CN106456160B - Surgical end-effector with percussion element monitoring arragement construction - Google Patents

Surgical end-effector with percussion element monitoring arragement construction Download PDF

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Publication number
CN106456160B
CN106456160B CN201580032323.1A CN201580032323A CN106456160B CN 106456160 B CN106456160 B CN 106456160B CN 201580032323 A CN201580032323 A CN 201580032323A CN 106456160 B CN106456160 B CN 106456160B
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China
Prior art keywords
nail
end
include
protruding portion
position
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CN201580032323.1A
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Chinese (zh)
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CN106456160A (en
Inventor
T·W·休伊坦马
C·J·沙伊布
C·E·亨德森
F·E·谢尔顿四世
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伊西康内外科有限责任公司
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Priority to US201461980293P priority Critical
Priority to US61/980,293 priority
Priority to US14/319,004 priority
Priority to US14/319,004 priority patent/US9844369B2/en
Application filed by 伊西康内外科有限责任公司 filed Critical 伊西康内外科有限责任公司
Priority to PCT/US2015/025646 priority patent/WO2015160733A1/en
Publication of CN106456160A publication Critical patent/CN106456160A/en
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Publication of CN106456160B publication Critical patent/CN106456160B/en

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Abstract

The invention discloses a kind of surgical end-effectors, the surgical end-effector includes elongated passageway and percussion element, the elongated passageway is configured to be operably supported nail bin wherein, and the percussion element is configured to move between the start position and the end position in the elongated passageway.Various arragement constructions include opening, and the opening allows to observe the percussion element when firing element and moving between the start position and the end position across the bottom of the elongated passageway.Anvil block can be supported for movably advancing relative to the elongated passageway, and including passing through its multiple openings to allow to observe the cutting element when cutting element moves between the start position and the end position.Various arragement constructions include the trigger shaft for being attached to percussion element, and the trigger shaft is for moving the percussion element between the start position and the end position.The trigger shaft can movably be supported by hollow shaft, and the hollow shaft has multiple openings across it for monitoring the position of trigger shaft.

Description

Surgical end-effector with percussion element monitoring arragement construction

Cross reference to related applications

This non-provisional requires the equity of following patent application according to 35U.S.C. § 119 (e): being filed in 2014 Entitled " fastening instrument and fastening storehouse (the FASTENING INSTRUMENTS AND using it on April 16, in FASTENING CARTRIDGES FOR USE THEREWITH) " U.S. Provisional Patent Application Serial No. 61/980,293, institute It states patent application and is incorporated by reference and be incorporated herein.

Background technique

The present invention relates to suture instruments, and in various embodiments, are related to one kind and are used to prepare one or more nails The surgery suturing appliance of row.

Suture instruments may include the elongated nip component that a pair of matched is closed, wherein each jaw member is inserted into patient's body It is interior and relative to it is to be stapled and/or cutting tissue positioning.In various embodiments, one in jaw member is sustainable Wherein accommodate the nail bin for the staple that at least two are laterally spaced apart, and another jaw member it is sustainable have in nail bin Staple alignment nail shapes pit anvil block.In general, suture instruments may also include push rod and blade, the push rod and knife Piece can be slided relative to jaw member by the cam face on push rod and/or by convex in the wedge-shaped slides of push rod pushing Wheel surface will be followed closely and successively be ejected from nail bin.In at least one embodiment, cam face be configured to starting by Storehouse carrying and multiple staple drivers associated with nail, so as to push nail be resisted against on anvil block and be held on jaw member it Between tissue in form the deformation staple being laterally spaced apart.In at least one embodiment, blade can follow cam face simultaneously And tissue is cut along the route between staple.The example of this suture instruments " has for that will organize to be fixed on entitled The surgical staples of therein compressible or extrudable component and suture instruments (SURGICAL STAPLES for disposing it HAVING COMPRESSIBLE OR CRUSHABLE MEMBERS FOR SECURING TISSUE THEREIN AND STAPLING INSTRUMENTS FOR DEPLOYING THE SAME) " United States Patent (USP) 7,794,475 in have disclosed, institute The complete disclosure for stating patent is herein incorporated by reference.

The current each aspect 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 scope of the claims.

Detailed description of the invention

The various features of the embodiment described herein are elaborated in the dependent claims.However, closing In the various embodiments of the tissue of operation and the various embodiments of method and its advantage in combination with following attached drawing according to following Illustrate to understand:

Fig. 1 is the front view of surgery suturing appliance;

Fig. 2 is the sectional view along the end effector of the surgery suturing appliance of the line 2-2 of Fig. 1 Fig. 1 intercepted;

Fig. 3 is the sectional perspective view of the end effector of Fig. 1;

Fig. 4 is the sectional view of the end effector of Fig. 1, and it illustrates be contained in the nail therein in non-percussion configuration;

Fig. 5 is to show the figure of the nail of Fig. 4 in percussion configuration;

Fig. 6 is to show to be used to suture the figure with the end effector of Fig. 1 of transecting patient tissue;

The perspective view of the nail bin of at least one embodiment according to Fig. 7, the nail bin include from the multiple of warehouse extension Spine;

Fig. 8 is the detail drawing of the nail bin of Fig. 7;

Fig. 8 A is the sectional view of the nail bin of Fig. 7;

Fig. 9 is the detail drawing of the nail in the nail cavity shown in the nail bin for being located in and being defined in Fig. 7;

The local perspective view of the nail bin of at least one alternative embodiment according to Figure 10, the nail bin includes prolonging from warehouse The multiple Lateral ridges stretched;

The local perspective view of the nail bin of at least one alternative embodiment according to Figure 11, the nail bin includes prolonging from warehouse The multiple Lateral ridges stretched;

The local perspective view of the nail bin of at least one alternative embodiment according to Figure 12, the nail bin include around restriction The proximal end of nail cavity opening in warehouse and multiple spines of distal end;

The local perspective view of the nail bin of at least one alternative embodiment according to Figure 13, the nail bin include around restriction The proximal end of nail cavity opening in warehouse and multiple spines of distal end;

The local perspective view of the nail bin of at least one alternative embodiment according to Figure 14, the nail bin includes prolonging from warehouse The multiple annular knurl spines stretched;

The local perspective view of the nail bin of at least one alternative embodiment according to Figure 15, the nail bin includes prolonging from warehouse The multiple annular knurl spines stretched;

The perspective view of the taper annular knurl of at least one embodiment according to Figure 15 A;

The perspective view of the conical butt annular knurl of at least one embodiment according to Figure 15 B;

The perspective view of the triangle annular knurl of at least one embodiment according to Figure 15 C;

The local perspective view of the nail bin of at least one alternative embodiment according to Figure 16, the nail bin include entirely around It is defined in multiple spines of the nail cavity opening in warehouse;

The local perspective view of the nail bin of at least one alternative embodiment according to Figure 16 A, the nail bin includes complete ring Around the multiple spines for the nail cavity opening being defined in warehouse;

The perspective view of the nail bin of at least one alternative embodiment according to Figure 17, the nail bin includes extending from warehouse Multiple longitudinal ridges;

Figure 18 is the detail drawing of the nail bin of Figure 17;

Figure 19 is the perspective view of the surgical instruments with the interchangeable shaft assembly for being operably linked to it;

Figure 20 is the interchangeable shaft assembly of Figure 19 and the decomposing assembly figure of surgical instruments;

Figure 21 is the decomposing assembly figure of a part of the surgical instruments of Figure 19 and Figure 20;

Figure 22 is another decomposing assembly figure for showing the part of interchangeable shaft assembly and surgical instruments of Figure 19 to Figure 21;

The perspective for the nail bin of at least one embodiment being located in the end effector of surgical instruments according to Figure 23 Figure, wherein nail bin includes the multiple spines extended from the warehouse of nail bin;

The front view of the nail of at least one embodiment according to Figure 24;

Figure 25 is the front view of the nail of Figure 24 in the nail cavity being located in nail bin;

The front view of the nail of at least one embodiment according to Figure 26;

The front view of the asymmetric nail of at least one embodiment according to Figure 27;

The front view of another asymmetric nail of at least one embodiment according to Figure 28;

The front view of another asymmetric nail of at least one embodiment according to Figure 29;

Figure 30 is the front view for being shown at the nail of part deformation condition;

Figure 31 is the front view of the nail of Figure 30 in the situation of being badly deformed;

Figure 32 is the bottom perspective view of elongated passageway;

Figure 33 is the sectional perspective view of another elongated passageway;

Figure 34 is another sectional view of the elongated passageway of Figure 33, wherein schematically showing in the elongated passageway Cutting head;

Figure 35 is the bottom view of the elongated passageway of Figure 33 and Figure 34;

Figure 36 is the bottom view of another elongated passageway;

Figure 37 is the bottom view of another elongated passageway;

Figure 38 is the bottom view of another elongated passageway;

Figure 39 is the bottom view of another elongated passageway;

Figure 40 is the partial side view of elongated passageway and cutting head, and wherein elongated passageway is shown in section and surgical staples The part in storehouse is omitted for clarity and wherein cutting head is in the unlocked position and is ready to fire;

Figure 41 is the elongated passageway of Figure 40 and another partial side view of cutting head, and wherein cutting head is biased at locking Position;

Figure 42 is the perspective view of cutting head and trigger shaft embodiment;

Figure 43 is the perspective view of the other end actuator and axis arragement construction;

Figure 44 is the end effector of Figure 43 and another perspective view of axis arragement construction, and wherein a part of outer shaft is clear For the sake of and be omitted;

Figure 45 is the partial side view of the other end actuator and axis arragement construction;

Figure 46 is the partial side elevational view of end effector arragement construction, and wherein elongated passageway is saved for clarity Slightly;

Figure 47 is the top view of anvil block embodiment;

Figure 48 is the top view of another anvil block embodiment;

The sectional view of the end effector of the surgical instruments of at least one embodiment according to Figure 49, the end execute Device includes nail bin, and the nail bin includes staged storehouse platform;

Figure 49 A is same profile figure shown in Figure 49, it illustrates staged storehouse platform and is located in staged platform phase Various clearance heights between the anvil block of opposite side;

The front view of the asymmetric nail of at least one embodiment according to Figure 50;

The front view of another asymmetric nail of at least one embodiment according to Figure 51;

The front view of another asymmetric nail of at least one embodiment according to Figure 52;

The perspective view of the nail sliding part of at least one embodiment according to Figure 53;

The top view for the nail sliding part that Figure 54 is Figure 53;

Figure 54 A is the partial top view of the nail bin of Figure 23, and it illustrates the nail in the non-firing position of nearside of Figure 53 is sliding Moving part;

Figure 54 B is the partial perspective cutaway view of the nail bin of Figure 23;

Figure 54 C is the schematic partial front perspective view of the nail bin of Figure 23;

The perspective view for the nail sliding part that Figure 54 D is Figure 53;

Figure 55 is the perspective view of the distal end of the nail bin of Figure 23;

Figure 55 A is the perspective view of the protruding portion extended from the nail bin of Figure 23;

The perspective view of the nail bin of at least one embodiment according to Figure 56, the nail bin include extending from nail bin platform Spine's pattern;

Figure 57 is spine's pattern of Figure 56 and the detail drawing of nail bin platform;

The local perspective view of the nail bin of at least one embodiment according to Figure 58, the nail bin include prolonging from nail bin platform The spine's pattern stretched;

