CN109414262A - Nail bin punching press nail and followed closely using punching press - Google Patents
Nail bin punching press nail and followed closely using punching press Download PDFInfo
- Publication number
- CN109414262A CN109414262A CN201780039348.3A CN201780039348A CN109414262A CN 109414262 A CN109414262 A CN 109414262A CN 201780039348 A CN201780039348 A CN 201780039348A CN 109414262 A CN109414262 A CN 109414262A
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- nail
- leg
- longitudinal
- proximal
- bizet
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- Portable Nailing Machines And Staplers (AREA)
Abstract
The invention discloses a kind of nail bin groupware, the nail bin groupware includes nail, and the nail includes bizet, the cam face extended from the bizet, one or more nail legs and one or more connectors that the nail leg is connected to the bizet.The nail bin groupware further includes sliding part, and the sliding part is configured to engage the cam face of the nail but does not engage the connector.
Description
Background technique
The present invention relates to surgical instruments, and in various arrangements, are related to surgical stapling and cutting device and and one
Act the nail bin used.
Detailed description of the invention
The various features of the embodiment described herein add in combination with following attached drawing according to being described below together with its advantage
To understand:
The perspective view of the end effector of the surgery suturing appliance of at least one embodiment according to Fig. 1;
Fig. 2 is the local perspective view for the nail bin being used together with the end effector of Fig. 1;
Fig. 3 is the perspective view for the tailor's tack being removedly stored in the nail bin of Fig. 2;
Fig. 3 A is the perspective view for following closely driving device, which is configured to project Fig. 3's from the nail bin of Fig. 2
Nail;
Fig. 4 is the local perspective view for the nail bin being used together with the end effector of Fig. 1;
Fig. 5 is the perspective view for the nail being removedly stored in the nail bin of Fig. 4;
Fig. 6 can be with the forming of the anvil block of the end effector of Fig. 1 for the nail of the nail of the nail bin of depiction 2 and the nail bin of Fig. 4
The diagram of pit alignment;
Fig. 7 is the front view of the nail of Fig. 5;
Fig. 8 is the partial side view of the nail of Fig. 5;
Fig. 9 is the partial side view of the nail of Fig. 5;
The sliding part that Figure 10 depicts the nail bin of Fig. 4 directly engages the nail of Fig. 5;
Figure 11 is the partial sectional view of the nail bin of Fig. 4, shows the nail of Fig. 5 in non-firing position;
Figure 12 is the partial sectional view of the nail bin of Fig. 4, shows the nail of Fig. 5 in firing position;
Figure 13 includes the perspective view and front view of the alternative embodiment of the nail of Fig. 5;
Figure 14 includes the perspective view and front view with a kind of pattern of nail of Fig. 5 of non-parallel nail leg;
The partial plan layout of the nail bin of at least one embodiment according to Figure 15;
Figure 16 is the rear front view for the sliding part being used together with the nail bin of Figure 15;
Figure 17 is the perspective view of the sliding part of Figure 16;
Figure 18 is the partial sectional view of the warehouse of the nail bin of Figure 15;
Figure 19 is the partial plan layout for the anvil block being used together with the nail bin of Figure 15;
The partial plan layout of the nail bin of at least one embodiment according to Figure 20;And
Figure 21 is the anterior elevational view for the sliding part being used together with the nail bin of Figure 20;
In 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 possess on June 24th, 2016 submit and be respectively incorporated by reference be incorporated herein with
Lower U.S. Patent application:
Entitled " STAPLING SYSTEM FOR USE WITH WIRE STAPLES AND STAMPED
The U.S. Patent Application Serial Number 15/191,807 of STAPLES ";
The U.S. Patent application of entitled " STAPLE CARTRIDGE COMPRISING OVERDRIVEN STAPLES "
Sequence number 15/191,788;
Entitled " STAPLE CARTRIDGE COMPRISING OFFSET LONGITUDINAL STAPLE ROWS "
U.S. Patent Application Serial Number 15/191,818;And
Entitled " STAPLE CARTRIDGE COMPRISING WIRE STAPLES AND STAMPED STAPLES "
U.S. Patent Application Serial Number 15/191,775;
Present applicant possess on June 24th, 2016 submit and be respectively incorporated by reference be incorporated herein with
Lower U.S. Design Patent Application:
The U.S. Design Patent Application sequence number 29/569,218 of entitled " SURGICAL FASTENER ";
The U.S. Design Patent Application sequence number 29/569,227 of entitled " SURGICAL FASTENER ";
The U.S. Design Patent Application sequence number 29/569 of entitled " SURGICAL FASTENER CARTRIDGE ",
259;And
The U.S. Design Patent Application sequence number 29/569 of entitled " SURGICAL FASTENER CARTRIDGE ",
264。
Present applicant possess on August 26th, 2015 submit and be respectively incorporated by reference be incorporated herein with
Lower U.S. Patent application:
The U.S. Patent application sequence of entitled " SURGICAL STAPLES FOR MINIMIZING STAPLE ROLL "
Row number 14/836,324;
Entitled " SURGICAL STAPLES COMPRISING HARDNESS VARIATIONS FOR IMPROVED
The U.S. Patent Application Serial Number 14/836,411 of FASTENING OF TISSUE ";
Entitled " SURGICAL STAPLE STRIPS FOR PERMITTING VARYING STAPLE
The U.S. Patent Application Serial Number 14/836 of PROPERTIES AND ENABLING EASY CARTRIDGE LOADING ",
058;
Entitled " SURGICAL STAPLING CONFIGURATIONS FOR CURVED AND CIRCULAR
The U.S. Patent Application Serial Number 14/836,110 of STAPLING INSTRUMENTS ";
The United States Patent (USP) Shen of entitled " STAPLE CARTRIDGE ASSEMBLY WITHOUT A BOTTOM COVER "
It please sequence number 14/836,036;
Entitled " STAPLE CARTRIDGE ASSEMBLY COMPRISING STAPLE CAVITIES FOR
The U.S. Patent Application Serial Number 14/836,077 of PROVIDING BETTER STAPLE GUIDANCE ";
The United States Patent (USP) of entitled " STAPLE CARTRIDGE ASSEMBLY INCLUDING STAPLE GUIDES "
Patent application serial numbers 14/836,225;
Entitled " STAPLE CARTRIDGE ASSEMBLY COMPRISING STAPLE ALIGNMENT
The U.S. Patent Application Serial Number 14/836,351 of FEATURES ON A FIRING MEMBER ";
Entitled " STAPLE CARTRIDGE ASSEMBLY COMPRISING VARIOUS TISSUE
The U.S. Patent Application Serial Number 14/836,163 of COMPRESSION GAPS AND STAPLE FORMING GAPS ";
The U.S. of entitled " STAPLES CONFIGURED TO SUPPORT AN IMPLANTABLE ADJUNCT " is special
Sharp patent application serial numbers 14/836,294;
The U.S. Patent Application Serial Number 14/836,375 of entitled " STAPLES COMPRISING A COVER ";
Entitled " STAPLE CARTRIDGE ASSEMBLY INCLUDING FEATURES FOR CONTROLLING
The U.S. Patent Application Serial Number 14/ of THE ROTATION OF STAPLES WHEN BEING EJECTED THEREFROM "
836,137;And
Entitled " SURGICAL STAPLES COMPRISING FEATURES FOR IMPROVED FASTENING
The U.S. Patent Application Serial Number 14/836,020 of OF TISSUE ".
Present applicant, which also possesses to submit on December 23rd, 2013 and be respectively incorporated by reference, to be incorporated herein
Following patent application:
Entitled " Surgical Instruments With Articulatable Shaft Arrangements's "
U.S. Patent Application Serial Number 14/138,554;It is now U.S. Patent Application Publication 2015/0173789;
The U.S. Patent Application Serial Number of entitled " SURGICAL STAPLES AND STAPLE CARTRIDGES "
14/138,465;It is now U.S. Patent Application Publication 2015/0173744;
Entitled " Articulatable Surgical Instruments With Separate and Distinct
The U.S. Patent Application Serial Number 14/138,474 of Closing and Firing Systems ";It is now public for U.S. Patent application
Cloth 2015/0173745;
Entitled " Surgical Cutting and Stapling Instruments With Independent
The U.S. Patent Application Serial Number 14/138,485 of Jaw Control Features ";It is now U.S. Patent Application Publication 2015/
0173746;
The U.S. Patent Application Serial Number of entitled " SURGICAL STAPLES AND STAPLE CARTRIDGES "
14/138,475;It is now U.S. Patent Application Publication 2015/0173749;
The United States Patent (USP) Shen of entitled " SURGICAL STAPLES AND METHODS FOR MAKING THE SAME "
It please sequence number 14/138,481;It is now U.S. Patent Application Publication 2015/0173750;
Entitled " SURGICAL STAPLES, STAPLE CARTRIDGES AND SURGICAL END
The U.S. Patent Application Serial Number 14/138,489 of EFFECTORS ";It is now U.S. Patent Application Publication 2015/0173751;
The U.S. Design Patent Application sequence number 29/477,488 of entitled " SURGICAL FASTENER ";
Entitled " FASTENER CARTRIDGE COMPRISING AN EXTENDABLE FIRING MEMBER's "
U.S. Patent Application Serial Number 14/138,505;It is now U.S. Patent Application Publication 2015/0173760;
Entitled " FASTENER CARTRIDGE COMPRISING A FIRING MEMBER CONFIGURED TO
The United States Patent (USP) Shen of DIRECTLY ENGAGE AND EJECT FASTENERS FROM THE FASTENER CARTRIDGE "
It please sequence number 14/138,518;It is now U.S. Patent Application Publication 2015/0173761;
Entitled " FASTENER CARTRIDGE COMPRISING A FIRING MEMBER INCLUDING
The U.S. Patent Application Serial Number 14/138,530 of FASTENER TRANSFER SURFACES ";It is now public for U.S. Patent application
Cloth 2015/0173762;
The U.S. Patent Application Serial Number 14/138,507 of entitled " Modular Surgical Instruments ";
It is now U.S. Patent Application Publication 2015/0173747;
Entitled " Surgical Cutting and Stapling Instruments With Articulatable
The U.S. Patent Application Serial Number 14/138,497 of End Effectors ";
It is now U.S. Patent Application Publication 2015/0173755;And
The U.S. Patent Application Serial Number 14/ of entitled " SURGICAL CUTTING AND STAPLING METHODS "
138,516;It is now U.S. Patent Application Publication 2015/0173756.
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.It is not described in well known operation, component and element, in order to avoid make to illustrate
Embodiment described in book is smudgy.Reader will appreciate that embodiment described and illustrated herein is non-limiting shows
Example, thus it can be appreciated that, specific structural and functional details disclosed herein can be representative and illustrative.Power is not being departed from
In the case where the range that benefit requires, variations and modifications can be carried out to these embodiments.
Term " including (comprise) " (and any form of " including (comprise) ", such as " including
(comprises) " and " including (comprising) "), " with (have) " (and any form of " with (have) ", it is all
Such as " with (has) " and " with (having) "), " comprising (include) " (and any form of " comprising (include) ",
Such as " include (includes) " and " including (including) ") and " containing (contain) " (and " contain
(contain) " any form, such as " contain (contains) " and " containing (containing) ") for open link-verb.
Therefore, the surgery system, device or equipment of " comprising ", " having ", "comprising" or " containing " one or more elements have these
One or more elements, but it is not limited to that only there are these one or more elements.Equally, " comprising ", " having ", "comprising" or
The element of the system of " containing " one or more features, device or equipment has those one or more features, but is not limited to only
With those one or more features.
Term " nearside " and " distal side " are herein defined as coming relative to the clinician of the handle portions of manipulation surgical instruments
It uses.Term " nearside " refers to that near the part of clinician, term " distal side " refers to the portion far from clinician's positioning
Point.It is also understood that using such as "vertical", "horizontal", "up" and "down" in combination with attached drawing herein for the sake of succinct and is clear
Etc. spatial terminologies.However, surgical instruments uses in many directions and position, and these terms and it is unrestricted and/or
Absolute.
Various exemplary means and method are provided for executing laparoscopic type and minimally invasive surgery procedure operation.However, reading
Person it will be readily understood that various method and apparatus disclosed herein can be used for a variety of surgical procedures and application in, including for example with
Open surgical program combines.With continued reference to present embodiment, reader be will be further understood that, various devices disclosed herein
Tool in any way in insertion body, by natural cavity, can pass through the notch formed in tissue or puncturing hole etc..Device
The working portion or end effector portion of tool can be inserted directly into patient's body or can be filled by entering with service aisle
Insertion is set, the end effector and elongated shaft of surgical instruments can be promoted by the service aisle.
Surgical stapling system may include axis and the end effector from axis extension.End effector includes the first jaw and the
Two jaws.First jaw includes nail bin.Nail bin is inserted into the first jaw and can remove from the first jaw;However,
Other embodiments replaced from the first jaw can not be removed from the first jaw or at least be readily able to by being susceptible to wherein nail bin.
Second jaw includes the anvil block for being configured to the nail deformation for making to project from nail bin.Second jaw can be relative to the first jaw
It is pivoted around closure axis;It is envisaged however that other embodiments that wherein the first jaw can be pivoted relative to the second jaw.
Surgical stapling system further includes the joint for being configured to allow end effector that joint motions are rotated or carried out relative to axis
Kinematic joint.End effector can be around the joint motions axis rotation for extending through actuated articulation joints.It contemplates and does not wrap
Include other embodiments of actuated articulation joints.
Nail bin includes warehouse.Warehouse includes proximal end, distal end and extends between proximal end and distal end
Platform.In use, nail bin is located on the first side of tissue to be stapled, and anvil positioning is in second side of tissue
On.Anvil block is towards cartridge movement by tissue compression and to grip against platform.Then, the nail being removedly stored in warehouse can
It is deployed in tissue.Warehouse includes being defined in nail cavity therein, is removedly stored in nail cavity wherein following closely.Nail cavity is arranged
At six longitudinal rows.Three nail chambers are located on the first side of longitudinal slit and three nail chambers are located in second side of longitudinal slit
On.Other of nail cavity and nail arrangement are also possible.
