by nail bin Moving part contacts driving surface 132 will follow closely 100 promotion exports, in addition also contacts final driving surface 131 so that nail 100 is configured to Its percussion configuration.

Distal walls 133 serve as the farthest side wall of base portion part 130 and are located in the nearside of distal side nail leg 120, so as to Lack any part of the base portion part 130 below distal side nail leg 120.Have in the base segments 130 of nail 100 a greater amount of Quality enhances nail 100 and resists the torque M applied by sliding part_SThe ability of caused rotary motion.Increase base portion part 130 moment of inertia enhances the ability for resisting rotary motion.So it would be desirable to the torque of bigger or the torque of bigger can just draw Play longitudinal direction nail rotation.

Base portion part 130 further includes top surface or compressive surfaces 136, and the top surface or compressive surfaces include nearside Surface 139, intermediate surface 138 and distal surface 137.Proximally 110 upward angulation of leg or the inclination of proximal face 139.Distal side Surface 137 is towards 120 upward angulation of distal side leg or inclination.Intermediate surface 138 is at least substantially parallel to final driving surface 131.The paddy shape configuration is limited in the stress concentration for the tissue that transition portion 118,128,116,126 nearby captures, in these mistakes Leg 110,120 at part is crossed from base portion part 130 to extend.In various embodiments, these surfaces 137,138,139 can It is bent and forms concave surface.In tradition is followed closely, when formed, the connecting portion generation that leg is intersected with nail base can cause higher part The position of structural stress.It is followed closely in this tradition and distorts or be crushed out of shape or be crushed rather than be configured to real " B " configuration In the case of, especially so.

In various embodiments, when being projected from nail bin, the dynamics for following closely 100 is predictable.When nail 100 is right from its When answering the nail cavity to project, the driving force F from sliding part_SGenerate torque M_s.Include increasing for a kind of precautionary measures of anti-non-magnetic shim rotation The moment of inertia of big nail 100 discussed above, the moment of inertia are configured to prevent longitudinally rotating for nail (as shown in Figure 2) Or rotation.If nail 100 is longitudinally rotated or in other words, is rotated in a counterclockwise direction around Y-axis, then in a distal direction The guiding surface or side wall that external longitudinal nail leg surface 115,125 of nail 100 will contact nail bin.The contact generates corresponding reaction Power F_C1And F_C2.More specifically, when nail 100 is driven out nail cavity and is rotated around Y-axis, the wall 115 of nearside nail leg 110 connects The proximal sidewall of nail bin is touched, so as to generate the reaction force F acted below barycenter in nail leg 110_C2.Distal side nail leg 120 Wall 125 contacts the distal side side wall of nail bin, so as to generate the reaction force F acted on above barycenter in nail leg 120_C1.Both Reaction force F_C1And F_C2Moment of reaction M will be caused_RC, so as to offset or balanced action in nail 100 on the torque applied M_S.Reaction force discussed in this article can be the distributed load acted on nail leg 110,120 surface area of each.

The moment of inertia of nail 100 is also configured to prevent lateral rotation or the rotation of nail 100 (as shown in Figure 4).Nail It is limited in the top surface 136 that base segments 130 are included on 130 side of base portion part nearest from leg 110,120 Recess 134.Recess 134 helps to shape the dynamic (dynamical) of nail 100 later from nail bin before formation and when projecting and can be predicted Property.For example, referring primarily to Fig. 4, recess 134 is configured to the rotation for causing nail 100 towards specific cavity wall.If nail In other words 100 laterally rotate or, in the torque M applied_SSide rotate up, then follow closely 100 outer lateral nail leg wall 111,121 guiding surfaces or side wall that will contact nail bin, so as to generate corresponding reaction force F_C1And F_C2.For example, when 100 quilts of nail Drive out nail cavity and in the torque M applied_SSide when rotating up, the wall 111,121 of nail leg 110,120 contacts nail bin Corresponding side wall, so as to generate the reaction force F acted on above barycenter in nail leg 110,120_C1.Outside base portion part 130 Lateral sidewall 135 contact nail bin another correspond to side wall, so as to generate acted below barycenter it is anti-on base portion part 130 Directed force F_C2.Reaction force F_C1And F_C2Generate moment of reaction M_RC, acted on nail 100 so as to offset or balance from sliding part The torque M applied_S.Reaction force discussed in this article can be to act on nail leg 110,120 and base portion part 130 is each Distributed load on a surface area.In various embodiments, nail 100 is prompted in the torque M applied_SDirection on the upside of It is rotated to ground, so which wall of the control nail cavity when following closely 100 from the correspondence nail cavity injection of nail 100 will be contacted for nail Guiding.

Fig. 5 and Fig. 6 is shown including the wire forming of nail leg 210 and base portion part 230 nail 200.Nail leg 210 is with basic Upper 90 degree of angle is deviated and is bent from base portion part 230.Nail leg 210 is located in the first plane, and first plane is at least Substantially perpendicular to the second plane limited by base portion part 230 and the bending part of nail leg 210 220.

Fig. 7-10 shows nail 300, which includes nearside nail leg 310, distal side nail leg 320 and with driving surface 332 Base portion part or bizet 330.Nail leg 310,320 extends from base portion part 330, and each nail leg 310,320 includes Laterally outwardly bending part and it is bent upwards part.The laterally outwardly bending part of nail leg relative to base portion part laterally outwardly It is bent nail leg.The upwardly curved split-phase of nail leg is partially vertically bent nail leg for base portion.Nail 300 includes having first firmly The first area 331, the second area 311,321 with the second hardness and the third area 312,322 with third hardness of degree.It can be with It is susceptible to nail 300 and includes the embodiment than shown more or fewer areas.Change certain characteristics of the different piece of nail 300 (such as hardness) can be provided for example more when nail is made to be shaped against corresponding forming pit (such as forming pit 341 of anvil block 340) Big control and predictability.First hardness in the first area 331 can be more than second hardness in the second area 311,321.In many feelings Under condition, it is desirable to possessing permanently to change shape and not broken extendable nail leg 310, and 320 or in other words, possess example Such as nail leg 310 with high-ductility, 320, while possess support nail leg 310,320 and have harder than 310,320 bigger of nail leg The base portion part 330 of degree.The hardness of bigger will enhance base portion part 330 and resist external force and/or internal force (such as against anvil Seat compression when the power from nail leg) apply when deformation ability.

The different piece of intermetallic composite coating nail disclosed herein can have the advantages that several.One of these advantages may include can Nail leg is prevented to be crushed out of shape or distort during forming, conversely, because contacted with corresponding forming pit, can promote nail leg to Hope configuration deformation.

Nail 300 can shape as any desired form.In unshaped configuration, nail leg 310,320 limits the first plane P₁, And base portion part 330 limits the second plane P₂.The example of the forming of nail 300, wherein nail leg are shown in Fig. 9 and Figure 10 310,320 towards the second plane P₂Laterally shape.The variation of some districts and/or partial hardness of nail 300 can be shaped in contact Play the role of providing orientation support during pit 341.It is contemplated that nail leg 310,320 is laterally far from the second plane P₂'s The upwardly shaped embodiment in side.

Figure 11-11C show the nail 400 formed by planarization material piece, which includes nail leg 410 and base portion part 430. Base portion part 430 has rectangular cross-sectional facial contour 431, and nail leg has circular cross-sectional shape 411.Possess from square The round nail leg 410 that the base portion part 430 of shape cross-sectional profile 431 extends can provide the base portion of no priority bending plane Part and nail leg.Nail 400 includes bending part 420, extends in the bending section office nail leg 410 from base portion part 430.Bending Part 420 has substantially square cross-sectional profile 421.The square of bending part 420 and base portion part 430 respectively Shape 421 and rectangular profile 431 provide rigid connection portion and backbone to round nail leg 410.Round nail leg 410 eliminates cross section The priority bending plane that can have for square, rectangle or any shape with vertex or the nail leg of non-uniform shapes.

Figure 12 shows the nail 500 according at least one embodiment, which includes nearside nail leg 510, distal side nail leg 520 And nail leg 510,520 is from the base portion part 530 that it extends.Nearside nail leg 510 is in a first direction from base portion part 530 Laterally outwardly it is bent.Distal side nail leg 520 is laterally outwardly bent in a second direction from base portion part.First direction and second party To opposite.Base portion part 530 limits the first plane, and nail leg 510,520 limits the second plane, second plane with this One plane intersects.Make the advantage that nail leg 510,520 is bent in the opposite direction that can offset every side of base portion part 530 On the sliding part torque that is applied, so as to help to prevent lateral rotation.This results in S-shape configuration and need complementary recessed Hole.

Nail 600 is shown in Figure 13, which includes proximal leg 610, distal side leg 620 and with driving surface 632 Base portion part 630.Distal side leg 620 is longer than proximal leg 610, is supported so as to cause the tip 611,621 of nail leg 610,620 It is deviated by the time of contact of the forming pit of anvil block.In various embodiments, distal side leg may include thering is initial prebuckling The tip of configuration, to contribute to the forming process when initially contacting anvil block.The preform tip 621 will be needed than nail tip end 611 smaller compressing forces are to start to abut against deflection.Make longer nail leg (being in this case distal side nail leg 620) shorter Or anvil block is contacted before nearside nail leg 610 may need the nail tip end 621 in longer leg portion 620 before tip 611 deforms one Determine that there is preform tip in degree.

Figure 14 shows the arrangement 700 of forming nail 711,721.Nail 711 is arranged to first row 710, and follows closely 721 by cloth It is set to the second row 720 adjacent with first row 710.Nail 711,712 can be similar to the nail 600 as discussed above shown in Figure 13. Nail 711 includes laterally opposed leg 713,715.Nail 721 includes laterally opposed leg 723,725.Laterally opposed leg 713,715 respectively include tip, these tips are configured to contact the forming of anvil block at contact point 713c, 715c respectively Pit.Laterally opposed leg 723,725 also respectively includes tip, these tips are configured to respectively in contact point The forming pit of anvil block is contacted at 723c, 725c.The base portion that laterally opposed leg 713,715 respectively extends towards them from it Partly to internal shaping.Laterally opposed leg 723,725 is also respectively towards them from the base portion part of its extension to internal shaping.

Staple 710,720 interweaves so that contact point 723c, 713c substantial registration.This arrangement allows in nail bin The forming pit configuration of more dense arrangement on the staple configuration and/or anvil block of more dense arrangement.In addition, intersecting expansion power plane can The tissue of expansion power and larger area for providing better quality expands power coverage.Intersecting expansion power plane can ensure that staple is recessed with shaping Anything captured between hole must be sufficiently tightened.This can when suturing smaller blood vessel and/or being not easy the blood vessel seen It is helpful, and in routinely nail arrangement, staple spacing may be manipulated, so as to cause less adequately fastening.

Figure 15-17 shows nail 800, which includes nail leg 810,820 and the base portion part with driving surface 832 830.Nail leg 810,820 includes tip 842, these tips are configured to the forming pit of contact anvil block, such as anvil block 860 Forming pit 861.Nail tip end 842 includes puncture tip or part 842T, roll surface 842S and concave cutouts part 842C.Puncture tip 842T is configured to the puncturing tissue T when being projected from nail bin, and the once forming with anvil block 860 Pit 861 contacts, and is just deformed in forming pit 861.By using the predictable morphotropism of concave cutouts part 842C, promote Nail tip end 842 is deformed into specific modality.The roll surface 842S at nail tip end 842 is configured to from puncture position 812A in Between shaping position 812B arrive again non-piercing position 812C occur curling or deformation.Once nail tip end 842 has been badly deformed, just pass through Puncture tip 842T is separated or is isolated with tissue T by roll surface 842S.This prevent tip 842 project when puncturing tissue it Further puncturing tissue T afterwards.The arrangement also prevent exposure after initial penetration puncture tip may caused by further damage and/ Or destructive stimulus.Prevent further puncturing tissue after being shaped in leg from decreasing the chances that nail 800 is pulled through tissue T. Roll surface 842S serves as barrier, which is configured to separate puncture tip 842T with tissue T.

Figure 18 shows the different type that can be used together with any suitable surgical staples (all nails as disclosed herein) Nail tip end 871,872,873,874 and 875 multiple examples.Nail tip end 871 has triangular shaped, has at least basic Upper flat face.Nail tip end 872 includes the face with variation profile.Nail tip end 873 has rocket shape shape.Nail tip end 874 has There is convex block shape shape.The convex block shape shape may be, for example, substantially blunt.Nail tip end 875 has pencil sharpening shape.

In various embodiments, nail tip end disclosed herein may include being different from the material of nail that nail tip end is attached thereto Material, still can be sufficiently tight to prevent after fastening tissue but follow closely tip materials to be more easy to be deformed in desired manner It is unfolded at nail tip end.

Shape, size, configuration and/or its other party of the forming pit for making nail forming can be configured to by changing Face promotes surgical staples to be configured to desired configuration.Figure 19 shows the forming pit 911 for being configured to shape nail 900, 921.Nail 900 includes nail leg 901,902, nail tip end 910,920 and nail base 930, wherein nail leg 901, and 902 prolong from nail base 930 It stretches.Nail 900 is configured to contact corresponding forming pit 911,921 and be shaped against these forming pits.Forming pit 911 include formed channel surface 917, which is configured to receive corresponding tip 910 and promotes tip 910 shape on the P1 of direction.As shown in figure 20, forming pit 911 includes lateral paddy shape surface 915 and longitudinal paddy shape surface 913, They are configured to the tip 910 for collecting or capturing nail in the case of slight misalignment at the time of contact.When being projected from storehouse, Nail 900, nail leg 901 and/or nail tip end 910 can deviate target relative to formed channel surface 917 by driving.Paddy shape surface allows The longitudinally and laterally rotation of nail.Although being shown as concave surface, paddy surface can be such as convex or flat.

Forming pit 921 includes formed channel surface 927, which is configured to receive nail 900 It corresponds to tip 920 and tip 920 is promoted to shape in the direction di.Direction D1 and direction P1 is on the contrary, and as shown in figure 19, show Go out nail leg to shape towards each other and at least substantially parallel to the situation of nail base 930.It is contemplated that direction D1, P1 are followed closely corresponding Leg is in the opposite direction but other embodiments for being outwardly directed relative to each other.Forming pit 921 further includes lateral paddy shape surface 925 and longitudinal paddy shape surface 923, they are configured to collect or capture nail in the case of slight misalignment at the time of contact 900 tip 920.When being projected from storehouse, nail 900, nail leg 902 and/or nail tip end 920 can be relative to formed channel surfaces 927 Target is deviateed by driving.

In various embodiments, longitudinal paddy shape surface may include two individual paddy surfaces.The two individual paddy tables Face may include the nearest initial paddy surface of the expection contact point from corresponding nail tip end.Initial paddy surface can have than independent paddy surface In another paddy surface bigger misalignment protection domain.Initial paddy surface can have for example than another in independent paddy surface The width and/or height of a paddy surface bigger.

Figure 21 shows another arrangement of nail pit 911,921 as discussed above.However, the nail in shown arrangement Pit 911,921 is configured to nail tip end is inwardly directed towards nail base 130.Leg 901 and tip 910 are configured to It is shaped on the P2 of direction.Leg 902 and tip 920 are configured to shape in the direction d 2.Direction P2, D2 are lateral. It is contemplated that direction P2, D2 is by corresponding nail leg and tip far from nail base or other embodiments being outwardly directed.

Figure 22 shows another arrangement of nail pit 911,921 as discussed above.Nail pit in shown arrangement 911,921 are configured to that corresponding nail leg 901,902 and tip 910,920 is made to shape in the opposite direction, wherein in nail leg 902 One towards nail base 930 be oriented to, and one in nail leg 901 far from nail base 930 be oriented to.Leg 901 and tip 910 are constructed Into can be shaped on the P3 of direction.Leg 902 and tip 920 are configured to shape on the D3 of direction.Direction P3, D3 are at least It is substantially parallel.It is contemplated that direction P3, other not parallel D3 embodiments.

Figure 23 and Figure 24 shows another embodiment of forming pit, these forming pits include being configured to The forming pit 1011,1021 for deforming nail 900.Forming pit 1011,1021 has the ear shape for providing nested pit.This The arrangement of type can save the space in the staple forming surface of anvil block, so as to allow have more nails in lesser amount of space More nails in pit and therefore nail bin.Forming pit 1011 includes formed channel surface 1017, and the formed channel surface is by structure It causes that corresponding tip 910 can be received and tip 910 is promoted to be shaped on bending direction P4.As shown in figure 24, forming pit 1011 include the first paddy shape, curved surface 1015A and the second paddy shape, curved surface 1015B, they are configured to contacting Collect or capture the tip 910 of nail in the case of period slight misalignment.When being projected from its nail cavity, nail 900, nail leg 901 and/ Or nail tip end 910 can deviate target relative to formed channel surface 917 by driving.Paddy shape surface allows some longitudinal directions and side of nail To rotation.Although being shown as concave surface, paddy surface can be such as convex or flat.

Forming pit 1021 includes formed channel surface 1027, which is configured to receive nail 900 Correspondence tip 920 and tip 920 is promoted to be shaped on the D4 of direction.Figure 23 shows what nail leg 901,902 shaped towards each other Situation, one of nail leg 901 are shaped far from nail base 930, another nail leg 902 is shaped towards nail base 930.It is contemplated that direction Other embodiments that P4, D4 will correspond to nail leg 901,902 in the opposite direction but are outwardly directed relative to each other.Forming pit 1021 include the first paddy shape, curved surface 1025A and the second paddy shape, curved surface 1025B, they are configured to contacting Collect before and/or in the case of period slight misalignment or capture the tip 920 of nail 900.

Figure 25 shows the another embodiment of forming pit, these forming pits include being configured to make correspondence The anvil block forming pit 1111,1121 that nail leg 901,902 and tip 910,920 are deformed towards nail base 930.Forming pit 1111, 1121 be trapezoidal shape, and can be nested with other similar forming pits, less so as to be used on the forming surface of anvil block Space.Forming pit 1111,1121 is configured to make respectively nail leg 901,902 and tip 910,920 on direction P5, D5 Forming.

Figure 26 shows the another embodiment of forming pit, these forming pits include being configured to make respectively The anvil block forming pit 1211,1221 that corresponding nail leg 901,902 and tip 910,920 deform on direction P6, D6.Forming pit 1111,1121 for triangle shape and can be nested with one another, it is even more tight so as to have on the anvil block of surgery suturing appliance The forming pit arrangement gathered.

Referring now to Figure 27-27B, nail leg 1300 is shown.Nail leg 1300 includes substantially circular nail tip end, and has Substantially square nail leg and nail leg main part 1301.Nail leg 1300 includes the use of the hardening turning of pressing process formation, For example, in the pressing process, turning 1303A, 1303B, 1303C and 1303D are rounded to form priority bending plane.It changes Sentence is talked about, and nail leg 1300 has certain cross-sectional profile, which is configured to when being contacted with anvil block because turning It hardens and nail leg 1300 is promoted to be bent in particular directions in angle.The hardness of turning 1303A, 1303B, 1303C and 1303D can be one Change between a turning and next turning or they may include two turnings with the first hardness and with the second hardness Another two turning.Turning 1303A, 1303B, 1303C and 1303D can be pressed outside to provide different diameters in identical nail leg Shape.For example, turning 1303A includes certain radial direction shape, the radius R of the radial direction shape_AMore than the turning 1303B shown in Figure 27 B Radial direction shape radius R_B。

Any suitable device can be used to be carried out in each time of manufacturing process to the part of nail disclosed herein hard Change.For example, hardening process may include for example gold stamping, chemical vapor deposition, physical vapour deposition (PVD), Laser Surface Treatment, thermal oxide, Glow discharge nitriding and/or solid-state diffusion.Can the other parts of anti-non-magnetic shim hardened by these techniques.It can be to the other parts of nail Carry out differential annealing, such as nail tip end.The hardness of increase some regions can increase makes nail not after percussion configuration has been presented in nail Power needed for forming.

Figure 28-28C are shown according to the nail 1400 of at least one embodiment and sliding part 1460.Nail 1400 includes nail leg 1410,1420th, nail leg 1410,1420 is from the base portion part 1430 that it extends, driving surface 1432 and bottom surface 1431. Nail leg 1410,1420 extends in specific plane from base portion part 1430, which limits relative to by base portion part 1430 Fixed plane is parallel and deviates.Using base portion item 1450 and connector part 1451, nail 1400 is made by grading die stamping.Though Single nail 1400 is so illustrated only, but multiple nails 1400 are attached to base portion item 1450.It is (specific that connector part 1451 will follow closely 1400 Ground, base portion part 1430) it is connected to base portion item 1450.Connector part 1451 includes interrupt unit or recess 1453, in this Disconnected part or recess are configured to that nail 1400 is allowed to detach with item 1450.In at least one, sliding part 1460 wraps Include release part or striking portion 1461.The release part 1461 of sliding part 1460 is configured to splice-break part 1453 Or connector part 1451, to separate, disconnect from base portion item 1450 and/or shearing nail 1400 and allows through sliding part 1460 Nail is projected from its nail cavity.