The local perspective view of the nail bin of at least one embodiment according to Figure 59, the nail bin include being defined in nail bin to put down Protruding portion pattern in platform;

Figure 60 is the detail drawing of protruding portion shown in Figure 59;

The local perspective view of the nail bin of at least one embodiment according to Figure 61, the nail bin include prolonging from nail bin platform The dome pattern stretched;

Figure 62 is the detail drawing of dome shown in Figure 61;

The local perspective view for the protruding portion that the slave nail bin platform of at least one embodiment extends according to Figure 63;

Figure 64 is the decomposition perspective view of surgery nail bin and warehouse lid;

Figure 65 is the nail bin of Figure 64 and the sectional view of warehouse lid, and wherein warehouse lid is mounted on nail bin;

The perspective view of the anvil block of the surgery suturing appliance of at least one embodiment according to Figure 66, the anvil block include from Its protruding portion extended;

Figure 67 is the detail drawing of protruding portion shown in Figure 66;

The local perspective view of the anvil block of the surgery suturing appliance of at least one embodiment according to Figure 68, the anvil block packet Include protruding portion extending therefrom;

The sectional view of the anvil block of the surgery suturing appliance of at least one embodiment according to Figure 69, the anvil block include with Adjacent the first protruding portion array with the first height of first nail pit, it is adjacent with the second nail pit have it is second high The the second protruding portion array and the third protruding portion array with third height adjacent with third nail pit of degree;

The perspective view of the nail bin of at least one embodiment according to Figure 70, the nail bin include flat from the staged of nail bin The protruding portion that platform surface extends;

Figure 71 is the detail drawing of the distal end of staged platform surface and the protruding portion of Figure 70;

Figure 72 is the detail drawing of the proximal end of staged platform surface and the protruding portion of Figure 70;

The perspective view of the nail bin of at least one embodiment according to Figure 73, the nail bin include flat from the staged of nail bin The protruding portion that platform surface extends;

The local perspective view of the nail bin of at least one embodiment according to Figure 74;

The sectional view of the end effector of the surgery suturing appliance of at least one embodiment according to Figure 75, the end Actuator includes multiple tissue engaging members disposed;

The sectional view of the end effector of the surgery suturing appliance of at least one embodiment according to Figure 76, the end Actuator includes the multiple protruding portion extended from staged storehouse platform surface;

It the storehouse platform of the nail bin of at least one embodiment and is cutd open from the protruding portion that the platform extends according to Figure 77 Face figure, the protruding portion are configured to the support nail when disposing nail from nail cavity;

Another storehouse platform of the nail bin of at least one embodiment and the protruding portion extended from the platform according to Figure 78 Sectional view, the protruding portion be configured to from nail cavity dispose follow closely when support nail;

The partial plan layout of the platform of the nail bin of at least one embodiment according to Figure 79, the nail bin include from described The protruding portion that platform extends, the platform are configured to support and are removedly stored in the nail cavity being defined in nail bin Nail;

The partial cutaway view of the nail bin of at least one embodiment according to Figure 80, the nail bin include the first protruding portion and Second protruding portion, first protruding portion are configured to the first leg of the nail that support is removably positioned in nail cavity, Second protruding portion is configured to support the second leg of the nail;

The perspective view of the distal end of the nail bin of at least one embodiment according to Figure 81, the nail bin include platform, The multiple nail cavities being defined in the platform and the various protruding portions extended from the platform;

The local perspective view of the nail bin of at least one embodiment according to Figure 82, the nail bin include platform, are defined in Multiple nail cavities in the platform and the multiple protruding portion from platform extension, the protruding portion surround one in the nail cavity End of a little ends without surrounding other nail cavities;

The local perspective view of the nail bin of at least one embodiment according to Figure 83, the nail bin include platform, are defined in Multiple nail cavities in the platform and the multiple protruding portion from platform extension, the protruding portion are certain around the nail cavity End, without surrounding other ends;

The partial cutaway view of the nail bin of at least one embodiment according to Figure 84, the nail bin include: platform and restriction Multiple nail cavities in the platform;The nail array being located in the nail cavity, it is described nail array nail bin proximal end and Extend between distal end, wherein the nail array includes various nails;With the protruding portion array extended from the platform, The protruding portion array extends between the proximal end and the distal end of the nail bin, wherein the protruding portion battle array Column include various height;

The partial cutaway of the nail bin platform of at least one embodiment and the protruding portion extended from the platform according to Figure 85 A Face figure, wherein the protruding portion is made of conformable material and is shown at uncompressed state;

Figure 85 B is the nail bin platform of Figure 85 A and the partial cutaway view of protruding portion, and it illustrates be in some compression Protruding portion;

Figure 85 C is the nail bin platform of Figure 85 A and the partial cutaway view of protruding portion, and it illustrates the protrusions for being in compressive state Portion;

According to Figure 86 A at least one embodiment include the warehouse being made of flexible material nail bin part section Figure, the nail bin are shown at unbent condition;

Figure 86 B is the partial cutaway view for being shown at the nail bin of Figure 86 A of bending state;

The perspective view of the anvil block of at least one embodiment according to Figure 87, the anvil block include extending from the anvil block Multiple protruding portion;

Figure 88 is the detail drawing of a part of the anvil block of Figure 87;

The local perspective view of the anvil block of at least one embodiment according to Figure 89, the anvil block include prolonging from the anvil block The multiple protruding portion stretched;

The perspective view of the component of at least one embodiment according to Figure 90, the component include staple drivers and can transport Dynamic pit extension;

Figure 91 is the exploded view of the component of Figure 90;

Figure 92 is using the sectional perspective view of the nail bin of the component of Figure 90, and the component is shown at non-deployable state;

Figure 93 is the cross-section front view of the nail bin of Figure 92, it illustrates the component of Figure 90 in deployable state and in not The component of Figure 90 of deployable state;

Figure 94 is the top view of surgery staple drivers;

Figure 95 is the perspective view of the surgery staple drivers of Figure 94;

Figure 96 is the perspective view of another surgery staple drivers;

Figure 97 is the top view of the staple drivers pit in a part of surgery nail bin;

The front view of the anvil block of at least one embodiment according to Figure 98, the anvil block include extending therefrom with not Level protruding portion;

The perspective view of the fastener cartridge of at least one embodiment according to Figure 99;

Figure 100 is the plan view of the fastener cartridge of Figure 99;

Figure 101 is the local perspective view of the proximal end of the fastener cartridge of Figure 99;And

Figure 102 is the partial plan layout of the proximal end of the fastener cartridge of Figure 99.

In all several views, corresponding reference symbol 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 possesses following patent application, the patent application and the application and submits in same date and each It is incorporated herein from being incorporated by reference:

Entitled " fastener cartridge (the FASTENER CARTRIDGES including the extension with various configuration INCLUDING EXTENSIONS HAVING DIFFERENT CONFIGURATIONS) " U.S. Patent Application Serial Number _ _ _ _ _ _ _ _ _ _ (attorney number END7460USNP/140136);

Entitled " fastener cartridge (the FASTENER including the securing member chamber with fastener controlling feature structure CARTRIDGE COMPRISING FASTENER CAVITIES INCLUDING FASTENER CONTROL FEATURES)” U.S. Patent Application Serial Number _ _ _ _ _ _ _ _ _ _ (attorney number END7461USNP/140137);

Entitled " end effector (the END EFFECTOR including the anvil block with protruding portion extending therefrom COMPRISING AN ANVIL INCLUDING PROJECTIONS EXTENDING THEREFROM) " U.S. Patent application Sequence number _ _ _ _ _ _ _ _ _ _ (attorney number END7462USNP/140138);

It is entitled " to stablize surgical fastener storehouse (the SURGICAL FASTENER of arragement construction with driver CARTRIDGES WITH DRIVER STABILIZING ARRANGEMENTS) " U.S. Patent Application Serial Number _ _ _ _ _ _ _ _ _ _ (attorney number END7463USNP/140139);

Entitled " fastener cartridge (the FASTENER CARTRIDGE COMPRISING NON- including non-uniform fastener UNIFORM FASTENERS) " U.S. Patent Application Serial Number _ _ _ _ _ _ _ _ _ _ (attorney number END7465USNP/ 140141);

Entitled " fastener cartridge (the FASTENER CARTRIDGE COMPRISING including tissue engaging member can be disposed DEPLOYABLE TISSUE ENGAGING MEMBERS) " U.S. Patent Application Serial Number _ _ _ _ _ _ _ _ _ _ (attorney docket Number END7466USNP/140142);

Entitled " fastener cartridge (the FASTENER CARTRIDGE COMPRISING including organizational controls feature structure TISSUE CONTROL FEATURES) " U.S. Patent Application Serial Number _ _ _ _ _ _ _ _ _ _ (attorney number END7467USNP/140143);

It is entitled that " fastener cartridge assembly and nail retainer cover arragement construction (FASTENER CARTRIDGE ASSEMBLIES AND STAPLE RETAINER COVER ARRANGEMENTS) " U.S. Patent Application Serial Number _ _ _ _ _ _ _ _ _ _ (attorney number END7468USNP/140144);And

Entitled " fastener cartridge (the FASTENER CARTRIDGE INCLUDING A including being attached to its layer LAYER ATTACHED THERETO) " U.S. Patent Application Serial Number _ _ _ _ _ _ _ _ _ _ (attorney number END7469USNP/140145)。

Present applicant, which also possesses, to be filed on March 1st, 2013 and is respectively herein incorporated by reference this in full The following patent application of text:

Entitled " the surgical instruments for capableing of joint motions with the conductive path group for signal communication (Articulatable Surgical Instruments With Conductive Pathways For Signal Communication U.S. Patent Application Serial Number 13/782,295) ";

Entitled " rotary electrification actuated articulation joints (the Rotary Powered for surgical instruments Articulation Joints For Surgical Instruments) " U.S. Patent Application Serial Number 13/782,323;

Entitled " thumbwheel switch arragement construction (the Thumbwheel Switch Arrangements for surgical instruments For Surgical Instruments) " U.S. Patent Application Serial Number 13/782,338;

Entitled " electro-mechanical device surgical (the Electromechanical Surgical with signal relaying arragement construction Device with Signal Relay Arrangement) " U.S. Patent Application Serial Number 13/782,499;

Entitled " multi-processor motor control part (the Multiple Processor for modularization surgical instruments Motor Control for Modular Surgical Instruments) " U.S. Patent Application Serial Number 13/782, 460;

Entitled " lever switch device component (the Joystick Switch Assemblies For for surgical instruments Surgical Instruments) " U.S. Patent Application Serial Number 13/782,358;

It is entitled that " end effector (Sensor Straightened is straightened in the sensor during passing through trochar and removing End Effector During Removal Through Trocar) " U.S. Patent Application Serial Number 13/782,481;

Entitled " control method (the Control Methods for for the surgical instruments with removable tool portion Surgical Instruments with Removable Implement Portions) " U.S. Patent Application Serial Number 13/782,518;

Entitled " rotating type strip electrosurgical unit (the Rotary Powered Surgical with multiple freedom degrees Instruments With Multiple Degrees of Freedom) " U.S. Patent Application Serial Number 13/782,375; And

The U.S. Patent application sequence of entitled " surgical instruments soft stop stops (Surgical Instrument Soft Stop) " Row number 13/782,536.