Nail is supported by the nail driving device in warehouse.Driving device can first or non-firing position and second or percussion
It moves between position, is followed closely with being projected from nail bin.Driving device is retained in warehouse by retainer, and the retainer surrounds warehouse
Bottom extend and including being configured to grasping warehouse and keeping retainer to the elastic component of warehouse.Driving dress
Setting can be moved between its non-firing position and its firing position by sliding part.Sliding part can be adjacent with proximal end
Proximal position and the distal position adjacent with distal end between move.Sliding part includes multiple ramped surfaces, the slope table
Face is configured to slide below driving device towards anvil block and lifting driving device, and follow closely on the drive means by
To support.
Than that described above, sliding part can also be moved toward the far side by firing member.Firing member is configured to contact
Sliding part simultaneously pushes sliding part towards distal end.In one or more optionally embodiment, sliding part is connected to percussion structure
Part.The longitudinal slit being defined in warehouse is configured to receive firing member.Anvil block further includes being configured to receive
The slit of firing member.Firing member further includes the second cam for engaging the second jaw of the first cam and engagement of the first jaw.
When firing member is promoted towards distal side, first cam and the second cam can control the distance between platform and anvil block of nail bin or group
Knit gap.Other embodiments are contemplated, wherein firing member only has a cam member or do not have cam member.It is such
Embodiment may include other suitable devices for the first jaw and the second jaw to be held in place.Under any circumstance,
Firing member further includes the knife for being configured to tissue of the incision capture among nail bin and anvil block.Wish that knife is positioned at least
Part is close to ramped surfaces, so that nail is emitted prior to knife.
The end effector 100 of surgical stapling system is shown in Figure 1.End effector 100 includes frame 190, storehouse jaw
110 and anvil block 120.Storehouse jaw 110 fixedly extends from frame 190.Anvil block 120 can relative to storehouse jaw 110 open or
It is moved between released position and closure or clamped position (Fig. 1).In alternative embodiment, storehouse jaw 110 can be relative to anvil
Seat 120 moves between opening or released position and closure or clamped position.In at least one such embodiment, anvil block
120 fixedly extend from frame 190.
For example, storehouse jaw 110 is configured to receive nail bin, such as nail bin 130.Referring to fig. 2, nail bin 130 includes storehouse
Body 132.Warehouse 132 includes the platform 133 for being configured to the tissue of support patient, longitudinal slit 135 and is limited to it
In six longitudinal nail chambers 134.For example, longitudinal slit 135 is configured to receive firing member, such as firing member
270 (Figure 12).Each nail cavity 134 is configured to receive wherein and removedly 140 (Fig. 3) are followed closely in storage.Nail bin 130 is also
Including following closely driving device, such as nail driving device 180 (Fig. 3 A), for example, it is configured to that 140 will be followed closely and drives out nail cavity
134.Referring to Fig. 3 and Fig. 3 A, each nail driving device 180 includes bracket 182, which is configured to support and/or connect
The base portion or bizet 142 of dowel 140.Other nail driving devices are contemplated, wherein driving device includes such as two brackets, three
Bracket or four brackets, such as it is used to support and engages more than one nail.
Apart from the above, nail bin 130 further includes sliding part, which is configured to jointing nail driving device 180.
More specifically, the slope is configured to engagement and is limited to nail driving device for example, sliding part includes one or more slopes
One or more cams on 180, such as cam 185, and when sliding part is moved toward the far side across nail bin 130, nail is driven
Dynamic device 180 and nail 140 are promoted into nail cavity 134.Firing member 270 is configured to will sliding during following closely firing schedule
Proximally non-firing position is moved toward the far side to distal side firing position part.In at least one example, do not hit when nail 140 is in it
When sending out position, each nail 140 is fully located in 133 lower section of platform of warehouse 132.In such example, when nail 140 is in it not
When firing position, the nail leg 144 for following closely 140 may not extend to 133 top of platform.In use, when nail 140 is fired, nail leg
Expose above platform 133 at 144 tip 146.When nail bin 130 is mobile relative to tissue, such arrangement can reduce nail 140
A possibility that hooking the tissue of patient.
In various other examples, apart from the above, when nail 140 is in its non-firing position, the tip of nail leg 144
146 extend to 133 top of platform.Referring primarily to Fig. 2, warehouse 132 further includes the protruding portion 136 for extending to 133 top of platform, should
Protruding portion is configured to when nail 140 is in its non-firing position at least partially around tip 146.The length of nail leg 144
Degree is selected such that when nail 140 is in its non-firing position, tip 146 is located in below the top surface of protruding portion 136.It is prominent
Portion 136 is further configured to guide nail leg 144 when following closely 140 from the injection of nail cavity 134 out.In some aspects, protruding portion 136 makes
Nail cavity 134 extends to 133 top of platform.Such arrangement can permit using bigger or higher nail, while even if nail extends to
133 top of platform, also provides protection for nail.
Apart from the above, nail 140 is made of wire rod.The wire rod has round or at least substantially circular cross section;So
And any suitable cross section can be used.It is, for example, possible to use square cross section and/or there is at least one planar side
The cross section in face.The wire rod consists of metal, such as titanium and/or stainless steel.That is, the wire rod can be by for example any conjunction
Suitable material (such as plastics) is constituted.
Each nail 140 is made of bent wire, which is already shaped into bizet 142 and nail leg including nail 140
144.As described in more detail below, anvil block 120 is configured to make nail 140 in non-percussion configuration (Fig. 3) and percussion configuration
Between deform.As shown in figure 3, when nail 140 is in its non-percussion configuration, follow closely 140 leg 144 it is not parallel each other.Such
In example, when nail 140 is in its non-percussion configuration, nail 140 includes substantially V-arrangement configuration.It in certain embodiments, can be with
Utilize the nail with parallel or at least substantially parallel leg when nail is in its non-percussion configuration.In such example, when
When nail is in its non-percussion configuration, nail includes substantially U-shaped configuration.
Referring again to Fig. 2, nail bin 130 further includes the retainer 160 for being attached to warehouse 132.Retainer 160 is at least partly
Bottom around storehouse 132 extends, and is configured to anti-non-magnetic shim 140, nail driving device 180 and/or sliding part from warehouse
132 bottom drops out.Retainer 160 is configured to engage warehouse 132 in a manner of snap fit;However, retainer 160 can
To be attached to warehouse 132 in any suitable manner.Moreover, retainer 160 is configured to engage in a manner of snap fit
Storehouse jaw 110, nail bin 130 is releasably held in storehouse jaw 110.That is, nail bin 130 can be any suitable
Mode is releasably held to storehouse jaw 110.
Apart from the above, for example, end effector 100 be also configured as can be together with the nail bin in addition to nail bin 130
It uses, such as nail bin 230 (Fig. 4).In other words, nail bin 230 for example can be with end effector 100 together for replacing nail bin
130.In some instances, end effector 100 can be used together with nail bin 130, and nail bin 130 at least partly by
After percussion, nail bin 130 can be removed from the first jaw 110, then be replaced with the nail bin 230 not fired.In various examples,
With any suitable sequential selection and one or more nail bins 130 and one or more can be interchangeably used in surgeon
A nail bin 230.
Referring to fig. 4, nail bin 230 includes warehouse 232 and the retainer 260 for being attached to warehouse 232.Retainer 260 is in many
Aspect is similar to retainer 160.Retainer 260 is configured to engage warehouse 232 in a manner of snap fit;However, keeping
Device 260 can be attached to warehouse 232 in any suitable manner.Moreover, retainer 260 is configured in a manner of snap fit
Storehouse jaw 110 is engaged, nail bin 230 is releasably held in storehouse jaw 110.That is, nail bin 230 any can close
Suitable mode is releasably held to storehouse jaw 110.
Warehouse 232 includes the platform 233 for being configured to the tissue of support patient, longitudinal slit 135 and is limited to
Longitudinal direction nail chamber therein.Platform 233 include positioned at longitudinal slit 135 the first side on first part and be located at longitudinal slit
Second part in 135 second side.The first part of platform 233 and second part respectively include first or internal longitudinal nail
Chamber, second or intermediate longitudinal nail chamber and third or external longitudinal nail chamber.The first part of platform 233 includes having nail
First longitudinal direction row, the second longitudinal direction row with nail cavity 234a and the third with nail cavity 234a' of chamber 234a is longitudinally arranged.It is flat
The second part of platform 233 includes having the first longitudinal direction row of nail cavity 234a', the second longitudinal direction row with nail cavity 234a' and tool
There is the third of nail cavity 234 longitudinally to arrange.
Apart from the above, nail cavity 234a and nail cavity 234a' are similar in many aspects, the difference is that they are mutual mirrors
Picture.Nail cavity 234a can be described as " left hand " nail cavity, and nail cavity 234a' can be described as " right hand " nail cavity.Certainly, left and right is that perspective is asked
Topic, can use different or even opposite nomenclatures.Furthermore, it is possible to utilize left hand nail cavity 234a and right hand nail cavity 234a'
Any suitably-arranged.
Referring to fig. 4, Fig. 5 and Figure 14, nail 240 are removedly stored in each nail cavity 234a.Referring to Figure 13, nail 240 can
It is stored in each nail cavity 234a with removing.Nail 240 and nail 240a' are similar in many aspects, the difference is that they are mutual
Mirror image.Consistent with the nomenclature used above, nail 240 is " left hand " nail, and following closely 240' is " right hand " nail.
Referring again to Fig. 4, the second part of platform 233 is the mirror image of the first part of platform 233.It is such arrangement relative to
Tissue cut line generates symmetrical staple line, that is, passes through longitudinal slit when firing member 270 moves toward the far side during firing schedule
When 135, the longitudinal cut caused by the cut edge 272 that is limited on firing member 270.In other embodiments, platform
233 second part is not the mirror image of the first part of platform 233.It is such to be disposed relative in the tissue that cutting line is sewn
Generate asymmetric staple line.
Referring primarily to Fig. 7 to Figure 10, nail 240 includes bizet 242, nearside nail leg 244p, Yi Jilian for being connected to bizet 242
It is connected to the distal side leg 244d of bizet 242.More specifically, nail 240 includes the nearside that nearside nail leg 244p is connected to bizet 242
The connector 248p and distal connector 248d that distal side nail leg 244d is connected to bizet 242.Proximal connector 248p and nearside
Nail leg 244p and bizet 242 are integrally formed, and similarly, distal connector 248d and distal side nail leg 244d and bizet 242
It is integrally formed.Nail 240 further includes driving device 246 that is integrally formed with bizet 242 and extending from the bizet.Driving device
246 include the cam face 245 limited on it, which is configured to during following closely firing schedule by nail bin
230 sliding part 250 directly engages, as shown in Figure 10.
Such as from Fig. 7 to Figure 10 in as can be seen that bizet 242 and driving device 246 limit height jointly, this is highly higher than closely
Side-connector 248p and/or distal connector 248d.Moreover, the total height of bizet 242 and driving device 246 defines that size is big
In the size of any cross-sectional width of nail leg 244p and 244d.
Such as from Fig. 7 to Figure 10 in it can also be seen that proximal leg 244p, proximal connector 248p, distal side leg 244d and
Distal connector 244d does not extend below driving device 246.In other words, driving device 246 includes the bottom of nail 240.And
And entire cam face 245 is in proximal leg 244p, proximal connector 248p, distal side leg 244d and distal connector 244d
Lower section.Such arrangement facilitates the driving device 246 for ensuring 250 contact stud 240 of sliding part, rather than follows closely 240 another part.
Apart from the above, referring again to Figure 13, following closely 240' includes bizet 242', the proximal leg for being connected to bizet 242'
244p', the distal side leg 244d' for being connected to bizet 242' and drive that is integrally formed with bizet 242' and extending from the bizet
Dynamic device 246'.Driving device 246' includes the cam face 245' limited on it, which is configured to
It is directly engaged during nail firing schedule by sliding part 250.Unless otherwise stated, the introduction provided herein about nail 240
Suitable for following closely 240'.For brevity, the discussion for solving these adaptability may be specifically described herein.
Each nail 240 is made of for example single metalwork, such as titanium and/or stainless steel.Using other materials such as example
Such as plastics.In various examples, nail 240 is stamped to form by one or more material pieces.It, will be continuous at least one example
Flat metal strip is sent into advance mold, which hits or stamping material item, and by bizet 242 from nail leg 244p and nail
Leg 244d removes or removes plane.Alternatively, nail leg 244p and nail leg 244d are removed or are removed plane from bizet 242.Each
In kind example, advance mold is further configured to form one or more radiant types edge on nail 240, is such as following closely
On leg 244p and nail leg 244d.In some instances, advance mold, which is also configured as, can cast nail leg 244p and nail leg 244d
Tip 246, and any extra material is removed from material strips.Each of these forming steps can be in advance mold
Generation-the arrangement will most in identical forming station or station at interior one or more stations and/or in advance mold
The item for being attached to the nail 240 of for example continuous bearing band is generated eventually.Nail 240 is separated with bearing band, is then inserted into nail cavity 234.At certain
In a little examples, nailing strip 240 is fitted into and is loaded in block, then removes bearing band from nail 240.Hereafter, block is loaded to insert for 240 will to be followed closely
Enter in the nail cavity 234a of warehouse 232.In at least one example, loading block, which is also configured as, can receive nail 240', so that nail
240 and nail 240' is loaded onto warehouse 232 simultaneously.
Apart from the above, referring primarily to Fig. 7, the driving device 246 of each nail 240 is attached to bearing band at tie point 249,
The tie point is limited to the distal face of driving device 246.A possibility that such arrangement reduces burr or label, for example, from drive
Dynamic device 246 extends downwardly and the longitudinal of sliding part 250 is hindered to advance.That is, can use any suitable attachment point
Or point will follow closely 240 and remain to bearing band.In addition to that mentioned above or above content is replaced, can use wire combustion or electro-discharge machining
(EDM), operation and/or any other suitable manufacturing process form nail 240.Moreover, nail 240' can use it is described herein
Any method manufacture.
