CN118102986A - 具有偏移斜坡驱动表面的外科缝合组件 - Google Patents
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Abstract
公开了一种外科缝合组件。该组件能够包括仓体，该仓体具有限定在其中的腔，这些腔在该仓体的平台中形成开口的图案。该图案能够包括腔端部的纵向重复的簇。该组件还能够包括可移除地定位在这些腔中的紧固件。该开口的图案能够包括该仓体的第一侧上的开口，这些开口包括：内开口，这些内开口各自限定平行于纵向轴线定向的内近侧至远侧轴线；外开口，这些外开口各自限定相对于该纵向轴线以外角度倾斜定向的外近侧至远侧轴线；以及中间开口，这些中间开口各自限定相对于该纵向轴线以中间角度倾斜定向的中间近侧至远侧轴线，其中，该中间角度不同于该外角度。该组件能够包括具有偏移斜坡的滑动件和/或具有位于组织止挡件近侧的成形凹坑的布置的砧座。
Description
背景技术
本发明涉及外科器械，并且在各种布置结构中，涉及被设计成缝合和切割组织的外科缝合和切割器械以及与它们一起使用的钉仓。
发明内容
外科缝合组件可包括仓体和紧固件。仓体可限定纵向轴线。腔可限定在仓体中。紧固件可以可动地支撑在腔中。紧固件可成排地布置在仓体的第一侧上，该紧固件包括内排、外排以及定位在内排和外排中间的中间排。紧固件可包括：位于内排中的内紧固件，该内紧固件包括内侧边缘；位于外排中的外紧固件，该外紧固件包括外侧腿；以及位于中间排中的中间紧固件。内紧固件、外紧固件和中间紧固件中的至少一者可平行于纵向轴线。内紧固件、外紧固件和中间紧固件中的至少一者可相对于纵向轴线倾斜定向。外科缝合组件还可包括可动地定位在腔中的三重驱动器。三重驱动器可包括支撑内紧固件、外紧固件和中间紧固件的第一三重驱动器。第一三重驱动器可包括：外斜坡，该外斜坡定位在外紧固件的外侧腿与内紧固件的内侧边缘之间；以及内斜坡，该内斜坡从内紧固件的内侧边缘侧向向内定位。
外科缝合组件可包括仓体和紧固件。仓体可限定纵向轴线并且可包括平台。腔可限定在仓体中并且可在平台中形成开口。紧固件可以可移除地定位在腔中。腔可包括：内腔，这些内腔位于仓体的第一侧上的内排中；外腔，这些外腔位于仓体的第一侧上的外排中；以及中间腔，这些中间腔位于定位在仓体的第一侧上的内排和外排中间的中间排中。内腔可相对于纵向轴线以内角度定向。内腔可限定内侧内排边界。外腔可相对于纵向轴线以外角度定向。外腔可限定外侧外排边界。中间腔可相对于纵向轴线以中间角度定向。中间角度可大于内角度并且小于外角度。外科缝合组件还可包括被构造成能够沿纵向轴线平移的金属滑动件。金属滑动件可包括：内导轨，该内导轨被构造成能够沿从内侧内排边界侧向向内的内纵向轴线移动；以及外导轨，该外导轨被构造成能够沿外侧外排边界与内侧内排边界中间的外纵向轴线移动。
外科缝合组件可包括仓体，该仓体限定纵向轴线并且包括平台。腔可限定在仓体中并且可在平台中形成开口的图案。外科缝合组件还可包括金属滑动件。金属滑动件可包括：位于仓体的第一侧上的内导轨；以及位于仓体的第一侧上的外导轨。外科缝合组件还可包括：紧固件，这些紧固件可移除地定位在腔中；以及三重驱动器，这些三重驱动器可动地支撑紧固件。开口的图案可包括仓体的第一侧上的开口。仓体的第一侧上的开口可包括：第一开口，这些第一开口各自限定平行于纵向轴线定向的第一近侧至远侧轴线；以及第二开口，这些第二开口各自限定相对于纵向轴线倾斜定向的第二近侧至远侧轴线。内导轨可被构造成能够沿从仓体的第一侧上的开口侧向偏移的内轴线移动。外导轨可被构造成能够沿与仓体的第一侧上的开口侧向对准的外轴线移动。
附图说明
通过参考以下结合如下附图所作的说明可最好地理解本文所述的各种方面(有关手术组织和方法两者)及其进一步的目的和优点。
图1是根据本公开的各个方面的包括安装在其中的紧固件仓组件的外科缝合组件的透视图。
图2是根据本公开的各个方面的图1的紧固件仓组件的透视图。
图3是根据本公开的各个方面的图2的紧固件仓组件的分解透视图，其描绘了仓体、滑动件、驱动器和钉。
图4是根据本公开的各个方面的图2的紧固件仓组件的正视图。
图5是根据本公开的各个方面的图2的紧固件仓组件的另一透视图，其描绘了仓体、滑动件和驱动器的下侧。
图6是根据本公开的各个方面的图2的紧固件仓组件的近侧部分的透视图。
图7是根据本公开的各个方面的图2的紧固件仓组件的近侧部分的另一透视图。