It is contemplated that base portion item 1450 includes the alignment characteristics knot for for example engaging the alignment feature structure on nail bin The embodiment of structure (such as hole).Such alignment feature structure may include that the alignment feature structure for example with base portion item 1450 is aligned Protrusion.In all cases, nail can be aligned and/or in it will follow closely push-in nail cavity by personnel nail being loaded into storehouse with nail cavity It is directed at these alignment feature structures before.It is contemplated that nail bin includes certain embodiments of engagement features structure, these connect It closes feature structure and is configured to the splice-break part 1453 when bar assembly is loaded into nail bin.When nail 1400 is loaded into When in nail bin rather than when nail 1400 is fired, these engagement features structures allow nail 1400 to be separated with item 1450.Using grading Die stamping come manufacture the permissible nail of nail with different bizet size, shape and/or configuration and nail leg size, shape and/or Configuration.May include that the spacing for following closely arranged staple can be changed using another advantage of progressive die stamping technology.

Figure 29 and Figure 30 shows another embodiment using the item 1500 of nail 1501 made of grading die stamping.Nail 1501 item 1500 includes base portion item 1550, connector part 1551 and nail 1501.Each nail 1501 includes having bottom first Secondly the base portion part 1530 on surface 1531 includes the nail leg 1510 extended from base portion part 1530.Connector part The bottom surface 1531 of base portion part 1530 is attached to base portion item 1550 by 1551.Nail leg is bent up from base portion part 1530 It is bent so that leg 1510 is located in specific plane, the plane and the planar offset limited by base portion part 1530 and at least base It is parallel in sheet.In the illustrated embodiment, nail leg 1510 is bent upwards in the side opposite with connector part 1551.Make leg 1510 and connector part 1551 be bent permissible more dense staple arrangement in this way.Connector part 1551 may include Interrupt unit, so as to will follow closely 1501 be loaded into nail bin and/or during from nail bin percussion nail 1501 will nail 1501 from base portion Item 1550 discharges, as discussed in foregoing embodiments.

Figure 31 shows the section view of a part for multiple nails 1601 and nail bin 1650 according at least one embodiment Figure.Nail 1601 is stored in the correspondence nail cavity 1651 of nail bin 1650 in which can remove.Nail bin 1650 includes 1653 He of deck surface Nail leg support element 1655.Nail 1601 first include respectively have nail tip end 1611 nail leg 1610, secondly include nail leg 1610 from Its base portion part 1630 extended.Each nail 1601, which has, preloads configuration, loading configuration and percussion configuration, in percussion configuration In, nail 1601 is projected from nail bin 1650 and is shaped against the correspondence forming pit of anvil block.The nail leg 1610 in configuration is preloaded It is bent outwardly relative to base portion part 1630.1610 against of nail leg corresponds to the side wall of nail cavity 1651 in loading configuration, And limit the first distance X between the tip 1611 of nail leg 1610.In configuration is preloaded, the nail tip end 1611 of nail leg 1610 The distance between be more than X.The biasing force contributes to the nail 1601 in support nail cartridge 1650.

Nail bin 2000 is shown in Figure 32-34.Nail bin groupware 2000 includes warehouse 2010.Warehouse 2010 can be positioned on surgery It can remove in the jaw of suture instruments and from the jaw.Therefore, nail bin 2000 is replaceable；However, it is contemplated that nail bin 2000 other not interchangeable embodiments.Warehouse 2010 includes proximal end 2011, distal end 2012 and in proximal end The deck 2014 extended between portion 2011 and distal end 2012.Deck 2014 is configured to be pressed against in the tissue of patient The tissue is supported when on deck 2014.

Warehouse 2010, which further includes, is defined in multiple nail cavities 2020 therein.Nail cavity 2020 is arranged in proximal end 2011 The six longitudinal direction rows extended between distal end 2012；However, any suitable arrangement using nail cavity 2020.Such as follow closely The nail of 2130 (Figure 40) is stored in each nail cavity 2020 in which can for example remove.As discussed in more detail below, when percussion structure Part from the proximal end 2011 of warehouse 2010 towards distal end 2012 move when, firing member from nail cavity 2020 project follow closely.

Than that described above, firing member makes nail never firing position move to firing position.Firing member court such as anvil block The anvil block of 2190 (Figure 37) promotes nail, such as so that nail is not being fired, deformed between not deformed configuration and percussion, deformed configuration. Warehouse 2010, which further includes, is defined in longitudinal slit 2013 therein.Slit 2013 is configured to projecting nail from nail cavity 2020 When receive nail firing member and/or tissue cutting element wherein.

In various embodiments, than that described above, until firing member makes nail be moved towards anvil block, nail is just projected into deck 2014 tops.Such embodiment may be often required to utilize smaller nail.In other embodiments, when nail does not fire in it During position, the leg of nail is projected into 2014 top of deck.In at least one such embodiment, warehouse 2010 is further included from first The protruding portion 2050 that plate 2014 extends.Protruding portion 2050 makes nail cavity 2020 extend above deck 2014, and from nail bin 2000 follow closely when projecting nail towards anvil block guiding.In such embodiment, until firing member makes nail be moved towards anvil block, nail just can be 2050 top of protruding portion extends.

Referring primarily to Figure 34, protruding portion 2050 does not extend around complete nail cavity 2020.First protruding portion 2050 is positioned Into adjacent with the first end of each cavity 2020, and the second protruding portion 2050 be oriented with each cavity 2020 second End is adjacent.Each first protruding portion 2050 extends, and each second around the first nail leg guiding piece 2022 of nail cavity 2020 Protruding portion 2050 extends around the second nail leg guiding piece 2023 of nail cavity 2020.Each first protruding portion 2050 provide it is controllable and The proximal bracket of the proximal leg of nail is guided, and each second protruding portion 2050 provides controllable and guiding nail distal side leg Distal bracket.First end of first protruding portion 2050 of each nail cavity 2020 not relative to nail cavity 2020 is symmetrical, and not Complete first end around cavity 2020 extends.Similarly, the second protruding portion 2050 of each nail cavity 2020 is not relative to nail The second end of chamber 2020 is symmetrical, and the complete the second end for not surrounding cavity 2020 extends.First protruding portion 2050 and Two protruding portions 2050 form mutual mirror image, and relative to the symmetrically arrangement of each nail cavity 2020；It is however, available Any suitable arrangement of protruding portion.

As illustrated in figs. 32-34, warehouse 2010 includes the step 2014 ' upwardly extended from deck 2014 and step 2014 ".More Specifically, step 2014 ' is upwardly extended from deck 2014, and step 2014 " is upwardly extended from step 2014 '.Therefore, step 2014 " can be more than step 2014 ', and similarly to the compression pressure that tissue applies, the compression that step 2014 ' applies tissue Pressure can be more than deck 2014.Step 2014 ' and 2014 " includes longitudinal tableland staggeredly；However, step 2014 ' and 2014 " can With any suitable configuration.In addition, than that described above, the protruding portion 2050 extended from step 2014 " prolongs from step 2014 ' 2050 top of protruding portion stretched extends, and similarly, and the protruding portion 2050 extended from step 2014 ' extends from deck 2014 The top of protruding portion 2050 extend.In other words, the protruding portion 2050 extended from deck 2014, step 2014 ' and step 2014 " It is staggeredly.

Nail bin 2100 is shown in Figure 35-38.Nail bin groupware 2100 includes warehouse 2110, and in many aspects and nail bin Component 2000 and/or other nail bins disclosed herein are similar.Warehouse 2110 includes deck 2114, multiple nail cavity 2120a and more A nail cavity 2120b.Nail cavity 2120a is similar to nail cavity 2120b at many aspects.For example, nail cavity 2120a and 2120b include tool The central slot 2121 for having proximal end and distal end, the nearside nail laterally extended from the proximal end of central slot 2121 The distal side nail leg guiding piece 2123 that leg guiding piece 2122 and distal end from central slot 2121 laterally extend.Namely It says, nail cavity 2120a and nail cavity 2120b are oriented in different directions.More specifically, the nail leg guiding piece 2122 of nail cavity 2120a, 2123 extend, and similarly towards nail cavity 2120b, and the nail leg guiding piece 2122,2123 of nail cavity 2120b extends towards nail cavity 2120a； However, using any suitable arrangement.

Nail 2130a is located in each nail cavity 2120a, and follow closely 2130b and be located in each nail cavity 2120b.Follow closely 2130a It is similar with 2130b is followed closely at many aspects.For example, each nail 2130a includes base portion or bizet 2131, from the near of base portion 2131 The proximal leg 2132 that side end extends and the distal side leg 2133 of the distal end extension from base portion 2131.That is, 2130a is followed closely, 2130b can respectively be fitted in nail cavity 2120a, 2120b in a certain way.For example, when nail 2130a is located in nail When in chamber 2120a and following closely 2130b and be located in nail cavity 2120b, the leg 2132,2133 of 2130a is followed closely towards nail 2130b extensions, And the leg 2132,2133 for following closely 2130b extends towards nail 2130a；However, other arrangements are possible.

Than that described above, as nail 2130a, when 2130b is separately stored in nail cavity 2120a, 2120b, 2130a, 2130b are followed closely Proximal leg 2132 be located in nail leg guiding piece 2122.Similarly, when nail 2130a, 2130b are separately stored in nail cavity When in 2120a, 2120b, 2130a is followed closely, the distal side leg 2133 of 2130b is located in nail leg guiding piece 2123.In addition, when nail When 2130a, 2130b are separately stored in nail cavity 2120a, 2120b, 2130a is followed closely, the base portion 2131 of 2130b is located in nail cavity In 2120 central slot 2121.Referring primarily to Figure 35, as nail 2130a, when 2130b is in its non-firing position, nail leg 2132, 2133 tip extends above the deck of warehouse 2,110 2114.That is, the tip of nail leg 2132 from deck 2114 by prolonging The proximal projections 2152 stretched are at least partly around and the tip of nail leg 2133 is protruded by the distal side that extends from deck 2114 Portion 2153 at least partly around.During proximal projections 2152 extend around nearside nail leg guiding piece 2122, but they are not surrounded The proximal end extension of heart slit 2121.Similarly, distal projections 2153 extend around distal side nail leg guiding piece 2123, but it Not surround central slot 2121 distal end extend.

Turning now to Figure 38, each proximal projections 2152 include extend around the nearside of nearside guide slit 2122 the A part 2154 and the second part 2155 around the extension of the side of nearside guide slit 2122.Proximal projections 2152 do not enclose Extend around the distal side of nearside guide slit 2122；However, it is contemplated that in alternative embodiment, proximal projections 2152 can Extend around the distal side of nearside guide slit.Similarly, each distal projections 2153 are included around distal guide slit 2123 Distal side extension first part and around the side of distal guide slit 2123 extension second part.Distal projections 2153 nearsides for not surrounding distal guide slit 2123 extend；However, it is contemplated that in alternative embodiment, distal side protrudes The nearside that portion 2153 can surround distal guide slit extends.Under any circumstance, nail 2130a, 2130b are arranged in shown in Figure 38 Nail leg 2132,2133 is protected during in its non-firing position, in addition the guiding nail 2130a, 2130b when nail is fired.This cloth Put the flowing for also suitably controlling tissue relative to the deck 2114 of warehouse 2110.

Referring again to Figure 38, nail cavity 2120a and nail 2130a be sized and configured so that nail 2130a and nail cavity 2120a it Between clearance gap is provided.For example, it is deposited between the proximal leg 2132 of nail 2130b and the proximal sidewall of nearside guide slit 2122 In clearance gap 2156, and similarly, in the proximal leg 2132 of nail 2130b and the distal side side wall of nearside guide slit 2122 Between there are clearance gaps 2158.In addition, the side of proximal leg 2132 and nearside guide slit 2122 lateral side wall it Between there are clearance gaps 2157.Similar gap can be found between distal side leg 2133 and distal guide slit 2123.Also Lateral clearance gap 2126,2127 can be provided between the base portion 2131 of nail 2130b and the side of central slot 2121.Although such as This, such clearance gap can be ofer short duration and follows closely one or more of these accessible side walls.

Nail bin 2200 is shown in Figure 43.Nail bin 2200 is in many aspects and nail bin 2000,2100 and disclosed herein Other nail bins are similar.Nail bin 2200 includes warehouse 2210, which includes being defined in nail cavity 2220 therein.Each nail cavity 2220 With the nail being stored therein in can for example removing, 2130 are such as followed closely.Each nail cavity 2220 includes being configured to guide First guide slit 2222 of the leg 2132 of nail 2130 is configured to the second guiding that 2130 leg 2133 is followed closely in guiding Slit 2223 and central slot 2221.Guide slit 2222 and 2223 laterally extends, and center from central slot 2221 Slit 2221 includes centre guide 2225, which is configured to the base portion 2131 of guiding nail 2130.First Guide slit 2222 is sized and configured so that nail leg 2132 by close receipt in the turning of the first guide slit 2222.It is similar Ground, the second guide slit 2223 are sized and configured so that nail leg 2133 by close receipt at the turning of the second guide slit 2223 In.Centre guide 2225 is sized and configured so that its limitation 2130 lateral movement in nail cavity 2220 of nail.It is in addition, intermediate Guiding piece 2225 is sized and configured so that nail leg 2132 and 2133 is kept at nail leg guide slit 2222 and 2223 by it In.

As discussed above, centre guide 2225 is sized and configured so that it bears against nail leg 2132 and 2133 and draws Lead the side wall of slit 2222 and 2223.Lateral reaction is generated between this lateral side wall for being arranged in cavity 2220 and nail 2130 Power (is designated as force vector LT) in Figure 43.When projecting nail 2130 from cavity 2220, such cornering force is in cavity Frictional force is generated between 2220 side wall and nail 2130.It should be appreciated that frictional force changes with the surface area for applying frictional force, Therefore, centre guide 2225 does not extend along the whole length of central slot 2221.That is, centre guide 2225 has There is certain longitudinal length, which is enough to control 2130 orientation in cavity 2220 of nail.In addition, centre guide 2225 With enough vertical lengths, which is enough the orientation of the control nail 2130 during the firing stroke of nail 2130.Extremely In the case of few one kind, guiding piece 2225 extends along the entire vertical depth of cavity 2220.

Centre guide 2225 is flat, and is configured to being limited on the side of the base portion 2131 of nail 2130 Flat surfaces handing-over；However, using any suitable arrangement.In certain alternative embodiments, centre guide 2225 include elastic biasing member, which is configured to for example apply laterally the base portion 2131 of nail 2130 Biasing force.In at least one, elastic biasing member may include such as cantilever spring.

Nail cavity 2220 not include be oriented with lateral 2225 phase of centre guide back to be laterally guided part.In fact, There are clearance gaps 2229 between lateral side wall 2228 and nail 2130.

Than that described above, referring again to Figure 43,2130 delocalizations of nail are in the end of central slot 2221.More specifically, The central slot 2221 of cavity 2220 includes proximal end 2226 and distal end 2227, and follows closely 2130 and do not extend to proximal end In portion 2226 or distal end 2227.On the contrary, there are clearance gaps between end 2226,2227 and nail 2130.Such clearance Gap extends between end 2226,2227 and centre guide 2225.Therefore, the end 2226,2227 of nail cavity 2220 is not controlled The lengthwise position of system nail 2130.On the contrary, the lengthwise position of the control of nail leg guiding piece 2222,2223 nail 2130.In fact, nail 2130 Leg 2132 and 2133 can be respectively by 2222 and 2223 inward bias of nail leg guiding piece.This arrangement generates longitudinal reaction force (force vector LG is designated as in Figure 43).

As it is above as a result, nail cavity 2220 include three control points or position, in these three control points or position, nail The orientation of the control of chamber 2220 nail 2130.These control points include the discrete control position for defining clearance gap therebetween.In other words It says, guiding piece 2222,2223 and 2225 makes the control of nail 2130 be in triangle division.It is contemplated that including more than three control points Alternative embodiment.Under any circumstance, the control point provided by nail leg guiding piece 2222 and 2223 is in the first control plane Middle restriction.It is limited in the second control plane by the intermediate control point that centre guide 2225 provides.First control plane and the Two control planes are parallel；However, it is contemplated that the first control plane and the not parallel alternative embodiment of the second control plane. In addition, the first control plane be directed at or adjacent with the nail leg 2132 and 2133 of nail 2130, and the second control plane is with following closely 2130 Base portion 2131 be aligned or adjacent.

Nail bin 2700 is shown in Figure 65.Nail bin 2700 includes warehouse 2710, which includes deck 2714 and limit Multiple nail cavities 2220 in deck 2714.Similar to warehouse 2110, warehouse 2710 is included in the prominent of 2714 top extension of deck Go out portion 2752 and 2753.Protruding portion 2752 is at least partly around the nail leg guiding piece 2222 of nail cavity 2220, and protruding portion 2753 at least partly around nail cavity 2220 nail leg guiding piece 2223.It is similar with protruding portion 2152,2153, protruding portion 2752, 2753 respectively include exterior section 2754 and lateral part 2755.Exterior section 2754 is relative to nail leg guiding piece 2222 and 2223 It is longitudinally oriented, and lateral part 2755 is laterally positioned relative to nail leg guiding piece 2222 and 2223.With protruding portion 2152, 2153 is different, and protruding portion 2752,2753 respectively includes the inside portion being longitudinally oriented relative to nail leg guiding piece 2222 and 2223 Divide 2756.Interior section 2756 is connected to lateral part 2755, and lateral part 2755 is connected to exterior section 2754.With it is upper State similar, protruding portion 2752,2753 extends nail cavity 2220 above deck 2714.

Nail bin 2800 is shown in Figure 66.Nail bin 2800 includes warehouse 2810, which includes deck 2814 and limit Multiple nail cavities 2220 in deck 2814.Similar to warehouse 2110, warehouse 2810 is included in the prominent of 2114 top extension of deck Go out portion 2152,2153.It is as outlined above, protruding portion 2152 at least partly around nail cavity 2220 nail leg guiding piece 2222, and And protruding portion 2753 is at least partly around the nail leg guiding piece 2223 of nail cavity 2220.In addition, warehouse 2810 is included relative to nail The interior ledge 2856 that leg guiding piece 2222 and 2223 is longitudinally oriented.Interior ledge 2856 is not connected to protruding portion 2152,2153。

Referring again to Figure 35, driven between non-firing position and firing position by the firing member of such as sliding part 2140 Dynamic nail 2130.Sliding part 2140 includes wedge piece 2145, these wedge pieces are configured to direct jointing nail 2130 and will The anvil block of nail 2130 towards such as anvil block 2190 is promoted, such as shown in figure 37.Sliding part 2140 is included for nail longitudinally in each 2130 wedge piece 2145；However, sliding part 2140 can have any appropriate number of wedge piece 2145.Each wedge piece 2145 Driving surface 2141 including angulation, when the distal end of sliding part 2140 from proximal end towards the nail bin 2100 of nail bin 2100 pushes away Into when, the driving surface of the angulation is slided below nail 2130.The base portion 2131 of each nail 2130 includes and driving surface 2141 The driving surface 2135 for the angulation being in direct contact.In other words, each nail 2130 includes its own with driving surface 2135 Integrally formed driver.Nail 2130 is made of metal, and therefore, integrally formed driver is also made of metal.That is, Nail disclosed herein can be made of any suitable material.

Than that described above, each driving surface 2141 includes initial or distal part 2142, second or middle section 2143 And third or apex portion 2144.Initial part 2142 is extended with first angle, and is moved toward the far side in sliding part 2140 When provide sliding part 2140 against nail 2130 initial contact point.When initial part 2142 slides below nail 2130, nail 2130 are lifted up in nail cavity 2120.When sliding part 2140 continues to move toward the far side, middle section 2143 and 2130 shapes of nail Into contact.Middle section 2143 is extended with the second angle different from first angle.When it is desirable that there is the quick initial of nail 2130 When shifting up, first angle can suddenly in second angle, and when be desirable to provide nail 2130 it is gradual it is initial shift up when, first Angle can be shallower than second angle.In any case, when nail 2130 is lifted up by middle section 2143,2130 contact anvils of nail Seat 2190, as shown in figure 37；However, it is contemplated that the 2130 contact anvils of nail when nail 2130 is lifted up by initial part 2142 The alternative embodiment of seat 2190.In any case, follow closely 2130 proximal leg 2132 contact be defined in anvil block 2190 Nearside forming pit 2192, and distal side leg 2133 contacts the distal side forming pit 2193 being defined in anvil block 2190.Forming Pit 2192 and 2193 is configured to that leg 2132 and 2133 is made to curve inwardly, so as to deform nail 2130 and by patient Tissue capture nail 2130 in.It slides to complete forming process below nail 2130 in the vertex 2144 of driving surface 2141.Top Point 2144 may include driving surface 2141, flat surfaces and/or with the third angle different from first angle and/or second angle The peak on the surface of extension.

In all cases, each driving surface 2141 may include trailing the vertex 2144 of driving surface 2141 or be located in The part of the vertex nearside.This trailing portion can such as less than vertex 2144.It is for example followed closely in addition, this trailing portion can provide Forming pressure in 2130 continuously decreases.

Turning now to Figure 39, nail 2130 further includes the foot 2134 that proximally leg 2132 extends downwardly.When nail 2130 exists When its correct orientation is in its nail cavity 2120, as shown in figure 41, foot 2134 does not contact with sliding part 2140.In such situation Under, the alignment tableland 2146 of sliding part 2140 passes through below foot 2134.When nail 2130 is in it not in its nail cavity 2120 During correct orientation, as shown in figure 42, sliding part 2140 is accessible to be followed closely 2130 and makes 2130 reorientation of nail.For the mesh compared , the nail 2130 of incorrect orientation and the nail 2130 ' of correct orientation are shown in Figure 42.Sliding part 2140 includes the alignment of angulation Slideway 2148, the alignment slideway of the angulation are configured to contact foot 2134 and nail 2130 are rotated to correct orientation. After alignment slideway 2148 has made 2130 correct orientation of nail, alignment tableland 2146 can be in 2134 slip underneath of foot.From Figure 39 It is appreciated that alignment slideway 2148, alignment tableland 2146 and foot 2134 are disposed in alignment surface, the alignment surface and nail The forming planar alignment of 2130 leg 2132 and 2133.Alignment surface is adjacent with promoting plane, which includes sliding The forming surface 2141 of part 2140 and the base portion 2131 of nail 2130.