Referring to Fig. 8 and Fig. 9, the nearside nail leg 244p and distal side nail leg 244d for following closely 240 limit nail leg plane 241s.Except above-mentioned
Except, when nail 240 is located in nail cavity 234a, follows closely 240 nearside nail leg 244p and be located in closely relative to distal side nail leg 244d
Side.Moreover, the nearside nail leg 244p and distal side nail leg 244d of nail 240 are aligned with percussion axis.When nail 240 is located in longitudinal nail
When in chamber 234a, which is also aligned with the nail leg 244p and nail leg 244d of other nails 240.As a result, longitudinal nail chamber
The nail leg plane 241s of nail 240 in 234a is in alignment with each other or is at least substantially aligned.It should be appreciated that nail leg 244p and nail leg
244d includes width or thickness, and nail leg plane 241s may include the width of nail leg 244p and/or nail leg 244d.
Apart from the above, referring to fig. 4 and Fig. 6, it is stored in left hand nail 240 in the longitudinal nail chamber in the first inside removedly
It is stored therein in, so that the nail leg plane 241s of nail 240 is than their driving plane 241c closer to longitudinal slit 135.Accordingly
Ground, with continued reference to Fig. 4 and Fig. 6, the right hand nail 240 being stored in the longitudinal nail chamber in the second inside is also removedly stored in it
In, so that the nail leg plane 241s of nail 240 is than their driving plane 241c closer to longitudinal slit 135.Similarly, it is stored in
Left hand nail 240 among first in longitudinal nail chamber is removedly stored therein in, so that the nail leg plane 241s of nail 240 is than it
Driving plane 241c closer to longitudinal slit 135.Equally, it is stored in the right hand nail 240' among second in longitudinal nail chamber
It is removedly stored therein in, so that the nail leg plane 241s of nail 240' is than their driving plane 241c closer to longitudinal slit
135.On the other hand, referring again to Fig. 4 and Fig. 6, the right hand nail 240 being stored in the longitudinal nail chamber in the first outside is removedly stored up
In the presence of wherein, so that the driving plane 241c of nail 240' is than their nail leg plane 241s closer to longitudinal slit 135.Equally,
The left hand nail 240' being stored in the longitudinal nail chamber in the second outside is also removedly stored therein in, so that the driving of nail 240 is flat
Face 241c is than their nail leg plane 241s closer to longitudinal slit 135.
Nail leg 244p, the nail leg 244d of nail 240 include the tissue bite or clamping part for following closely 240, when the nail leg of nail 240
When 244p, nail leg 244d are deformed against anvil block 120, which is configured to capture the tissue of patient in nail 240, such as following
It is more fully described.In various examples, nearside nail leg 244p and distal side nail leg 244d are formed in nail leg plane 241s.So
And in other instances, one or two of nail leg 244p and nail leg 244d can be deformed from nail leg plane 241s.
Apart from the above, when nail 240 is in its non-percussion configuration, follow closely 240 nearside nail leg 244p and nail leg 244d it is flat
Row is at least substantially parallel, as shown in Figure 7.As a result, when nail 240 is in its non-percussion configuration, nail leg 244p, nail leg 244d
Substantially U-shaped configuration is formed with the bizet 242 of nail 240.In such configuration, when following closely 240 from nail cavity 234a injection, nail leg 244p
It can be than being easier to control in other configurations with moving upwards for nail leg 244d.In various alternative embodiments, referring to
Figure 14 follows closely 240 nearside nail leg 244p and distal side nail leg 244d away from each other and/or along being not substantially parallel with each other direction to extension
It stretches.In at least one such example, when nail 240 is in its non-percussion configuration, nail leg 244p, nail leg 244d and nail 240
Bizet 242 forms substantially V-arrangement configuration.In such configuration, the nail leg 244p and nail leg 244d for following closely 240 can be with nail cavity 234a
Side wall contact and elastically inwards bias, nail 240 can be elastically held in nail cavity 234a by the side wall of the nail cavity.
Apart from the above, retainer 260 extends at least partly around the bottom in storehouse 232, and is configured to prevent
Non-magnetic shim 240, nail 240' and/or sliding part 250 are dropped out from the bottom of warehouse 232.
Referring primarily to Figure 10, the driving device 246 for following closely 240 includes the drive part for following closely 240.The longitudinal direction of sliding part 250 is tiltedly
Slope 255 is configured to sequentially engagement and slides below the driving device 246 of nail 240, will follow closely 240 in nail cavity 234a
It is interior to be lifted up towards anvil block 120.The cam face 245 of each nail 240 is limited in the proximal side of driving device 246, and
Start the point contacted with nail 240 including sliding part 250.The driving device 246 of each nail 240 is limited in driving plane 241c,
The driving plane is aligned with longitudinal slope 255 or is at least substantially aligned.Cam face 245 is also defined in driving plane 241c
It is interior.It should be appreciated that cam face 245 and/or driving device 246 include width or thickness, and the plane 241c is driven to may include
The width of cam face 245 and/or driving device 246.
Referring again to Fig. 8 and Fig. 9, connector 248p and connector 248d make nail leg 244p and nail leg 244d and nail respectively
240 bizet 242 separates.As shown in Figure 8 and Figure 9, follow closely 240 driving plane 241c from the nail leg side plane 241s of nail 240 to
Biasing.Also as shown in Figure 8 and Figure 9, follow closely 240 driving plane 241c be parallel to or at least substantially parallel to follow closely 240 nail leg
Plane 241s.In such example, driving axis is in alignment with each other the driving plane 241c of longitudinal nail 240 along longitudinal direction.It is longitudinal to drive
Shaft line and longitudinal percussion axis are parallel and adjacent to longitudinal axis that fires is aligned with nail leg plane 241s, as described above.
Referring again to Fig. 8 to Figure 10, longitudinal slope 255 does not connect with the proximal connector 248p of nail 240 or distal connector
It closes.Similarly, longitudinal slope 255 is not engaged with the nail leg 244p and nail leg 244d of nail 240.Moreover, there is no one in sliding part 250
Proximal connector 248p, nearside nail leg 244p, distal connector 248p and the distal side nail leg 244d of a part jointing nail 240.Phase
Instead, when sliding part 250 moves toward the far side during firing schedule, the cam face of the direct jointing nail 240 in longitudinal slope 255
245.When sliding part 250 moves toward the far side, longitudinal slope 255 is slided below cam face 245 and in non-firing position
Nail 240 is sequentially lifted up towards anvil block 120 between (Figure 11) and firing position (Figure 12).In other words, nail 240 makes nail cavity
Longitudinal slope 255 in 234a is towards its firing position upward sliding, as shown in figure 12.
Apart from the above, it referring primarily to Figure 10, follows closely 240 driving surface 245 and does not extend in proximal connector 248p.It drives
Dynamic device 246 includes recess or protrusion 247, which separate driving surface 245 with proximal connector 248p.In various examples
In, recess 247 is limited in driving plane 241c.In at least one example, recess 247 extends to proximal connector 248p
In.Recess 247 is configured to ensure the driving device 246 of 250 contact stud 240 of sliding part, that is, flat in the driving of nail 240
In the 241c of face, rather than proximal connector 248p and/or proximal leg 244p.Recess 247 also connects in driving device 246 and nearside
It connects and forms clearly profile between device 248p, so that cam face 245 will not distort out driving plane 241c.Moreover, recess 247
Make that plane 241c is driven to separate with the vertical plane including nearside nail leg 244p.
Similar to the above, driving surface 245 does not extend in distal connector 248d.
Apart from the above, 240 driving surface 245 is followed closely with the angle automatching on longitudinal slope 255 with sliding part 250 or extremely
Few substantially matched angle extends.That is, any suitable angle can be used.
In at least one example, apart from the above, when nail 240 is in its non-firing position, each nail 240 is completely fixed
Position is below the platform 233 of warehouse 232.In such example, when nail 240 is in its non-firing position, 240 nail leg is followed closely
244 will not extend above platform 233.In use, when nail 240 is fired, the tip 246 of nail leg 244 is on platform 233
Expose side.When nail bin 230 is mobile relative to tissue, such arrangement can reduce a possibility that nail 240 hooks patient tissue.
In various examples, apart from the above, when nail 240 is in its non-firing position, nail leg 244p and/or nail leg
The tip 246 of 244d extends to 233 top of platform.Referring primarily to Fig. 4 and Fig. 6, warehouse 232 further includes extending on platform 233
The protruding portion 236 of side, the protruding portion are configured to when nail 240 is in its non-firing position at least partially around tip
246.The length of nail leg 244p and nail leg 244d are selected such that when nail 240 is in its non-firing position, tip 246 positions
Below the top surface of protruding portion 236.In some aspects, protruding portion 236 makes nail cavity 234 extend to 233 top of platform.Such cloth
Setting can permit using bigger or higher nail, while even if nail extends to 233 top of platform, also provide protection for nail.It is prominent
Portion 236 is further configured to guide nail leg 244 when following closely 240 from the injection of nail cavity 234.
Apart from the above, when the top surface 253 on longitudinal slope 255 passes through below the bottom surface of nail 240, nail 240 reaches
To its complete firing configuration.Turning now to Figure 12, nail 240 almost reaches to the top surface 253 on longitudinal slope 255, and therefore several
Reach its complete firing configuration.Once top surface 253 is moved toward the far side relative to deformation nail 240 and is taken off with deformation nail 240
From engagement, then the elastic reactance and/or potential energy being stored in deformation nail 240 can push back a part of deformation nail 240
Into nail cavity 234a, deformation nail is projected from the nail cavity.
Referring again to Figure 11 and Figure 12, anvil block 120 includes forming pit, which is configured to make nail 240
With nail 240' deformation.Each forming pit include for example be configured to receive nail 240 nearside nail leg 244p nearside at
Shape cup 124p, and be configured to receive the distal side forming cup 124d of the distal side nail leg 244d of nail 240.Nearside forming cup
124p is configured to make nearside nail leg 244p inwardly distal side nail leg 244d deformation.Similarly, distal side forming cup 124d
It is configured to make distal side nail leg 244d inwardly nearside nail leg 244p deformation.Other embodiments are contemplated, wherein following closely
One or two of leg 244p and nail leg 244d are bent outwardly away from each other and/or along any other suitable direction.Again
It is secondary to pass through anvil block 120 referring to Figure 12, nail 240 and nail 240' and be deformed into B shape configuration;However, anvil block 120 can be configured to
Nail 240 and nail 240' is set to be deformed into any suitable configuration.
As described above, end effector 100 can be used together with nail bin 100, or alternatively, nail bin 200 be can be used.
As a result, anvil block 120 is configured to make the nail 240 of the nail 140 of nail bin 100 and other nail bin 200, nail 240' deformation.
In other words, each forming pit being limited in anvil block 120 be configured to make made of bent wire nail 140 and
Such as the nail 240 or nail 240' being stamped to form by flat bar material strip deform.For example, the nearside of forming pit shapes referring primarily to Fig. 6
Cup 124p is configured to make the nearside nail leg 244p deformation of the nearside nail leg 144 of nail 140 and nail 240.If following closely 240'
With forming pit rather than nail 240 is aligned, then the nearside forming cup 124p of forming pit is further configured to make nearside nail leg
244p' deformation.Similar to the above, the distal side forming cup 124d of forming pit is configured to make the distal side nail leg 144 of nail 140
And the distal side nail leg 244d deformation of nail 240.Equally, it if nail 240' is with forming pit rather than nail 240 is aligned, shapes recessed
The distal side forming cup 124d in hole, which is also configured as, can be such that distal side nail leg 244d' deforms.
Apart from the above, the nail cavity 234a of the nail cavity 134 of nail bin 130 and nail bin 230 can be with the forming pit of anvil block 120
Alignment so that the tip 146 of nail 140 and the tip 246 of nail 240 hit forming cup 124p and identical point in forming cup 124d or
Target, which nail bin this depends on and is attached to end effector 100.It should be appreciated that due to the variation of structural constituent, for example, sharp
End 146 and tip 246 can't may actually hit the same target in forming cup 124p and forming cup 124d.Namely
It says, the forming cavity of anvil block 120 is configured to follow closely 140 leg 144 and leg 244p, leg the 244d guidance of nail 240
At required alignment.For this purpose, nearside forming cup 124p includes guiding wall 126p, and distal side forming cup 124d includes guiding wall
126d, these guiding walls are configured to guide the leg of nail 140, nail 240 and nail 240' and are formed as desired configuration.
Referring again to Fig. 7, nail 240 includes the tissue engagement surface 243 being limited on the top surface of bizet 242.Nail 240
Surface 243 is configured to the tissue captured in support nail 240 when nail 240 is formed as its percussion configuration and/or applies to it
Plus-pressure.Referring now to Figure 11, when nail 240 is in its non-firing position, the surface 243 for following closely 240 is located in the flat of warehouse 232
233 lower section of platform.When nail 240 moves to its firing position, turning now to Figure 12, surface 243 is at least partly on platform 233
Expose side.In other words, sliding part 250, which at least partly exceeds the speed limit, drives nail 240.In such example, when nail 240 deforms,
The surface 243 of nail 240 can abut tissue and apply pressure to tissue.In some instances, when nail 240 is in its percussion position completely
When setting, the only a part on the surface 243 of 233 top of platform is driven by hypervelocity.In other instances, when nail 240 is in it completely
When firing position, the whole surface 243 of 233 top of platform is driven by hypervelocity.Such arrangement can apply a large amount of folder to tissue
Compaction forces, this can reduce bleeding therein.