Present applicant, which also possesses, to be filed on March 14th, 2013 and is respectively herein incorporated by reference this in full The following patent application of text:

Entitled " surgical instruments (the ARTICULATABLE for capableing of joint motions including firing driving device SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE) " U.S. Patent Application Serial Number 13/803, 097;

Entitled " control arragement construction (the CONTROL ARRANGEMENTS FOR of the drive member for surgical instruments A DRIVE MEMBER OF A SURGICAL INSTRUMENT) " U.S. Patent Application Serial Number 13/803,193;

Entitled " interchangeable shaft assembly (the INTERCHANGEABLE SHAFT being used together with surgical instruments ASSEMBLIES FOR USE WITH A SURGICAL INSTRUMENT) " U.S. Patent Application Serial Number 13/803, 053;

Entitled " surgical instruments (the ARTICULATABLE for capableing of joint motions including joint motions locking piece SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK) " U.S. Patent Application Serial Number 13/ 803,086;

Entitled " sensor arrangement structure (the SENSOR ARRANGEMENTS of the absolute positioning system for surgical instruments FOR ABSOLUTE POSITIONING SYSTEM FOR SURGICAL INSTRUMENTS) " U.S. Patent Application Serial Number 13/803,210;

Entitled " Multifunction motor (the MULTI-FUNCTION MOTOR FOR A SURGICAL for surgical instruments INSTRUMENT U.S. Patent Application Serial Number 13/803,148) ";

Entitled " drive system latching member arragement construction (the DRIVE SYSTEM for modularization surgical instruments LOCKOUT ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS) " U.S. Patent Application Serial Number 13/803,066;

It is entitled " for capableing of the articulation control system (ARTICULATION of the surgical instruments of joint motions CONTROL SYSTEM FOR ARTICULATABLE SURGICAL INSTRUMENTS) " U.S. Patent Application Serial Number 13/803,117;

It is entitled that " the driving system for modularization surgical instruments controls arragement construction (DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS) " U.S. Patent Application Serial Number 13/803, 130;And

It is entitled " for operating method and system (the METHOD AND SYSTEM FOR OPERATING A of surgical instruments SURGICAL INSTRUMENT) " U.S. Patent Application Serial Number 13/803,159.

Present applicant, which also possesses to be filed on March 26th, 2014 and be respectively incorporated by reference, to be incorporated herein Following patent application:

Entitled " power management control system (the POWER MANAGEMENT CONTROL for surgical instruments SYSTEMS FOR SURGICAL INSTRUMENTS) " U.S. Patent Application Serial Number 14/226,106;

The United States Patent (USP) Shen of entitled " disinfection verifying circuit (STERILIZATION VERIFICATION CIRCUIT) " It please sequence number 14/226,099;

Entitled " verifying (the VERIFICATION OF NUMBER OF of battery altering/programmed counting number BATTERY EXCHANGES/PROCEDURE COUNT) " U.S. Patent Application Serial Number 14/226,094;

It is entitled " to pass through segment circuit and the power management (POWER of sleep option and the progress that wake up control piece MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUIT AND WAKE UP CONTROL) " U.S. Patent Application Serial Number 14/226,117;

Entitled " Modular belts electrosurgical unit (the MODULAR POWERED with dismountable shaft assembly SURGICAL INSTRUMENT WITH DETACHABLE SHAFT ASSEMBLIES) " U.S. Patent Application Serial Number 14/ 226,075;

Entitled " feedback algorithm (the FEEDBACK ALGORITHMS FOR of the manual salvage system for surgical instruments MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS) " U.S. Patent Application Serial Number 14/226, 093;

It is entitled " to utilize the adaptive surgical instruments of sensor (SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION) " U.S. Patent Application Serial Number 14/226,116;

Entitled " surgical instruments control circuit (the SURGICAL INSTRUMENT CONTROL with safe processor CIRCUIT HAVING A SAFETY PROCESSOR) " U.S. Patent Application Serial Number 14/226,071;

Entitled " surgical instruments (the SURGICAL INSTRUMENT COMPRISING including interactive system INTERACTIVE SYSTEMS) " U.S. Patent Application Serial Number 14/226,097;

Entitled " interface system (the INTERFACE SYSTEMS FOR USE WITH being used together with surgical instruments SURGICAL INSTRUMENTS) " U.S. Patent Application Serial Number 14/226,126;

The U.S. of entitled " modularization surgical instrument system (MODULAR SURGICAL INSTRUMENT SYSTEM) " Patent application serial number 14/226,133;

It is entitled " for controlling system and method (the SYSTEMS AND METHODS FOR of segment circuit CONTROLLING A SEGMENTED CIRCUIT) " U.S. Patent Application Serial Number 14/226,081;

Entitled " power management (the POWER MANAGEMENT carried out by segment circuit and variable voltage protection THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE PROTECTION) " U.S. Patent Application Serial Number 14/226,076;

The U.S. of entitled " surgery suturing appliance system (SURGICAL STAPLING INSTRUMENT SYSTEM) " is special Sharp patent application serial numbers 14/226,111;And

Entitled " surgical instruments (the SURGICAL INSTRUMENT COMPRISING A including rotatable shaft ROTATABLE SHAFT) " U.S. Patent Application Serial Number 14/226,125;

Present applicant also possesses the U.S. Patent application being identified below, these U.S. Patent applications are respectively complete Text is herein incorporated by reference:

Entitled " surgical instruments (the SURGICAL INSTRUMENTS WITH with restructural shaft part RECONFIGURABLE SHAFT SEGMENTS) " U.S. Patent Application Serial Number 12/894,311 (be now that United States Patent (USP) is public Cloth 2012/0080496);

Entitled " surgery nail bin of the nail of support non-linear arrangement and the surgery suturing appliance with common nail shapes pit (SURGICAL STAPLE CARTRIDGES SUPPORTING NON-LINEARLY ARRANGED STAPLES AND SURGICAL STAPLING INSTRUMENTS WITH COMMON STAPLE-FORMING POCKETS) " United States Patent (USP) Patent application serial numbers 12/894,340 (being now U.S. Patent Publication 2012/0080482);

Entitled " jaw closed arrangement structure (the JAW CLOSURE ARRANGEMENTS FOR for surgical instruments SURGICAL INSTRUMENTS) " U.S. Patent Application Serial Number 12/894,327 (be now U.S. Patent Publication 2012/ 0080499);

Entitled " the surgery cuts and fastening instrument with separated and different fastener deployment and tissue diced system (SURGICAL CUTTING AND FASTENING INSTRUMENTS WITH SEPARATE AND DISTINCT FASTENER DEPLOYMENT AND TISSUE CUTTING SYSTEMS) " U.S. Patent Application Serial Number 12/894, 351 (being now U.S. Patent Publication 2012/0080502);

Entitled " implantable fastener cartridge (the IMPLANTABLE FASTENER with non-uniform arragement construction CARTRIDGE HAVING A NON-UNIFORM ARRANGEMENT) " U.S. Patent Application Serial Number 12/894,338 it is (existing For U.S. Patent Publication 2012/0080481);

Entitled " implantable fastener cartridge (the IMPLANTABLE FASTENER CARTRIDGE including supporting retainer COMPRISING A SUPPORT RETAINER) " U.S. Patent Application Serial Number 12/894,369 (be now that United States Patent (USP) is public Cloth 2012/0080344);

It is entitled " including multiple layers of implantable fastener cartridges (IMPLANTABLE FASTENER CARTRIDGE COMPRISING MULTIPLE LAYERS) " U.S. Patent Application Serial Number 12/894,312 (be now U.S. Patent Publication 2012/0080479);

Entitled " implantable fastener cartridge (the SELECTIVELY ORIENTABLE being optionally orientated IMPLANTABLE FASTENER CARTRIDGE) " U.S. Patent Application Serial Number 12/894,377 (be now United States Patent (USP) 8, 393,514);

Entitled " surgery suturing appliance (the SURGICAL STAPLING with compact joint motions control arragement construction INSTRUMENT WITH COMPACT ARTICULATION CONTROL ARRANGEMENT) " U.S. Patent Application Serial Number 12/894,339 (being now U.S. Patent Publication 2012/0080500);

Entitled " surgery suturing appliance (the SURGICAL STAPLING INSTRUMENT with variable nail formation system WITH A VARIABLE STAPLE FORMING SYSTEM) " U.S. Patent Application Serial Number 12/894,360 (be now beauty State's patent disclosure 2012/0080484);

Entitled " surgery suturing appliance (the SURGICAL STAPLING with interchangeable nail bin arragement construction INSTRUMENT WITH INTERCHANGEABLE STAPLE CARTRIDGE ARRANGEMENTS) " U.S. Patent application Sequence number 12/894,322 (being now United States Patent (USP) 8,740,034);

Entitled " surgery nail bin (the SURGICAL STAPLE CARTRIDGES WITH with interchangeable support construction DETACHABLE SUPPORT STRUCTURES) " U.S. Patent Application Serial Number 12/894,350 (be now that United States Patent (USP) is public Cloth 2012/0080478);

Entitled " implantable fastener cartridge (the IMPLANTABLE FASTENER including bioabsorbable layer CARTRIDGE COMPRISING BIOABSORBABLE LAYERS) " U.S. Patent Application Serial Number 12/894,383 it is (existing For United States Patent (USP) 8,752,699);

The U.S. Patent application of entitled " compressible fastener cartridge (COMPRESSIBLE FASTENER CARTRIDGE) " Sequence number 12/894,389 (being now United States Patent (USP) 8,740,037);

It is entitled " by fastener (the FASTENERS SUPPORTED BY A FASTENER of fastener cartridge supports support CARTRIDGE SUPPORT) " U.S. Patent Application Serial Number 12/894,345 (be now U.S. Patent Publication 2012/ 0080483);

The U.S. Patent application of entitled " collapsible fastener cartridge (COLLAPSIBLE FASTENER CARTRIDGE) " Sequence number 12/894,306 (being now U.S. Patent Publication 2012/0080332);

Entitled " fastener system (the FASTENER SYSTEM including multiple connection holding matrix elements COMPRISING A PLURALITY OF CONNECTED RETENTION MATRIX ELEMENTS) " U.S. Patent application Sequence number 12/894,318 (being now U.S. Patent Publication 2012/0080480);

Entitled " fastener system (the FASTENER SYSTEM COMPRISING including holding matrix and alignment matrix A RETENTION MATRIX AND AN ALIGNMENT MATRIX) " U.S. Patent Application Serial Number 12/894,330 it is (existing For United States Patent (USP) 8,757,465);

Entitled " fastener system (the FASTENER SYSTEM COMPRISING A including holding matrix RETENTION MATRIX) " U.S. Patent Application Serial Number 12/894,361 (being now United States Patent (USP) 8,529,600);

It is entitled " for dispose include holding matrix fastener system fastening instrument (FASTENING INSTRUMENT FOR DEPLOYING A FASTENER SYSTEM COMPRISING A RETENTION MATRIX) " U.S. Patent Application Serial Number 12/894,367 (being now U.S. Patent Publication 2012/0080485);

Entitled " fastener system (the FASTENER SYSTEM COMPRISING A including holding matrix and capping RETENTION MATRIX AND A COVER) " U.S. Patent Application Serial Number 12/894,388 (be now United States Patent (USP) 8, 474,677);

Entitled " fastener system (the FASTENER SYSTEM COMPRISING A including multiple fastener cartridges PLURALITY OF FASTENER CARTRIDGES) " U.S. Patent Application Serial Number 12/894,376 (be now United States Patent (USP) It announces 2012/0080486);