图8是根据本公开的各个方面的图2的紧固件仓组件在击发行程中间的正视图，其描绘了在击发行程期间从仓体射出的钉。
图9是根据本公开的各个方面的图2的紧固件仓组件在如图8中所示的击发行程中间的透视部分剖视图。
图10是根据本公开的各个方面的图2的紧固件仓组件的透视剖视图，其描绘了处于击发构型的驱动器和钉。
图11是根据本公开的各个方面的图2的紧固件仓组件的近侧部分的正视图，其中，出于说明性目的移除了钉。
图12是根据本公开的各个方面的图2的紧固件仓组件的近侧部分的另一正视图，其描绘了紧固件仓组件的下侧并且出于说明性目的移除了钉和驱动器。
图13是根据本公开的各个方面的来自图2的紧固件仓组件的一对驱动器的正视图，其描绘了定位在仓体的相对两侧上的右侧驱动器和左侧驱动器。
图14是根据本公开的各个方面的图13的一对驱动器的另一正视图。
图15是根据本公开的各个方面的图13的左侧驱动器的正视图。
图16是根据本公开的各个方面的图13的左侧驱动器的透视图。
图17是根据本公开的各个方面的图13的左侧驱动器的另一透视图。
图18是根据本公开的各个方面的图2的紧固件仓组件的一部分的底部透视图。
图19是根据本公开的各个方面的图2的紧固件仓组件的一部分的正视图。
图20至图22是根据本公开的各个方面的图2的紧固件仓组件的一部分的正视图，其描绘了该紧固件仓组件的各种尺寸关系，并且图22A是图22的细部图。
图23是根据本公开的各个方面的图13的左侧驱动器的正视图，其描绘了左侧驱动器的各种尺寸关系。
图24是根据本公开的各个方面的来自图2的紧固件仓组件的滑动件和驱动器(或驱动器的部分)的正视图。
图25是根据本公开的各个方面的图2的紧固件仓组件的一部分的正视图，其描绘了该紧固件仓组件的各种尺寸关系。
图26是根据本公开的各个方面的图2的砧座的透视图。
图27是根据本公开的各个方面的图26的砧座的一部分的透视图。
图28是根据本公开的各个方面的图26的砧座的一部分的正视图，并且图28A是图28的细部图。
图29是根据本公开的各个方面的由图26的砧座的内成形凹坑形成的内侧钉的正视图。
图30是根据本公开的各个方面的由图26的砧座的中间成形凹坑成形的中间钉的正视图。
图31是根据本公开的各个方面的由图26的砧座的外成形凹坑形成的外侧钉的正视图。
图32是根据本公开的各个方面的由三个相邻排中的纵向定向的平面钉构成的钉线的一部分的示例压力分布示意图。
图33是根据本公开的各个方面的由图1的外科缝合组件200形成并且包括在排与排之间处于不同角定向的钉的钉线的一部分的示例压力分布示意图。
图34是根据本公开的各个方面的由三个相邻排中的纵向定向的平面钉构成的钉线的一部分中的压力和拉伸负载条件的示例应变轮廓示意图。
图35是根据本公开的各个方面的由图1的外科缝合组件200形成并且包括在排与排之间处于不同角定向的钉的钉线的一部分中的压力和拉伸负载条件的示例应变轮廓示意图。
图36是根据本公开的各个方面的砧座的一部分的透视图。
图37是根据本公开的各个方面的图36的砧座的一部分的正视图。
图37A是根据本公开的各个方面的图37的细部图。
图38是根据本公开的各个方面的图36的砧座的钉成形凹坑的正视图。
图39是根据本公开的各个方面的沿平面39-39截取的图38的钉成形凹坑的正视剖视图。
图40是根据本公开的各个方面沿平面40-40截取的图38的钉成形凹坑的正视剖视图。
图41是根据本公开的各个方面沿平面41-41截取的图38的钉成形凹坑的正视剖视图。
图42是根据本公开的各个方面的紧固件仓组件的透视图。
图43是根据本公开的各个方面的图42的紧固件仓组件的近侧部分的顶部正视图，其描绘了定位在其中的第一驱动器和第二驱动器。
图44是根据本公开的各个方面的图42的紧固件仓组件的近侧部分的底部正视图，其描绘了定位在其中的第一驱动器和第二驱动器。
图45是根据本公开的各个方面的来自图42的紧固件仓组件的图43和44中的第一驱动器中的一个第一驱动器的透视图。
图46是根据本公开的各个方面的图45的第一驱动器的透视图。
图47是根据本公开的各个方面的图45的第一驱动器的正视图。
图48是根据本公开的各个方面的紧固件仓组件的透视图。
图49是根据本公开的各个方面的图48的紧固件仓组件的近侧部分的顶部正视图，其描绘了定位在其中的第一驱动器和第二驱动器。
图50是根据本公开的各个方面的图48的紧固件仓组件的近侧部分的底部正视图，其描绘了定位在其中的第一驱动器和第二驱动器。