In various examples, apart from the above, when driving has been exceeded the speed limit on the surface 243 for following closely 240 above platform 233,
The driving device 246 of nail 240 is, at least partly, kept in 233 lower section of platform.In some instances, nail 240 is configured to
So that driving device 246 will not be exposed above platform 233, without pipe surface 243 by hypervelocity driving above platform 233
Amount.In such example, during following closely percussion process, entire driving device 246 is maintained at 233 lower section of platform.At at least one
In example, when following closely 240 by hypervelocity driving, following closely 240 cam face 245 will not expose above platform 233.In various examples
In, the top surface 253 on longitudinal slope 255 does not extend to 233 top of platform, it means that during following closely percussion process, sliding
Part 250 will not drive entire nail 240 above platform 233.
Apart from the above, it should be understood that protruding portion 236 extends to 233 top of platform.As shown in figure 12,250 quilt of sliding part
It is constructed to be permeable at least partly exceed the speed limit and drives the surface 243 of the nail 240 of 236 top of protruding portion.In such example, work as nail
240 when moving to its complete firing position, and surface 243 at least partly rises to 236 top of protruding portion.In some instances,
When nail 240 is in its complete firing position, the only a part on the surface 243 of 246 top of protruding portion is driven by hypervelocity.At other
In example, when nail 240 is in its complete firing position, the whole surface 243 of 246 top of protruding portion is driven by hypervelocity.It is such
Arrangement can apply a large amount of clamping pressure to tissue, this can reduce bleeding therein.
Apart from the above, tissue engagement surface 243 directly can engage or contact tissue.In other instances, attached material
Material, such as fid tablet and/or tissue thickness compensation part, for example, can be positioned on the platform 233 of nail bin 230, and group
Knitting engagement surface 243 directly can engage or contact the attaching material.The bibliography of attaching material disclosed by the invention is at this
Application is herein incorporated by reference elsewhere.
Referring again to Fig. 7, tissue engagement surface 243 includes flat, first on the first side of the flat
Chamfered portion and the second chamfered portion in second side of the flat.Such arrangement can be from three directions to catching
The tissue obtained in nail 240 applies pressure.That is, tissue engagement surface 243 may include any suitable configuration, such as example
Such as completely flat configuration or circular in configuration.
As described above, referring again to Fig. 6, nail bin 130 and nail bin 230 are optionally and can be with end effector 100
It is used interchangeably.Also as described above, nail bin 130 and nail bin 230 are removably attached to jaw 110.In various alternative embodiment party
In case, nail bin 130 and nail bin 230 respectively include complete jaw, which can be attached to the frame of end effector 110
It 190 and can be removed from it.In such example, clinician can remove entire cartridge jaw simultaneously from end effector 110
With another entire cartridge jaw replace it-another cartridge jaw not yet fired and including such as clinician it is desired
The type of nail and/or the pattern of nail.
Apart from the above, it should be understood that Fig. 6 is intended to prove that end effector 100 can be with nail bin 130 and nail bin 230
The diagram being used together.Although nail bin 130 and nail bin 230 are all shown in FIG. 6, but it is to be understood that nail bin 130 and nail bin
230 do not use simultaneously in same end effector 100.That is, it is contemplated to which various embodiments, wherein nail bin utilizes line
Material nail, and the other nail for example formed by one or more material pieces.In at least one embodiment, for example, nail bin
Including the nail 140 and removedly nail 240 that is stored therein in.Other embodiments are contemplated, wherein nail bin includes for example following closely
140, nail 240 and nail 240'.
Referring to fig. 20, apart from the above, nail bin 430 includes warehouse 432, which includes platform 433 and limit wherein
Longitudinal slit 135.Longitudinal slit 135 defines the longitudinal slit axis 139 for extending through its center.Nail bin 430 further includes
First or internal longitudinal nail chamber 434a, second or intermediate longitudinal nail chamber 434b, third on the side of longitudinal slit 135
Or external longitudinal nail chamber 434c.Nail bin 430 further includes first or internal longitudinal nail on the other side of longitudinal slit 135
Chamber 434a', second or intermediate longitudinal nail chamber 434b', third or external longitudinal nail chamber 434c'.In many aspects, nail cavity
434a, nail cavity 434a', nail cavity 434b and nail cavity 434b' are similar to left hand nail cavity 234a (Fig. 4 and Fig. 6).Nail cavity 434c and nail cavity
434c' is similar to nail cavity 134 (Fig. 2 and Fig. 6) in many aspects.Nail 240 be removedly stored in nail cavity 434a, nail cavity 434a',
In nail cavity 434b and nail cavity 434b'.Nail 140 is removedly stored in nail cavity 434c and nail cavity 434c'.
Referring to fig. 21, nail bin 430 further includes sliding part 450, which is configured to project from storehouse main body 432 and follow closely
140 and nail 240.Sliding part 450 includes the longitudinal slope for being configured to directly engage the nail 240 being stored in nail cavity 434a
455a, it is configured to directly engage the longitudinal slope 455a' for the nail 240 being stored in nail cavity 434a', be configured to
It directly engages the longitudinal slope 455b for the nail 240 being stored in nail cavity 434b and is configured to directly engage and be stored in
Longitudinal slope 455b' of nail 240 in nail cavity 434b'.Sliding part 450 further includes being configured to project from nail cavity 434c to follow closely
140 longitudinal slope 455c, and be configured to project longitudinal slope 455c' of nail 140 from nail cavity 434c'.More specifically
Ground, nail bin 430 include the nail driving dress for being configured to support and/or engage the nail 140 being stored in nail cavity 434c
It sets and is configured to support and/or engage a nail driving device of the nail 140 being stored in nail cavity 434c', also,
When sliding part 450 is promoted towards distal side, longitudinal slope 455c of sliding part 450 and longitudinal slope 455c' jointing nail driving device,
To be lifted up nail 140 in nail cavity 434c and longitudinal direction slope 434c', and make nail 140 against the anvil with 430 relative positioning of nail bin
Seat deformation.For example, these nail driving devices can be similar to follow closely driving device shown in Fig. 3 A in many aspects.
Apart from the above, axis 437a is positioned nail cavity 434a along longitudinal direction, and axis 437b is positioned nail cavity 434b along longitudinal direction, and
Axis 437c is positioned nail cavity 434c along longitudinal direction.Similarly, axis 437a' is positioned nail cavity 434a' along longitudinal direction, and nail cavity 434b' is along vertical
It is positioned to axis 437b', and axis 437c' is positioned nail cavity 434c' along longitudinal direction.Longitudinal axis 437a and longitudinal slit axis
The distance between 139 are shorter than the distance between longitudinal axis 437a' and longitudinal slit axis 139.As a result, longitudinal axis 437a'
Compared with longitudinal axis 437a staggeredly or Strategic Lateral Offset.Similarly, the distance between longitudinal nail chamber 434a and longitudinal slit 135
Shorter than longitudinal direction the distance between nail chamber 434a' and longitudinal slit 135.In addition, longitudinal axis 437b and longitudinal slit axis 139
The distance between shorter than the distance between longitudinal axis 437b' and longitudinal slit axis 139.As a result, longitudinal axis 437b' and vertical
To axis 437b compared to staggeredly or Strategic Lateral Offset.Similarly, the distance between longitudinal nail chamber 434b and longitudinal slit 135 are shorter than
The distance between longitudinal nail chamber 434b' and longitudinal slit 135.In contrast, longitudinal axis 437c and longitudinal axis 437c' with
Longitudinal slit axis 139 is equidistant.Correspondingly, longitudinal nail chamber 343c and nail cavity 343c' and longitudinal slit 135 are equidistant.
The longitudinal nail chamber being limited in nail bin 430 is not evenly-spaced.In many aspects, between longitudinal row
Every being different.As shown in figure 20, longitudinal nail chamber 434a on the side of longitudinal slit 135, longitudinal direction nail chamber 434b and
The interval of longitudinal nail chamber 434c is different from longitudinal nail chamber 434a', longitudinal nail chamber on the other side of longitudinal slit 135
The interval of 434b' and longitudinal nail chamber 434c'.
Apart from the above, longitudinal axis 437a, longitudinal axis 437a', longitudinal axis 437b, longitudinal axis 437b', longitudinal direction
Axis 437c and longitudinal axis 437c' includes driving axis.As the case may be, the driving portion of these driving axis and nail 240
Divide and the cam face of nail driving device is aligned, the cam face support nail 140 of the nail driving device.The longitudinal direction of sliding part 450
Slope is aligned with these driving axis.For example, with reference to Figure 20 and Figure 21, the longitudinal slope 455a and longitudinal axis of sliding part 450
437a alignment.Similarly, longitudinal slope 455b is aligned with longitudinal axis 437b, and longitudinal slope 455c and longitudinal axis 437c
Alignment.Equally, longitudinal slope 455a' is aligned with longitudinal axis 437a', and longitudinal slope 455b' is aligned with longitudinal axis 437b',
And longitudinal slope 455c' is aligned with longitudinal axis 437c'.For this purpose, longitudinal direction slope 455a and longitudinal axis 437a distance are longitudinal
The distance of slit axis 139 is 457a, and the distance of longitudinal slope 455b and longitudinal axis 437b apart from longitudinal slit axis 139 is
457b, and the longitudinal distance of slope 455c and longitudinal axis 437c apart from longitudinal slit axis 139 is 457c.Similarly, it indulges
Distance to slope 455a' and longitudinal axis 437a' apart from longitudinal slit axis 139 is 457a', longitudinal slope 455b' and vertical
Distance to axis 437b' apart from longitudinal slit axis 139 is 457b', longitudinal slope 455c' and longitudinal axis 437c' distance
The distance of longitudinal slit axis 139 is 457c'.
As it can be seen from figure 21 that distance 457a, distance 457a', distance 457b and distance 457b' are unequal.It
Be all different.As a result, the guide rail of sliding part 450 is spaced asymmetrically out.
Referring to fig. 21, sliding part 450 includes central part 451, which is configured in the vertical of warehouse 432
It is moved into slit 135.Central part 451 is sized and configured to be closely received in slit 135, so that in cunning
Allow (if any) lateral movement of very little between moving part 450 and warehouse 432, so that longitudinal slope of sliding part 450 is protected
It holds and is correctly aligned with nail 240 and nail driving device, which is configured to driving nail 140.
It is tailor's tack by the outer staple that nail bin 430 is disposed referring again to Figure 20, and the interior nail disposed by nail bin 430 is in
Between nail by flat bar and/or be stamped and formed out.That is, it is envisioned that other arrangements.In at least one example, for example, by following closely
The intermediate staple and outer staple of storehouse deployment are tailor's tacks, and are punching press nails by the interior staple of cartridge deployment.In other instances, example
Such as, it is tailor's tack by the interior staple of cartridge deployment and intermediate staple, and is punching press nail by the outer staple of cartridge deployment.When nail bin is vertical
When affixing one's name to two or more tailor's tacks row to a upper lateral part of slit, two or more nails driving devices row can use by nail bin
Deployment nail.In various examples, nail bin can use such as double-drive device, these double-drive devices are configured to wrapping
Include tailor's tack longitudinal direction row it is adjacent to each other while from two longitudinal row's deployment tailor's tacks.It can use to be configured to dispose and be more than
Other drive arrangements of two nails, such as three nails and/or four nails.
As the above results, nail bin 430 generates the pattern of asymmetrical nail in the tissue.In addition to this, nail bin 430 is being cut
In tissue on first side of secant generate first nail pattern, and in the tissue in second side of cutting line generate second or
Different nail patterns.
Turning now to Figure 15 to Figure 19, nail bin 330 includes warehouse 332, which includes platform 333 and be defined in therein
Longitudinal slit 135.Longitudinal slit 135 defines the longitudinal slit axis 139 for extending through its center.Nail bin 330 further include
First or internal longitudinal nail chamber 334a, second or intermediate longitudinal nail chamber 334b, third on the side of longitudinal slit 135 or
External longitudinal direction nail chamber 334c.Nail bin 330 is also included within first or internal longitudinal nail chamber on the other side of longitudinal slit 135
334a', second or intermediate longitudinal nail chamber 334b', third or external longitudinal nail chamber 334c'.In many aspects, nail cavity
334a, nail cavity 334a', nail cavity 334b, nail cavity 334b', nail cavity 334c and nail cavity 334c' be similar to left hand nail cavity 234a (Fig. 4 and
Fig. 6).Nail 240 is removedly stored in nail cavity 334a, nail cavity 334a', nail cavity 334b, nail cavity 334b', nail cavity 334c and nail cavity
In 334c'.
Referring to Figure 16 and Figure 17, nail bin 330 further includes sliding part 350, which is configured to from cartridge body
332 project nail 240.Sliding part 350 includes being configured to directly engage the longitudinal oblique of the nail 240 being stored in nail cavity 334a
Slope 355a, it is configured to directly engage the longitudinal slope 355a' for the nail 240 being stored in nail cavity 334a', be adapted to
It enough directly engages the longitudinal slope 355b for the nail 240 being stored in nail cavity 334b and is configured to directly engage storage
Longitudinal slope 355b' of nail 240 in nail cavity 334b'.Sliding part 350 further includes being configured to directly engage to be stored in
It longitudinal slope 355c of nail 240 in nail cavity 334c and is configured to directly engage the nail 240 being stored in nail cavity 334c'
Longitudinal slope 355c'.
Apart from the above, axis 337a is positioned nail cavity 334a along longitudinal direction, and axis 337b is positioned nail cavity 334b along longitudinal direction, and
Axis 337c is positioned nail cavity 334c along longitudinal direction.Similarly, axis 337a' is positioned nail cavity 334a' along longitudinal direction, the second nail cavity 334b'
Axis 337b' is positioned along longitudinal direction, and axis 337c' is positioned nail cavity 334c' along longitudinal direction.Longitudinal axis 337a and longitudinal slit axis
The distance between line 139 is shorter than the distance between longitudinal axis 337a' and longitudinal slit axis 139.As a result, longitudinal axis
337a' interlocks compared with longitudinal axis 337a or Strategic Lateral Offset.Similarly, between longitudinal nail chamber 334a and longitudinal slit 135
Distance be shorter than longitudinal direction the distance between nail chamber 334a' and longitudinal slit 135.