Entitled " surgical stapler anvil (the SURGICAL STAPLER ANVIL including multiple forming pits COMPRISING A PLURALITY OF FORMING POCKETS) " U.S. Patent Application Serial Number 13/097,865 it is (existing For U.S. Patent Publication 2012/0080488);

Entitled " tissue thickness compensation part (the TISSUE THICKNESS COMPENSATOR for surgical stapling device FOR A SURGICAL STAPLER) " U.S. Patent Application Serial Number 13/097,936 (be now United States Patent (USP) 8,657, 176);

Entitled " nail bin (the STAPLE CARTRIDGE COMPRISING A including variable thickness compressible portion VARIABLE THICKNESS COMPRESSIBLE PORTION) " U.S. Patent Application Serial Number 13/097,954 (now for U.S. Patent Publication 2012/0080340);

It is entitled " including nail bin (the STAPLE CARTRIDGE COMPRISING for the nail being located in its compressible portion STAPLES POSITIONED WITHIN A COMPRESSIBLE PORTION THEREOF) " U.S. Patent Application Serial Number 13/097,856 (being now U.S. Patent Publication 2012/0080336);

Entitled " tissue thickness compensation part (the TISSUE THICKNESS COMPENSATOR including removable section COMPRISING DETACHABLE PORTIONS) " U.S. Patent Application Serial Number 13/097,928 (be now United States Patent (USP) 8, 746,535);

Entitled " tissue thickness compensation part (the TISSUE for the surgical stapling device including adjustable anvil block THICKNESS COMPENSATOR FOR A SURGICAL STAPLER COMPRISING AN ADJUSTABLE ANVIL)” U.S. Patent Application Serial Number 13/097,891 (being now U.S. Patent Publication 2012/0080489);

Entitled " nail bin (the STAPLE CARTRIDGE COMPRISING AN including distal part is adjusted ADJUSTABLE DISTAL PORTION) " U.S. Patent Application Serial Number 13/097,948 (be now U.S. Patent Publication 2012/0083836);

The U.S. of entitled " compressible nail bin component (COMPRESSIBLE STAPLE CARTRIDGE ASSEMBLY) " Patent application serial number 13/097,907 (being now U.S. Patent Publication 2012/0080338);

Entitled " tissue thickness compensation part (the TISSUE THICKNESS including the part with different performance COMPENSATOR COMPRISING PORTIONS HAVING DIFFERENT PROPERTIES) " U.S. Patent application sequence Row number 13/097,861 (being now U.S. Patent Publication 2012/0080337);

The U.S. Patent application of entitled " nail bin charging assembly (STAPLE CARTRIDGE LOADING ASSEMBLY) " Sequence number 13/097,869 (being now U.S. Patent Publication 2012/0160721);

Entitled " compressible nail bin (the COMPRESSIBLE STAPLE CARTRIDGE including alignment member COMPRISING ALIGNMENT MEMBERS) " U.S. Patent Application Serial Number 13/097,917 (be now U.S. Patent Publication 2012/0083834);

Entitled " nail bin (the STAPLE CARTRIDGE COMPRISING A RELEASABLE including releasable portion PORTION U.S. Patent Application Serial Number 13/097,873 (being now United States Patent (USP) 8,740,038)) ";

Entitled " nail bin (the STAPLE CARTRIDGE COMPRISING including resisting compressible deformation component COMPRESSIBLE DISTORTION RESISTANT COMPONENTS) " U.S. Patent Application Serial Number 13/097,938 (being now U.S. Patent Publication 2012/0080491);

Entitled " nail bin (the STAPLE CARTRIDGE COMPRISING A TISSUE including tissue thickness compensation part THICKNESS COMPENSATOR) " U.S. Patent Application Serial Number 13/097,924 (be now U.S. Patent Publication 2012/ 0083835);

Entitled " surgical stapling device (the SURGICAL STAPLER WITH FLOATING with floating anvil block ANVIL U.S. Patent Application Serial Number 13/242,029 (being now U.S. Patent Publication 2012/0080493)) ";

Entitled " crooked end actuator (the CURVED END EFFECTOR FOR A for suture instruments STAPLING INSTRUMENT) " U.S. Patent Application Serial Number 13/242,066 (be now U.S. Patent Publication 2012/ 0080498);

Entitled " nail bin (the STAPLE CARTRIDGE INCLUDING COLLAPSIBLE including collapsible platform DECK U.S. Patent Application Serial Number 13/242,086 (being now U.S. Patent Publication 2013/0075450)) ";

Entitled " nail bin (the STAPLE CARTRIDGE INCLUDING including collapsible platform arrangement structure COLLAPSIBLE DECK ARRANGEMENT) " U.S. Patent Application Serial Number 13/241,912 (be now U.S. Patent Publication 2013/0075448);

Entitled " surgical stapling device (the SURGICAL STAPLER WITH STATIONARY with fixed staple drivers STAPLE DRIVERS) " U.S. Patent Application Serial Number 13/241,922 (being now U.S. Patent Publication 2013/0075449);

It is entitled " to there is the surgical instruments (SURGICAL for generating the trigger assembly of multiple actuating movements INSTRUMENT WITH TRIGGER ASSEMBLY FOR GENERATING MULTIPLE ACTUATION MOTIONS)” U.S. Patent Application Serial Number 13/241,637 (being now U.S. Patent Publication 2012/0074201);

It is entitled " to there is the surgical instruments (SURGICAL for capableing of the selectively end effector of joint motions INSTRUMENT WITH SELECTIVELY ARTICULATABLE END EFFECTOR) " U.S. Patent Application Serial Number 13/241,629 (being now U.S. Patent Publication 2012/0074200);

Entitled " tissue thickness compensation part (the TISSUE THICKNESS COMPENSATOR including multiple packaging bodies COMPRISING A PLURALITY OF CAPSULES) " U.S. Patent Application Serial Number 13/433,096 it is (now special for the U.S. 2012/0241496) benefit is announced;

It is entitled " including multiple layers of tissue thickness compensation parts (TISSUE THICKNESS COMPENSATOR COMPRISING A PLURALITY OF LAYERS) " U.S. Patent Application Serial Number 13/433,103 (be now United States Patent (USP) It announces 2012/0241498);

Entitled " tissue thickness compensation part (the EXPANDABLE TISSUE THICKNESS that can be expanded COMPENSATOR U.S. Patent Application Serial Number 13/433,098 (being now U.S. Patent Publication 2012/0241491)) ";

Entitled " tissue thickness compensation part (the TISSUE THICKNESS COMPENSATOR including reservoir COMPRISING A RESERVOIR) " U.S. Patent Application Serial Number 13/433,102 (be now U.S. Patent Publication 2012/ 0241497);

Entitled " holding device assembly (the RETAINER ASSEMBLY INCLUDING A including tissue thickness compensation part TISSUE THICKNESS COMPENSATOR) " U.S. Patent Application Serial Number 13/433,114 (be now U.S. Patent Publication 2012/0241499);

Entitled " tissue thickness compensation part (the TISSUE THICKNESS COMPENSATOR comprising at least one drug COMPRISING AT LEAST ONE MEDICAMENT) " U.S. Patent Application Serial Number 13/433,136 it is (now special for the U.S. 2012/0241492) benefit is announced;

Entitled " tissue thickness compensation part (the TISSUE THICKNESS including controlled release and expansion COMPENSATOR COMPRISING CONTROLLED RELEASE AND EXPANSION) " U.S. Patent Application Serial Number 13/433,141 (being now U.S. Patent Publication 2012/0241493);

It is entitled " tissue thickness compensation part (the TISSUE THICKNESS of elastic load to be generated comprising fiber COMPENSATOR COMPRISING FIBERS TO PRODUCE A RESILIENT LOAD) " U.S. Patent Application Serial Number 13/433,144 (being now U.S. Patent Publication 2012/0241500);

Entitled " tissue thickness compensation part (the TISSUE THICKNESS including the structure to generate elastic load COMPENSATOR COMPRISING STRUCTURE TO PRODUCE A RESILIENT LOAD) " U.S. Patent application Sequence number 13/433,148 (being now U.S. Patent Publication 2012/0241501);

Entitled " tissue thickness compensation part (the TISSUE THICKNESS COMPENSATOR including elastic component COMPRISING RESILIENT MEMBERS) " U.S. Patent Application Serial Number 13/433,155 (be now U.S. Patent Publication 2012/0241502);

It is entitled " to be used to form the method (METHODS of the tissue thickness compensation part arragement construction for surgical stapling device FOR FORMING TISSUE THICKNESS COMPENSATOR ARRANGEMENTS FOR SURGICAL STAPLERS)” U.S. Patent Application Serial Number 13/433,163 (being now U.S. Patent Publication 2012/0248169);

The U.S. Patent application sequence of entitled " tissue thickness compensation part (TISSUE THICKNESS COMPENSATORS) " Row number 13/433,167 (being now U.S. Patent Publication 2012/0241503);

Entitled " layer-stepping tissue thickness compensation part (LAYERED TISSUE THICKNESS COMPENSATOR's) " U.S. Patent Application Serial Number 13/433,175 (being now U.S. Patent Publication 2012/0253298);

Entitled " tissue thickness compensation part (the TISSUE THICKNESS for circular surgical staplers COMPENSATORS FOR CIRCULAR SURGICAL STAPLERS) " U.S. Patent Application Serial Number 13/433,179 (being now U.S. Patent Publication 2012/0241505);

The U.S. Patent Application Serial Number 13/ of entitled " binder film lamilate (ADHESIVE FILM LAMINATE) " 763,028 (being now U.S. Patent Publication 2013/0146643);

Entitled " tissue thickness compensation part (the TISSUE THICKNESS including limiting the packaging body of environment under low pressure COMPENSATOR COMPRISING CAPSULES DEFINING A LOW PRESSURE ENVIRONMENT) " the U.S. it is special Sharp patent application serial numbers 13/433,115 (being now U.S. Patent Publication 2013/0256372);

Entitled " tissue thickness compensation part (the TISSUE THICKNESS COMPENSATOR being made of multiple material COMPRISED OF A PLURALITY OF MATERIALS) " U.S. Patent Application Serial Number 13/433,118 (be now beauty State's patent disclosure 2013/0256365);

Entitled " movable link (the MOVABLE MEMBER FOR USE WITH being used together with tissue thickness compensation part A TISSUE THICKNESS COMPENSATOR) " U.S. Patent Application Serial Number 13/433,135 (be now that United States Patent (USP) is public Cloth 2013/0256382);

Entitled " tissue thickness compensation part and preparation method thereof (TISSUE THICKNESS COMPENSATOR AND METHOD FOR MAKING THE SAME) " U.S. Patent Application Serial Number 13/433,140 (be now U.S. Patent Publication 2013/0256368);

Entitled " tissue thickness compensation part (the TISSUE THICKNESS COMPENSATOR comprising a variety of drugs COMPRISING A PLURALITY OF MEDICAMENTS) " U.S. Patent Application Serial Number 13/433,129 (be now beauty State's patent disclosure 2013/0256367);

It is entitled " to be used to form nail bin (the STAPLE CARTRIDGES FOR of the nail with differing formed staple height FORMING STAPLES HAVING DIFFERING FORMED STAPLE HEIGHTS) " U.S. Patent Application Serial Number 11/216,562 (being now United States Patent (USP) 7,669,746);