Nail bin groupware 2300 is shown in Figure 44-48.Nail bin groupware 2300 at many aspects and nail bin 2000,2100, 2200 is similar with other nail bins disclosed herein.Nail bin 2300 includes warehouse 2310 and sliding part 2340, these sliding part quilts It is constructed to be permeable to project the nail being stored in can removing in warehouse 2310.Similar to sliding part 2140, sliding part 2340 includes Nail forming slideway 2145.Slideway 2145 is slidably located in the longitudinal slit 2115 being defined in warehouse 2110, these are vertical To the lift portion or planar alignment of slit and nail.It is worth noting that, as discussed in more detail below, slit 2115 has limit Openend in the bottom of warehouse 2,310 2316.

Than that described above, nail bin groupware 2300 does not include the covering extended around the bottom 2316 of warehouse 2310.Mainly Referring to Figure 48, warehouse 2310 directly abuts the jaw 2180 of suture instruments.Be not easy to remove from the jaws of suture instruments in nail bin and It is not easy in the embodiment for replacing with another nail bin, it is not necessarily problematic to lack bottom cover, because jaw 2180 can be prevented Non-magnetic shim drops out from the bottom of nail cavity 2120 and/or can prevent sliding part 2340 from being dropped out from the bottom of longitudinal slit 2115.However, nail Storehouse component 2300 is replaceable, and even if it does not include bottom cover, nail bin groupware 2300 also includes preventing nail and sliding part 2340 feature structures dropped out from the bottom of warehouse 2,310 2316, this will be described in more detail further below.This category feature knot Structure may be adapted to any nail bin disclosed herein.

Referring primarily to Figure 45-47, warehouse 2310 includes keeping feature structure, these keep feature structure to be configured to Sliding part 2340 is remained at.For example, warehouse 2310, which includes nearside, keeps feature structure 2317, these nearsides keep feature Structure is configured to that sliding part 2340 is maintained at longitudinal narrow when sliding part 2340 is in its nearside or non-firing position In slot 2115.When nail bin groupware 2300 is inserted into or is loaded into jaw 2180, sliding part 2340 is in its non-firing position, because , when clinician is when operating storehouse component 2300, nearside keeps feature structure 2317 that sliding part 2340 is maintained at warehouse 2310 for this In.It is each that feature structure 2317 is kept to include angled faces 2318 and shoulder 2319.Each sliding part 2340 includes being configured to The correspondence recessed portion 2348 of angled faces 2318 can be received, additionally including can be with the shoulder 2319 of holding feature structure 2317 Alignment and/or the correspondence shoulder 2349 of contact.When sliding part 2340 is inserted into slit 2115, referring to Figure 46, slideway 2145 And/or the side wall in storehouse 2310 can buckling sliding part 2340 to be allowed to be slided relative to angled faces, once then sliding part 2340 Shoulder 2349 have become and be aligned with the shoulder of warehouse 2,310 2319, be just flexibly promptly restored to its initial position, such as Figure 45 It is shown.Feature structure 2317 is kept to be also configured to prevent sliding part 2340 from proximally sliding out longitudinal slit 2115.

As above as a result, when clinician is when operating nail bin groupware 2300, nearside keeps feature structure 2317 anti- On-slip moving part 2340 is dropped out from warehouse 2310.When present dynasty distal side promotes sliding part 2340 with percussion nail, sliding part 2340 no longer with Nearside keeps feature structure 2317 to be aligned.However, nail bin groupware 2300 has been in jaw 2180 at this time, and no longer need to slide Moving part keeps feature structure.That is, warehouse 2310 may include additional holding feature structure, these additional holding feature structures Sliding part 2340 can be maintained in warehouse 2310, regardless of the position of sliding part 2340 how.Such holding feature structure can It is configured to that sliding part 2340 for example is maintained at warehouse when sliding part 2340 is in its distal side or complete firing position In 2310.

Than that described above, the nail of nail bin disclosed herein may include one or more features structure, one or more A feature structure is configured to nail being maintained in the nail cavity of nail bin.Turning now to Figure 49 and Figure 50, nail 2330 includes base Portion 2331 and the one or more nail legs 2332 extended from base portion 2331.For example, nail 2330 is stored in warehouse with can removing In nail cavity 2320 in 2310.Base portion 2331 includes the protrusion 2338 from its extension, which engages with the side wall of nail cavity 2320. Interaction between protrusion 2338 and nail cavity side wall prevents nail 2330 from being dropped out from the bottom of warehouse 2,310 2316.Protrusion 2338 with Interaction between nail cavity side wall includes interference fit；However, this interference fit cannot prevent sliding part 2340 from nail cavity 2320 project nail 2330.Protrusion 2338 can be for example formed in base portion 2331 during Sheet Metal Forming Technology.Sheet Metal Forming Technology can by The opposite side of base portion 2331 generates dent 2337, so as to form protrusion 2338.Nail cavity 2320 includes being aligned with protrusion 2338 perpendicular Straight flute 2328.Groove 2328 increases the contact area between the side wall of nail cavity 2320 and protrusion 2338.In addition, groove 2328 2330 orientation in nail cavity 2320 of controllable nail.It is contemplated that the alternative embodiment of groove 2328 is not included.

As above-mentioned supplement or replacement, the nail being stored in nail bin disclosed herein may include nail leg, these nail legs It is engaged with the sidewall elastomer of its nail cavity.Turning now to Figure 51, nail 2430 may include base portion 2431 and extend from base portion 2431 Nail leg 2432 and 2433.Nail 2430 is similar to nail 2130,2330 and/or other nails disclosed herein at many aspects.Nail Warehouse 2410 for example may include the nail 2430 for being defined in multiple nail cavities 2120 therein and being located in each nail cavity 2120.Figure 51 show the nail 2430 being located in inside cavity 2120 and the nail being located in outside the nail cavity 2120 of warehouse 2,430 2430.When When following closely 2430 delocalizations in nail cavity 2120, nail leg 2432,2433 does not extend in a parallel direction；On the contrary, they are away from each other Extend outwardly.When nail 2430 is located in nail cavity 2120, their inside bucklings under the action of the side wall of nail cavity 2120.Change sentence Talk about, nail leg 2432,2433 is elastically biased toward the side wall against nail cavity, and due to the biased engagement, nail 2430 be prevented from from The bottom 2436 of warehouse 2410 drops out.As shown in figure 51, when follow closely 2130 be located in nail cavity 2120 when nail leg 2432,2433 between Distance for X, and the nail leg 2432 when following closely 2130 delocalizations in nail cavity, the distance between 2433 are more than X.

In various embodiments, warehouse may include one or more shoulders, and one or more of shoulders are configured to The nail wherein stored can be prevented to be dropped out from the bottom of warehouse.These shoulders can extend below nail at least partly.

In certain embodiments, the warehouse of nail bin groupware can be made of plastics, and can be for example during Shooting Technique It is formed.Injection mold may include the two half-unit that can be moved toward and away from one another.Joint portion between injection mold half portion Commonly referred to as parting line, and can often occur the seepage flow of overlap or plastics between mold half portion at parting line.At least In one embodiment, injection mold is limited at joint portion that can be between the deck of nail bin and the nail cavity being defined in deck Parting line.As above as a result, can occur plastics overlap around the periphery of nail cavity.This overlap can releasedly protect nail It holds in nail bin.

Referring again to Figure 48, warehouse 2310 is configured to directly engage jaw 2180.Jaw 2180 includes being defined in It is one or more of to keep shoulder 2315.Warehouse 2310 includes corresponding holding shoulder 2187, with shoulder 2315 is kept to assist Make warehouse 2310 being releasably held in jaw 2180.Warehouse 2310 and/or jaw 2180 further include ramp surface 2314, these ramp surfaces are configured to be conducive to warehouse 2310 to be inserted into jaw 2180.As above as a result, storehouse Body 2310 can have snap fit relationship with jaw 2180.The snap-fastener can be overcome by the way that warehouse 2310 is agitated jaw 2180 Matching relationship so that replaceable nail bin groupware 2300.

Nail 2530 is shown in Figure 52-56.Nail 2530 is in many aspects and nail 2130,2330,2340 and/or institute is public herein Other nails opened are similar.Nail 2530 include base portion 2531 and from base portion 2531 extend leg 2532 and 2533.Nail 2530 is also Including the protruding portion 2538 upwardly extended from base portion 2531.Protruding portion 2538 and the nail driving planar alignment including base portion 2531, And it is not aligned with the tissue capture plane including nail leg 2532 and 2533.Protruding portion 2538 can be in nail capture plane external compression Tissue.

Nail bin groupware 2600 is shown in Figure 57-64.Nail bin 2600 includes warehouse 2610, which includes being defined in wherein Multiple nail cavities 2220.Nail bin 2600 further includes the nail 2530 being located in each nail cavity 2220 and is configured to from nail Chamber 2220 projects the sliding part 2640 of nail 2530.Sliding part 2640 is similar to sliding part 2140 at many aspects.Each sliding part 2640 include multiple slideways 2645, wherein each slideway 2645 includes driving surface 2641, which is configured to It is slided below nail 2530 and promotes the nail 2530 in nail cavity 2220.Each driving surface 2641 is included by lateral side wall 2649 The inclined surface 2643 defined, the restriction of these lateral side walls make nail 2530 right relative to driving surface 2641 and/or nail cavity 2220 Accurate guiding channel.Guiding channel is configured to receive the base portion 2531 of nail 2530 between side wall 2649, and in cunning Moving part 2640 makes nail 2530 laterally be orientated when being promoted towards distal side.In relatively Figure 58 and Figure 59, this lateral realign is Obviously.Referring again to Figure 52-56, each nail 2530 includes the guide features structure being defined on its base portion 2531 2139.The guide features structure 2139 of each nail 2530 includes such as crooked end, which is configured to and draws The lateral side wall 2649 of pathway interacts and the lateral position of regulating nail 2530.In various other embodiments, draw Leading feature structure 2139 may include any suitable configuration.

As above-mentioned supplement or replacement, referring primarily to Figure 60, sliding part 2640 includes guiding channel 2646, these guiding Channel is configured to receive the foot 2134 being draped down of nail 2530 and makes nail 2530 relative to driving surface 2641 And/or nail cavity 2220 is orientated.Each guiding channel 2646 includes runner portions 2648 and lateral side wall.Guiding channel 2646 is by structure It causes that the base portion 2531 for following closely 2530 can be received between the side wall of channel 2646, and when sliding part 2640 is promoted towards distal side Nail 2530 is made laterally to be orientated.Referring primarily to Figure 61, each foot 2134 includes leading-in end or beveled surface 2137, the leading-in end Or beveled surface is configured to interact with the side wall of channel 2646 and is directed in channel 2646 with that will follow closely 2530.Also It is to say, foot 2134 can be conducive to any suitable geometry that nail 2530 enters in channel 2646.Reader should manage Solution, when driving surface 2641, which will follow closely 2530, to be driven downwards in nail cavity 2220, the foot 2134 for following closely 2530 is lifted out channel 2646.When making the forming of nail 2530 to the vertex 2644 of driving surface 2641, foot 2134 is no longer located in channel 2646.

Referring primarily to Figure 58, Figure 59 and Figure 64, channel 2646 also can be such that sliding part 2640 is aligned relative to warehouse 2610.More Specifically, warehouse 2610 further includes the longitudinal rail 2616 extended downwardly into channel 2646.2616 close receipt of guide rail is logical The lateral movement between sliding part 2640 and warehouse 2610 is restricted or prevented in road 2646, while allow needed for percussion nail 2530 Sliding part 2640 longitudinal movement, it is as outlined above.The foot 2134 of each nail 2530 is configured to exist in nail 2530 Make the correct orientation in its nail cavity 2220 of nail 2530 in nail cavity 2220 in the case of misorientation.

Arrangement disclosed herein allows nail bin more more compact than previous nail bin.Inter alia, firing member with Not utilizing the nail bins disclosed herein (that is, nail bin without driver) of staple drivers between nail, that nail bin is allowed to have is shorter total Highly.Similarly, the nail bin including bottom cover does not allow nail bin to have shorter total height yet.Nail bin without driver It is permissible to utilize smaller nail cavity.Turning now to Figure 67 and Figure 68, warehouse 2910 includes being defined in nail cavity 2920 therein and indulge To slit 2013.Figure 67 and Figure 68 shows the bottom 2916 of warehouse 2910 and the bottom opening of nail cavity 2920.Reader should Understand, nail cavity 2920 is sized and configured so that it receives staple drivers and drives out warehouse 2910 to follow closely.Turning now to figure 69 and Figure 70, it illustrates the bottom 2016 of warehouse 2010, the nail cavity 2020 of warehouse 2010 is less than nail cavity 2920.Reader can return Recall, driver delocalization is in nail cavity 2020, therefore the size of nail cavity 2020 can reduce.Figure 71 is by the bottom 2916 of warehouse 2910 It is compared with the bottom 3016 of the alternative embodiment of warehouse 3010.As can be seen that warehouse 3010 is included than vertical from Figure 71 The longitudinal nail chamber 3020 much narrower to nail chamber 2920.In all cases, such narrower nail cavity allows longitudinal nail The center line of chamber is closer.Turning now to Figure 72, staple cartridge body 3110 includes being defined in the deck 3114 of warehouse 3110 Longitudinal nail chamber 3120a, 3120b and 3120c, with staple drivers is used to be promoted permission in the embodiment of the nail in warehouse Compare, these longitudinal nail chambers be positioned to together closer to.

The various embodiments of nail bin groupware disclosed herein can have any appropriate number of nail and/or any suitable The nail of size.In some cases, be stored in all nails in nail bin groupware 2000 (Figure 73) have it is identical or at least substantially Identical size.Referring to Figure 77, each nail 2130 in nail bin 2000 includes being defined in the bottom of base portion 2131 and nail leg 2132, Unshaped between 2133 tip does not fire overall height H 1.Similarly, each nail 2130 includes being defined in base portion 2131 Tissue capture region between top and the tip of nail leg 2132,2133, when following closely 2130 in its unshaped height, the tissue Capture region has identical height H2.

Contrary to the above, first group of nail being stored in nail bin 2000 can have the first unshaped height H1, and second Group nail can have the second unshaped height H1 different from the first unshaped height H1.Also it is contrary to the above, it is stored in nail bin First group of nail in 2000 can have the first tissue to capture height H2, and second group of nail can have and the first tissue capture height Minor microstructure capture height H2 different H2.

First group of nail can be positioned in first longitudinal direction nail chamber 2120, and second group of nail can be positioned on second longitudinal direction nail chamber In 2120.In at least one, first row nail cavity 2120 can be with 2013 phase of cutter slit in the step 2014 " of warehouse 2010 Neighbour, and second row nail cavity 2120 can be adjacent with the first row nail cavity 2120 in the step 2014 ' of warehouse 2010.It is at least one this In the case of class, the first unshaped height H1 is for example short in the second unshaped height H1.

Than that described above, the third group nail being stored in nail bin 2000 can have and the first unshaped height H1 and/or the Third unshaped height H1 different two unshaped height H1.Third group nail can be positioned in third longitudinal direction nail chamber 2120. In the case of at least one, third nail chamber 2120 can be adjacent with the second row nail cavity 2120 in the deck 2014 of warehouse 2010. In the case of at least one is such, the second unshaped height H1 is for example short in third unshaped height H1.As above-mentioned supplement or It substitutes, third group nail can have the third tissue capture height H2 for being more than minor microstructure capture height H2.

In various embodiments, it is high to be deformable to identical total forming for first group of nail, second group of nail and/or third group nail Degree.Alternatively, first group of nail is deformable to the first forming height, and second group of nail is deformable to the second forming height and/or third Group nail is deformable to third forming height.In such cases, first group of nail can be more than second group of nail to the pressure that tissue applies, And similarly, second group of nail can be more than third group to the pressure that tissue applies and follow closely.

Turning now to Figure 74-76, the nail with identical unshaped height is deformable to differing formed height.For example, first Longitudinal nail (being represented by nail 2130 ") is deformable to the first forming height, and second longitudinal direction nail (being represented by nail 2130 ') is deformable Third forming height is deformable to the second forming height and/or third nail (being represented by nail 2130).For example, the first forming It is highly short in the second forming height, and the second forming height is short in third forming height.In such cases, first group of nail pair Organize the pressure applied that can be more than second group of nail, and similarly, the pressure that second group of nail applies can be more than third group and follow closely.

Nail 3230 is shown in Figure 78 and Figure 79.Nail 3230 includes base portion or bizet 3231, extend from base portion 3231 the One leg 3232 and from base portion 3231 extend the second leg 3233.It is similar to the base portion 2131 of nail 2130, follow closely 3230 base Portion 3231 includes the inclined driving surface being defined in driving plane.However, from following closely 2130 different, the first legs 3232 and second Leg 3233 limits transverse to or is not parallel to the nail forming plane of driving plane.

Nail 3230 further includes the platform 3238 extended from base portion 3231.Platform 3238 and base portion 3231 are integrally formed and It folds so that platform 3238 laterally extends from base portion 3231.Platform 3238 is not directly connected to leg 3232,3233.On the contrary, There are gaps 3237 between platform 3238 and leg 3232,3233.In various other embodiments, platform 3238 directly connects It is connected to the first leg 3232 and/or the second leg 3233.Platform 3238 is in the plane transverse to driving plane and nail forming plane Extend in (that is, supporting plane)；However, platform 3238 can be upwardly extended in any suitable side.Platform 3238 be flat or It is at least substantially flat；However, platform 3238 can have any suitable shape.

In certain embodiments, when following closely in 3230 implanting tissues, the platform 3238 for following closely 3230 can contact what is sutured Tissue.Broader platform 3238 can reduce the possibility that nail 3230 is torn in the tissue.

In various embodiments, nail bin groupware includes warehouse, which includes deck and the nail being defined in deck Chamber.Nail bin groupware further includes the nail 3230 being stored in can removing in nail cavity, additionally include be located in above deck can Implant layer.Implantable layer may include any suitable auxiliary member, such as tissue thickness compensation part and/or buttress material.Tissue Thickness compensation part can compensate for the variation of the thickness of sutured tissue.Implantable layer can be by such as weaving material and/or non-woven Material is formed.

Than that described above, when following closely in 3230 implanting tissues, the layer can be abutted by following closely 3230 platform 3238.In such situation Under, platform 3238 supports the layer.Similar to above, platform 3238 can also reduce the possibility that nail 3230 is torn in layer.Nail 3230 platform 3238 and the layer can form cooperative system, which is applied to the power of tissue, stress and/or answers variation Cloth is in bigger region.

Nail 3230 is formed by planarization material piece using Sheet Metal Forming Technology.During Sheet Metal Forming Technology, from the piece remove material with Form the general shape of nail 3230.First leg 3232 is bent in a first direction, and the second leg 3233 is in second direction Upper bending；However, the first leg 3232 and the second leg 3233 can utilize single position any suitable by mold Side is bent upwards.During the Sheet Metal Forming Technology and/or different Sheet Metal Forming Technologies, platform 3238 is in the side identical with the first leg 3232 It is bent upwards.In some cases, platform 3238 can be formed using identical single position of the leg 3232 with 3233 is formed. In other cases, using transverse direction or it can be orthogonal to the second position of the first position and form platform 3238.

Turning now to Figure 86, nail 3630 includes base portion or bizet 3631 and 3632 He of leg extended from base portion 3631 3633.Similar to nail 3230, nail 3630 further includes the platform 3638 extended from base portion 3631.Reader should be appreciated that nail 3230 The platform 3638 of platform 3238 and nail 3630 can increase the moment of inertia or rigidity of nail.Nail 3630 includes the release in base portion 3631 Or buckling slit 3637, the release or buckling slit for example reduce the rigidity of nail 3630.It in addition to this or alternatively, can be flat Release slit is provided in platform 3638.Under any circumstance, it can be provided needed for nail 3630 just using more than one release slit Degree.In addition, such release slit may be adapted to any nail disclosed herein.

As above-mentioned supplement or replacement, turning now to Figure 80 and Figure 81, screw assembly 3330 includes nail 3230 and attachment To the implantable auxiliary member 3370 of nail 3230.Auxiliary member 3370 includes first end, which includes being configured to It receives the first aperture 3372 of the first leg 3232 of nail 3230 and is configured to receive the second of the second leg 3233 Aperture 3373.Therefore, auxiliary member 3370 is tethered to nail leg 3232, and 3233, and auxiliary member 3370 is relative to the movement of nail 3230 It suffers restraints.

Than that described above, auxiliary member 3370 is included in the elastic part 3371 that 3238 top of platform of nail 3230 extends.When When screw assembly 3330 is stored in nail bin, exist between the elastic part 3371 of auxiliary member 3370 and the platform 3238 of nail 3230 Gap 3377.When projecting screw assembly 3330 from nail bin, the nail leg 3232,3233 for following closely 3230 penetrates sutured tissue, and The elastic part 3371 of auxiliary member 3370 is contacted with organizing the formation of.Elastic part 3371 be configured to auxiliary member 3370 with Towards 3238 downward buckling of platform, deflection and/or displacement when organizing the formation of contact.When tissue capture is in nail 3230, elastic portion Divide 3371 can be biased power to tissue.The movement of elastic part 3371 is constrained at least partly by platform 3238.