图51是根据本公开的各个方面的图48的紧固件仓组件的近侧部分的第一透视图。
图52是根据本公开的各个方面的来自图48的紧固件仓组件的图49和50中的第一驱动器中的一个第一驱动器的第二透视图。
图53是根据本公开的各个方面的图52的第一驱动器的透视图。
图54是根据本公开的各个方面的图52的第一驱动器的侧正视图。
图55是根据本公开的各个方面的图52的第一驱动器的顶部正视图。
图56是根据本公开的各个方面的图52的第一驱动器的底部正视图。
图57是根据本公开的各个方面的紧固件仓组件的透视图。
图58是根据本公开的各个方面的图57的紧固件仓组件的一部分的正视图。
图59是根据本公开的各个方面的图57的紧固件仓组件的驱动器的透视图，其描绘了支撑在其上的一对交叉钉。
图60是根据本公开的各个方面的紧固件仓组件的透视图。
图61是根据本公开的各个方面的图60的紧固件仓组件的近侧部分的顶部正视图。
图62是根据本公开的各个方面的图60的紧固件仓组件的一部分的部分剖切透视图，其描绘了该紧固件仓组件的击发构件的击发运动。
图63是根据本公开的各个方面的来自图60的紧固件仓组件的一系列驱动器和钉的透视图。
图64是根据本公开的各个方面的来自图60的紧固件仓组件的驱动器和支撑在其上的一对交叉钉的透视图。
图65是根据本公开的各个方面的图63的一系列驱动器和钉的顶部正视图。
图66是根据本公开的各个方面的图64的驱动器和一对交叉钉的顶部正视图。
图67是根据本公开的各个方面的与图60的紧固件仓组件一起使用的砧座的透视图。
图68是根据本公开的各个方面的图67的砧座的近侧部分的正视图。
图69是根据本公开的各个方面的可操作地联接到柄部组件实施方案的可互换外科工具组件的透视图。
图70是根据本公开的各个方面的图69的柄部组件和可互换外科工具组件的部分的分解组装视图。
在若干视图中，对应的参考符号指示对应的零件。本文所述的范例以一种形式示出了本发明的各种实施方案，且这种范例不应被解释为以任何方式限制本发明的范围。
具体实施方式
以下美国专利申请于2021年10月18日提交且全文以引用方式并入本文：
·SURGICAL STAPLING ASSEMBLY HAVING LONGITUDINALLY-
REPEATING STAPLE LEG CLUSTERS；代理人案卷号END9374USNP2/210197-2；
·ROW-TO-ROW STAPLE ARRAY VARIATIONS；代理人案卷号END9374USNP3/210197-3；以及
·ANVIL COMPRISING AN ARRANGEMENT OF FORMING POCKETS PROXIMAL TOTISSUE STOP；代理人案卷号END9375USNP1/210198。
本申请的申请人拥有于2016年12月21日提交且各自全文以引用方式并入本文的以下美国专利申请：
-名称为“SURGICAL STAPLING INSTRUMENTS AND REPLACEABLE TOOL ASSEMBLIESTHEREOF”的美国专利申请序列号15/386,185，现为美国专利10,639,035；
-名称为“ARTICULATABLE SURGICAL STAPLING INSTRUMENTS”的美国专利申请序列号15/386,230，现为美国专利申请公布2018/0168649；
-名称为“LOCKOUT ARRANGEMENTS FOR SURGICAL END EFFECTORS”的美国专利申请序列号15/386,221，现为美国专利10,835,247；
-名称为“SURGICAL END EFFECTORS AND FIRING MEMBERS THEREOF”的美国专利申请序列号15/386,209，现为美国专利10,588,632；
-名称为“LOCKOUT ARRANGEMENTS FOR SURGICAL END EFFECTORS ANDREPLACEABLE TOOL ASSEMBLIES”的美国专利申请序列号15/386,198，现为美国专利10,610,224；和
-名称为“SURGICAL END EFFECTORS AND ADAPTABLE FIRING MEMBERS THEREFOR”的美国专利申请序列号15/386,240，现为美国专利10,973,516。