Entitled " surgical stapling device (the SURGICAL of the anvil block with the nail shapes pit with varying depth STAPLING DEVICE WITH ANVIL HAVING STAPLE FORMING POCKETS OF VARYING DEPTHS)” U.S. Patent Application Serial Number 11/714,049 (being now U.S. Patent Publication 2007/0194082);

It is entitled " to produce surgical stapling device (the SURGICAL STAPLING with the forming nail of different length DEVICES THAT PRODUCE FORMED STAPLES HAVING DIFFERENT LENGTHS) " U.S. Patent application Sequence number 11/711,979 (being now United States Patent (USP) 8,317,070);

Entitled " surgical stapling device (the SURGICAL STAPLING DEVICE of the staple drivers with different height WITH STAPLE DRIVERS OF DIFFERENT HEIGHT) " U.S. Patent Application Serial Number 11/711,975 (now for U.S. Patent Publication 2007/0194079);

Entitled " surgical stapling device (the SURGICAL STAPLING with the staple drivers for supporting multiple line footpath nails DEVICE WITH STAPLE DRIVER THAT SUPPORTS MULTIPLE WIRE DIAMETER STAPLES) " beauty State's patent application serial number 11/711,977 (being now United States Patent (USP) 7,673,781);

It is entitled " to there is the surgical stapling device for driving multiple stacking actuator wedge cams of staple drivers (SURGICAL STAPLING DEVICE WITH MULTIPLE STACKED ACTUATOR WEDGE CAMS FOR DRIVING STAPLE DRIVERS) " U.S. Patent Application Serial Number 11/712,315 (be now United States Patent (USP) 7,500, 979);

It is entitled " to be used to form nail bin (the STAPLE CARTRIDGES FOR of the nail with differing formed staple height FORMING STAPLES HAVING DIFFERING FORMED STAPLE HEIGHTS) " U.S. Patent Application Serial Number 12/038,939 (being now United States Patent (USP) 7,934,630);

It is entitled " to produce surgical stapling system (the SURGICAL STAPLING with the forming nail of different length SYSTEMS THAT PRODUCE FORMED STAPLES HAVING DIFFERENT LENGTHS) " U.S. Patent application Sequence number 13/020,263 (being now United States Patent (USP) 8,636,187);

It is entitled " to produce the surgical stapling device being controlled by robot with the forming nail of different length (ROBOTICALLY-CONTROLLED SURGICAL STAPLING DEVICES THAT PRODUCE FORMED STAPLES HAVING DIFFERENT LENGTHS) " U.S. Patent Application Serial Number 13/118,278 (be now U.S. Patent Publication 2011/0290851);

Entitled " surgical end-effector (the ROBOTICALLY-CONTROLLED based on the cable being controlled by robot CABLE-BASED SURGICAL END EFFECTORS) " U.S. Patent Application Serial Number 13/369,629 it is (now special for the U.S. 2012/0138660) benefit is announced;

It is entitled " to be used to form surgical stapling device (the SURGICAL STAPLING of the nail with differing formed height DEVICES FOR FORMING STAPLES WITH DIFFERENT FORMED HEIGHTS) " U.S. Patent Application Serial Number 12/695,359 (being now United States Patent (USP) 8,464,923);

It is entitled " to be used to form nail bin (the STAPLE CARTRIDGES FOR of the nail with differing formed staple height FORMING STAPLES HAVING DIFFERING FORMED STAPLE HEIGHTS) " U.S. Patent Application Serial Number 13/072,923 (being now United States Patent (USP) 8,567,656);

Entitled " material layer (the LAYER OF MATERIAL FOR A SURGICAL for surgical end-effector END EFFECTOR) " U.S. Patent Application Serial Number 13/766,325 (being now U.S. Patent Publication 2013/0256380);

It is entitled " to be attached to anvil block layer (the ANVIL LAYER ATTACHED TO A of the proximal end of end effector PROXIMAL END OF AN END EFFECTOR) " U.S. Patent Application Serial Number 13/763,078 (be now United States Patent (USP) It announces 2013/0256383);

Entitled " layer (the LAYER COMPRISING DEPLOYABLE ATTACHMENT including attachment members can be disposed MEMBERS U.S. Patent Application Serial Number 13/763,094 (being now U.S. Patent Publication 2013/0256377)) ";

Entitled " end effector (the END EFFECTOR COMPRISING A including distal tissue adjoining members DISTAL TISSUE ABUTMENT MEMBER) " U.S. Patent Application Serial Number 13/763,106 (be now that United States Patent (USP) is public Cloth 2013/0256378);

Entitled " tissue thickness compensation part (the TISSUE THICKNESS COMPENSATOR including channel COMPRISING CHANNELS) " U.S. Patent Application Serial Number 13/433,147 (be now U.S. Patent Publication 2013/ 0256369);

It is entitled " surgery nail bin (the SURGICAL STAPLING CARTRIDGE WITH of feature structure to be kept with layer LAYER RETENTION FEATURES) " U.S. Patent Application Serial Number 13/763,112 (be now U.S. Patent Publication 2013/0256379);

It is entitled " for from fastener cartridge release tissue thickness compensation part actuator (ACTUATOR FOR RELEASING A TISSUE THICKNESS COMPENSATOR FROM A FASTENER CARTRIDGE) " the U.S. it is special Sharp patent application serial numbers 13/763,035 (being now U.S. Patent Publication 2013/0214030);

Entitled " releasable tissue thickness compensation part and the fastener cartridge with the releasable tissue thickness compensation part (RELEASABLE TISSUE THICKNESS COMPENSATOR AND FASTENER CARTRIDGE HAVING THE SAME U.S. Patent Application Serial Number 13/763,042 (being now U.S. Patent Publication 2013/0221063)) ";

Entitled " fastener cartridge (the FASTENER CARTRIDGE including releasable tissue thickness compensation part COMPRISING A RELEASABLE TISSUE THICKNESS COMPENSATOR) " U.S. Patent Application Serial Number 13/ 763,048 (being now U.S. Patent Publication 2013/0221064);

Entitled " fastener cartridge (the FASTENER including the cutting element for discharging tissue thickness compensation part CARTRIDGE COMPRISING A CUTTING MEMBER FOR RELEASING A TISSUE THICKNESS COMPENSATOR U.S. Patent Application Serial Number 13/763,054 (being now U.S. Patent Publication 2014/0097227)) ";

It is entitled " including fastener cartridge (the FASTENER CARTRIDGE for the tissue thickness compensation part being releasedly attached COMPRISING A RELEASABLY ATTACHED TISSUE THICKNESS COMPENSATOR) " U.S. Patent application Sequence number 13/763,065 (being now U.S. Patent Publication 2013/0221065);

It is entitled " including nail bin (the STAPLE CARTRIDGE COMPRISING A RELEASABLE releasably covered COVER U.S. Patent Application Serial Number 13/763,021) ";

It is entitled " to be attached to anvil block layer (the ANVIL LAYER ATTACHED TO A of the proximal end of end effector PROXIMAL END OF AN END EFFECTOR) " U.S. Patent Application Serial Number 13/763,078 (be now United States Patent (USP) It announces 2013/0256383);

Entitled " layer arrangement structure (the LAYER ARRANGEMENTS FOR SURGICAL for surgery nail bin STAPLE CARTRIDGES) " U.S. Patent Application Serial Number 13/763,095 (be now U.S. Patent Publication 2013/ 0161374);

Entitled " implantable arragement construction (the IMPLANTABLE ARRANGEMENTS FOR for surgery nail bin SURGICAL STAPLE CARTRIDGES) " U.S. Patent Application Serial Number 13/463,147 (be now U.S. Patent Publication 2013/0292398);

It is entitled that " multiple thickness for surgical stapling device can plant layer (MULTIPLE THICKNESS IMPLANTABLE LAYERS FOR SURGICAL STAPLING DEVICES) " U.S. Patent Application Serial Number 13/763, 192 (being now U.S. Patent Publication 2013/0146642);

Entitled " releasable material layer and the surgical end-effector (RELEASABLE with releasable material layer LAYER OF MATERIAL AND SURGICAL END EFFECTOR HAVING THE SAME) " U.S. Patent application sequence Row number 13/763,161 (being now U.S. Patent Publication 2013/0153641);

It is entitled " for actuator (the ACTUATOR FOR RELEASING from surgical end-effector layers of release material A LAYER OF MATERIAL FROM A SURGICAL END EFFECTOR) " U.S. Patent Application Serial Number 13/763, 177 (being now U.S. Patent Publication 2013/0146641);

Entitled " nail bin (the STAPLE CARTRIDGE COMPRISING A including compressible portion COMPRESSIBLE PORTION) " U.S. Patent Application Serial Number 13/763,037;

Entitled " tissue thickness compensation part (the TISSUE THICKNESS including tissue in-growth feature structure COMPENSATOR COMPRISING TISSUE INGROWTH FEATURES) " U.S. Patent Application Serial Number 13/433, 126 (being now U.S. Patent Publication 2013/0256366);

It is entitled " for tissue thickness's compensating material to be attached to the device and method (DEVICES of surgery suturing appliance AND METHODS FOR ATTACHING TISSUE THICKNESS COMPENSATING MATERIALS TO SURGICAL STAPLING INSTRUMENTS) " U.S. Patent Application Serial Number 13/433,132 (be now U.S. Patent Publication 2013/ 0256373);

It is entitled " including wherein include opening tissue thickness compensation part fastener cartridge (FASTENER CARTRIDGE COMPRISING A TISSUE THICKNESS COMPENSATOR INCLUDING OPENINGS THEREIN U.S. Patent Application Serial Number 13/851,703) ";

Entitled " tissue thickness compensation part (the TISSUE THICKNESS COMPENSATOR including cutting element path COMPRISING A CUTTING MEMBER PATH) " U.S. Patent Application Serial Number 13/851,676;

The U.S. Patent Application Serial of entitled " fastener cartridge assembly (FASTENER CARTRIDGE ASSEMBLIES) " Number 13/851,693;

Entitled " fastener cartridge (the FASTENER CARTRIDGE including tissue thickness compensation part and gap sets element COMPRISING A TISSUE THICKNESS COMPENSATOR AND A GAP SETTING ELEMENT) " the U.S. it is special Sharp patent application serial numbers 13/851,684;

It is entitled " including nail bin (the STAPLE CARTRIDGE INCLUDING A BARBED followed closely with barb STAPLE U.S. Patent Application Serial Number 14/187,387 (being now U.S. Patent Publication 2014/0166724)) ";

It is entitled " including nail bin (the STAPLE CARTRIDGE INCLUDING A BARBED followed closely with barb STAPLE U.S. Patent Application Serial Number 14/187,395 (being now U.S. Patent Publication 2014/0166725)) ";

It is entitled " including nail bin (the STAPLE CARTRIDGE INCLUDING A BARBED followed closely with barb STAPLE U.S. Patent Application Serial Number 14/187,400 (being now U.S. Patent Publication 2014/0166726)) ";

Entitled " implantable layer and the method for changing the implantable layer being used together with reuse surgical fasteners tool (IMPLANTABLE LAYERS AND METHODS FOR ALTERING IMPLANTABLE LAYERS FOR USE WITH SURGICAL FASTENING INSTRUMENTS) " U.S. Patent Application Serial Number 14/187,383;

Entitled " implantable layer and the one or more spy for changing the implantable layer being used together with fastening instrument Method (the IMPLANTABLE LAYERS AND METHODS FOR ALTERING ONE OR MORE PROPERTIES of property OF IMPLANTABLE LAYERS FOR USE WITH FASTENING INSTRUMENTS) " U.S. Patent Application Serial Number 14/187,386;

Entitled " the side of implantable layer and the shape for modifying the implantable layer being used together with reuse surgical fasteners tool Method (IMPLANTABLE LAYERS AND METHODS FOR MODIFYING THE SHAPE OF THE IMPLANTABLE LAYERS FOR USE WITH A SURGICAL FASTENING INSTRUMENT) " U.S. Patent Application Serial Number 14/ 187,390;

The U.S. Patent Application Serial of entitled " implantable layer assembly (IMPLANTABLE LAYER ASSEMBLIES) " Number 14/187,389;

Entitled " implantable layer (the IMPLANTABLE LAYERS COMPRISING A PRESSED including compressive region REGION U.S. Patent Application Serial Number 14/187,385) ";And

Entitled " fastening system (the FASTENING SYSTEM COMPRISING A including firing member latching member FIRING MEMBER LOCKOUT) " U.S. Patent Application Serial Number 14/187,384.