As above-mentioned supplement or replacement, turning now to Figure 84, screw assembly 3430 includes nail 3630 and is attached to nail 3230 implantable auxiliary member 3470.Auxiliary member 3470 includes first end, which includes being configured to receive First aperture 3472 of the first leg 3632 of nail 3630 and the second aperture for being configured to receive the second leg 3633 3473.Therefore, auxiliary member 3470 is tethered to nail leg 3632,3633, and auxiliary member 3470 relative to nail 3630 movement by Constraint.

Than that described above, auxiliary member 3470 is included in the elastic part 3471 that 3638 top of platform of nail 3630 extends.When When screw assembly 3430 is stored in nail bin, exist between the elastic part 3471 of auxiliary member 3470 and the platform 3638 of nail 3630 Seldom gap (if any).When projecting screw assembly 3430 from nail bin, follow closely 3630 nail leg 3632,3633 and penetrate and sutured Tissue, and the elastic part 3471 of auxiliary member 3470 is contacted with organizing the formation of.Referring to Figure 85, elastic part 3471 is constructed Into can be when auxiliary member 3470 be contacted with organizing the formation of towards 3638 downward buckling of platform, deflection and/or displacement.When tissue captures When following closely in 3630, elastic part 3471 can be biased power to tissue.The movement of elastic part 3471 at least partly by Platform 3638 constrains.

Referring primarily to Figure 82 and 83, the elastic part 3471 of auxiliary member 3470 includes packaging part.Packaging part sealed and Including at least one material.In all cases, which includes drug.When packaging part ruptures, the drug is from encapsulation Part discharges.It ruptures when packaging part can be in 3430 implanting tissue of screw assembly or over time, become.Auxiliary member 3470 is by any Suitable biocompatible materials are formed, and when biocompatible materials include bioabsorbable material, auxiliary member 3470 can be by situ absorption.After the auxiliary member 3470 of sufficient amount is absorbed, drug can be discharged from auxiliary member 3470.Each For kind optionally in embodiment, auxiliary member includes two individual packaging parts.In at least one such embodiment, the first encapsulation Part can accommodate the first drug, and the second packaging part can accommodate the second drug.When packaging part has ruptured, the first drug can be with Two drugs mix.

Than that described above, the material in the room of elastic part 3471 can be selected for its mechanical property of such as its elasticity It selects, and can be that elastic part 3471 provides desired characteristic to apply enough biasing forces to tissue.In at least one, Elastic part 3471 be may want to the mechanical property very similar with the mechanical property of patient tissue.In other cases, It may want to rigidity of the elastic part 3471 for example with the rigidity less than patient tissue.Such embodiment can be provided in tissue Blood flow appropriate contraction.In some cases, it can be possible to wish elastic part 3471 for example with the rigidity less than base portion 3631 But the rigidity of the rigidity more than patient tissue.Such embodiment can provide strain relief to tissue.

Auxiliary member 3370,3470 can be made of weaving material and/or non-woven material.In at least one, auxiliary Part 3370,3470 includes the housing being made of weaving material and/or non-woven material.Auxiliary member 3370,3470 can be by such as PGA And/or PLA is formed.In at least one, auxiliary member 3370,3470 includes the housing being made of such as PGA and/or PLA.

Auxiliary member 3370,3470 is configured to be attached to single nail.In other words, each auxiliary member 3370,3470 It is only attached to a nail.Such auxiliary member can be described as absorbent cotton.It is contemplated that two or more nails are connected by auxiliary member Optionally embodiment.

Turning now to Figure 88 and Figure 89, each nail (such as following closely 2130) disclosed herein can be implanted to patient by longitudinal direction row Tissue in.Two longitudinal nails 2130 are shown in Figure 88 and Figure 89.In all cases, tissue can be in various directions (such as longitudinally) stretches.The longitudinal stretching of tissue T is shown in Figure 89.As can be seen that nail 2130 can be with group from Figure 89 T is knitted to stretch together.In such cases, the gap between nail 2130 can increase.When by non-stretched clearance distance X1 (Figure 88) with When drawing gap distance X2 (Figure 89) is compared, it is obvious which, which increases,.Nail 2130 during third is longitudinally arranged can It is positioned and arranged to so that they are with gap alignment or coextensive, regardless of (X2) that gap is stretched or not drawn (X1) stretched.This genus can be easy to be suitable for for example round and/or bending staple.

Turning now to Figure 87, round warehouse 3510 is for example using screw assembly 3430.Warehouse 3510 includes being arranged to circle Multiple nail cavities 3520 of shape concentric rows.As shown in Figure 87, each nail cavity includes the screw assembly 3430 being positioned in；It however, can Utilize any suitable nail.

Nail disclosed herein can be made of any suitable material.In all cases, follow closely by such as stainless steel and/or Titanium is formed.In some cases, nail disclosed herein is made of magnesium.The complete disclosure of following documents is by reference simultaneously Enter herein：The COMPARISON OF THE EFFECTS OF Mg-6Zn AND Ti-3Al-2.5V that Yan et al. is delivered ALLOYS ON TGF-β/TNF-α/VEGF/b-FGF IN THE HEALING OF THE INTESTINAL TRACT IN VIVO,Biomed.Mater.9(2014)025011；The COMPARISON OF that Yan et al. was delivered online on March 20th, 2013 THE EFFECTS OF Mg-6Zn AND TITANIUM ON INTESTINAL TRACT IN VIVO,J.Mater.Sci.: Mater.Med.；The EVALUATION OF THE SOFT TISSUE BIOCOMPATIBILITY OF that Erdmann et al. is delivered MgCa0.8AND SURGICAL STEEL 316L IN VIVO:A COMPARATIVE STUDY IN RABBITS, Biomed.Eng.OnLine 2010 9:63；The INVESTIGATION OF THE MECHANICAL AND that Brar et al. is delivered DEGRADATION PROPERTIES OF Mg-Sr AND Mg-Zn-Sr ALLOYS FOR USE AS POTENTIAL BIODEGRADABLE IMPLANT MATERIALS,J.Mech.Behavior of Biomed.Mat.7(2012)87-95；Li Et al. the Mg-Zr-Sr ALLOYS AS BIODEGRADABLE IMPLANT MATERIALS, Acta that deliver Biomaterialia 8(2012)3177-3188；The ON THE that Pellicer et al. was delivered online on the 28th in August in 2012 BIODEGRADABILITY,MECHANICAL BEHAVIOR,AND CYTOCOMPATABILITY OF AMORPHOUS Mg₇₂Zn₂₃Ca₅AND CRYSTALLINE Mg₇₀Zn₂₃Ca₅Pd₂ALLOYS AS TEMPORARY IMPLANT MATERIALS, Soc.Biomat..In at least one, follow closely and be made of the magnesium alloy for example comprising zinc and/or silver.Include magnesium and kirsite Nail enhancing tissue healing properties.Nail comprising silver provides antimicrobial advantageous effect.Nail comprising all three alloys carries For synergistic dynamics.

Can to be made of magnesium nail (including be made of magnesium alloy those) handled with improve nail hardness.Various In the case of, magnesium nitride coating is applied to magnesium nail.In some cases, magnesium nitride coating is applied to whole magnesium to follow closely, and at it In the case of him, magnesium nitride coating is only applied to the part of magnesium nail.For example, when nail leg needs are enough to penetrate the hardness of tissue, It may want to only be coated at the tip of nail leg and/or nail leg in magnesium nitride.In the case that at least one such, when by magnesium nitride When coating is applied to nail leg, mask can be applied to the rest part of magnesium nail.It can be for example by raised temperature and/or pressure It is lower that magnesium nail is introduced rich nitrogen environment to form magnesium nitride coating.

As above-mentioned supplement or replacement, one or more surfaces of magnesium nail may include carbon containing coating.

As above-mentioned supplement or replacement, using other surfaces hardening technique.For example, laser hardening technique can be used And/or magnesium is followed closely and hardened by plasma discharge hardening process.In at least one, Keronite can be applied to nail The KERONITE ceramic surfaces processing of International.

As discussed above, certain parts of magnesium nail can undergo hardening process, and the other parts of magnesium nail can not suffer from hardening Technique.In some cases, certain parts of magnesium nail are hardenable to the first hardness, and the other parts of magnesium nail are hardenable arrives and the The second different hardness of one hardness.It magnesium nail part with more soft for example will than the magnesium nail part with more high rigidity faster Magnesium, zinc and/or silver ion is precipitated in ground.

As above-mentioned supplement or replacement, magnesium nail (including be made of magnesium alloy those) packet can be at least partially covered over In the coating of argentiferous.In at least one, silver coating may include the silver of such as ionization.In some cases, using electricity Silver coating is applied to magnesium nail by depositing process.In all cases, whole magnesium nails are covered in silver coating.In at least one situation Under, the part or multi-section point of magnesium nail are sheltered during electroplating technology so that the part sheltered is coated with or at least not in silver Substantially it is coated with.

As above-mentioned supplement or replacement, nail disclosed herein can be coated with or at least partly in antimicrobial coatings Coating.This coating may include such as triclosan.In at least one, triclosan is mixed in absorbable polymer coating In.In some cases, coating may include the LAE being for example mutually mixed with odium stearate.Gaffar's et al. is entitled “COMPOSITION FOR COATING MEDICAL DEVICES CONTAINING LAE AND A POLYCATIONIC The complete disclosure of the WO 2012013577A1 of AMPHOTERIC POLYMER " is herein incorporated by reference.

Turning now to Figure 90-92, nail 3730 includes metal framework and all or less than the coating 3739 on metal framework.Gold Belong to frame and include nail 2130, and be made of such as magnesium and/or magnesium alloy.Coating 3739 includes bioabsorbable polymer； However, coating 3739 may include any suitable material.Coating 3739 prolongs around the leg 2132,2133 of metal framework 2130 It stretches.More specifically, coating 3739 is around leg 2132,2133, each spirals；However, using any suitable of coating 3739 Arrangement.Coating 3739 also covers the transition part between the leg 2132,2133 of metal framework 2130 and base portion or bizet 2131 Or turning.Coating 3739 can also cover a part for base portion 2131.In all cases, coating 3739 can strategically be applied To inherently easily by the region of the metal framework 2130 of faster bio-absorbable, such as bending section of metal framework 2130, edge and/ Or turning.Under any circumstance, a part of coated 3739 of metal framework 2130 covers, and another portion of metal framework 2130 Divide and be exposed.

Magnesium or magnesium alloy metal framework 2130 are bioabsorbable.Referring primarily to Figure 91, metal framework 2130 not by The part that coating 3739 covers is directly exposed to body, therefore be subjected to the natural absorption process of body immediately in implantation.Metal The part that the coated 3739 of frame 2130 covers is not directly exposed to body in implantation or is at least initially not directly exposed to Body.Coating 3739 is protected or is protected at least to a certain extent the part being entirely covered of metal framework 2130 and postpones this The bio-absorbable of a little parts.As time goes by, referring primarily to Figure 92, the unprotected portions of metal framework 2130 will be given birth to Object absorbs, and leaves the part protected by coating 3739 of metal framework 2130.Coating 3739 can substantially encapsulated metal frame 2130 part being entirely covered, at least up to coating 3739 itself by bio-absorbable and/or until metal framework 2130 by Fully decompose.At this point, metal framework 2130 was once exposed by the part that coating 3739 is protected, and can biology be carried out by body It absorbs.

The bioabsorbable polymer of coating 3739 can be made of such as PGA and/or PLA；However, coating 3739 can be by Any suitable material is formed, including but not limited to bioabsorbable polymer and not bioabsorbable polymer.At certain In the case of a little, coating 3739 includes such as non-cross-linked polymer.This polymer can be swollen coating 3739 and be encapsulated in metal Any sharp edges of metal framework 2130 that frame 2130 is formed when deteriorating.

In various embodiments, coating 3739 can be arranged in metal frame by the form that grid, mesh and/or lattice are arranged On frame 2130.In such an implementation, metal framework 2130 can expose in the opening of grid, so as to permissible metal framework 2130 in these openings by bio-absorbable.When metal framework 2130 start deterioration when, lattice-like coating 3739 may act as net or Cage and the segment of metal framework 2130 is kept together, for example, at least until coating 3739 is by bio-absorbable.

Can coating 3739 be applied to metal framework 2130 in any suitable manner.It, can at least one Coating 3739 is sprayed on metal framework 2130 so that apply coating 3739 in a random basis, so as to form random aperture, gold Belonging to frame 2130 can be by these random aperture by bio-absorbable.It in some other cases, can be with certain pattern by coating 3739 are applied to metal framework 2130.Such at least one, which may include dot pattern, dot pattern tool There is the coating island that the expose portion by metal framework 2130 surrounds.

In certain alternative embodiments, nail may include two or more coatings.It is such at least one, First coating can under first rate by bio-absorbable, and second coating can under the second rate by bio-absorbable, so as to Such as the different piece of the different time exposing metal frame 2130 of agglutination.Such nail can still have uncovered portion Point；However, it is contemplated that each section of nail can be covered by least one or more coating.

The treatment advantageous effect provided by materials disclosed herein becomes with the surface area for the nail for being exposed to patient body Change.Nail with larger surface area faster delivers such treatment advantageous effect than the nail with smaller surface area.That is, Nail with smaller surface area can provide such treatment advantageous effect within a longer period of time.It nevertheless, can be by into nail Aperture is introduced to increase the surface area of nail disclosed herein.For example, can for example nail 2130 base portion or bizet 2131 in shape Into one or more apertures or through-hole.These through-holes allow tissue to be grown from nail 2130 and improve nail 2130 to body Assimilation.

In at least one embodiment, than that described above, when coating 3739 can reduce the available Surface absorption of nail 2130 During area, 3739 delocalization of coating is in aperture.However, if it is desired to postpone the bio-absorbable of these nail parts, then can follow closely It is filled in 2130 aperture or fills coating 3739 at least partly.As discussed above, coating 3739 is configured to prolong The absorption of slow lower metal frame；However, using any suitable coating.For example, the coating on metal framework can promote group It knits in ingrowing to pin structure.Such at least one, coating includes mutual with the porous and/or thorniness of tissue generation The smaller microtrabeculae of effect.

In various embodiments, than that described above, suture or line can extend across the aperture limited in nail.This seam Zygonema can fasten nail together.In all cases, when nail is located in nail bin, suture is threaded by aperture. In the case of other, after following closely in implanting tissue, suture is threaded by aperture.In at least one embodiment, it stitches Zygonema is located in the groove limited in the deck of nail bin, and is followed closely and respectively included being defined in slit or hook therein, the slit Or hook is configured to catch suture when nail is disposed.Under any circumstance, suture can be pulled with by the group sutured It knits gathering together, technology is such as collapsed using pocket tissue.

In various embodiments, nail disclosed herein may include barb.In at least one, barb is defined in In nail leg so that barb engages the layer being implanted into tissue.Such barb can reduce the relative motion between this layer and nail. In certain embodiments, barb is defined on the base portion of nail.Such barb can one layer near the nail being implanted into of clamping position Tissue.

Circular surgical staplers 5000 are shown in Figure 93-95.Circular surgical staplers 5000 include frame assembly 5020, The frame assembly includes being configured to anvil block being operably coupled to the attachment part of circular surgical staplers 5000 5021.Circular surgical staplers 5000, which further include, is configured to cut the tissue that is captured by circular surgical staplers 5000 Cutter component 5040, store with can removing wherein it is multiple nail 5051 surgery nail bin 5010 and be configured to from nail Project the promotion device assembly of nail 5051 or driver 5030 in storehouse 5010.Surgery nail bin 5010 includes storehouse deck 5013 and is defined in Store in storehouse deck 5013 and with can removing multiple nail cavities 5011 of nail 5051.Follow closely the 5051 nail phase with discussing in further detail herein Seemingly, but any suitable nail can be used.Nail 5051 includes nail in the plane of the planar offset limited from base portion part Leg.

Referring primarily to Figure 95, the nail cavity 5011 of nail bin 5010 includes interior nail chamber 5011A, intermediate row nail cavity 5011B and outer Nail chamber 5011C.Staple spacing may include any suitable spacing；However, compared with non-nested row, nesting row is more reliable Closely.Intermediate row nail cavity 5011B is located radially outward relative to interior nail chamber 5011A.Outer nail chamber 5011C is relative to intermediate nail Chamber 5011B is located radially outward.Nail cavity 5011A in interior row has certain orientation, makes the nail of the nail stored in nail cavity 5051 Leg is oriented such that nail leg extends radially outwardly relative to nail base.Intermediate row nail cavity 5011B and outer nail chamber 5011C has certain Orientation makes the nail leg of the nail stored in nail cavity 5051 be oriented such that nail leg is extended radially inwardly relative to nail base.

Nail cavity 5011A in interior row defines therebetween multiple first gaps with distance A.Intermediate row nail cavity 5011B is limited Fixed multiple second gaps with distance B.Outer nail chamber 5011C limits multiple third spaces with distance C.Distance A is less than Distance B and C.Distance B is more than distance A but less than distance C.Distance C is more than distance A and B.Cavity 5011 is arranged such that first The distance in gap is more than the distance of the second gap and/or third space.Cavity 5011 is arranged such that the distance of third space Less than the distance in the first gap and/or the second gap.It is contemplated that gap not associated with a row or multi-row nail cavity Embodiment.

Intermediate row nail cavity 5011B is arranged such that cavity 5011B and the first gap weight limited by interior nail chamber 5011A It is folded, lacking for ligation is organized in the first gap to compensate.Outer nail chamber 5011C is arranged such that cavity 5011C and in Between the second gap overlappings for limiting of nail chamber 5011B, to compensate in the second gap lacking for tissue ligation.Utilize this arrangement It is overlapped the ligation ability that these fastening gaps enhance circular surgical staplers 5000.The arrangement also allows the tissue of fastening tight Gu when buckling.Routine is arranged in intermediate row and/or outer row and follows closely to improve ligation efficiency using greater amount of；However, this Class can limit integrated innovation after being routinely arranged in fastening.

Figure 96-98 shows the circular surgical staplers 5100 according at least one embodiment.Circular surgical staplers 5100 include frame assembly 5120, which includes being configured to anvil block being operably coupled to circular surgical seam The attachment part of clutch 5100.Circular surgical staplers 5100, which further include, is configured to incision by circular surgical staplers 5100 capture tissues cutter component 5140, store with can removing wherein it is multiple nail 5151 surgery nail bin 5110 and It is configured to project the promotion device assembly of nail 5151 or driver 5130 from nail bin 5110.Device assembly 5130 is pushed to include interior Nail driver 5130A, intermediate row staple drivers 5130B and outer nail driver 5130C.Surgery nail bin 5110 includes storehouse deck 5113 and be defined in storehouse deck 5113 and store with can removing wherein nail 5151 multiple nail cavities 5111.Surgery nail bin 5110 further include multiple deck feature structures or nail support element or guiding piece 5115, they are configured to from nail bin 5110 Support, guiding and/or control nail 5151 when projecting nail 5151.Deck feature structure or cavity extension 5115 can have a variety of use On the way, such as contribute to organize to be clamped in the centre of anvil block and nail bin 5110 and/or store drug, release medicine and deliver To the tissue captured with stitching unstrument 5100.

The nail cavity 5111 of nail bin 5110 is similar to nail cavity 5011 at many aspects.Nail cavity 5111 include interior nail chamber 5111A, Intermediate row nail cavity 5111B and outer nail chamber 5111C.Deck feature structure 5115 include multiple first deck feature structure 5115A, Multiple second deck feature structure 5115B and multiple third deck feature structure 5115C.Each first deck feature structure 5115A includes middle section 5116 and two exterior sections 5117 to limit T configurations.Middle section 5116 is located at two nail cavities Between 5111A, and extend to guide and/or support adjacent to nail leg from deck 5113.Exterior section 5117 is at least substantially From 5116 branch of middle section on opposite direction, and from deck 5113 extend with guide and/or support nail base a part. Combination can save the space on storehouse deck 5113 more than the deck feature structure of a cavity in this way.

Each second deck feature structure 5115B and each third deck feature structure 5115C includes middle section 5118 With two exterior sections 5119 with restriction around the configuration of cavity.Middle section 5118 extends from deck 5113, with guiding and/or Support is stored in the nail base of intermediate row nail cavity 5111B and the nail in outer nail chamber 5111C in which can remove.The two exterior sections 5119 from 5118 branch of middle section with support from nail base extension nail leg, middle section 5118 guides and/or support nail base.

Figure 99 shows the circular stapler structure being used together with circular surgical staplers according at least one embodiment Type 5200.Circular stapler configuration 5200 is the arrangement of nail that can be used together with round nail bin.Using circular stapler configuration 5200 Round nail bin include corresponding nail cavity and can remove store nail discussed in this article.Circular stapler configuration 5200 includes having Multiple nails 5210 of interior nail 5213, intermediate nail 5215 and outer nail 5217.Each nail 5213 is oriented such that its nail leg Outwardly facing these outer nails 5217.Each nail 5215 is oriented such that its nail leg is facing inwardly toward these interior nails 5113.Often A nail 5217 is oriented such that its nail leg is faced out far from interior nail 5213 and intermediate nail 5215.Each staple can be located at from At a certain distance from other each staples and/or cutting element, preferably to be controlled at certain points in the tissue sutured Blood flow processed and/or prediction organizational behavior.