本申请的申请人拥有于2016年12月21日提交且各自全文以引用方式并入本文的以下美国专利申请：
-名称为“STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLECAVITIES THEREIN”的美国专利申请序列号15/385,939，现为美国专利10,835,246；
-名称为“SURGICAL TOOL ASSEMBLIES WITH CLUTCHING ARRANGEMENTS FORSHIFTING BETWEEN CLOSURE SYSTEMS WITH CLOSURE STROKE REDUCTION FEATURES ANDARTICULATION AND FIRING SYSTEMS”的美国专利申请序列号15/385,941，现为美国专利10,736,629；
-名称为“SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS”的美国专利申请序列号15/385,943，现为美国专利10,667,811；
-名称为“SURGICAL TOOL ASSEMBLIES WITH CLOSURE STROKE REDUCTIONFEATURES”的美国专利申请序列号15/385,950，现为美国专利10,588,630；
-名称为“STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLECAVITIES THEREIN”的美国专利申请序列号15/385,945，现为美国专利10,893,864；
-名称为“SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS”的美国专利申请序列号15/385,946，现为美国专利申请公布2018/0168633；
-名称为“SURGICAL INSTRUMENTS WITH JAW OPENING FEATURES FOR INCREASINGA JAW OPENING DISTANCE”的美国专利申请序列号15/385,951，现为美国专利10,568,626；
-名称为“METHODS OF STAPLING TISSUE”的美国专利申请序列号15/385,953，现为美国专利10,675,026；
-名称为“FIRING MEMBERS WITH NON-PARALLEL JAW ENGAGEMENT FEATURES FORSURGICAL END EFFECTORS”的美国专利申请序列号15/385,954，现为美国专利10,624,635；
-名称为“SURGICAL END EFFECTORS WITH EXPANDABLE TISSUE STOPARRANGEMENTS”的美国专利申请序列号15/385,955，现为美国专利10,813,638；
-名称为“SURGICAL INSTRUMENTS WITH POSITIVE JAW OPENING FEATURES”的美国专利申请序列号15/385,956，现为美国专利10,588,631；
-名称为“SURGICAL INSTRUMENTS WITH LOCKOUT ARRANGEMENTS FOR PREVENTINGFIRING SYSTEM ACTUATION UNLESS AN UNSPENT STAPLE CARTRIDGE IS PRESENT”的美国专利申请序列号15/385,958，现为美国专利10,639,034；和
-名称为“STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLECAVITIES THEREIN”的美国专利申请序列号15/385,947，现为美国专利10,568,625。
本申请的申请人拥有于2016年12月21日提交且各自全文以引用方式并入本文的以下美国专利申请：
-名称为“METHOD FOR RESETTING A FUSE OF A SURGICAL INSTRUMENT SHAFT”的美国专利申请序列号15/385,896，现为美国专利11,090,048；
-名称为“STAPLE-FORMING POCKET ARRANGEMENT TO ACCOMMODATE DIFFERENTTYPES OF STAPLES”的美国专利申请序列号15/385,898，现为美国专利10,537,325；