In addition, the distance between longitudinal axis 337b and longitudinal slit axis 139 are shorter than longitudinal axis 337b' and longitudinal direction is narrow
The distance between fluted shaft line 139.As a result, longitudinal axis 337b' interlocks compared with longitudinal axis 337b or Strategic Lateral Offset.It is similar
Ground, the distance between longitudinal nail chamber 334b and longitudinal slit 135 are shorter than between longitudinal direction nail chamber 334b' and longitudinal slit 135
Distance.Moreover, the distance between longitudinal axis 337c and longitudinal slit axis 139 are shorter than longitudinal axis 337c' and longitudinal direction is narrow
The distance between fluted shaft line 139.As a result, longitudinal axis 337c' interlocks compared with longitudinal axis 337c or Strategic Lateral Offset.It is similar
Ground, the distance between longitudinal nail chamber 334c and longitudinal slit 135 are shorter than between longitudinal direction nail chamber 334c' and longitudinal slit 135
Distance.
Apart from the above, longitudinal axis 337a, longitudinal axis 337a', longitudinal axis 337b, longitudinal axis 337b', longitudinal direction
Axis 337c and longitudinal axis 337c' includes driving axis.These driving axis are aligned with the drive part of nail 240.Sliding part
350 longitudinal slope is aligned with these driving axis.For example, longitudinal slope 355a of sliding part 350 and 337a pairs of longitudinal axis
Together.Similarly, longitudinal slope 355b is aligned with longitudinal axis 337b, and longitudinal slope 355c is aligned with longitudinal axis 337c.
Equally, longitudinal slope 355a' is aligned with longitudinal axis 337a', and longitudinal slope 355b' is aligned with longitudinal axis 337b', and is indulged
It is aligned to slope 355c' with longitudinal axis 337c'.For this purpose, longitudinal direction slope 355a and longitudinal axis 337a is apart from longitudinal slit axis
The distance of line 139 is 357a, and the distance of longitudinal slope 355b and longitudinal axis 337b apart from longitudinal slit axis 139 is 357b,
And the longitudinal distance of slope 355c and longitudinal axis 337c apart from longitudinal slit axis 139 is 357c.Similarly, longitudinal slope
The distance of 355a' and longitudinal axis 337a' apart from longitudinal slit axis 139 is 357a', longitudinal slope 355b' and longitudinal axis
Distance of the 337b' apart from longitudinal slit axis 139 is 357b', and longitudinal slope 355c' and longitudinal axis 337c' distance are vertical
It is 357c' to the distance of slit axis 139.
Referring primarily to Figure 17, sliding part 350 includes central part 351, which is configured in warehouse 332
Longitudinal slit 135 in movement.Central part 351 is sized and configured to be closely received in slit 135, so that
Allow (if any) lateral movement of very little, between sliding part 350 and warehouse 332 so that the longitudinal direction of sliding part 350 is oblique
Slope keeps correctly being aligned with nail 240 and nail driving device.
Referring again to Figure 17, gap 359a is limited between the central part 351 of sliding part 350 and longitudinal direction slope 355a.
Similarly, gap 359b is limited between longitudinal slope 355a and longitudinal direction slope 355b, and in longitudinal slope 355b and longitudinal direction
Gap 359c is limited between the 355c of slope.Gap 359a is less than gap 359b, and similarly, and gap 359b is less than gap
359c.Equally, gap 359a' is limited between the central part 351 of sliding part 350 and longitudinal direction slope 355a'.Similarly, exist
Gap 359b' is limited between longitudinal slope 355a' and longitudinal direction slope 355b', and in longitudinal slope 355b' and longitudinal slope
Gap 359c' is limited between 355c'.Gap 359a' is less than gap 359b', and similarly, and gap 359b' is less than gap
359c'.Other arrangements are possible.
Figure 18 is the cross-sectional view of warehouse 332, and it illustrates vertical passage defined therein, which connects nail cavity
Nail cavity in row, and longitudinal slope of sliding part 350 is allowed to pass through warehouse 332.For example, the longitudinally connected nail cavity 334a of channel 338a
And it is configured to receive longitudinal slope 355a of sliding part 350.Similarly, the longitudinally connected nail cavity 334b of channel 338b is simultaneously
And be configured to receive sliding part 350 longitudinal slope 355b, and in addition, the longitudinally connected nail cavity 334c of channel 338c simultaneously
And it is configured to receive longitudinal slope 355c of sliding part 350.Moreover, the longitudinally connected nail cavity 334a' of channel 338a' and
It is configured to receive longitudinal slope 355a' of sliding part 350, the longitudinally connected nail cavity 334b' of channel 338b' and be constructed
At the longitudinal slope 355b' that can receive sliding part 350, and the longitudinally connected nail cavity 334c' of channel 338c' and it is configured to
Longitudinal slope 355c' of sliding part 350 can be received.
Turning now to Figure 19, anvil block 320 is configured to be used together with nail bin 330.Anvil block 320 includes forming pit
324, which is configured to make the nail being removedly stored in nail bin 330 when following closely 240 and projecting from nail bin 330
240 deformations.Forming pit 324 is arranged to six longitudinal rows, can match with six longitudinal nail chambers being limited in nail bin 330
It is quasi-.For example, limit longitudinal row's forming pit 324 along longitudinal anvil block axis 327a, the longitudinal direction anvil block axis can be stored in
The nail leg planar registration of nail 240 in longitudinal nail chamber 334a.Similarly, longitudinal line up is limited along longitudinal anvil block axis 327b
Shape pit 324, the longitudinal direction anvil block axis can with the nail leg planar registration for the nail 240 being stored in longitudinal nail chamber 334b, and
In addition, limit longitudinal row's forming pit 324 along longitudinal anvil block axis 327c, the longitudinal direction anvil block axis can be stored in longitudinal row
The nail leg planar registration of nail 240 in nail cavity 334c.Moreover, limiting longitudinal row's forming pit along longitudinal anvil block axis 327a'
324, the longitudinal direction anvil block axis can with the nail leg planar registration for the nail 240 being stored in longitudinal nail chamber 334a', along longitudinal direction
Anvil block axis 327b' limits longitudinal row's forming pit 324, the longitudinal direction anvil block axis can be stored in longitudinal nail chamber 334b'
In nail 240 nail leg planar registration, limit longitudinal row's forming pit 324, the longitudinal direction anvil block along longitudinal anvil block axis 327c'
Axis can be with the nail leg planar registration for the nail 240 being stored in longitudinal nail chamber 334c'.
Embodiment
Embodiment 1-a kind of surgical stapling system, comprising: axis, the axis include proximal end and distal end;And end
Actuator, the end effector extend from the distal end of the axis, and end effector can be in open configuration and closure structure
It is moved between type.End effector includes frame, the anvil block distally extending from frame, and wherein anvil block is recessed including longitudinally lining up shape
Hole, and the first nail bin groupware of end effector can be attached to.First nail bin groupware includes the first warehouse and in addition more
A first nail, which includes first longitudinal direction nail chamber, these multiple first nails are removedly stored in first longitudinal direction row
In nail cavity.Each first nail is made of bent wire, and is aligned when end effector is in closed configuration with forming pit.
Surgical stapling system further includes the second nail bin groupware, the first nail bin groupware can be replaced to be attached to end effector.Second nail
Storehouse component includes the second warehouse and other multiple second nails, which includes second longitudinal direction nail chamber, these multiple the
Two nails are removedly stored in second longitudinal direction nail chamber.Each second nail is formed by flat bar, and when end effector is in
It is aligned when closed configuration with forming pit.
Embodiment 2-is according to surgical stapling system described in embodiment 1, wherein each forming pit includes nearside forming
Cup and distal side forming cup.
Embodiment 3-surgical stapling system according to Examples 1 and 2, wherein it is each first nail include by nearside at
Shape cupuliform at proximal leg and the distal side leg that is formed by distal side forming cup.
Embodiment 4-surgical stapling system according to embodiment 1,2 and 3, wherein each second nail includes by nearside
The proximal leg and the distal side leg formed by distal side forming cup that forming cup is formed.
Embodiment 5-surgical stapling system according to embodiment 1,2,3 and 4, wherein end effector further includes pincers
Mouthful, which is configured to receive the first nail bin groupware and replaces the second nail bin groupware of the first nail bin groupware.
Embodiment 6-surgical stapling system according to embodiment 5, wherein jaw can be rotated relative to anvil block, with
End effector is placed in closed configuration.
Embodiment 7-surgical stapling system according to embodiment 5 and 6, wherein anvil block can be revolved relative to jaw
Turn, end effector is placed in closed configuration.
Embodiment 8-is according to surgical stapling system described in embodiment 1, wherein the first nail bin groupware includes that can be attached
To the first jaw of frame, and wherein, the second storehouse component includes the second jaw that can be attached to frame.
Embodiment 9-surgical stapling system according to embodiment 8, wherein anvil block can be rotated relative to frame, with
End effector is placed in closed configuration.
Embodiment 10-surgical stapling system according to embodiment 8 and 9, wherein when the first jaw is attached to frame
When, the first jaw can be rotated relative to frame end effector is placed in closed configuration, and wherein when the second jaw is attached
When being connected to frame, the second jaw can be rotated relative to frame end effector is placed in closed configuration.
Embodiment 11-surgical stapling system according to embodiment 1,2,3,4,5,6,7,8,9 and 10, wherein first
Nail bin groupware includes nail driving device, which is configured to the first nail releasing the first nail cavity, and wherein
Each second nail includes integrally formed nail driving device.
Embodiment 12-a kind of surgical stapling system, comprising: axis, the axis include proximal end and distal end;And end
Portion's actuator, the end effector extend from the distal end of the axis, and end effector can unclamp configuration and clamp structure
It is moved between type.End effector includes frame, the anvil block distally extending from frame, and wherein anvil block is recessed including longitudinally lining up shape
Hole, and the first nail bin groupware of end effector can be attached to.First nail bin groupware includes the first warehouse and in addition more
A first nail, which includes first longitudinal direction nail chamber, these multiple first nails are removedly stored in first longitudinal direction row
In nail cavity.Each first nail is made of bent wire, and is aligned when end effector is in clamping configuration with forming pit.
Surgical stapling system further includes the second nail bin groupware, and end execution can be attached to as the alternative arrangement of the first nail bin groupware
Device.Second nail bin groupware includes the second warehouse, which includes that second longitudinal direction nail chamber and other multiple second are followed closely, this
A little multiple second nails are removedly stored in second longitudinal direction nail chamber.Second nail by one or more flat bar tablet punching presses and
At, and be aligned when end effector is in clamping configuration with forming pit.
Embodiment 13-surgical stapling system according to embodiment 12, wherein each forming pit include nearside at
Shape cup and distal side forming cup.
Embodiment 14-surgical stapling system according to embodiment 12 and 13, wherein each first nail includes by close
The proximal leg and the distal side leg formed by distal side forming cup that side forming cup is formed.
Embodiment 15-surgical stapling system according to embodiment 12,13 and 14, wherein it is each second nail include by
The proximal leg and the distal side leg formed by distal side forming cup that nearside forming cup is formed.
Embodiment 16-surgical stapling system according to embodiment 12,13,14 and 15, wherein end effector is also
Including jaw, which is configured to receive the second of the first nail bin groupware and the alternative arrangement as the first nail bin groupware
Nail bin groupware.
Embodiment 17-surgical stapling system according to embodiment 16, wherein jaw can be rotated relative to anvil block,
End effector is placed in clamping configuration.
Embodiment 18-surgical stapling system according to embodiment 16 and 17, wherein anvil block can be relative to jaw
Rotation, is placed in clamping configuration for end effector.
Embodiment 19-surgical stapling system according to embodiment 12, wherein the first nail bin groupware includes can be attached
It is connected to the first jaw of frame, and wherein the second storehouse component includes the second jaw that can be attached to frame.
Embodiment 20-surgical stapling system according to embodiment 19, wherein anvil block can be rotated relative to frame,
End effector is placed in clamping configuration.
Embodiment 21-surgical stapling system according to embodiment 19 and 20, wherein when the first jaw is attached to frame
When frame, the first jaw can be rotated relative to frame end effector is placed in clamping configuration, and wherein when the second jaw
When being attached to frame, the second jaw can be rotated relative to frame end effector is placed in clamping configuration.
Embodiment 22-surgical stapling system according to embodiment 12,13,14,15,16,17,18,19,20 and 21,
Wherein, the first nail bin groupware includes nail driving device, which is configured to the first nail releasing the first nail cavity,
And wherein the second nail includes integrally formed nail driving device.
Embodiment 23-a kind of surgery fastening system, comprising: axis, the axis include proximal end and distal end;And end
Portion's actuator, the end effector extend from the distal end of the axis, and end effector can be in open configuration and closure structure
It is moved between type.End effector includes frame and the anvil block that extends from frame towards distal side, and wherein anvil block includes forming pit.Outside
Section's fastening system further includes the first fastener cartridge assembly that can be attached to end effector.First fastener cartridge assembly includes the
One warehouse and other multiple first fasteners, first warehouse include the first securing member chamber, these multiple first fasteners can
It is stored in the first securing member chamber with removing.Each first fastener is made of bent wire, and when end effector is in
When closed configuration, the first securing member chamber is aligned with forming pit.Surgery fastening system also includes the second fastener cartridge assembly and more
A second fastener, second fastener cartridge assembly can replace the first fastener cartridge assembly to be attached to end effector, wherein
Second fastener cartridge assembly include the second warehouse, second warehouse include the second securing member chamber, and in addition, these multiple second
Fastener is removedly stored in the second securing member chamber.Each second fastener is formed by flat bar, and works as end effector
When in closed configuration, the second securing member chamber is aligned with forming pit.