Outer nail 5217 has the characteristic different from interior nail and/or intermediate nail 5213,5215.For example, in various feelings Under condition, outer nail 5217 is shaped as " B " form of bigger, so as to generate the trapping volume of bigger and/or higher nail forming Height is to mitigate the high tissue compression near outer nail 5217.The B forms of bigger can also improve the blood moved towards these interior drainages Stream.In all cases, outer nail 5217 is by using the crown of bigger, nail leg width and/or nail leg thickness, and has bigger Mounted resistance.

The quantity of nail used in per nail can be different in round and/or linear surgery nail bin.Outer nail 5217 With the first quantity, intermediate nail 5215 has the second quantity, and interior nail 5213 has third quantity.Figure 99 shows One quantity is equal to the second quantity but more than the situation of third quantity.In various embodiments, the first quantity, the second quantity and Three quantity are different.In various embodiments, the first quantity is more than the second quantity, and the second quantity is more than third number Amount.

Different crown width can provide efficient and/or effective suture placement between staple.For example, each outer nail 5217 include the crown that width is more than the bizet width of each interior nail 5213 and each intermediate nail 5215.Each outer nail 5217 crown is laterally bent so as to the nail with bigger bizet width, while compact circular stapler is kept to arrange.It can set The bizet for expecting each outer nail 5217 is in some embodiments of Curved.The one of the bizet of bending or bending outer nail 5217 A advantage may include outer nail 5217 can for example be made to carry out with interior nail 5213 closer to intermediate nail 5215 nested.It is each outer Nail 5217 crosses over the multiple gaps limited between interior nail 5213 and/or intermediate nail 5215.Each intermediate nail 5215 across More, it is overlapped or covers each gap limited between interior nail 5213.

In various embodiments, between can changing and limited by interior nail 5213 based on the radial position of inside staple Gap.For example, diameter much smaller than nail on the inside of a row of the diameter of sutured intestines may include much bigger gap between interior nail with Radial compliance and/or stretching, extension are provided.Diameter is less than but may include interior row closer to nail on the inside of a row of the diameter of intestines sutured Smaller gap between nail, because in this case, it is possible to not needing to huge stretching, extension and/or flexibility.

Figure 100 shows the circular stapler structure being used together with circular surgical staplers according at least one embodiment Type 5300.Circular stapler configuration 5300 is the arrangement of nail that can be used together with round nail bin.Using circular stapler configuration 5300 Round nail bin include corresponding nail cavity and can remove store nail discussed in this article.Circular stapler configuration 5300 includes having Multiple nails 5310 of interior nail 5313A, 5313B, centre nail 5315C, 5315D and outer nail 5317E, 5317F.Each nail 5313A, 5313B are oriented such that its nail leg outwardly facing these outer nails 5317E, 5317F.Each nail 5315C, 5315D It is oriented such that its nail leg is facing inwardly toward these interior nails 5313A, 5313B.Each nail 5317E, 5317F are oriented such that Its nail leg is faced out far from interior nail 5313A, 5313B and intermediate nail 5315C, 5315D.It is it is contemplated that each in same row A embodiment followed closely towards opposite direction.It is contemplated that each nail in each row towards the embodiment party of the same direction Case.It is contemplated that the embodiment that such as interior nail is inward-facing, intermediate nail faces out and outer nail is inward-facing.

Crown width different within can also provide efficient and/or effective suture placement between staple.For example, interior row 5313A is followed closely, 5313B respectively has different bizet width, and intermediate nail 5315C, 5315D respectively have different bizet width, and And outer nail 5317E, 5317F respectively have different bizet width.In various embodiments, each follow closely 5313A, 5313B, The bizet width of 5315C, 5315D, 5317E and 5317F are all different.It is contemplated that the bizet width of certain nails in a row Equal to the embodiment of the bizet width of certain nails in another row.Interior nail limits the drawing zone labeled as SZ.Drawing zone SZ It may include the gap being for example limited between nail 5313A.Drawing zone SZ allows the tissue buckling of suture.

Circular surgical staplers, round nail bin and/or circular stapler configuration can be used for such as colectomy.Figure 101 shows The example of a part for colectomy is gone out, wherein two parts of intestines are connected, so as to provide new access for digestive system Or channel 5400.Intestines T₁A part include inner wall 5410, and intestines T₂Second part include inner wall 5420.It is followed closely on the inside of use 5401st, intermediate nail 5403 and 5405 suture intestines of outside nail divide T₁And T₂.Incision intestines divides T₁And T₂, so as to be formed for digest Matter by new tunnel P-P.This has been cut into intestines and has divided T₁And T₂Cut out portion 5411 and 5421.Intestines divides T₁And T₂'s Diameter change between inner wall 5410,5420 and cut out portion 5411,5421 can make channel P-P shrink or become in some cases It is narrow, digestion substance is caused to be difficult to pass through.May want to the nail part since inside nail 5401 has flexibility.One kind is used to provide Flexible method utilizes the nail gap limited between the nail in each row of arrangement nail.Another kind is used to provide flexible method It is followed closely using the larger size with bigger crown.In all cases, the gap between nail and staple allows sutured portion to have soft Property, so as to be more easy to allow digestion substance to pass through.In all cases, various sizes of nail allows integrated innovation.

Figure 102-104 shows being configured to capture, cut and suture tissue according at least one embodiment Bending suture instruments 5500.It is bent suture instruments 5500 and includes frame assembly 5510, nail bin 5520 and anvil block 5530.It is receiving During the first actuating power, nail bin 5520 drives towards anvil block 5530 and captures tissue therebetween.Bending suture instruments 5500 further include Knife assembly 5540, the knife assembly include being configured to cutting for tissue of the incision capture between nail bin 5520 and anvil block 5530 Cut component 5541.Nail bin 5520 includes deck 5527, which includes the cutting for being configured to receive cutting element 5541 Slit 5521, multiple nail cavity 5523A and 5523B and the multiple nails being stored in can removing in nail cavity 5523A, 5523B 5560.Bending suture instruments 5500 further include actuator assembly 5550, which includes being configured to applying Multiple staple drivers 5551 that nail 5560 is made to be driven towards anvil block 5530 during the second actuating power.Second actuating power is played relative to bending Suture instruments 5500 vertically promote the effect of actuator assembly 5550 and knife assembly 5540 to cut and suture tissue.

Nail bin 5520 further includes the multiple deck feature structures 5525 extended from deck 5527.It is contemplated that deck feature Structure 5525 is configured for the embodiment that can be attached to the unitary part on deck 5527.Deck feature structure 5525 can be The extension of nail cavity 5523A, 5523B, when that will follow closely 5560 and be loaded into storehouse 5520, to be accommodated before nail 5560 is projected or During support nail 5560 and/or when projecting nail 5560 from storehouse 5520, support, guiding and/or control nail 5560.Single deck is special Sign structure 5525 supports two different nail legs of neighbouring nail.Deck feature structure 5525 may include being configured to support each Multiple supporting walls of one or more sides of nail leg, face and/or edge.It is contemplated that outside staple (row farthest from slit) On deck feature structure 5525 only in each outer row every a relevant embodiment of nail cavity.Nail feature structure is from cutting The position of mouth is nearer, and following closely the density of feature structure can increase therewith.

Figure 105 and Figure 106 shows being configured to capture, cut and suture group according at least one embodiment The bending suture instruments 5600 knitted.It is bent suture instruments 5600 and includes frame assembly 5610, nail bin 5620 and anvil block 5630.It is connecing When receiving the first actuating power, nail bin 5620 drives towards anvil block 5630 and captures tissue therebetween.Bending suture instruments 5600 also wrap Knife assembly is included, which includes being configured to the cutting of tissue of the incision capture between nail bin 5620 and anvil block 5630 Component.Nail bin 5620 includes deck 5627, which includes the cutting slit 5621, more for being configured to receive cutting element A nail cavity 5623 and the multiple nails 5660 being stored in can removing in nail cavity 5623.Bending suture instruments 5600 further include Actuator assembly 5650, the actuator assembly include being configured to make nail 5660 towards anvil block when applying the second actuating power Multiple staple drivers 5651 of 5630 drivings.Second actuating power is played vertically promotes driving relative to bending suture instruments 5600 The effect of device assembly 5650 and knife assembly is to cut and suture tissue.

Nail bin 5620 further includes the multiple deck feature structures 5625 extended from deck 5627.It is contemplated that deck feature Structure 5625 is configured for the embodiment that can be attached to the unitary part on deck 5627.Deck feature structure 5625 can be The extension of nail cavity 5623, when that will follow closely 5660 and be loaded into storehouse 5620, to be accommodated before nail 5660 is projected or support nail When 5660 and/or when projecting nail 5660 from storehouse 5620, support, guiding and/or control nail 5660.Deck feature structure 5625 It may include being configured to multiple supporting walls at the one or more sides for supporting each nail leg, face and/or edge.Deck feature Structure 5625 is from least one of nail leg wall of nail cavity and follows closely the extension of at least one of basal wall.

Staple drivers 5651 have the planar shape at least substantially identical with the base profile of nail 5660.With similar or Identical shape allows suitable power distribution of the staple drivers 5651 in the base portion part of nail 5660.When against anvil block 5630 into During shape, the similar anti-non-magnetic shim 5660 of shape becomes misalignment between driver 5651 and nail 5660.

Embodiment

Embodiment 1：A kind of nail bin groupware being used together with surgical stapling device, wherein the nail bin groupware includes warehouse, The warehouse includes proximal end, distal end, deck, is defined in the deck and from the proximal end towards the distal side The longitudinal slit and nail cavity of end extension, wherein the nail cavity is arranged to longitudinal row.Each nail cavity includes being defined in described Open top, bottom opening, proximal end, distal end in deck and the proximal end and the distal end it Between the nail cavity side wall that extends.The nail bin groupware further includes the nail being stored in can removing in the nail cavity, wherein each nail Including proximal leg, distal side leg, the base portion extended between the proximal leg and the distal side leg and from the base Portion extension holding protruding portion, wherein the holding protruding portion of the nail engaged with the nail cavity side wall with prevent it is described follow closely from The bottom opening of the nail cavity drops out.

Embodiment 2：According to nail bin groupware described in embodiment 1, sliding part is further included, the sliding part can be from described near Side end moves to project the nail by the open top of the nail cavity towards the distal end.

Embodiment 3：According to the nail bin groupware described in embodiment 2, wherein the warehouse further include with the deck mutually back to The bottom surface of restriction；The vertical passage being defined in the bottom surface, wherein at least part of the sliding part can be slided It is located in dynamicly in the vertical passage；And holding part, the holding part are configured to prevent the sliding part It is dropped out by the bottom surface from the vertical passage.

Embodiment 4：According to nail bin groupware described in embodiment 3, wherein the sliding part can during firing stroke Moved between proximal position and distal position, wherein when the sliding part is in the proximal position, the holding part with Sliding part engagement, and wherein when the sliding part is in the distal position, the holding part not with the cunning Moving part engages.

Embodiment 5：According to the nail bin groupware described in embodiment 1,2,3 or 4, wherein the nail bin groupware is not included around institute State the covering of the bottom surface extension of warehouse.

Embodiment 6：According to the nail bin groupware described in embodiment 1,2,3,4 or 5, wherein the warehouse includes being adapted to Enough at least one snap fit feature structures for directly engaging the surgical stapling device.

Embodiment 7：According to the nail bin groupware described in embodiment 3,4 or 5, wherein the sliding part directly engages the nail, And wherein described nail bin groupware does not include being located in the driver of the centre of the sliding part and the nail.

Embodiment 8：According to the nail bin groupware described in embodiment 1,2,3,4,5,6 or 7, wherein each nail is by material piece punching press It forms, wherein the proximal leg, the distal side leg and the base portion of each nail shape in plane is followed closely, and its Described in keep protruding portion from it is described nail plane laterally extend.

Embodiment 9：A kind of nail bin groupware being used together with surgical stapling device, wherein the nail bin groupware includes warehouse, The warehouse includes proximal end, distal end, deck, bottom part, is defined in the deck and from the proximal end The longitudinal slit extended towards the distal end, the vertical passage that is defined in the bottom part and nail cavity, wherein each Nail cavity includes the open top being defined in the deck and the bottom opening being defined in the bottom part.The nail bin Component further includes the nail being stored in can removing in the nail cavity；The slip being slidably located in the vertical passage Part, wherein the sliding part can move to pass through the top of the nail cavity from the proximal end towards the distal end Opening projects the nail；And holding part, the holding part are configured to prevent the sliding part from passing through the bottom Portion part is dropped out from the vertical passage.

Embodiment 10：According to the nail bin groupware described in embodiment 9, wherein the sliding part can during firing stroke Moved between proximal position and distal position, wherein when the sliding part is in the proximal position, the holding part with Sliding part engagement, and wherein when the sliding part is in the distal position, the holding part not with the cunning Moving part engages.

Embodiment 11：Nail bin groupware according to embodiment 9 or 10, wherein the nail bin groupware is not included around described The covering of the bottom part extension of warehouse.

Embodiment 12：According to the nail bin groupware described in embodiment 9,10 or 11, wherein described in the sliding part directly engages Nail, and wherein described nail bin groupware does not include being located in the driver of the centre of the sliding part and the nail.

Embodiment 13：A kind of nail bin groupware being used together with surgical stapling device, wherein the surgical stapling device includes quilt It is constructed to be permeable to receive the jaw of the nail bin groupware, and wherein described nail bin groupware includes warehouse, the warehouse includes near Side end；Distal end；Deck；Bottom part, wherein the nail bin groupware does not include the envelope around bottom part extension Piece installing；The longitudinal slit for being defined in the deck and extending from the proximal end towards the distal end；It is defined in described Vertical passage in bottom part；And nail cavity, wherein each nail cavity includes the open top being defined in the deck And it is defined in the bottom opening in the bottom part.The nail bin groupware, which further includes, is stored in the nail cavity with can removing In nail；The sliding part being slidably located in the vertical passage, wherein the sliding part can be from the proximal end It moves to project the nail by the open top of the nail cavity during firing stroke towards the distal end；And it uses In the device for preventing the sliding part from being dropped out by the bottom part from the vertical passage.

Embodiment 14：According to the nail bin groupware described in embodiment 13, wherein the sliding part is during the firing stroke Directly engage the nail.

Embodiment 15：Nail bin groupware according to embodiment 13 or 14 further includes described for preventing the nail from passing through The device that bottom opening is dropped out from the nail cavity.

Embodiment 16：A kind of nail bin groupware being used together with surgical stapling device, wherein the surgical stapling device includes quilt It is constructed to be permeable to receive the jaw of the nail bin groupware, and wherein described nail bin groupware includes warehouse, the warehouse includes near Side end；Distal end；Deck；Bottom part, wherein the nail bin groupware does not include the envelope around bottom part extension Piece installing；And nail cavity, wherein each nail cavity includes the open top being defined in the deck and is defined in the bottom Bottom opening in portion part.The nail bin groupware further includes the nail being stored in can removing in the nail cavity, wherein described Warehouse includes the shelf that is integrally formed with the warehouse, and the shelf prevents the nail by the bottom opening from the nail cavity It drops out.

Embodiment 17：A kind of nail bin groupware being used together with surgical stapling device, wherein the nail bin groupware includes warehouse, The warehouse includes proximal end, distal end, deck, is defined in the deck and from the proximal end towards the distal side The longitudinal slit and nail cavity of end extension.The nail cavity includes being defined in open top in the deck, bottom opening, near Side guides, distal guide part, the side wall extended between the nearside guiding piece and the distal guide part and from described The centre guide that side wall extends internally.The nail bin groupware further includes the nail being stored in can removing in the nail cavity, institute State nail include the proximal leg being located in the nearside guiding piece, the distal side leg that is located in the distal guide part and The base portion extended between the proximal leg and the distal side leg, wherein the centre guide is oriented described in guiding Base portion and the proximal leg is maintained in the nearside guiding piece and the distal side leg is maintained at the distal side draw In guiding element.

Embodiment 18：According to the nail bin groupware described in embodiment 17, wherein the nail cavity is additionally included in the nearside guiding The proximal chamber body end portion of part nearside and in the distal chamber body end portion in the distal guide part distal side.

Embodiment 19：According to the nail bin groupware described in embodiment 18, wherein the nail delocalization is in the proximal chamber body end In portion and the distal chamber body end portion.

Embodiment 20：Nail bin groupware according to embodiment 18 or 19, wherein in the nail base, the centre guide There are the first clearance gap between the distal chamber body end portion, and wherein in the nail base, the centre guide and institute State between proximal chamber body end portion that there are the second clearance gaps.

Embodiment 21：According to the nail bin groupware described in embodiment 17,18,19 or 20, wherein the base portion include with it is described The flat guiding surface of centre guide handing-over.

Embodiment 22：According to the nail bin groupware described in embodiment 17,18,19,20 or 21, wherein the warehouse further include it is more A nail cavity, and wherein described nail bin groupware further includes the multiple nails being located in the nail cavity.

Embodiment 23：According to the nail bin groupware described in embodiment 17,18,19,20,21 or 22, wherein when from the nail cavity When projecting the nail, the nearside guiding piece, the distal guide part and the centre guide make the control of the nail be in three Angle divides.

Embodiment 24：According to the nail bin groupware described in embodiment 17,18,19,20,21,22 or 23, wherein the nearside draws Guiding element and the distal guide part extend above the deck.

Embodiment 25：According to the nail bin groupware described in embodiment 17,18,19,20,21,22,23 or 24, wherein in described Between guiding piece extend above the deck.

Embodiment 26：According to the nail bin groupware described in embodiment 17,18,19,20,21,22,23,24 or 25, wherein described The proximal leg of nail and the distal side leg limit leg plane, wherein the base portion includes the driving table in driving plane Face, and wherein described driving plane is from the leg planar offset.

Embodiment 27：According to the nail bin groupware described in embodiment 17,18,19,20,21,22,23,24,25 or 26, wherein The proximal leg and the distal side leg are clamped towards each other by the nearside guiding piece and the distal guide part.

Embodiment 28：According to the nail bin groupware described in embodiment 17,18,19,20,21,22,23,24,25,26 or 27, Described in centre guide include the elastic biasing member that is engaged with the base portion, the elastic biasing member is configured to The proximal leg is pushed in the nearside guiding piece and the distal side leg is pushed in the distal guide part.

Embodiment 29：According to the nail bin group described in embodiment 17,18,19,20,21,22,23,24,25,26,27 or 28 Part, wherein the centre guide is positioned than the nearside guiding piece closer to the distal guide part.

Embodiment 30：According to the nail bin group described in embodiment 17,18,19,20,21,22,23,24,25,26,27 or 28 Part, wherein the centre guide is located in the equidistant between the distal guide part and the nearside guiding piece.

Embodiment 31：A kind of nail bin groupware being used together with surgical stapling device, wherein the nail bin groupware includes warehouse, The warehouse includes proximal end, distal end, deck, is defined in the deck and from the proximal end towards the distal side The longitudinal slit and nail cavity of end extension.The nail cavity includes being defined in open top in the deck, bottom opening, near Side guides, distal guide part and the side wall extended between the nearside guiding piece and the distal guide part.The nail Storehouse component further includes the nail being stored in can removing in the nail cavity, and the nail includes being located in the nearside guiding piece Proximal leg；The distal side leg in the distal guide part is located in, wherein the proximal leg and the distal side leg limit Leg plane, and wherein described proximal leg and the distal side leg pass through the nearside guiding piece and the distal guide part It clamps towards each other；And the base portion extended between the proximal leg and the distal side leg, wherein the base portion includes driving Driving surface in dynamic plane, and wherein described driving plane is from the leg planar offset.

Embodiment 32：According to the nail bin groupware described in embodiment 31, put down wherein the leg plane is parallel to the driving Face.

Embodiment 33：Nail bin groupware according to embodiment 31 or 32, wherein the warehouse further includes multiple nails Chamber, and wherein described nail bin groupware further includes the multiple nails being located in the nail cavity.

Embodiment 34：A kind of nail bin groupware being used together with surgical stapling device, wherein the nail bin groupware includes warehouse, The warehouse includes proximal end, distal end, deck, is defined in the deck and from the proximal end towards the distal side The longitudinal slit and nail cavity of end extension.The nail cavity includes being defined in open top in the deck, bottom opening, near Side guides, distal guide part, the side wall extended between the nearside guiding piece and the distal end guiding piece and from The centre guide that the nail cavity side wall extends internally.The nail bin groupware further includes to be stored in the nail cavity in which can remove Nail, the nail includes the proximal leg being located in the nearside guiding piece, the distal side that is located in the distal guide part Leg and the base portion extended between the proximal leg and the distal side leg, wherein when projecting the nail from the nail cavity When, the nearside guiding piece, the distal guide part and the centre guide make the control of the nail be in triangle division.

Embodiment 35：According to the nail bin groupware described in embodiment 34, wherein the warehouse further includes multiple nail cavities, and And wherein described nail bin groupware further includes the multiple nails being located in the nail cavity.