-名称为“STAPLE CARTRIDGE AND STAPLE CARTRIDGE CHANNEL COMPRISINGWINDOWSDEFINED THEREIN”的美国专利申请序列号15/385,901，现为美国专利10,667,809；
-名称为“SURGICAL INSTRUMENT COMPRISING A CUTTING MEMBER”的美国专利申请序列号15/385,902，现为美国专利10,888,322；
-名称为“STAPLE FIRING MEMBER COMPRISING A MISSING CARTRIDGE AND/ORSPENT CARTRIDGE LOCKOUT”的美国专利申请序列号15/385,904，现为美国专利10,881,401；
-名称为“FIRING ASSEMBLY COMPRISING A LOCKOUT”的美国专利申请序列号15/385,905，现为美国专利10,695,055；
-名称为“SURGICAL INSTRUMENT SYSTEM COMPRISING AN END EFFECTOR LOCKOUTAND A FIRING ASSEMBLY LOCKOUT”的美国专利申请序列号15/385,907，现为美国专利申请公布2018/0168608；
-名称为“FIRING ASSEMBLY COMPRISING A FUSE”的美国专利申请序列号15/385,908，现为美国专利申请公布2018/0168609；和
-名称为“FIRING ASSEMBLY COMPRISING A MULTIPLE FAILED-STATE FUSE”的美国专利申请序列号15/385,909，现为美国专利申请公布2018/0168610。
本申请的申请人拥有于2016年12月21日提交且各自全文以引用方式并入本文的以下美国专利申请：
-名称为“STAPLE FORMING POCKET ARRANGEMENTS”的美国专利申请序列号15/385,920，现为美国专利10,499,914；
-名称为“ANVIL ARRANGEMENTS FOR SURGICAL STAPLERS”的美国专利申请序列号15/385,913，现为美国专利申请公布2018/0168614；
-名称为“METHOD OF DEFORMING STAPLES FROM TWO DIFFERENT TYPES OFSTAPLE CARTRIDGES WITH THE SAME SURGICAL STAPLING INSTRUMENT”的美国专利申请序列号15/385,914，现为美国专利申请公布2018/0168615；
-名称为“BILATERALLY ASYMMETRIC STAPLE FORMING POCKET PAIRS”的美国专利申请序列号15/385,893，现为美国专利10,682,138；
-名称为“CLOSURE MEMBERS WITH CAM SURFACE ARRANGEMENTS FOR SURGICALINSTRUMENTS WITH SEPARATE ANDDISTINCT CLOSURE AND FIRING SYSTEMS”的美国专利申请序列号15/385,929，现为美国专利10,667,810；
-名称为“SURGICAL STAPLERS WITH INDEPENDENTLY ACTUATABLE CLOSING ANDFIRING SYSTEMS”的美国专利申请序列号15/385,911，现为美国专利10,448,950；
-名称为“SURGICAL STAPLING INSTRUMENTS WITH SMART STAPLE CARTRIDGES”的美国专利申请序列号15/385,927，现为美国专利申请公布2018/0168625；
-名称为“STAPLE CARTRIDGE COMPRISING STAPLES WITH DIFFERENT CLAMPINGBREADTHS”的美国专利申请序列号15/385,917，现为美国专利10,993,715；
-名称为“STAPLE FORMING POCKET ARRANGEMENTS COMPRISING PRIMARYSIDEWALLS AND POCKET SIDEWALLS”的美国专利申请序列号15/385,900，现为美国专利10,898,186；