Many details are listed, herein to provide to whole with embodiment shown in the drawings described in specification Body structure, function, the thorough understanding of manufacture and purposes.However, it will be appreciated by those skilled in the art that can not have in this way Detail in the case where implement these embodiments.In other cases, do not elaborate it is well known operation, component and Element, in order to avoid keep embodiment described in specification smudgy.It will be understood by those skilled in the art that this paper institute Stating the embodiment with shown in is non-limiting example, thus it can be appreciated that, specific structural and functional details disclosed herein It can be representative and illustrative.Without departing from the scope of the claims can to these embodiments carry out modification and Change.

" various embodiments ", " some embodiments ", " embodiment " or " implementation that this specification refers in the whole text Scheme " etc. means that the special characteristic structure illustrated in conjunction with the embodiment, structure or characteristic are included at least one implementation In scheme.Therefore, this specification occurs in the whole text phrase " in various embodiments ", " in some embodiments ", " one In a embodiment " or " in embodiments " etc. be not necessarily all referring to identical embodiment.In addition, one or more real It applies in scheme, specific features structure, structure or characteristic can combine in any suitable manner.Therefore, under unconfined situation, The special characteristic structure that shows or illustrate in conjunction with an embodiment, structure or characteristic can entirely or partly with one or more The feature structure of other embodiments, structure or characteristic combination.In addition, it should be understood that for simplicity and clarity, can join herein Shown embodiment is examined for example using spatial terminologies such as "vertical", "horizontal", "up" and "down".However, these terms are used In auxiliary reader and it is not intended to limitation and absolute.

Fig. 1 is gone to, surgical stapling and cutting off apparatus 10 may include that can be manipulated to tool portion 14 being located in operation Handle portions 12 in position.In various embodiments, tool portion 14 may include being attached to the end execution of elongated shaft 18 Device 16.In all cases, the size of tool portion 14 and construction can be configured to insert by the intubation of trochar (not shown) Enter in operative site, to execute such as endoscope type or laparoscopic surgery.End effector 16 may include upper jaw Or anvil block 20 and lower jaw 22, the wherein movement of pistol grip 26 of present dynasty's handle portions 12 or closing for pressing handle portions 12 When closing trigger 24, anvil block 20 can move between the open and the closed positions.In various embodiments, pressing closure touching Hair device 24 can promote the outer closure sleeve 28 of elongated shaft 18, and wherein outer closure sleeve 28 can contact anvil block 20 and by anvil block 20 are pivoted to its closed position.In some cases, surgeon can be such that tool portion 14 surrounds by torsional axis knob 30 The rotation of its longitudinal axis.Under any circumstance, when end effector 16 has been inserted into the body cavity of inflation, for example, can release Closure trigger 24 is put, so that anvil block 20 be allowed to open by the biasing of spring (not shown) and position relative to target tissue.? In various embodiments, closure trigger 24 may be locked in its depressed state, and at least one embodiment, shank portion 12 are divided to may also include the lock release actuator 44 that can be pressed to unlock to closure trigger 24.Once anvil block 20 and lower jaw 22 relative to the tissue in operative site when suitably positioning, so that it may depress closure trigger 24 again to close anvil block 20 simultaneously And tissue is compressed against the nail bin 42 for being attached to bottom jaw 22.

Once anvil block 20 has been closed, so that it may percussion triggering is pulled or pressed towards closure trigger 24 and pistol grip 26 Device 32, percussion force or movement to be applied to firing member and never firing position promotes firing member.In various realities It applies in scheme, firing member may include the nearside percussion connecting rod 34 for being attached to distal side trigger shaft 36.In at least one such implementation In scheme, percussion connecting rod 34 and/or trigger shaft 36 be can support in the frame 38 in axis 18, and the axis can be in 12 He of handle portions Extend between end effector 16.Due to being applied to the firing action of firing member, then trigger shaft 36 can be in the thin of lower jaw 22 It is promoted in long staple cartridge channel 40 and the nail bin 42 being located in warehouse channel 40 towards distal side.In various embodiments, referring to figure 2, trigger shaft 36 may include attachment part 48, and the attachment part is attached to the E mast 50 that can be translated in end effector 16. E mast 50 may include vertical portion 52, and the vertical portion can extend through anvil block 20 when E mast 50 is promoted towards distal side In narrow longitudinal anvil block slot 58 of tissue contacting surface 60, the narrow vertical slit 62 in nail bin 42 and elongated nail it is logical Narrow longitudinal channel 64 in road 40.Referring now to Fig. 2 and Fig. 3, anvil block slot 58 can be extended up in anvil block 20 simultaneously And may include the end for being passed through the vertical passage 66 laterally widened, the size and construction quilt of the vertical passage 66 laterally widened It is set to receive the upper pin 54 extended laterally from vertical portion 52.Similarly, passage slot 64 can extend downwardly into channel 40 In and may include the end being passed through in the vertical passage 68 laterally widened, the size of the vertical passage 68 laterally widened and Construction is configured to receive from foot 70 under the one or more that vertical portion 52 extends laterally.

In various embodiments, than that described above, E mast 50 may also include one or more intermediate pins 72, it is described in Between pin can extend laterally and be configured to sliding along the top surface of the bottom tray 74 of nail bin 42 from vertical portion 52 It is dynamic.In certain embodiments, intermediate pin 72 is configured to nail bin 42 is placed in or ensured the holding placement of nail bin 42 In channel 40.The longitudinal percussion groove 75 formed in nail bin 42 above bottom tray 74 is sized in permission Between pin 72 translate across nail bin 42.In various embodiments, E mast 50 may also include distal side driving surface 76, the distal side Driving surface is configured to translate across the vertical slit 62 in nail bin 42 and wears towards distal side driving wedge-shaped slides 78 Cross nail bin 42.In certain embodiments, wedge-shaped slides 78 can be integrally molded in E mast 50, and in other embodiments In, wedge-shaped slides 78 can be located in nail bin 42 and can contact driving surface 76 when E mast 50 is promoted towards distal side.E mast 50 vertical portion 52 may additionally include 76 top of distal side driving surface and 54 lower section of upper pin along distal side edge extension Cutting surfaces 80, the cutting surfaces cut off clamped tissue 46 when organizing 46 to be just sewn.Referring now to Fig. 4, wedge shape Sliding part 78 is configured to engage one or more staple drivers 82 and drives up staple drivers 82 towards anvil block 20.? In various embodiments, nail (such as following closely 83) for example be can be placed on staple drivers 82 and/or in other ways by staple drivers 82 supports, so that nail 83 can also be lifted up when staple drivers 82 are lifted up.In at least one such embodiment, Nail 83 can be also positioned at least partially in the nail cavity in the staple cartridge body 85 of nail bin 42 or pit 84, wherein when nail 83 is lifted up When, it follows closely 83 accessible anvil blocks 20 and can be ejected from nail cavity 84.In at least one embodiment, referring again to Fig. 4, bottom support Disk 74 could attach to warehouse 85, so that staple drivers 82 and nail 83 are maintained in nail bin 42, until coming as described above from its portion Administration's nail 83.

Referring now to Fig. 5 and Fig. 6, when in use, anvil block 20 can be located on the side of tissue 46 and bottom can be clamped Mouth 22 is located on the opposite side of tissue 46, so that when anvil block 20 is closed into tissue, the tissue contacting surface 60 of anvil block 20 And the tissue contact platform 90 of nail bin 42 can compress tissue 46 between uncompressed thickness 91 and compressed thickness 92.In order to suture and Transecting patient tissue 46, as described above, wedge-shaped slides 78 can be promoted towards distal side to promote nail driving towards anvil block 20 in nail bin 42 Device 82 and make nail 83 deformation.In various embodiments, each staple drivers 82 may include be defined in one of those or it is more A slit, the slit are configured to receive the base portion 87 of nail 83 and it are made to releasably hold in place.At least one In a such embodiment, each nail 83 may include the one or more nail legs 88 extended from base portion 87, and wherein nail leg 88 can be to On extend in nail cavity 84.In various embodiments, when nail 83 is in its non-firing position, the end of nail leg 88 can be opposite It is recessed in the platform or tissue contacting surface 90 of warehouse 85.When being lifted up nail 83 by driver 82, the end of nail leg 88 It can be ejected from nail cavity 84, penetrate tissue 46 and contact the anvil block forming pit 89 for being located in the opposite side of nail cavity 84.Anvil block at Shape pit 89 is configured to that nail 83 is made to be deformed into any suitable shape, such as B shape shape such as shown in Figure 5. Referring now to Fig. 6, when deployment nail 83, cutting edge 80 can will be organized 46 crosscutting at sutured portion 94.

As described above, the jaw member of end effector is configured to for compression pressure or compressing force being applied to just The tissue being sewn.However, in all cases, tissue can be that at least part that is for example eely and organizing can be opposite It is slided in jaw member.In some cases, tissue can skid off in a longitudinal direction from the distal end of end effector and/or It can be skidded off along transverse to the direction of longitudinal direction from the side of end effector.In some cases, when compressing tissue, group The part knitted can be squeezed out from the distal end of end effector and/or the side of end effector.Disclosed herein various In embodiment, nail bin may include one or more tissue holding features structures, and the tissue holding features structure can be constructed At can prevent or at least reduce a possibility that tissue that is located in end effector is relative to end effector movement.

In various embodiments, referring now to Fig. 7 and Fig. 8, nail bin (such as nail bin 142) for example may include warehouse 185 Such as it is located in multiple nails (such as 187 (Fig. 9) of nail) in warehouse 185.Warehouse 185 may include proximal end 141 and distal side End 143, wherein proximal end 141 be configured to insertion staple cartridge channel proximal end in and distal end 143 It is configured in the distal end of insertion staple cartridge channel.In at least one embodiment, warehouse 185 may include multiple Nail cavity 184, the nail cavity are respectively configured to receive nail 187 wherein.In certain optionally embodiments, although not It shows, but nail cavity may include the more than one nail being positioned in.Under any circumstance, nail cavity 184 can in warehouse 185 cloth It is set to multiple rows of.More specifically, at least one embodiment, nail cavity 184 can for example on the first side 145 of warehouse 185 cloth It is set to three staples and can for example be arranged to three staples in second side 147 of warehouse 185.In at least one such implementation In scheme, the first side 145 of warehouse 185 and second side 147 can be spaced apart by cutter groove 162, and the cutter groove is configured to Cutting element is received slidably therein.In various other embodiments, nail bin can be wrapped for example on every side of cutter groove 162 Include any other appropriate number of staple (such as two staples or four staples).Referring to Fig. 9, in various embodiments, nail Storehouse 142 may also include the multiple staple drivers 182 for being configured to support nail 187 and/or ejecting nail 187 from nail cavity 184. In certain embodiments, each nail cavity 184 may include the open end in the platform 190 of warehouse 185 or opening 110, nail 187 may pass through 110 ejection of open end or opening.