A kind of embodiment 24-nail bin groupware, including warehouse and other nail, which includes proximal end, distal end
And the nail cavity extended between proximal end and distal end, these nails are removedly stored in nail cavity, wherein each nail
It is formed by flat bar.Each nail includes bizet, proximal leg, (wherein it is flat to limit nail leg for proximal leg and distal side leg for distal side leg
Face) and extend from bizet and the inclined cam surface integrally formed with bizet, wherein inclined cam surface defines and nail leg
The different cam planes of plane.Each nail also includes proximal connector and distal connector, and the proximal connector is in proximal leg
Extend between bizet and integrally formed with proximal leg and bizet, which extends between distal side leg and bizet
And it is integrally formed with distal side leg and bizet, wherein proximally connector does not extend inclined cam surface, and wherein tilts convex
Wheel surface does not extend from distal connector.Nail bin groupware further includes sliding part, which is configured to inclining for jointing nail
Oblique cam face, and project nail from nail cavity during following closely firing schedule.
Embodiment 25-nail bin groupware according to embodiment 24, wherein inclined cam surface is plane, and its
Middle proximal connector and distal connector are bent out towards nail leg plane from cam planes.
Embodiment 26-nail bin groupware according to embodiment 24 and 25, wherein inclined cam surface includes cam flat
Nearside leading-in end in face.
Embodiment 27-nail bin groupware according to embodiment 24,25 and 26, wherein each nail further includes drawing in nearside
Enter the clearance notches between end and proximal connector, and wherein clearance notches are limited in cam planes.
Embodiment 28-nail bin groupware according to embodiment 24,25,26 and 27, wherein do not fire structure when nail is in
When type, the proximal leg of each nail and distal side leg extend outwardly from bizet along not parallel direction.
Embodiment 29-nail bin groupware according to embodiment 24,25,26,27 and 28, wherein when nail is stored in nail
When in chamber, the proximal leg of nail and distal side leg are flexed inwardly by the side wall of nail cavity.
Embodiment 30-nail bin groupware according to embodiment 24,25,26,27,28 and 29, wherein in nail percussion row
During journey, the proximal connector and distal connector of sliding part not jointing nail.
Embodiment 31-nail bin groupware according to embodiment 24,25,26,27,28,29 and 30, wherein entire inclination
Below the proximally positioned nail leg of cam face and distal side nail leg.
Embodiment 32-nail bin groupware according to embodiment 24,25,26,27,28,29,30 and 31, wherein inclination
Cam face includes the initial pickup point for sliding part.
A kind of embodiment 33-nail bin groupware, including warehouse and other nail, which includes proximal end, distal end portion
Portion, the nail cavity extended between proximal end and distal end, these nails are removedly stored in nail cavity, wherein following closely by one
Or multiple sheet metals are formed.It is each nail include bizet, proximal leg, distal side leg and from bizet extend and with bizet one at
The cam face of shape, wherein cam face limit cam planes, and wherein proximal leg and distal side leg not in cam planes
In.Each nail also includes proximal connector and distal connector, which extends simultaneously between proximal leg and bizet
It is integrally formed with proximal leg and bizet, the distal connector extend between distal side leg and bizet and with distal side leg and hat
Portion is integrally formed, and wherein proximally connector does not extend cam face.Nail bin groupware further includes sliding part, which is constructed
Nail is projected from nail cavity at the cam face for capableing of jointing nail, and during following closely firing schedule.
Embodiment 34-nail bin groupware according to embodiment 33, wherein cam face is plane, and wherein close
Side-connector and distal connector are bent out from cam planes.
Embodiment 35-nail bin groupware according to embodiment 33 and 34, wherein cam face includes in cam planes
Nearside leading-in end.
Embodiment 36-nail bin groupware according to embodiment 33,34 and 35, wherein each nail further includes drawing in nearside
Enter the clearance notches between end and proximal connector, and wherein clearance notches are limited in cam planes.
Embodiment 37-nail bin groupware according to embodiment 33,34,35 and 36, wherein do not fire structure when nail is in
When type, the proximal leg of each nail and distal side leg extend outwardly from bizet along not parallel direction.
Embodiment 38-nail bin groupware according to embodiment 33,34,35,36 and 37, wherein when nail is stored in nail
When in chamber, the proximal leg of nail and distal side leg are flexed inwardly by the side wall of nail cavity.
Embodiment 39-nail bin groupware according to embodiment 33,34,35,36,37 and 38, wherein in nail percussion row
During journey, the proximal connector of sliding part not jointing nail.
Embodiment 40-nail bin groupware according to embodiment 33,34,35,36,37,38 and 39, wherein entire cam
Below the proximally positioned nail leg in surface and distal side nail leg.
Embodiment 41-nail bin groupware according to embodiment 33,34,35,36,37,38,39 and 40, wherein cam
Surface includes the initial pickup point for sliding part.
A kind of embodiment 42-nail bin groupware, including warehouse, the warehouse include platform and longitudinal slit, which includes close
Side end and distal end, the longitudinal slit are limited in the platform, and wherein longitudinal slit is configured to receive percussion structure
Part, first longitudinal direction nail chamber and second longitudinal direction nail chamber.Nail bin groupware further includes sliding part and multiple first nails, in firing schedule
Period, the sliding part can be moved by firing member towards distal end, and these multiple first nails are removedly stored in
In first longitudinal direction nail chamber, wherein each first nail is made of bent wire.Nail bin groupware also include multiple nail driving devices and
Multiple second nails, these multiple nail driving devices are configured to the first nail of support, and wherein sliding part is configured to connect
Dowel driving device, to project the first nail from first longitudinal direction nail chamber during firing schedule, these multiple second nails be can be removed
Ground is stored in second longitudinal direction nail chamber, wherein each second nail is formed and included integrally formed driving device by flat bar,
And wherein sliding part is configured to directly engage the integrally formed driving device of the second nail, and in the firing schedule phase
Between from second longitudinal direction nail chamber project second nail.
Embodiment 43-nail bin groupware according to embodiment 42, wherein first longitudinal direction nail chamber and longitudinal slit phase
Neighbour, and wherein first longitudinal direction nail chamber among longitudinal slit and second longitudinal direction nail chamber.
Embodiment 44-nail bin groupware according to embodiment 42, wherein second longitudinal direction nail chamber and longitudinal slit phase
Neighbour, and wherein second longitudinal direction nail chamber among longitudinal slit and first longitudinal direction nail chamber.
Embodiment 45-nail bin groupware according to embodiment 42,43 and 44, wherein warehouse further includes that third is longitudinally arranged
Nail cavity, wherein nail bin groupware further includes multiple third nails, these multiple third nails are removedly stored in third longitudinal direction nail chamber
In, and wherein each third nail is made of bent wire.
Embodiment 46-nail bin groupware according to embodiment 45, wherein third longitudinal direction nail chamber and first longitudinal direction are arranged
Nail cavity is adjacent, wherein nail driving device is configured to support third nail, and wherein sliding part is configured to hitting
Jointing nail driving device during distribution journey, to project third nail from third longitudinal direction nail chamber.
Embodiment 47-nail bin groupware according to embodiment 45 further includes multiple nail driving devices, these multiple nails
Driving device is configured to support third nail, and is engaged by sliding part, with longitudinal from third during firing schedule
Nail chamber projects third nail.
Embodiment 48-nail bin groupware according to embodiment 42,43 and 44, wherein warehouse further includes that third is longitudinally arranged
Nail cavity, wherein nail bin groupware further includes multiple third nails, these multiple third nails are removedly stored in third longitudinal direction nail chamber
In, wherein each third nail is formed and included integrally formed driving device by flat bar, and wherein sliding part is configured to
The integrally formed driving device of third nail can be directly engaged, and is projected during firing schedule from third longitudinal direction nail chamber
Third nail.
Embodiment 49-nail bin groupware according to embodiment 48, wherein third longitudinal direction nail chamber and longitudinal slit phase
Neighbour, wherein second longitudinal direction nail chamber is adjacent with third longitudinal direction nail chamber, and wherein second longitudinal direction nail chamber is arranged in first longitudinal direction
Among nail cavity and third longitudinal direction nail chamber.
A kind of embodiment 50-nail bin groupware, including cutting element and warehouse, wherein warehouse includes that platform and longitudinal direction are narrow
Slot, the platform include proximal end and distal end, which is limited in the platform, and wherein longitudinal slit is configured to
Cutting element, first longitudinal direction nail chamber and second longitudinal direction nail chamber can be received.Nail bin groupware further includes sliding part and multiple
One nail, during firing schedule, which can be moved by cutting element towards distal end, and these multiple first nails can
It is stored in first longitudinal direction nail chamber with removing, wherein each first nail is made of bent wire.Nail bin groupware also includes multiple
Driving device and other multiple second nails are followed closely, these multiple nail driving devices are configured to the first nail of support, wherein sliding
Moving part is configured to jointing nail driving device, to project the first nail from first longitudinal direction nail chamber during firing schedule, this
A little multiple second nails are removedly stored in second longitudinal direction nail chamber, wherein the second nail by one or more sheet metal punching presses and
At, and wherein sliding part is configured to directly engage the second nail, and from second longitudinal direction nail during firing schedule
Chamber projects the second nail.
Embodiment 51-nail bin groupware according to embodiment 50, wherein first longitudinal direction nail chamber and longitudinal slit phase
Neighbour, and wherein first longitudinal direction nail chamber among longitudinal slit and second longitudinal direction nail chamber.
Embodiment 52-nail bin groupware according to embodiment 50, wherein second longitudinal direction nail chamber and longitudinal slit phase
Neighbour, and wherein second longitudinal direction nail chamber among longitudinal slit and first longitudinal direction nail chamber.
Embodiment 53-nail bin groupware according to embodiment 50,51 and 52, wherein warehouse further includes that third is longitudinally arranged
Nail cavity, wherein nail bin groupware further includes multiple third nails, these multiple third nails are removedly stored in third longitudinal direction nail chamber
In, and wherein each third nail is made of bent wire.
Embodiment 54-nail bin groupware according to embodiment 53, wherein third longitudinal direction nail chamber and first longitudinal direction are arranged
Nail cavity is adjacent, wherein nail driving device is configured to support third nail, and wherein sliding part is configured to hitting
Jointing nail driving device during distribution journey, to project third nail from third longitudinal direction nail chamber.
Embodiment 55-nail bin groupware according to embodiment 53 further includes multiple nail driving devices, these multiple nails
Driving device is configured to support third nail, and is engaged by sliding part, with longitudinal from third during firing schedule
Nail chamber projects third nail.
Embodiment 56-nail bin groupware according to embodiment 50,51,52,53,54 and 55, wherein warehouse further includes
Third longitudinal direction nail chamber, wherein nail bin groupware further includes multiple third nails, these multiple third nails are removedly stored in third
In longitudinal nail chamber, wherein third nail is formed by one or more sheet metals, and wherein sliding part is configured to directly
Third nail is engaged, and projects third nail from third longitudinal direction nail chamber during firing schedule.
Embodiment 57-nail bin groupware according to embodiment 50,51 and 52, wherein third longitudinal direction nail chamber and longitudinal direction
Slit is adjacent, and wherein second longitudinal direction nail chamber is adjacent with third longitudinal direction nail chamber, and wherein second longitudinal direction nail chamber first
Among longitudinal nail chamber and third longitudinal direction nail chamber.
A kind of embodiment 58-nail bin groupware, including warehouse, the warehouse include platform and longitudinal slit, which includes close
Side end and distal end, the longitudinal slit are limited in the platform, and wherein longitudinal slit is configured to receive percussion structure
Part and multiple nail cavities.Nail bin groupware further includes sliding part, multiple first nails, and during firing schedule, which can be by firing
Component is moved towards distal end, these multiple first nails are removedly stored in nail cavity, wherein each first nail is by being bent
Wire rod is constituted, and other multiple nail driving devices, and wherein sliding part is configured to jointing nail driving device, to fire
The first nail is projected from nail cavity during stroke.Nail bin groupware also includes multiple second nails, these multiple second nails removedly store
In nail cavity, wherein each second nail is formed and included integrally formed driving device by flat bar, and wherein sliding part quilt
It is constructed to be permeable to directly engage the integrally formed driving device of the second nail, and projects second from nail cavity during firing schedule
Nail.
A kind of embodiment 59-nail bin groupware, including warehouse, the warehouse include proximal end, distal end, are configured to
Multiple nail cavities that the platform of the tissue of patient can be supported and be limited in the platform.Nail bin groupware also includes multiple metals
Nail, these multiple metal nails are removedly stored in nail cavity, wherein each metal nail includes the hat with tissue contacting surface
Portion, the first leg for being connected to the bizet, the second leg for being connected to the bizet and the driving dress integrally formed with the bizet
It sets.In addition, nail bin groupware includes sliding part, which can move during firing schedule towards distal end, wherein sliding
Moving part is configured to the driving device of direct jointing metal nail, and is hitting each metal nail not during firing schedule
It is moved between hair position and firing position, wherein the tissue contacting surface of bizet is located in when metal nail is in firing position
Above platform, and wherein when metal nail is in firing position, it is flat that the driving device of metal nail is positioned at least partially at this
Below platform.
Embodiment 60-nail bin groupware according to embodiment 59, wherein warehouse further includes guiding piece, these guiding pieces
Extend from platform, these guiding pieces are configured to when metal nail moves to firing position in platform upper support and guidance
Nail leg, and wherein when metal nail is in firing position, the tissue contacting surface of bizet is positioned at least partially at these and draws
Above guiding element.
Embodiment 61-nail bin groupware according to embodiment 59 and 60, wherein sliding part includes one or more drives
Dynamic surface, which is configured to the driving device of jointing metal nail, wherein each driving surface includes top surface,
And wherein the top surface of each driving surface is completely below platform.