Embodiment 36：A kind of nail bin groupware being used together with surgical stapling device, wherein the nail bin groupware includes warehouse, The warehouse includes nearside storehouse end, distal side storehouse end, deck, is defined in the deck and from nearside storehouse end towards institute State the longitudinal knife slot and nail cavity of distal side storehouse end extension.The nail cavity includes the open top being defined in the deck； Proximal chamber body end portion；Distal chamber body end portion；Nearside guiding piece；Distal guide part, wherein the nearside guiding piece and the distal side Guiding piece extends above the deck；And the chamber extended between the proximal chamber body end portion and the distal chamber body end portion Body slit, wherein the nearside guiding piece and the distal guide part laterally extend relative to the cavity slit.The nail Storehouse component further includes the nail being stored in can removing in the nail cavity, and the nail includes being located in the nearside guiding piece Proximal leg, the distal side leg being located in the distal guide part and between the proximal leg and the distal side leg The base portion of extension, wherein the base portion is located in the cavity slit.

Embodiment 37：According to the nail bin groupware described in embodiment 36, wherein the nearside guiding piece and the distal guide Part extends towards the cutter slit.

Embodiment 38：According to the nail bin groupware described in embodiment 36, wherein the nearside guiding piece and the distal guide Part extends far from the cutter slit.

Embodiment 39：According to the nail bin groupware described in embodiment 36,37 or 38, wherein the nearside guiding piece includes nearside Bracket.

Embodiment 40：According to the nail bin groupware described in embodiment 39, wherein the proximal bracket does not surround the proximal chamber Body end portion extends.

Embodiment 41：Nail bin groupware according to embodiment 39 or 40, wherein the cavity slit is limited by longitudinal axis It is fixed, and wherein described proximal bracket is not aligned with the longitudinal axis.

Embodiment 42：According to the nail bin groupware described in embodiment 36,37,38,39,40 or 41, wherein the distal guide Part includes distal bracket.

Embodiment 43：According to the nail bin groupware described in embodiment 42, wherein the distal bracket does not surround the distal chamber Body end portion extends.

Embodiment 44：Nail bin groupware according to embodiment 42 or 43, wherein the cavity slit is limited by longitudinal axis It is fixed, and wherein described distal bracket is not aligned with the longitudinal axis.

Embodiment 45：According to the nail bin groupware described in embodiment 36,37,38,39,40,41,42,43 or 44, wherein described Proximal leg and the distal side leg limit nail leg plane, wherein the base portion includes putting down from the driving of the nail leg planar offset Driving surface in face, wherein the nearside guiding piece and the distal guide part and the nail planar alignment, and wherein institute State nearside guiding piece and the distal guide part not with the driving planar alignment.

Embodiment 46：According to the nail bin groupware described in embodiment 36,37,38,39,40,41,42,43 or 44, wherein described Proximal leg and the distal side leg limit nail leg plane, wherein the base portion includes putting down from the driving of the nail leg planar offset Driving surface in face, and wherein described nearside guiding piece and the distal guide part limit and the nail leg planar alignment Bracket plane.

Embodiment 47：According to the nail bin groupware described in embodiment 36,37,38,39,40,41,42,43,44,45 or 46, Described in warehouse further include multiple nail cavities, and wherein described nail bin groupware further include be located in it is multiple in the nail cavity The nail.

Embodiment 48：According to the nail bin group described in embodiment 36,37,38,39,40,41,42,43,44,45,46 or 47 Part, wherein the part extended above the deck of the nearside guiding piece includes nail cavity extension, and wherein described remote The part extended above the deck of side guides includes nail cavity extension

Embodiment 49：A kind of nail bin groupware being used together with surgical stapling device, wherein the nail bin groupware includes warehouse, The warehouse includes nearside storehouse end, distal side storehouse end, deck and nail cavity.The nail cavity includes proximal chamber body end portion, distal side Cavity end, the nearside guiding piece extended above and below the deck, the distal side extended above and below the deck Guiding piece and the connection slit extended between the proximal chamber body end portion and the distal chamber body end portion, wherein the nearside Guiding piece and the distal guide part laterally extend relative to the connection slit.The nail bin groupware, which further includes, to be removed Ground is stored in the nail in the nail cavity, the nail include the proximal leg being located in the nearside guiding piece, be located in it is described Distal side leg in distal guide part and the base portion extended between the proximal leg and the distal side leg, wherein described Base portion is located in the cavity slit.

Embodiment 50：According to the nail bin groupware described in embodiment 49, wherein the warehouse further includes multiple nail cavities, and And wherein described nail bin groupware further includes the multiple nails being located in the nail cavity.

Embodiment 51：Nail bin groupware according to embodiment 49 or 50, wherein the nearside guiding piece in the first The part extended above plate includes nail cavity extension, and wherein described distal guide part extends above the deck The part include nail cavity extension

Embodiment 52：A kind of fastener cartridge assembly being used together with reuse surgical fasteners tool, wherein the fastener cartridge group Part includes warehouse, and the warehouse includes nearside storehouse end, distal side storehouse end, deck and fastener pit.The fastener pit Including nearside pit end；Distal side pit end；Nearside guiding piece；Distal guide part；Nearside pit extension, wherein described near Side pit extension extends above the deck；Distal side pit extension, wherein the nearside pit extension is in the first Extend above plate；And the pit opening extended between the nearside pit end and the distal side pit end, wherein institute Nearside guiding piece and the distal guide part is stated relative to pit opening laterally to extend.The fastener cartridge assembly is also wrapped The fastener being stored in can removing in the fastener pit is included, the fastener includes being located in the nearside guiding piece Interior proximal leg, the distal side leg being located in the distal guide part and in the proximal leg and the distal side leg Between the base portion that extends, wherein the base portion is located in the pit opening.

Embodiment 53：According to the fastener cartridge assembly described in embodiment 52, wherein the warehouse further include it is multiple described tight Firmware pit, and wherein described fastener cartridge assembly further includes the multiple fastenings being located in the fastener pit Part.

Embodiment 54：A kind of nail bin groupware being used together with surgical instruments, the nail bin groupware include warehouse, the storehouse Body includes proximal end, distal end, deck and the nail cavity being defined in the deck.The nail bin groupware further includes can The nail that is located in the nail cavity of ground is removed and with the firing member of channel being aligned with the nail, wherein the channel packet Include the first lateral side wall and the second lateral side wall, and wherein described channel be configured to first lateral side wall with The nail is received between second lateral side wall.

Embodiment 55：According to the nail bin groupware described in embodiment 54, wherein the channel is limited to the firing member On inclined surface.

Embodiment 56：Nail bin groupware according to embodiment 54 or 55, wherein the channel includes runner portions and top Point part, the runner portions are configured to promote the institute in the nail cavity during the firing stroke of the firing member Nail is stated, the apex portion is configured to make the anvil block of nail against the surgical instruments to be formed into final forming height Degree.

Embodiment 57：According to the nail bin groupware described in embodiment 56, wherein the channel is included relative to the apex Divide the trailing portion proximally positioned, and wherein described apex portion is located in above the trailing portion.

Embodiment 58：According to the nail bin groupware described in embodiment 54,55,56 or 57, wherein the firing member includes tool There is the sliding part of multiple wedge pieces, and wherein described channel is limited on one in the wedge piece.

Embodiment 59：According to the nail bin groupware described in embodiment 54,55,56,57 or 58, wherein the firing member also wraps Slideway is included, the slideway is configured to initially be promoted the nail in the nail cavity and is directed to the nail described logical In road.

Embodiment 60：According to the nail bin groupware described in embodiment 54,55,56,57,58 or 59, wherein the channel includes Oral area part and longitudinal component, wherein the oral area part provides leading-in end, and wherein described oral area to the longitudinal component Part is wider than the longitudinal component.

Embodiment 61：According to the nail bin groupware described in embodiment 54,55,56,57,58,59 or 60, wherein the nail joint is received In the channel, without the staple drivers being located between the nail and the channel.

Embodiment 62：According to the nail bin groupware described in embodiment 54,55,56,57,58,59,60 or 61, wherein described One lateral side wall is parallel to second lateral side wall.

Embodiment 63：According to the nail bin groupware described in embodiment 54,55,56,57,58,59,60 or 61, wherein described One lateral side wall is not parallel to second lateral side wall.

Embodiment 64：According to the nail bin groupware described in embodiment 54,55,56,57,58,59,60 or 61, wherein described Angulation enters leading-in end to form nail relative to each other for one lateral side wall and second lateral side wall.

Embodiment 65：According to the nail bin groupware described in embodiment 54,55,56,57,58,59,60,61,62,63 or 64, Described in channel include first passage, and wherein described firing member further includes and is configured to receive the second of the nail Channel.

Embodiment 66：According to the nail bin groupware described in embodiment 65, wherein each nail includes being configured to enter institute It states the drive part of first passage and is configured to the shaped portion for entering the second channel.

Embodiment 67：Nail bin groupware according to embodiment 65 or 66, wherein the first passage is with relative to described Second channel is at an angle of extension.

Embodiment 68：According to the nail bin groupware described in embodiment 65,66 or 67, wherein the first passage and described second Channel is parallel to each other in the first region and not parallel each other in the second area.

Embodiment 69：According to the nail bin groupware described in embodiment 65,66,67 or 68, wherein the second channel is constructed Into the nail can be received before the first passage when the firing member is promoted towards the distal end.

Embodiment 70：A kind of nail bin groupware being used together with surgical instruments, the nail bin groupware include：Warehouse, it is described Warehouse includes deck and the nail cavity being defined in the deck；The nail being located in can removing in the nail cavity；And it hits Send out component, the firing member include be configured to directly engage the nail slideway and from the slideway extend and by It is constructed to be permeable to make the guide rail followed closely and be orientated relative to the slideway.

Embodiment 71：According to the nail bin groupware described in embodiment 70, wherein the guide rail includes the first guide rail, and wherein The firing member, which is further included, to be extended from the slideway and is configured to make that the nail is orientated relative to the slideway the Two guide rails.

Embodiment 72：According to the nail bin groupware described in embodiment 71, wherein first guide rail parallel is led in described second Rail.

Embodiment 73：A kind of nail bin groupware being used together with the surgery suturing appliance including anvil block, wherein the anvil block Including forming pit, and wherein described nail bin groupware includes warehouse, and the warehouse includes proximal end, distal end, deck And it is defined in the nail cavity in the deck.The nail bin groupware includes：The nail being located in can removing in the nail cavity, In each nail include follow closely drive part and nail shaped portion；And firing member, the firing member include the institute with the nail The second guiding channel stated the first guiding channel of nail drive part alignment and be aligned with the nail shaped portion of the nail, Wherein described first guiding channel and second guiding channel are configured in the firing member towards the distal end portion Collaboration makes the nail be aligned with the nail shapes pit of the anvil block when portion moves.

Embodiment 74：A kind of nail bin groupware, the nail bin groupware include warehouse, and the warehouse includes deck, first longitudinal direction Nail chamber and second longitudinal direction nail chamber.The nail bin groupware further includes multiple first nails, wherein each first nail can remove ground It is stored in the first longitudinal direction nail chamber, and wherein each first nail has integral structure, the integral structure packet It includes the first base portion with the first driving surface and extends from first base portion and the first nail leg with the first tip, In the first unshaped distance is limited between first driving surface and first tip；Multiple second nails, wherein each Second nail is stored in the second longitudinal direction nail chamber in which can remove, and wherein each second nail has integral structure, The integral structure includes the second base portion with the second driving surface and extends and with second from second base portion Second nail leg at tip, wherein limiting the second unshaped distance, institute between second driving surface and second tip It is different from first unshaped distance to state the second unshaped distance；And firing member, the firing member are adapted to It is enough directly to engage first nail and the described second nail.

Embodiment 75：According to the nail bin groupware described in embodiment 74, wherein first nail and the described second nail are by metal Piece is formed.

Embodiment 76：Nail bin groupware according to embodiment 74 or 75, wherein each first base portion includes the first tissue Support surface, wherein the first tissue engagement range is limited between the first tissue support surface and first tip, In each second base portion include minor microstructure support surface, wherein the minor microstructure support surface and second tip it Between limit minor microstructure engagement range, and wherein described the first tissue engagement range and the minor microstructure engagement range are not Together.

Embodiment 77：According to the nail bin groupware described in embodiment 74,75 or 76, wherein the deck has along described the First altitude above deck of one longitudinal nail chamber and the second altitude above deck along second longitudinal nail chamber, second first Plate height is different from first altitude above deck.

Embodiment 78：According to the nail bin groupware described in embodiment 77, it is configured to connect wherein the warehouse further includes The longitudinal slit of cutting element is received, wherein the first longitudinal direction nail chamber is adjacent with the longitudinal slit, wherein described second is vertical It is adjacent with the first longitudinal direction nail chamber to nail chamber, and wherein described second altitude above deck is short in first deck height Degree.

Embodiment 79：According to the nail bin groupware described in embodiment 74,75,76,77 or 78, wherein the warehouse further include by It is constructed to be permeable to receive the longitudinal slit of cutting element, wherein the first longitudinal direction nail chamber is adjacent with the longitudinal slit, and And wherein described second longitudinal direction nail chamber is adjacent with the first longitudinal direction nail chamber.

Embodiment 80：According to the nail bin groupware described in embodiment 74,75,76,77,78 or 79, wherein described first not into Shape distance is shorter than the second unshaped distance.

Embodiment 81：According to the nail bin groupware described in embodiment 74,75,76,77,78,79 or 80, further include and be configured to It can make the anvil block of the nail deformation.

Embodiment 82：According to the nail bin groupware described in embodiment 81, wherein the anvil block is configured to make described One nail is deformed to the first Deformation Height and second nail is made to be deformed to the second Deformation Height, second Deformation Height and institute State the first Deformation Height difference.

Embodiment 83：Nail bin groupware according to embodiment 81 or 82, wherein the warehouse can be transported towards the anvil block It moves to organize to be clamped between the anvil block and the deck of the warehouse.

Embodiment 84：According to the nail bin groupware described in embodiment 81,82 or 83, wherein the anvil block can be towards the warehouse It moves to organize to be clamped between the anvil block and the deck of the warehouse.

Embodiment 85：According to the nail bin groupware described in embodiment 74,75,76,77,78,79,80,81,82,83 or 84, go back Including the nail cavity extension extended from the deck.

Embodiment 86：According to the nail bin group described in embodiment 74,75,76,77,78,79,80,81,82,83,84 or 85 Part further includes the implantable layer being located in above the deck.

Embodiment 87：A kind of nail bin groupware, the nail bin groupware include warehouse, and the warehouse includes deck, first longitudinal direction Nail chamber and second longitudinal direction nail chamber.The nail bin groupware further includes multiple first nails, wherein each first nail can remove ground It is stored in the first longitudinal direction nail chamber, and wherein each first nail has integral structure, the integral structure packet It includes the first base portion with the first driving surface and the first tissue support surface and extends from first base portion and with the First nail leg at one tip, wherein limiting the first tissue capture between the first tissue support surface and first tip Distance；Multiple second nails, wherein each second nail is stored in the second longitudinal direction nail chamber in which can remove, and wherein every A second nail has integral structure, and the integral structure is included with the second driving surface and minor microstructure support surface Second base portion and the second nail leg for extending and having the second tip from second base portion, wherein being supported in the minor microstructure Minor microstructure engagement range, the minor microstructure engagement range and the first tissue are limited between surface and second tip Engagement range is different；And firing member, the firing member are configured to directly to engage first nail and described the Two nails.

Embodiment 88：According to the nail bin groupware described in embodiment 87, wherein the deck has along the first longitudinal direction First altitude above deck of nail chamber and the second altitude above deck along second longitudinal nail chamber, second altitude above deck It is different from first altitude above deck.

Embodiment 89：According to the nail bin groupware described in embodiment 88, it is configured to connect wherein the warehouse further includes The longitudinal slit of cutting element is received, wherein the first longitudinal direction nail chamber is adjacent with the longitudinal slit, wherein described second is vertical It is adjacent with the first longitudinal direction nail chamber to nail chamber, and wherein described second altitude above deck is short in first deck height Degree.

Embodiment 90：According to the nail bin groupware described in embodiment 87,88 or 89, further include and be configured to make the nail The anvil block of deformation.

Embodiment 91：According to the nail bin groupware described in embodiment 90, wherein the anvil block is configured to make described One nail is deformed to the first Deformation Height and second nail is made to be deformed to the second Deformation Height, second Deformation Height and institute State the first Deformation Height difference.

Embodiment 92：Nail bin groupware according to embodiment 90 or 91, wherein the warehouse can be transported towards the anvil block It moves to organize to be clamped between the anvil block and the deck of the warehouse.

Embodiment 93：A kind of nail bin groupware, the nail bin groupware include：Warehouse, the warehouse include first longitudinal direction nail Chamber and second longitudinal direction nail chamber；Multiple first nails being stored in can removing in the first longitudinal direction nail chamber, wherein each First nail is made of stamped metal and including integrally formed metal drivers；It is stored in the second longitudinal direction with can removing Multiple second nails in nail chamber, wherein each second nail is made of stamped metal and including integrally formed metal driving Device；And for first nail to be made to be formed into the first Deformation Height and second nail is made to be formed into the second Deformation Height Device, wherein first Deformation Height is different from second Deformation Height.

Embodiment 94：A kind of nail bin groupware, the nail bin groupware include：Staple cartridge body, the staple cartridge body include deck and The nail cavity being defined in the deck；The nail being stored in can removing in the nail cavity, wherein each nail includes base portion, from institute The platform stated the leg of base portion extension and laterally extended from the base portion；And it is located in implantable above the deck Layer, wherein the platform of the nail is configured to abut the layer when the nail is implanted in the tissue of patient.

Embodiment 95：According to the nail bin groupware described in embodiment 94, it is stamped to form wherein each following closely by material piece, wherein institute It states base portion and limits basal plane, and wherein described platform is folded from the basal plane.

Embodiment 96：Nail bin groupware according to embodiment 94 or 95, wherein the implantable layer includes weaving material.

Embodiment 97：According to the nail bin groupware described in embodiment 94,95 or 96, wherein the implantable layer is comprising non-woven Material.

Embodiment 98：According to the nail bin groupware described in embodiment 94,95,96 or 97, further include from the leg extension and The holding member adjacent with the base portion, wherein the holding member is configured to be implanted to the tissue of patient in nail The implantable layer is engaged when middle.

Embodiment 99：According to the nail bin groupware described in embodiment 94,95,96,97 or 98, wherein the platform is flat 's.

Embodiment 100：According to the nail bin groupware described in embodiment 94,95,96,97,98 or 99, wherein the platform is not straight It is connected to the leg.

Embodiment 101：A kind of nail bin groupware, the nail bin groupware include：Staple cartridge body, the staple cartridge body include deck and The nail cavity being defined in the deck；The nail being stored in can removing in the nail cavity, wherein each nail includes bizet, from institute State the first leg of bizet extension and the second leg and the platform that laterally extends from the bizet；And it is located in the first Implantable layer above plate, wherein the platform of the nail is configured to when the nail is implanted in the tissue of patient Support the layer.

Embodiment 102：According to the nail bin groupware described in embodiment 101, wherein each nail is stamped to form by material piece, wherein The bizet limits bizet plane, and wherein described platform is folded from the bizet plane.

Embodiment 103：Nail bin groupware according to embodiment 101 or 102, wherein the implantable layer includes weaving material Material.

Embodiment 104：According to the nail bin groupware described in embodiment 101,102 or 103, wherein the implantable layer is comprising non- Weaving material.

Embodiment 105：According to the nail bin groupware described in embodiment 101,102,103 or 104, further include and prolong from the leg It stretches and the holding member adjacent with the bizet, wherein the holding member is configured to be implanted to described in patient in nail The implantable layer is engaged when in tissue.

Embodiment 106：According to the nail bin groupware described in embodiment 101,102,103,104 or 105, wherein the platform is Flat.

Embodiment 107：According to the nail bin groupware described in embodiment 101,102,103,104,105 or 106, wherein each nail Including the compliance auxiliary member with the bizet adjacent positioned.

Embodiment 108：According to the nail bin groupware described in embodiment 107, wherein the compliance auxiliary member is described first Extend between leg and second leg.

Embodiment 109：Nail bin groupware according to embodiment 107 or 108, wherein the compliance auxiliary member is attached to First leg and second leg.

Embodiment 110：According to the nail bin groupware described in embodiment 107,108 or 109, wherein the compliance auxiliary member packet The first aperture and the second aperture are included, wherein first leg extension passes through first aperture, and wherein described second leg Portion extends through second aperture.

Embodiment 111：According to the nail bin groupware described in embodiment 107,108,109 or 110, wherein the compliance assists Part includes cavity and is located at least one of cavity drug.

Embodiment 112：According to the nail bin groupware described in embodiment 107,108,109,110 or 111, wherein the compliance Auxiliary member includes compressible packaging part.

Embodiment 113：A kind of nail bin groupware, the nail bin groupware include：Staple cartridge body, the staple cartridge body include deck and The nail cavity being defined in the deck；And be stored in the nail in the nail cavity with can removing, wherein each nail include bizet, From the first leg that the bizet extends and the second leg, the platform that laterally extends from the bizet and with the bizet phase The compliance auxiliary member of neighbour's positioning.

Embodiment 114：According to the nail bin groupware described in embodiment 113, wherein the compliance auxiliary member is described first Extend between leg and second leg.

Embodiment 115：Nail bin groupware according to embodiment 113 or 114, wherein the compliance auxiliary member is attached to First leg and second leg.

Embodiment 116：According to the nail bin groupware described in embodiment 113,114 or 115, wherein the compliance auxiliary member packet The first aperture and the second aperture are included, wherein first leg extension passes through first aperture, and wherein described second leg Portion extends through second aperture.