In various embodiments, referring primarily to Fig. 8, nail cavity 184 may be arranged so that they are longitudinal relative to each other Staggeredly.For example, the nail cavity 184 on the first side 145 of warehouse 185 can for example be arranged to most interior nail chamber 184, intermediate row nail cavity 184 and outermost nail chamber 184, nail cavity 184 in one of row can not be with the nail cavity 184 in one or both of other rows Laterally it is aligned.In at least one embodiment, each nail cavity 184 may include proximal end 111 and distal end 112, In the proximal end 111 of each nail cavity 184 may be positioned to the proximal end 141 than distal end 112 close to warehouse 185.Equally, The distal end 112 of each nail cavity 184 may be positioned to the distal end 143 than proximal end 111 close to warehouse 185.Various In embodiment, most interior nail chamber 184 can be oriented so that the distal end 112 of the nail cavity 184 in most interior row relative in Between the distal end 112 of nail cavity 184 in nail chamber 184 positioned towards distal side.Similarly, outermost nail chamber 184 can be positioned so that So that distal end 112 court of the distal end 112 of the nail cavity 184 in most outlet relative to the nail cavity in intermediate row nail cavity 184 Distal side positioning.For example, the farthest side nail cavity 184 in most interior row can be fixed towards distal side relative to the farthest side nail cavity 184 in intermediate row Position, and similarly, the farthest side nail cavity 184 in most outlet can be fixed towards distal side relative to the farthest side nail cavity 184 in intermediate row Position.In certain embodiments, the nail cavity 184 of most interior row and the nail cavity 184 of most outlet can be aligned transverse to each other, so that (one) The distal end 112 of most interior nail cavity 184 be aligned with the distal end 112 of outermost nail cavity 184 and (two) most interior nail cavity 184 it is close Side end 111 is aligned with the proximal end 111 of outermost nail cavity 184.In various embodiments, each nail cavity 184 and its opening 110 can have identical or at least roughly the same configuration, and at least one embodiment, the phase in staple of nail cavity 184 For can equidistantly or at least substantially be equally spaced each other.

In various embodiments, referring again to Fig. 7 and Fig. 8, the warehouse 185 of nail bin 142, which may also include, to be for example constructed At the one or more spines that can contact and compress target tissue, such as spine 113,114 and 115.More specifically, referring now to Fig. 8 A can be closed the anvil block 120 of end effector to compress tissue T against nail bin 142, wherein in this case, group Knit contact platform 190 and spine extending therefrom 113,114 and 115 engageable tissues.In some cases, work as closed anvil When 120, anvil block 120 can be towards 142 pushes against tissue of nail bin, so that tissue contacts spine 113,114 and 115 first and then contacts Storehouse platform 190.In other cases, nail bin 142 can be positioned against tissue, so that before tissue contacts storehouse platform 190, spine 113,114 and 115 the tissue is contacted.Under any circumstance, spine 113,114 and 115 is prevented from or extremely once contacting tissue The relative motion between tissue and nail bin 142 is limited less.In certain embodiments, spine 113,114 and 115 can be from flat Or at least substantially flat storehouse platform 190 upwardly extends and can limit for example one or more pits or channel, it is described recessed Hole or channel are configured to wherein receiving a part of tissue, and group is therefore forbidden to be woven in the vertical of end effector Relative motion on direction and/or transverse direction, especially when tissue be at least partly compressed in anvil block 120 and spine 113, When between 114 and 115.It in various embodiments, can be when spine 113,114 and 115 extends to 190 top of storehouse platform Compression set before the tissue among anvil block 120 and storehouse platform 190 compression set in anvil block 120 and spine 113,114 and 115 Intermediate tissue.It therefore, in some such cases, can be in tissue of the compression set between anvil block 120 and storehouse platform 190 Before other parts, precommpression (that is, at least partly compressing) is located in the group between anvil block 120 and spine 113,114 and 115 It knits.In all cases, before tissue obtains compression completely, due to this precommpression, part that is controllable or preventing tissue It is skidded off from end effector, as described in more detail below.

In various embodiments, referring again to Fig. 7 and Fig. 8, the spine 113 extended from storehouse platform 190 can surround nail cavity The proximal end 111 of opening 110 extends.Similarly, the spine 114 extended from storehouse platform 190 can be around the remote of nail cavity opening 110 Side end 112 extends.In various embodiments, these nearside spines 113 and distal side spine 114 are configured to engage It is located in the tissue of 184 top of nail cavity and/or surrounding and makes these parts of tissue when organizing just by compression and/or suture It is held in place.In other words, tissue is made to remain positioned in nail cavity 184 top and/or can be to will be sewn around nail cavity 184 The part of tissue provides Partial controll, and thus prevents or at least limit the phase between these parts of tissue and nail bin 142 To movement.In various embodiments, spine 113 and 114 can surround all nail cavities 184 or the only opening 110 of some nail cavities 184 Positioning.In at least one embodiment, warehouse may include only around the nail in the most outlet of the first side 145 and second side 147 The spine 113 and 114 of chamber 184.In such an implementation, around the spine of outermost nail chamber 184 can be enough that group is hindered to be woven in Lateral movement in end effector.In certain embodiments, warehouse can only include the proximal end for surrounding recent side nail cavity 184 The nearside spine 113 in portion 111 and/or the distal side spine 114 of the distal end 112 around farthest side nail cavity 184.In such implementation In scheme, the spine around recent side and farthest side nail cavity 184 can be enough that group is hindered to be woven in the longitudinal movement in end effector.

In various embodiments, than that described above, each nearside spine 113 may include for example around the close of opening 110 The arch or curved profile of side end 111.The arcuate profile of each nearside spine 113 can be by a kind of radius of curvature or more than one Radius of curvature limits.Similarly, each distal side spine 114 may include the arch for example around the distal end 112 of opening 110 Or curved profile.The arcuate profile of each distal side spine 114 can be limited by a kind of radius of curvature or more than one radius of curvature. In certain embodiments, than that described above, each spine 113 and 114 can form pit, and the pit, which can receive, just to be compressed Tissue a part and prevent the part of tissue from longitudinally and/or laterally moving relative to nail bin 142.Various In embodiment, nail bin 142 may also include intermediate spine 115, and the intermediate spine can be in the adjacent ridge in adjacent row nail cavity 184 Extend and/or connect adjacent ridges 113 and 114 between portion 113 and 114.In at least one such embodiment, one or more The waveform that a spine 113,114 and 115 can interoperatively be developed across the first side 145 of warehouse 185 or second side 147 extends Spine, wherein at least one embodiment, waveform spine can extend between the central part and side of warehouse 142.? In various embodiments, each waveform spine may include for example around the more of proximal end and the distal end winding of nail cavity 184 A wave portion.In various embodiments, each spine 113,114 and 115 may include the height limited by storehouse platform 190, Wherein in certain embodiments, the height of each spine 113,114 and 115 can be across the length is uniform or at least bases It is uniform in sheet.In at least one embodiment, each spine 113,114 and 115 can be having the same or at least substantially Identical height.

In various embodiments, as described above, the nail cavity being defined in staple cartridge body may include the nail being positioned in, In when nail is in its non-firing position, the whole of nail can be positioned below top surface or the tissue contacting surface of storehouse platform. In certain other embodiments, when nail is in its non-firing position, at least part (such as end of nail leg) example of nail It such as may extend into above top surface or the tissue contacting surface of storehouse platform.In some such embodiments, the end of nail can Obstacle can be caused from platform protrusion and organizationally when nail bin is inserted into operative site.In at least one embodiment, Referring now to Fig. 9, when nail is when its non-firing position extends to above storehouse platform 190, such as tissue contact storehouse platform is extended to The spine 113 and 114 of 190 tops can at least partly about and protection nail 187 nail leg 183.Although spine 113 and 114 can Do not extend completely about each opening 110, but in various embodiments, nearside spine 113 can be sufficiently around nail leg end One of end, and distal side spine 114 can be sufficiently around another nail leg end, so that being pressed in tissue against nail bin 142 Before the ejection of nail bin 142, nail leg end does not contact tissue for contracting and/or nail 187.In at least one embodiment, nail leg end End can be positioned on 116 lower section of top surface of spine 113 and 114.In certain embodiments, nail leg end can be with spine 113 It is coplanar with 114 top surface 116.In various embodiments, due to the protection provided by spine 113 and 114, such as can make With the nail with higher staple height, and it is prominent not from nail bin 142 in its non-firing position to follow closely end.In certain embodiments, Referring again to Fig. 9, spine 113 and 114 is extensible or increases the length of wherein controllable and/or support nail 187 nail leg 183. In at least one such embodiment, each spine 113 and 114 can extend or increase can wherein support on three of them side The length of nail leg 183.Such embodiment can for example prevent or at least reduce nail leg 183 being inserted through compact tissue (example Such as bronchial tissue) when buckling a possibility that.

In various embodiments, referring again to Fig. 4, warehouse 85 may include for example being defined in therein to reduce warehouse 85 Intensity chamber 84, slit 62 and channel 86.In all cases, in particular, for example when warehouse 85 is compressed by anvil block 20, storehouse Body 85 can be deflected because of the load applied thereon.In at least one such embodiment, storehouse platform 90 extends on channel 86 Part may be, for example, especially thin and can especially be subjected to deflection and/or damaged.In certain embodiments, referring again to Fig. 7 And Fig. 8, spine 113,114 and/or 115 are configured to that warehouse 185 is made to strengthen and/or be hardened.It is such at least one In embodiment, spine 113 and 114 for example can around opening 110 extend, so as to make warehouse 185 circular nail cavity 184 part Strengthen and/or is hardened.In certain embodiments, spine 115 is lateral such as that can go up the channel 86 being defined in warehouse 185 Extend, so that spine 115 can make the warehouse for surrounding channel 86 185 strengthen and/or be hardened.In various other embodiments, storehouse Body 185 may include the spine of any suitable quantity and configuration extending therefrom to realize advantage described herein.

In various embodiments, staple cartridge body 185 can be for example by plastic material, metal material, and/or ceramic material structure At.Some such materials may include such as liquid crystal polymer (such as Vectra), thermoplastic polymer (such as polycarbonate, ABS, Noryl, polyamide (nylon), polyether sulfone, polyetherimide (such as Ultem)), and/or above-mentioned thermoplastic polymer in The blend polymer of two or more, wherein in various embodiments, warehouse 185 can be for example, by injection molding mistake Journey is formed.Some such materials may include such as thermosetting polymer (such as thermosetting polyester), model casting stainless steel (such as 17-4PH) and/or metal injection molded molding stainless steel (such as 17-4PH).In at least one such embodiment, spine 113, 114 and/or 115 can be integrally formed with the storehouse platform 190 of warehouse 185.In certain embodiments, spine 113,114 and/or 115 can be attached to storehouse platform 190 for example, by least one adhesive.