A kind of embodiment 62-nail bin groupware, including warehouse, the warehouse include proximal end, distal end, are configured to
The nail cavity that the platform of the tissue of patient can be supported and be limited in the platform.Nail bin groupware further includes removedly storing
Nail in nail cavity, wherein nail include bizet, the bizet include tissue engagement surface, from the bizet extend the first leg, from
The second leg and the driving device integrally formed with the bizet that the bizet extends.In addition, nail bin groupware includes sliding part, it should
Sliding part can move during firing schedule towards distal end, and wherein sliding part is configured to the driving of direct jointing nail
Device, and nail is moved between non-firing position and firing position during firing schedule, wherein when nail is in percussion position
When setting, the tissue engagement surface of bizet is positioned at least partially above platform, and is wherein driven when nail is in firing position
Dynamic device is positioned at least partially at below platform.
Embodiment 63-nail bin groupware according to embodiment 62, wherein warehouse further includes guiding piece, the guiding piece from
Platform extends, which is configured to when nail moves to firing position in the first nail of platform upper support and guidance
Leg, and wherein when nail is in firing position, the tissue contacting surface of bizet is positioned at least partially above the guiding piece.
Embodiment 64-nail bin groupware according to embodiment 62 and 63, wherein sliding part includes driving surface, the drive
Dynamic surface is configured to the driving device of jointing nail, and wherein driving surface includes top surface, and wherein top surface is complete
Below platform.
A kind of embodiment 65-nail bin groupware, including warehouse, the warehouse include proximal end, distal end, are configured to
The nail cavity that the platform of the tissue of patient can be supported and be limited in the platform.Nail bin groupware further includes removedly storing
Nail in nail cavity, wherein nail include bizet, the bizet include tissue engagement surface, from the bizet extend the first leg, from
The second leg and the driving device integrally formed with the bizet that the bizet extends.Nail bin groupware also includes firing member, should
Firing member can move during firing schedule towards distal end, and wherein firing member is configured to direct jointing nail
Driving device, and nail is moved between non-firing position and firing position during firing schedule, wherein being hit when nail is in
When sending out position, the tissue engagement surface of bizet is fully located in above platform, and wherein when nail is in firing position, driving
Device is fully located in below platform.
Embodiment 66-nail bin groupware according to embodiment 65, wherein warehouse further includes guiding piece, the guiding piece from
Platform extends, which is configured to when nail moves to firing position in the first nail of platform upper support and guidance
Leg, and wherein when nail is in firing position, the tissue contacting surface of bizet is partially positioned at completely above the guiding piece.
Embodiment 67-nail bin groupware according to embodiment 65 and 66, wherein firing member includes driving surface, should
Driving surface is configured to the driving device of jointing nail, and wherein driving surface includes top surface, and wherein top surface is complete
Entirely below platform.
A kind of embodiment 68-nail bin groupware, including warehouse, the warehouse include the tissue for being configured to support patient
Platform, the longitudinal slit that is limited in the platform, wherein longitudinal slit limits longitudinal slit axis, and wherein longitudinal slit is by structure
It causes that cutting element can be received, and wherein platform includes the first terrace part and position on the first side of longitudinal slit
In the second terrace part in second side of longitudinal slit.The warehouse further includes the first platform part for being limited to neighbouring longitudinal slit
First row nail cavity in point, wherein first row nail cavity is limited along first longitudinal direction axis, and wherein first distance is limited to the
Between one longitudinal axis and longitudinal slit axis.The warehouse also includes being limited in the second terrace part of neighbouring longitudinal slit
Second row nail cavity, wherein second row nail cavity is limited along second longitudinal direction axis, and wherein second distance is limited to second longitudinal direction
Between axis and longitudinal slit axis, and wherein second distance is different from first distance.The nail bin groupware further includes that can be removed
Ground is stored in the nail in first row nail cavity and second row nail cavity.
Embodiment 69-nail bin groupware according to embodiment 68, further includes sliding part, and wherein sliding part includes first
Longitudinal slope and second longitudinal direction slope, the first longitudinal direction slope are configured to project from first row nail cavity and follow closely, this is second vertical
It is configured to project from second row nail cavity to slope and follow closely.
Embodiment 70-nail bin groupware according to embodiment 69, wherein first distance is limited to first longitudinal direction slope
Second distance is limited between second longitudinal direction slope and longitudinal slit axis between longitudinal slit axis, and wherein.
A kind of embodiment 71-fastener cartridge assembly, including warehouse, the warehouse include being configured to support patient
The platform of tissue and the longitudinal slit being limited in the platform, wherein longitudinal slit limits longitudinal slit axis, wherein longitudinal
Slit is configured to receive cutting element, and wherein platform includes the first platform on the first side of longitudinal slit
Part and the second terrace part in second side of longitudinal slit.The warehouse further includes be limited to neighbouring longitudinal slit the
First row securing member chamber in one terrace part, wherein first row securing member chamber is limited along first longitudinal direction axis, and wherein
First distance is limited between first longitudinal direction axis and longitudinal slit axis.The warehouse also includes being limited to neighbouring longitudinal slit
Second row securing member chamber in second terrace part, wherein second row securing member chamber is limited along second longitudinal direction axis, and its
Middle second distance is limited between second longitudinal direction axis and longitudinal slit axis, and wherein second distance and first distance be not
Together.Fastener cartridge assembly further includes the fastener being removedly stored in first row securing member chamber and second row securing member chamber,
Wherein fastener is formed by one or more material pieces.
Embodiment 72-fastener cartridge assembly according to embodiment 71, wherein first row securing member chamber compares second row
Securing member chamber is closer to longitudinal slit.
Embodiment 73-fastener cartridge assembly according to embodiment 71, wherein second row securing member chamber compares first row
Securing member chamber is closer to longitudinal slit.
Embodiment 74-fastener cartridge assembly according to embodiment 71,72 and 73, further includes sliding part, wherein sliding
Part includes first longitudinal direction slope and second longitudinal direction slope, which is configured to penetrate from first row securing member chamber
Fastener out, the second longitudinal direction slope are configured to project fastener from second row securing member chamber.
Embodiment 75-fastener cartridge assembly according to embodiment 74, wherein first longitudinal direction slope is oriented to compare
Second longitudinal direction slope is closer to longitudinal slit.
Embodiment 76-fastener cartridge assembly according to embodiment 74, wherein second longitudinal direction slope is oriented to compare
First longitudinal direction slope is closer to longitudinal slit.
A kind of embodiment 77-nail bin groupware, including warehouse, the warehouse include the tissue for being configured to support patient
Platform and the longitudinal slit that is limited in the platform, wherein longitudinal slit is configured to receive cutting element, and
Wherein platform includes the first terrace part on the first side of longitudinal slit and the in second side of longitudinal slit
Two terrace parts.The warehouse further includes first row nail cavity, these first row nail cavities are limited to the first platform of neighbouring longitudinal slit
In part, and first distance wherein is limited between first row nail cavity and longitudinal slit.The warehouse also includes second row nail cavity,
These second row nail cavities are limited in the second terrace part of neighbouring longitudinal slit, and wherein narrow in second row nail cavity and longitudinal direction
Second distance is limited between slot, and wherein second distance is different from first distance.The nail bin groupware further includes removedly storing up
There are the nails in first row nail cavity and second row nail cavity.
Embodiment 78-nail bin groupware according to embodiment 77, further includes sliding part, and wherein sliding part includes first
Longitudinal slope and second longitudinal direction slope, the first longitudinal direction slope are configured to project from first row nail cavity and follow closely, this is second vertical
It is configured to project from second row nail cavity to slope and follow closely.
Embodiment 79-nail bin groupware according to embodiment 78, wherein first distance is limited to first longitudinal direction slope
Second distance is limited between second longitudinal direction slope and longitudinal slit between longitudinal slit, and wherein.
Embodiment 80-nail bin groupware according to embodiment 78 and 79, wherein each nail includes bizet and bizet one
Body forming cam portion, wherein sliding part is configured to directly engage cam portion, and tissue bite part with it is convex
Wheel part biases.
Embodiment 81-nail bin groupware according to embodiment 80, wherein the cam portion of nail is oriented than tissue
Occlusion portion is closer to longitudinal slit.
Embodiment 82-nail bin groupware according to embodiment 80, wherein the tissue bite part of nail is oriented to compare
Cam portion is closer to longitudinal slit.
Embodiment 83-nail bin groupware according to embodiment 77,78,79,80,81 and 82, wherein first distance is short
In second distance.
Embodiment 84-nail bin groupware according to embodiment 77,78,79,80,81 and 82, wherein second distance is short
In first distance.
The deployment and deformation for having combined nail describe surgical instrument system as described herein;However, implementation as described herein
Scheme is without being limited thereto.For example, it is contemplated to dispose the various embodiments of the fastener such as fixture or tack in addition to nail.This
Outside, it is also contemplated that utilize the various embodiments of any appropriate device for seal tissue.For example, according to various embodiments
End effector may include be configured to heating and seal tissue electrode.In addition, for example, according to certain embodiment
End effector can apply vibrational energy and carry out seal tissue.
The complete disclosure of following patents is hereby incorporated by reference:
It is filed on August 11st, 2015 entitled " ADAPTER ASSEMBLY FOR INTERCONNECTING
ELECTROMECHANICAL SURGICAL DEVICES AND SURGICAL LOADING UNITS,AND SURGICAL
The U.S. Patent Application Serial Number 14/822,970 of SYSTEMS THEREOF " is now U.S. Patent Application Publication 2015/
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It is filed in the beauty of entitled " the APPARATUS FOR ENDOSCOPIC PROCEDURES " on June 19th, 2013
State's patent application serial number 13/921,890 is now U.S. Patent Application Publication 2013/0282052;
It is filed in the United States Patent (USP) Shen of entitled " the SURGICAL STAPLING APPARATUS " on June 21st, 2013
Please sequence number 13/924,054, be now U.S. Patent Application Publication 2014/0263545;
It is filed in entitled " the ADAPTER ASSEMBLY WITH GIMBAL FOR on April 21st, 2014
INTERCONNECTING ELECTROMECHANICAL SURGICAL DEVICES AND SURGICAL LOADING
The U.S. Patent Application Serial Number 14/257,063 of UNITS, AND SURGICAL SYSTEMS THEREOF ", it is now special for the U.S.
Sharp Shen Qing Publication 2015/0297199;
It is filed in entitled " the DISPOSABLE HOUSINGS FOR ENCASING HANDLE on March 31st, 2015
The U.S. Patent Application Serial Number 14/674,152 of ASSEMBLIES AND METHODS OF USE ", is now U.S. Patent application
Announce 2015/0366560;
It is filed in entitled " the ADAPTER ASSEMBLY FOR INTERCONNECTING on March 30th, 2015
ELECTROMECHANICAL SURGICAL DEVICES AND SURGICAL LOADING UNITS,AND SURGICAL
The U.S. Patent Application Serial Number 14/672,973 of SYSTEMS THEREOF " is now U.S. Patent Application Publication 2015/
0374366;
It is filed in entitled " the ADAPTER ASSEMBLIES FOR INTERCONNECTING on March 30th, 2015
The U.S. Patent application of ELECTROMECHANICAL HANDLE ASSEMBLIES AND SURGICAL LOADING UNITS "
Sequence number 14/672,731 is now U.S. Patent application 2015/0374449;And
It is published in the Europe of entitled " the STAPLE CARTRIDGE WITH SHIPPING WEDGE " on April 13rd, 2016
Continent patent application publication EP 3005956A1;And
It is published in entitled " the HANDHELD ELECTROMECHANICAL SURGICAL on April 14th, 2016
The PCT Publication WO2016/057225A1 of SYSTEM ", these patents are hereby incorporated by reference.