Embodiment 117：According to the nail bin groupware described in embodiment 113,114,115 or 116, wherein the compliance assists Part includes cavity and is located at least one of cavity drug.

Embodiment 118：According to the nail bin groupware described in embodiment 113,114,115,116 or 117, wherein the compliance Auxiliary member includes compressible packaging part.

Embodiment 119：A kind of nail bin groupware, the nail bin groupware include：Warehouse, the warehouse include deck and restriction Multiple nail cavities in the deck；And be stored in multiple nails in the nail cavity, wherein each nail include by comprising zinc and The first part and the second part being made of absorbable polymer that the alloy of magnesium is formed, wherein the second part is arranged on In the first part, and wherein described second part covering is all or less than the first part.

Embodiment 120：According to the nail bin groupware described in embodiment 119, wherein the first part include base portion and from The nail leg of the base portion extension, and wherein described second part is extended with spiral pattern around the nail leg.

Embodiment 121：Nail bin groupware according to embodiment 119 or 120, wherein by the second part with dot chart Case is coated in the first part.

Embodiment 122：According to the nail bin groupware described in embodiment 119,120 or 121, wherein the first part includes base Portion and the nail leg extended from the base portion, wherein limiting turning between the base portion and the nail leg, and wherein described Second part covers the turning.

Embodiment 123：According to the nail bin groupware described in embodiment 119,120,121 or 122, wherein the absorbable polymerization Object includes non-cross-linked polymer.

Embodiment 124：According to the nail bin groupware described in embodiment 119,120,121,122 or 123, wherein by described second Part is coated on mesh pattern in the first part.

Embodiment 125：According to the nail bin groupware described in embodiment 119,120,121,122,123 or 124, wherein described A part includes base portion and the nail leg extended from the base portion, wherein the nail leg includes tissue penetrating tip, and wherein The nail further includes the magnesium nitride being arranged on the tip.

Embodiment 126：According to the nail bin groupware described in embodiment 119,120,121,122,123,124 or 125, wherein institute State the coating for the ionization silver that nail is also included on the part not being coated with by the second part at least of the first part.

Embodiment 127：According to the nail bin groupware described in embodiment 119,120,121,122,123,124,125 or 126, go back It is included at least one of first part aperture.

Embodiment 128：A kind of nail bin groupware, the nail bin groupware include：Warehouse, the warehouse include deck and restriction Multiple nail cavities in the deck；And multiple nails in the nail cavity are stored in, wherein each nail is included by magnesium alloy structure Into metal framework and the absorbable polymer that is coated on the metal framework, wherein the absorbable polymer does not cover The each section of the metal framework.

Embodiment 129：A kind of nail bin groupware, the nail bin groupware include：Warehouse, the warehouse include deck and restriction Multiple nail cavities in the deck；And multiple nails in the nail cavity are stored in, wherein each nail is included by magnesium alloy structure Into metal framework, wherein the metal framework includes base portion and from the leg that the base portion extends, and wherein described leg Portion includes tissue penetrating tip and the magnesium nitride coating on the tip.

Embodiment 130：According to the nail bin groupware described in embodiment 129, wherein each nail further includes and is coated on the metal Absorbable polymer on frame, and wherein described absorbable polymer does not cover each section of the metal framework.

Embodiment 131：Nail bin groupware according to embodiment 129 or 130, wherein each nail is additionally included in the metal The coating for including silver at least part of frame.

Embodiment 132：A kind of nail bin groupware, the nail bin groupware include：Warehouse, the warehouse include deck and restriction Multiple nail cavities in the deck；And multiple nails in the nail cavity are stored in, wherein each nail is included by magnesium alloy structure Into metal framework and at least part of the metal framework comprising silver coating, wherein the metal framework packet Include base portion and from the leg that the base portion extends, and wherein described leg includes tissue penetrating tip.

Embodiment 133：According to the nail bin groupware described in embodiment 132, wherein each nail further includes and is coated on the metal Absorbable polymer on frame, and wherein described absorbable polymer does not cover each section of the metal framework.

Embodiment 134：Nail bin groupware according to embodiment 132 or 133, in addition to the magnesium nitride on the tip Coating.

Embodiment 135：A kind of nail bin groupware, the nail bin groupware include：Warehouse, the warehouse include deck and restriction Multiple nail cavities in the deck；And multiple nails in the nail cavity are stored in, wherein each nail is included by magnesium alloy structure Into metal framework and the aperture that is defined in the metal framework, wherein the metal framework includes base portion and from described The leg of base portion extension, and wherein described leg includes tissue penetrating tip.

Embodiment 136：According to the nail bin groupware described in embodiment 135, wherein each nail further includes and is coated on the metal Absorbable polymer on frame, and wherein described absorbable polymer does not cover each section of the metal framework.

Embodiment 137：According to the nail bin groupware described in embodiment 135, wherein each nail further includes and is coated on the metal Absorbable polymer on frame, and wherein described absorbable polymer delocalization is in the aperture.

Embodiment 138：According to the nail bin groupware described in embodiment 135, wherein each nail further includes and is coated on the metal Absorbable polymer on frame, and wherein described absorbable polymer is located in the aperture.

Embodiment 139：According to the nail bin groupware described in embodiment 135, wherein each nail further includes and is coated on the metal Absorbable polymer on frame, and wherein described aperture is filled with the absorbable polymer.

Embodiment 140：A kind of nail bin groupware for being used to suture tissue, the nail bin groupware include：Warehouse, the warehouse packet Include proximal end, distal end and multiple nail cavities；The multiple nails being located in the nail cavity, wherein each nail include base portion, from The leg of the base portion extension and the foot extended from the base portion, wherein the leg includes being configured to penetrate institute State the tip of tissue；And the firing member for projecting the nail from the nail cavity is configured to, wherein the percussion structure The nail that part is configured to the misorientation in by its any nail cavity contacts the misorientation before the injection of its nail cavity The foot of nail.

Embodiment 141：According to the nail bin groupware described in embodiment 140, wherein the firing member include percussion slideway and Slideway is directed at, the percussion slideway is configured to contact the base portion of the nail so that the nail is driven out the nail Chamber, and the alignment slideway is configured to contact the foot of the nail in the case of the nail misorientation.

Embodiment 142：Nail bin groupware according to embodiment 140 or 141, wherein the firing member further includes and institute The percussion passage of percussion slideway alignment is stated, wherein the percussion passage is configured to receive the base portion of the nail；With And with the alignment channel for being directed at slideway alignment, wherein the alignment channel is configured to once the nail correct orientation With regard to receiving the foot of the nail.

Embodiment 143：Nail bin groupware according to embodiment 141 or 142, wherein the alignment slideway is relative to described It fires slideway towards distal side to extend so that can in the base portion foregoing description alignment slideway followed closely described in the percussion ramps contact Contact the foot of the nail.

Embodiment 144：According to the nail bin groupware described in embodiment 140,141,142 or 143, wherein the foot of the nail Portion is proximally positioned relative to the base portion of the nail.

Embodiment 145：According to the nail bin groupware described in embodiment 140,141,142,143 or 144, wherein the percussion structure Part is not configured to contact the foot of the nail in the case of correct orientation in the nail cavity in the nail.

Embodiment 146：A kind of nail bin groupware for being used to suture tissue, the nail bin groupware include：Warehouse, the warehouse packet Include proximal end and distal end；And multiple nail cavities, wherein each nail cavity includes open top, proximal wall and distal walls.Institute It states nail bin groupware and further includes firing member and the multiple nails being located in the nail cavity, wherein each nail includes base portion, from institute State the proximal leg of base portion extension, from the distal side leg that the base portion extends and the barycenter being defined in the base portion, wherein Nail provides distal side reaction force to the distal walls described in direction on the barycenter, and the proximal wall is below the barycenter Nearside reaction force is provided to the nail, wherein the nail is promoted by the firing member towards the open top.The nail bin Component further includes the firing member for being configured to project the nail from the nail cavity, wherein the firing member is constructed Into can in by its any nail cavity misorientation nail from its nail cavity injection before contact described in the nail of the misorientation Foot.

Embodiment 147：According to the nail bin groupware described in embodiment 146, wherein the base portion limits driving plane, and its Described in proximal leg and the distal side leg not in the driving plane.

Embodiment 148：Nail bin groupware according to embodiment 146 or 147, wherein the proximal leg and the distal side Leg is laterally offset from the barycenter of the nail.

Embodiment 149：According to the nail bin groupware described in embodiment 146,147 or 148, wherein the distal walls are to described remote Side leg applies the distal side reaction force, and the proximal wall applies the nearside reaction force to the proximal leg.

Embodiment 150：According to the nail bin groupware described in embodiment 147, wherein the proximal leg extends to the driving First side of plane, and the distal side leg extends to the second side of the driving plane.

Embodiment 151：According to the nail bin groupware described in embodiment 146,147,148,149 or 150, wherein the base portion packet It includes and is defined in recess therein, the recess is configured to turn the barycenter of the nail towards the side of the nail cavity It moves.

Embodiment 152：A kind of nail bin groupware for being used to suture tissue, the nail bin groupware include warehouse, the warehouse packet Include proximal end, distal end and multiple nail cavities.The nail bin groupware further includes the multiple nails being located in the nail cavity, wherein Each nail includes limiting the base portion that drives plane and from the leg that the base portion extends, wherein the leg extension is to the drive The side of dynamic plane；It is configured to the firing member followed closely and projected from the nail cavity；And in the percussion Component reduces the device of rotation of the nail in the nail cavity when nail is driven out the nail cavity.

Embodiment 153：A kind of surgery nail bin being used together with surgery suturing appliance, the surgery nail bin include warehouse, Multiple nail cavities and the multiple nails being stored in can removing in the nail cavity, wherein each nail includes the nail for limiting the first plane Base segments, the barycenter in the base portion part, the first nail leg extended from the base portion part and from described Second nail leg of base portion part extension, wherein first nail leg and second nail leg the second plane of restriction, described second Plane and first planar offset and at least substantially parallel.

Embodiment 154：According to the surgery nail bin described in embodiment 153, wherein first nail leg and second nail leg It is configured to shape towards the base portion part.

Embodiment 155：Surgery nail bin according to embodiment 153 or 154, wherein the base portion part includes compression Surface, the compressive surfaces include the profile for being configured to limitation tissue compression.

Embodiment 156：According to the surgery nail bin described in embodiment 153,154 or 155, wherein the base portion part includes Bottom surface, and wherein described first nail leg further includes the engaging foot being increased to above the bottom surface.

Embodiment 157：According to the surgery nail bin described in embodiment 153,154,155 or 156, wherein the base portion part Including inner wall and top surface, wherein the inner wall and the top surface include notch, the notch is configured to make The base portion is partially deflected the nail leg.

Embodiment 158：According to the surgery nail bin described in embodiment 153,154,155,156 or 157, wherein first nail Leg extends above second nail leg.

Embodiment 159：According to the surgery nail bin described in embodiment 153,154,155,156,157 or 158, wherein the nail Base segments have rectangular cross-sectional facial contour.

Embodiment 160：According to the surgery nail bin described in embodiment 153,154,155,156,157,158 or 159, wherein institute Stating the first nail leg and second nail leg has substantially circular cross-sectional profile.

Embodiment 161：According to the surgery nail bin described in embodiment 153,154,155,156,157,158,159 or 160, Described in the first nail leg and second nail leg include compacting turning.

Embodiment 162：According to the surgical staples described in embodiment 153,154,155,156,157,158,159,160 or 161 Storehouse, wherein first nail leg is in the second nail leg nearside, wherein the base portion part includes distal walls, and wherein institute Distal walls are stated in the second nail leg nearside.

Embodiment 163：It is outer according to embodiment 153,154,155,156,157,158,159,160,161 or 162 Section's nail bin, wherein first nail leg has the first height, and second nail leg is with different from the described first height Second height.

Embodiment 164：According to embodiment 153,154,155,156,157,158,159,160,161,162 or 163 Surgery nail bin, wherein first nail leg and second nail leg respectively include being configured to correspondence against anvil block into The nail tip end of shape pit forming, wherein the corresponding forming pit includes paddy and forming surface, and wherein described paddy is constructed Collect into the nail tip end can be made towards the forming surface.

Embodiment 165：According to embodiment 153,154,155,156,157,158,159,160,161,162,163 or 164 The surgery nail bin, wherein first nail leg and second nail leg be configured to against corresponding forming pit into Shape, wherein the corresponding forming pit is configured to first nail leg is made to shape in a first direction and makes described Two nail legs shape in a second direction, and wherein described first direction is opposite with the second direction and at least substantially puts down Row.

Embodiment 166：According to the surgery nail bin described in embodiment 165, wherein the first direction is backwards to the base portion Part, and wherein described second direction is directed toward the base portion part.

Embodiment 167：According to embodiment 153,154,155,156,157,158,159,160,161,162,163,164, Surgery nail bin described in 165 or 166, wherein first nail leg and second nail leg are configured to shape against corresponding Pit shapes, wherein the corresponding forming pit is configured to that first nail leg is made to shape simultaneously on the first bending direction And second nail leg is made to be shaped on the second bending direction.

Embodiment 168：A kind of surgical staples, the surgical staples include limiting the base portion part of the first plane, from the nail The first nail leg and at least substantially vertically prolong from the base portion part that base segments at least substantially vertically extend The second nail leg stretched, wherein first nail leg and second nail leg limit the second plane, wherein first plane and institute The second plane is stated to intersect.

Embodiment 169：A kind of surgery nail bin, the surgery nail bin include according to embodiment 152,153,154,155,156, 157th, multiple surgical staples described in 158,159,160,161,162,163,164,165,166,167 or 168, wherein the surgery Nail is arranged to multiple weaving rows.

Embodiment 170：Surgical staples according to embodiment 168 or 169, wherein the nail is configured to be configured to S-shape configuration.

Embodiment 171：A kind of surgical staples, the surgical staples include the base portion with the bottom surface for limiting bottom plane Partly, the barycenter in the base portion part and from the base portion part extend and limit nail leg plane first nail Leg and the second nail leg, the nail leg plane and the base portion partial offset and at least substantially parallel, wherein first nail Leg includes being increased to the engaging foot above the bottom plane.

Embodiment 172：According to the surgical staples described in embodiment 171, wherein the engaging foot is relative to the base portion Part is laterally offset.

Embodiment 173：A kind of surgery nail bin being used together with the surgical stapling device including anvil block to suture tissue, wherein The anvil block includes multiple forming pits, and the surgery nail bin includes warehouse, multiple nail cavities and is stored in institute with can removing Multiple nails in nail cavity are stated, wherein each nail includes base portion and the nail leg extended from the base portion, wherein the nail leg includes Nail tip end with piercing portions, wherein the piercing portions are configured to puncturing tissue and against the institute of the anvil block Forming pit deformation is stated, and wherein described piercing portions are configured to be deformed into nested configuration so that the puncture tip End is isolated with the tissue.

Embodiment 174：According to the surgery nail bin described in embodiment 173, wherein the nested configuration includes hook configuration, it is described Hook configuration is configured to that the surgical staples is prevented to be pulled through the tissue.

Embodiment 175：Surgery nail bin according to embodiment 173 or 174, wherein the nail tip end further includes notch Point, the cut out portion is configured to receive the piercing portions when the piercing portions deform.

Embodiment 176：According to the surgery nail bin described in embodiment 175, wherein the cut out portion is spill.

Embodiment 177：Surgery nail bin according to embodiment 175 or 176, wherein each nail includes prolonging from the base portion Another nail leg stretched, wherein another described nail leg includes another nail tip end with another cut out portion, and its Described in cut out portion and another described cut out portion it is facing with each other.

Embodiment 178：According to the surgery nail bin described in embodiment 173,174,175,176 or 177, wherein the nail tip end Roll surface is further included, the roll surface is configured to the correspondence forming pit placement against the anvil block.

Embodiment 179：According to the surgery nail bin described in embodiment 173,174,175,176,177 or 178, wherein each nail Including another nail leg, wherein the nail leg and another described nail leg limit the first plane, wherein the nail base limits second Plane, and wherein described first plane and second plane are laterally offset from each other.

Embodiment 180：A kind of surgical staples being used together with the surgical stapling device including anvil block, wherein the anvil block includes Forming pit, the surgical staples include base portion part and the nail leg extended from the base portion part, wherein the nail leg Including nail tip end, and wherein described nail tip end includes being configured to contact the forming pit so that the nail leg deforms Puncture tip and cut out portion, wherein the puncture tip is configured to when being contacted with the forming pit towards institute State cut out portion curling so that non-piercing configuration is presented in the nail tip end.

Embodiment 181：According to the surgical staples described in embodiment 180, wherein the non-piercing configuration includes hook configuration, it is described Hook configuration is configured to that the surgical staples is prevented to be pulled through the tissue.

Embodiment 182：Surgical staples according to embodiment 180 or 181, wherein the cut out portion is configured to The puncture tip is received when the nail tip end deforms.

Embodiment 183：According to the surgical staples described in embodiment 180,181 or 182, wherein the cut out portion is spill 's.

Embodiment 184：According to the surgical staples described in embodiment 180,181,182 or 183, wherein the nail tip end further includes Deformable surface, the deformable surface are configured to the forming pit forming against the anvil block.

Embodiment 185：A kind of surgery nail bin being used together with the surgical stapling device including anvil block, the surgery nail bin packet The nail of warehouse, multiple nail cavities and the multiple flat formings being stored in can removing in the nail cavity is included, wherein each nail packet Base portion part and the nail leg extended from the base segments are included, wherein the nail leg includes having sphering shape and puncture portion The nail tip end divided.

Embodiment 186：According to the surgery nail bin described in embodiment 185, wherein the sphering shape passes through cold machining process It realizes.

Embodiment 187：Surgery nail bin according to embodiment 185 or 186, wherein the nail tip end includes pressing part Point.

Embodiment 188：According to the surgery nail bin described in embodiment 185,186 or 187, wherein further include can at the nail tip end Textured surface, the deformable surface are configured to the forming pit forming against the anvil block.

Embodiment 189：According to the surgery nail bin described in embodiment 185,186,187 or 188, wherein the nail tip end has First hardness, and wherein described nail leg has second hardness different from first hardness.

Embodiment 190：According to the surgery nail bin described in embodiment 189, wherein first hardness is more than described second firmly Degree.

Embodiment 191：A kind of surgery nail bin being used together with surgery suturing appliance, the surgery nail bin include warehouse, Multiple nail cavities and the multiple nails being stored in can removing in the nail cavity, wherein each nail includes nail base and from the nail A pair of of nail leg of base extension, wherein each nail leg includes nail tip end, wherein the nail leg includes the firstth area with the first hardness, And wherein described nail tip end includes the secondth area with the second hardness, and second hardness is different from first hardness.

Embodiment 192：According to the surgery nail bin described in embodiment 191, wherein second hardness is more than described first firmly Degree.

Embodiment 193：According to the surgery nail bin described in embodiment 191, wherein second hardness is less than described first firmly Degree.

Embodiment 194：According to the surgery nail bin described in embodiment 191,192 or 193, wherein the nail base includes having the The third area of three hardness, the third hardness are different from first hardness and second hardness.

Embodiment 195：According to the surgery nail bin described in embodiment 191,192,193 or 194, wherein the nail leg includes quilt It is compressed to the corner part of first hardness.

Embodiment 196：According to the surgery nail bin described in embodiment 195, put down wherein the corner part provides priority bending Face.

Embodiment 197：According to the surgery nail bin described in embodiment 191,192,193,194,195 or 196, wherein described One area has the first ductility, and wherein described secondth area has the second ductility less than first ductility.

Embodiment 198：A kind of surgery nail bin being used together with surgery suturing appliance, the surgery nail bin include warehouse, Multiple nail cavities and

The multiple nails being stored in can removing in the nail cavity, wherein each nail includes following closely base, extend from the nail base A pair of of nail leg, the firstth area with the first hardness and the secondth area with the second hardness, second hardness and described the One hardness is different.

Embodiment 199：According to the surgery nail bin described in embodiment 198, wherein firstth area is hardened using first method, And secondth area is hardened using second method, and the second method is different from the first method.

Embodiment 200：According to the surgery nail bin described in embodiment 198, wherein in firstth area and secondth area Only one is hardened by method for curing.

Embodiment 201：According to the surgery nail bin described in embodiment 198,199 or 200, wherein each nail is further included positioned at institute The bending part of the centre of nail leg and the nail base is stated, and wherein described bending part includes firstth area, and described It follows closely base and includes secondth area.

Embodiment 202：According to the surgery nail bin described in embodiment 198,199,200 or 201, wherein the nail base includes institute The firstth area is stated, and the nail leg includes secondth area.

Embodiment 203：According to the surgery nail bin described in embodiment 198,199,200,201 or 202, wherein the nail leg is not It is hardened and the nail base is hardened so that promote the nail leg presentation shaped configuration and so that the nail base is configured to It can avoid being plastically deformed.

Embodiment 204：According to the surgery nail bin described in embodiment 198,199,200,201,202 or 203, wherein each nail Leg includes the transition portion from the nail base extension and the vertical Leg portion from transition portion extension, and wherein institute It states nail base and includes firstth area, and the vertical Leg portion includes secondth area.

Embodiment 205：It is a kind of be configured to be stored in can removing with non-percussion configuration it is outer in surgery nail bin Section is followed closely, and there is the surgical staples non-homogeneous hardness to be distributed, wherein the nail is including the firstth area with the first hardness and with the Secondth area of two hardness, wherein when the nail is in preloading configuration, firstth area is hardened to first hardness, and And wherein when the nail is in the preloading configuration, secondth area is hardened to second hardness.