In various embodiments, referring now to Figure 12, nail bin (such as nail bin 342) for example may include warehouse 385, limit Multiple nail cavities 384 in warehouse 385 and the nail in each of being located in nail cavity 384.In certain embodiments, storehouse Body 385 may also include the first side 345 with first group of nail cavity 384, with second side 347 of second group of nail cavity 384, Yi Jicang Platform 390.In various embodiments, warehouse 385, which may also include from what storehouse platform 390 extended, can be positioned on a nail chamber 384 In adjacent nail cavity 384 among multiple spines 315.In at least one embodiment, each spine 315 may include such as ten Font or X-shaped configuration.In at least one such embodiment, for example, each spine 315 may include can be at least partly about The V-shaped part 313 of the proximal end 311 of nail cavity opening 310 and furthermore can another at least partly about nail cavity opening 310 Distal end 312 V-shaped part 314.In certain embodiments, the only outermost nail chamber 384 in warehouse 385 can at least portion Ground is divided to be surround by spine 315.In certain other embodiments, referring now to Figure 13, staple cartridge body 385' may include spine 315, The opening 310 of each nail cavity 384 in at least partly about warehouse of spine.Under any circumstance, in various embodiment party In case, each spine 315 is configured to the tissue and/or ring compressed as described above and control is positioned against nail bin 342 Around the nail leg for extending to the nail above platform 390.

In various embodiments, referring now to Figure 16, nail bin (such as nail bin 542) for example may include warehouse 585, limit Multiple nail cavities 584 in warehouse 585 and the nail in each of being located in nail cavity 584.In certain embodiments, storehouse Body 585 may also include the first side 545 with first group of nail cavity 584, with second side 547 of second group of nail cavity 584, Yi Jicang Platform 590.In various embodiments, warehouse 585 may also include the multiple spines 515 extended from storehouse platform 590, wherein each Spine 515 can entirely around or surround nail cavity opening 510.As shown in figure 16, some chambers opening 510 in warehouse 585 can not be by Spine 515 surround;And in various optionally embodiments, referring now to Figure 16 A, each of warehouse 585' chamber opening 510 It can be surround by spine 515.Imagining its middle warehouse includes not surround by first group of circular nail cavity 584 of spine 515 and by spine 515 Second group of nail cavity 584 various embodiments, wherein can be positioned in first group of nail cavity 584 simultaneously with the nail of higher staple height And wherein the nail with lower staple height can be positioned in second group of nail cavity 584, so that higher nail and lower nail be not from nail bin 542 is prominent.In at least one such embodiment, for example, warehouse be configured to using in a nail chamber 584 compared with Lower nail in height nail and another nail chamber 584.In certain embodiments, spine 515 can surround the outermost nail in warehouse All nail cavities 584 in chamber 584 so that for example can in most outlet using it is higher nail and can be in most interior row and/or intermediate row Lower nail is utilized in nail cavity 584.

In various embodiments, referring now to Figure 14, nail bin (such as nail bin 442) for example may include warehouse 485, limit Multiple nail cavities 484 in warehouse 485 and the nail in each of being located in nail cavity 484.In certain embodiments, storehouse Body 485 may also include the first side 445 with first group of nail cavity 484, with second side 447 of second group of nail cavity 484, Yi Jicang Platform 490.In various embodiments, warehouse 445 may also include the multiple spines 415 extended from storehouse platform 490, wherein each Spine 415 may include multiple annular knurls or annular knurl array.When in use, using anvil block against annular knurl position tissue, so that tissue Conform to the profile of annular knurl.In various embodiments, each spine 415 may include for example, at least partially around one or more The multiple tapers or diamond-shaped knurling of a nail cavity opening 410, wherein at least one embodiment, taper annular knurl can be from storehouse platform 490 are directed toward.In at least one embodiment, each taper annular knurl may include four triangle sides, four triangles Shape side can be focused at and be formed together cusp.In certain embodiments, referring to Figure 15 A, the taper annular knurl of spine 415 can be to cut Short, wherein may include the flat top surface for being inclined by side surrounding at the top of each annular knurl.Although four sides can be used to bore Shape annular knurl, referring now to Figure 15 C, it is contemplated that have for example less than four sides or more than its of four sides (such as three sides) Its conical by its shape.In various embodiments, one or more spines 415 may include multiple conical annular knurls, wherein each circle Taper annular knurl may include circular or at least substantially circular base portion, and the base portion is tapered to form cusp upwards.At certain In a little embodiments, referring now to Figure 15 B, conical annular knurl can be it is truncated, wherein may include by ring at the top of each annular knurl The flat top surface of shape side surrounding.In various embodiments, referring again to Figure 14, the annular knurl of spine 415 can be along nail Chamber opening 410 side and/or extend between adjacent nail cavity opening 410.In at least one embodiment, annular knurl can surround The proximal end 411 and/or distal end 412 of nail cavity opening 410 extend.In certain embodiments, the annular knurl of spine 415 can Only around some in nail cavity 484, and in certain other embodiments, referring to Figure 15, the annular knurl of spine 415 can be covered for example The whole of storehouse platform 490 is at least substantially whole.

In various embodiments, referring now to Figure 10, nail bin (such as nail bin 242) for example may include warehouse 285, limit Multiple nail cavities 284 in warehouse 285 and the nail in each of being located in nail cavity 284.In certain embodiments, storehouse Body 285 may also include the first side 245 with first group of nail cavity 284, with second side 247 of second group of nail cavity 284, Yi Jicang Platform 290.In various embodiments, warehouse 285 may also include the multiple spines extended from storehouse platform 290 or bump 215. In at least one such embodiment, the center or centre of the warehouse 245 that each spine 215 can position in neighbouring cutter groove 262 It is laterally extended between part and the side of warehouse 245.More specifically, referring particularly to the first side 245 of warehouse 285, each ridge Portion 215 may include the second end of the first side 261 positioning of the first end 213 that neighbouring cutter groove 262 positions and neighbouring warehouse 285 214.Similarly, referring now to second side 247 of warehouse 285, each spine 215 may include first that neighbouring cutter groove 262 positions The second end 214 that second side 263 of end 213 and neighbouring warehouse 285 positions.In at least one embodiment, each ridge Portion 215 may include the height measured from platform 290, wherein at least one such embodiment, the height of each spine 215 It can change along its length.In certain embodiments, the second end 214 can be higher than first end 213, and each spine 215 height can be tapered between the second end 214 and first end 213.In certain optionally embodiments, although not showing Out, but the first end 213 of spine 215 can be higher than the second end 214.In at least one embodiment, each spine 215 Height can be linearly or at least substantially linearly tapered between end 213 and 214.In at least one such embodiment In, the height of each spine 215 can taper to the zero elevation at first end 213 from the maximum height from the second end 214.? In certain embodiments, the height of each spine 215 can between end 213 and 214 Geometrical change.In certain optionally embodiment party In case, referring now to Figure 11, each spine 215' may include the even height across its length.

As described above, the inner end 213 of spine 215 can be shorter than the outer end 214 of spine 215.Therefore, in all cases, phase Than in outer end 214, inner end 213 can apply smaller pressure to the tissue being clamped between anvil block and nail bin 242.In various implementations In scheme, as described above, each spine 215 can be laterally extended across storehouse platform 290.In certain embodiments, each spine 215 can extend along spine's axis, the longitudinal axis 299 of the crosscutting warehouse 285 of spine's axis.In at least one such implementation In scheme, spine's axis can perpendicular to or be at least substantially orthogonal to longitudinal axis 299.In various embodiments, nail cavity 284 Can be arranged to it is multiple rows of, wherein each nail chamber 284 can be limited along following longitudinal axis, the longitudinal axis can be parallel to or Person is at least substantially parallel to longitudinal axis 299.In at least one embodiment, spine's axis of spine 215 can be along crosscutting nail The direction of the longitudinal axis of chamber 284 extends.In at least one such embodiment, spine's axis of spine 215 can along perpendicular to or The direction that person is at least substantially orthogonal to the longitudinal axis of nail cavity 284 extends.In various embodiments, referring again to Figure 10, often A spine 215 may include bizet 209 and furthermore extend in the inclined surface 208 between bizet 209 and storehouse platform 290.At certain In a little embodiments, each inclined surface 208 may include for example one or more flat surfaces, curved surface, concave surface, And/or convex surface.In various embodiments, each spine 215 can open along the one or more for extending across nail cavity 284 The path of mouth 210 extends.In at least one such embodiment, such opening 210 can extend up through spine 215.When When spine 215 is laterally extended across storehouse platform 290, spine 215 (be similar to spine 115) can increase warehouse 285 intensity and/or Rigidity.

In various embodiments, referring now to Figure 17 and Figure 18, nail bin (such as nail bin 642) for example may include warehouse 685, the multiple nail cavities 684 being defined in warehouse 685 and the nail being located in each nail cavity 684.In certain embodiments In, warehouse 685 may also include the first side 645 with first group of nail cavity 684, second side 647 with second group of nail cavity 684, And storehouse platform 690.In various embodiments, warehouse 685 may also include the multiple spines extended from storehouse platform 690 or protuberance Block 615.In at least one such embodiment, each spine 615 can be extendd in the longitudinal direction, wherein each spine 615 can Including distal end 613 and proximal end 614, wherein the distal end 613 of spine 615 be may be positioned to closer to warehouse 685 Distal end 643, and wherein the proximal end 614 of spine 615 may be positioned to closer to proximal end 641.At at least one In embodiment, each spine 615 may include the height measured from platform 690, wherein at least one such embodiment, The height of each spine 615 can change along its length.In certain embodiments, proximal end 614 can be higher than distal end 613 and the height of each spine 615 can be tapered between proximal end 614 and distal end 613.In certain optionally embodiment party In case, although being not shown, the distal end 613 of spine 615 can be higher than proximal end 614.In at least one embodiment, The height of each spine 615 can be linearly or at least substantially linearly tapered between end 613 and 614.At at least one In such embodiment, the height of each spine 615 can the maximum height proximally at end 614 taper to distal end 613 The zero elevation at place.In certain embodiments, the height of each spine 615 can between end 613 and 614 Geometrical change.? In certain optionally embodiments, each spine 615 may include the uniform height across its length.

As described above, the distal end 613 of spine 615 can be shorter than the proximal end 614 of spine 615.Therefore, in various feelings Under condition, compared to proximal end 614, distal end 613 can apply lesser to the tissue being clamped between anvil block and nail bin 642 Pressure.In various embodiments, as described above, each spine 615 can be across the longitudinal extension of storehouse platform 690.In certain implementations In scheme, each spine 615 can extend along spine's axis, and spine's axis is parallel to or at least substantially parallel to storehouse The longitudinal axis 699 of body 685.In various embodiments, nail cavity 684 can be arranged to multiple rows of, wherein can be along following longitudinal direction Axis limits each nail chamber 684, the longitudinal axis can be parallel to or at least substantially parallel to spine 615 spine Axis.In at least one embodiment, referring again to Figure 18, each spine 615 may include ramped surfaces, and the ramped surfaces can Including for example one or more flat surfaces, curved surface, concave surface, and/or convex surface.In at least one such implementation In scheme, the bottom of r