The complete disclosure of following patents is hereby incorporated by reference:
It is filed in entitled " the LINEAR STAPLER WITH IMPROVED FIRING on March 12nd, 1997
The European Patent Application No. 12/795298 of STROKE ";
It is published on 2 25th, 1997 entitled " TRIGGER MECHANISM FOR SURGICAL
The United States Patent (USP) 5,605,272 of INSTRUMENTS ";
It is published in entitled " the LINEAR STAPLER WITH IMPROVED FIRING on December 16th, 1997
The United States Patent (USP) 5,697,543 of STROKE ";
It is published in entitled " the ARTICULATABLE SURGICAL INSTRUMENT on November 10th, 2005
The U.S. Patent Application Publication 2005/0246881 of COMPRISING A FIRING DRIVE ";
It is published in the U.S. Patent application of on September 6th, 2007 entitled " METHOD FOR STAPLING TISSUE "
Announce 2007/0208359;
It is published in entitled " the DISPOSABLE LINEAR SURGICAL STAPLING on July 9th, 1985
The United States Patent (USP) 4,527,724 of INSTRUMENT ";
It is published on August 11st, 1992 entitled " FAST CLOSURE DEVICE FOR LINEAR SURGICAL
The United States Patent (USP) 5,137,198 of STAPLING INSTRUMENT ";
The U.S. for being published in entitled " the FLEXIBLE SUPPORT SHAFT ASSEMBLY " on April nineteen ninety-five 11 is special
Benefit 5,405,073;
It is published in entitled " the SURGICAL CUTTING AND STAPLING INSTRUMENT on January 29th, 2013
The United States Patent (USP) 8,360,297 of WITH SELF ADJUSTING ANVIL ";
It is filed in entitled " the SURGICAL INSTRUMENT COMPRISING SYSTEMS on July 30th, 2015
The beauty of FOR ASSURING THE PROPER SEQUENTIAL OPERATION OF THE SURGICAL INSTRUMENT "
State's patent application serial number 14/813,242;
It is filed in entitled " the SURGICAL INSTRUMENT COMPRISING SEPARATE on July 30th, 2015
The U.S. Patent Application Serial Number 14/813,259 of TISSUE SECURING AND TISSUE CUTTING SYSTEMS ";
It is filed in entitled " the SURGICAL INSTRUMENT COMPRISING SYSTEMS on July 30th, 2015
The U.S. Patent Application Serial Number 14/813 of FOR PERMITTING THE OPTIONAL TRANSECTION OF TISSUE ",
266;
It is filed in entitled " the SURGICAL INSTRUMENT COMPRISING A SYSTEM on July 30th, 2015
The U.S. Patent application sequence of FOR BYPASSING AN OPERATIONAL STEP OF THE SURGICAL INSTRUMENT "
Row number 14/813,274;
The U.S. for being published in entitled " the ELECTROSURGICAL HEMOSTATIC DEVICE " on April nineteen ninety-five 4 is special
Benefit 5,403,312;
It is published on 2 21st, 2006 entitled " SURGICAL STAPLING INSTRUMENT HAVING
The United States Patent (USP) 7,000,818 of SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS ";
It is published on September 9th, 2008 entitled " MOTOR-DRIVEN SURGICAL CUTTING AND
The United States Patent (USP) 7,422,139 of FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK ";
It is published in entitled " the ELECTRO-MECHANICAL SURGICAL INSTRUMENT on December 16th, 2008
The United States Patent (USP) 7,464,849 of WITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS ";
It is published in entitled " the SURGICAL INSTRUMENT HAVING AN ARTICULATING on March 2nd, 2010
The United States Patent (USP) 7,670,334 of END EFFECTOR ";
It is published in the United States Patent (USP) of entitled " the SURGICAL STAPLING INSTRUMENTS " on July 13rd, 2010
7,753,245;
It is published in entitled " the SELECTIVELY ORIENTABLE IMPLANTABLE on March 12nd, 2013
The United States Patent (USP) 8,393,514 of FASTENER CARTRIDGE ";
The United States Patent (USP) Shen of entitled " SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES "
It please sequence number 11/343,803;It is now United States Patent (USP) 7,845,537;
It is filed on 2 14th, 2008 entitled " SURGICAL CUTTING AND FASTENING INSTRUMENT
The U.S. Patent Application Serial Number 12/031,573 of HAVING RF ELECTRODES ";
It is filed on 2 15th, 2008 entitled " END EFFECTORS FOR A SURGICAL CUTTING AND
The U.S. Patent Application Serial Number 12/031,873 (being now United States Patent (USP) 7,980,443) of STAPLING INSTRUMENT ";
The U.S. Patent Application Serial Number of entitled " MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT "
12/235,782, it is now United States Patent (USP) 8,210,411;
Entitled " POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY
The U.S. Patent Application Serial Number 12/249,117 of RETRACTABLE FIRING SYSTEM " is now United States Patent (USP) 8,608,
045;
It is filed in entitled " the MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT on December 24th, 2009
The U.S. Patent Application Serial Number 12/ of WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY "
647,100;It is now United States Patent (USP) 8,220,688;
It is filed in the U.S. Patent Application Serial Number 12/ of on September 29th, 2012 entitled " STAPLE CARTRIDGE "
893,461, it is now U.S. Patent number 8,733,613;
It is filed in the United States Patent (USP) Shen of on 2 28th, 2011 entitled " SURGICAL STAPLING INSTRUMENT "
Please sequence number 13/036,647, be now U.S. Patent number 8,561,870;
Entitled " SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT
The U.S. Patent Application Serial Number 13/118,241 of ARRANGEMENTS " is now United States Patent (USP) 9,072,535;
It is filed in entitled " the ARTICULATABLE SURGICAL INSTRUMENT on June 15th, 2012
The U.S. Patent Application Serial Number 13/524,049 of COMPRISING A FIRING DRIVE ";It is now United States Patent (USP) 9,101,
358;
It is filed in entitled " the STAPLE CARTRIDGE TISSUE THICKNESS SENSOR on March 13rd, 2013
The U.S. Patent Application Serial Number 13/800,025 of SYSTEM " is now U.S. Patent Application Publication 2014/0263551;
It is filed in entitled " the STAPLE CARTRIDGE TISSUE THICKNESS SENSOR on March 13rd, 2013
The U.S. Patent Application Serial Number 13/800,067 of SYSTEM " is now U.S. Patent Application Publication 2014/0263552;
It is filed in entitled " the SURGICAL CUTTING AND FASTENING INSTRUMENT on January 31st, 2006
The U.S. Patent Application Publication 2007/0175955 of WITH CLOSURE TRIGGER LOCKING MECHANISM ";And
It is filed in entitled " the SURGICAL STAPLING INSTRUMENT WITH AN on April 22nd, 2010
The U.S. Patent Application Publication 2010/0264194 of ARTICULATABLE END EFFECTOR " is now United States Patent (USP) 8,308,
040。
It is also implementable that these embodiments are permitted although certain embodiments has been combined to describe various devices herein
More modifications and variations.In addition, when materials for certain parts are disclosed, it is possible to use other materials.In addition, root
According to multiple embodiments, single component can be replaced by multiple components, and multiple components can also be replaced by single component, with
Execute given one or more functions.Above-mentioned specific embodiment and following the claims be intended to cover it is all it is such modification and
Modification.
Apparatus as disclosed herein is designed to discard after a single use or it is designed to be used for multiple times.
However no matter what kind of situation it is, which all can be at least using exercising use by finishing after primary again.Reparation may include following
Any combination of step, these steps include but is not limited to provision for disengagement, later carry out the specific component of device cleaning or replacement,
And then re-assembly device.Specifically, restoration facilities and/or surgical team's detachable apparatus, and in cleaning and/or more
After the particular elements of changing device, device can be reassembled for subsequent use.It will be appreciated by those skilled in the art that finishing
Device can be dismantled using various technologies, clean/replace and re-assembly.The use of such technology and resulting reparation
Device is within the scope of application.
Apparatus as disclosed herein can be handled before the surgery.Firstly, can get new or used instrument, and
It is cleaned as needed.Then, it can carry out disinfection to instrument.In a kind of sterilization technology, by the instrument be placed in it is closed and
The container (such as, plastics or TYVEK bag) of sealing.Then container and instrument can be placed in the radiation field that can penetrate container, such as
γ radiation, X-ray and/or high energy electron.Radiation can kill the bacterium on instrument and in container.Sterilized instrument then can quilt
It is stored in sterile chamber.Sealing container instrument can be remained it is sterile, until the container is opened in medical facilities.Also
Any other technology known in the art can be used to carry out disinfection device, the technology includes but is not limited to β radiation, γ spoke
It penetrates, ethylene oxide, plasma peroxide and/or steam.
Although the present invention has been described as having exemplary design, can further be repaired in the spirit and scope of the disclosure
Change the present invention.Therefore, this application is intended to cover use any modification of the invention of General Principle of the invention, purposes or change
Type.
Any patent, announcement or other public materials incorporated in this article in full or in part by reference only simultaneously
The material entered is not incorporated herein in existing definition of the present invention, statement or the conflicting range of other public materials.Cause
This, and at the necessary level, disclosure specifically listed herein replaces any conflict being herein incorporated by reference
Material.It is said that be herein incorporated by reference but with list herein existing definition, statement or other public materials it is conflicting
Any material or part thereof will not generated only between incorporated material and existing public material under the degree that conflicts simultaneously
Enter.
Claims (18)
1. a kind of nail bin groupware, comprising:
Warehouse, the warehouse include proximal end, distal end and extend between the proximal end and the distal end
Nail cavity;
Nail, the nail are removedly stored in the nail cavity, wherein each nail is formed by flat bar, and wherein each institute
Stating nail includes:
Bizet;
Proximal leg;
Distal side leg, wherein the proximal leg and the distal side leg limit nail leg plane;
Inclined cam surface, the inclined cam surface extend and integrally formed with the bizet from the bizet, wherein described
Inclined cam surface limits the cam planes different from the nail leg plane;
Proximal connector, the proximal connector extend between the proximal leg and the bizet and with the proximal leg
It is integrally formed with the bizet;With
Distal connector, the distal connector extend between the distal side leg and the bizet and with the distal side leg
It is integrally formed with the bizet, wherein the inclined cam surface does not extend from the proximal connector, and wherein described incline
Oblique cam face does not extend from the distal connector;And
Sliding part, the sliding part are configured to engage the inclined cam surface of the nail, and in nail firing schedule
Period projects the nail from the nail cavity.
2. nail bin groupware according to claim 1, wherein the inclined cam surface is plane, and wherein described
Proximal connector and the distal connector are bent out towards the nail leg plane from the cam planes.
3. nail bin groupware according to claim 1, wherein the inclined cam surface includes close in the cam planes
Side leading-in end.
4. nail bin groupware according to claim 3, wherein it is each it is described nail further include the nearside leading-in end with it is described
Clearance notches between proximal connector, and wherein the clearance notches are limited in the cam planes.
5. nail bin groupware according to claim 1, wherein when the nail is in non-percussion configuration, each nail
The proximal leg and the distal side leg extend outwardly from the bizet along not parallel direction.
6. nail bin groupware according to claim 5, wherein when the nail is stored in the nail cavity, the nail
The proximal leg and the distal side leg are flexed inwardly by the side wall of the nail cavity.
7. nail bin groupware according to claim 1, wherein during the nail firing schedule, the sliding part is not engaged
The proximal connector and the distal connector of the nail.
8. nail bin groupware according to claim 1, wherein the entire inclined cam surface is located in the nearside nail leg
Below the distal side nail leg.
9. nail bin groupware according to claim 1, wherein the inclined cam surface includes for the first of the sliding part
Beginning pickup point.
10. a kind of nail bin groupware, comprising:
Warehouse, the warehouse include proximal end, distal end and extend between the proximal end and the distal end
Nail cavity;
Nail, the nail are removedly stored in the nail cavity, wherein the nail is formed by one or more sheet metals, and its
In it is each it is described nail include:
Bizet;
Proximal leg;
Distal side leg;
Cam face, the cam face extend and integrally formed with the bizet from the bizet, wherein the cam face
Limit cam planes, and wherein the proximal leg and the distal side leg not in the cam planes;
Proximal connector, the proximal connector extend between the proximal leg and the bizet and with the proximal leg
It is integrally formed with the bizet;With
Distal connector, the distal connector extend between the distal side leg and the bizet and with the distal side leg
It is integrally formed with the bizet, wherein the cam face does not extend from the proximal connector;And
Sliding part, the sliding part are configured to engage the cam face of the nail, and during following closely firing schedule
The nail is projected from the nail cavity.
11. nail bin groupware according to claim 10, wherein the cam face is plane, and wherein described close
Side-connector and the distal connector are bent out from the cam planes.
12. nail bin groupware according to claim 10, wherein the cam face includes the nearside in the cam planes
Leading-in end.
13. nail bin groupware according to claim 12, wherein each nail further includes in the nearside leading-in end and institute
The clearance notches between proximal connector are stated, and wherein the clearance notches are limited in the cam planes.
14. nail bin groupware according to claim 10, wherein when the nail is in non-percussion configuration, each nail
The proximal leg and the distal side leg extend outwardly from the bizet along not parallel direction.
15. nail bin groupware according to claim 14, wherein when the nail is stored in the nail cavity, the nail
The proximal leg and the distal side leg be flexed inwardly by the side wall of the nail cavity.
16. nail bin groupware according to claim 10, wherein during the nail firing schedule, the sliding part is not connect
Close the proximal connector of the nail.
17. nail bin groupware according to claim 10, wherein the entire cam face be located in the nearside nail leg and
Below the distal side nail leg.
18. nail bin groupware according to claim 10, wherein the cam face includes for the initial of the sliding part
Pickup point.
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US15/191,834 | 2016-06-24 | ||
US15/191,834 US10542979B2 (en) | 2016-06-24 | 2016-06-24 | Stamped staples and staple cartridges using the same |
PCT/US2017/038675 WO2017223270A1 (en) | 2016-06-24 | 2017-06-22 | Stamped staples and staple cartridges using the same |
Publications (2)
Publication Number | Publication Date |
---|---|
CN109414262A true CN109414262A (en) | 2019-03-01 |
CN109414262B CN109414262B (en) | 2021-10-26 |
Family
ID=65463401
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201780039348.3A Active CN109414262B (en) | 2016-06-24 | 2017-06-22 | Punch nail and nail magazine using the same |
Country Status (2)
Country | Link |
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JP (1) | JP6968838B2 (en) |
CN (1) | CN109414262B (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN111202554A (en) * | 2020-02-25 | 2020-05-29 | 江苏集萃微纳自动化系统与装备技术研究所有限公司 | Nail pushing plate matched with suturing nail and manufacturing method |
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EP2191778A1 (en) * | 2000-10-20 | 2010-06-02 | Tyco Healthcare Group Lp | Directionally biased staple |
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EP2891460A1 (en) * | 2013-12-19 | 2015-07-08 | Covidien LP | Surgical staples and end effectors for deploying the same |
CN105101888A (en) * | 2013-03-27 | 2015-11-25 | 伊西康内外科公司 | Fastener cartridge assemblies |
CN105208941A (en) * | 2013-02-08 | 2015-12-30 | 伊西康内外科公司 | Actuator for releasing a tissue thickness compensator from a fastener cartridge |
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2017
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EP2191778A1 (en) * | 2000-10-20 | 2010-06-02 | Tyco Healthcare Group Lp | Directionally biased staple |
CN105208941A (en) * | 2013-02-08 | 2015-12-30 | 伊西康内外科公司 | Actuator for releasing a tissue thickness compensator from a fastener cartridge |
CN105101888A (en) * | 2013-03-27 | 2015-11-25 | 伊西康内外科公司 | Fastener cartridge assemblies |
EP2891460A1 (en) * | 2013-12-19 | 2015-07-08 | Covidien LP | Surgical staples and end effectors for deploying the same |
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Publication number | Priority date | Publication date | Assignee | Title |
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CN111202554A (en) * | 2020-02-25 | 2020-05-29 | 江苏集萃微纳自动化系统与装备技术研究所有限公司 | Nail pushing plate matched with suturing nail and manufacturing method |
Also Published As
Publication number | Publication date |
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JP2019524191A (en) | 2019-09-05 |
CN109414262B (en) | 2021-10-26 |
JP6968838B2 (en) | 2021-11-17 |
BR112018076827A2 (en) | 2019-04-02 |
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