Embodiment 206：A kind of surgery nail bin being used together with surgery suturing appliance, the surgery nail bin include warehouse, Multiple nail cavities and the multiple nails being stored in can removing in the nail cavity, wherein each nail includes following closely base, wherein the nail Base limits the firstth area with the first hardness；From multiple bending parts of the nail base extension, wherein the bending part limits The secondth area with the second hardness；And the nail leg extended from the bending part, wherein the restriction of each nail leg is hard with third The third area of degree, the third hardness are different from first hardness.

Embodiment 207：According to the surgery nail bin described in embodiment 206, wherein first hardness is hard more than the third Degree.

Embodiment 208：According to the surgery nail bin described in embodiment 206, wherein first hardness is more than described second firmly Degree and the third hardness.

Embodiment 209：According to the surgery nail bin described in embodiment 206,207 or 208, wherein each nail leg includes nail tip End, the nail tip end limit the 4th area with the 4th hardness, and the 4th hardness is less than the third hardness.

Embodiment 210：A kind of surgery nail bin being used together with surgery suturing appliance, the surgery nail bin include sliding Part, warehouse, multiple nail cavities and be stored in can removing in the nail cavity item nail, wherein the item nail include it is multiple follow closely, Item and multiple connector parts that the nail is connected to the item, wherein the connector part is configured to institute Nail is stated to discharge from the item.

Embodiment 211：According to the surgery nail bin described in embodiment 210, wherein each connector part includes interrupt unit, The interrupt unit is configured to that the nail is promoted to detach with the item.

Embodiment 212：According to the surgery nail bin described in embodiment 210, wherein each connector part includes interrupt unit, The interrupt unit is configured to the nail be promoted to detach with the item when item nail is loaded into the warehouse.

Embodiment 213：Surgery nail bin according to embodiment 210 or 211, wherein the sliding part is configured to Make the multiple nail and the item point by being broken the connector part when the sliding part is translated through the nail bin From.

Embodiment 214：According to the surgery nail bin described in embodiment 210,211,212 or 213, wherein each nail includes a pair The nail leg biased outward, the pair of nail leg biased outward are configured to engage the warehouse and follow closely the item to protect It holds in the surgery nail bin.

Embodiment 215：According to the surgery nail bin described in embodiment 210,211,212,213 or 214, wherein the warehouse packet Bottom is included, and wherein described item nail is configured to be loaded into the bottom of the warehouse.

Embodiment 216：According to the surgery nail bin described in embodiment 210,211,212,213,214 or 215, wherein described more A nail is arranged to first row and second row, and the institute being wherein connected to the item in the first row and the second row State nail.

Embodiment 217：According to the surgery nail bin described in embodiment 210,211,212,213,214,215 or 216, wherein institute It states multiple nails and includes first group of nail with the first configuration and second group of nail with the second configuration, second configuration and institute State the first configuration difference.

Embodiment 218：According to the surgery nail bin described in embodiment 210,211,212,213,214,215,216 or 217, Described in connector part include the part of bead.

Embodiment 219：According to the surgical staples described in embodiment 210,211,212,213,214,215,216,217 or 218 Storehouse, wherein the sliding part includes striking portion, the striking portion is configured to be broken the connector part.

Embodiment 220：It is outer according to embodiment 210,211,212,213,214,215,216,217,218 or 219 Section's nail bin, wherein the nail includes chamfering surface, the chamfering surface is configured to be translated through institute in the sliding part The sliding part is engaged when stating warehouse.

Embodiment 221：According to embodiment 210,211,212,213,214,215,216,217,218,219 or 220 Surgery nail bin, wherein the item includes alignment feature structure, the alignment feature structure is configured to engage the storehouse Alignment feature structure on body.

Embodiment 222：A kind of surgery nail bin being used together with surgery suturing appliance, the surgery nail bin include warehouse, Multiple nail cavities and the item nail being stored in can removing in the warehouse, the item nail include multiple nails, item and by described in Nail is connected to multiple connector parts of the item, wherein the connector part be it is pieceable with by the nail from the item Release, and wherein described nail, the item and the connector part are metals.

Embodiment 223：According to the surgery nail bin described in embodiment 222, wherein the multiple nail includes having the first bizet More than the first of width nail and more than second nails with the second bizet width, the second bizet width and the described first hat Portion is of different size.

Embodiment 224：Surgery nail bin according to embodiment 222 or 223 limits wherein the multiple nail includes having First group of nail of the nail leg of the first height and second group of nail with the nail leg for limiting the second height, second height and institute It is different to state the first height.

Embodiment 225：According to the surgery nail bin described in embodiment 222, wherein item nail includes uniform composition.

Embodiment 226：According to the surgery nail bin described in embodiment 222,223,224 or 225, wherein the item includes alignment Feature structure, the alignment feature structure are configured to engage the alignment feature structure on the warehouse.

Embodiment 227：Surgery nail bin described in embodiment 222,223,224,225 or 226 further includes Article 2 nail, institute It states Article 2 nail and includes multiple second nails, Article 2 and multiple second connections that the described second nail is connected to the Article 2 Device part, wherein the multiple nail is arranged to the multiple rows for limiting first row spacing, wherein the multiple second nail is arranged Into the multiple second rows for limiting second row spacing, and wherein described first row spacing and the second row spacing are different.

Embodiment 228：A kind of metal strip surgical staples for being configured to be used together with surgery nail bin, the metal strip Surgical staples include multiple nails, band and multiple connector parts that the nail is connected to the band.

Embodiment 229：Metal strip surgical staples according to embodiment 228, wherein the connector part includes interrupting Recess.

Embodiment 230：A kind of surgery nail bin being used together with circular stapler, the surgery nail bin include warehouse, limit The multiple nails due to multiple nail cavities in the warehouse and with can removing being stored in the nail cavity, the multiple nail include Interior nail with a certain number of first nails, wherein each first nail includes limiting the first crown of the first crown width；Phase For the intermediate nail that the interior nail is located radially outward, wherein intermediate row nail includes a certain number of second nails, and And wherein each second nail includes limiting the second crown of the second crown width；And relative to the intermediate nail radially outward The outer nail of positioning, wherein the outer nail is followed closely including a certain number of thirds, wherein each third nail includes limiting third nail It is preced with the third crown of width, and wherein described first crown width, the second crown width and the third crown width In one be different from the first crown width, the second crown width and the third crown width in another.

Embodiment 231：According to the surgery nail bin described in embodiment 230, wherein the interior nail limits first nail Between multiple first gaps, and second nail of wherein intermediate row nail is Chong Die with first gap.

Embodiment 232：According to the surgery nail bin described in embodiment 231, wherein intermediate row nail limits second nail Between multiple second gaps, wherein second gap is more than first gap, and wherein described outer nail is described Third nail is Chong Die with second gap.

Embodiment 233：Surgery nail bin according to embodiment 231 or 232, wherein the third nail of the outer nail Also it is Chong Die with first gap.

Embodiment 234：According to the surgery nail bin described in embodiment 230, wherein the interior nail limits first nail Between multiple first gaps, wherein intermediate row nail limits multiple second gaps between second nail, wherein described the Two nails are Chong Die with first gap, and wherein described first gap and second gap are at least substantially equal.

Embodiment 235：According to the surgery nail bin described in embodiment 230, wherein the interior nail limits first nail Between multiple first gaps, wherein intermediate row nail limits multiple second gaps between second nail, wherein each the One gap limits the first distance, and wherein each second gap limits the second distance less than first distance.

Embodiment 236：According to the surgery nail bin described in embodiment 230,231,232,233,234 or 235, wherein described One crown width is less than the second crown width.

Embodiment 237：According to the surgery nail bin described in embodiment 230,231,232,233,234 or 235, wherein described One crown width is substantially equal at least the second crown width.

Embodiment 238：According to the surgery nail bin described in embodiment 230,231,232,233,234,235,236 or 237, Described in third crown width be more than the first crown width and the second crown width.

Embodiment 239：A kind of surgery nail bin being used together with circular stapler, the surgery nail bin include warehouse, limit The multiple nails due to multiple nail cavities in the warehouse and with can removing being stored in the nail cavity, the multiple nail include The interior nail of the first nail with the first quantity, wherein each first nail includes limiting the first crown of the first crown width；Phase For the intermediate nail that the interior nail is located radially outward, wherein intermediate row nail includes the second nail of the second quantity, and And wherein each second nail includes limiting the second crown of the second crown width；And relative to the intermediate nail radially outward The outer nail of positioning, wherein the third that the outer nail includes third quantity is followed closely, wherein each third nail includes limiting third nail The third crown of width is preced with, wherein in the first crown width, the second crown width and the third crown width One be different from the first crown width, the second crown width and the third crown width in another, and One in wherein described first quantity, second quantity and the third quantity is different from first quantity, described the Another in two quantity and the third quantity.

Embodiment 240：According to the surgery nail bin described in embodiment 239, wherein second quantity is less than the described first number Amount.

Embodiment 241：Surgery nail bin according to embodiment 239 or 240, wherein second quantity is less than described the Three quantity.

Embodiment 242：According to the surgery nail bin described in embodiment 239,240 or 241, wherein the multiple nail cavity is including more A non-homogeneous cavity extension.

Embodiment 243：According to the surgery nail bin described in embodiment 239,240,241 or 242, wherein the interior nail is every A first nail includes a pair of of the nail leg to extend radially outwardly from each first crown.

Embodiment 244：According to the surgery nail bin described in embodiment 239,240,241,242 or 243, wherein the intermediate row Each second nail of nail includes a pair of of the nail leg extended radially inwardly from each second crown.

Embodiment 245：According to the surgery nail bin described in embodiment 239,240,241,242,243 or 244, wherein described outer Each third nail of nail includes a pair of of the nail leg extended radially inwardly from each third crown.

Embodiment 246：A kind of surgery nail bin being used together with surgical stapling device, the surgery nail bin include warehouse, limit The multiple nails due to multiple nail cavities in the warehouse and with can removing being stored in the nail cavity, the multiple nail include The interior nail of the first nail with the first quantity, wherein each first nail includes limiting the first crown of the first crown width；Phase For the intermediate nail that the interior nail positions outward, wherein intermediate row nail includes the second nail of the second quantity, and its In it is each second nail include restriction the second crown width the second crown；And it is positioned outward relative to the intermediate nail outer Nail, wherein the third that the outer nail includes third quantity is followed closely, wherein each third nail includes limiting third crown width Third crown, and one in wherein described first crown width, the second crown width and the third crown width Different from another in the first crown width, the second crown width and the third crown width.

Embodiment 247：According to the surgery nail bin described in embodiment 246, wherein first quantity, second quantity and One in the third quantity be different from first quantity, second quantity and the third quantity another.

Embodiment 248：According to the surgery nail bin described in embodiment 246, wherein first quantity and second quantity It is equal.

Embodiment 249：According to the surgery nail bin described in embodiment 246,247 or 248, wherein described in interior nail restriction Multiple first gaps between first nail, wherein intermediate row nail limits multiple second gaps between second nail, In each first gap limit the first distance, and wherein each second gap limit less than first distance second away from From.

The complete disclosure of following patent is hereby incorporated by reference：

The U.S. for being published in entitled " the ELECTROSURGICAL HEMOSTATIC DEVICE " on April nineteen ninety-five 4 is special Profit 5,403,312；

It is published in entitled " the SURGICAL STAPLING INSTRUMENT HAVING of on 2 21st, 2006 The United States Patent (USP) 7,000,818 of SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS "；

It is published in September, 2008 entitled " the MOTOR-DRIVEN SURGICAL CUTTING AND of 9 days The United States Patent (USP) 7,422,139 of FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK "；

It is published in entitled " the ELECTRO-MECHANICAL SURGICAL INSTRUMENT on December 16th, 2008 The United States Patent (USP) 7,464,849 of WITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS "；

It is published in entitled " the SURGICAL INSTRUMENT HAVING AN ARTICULATING on March 2nd, 2010 The United States Patent (USP) 7,670,334 of END EFFECTOR "；

It is published in the United States Patent (USP) of entitled " the SURGICAL STAPLING INSTRUMENTS " on July 13rd, 2010 7,753,245；

It is published in entitled " the SELECTIVELY ORIENTABLE IMPLANTABLE on March 12nd, 2013 The United States Patent (USP) 8,393,514 of FASTENER CARTRIDGE "；

The United States Patent (USP) Shen of entitled " SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES " It please sequence number 11/343,803；It is now United States Patent (USP) 7,845,537；

It is filed in entitled " the SURGICAL CUTTING AND FASTENING INSTRUMENT of on 2 14th, 2008 The U.S. Patent Application Serial Number 12/031,573 of HAVING RF ELECTRODES "；

It is filed in entitled " the END EFFECTORS FOR A SURGICAL CUTTING AND of on 2 15th, 2008 The U.S. Patent Application Serial Number 12/031,873 of STAPLING INSTRUMENT " is now United States Patent (USP) 7,980,443；

The U.S. Patent Application Serial Number of entitled " MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT " 12/235,782, it is now United States Patent (USP) 8,210,411；

Entitled " POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY The U.S. Patent Application Serial Number 12/249,117 of RETRACTABLE FIRING SYSTEM " is now United States Patent (USP) 8,608, 045；

It is filed in entitled " the MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT on December 24th, 2009 The U.S. Patent Application Serial Number 12/ of WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY " 647,100；It is now United States Patent (USP) 8,220,688；

It is filed in the U.S. Patent Application Serial Number 12/ of in September, 2012 entitled " the STAPLE CARTRIDGE " of 29 days 893,461, it is now United States Patent (USP) 8,733,613；

It is filed in the United States Patent (USP) Shen of entitled " the SURGICAL STAPLING INSTRUMENT " of on 2 28th, 2011 Please sequence number 13/036,647, be now United States Patent (USP) 8,561,870；

Entitled " SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT The U.S. Patent Application Serial Number 13/118,241 of ARRANGEMENTS " is now United States Patent (USP) 9,072,535；

It is filed in entitled " the ARTICULATABLE SURGICAL INSTRUMENT on June 15th, 2012 The U.S. Patent Application Serial Number 13/524,049 of COMPRISING A FIRING DRIVE "；It is now United States Patent (USP) 9,101, 358；

It is filed in entitled " the STAPLE CARTRIDGE TISSUE THICKNESS SENSOR on March 13rd, 2013 The U.S. Patent Application Serial Number 13/800,025 of SYSTEM " is now U.S. Patent Application Publication 2014/0263551；

It is filed in entitled " the STAPLE CARTRIDGE TISSUE THICKNESS SENSOR on March 13rd, 2013 The U.S. Patent Application Serial Number 13/800,067 of SYSTEM " is now U.S. Patent Application Publication 2014/0263552；

It is filed in entitled " the SURGICAL CUTTING AND FASTENING INSTRUMENT on January 31st, 2006 The U.S. Patent Application Publication 2007/0175955 of WITH CLOSURE TRIGGER LOCKING MECHANISM "；And

It is filed in entitled " the SURGICAL STAPLING INSTRUMENT WITH AN on April 22nd, 2010 The U.S. Patent Application Publication 2010/0264194 of ARTICULATABLE END EFFECTOR " is now United States Patent (USP) 8,308, 040。

Although having combined the various embodiments that certain disclosed embodiments describe device herein, can also implement pair Many modifications and variations of these embodiments.In addition, when materials for certain parts are disclosed, it is possible to use Other materials.In addition, according to various embodiments, single component can be replaced by multiple components, and multiple components also can quilt Single component is replaced with, to perform given one or more functions.Above description and following claims are intended to cover institute There are such modifications and variations.

Apparatus as disclosed herein be designed to discard after a single use or its be designed to use it is more It is secondary.However no matter what kind of situation it is, which all can exercise use again after use at least once by finishing.Finishing may include tearing open Handler cleans or replaces specific component and subsequently re-assembly the arbitrary combination of step later.Specifically, described device can Dismounting, and selectively can replace or remove in any combination any number of specific component or component of described device. Cleaning and/or replace particular elements after, described device can be re-assemblied, so as to then finishing facility at use or It is used before surgical operation by operating team.It will be appreciated by those skilled in the art that trimming device can utilize various technologies To be dismantled, clean/replace and re-assembly.The use of such technology and the trimming device of gained are in the model of the application In enclosing.

Only by way of example, herein described aspects can be handled before surgical operation.It is possible, firstly, to it obtains New or used instrument, and cleaned as needed.Then, it can sterilize to instrument.In a kind of sterilization technology In, which is placed in the container (such as, plastics or TYVEK bag) of closure and sealing.Then container and instrument can be placed in The radiation field of the container, such as γ radiation, X ray or high energy electron can be penetrated.Radiation can be killed on instrument and in container Bacterium.Instrument after sterilizing can be then stored in sterile chamber.Sealing container can keep instrument sterile, until being set in medical treatment Apply middle opening container.Any other technology known in the art also can be used to sterilize device, including but not limited to β or γ radiation, ethylene oxide, plasma peroxide or steam.

Although the present invention has been described as having exemplary design, but it is further repaiied in the spirit and scope of the disclosure Change the present invention.Therefore, this application is intended to cover any modification, purposes or the remodeling of the present invention for using general principles.

Any patent incorporated herein by reference in its entirety or in part, announcement or other public materials only simultaneously It is incorporated herein under the conflicting degree of existing definitions, statements, or other disclosure materials that the material entered is not listed with the disclosure.Cause This, and at the necessary level, disclosure specifically listed herein replaces any conflict being herein incorporated by reference Material.It is said that being herein incorporated by reference but the existing definitions, statements, or other disclosure materials with listing herein are conflicting Any material or part thereof will not generated only under the degree that conflicts simultaneously between incorporated material and existing public material Enter.

Claims (18)

1. a kind of surgery nail bin being used together with the surgical stapling device including anvil block to suture tissue, wherein the anvil block includes Multiple forming pits, the surgery nail bin include：

Warehouse；

Multiple nail cavities；And

Multiple nails, the multiple nail are stored in the nail cavity in which can remove, wherein each nail includes：

Base portion；And

Nail leg, the nail leg extend from the base portion, wherein the nail leg includes the nail tip end with piercing portions, wherein described Piercing portions are configured to puncturing tissue and the forming pit against the anvil block deforms, and wherein described wear Thorn part is configured to be deformed into nested configuration so that the puncture tip is isolated with the tissue.

2. surgery nail bin according to claim 1, wherein the nested configuration includes hook configuration, the hook configuration is constructed The tissue is pulled through into the surgical staples can be prevented.

3. surgery nail bin according to claim 1, wherein the nail tip end further includes cut out portion, the cut out portion quilt It is constructed to be permeable to receive the piercing portions when the piercing portions deform.

4. surgery nail bin according to claim 3, wherein the cut out portion is spill.

5. surgery nail bin according to claim 3, wherein each nail includes another nail extended from the base portion Leg, wherein another described nail leg includes another nail tip end with another cut out portion, and wherein described notch Divide and another described cut out portion is facing with each other.

6. surgery nail bin according to claim 1, wherein the nail tip end further includes roll surface, the roll surface quilt It is constructed to be permeable to the correspondence forming pit placement against the anvil block.

7. surgery nail bin according to claim 1, wherein each nail includes another nail leg, wherein the nail leg with Another described nail leg limits the first plane, wherein the nail base limits the second plane, and wherein described first plane and institute The second plane is stated to be laterally offset from each other.

8. a kind of surgical staples being used together with the surgical stapling device including anvil block, wherein the anvil block includes forming pit, institute Surgical staples are stated to include：

Base portion part；And

Nail leg, the nail leg extend from the base portion part, wherein the nail leg includes nail tip end, and wherein described nail tip End includes：

Puncture tip, the puncture tip is configured to contact the forming pit so that the nail leg deforms；And

Cut out portion, wherein the puncture tip is configured to when being contacted with the forming pit towards the cut out portion Curling so that non-piercing configuration is presented in the nail tip end.

9. surgical staples according to claim 8, wherein the non-piercing configuration includes hook configuration, the hook configuration is constructed The tissue is pulled through into the surgical staples can be prevented.

10. surgical staples according to claim 8, wherein the cut out portion is configured to deform at the nail tip end When receive the puncture tip.

11. surgical staples according to claim 10, wherein the cut out portion is spill.

12. surgical staples according to claim 8, wherein the nail tip end further includes deformable surface, the deformable table Face is configured to the forming pit forming against the anvil block.

13. a kind of surgery nail bin being used together with the surgical stapling device including anvil block, the surgery nail bin include：

Warehouse；

Multiple nail cavities；And

The nail of multiple flat formings, the nail are stored in the nail cavity in which can remove, wherein each nail includes：

Base portion part；And

Nail leg, the nail leg extend from the base segments, wherein the nail leg is included with sphering shape and piercing portions Nail tip end.

14. surgery nail bin according to claim 13, wherein the sphering shape is realized by cold machining process.

15. surgery nail bin according to claim 13, wherein the nail tip end includes press portion.

16. surgery nail bin according to claim 13, wherein the nail tip end further includes deformable surface, it is described deformable Surface is configured to the forming pit forming against the anvil block.

17. surgery nail bin according to claim 13, wherein the nail tip end has the first hardness, and wherein described nail Leg has second hardness different from first hardness.

18. surgery nail bin according to claim 17, wherein first hardness is more than second hardness.