-名称为“NO-CARTRIDGE AND SPENT CARTRIDGE LOCKOUT ARRANGEMENTS FORSURGICAL STAPLERS”的美国专利申请序列号15/385,931，现为美国专利10,980,536；
-名称为“FIRING MEMBER PIN ANGLE”的美国专利申请序列号15/385,915，现为美国专利10,779,823；
-名称为“STAPLE FORMING POCKET ARRANGEMENTS COMPRISING ZONED FORMINGSURFACE GROOVES”的美国专利申请序列号15/385,897，现为美国专利申请公布2018/0168598；
-名称为“SURGICAL INSTRUMENT WITH MULTIPLE FAILURE RESPONSE MODES”的美国专利申请序列号15/385,922，现为美国专利10,426,471；
-名称为“SURGICAL INSTRUMENT WITH PRIMARY AND SAFETY PROCESSORS”的美国专利申请序列号15/385,924，现为美国专利10,758,230；
-名称为“SURGICAL INSTRUMENTS WITH JAWS THAT ARE PIVOTABLE ABOUT AFIXED AXIS AND INCLUDE SEPARATE ANDDISTINCT CLOSURE AND FIRING SYSTEMS”的美国专利申请序列号15/385,912，现为美国专利10,568,624；
-名称为“ANVIL HAVING A KNIFE SLOT WIDTH”的美国专利申请序列号15/385,910，现为美国专利10,485,543；
-名称为“CLOSURE MEMBER ARRANGEMENTS FOR SURGICAL INSTRUMENTS”的美国专利申请序列号15/385,903，现为美国专利10,617,414；和
-名称为“FIRING MEMBER PIN CONFIGURATIONS”的美国专利申请序列号15/385,906，现为美国专利10,856,868。
本申请的申请人拥有于2016年12月21日提交且各自全文以引用方式并入本文的以下美国专利申请：
-名称为“STEPPED STAPLE CARTRIDGE WITH ASYMMETRICAL STAPLES”的美国专利申请序列号15/386,188，现为美国专利10,537,324；
-名称为“STEPPED STAPLE CARTRIDGE WITH TISSUE RETENTION AND GAPSETTING FEATURES”的美国专利申请序列号15/386,192，现为美国专利10,687,810；
-名称为“STAPLE CARTRIDGE WITH DEFORMABLE DRIVER RETENTION FEATURES”的美国专利申请序列号15/386,206，现为美国专利10,945,727；
-名称为“DURABILITY FEATURES FOR END EFFECTORS AND FIRING ASSEMBLIESOF SURGICAL STAPLING INSTRUMENTS”的美国专利申请序列号15/386,226，现为美国专利申请公布2018/0168648；
-名称为“SURGICAL STAPLING INSTRUMENTS HAVING END EFFECTORS WITHPOSITIVE OPENING FEATURES”的美国专利申请序列号15/386,222，现为美国专利申请公布2018/0168647；和
-名称为“CONNECTION PORTIONS FOR DISPOSABLE LOADING UNITS FOR SURGICALSTAPLING INSTRUMENTS”的美国专利申请序列号15/386,236，现为美国专利申请公布2018/0168650。
本申请的申请人拥有于2016年12月21日提交且各自全文以引用方式并入本文的以下美国专利申请：
-名称为“METHOD FOR ATTACHING A SHAFT ASSEMBLY TO A SURGICALINSTRUMENT AND,ALTERNATIVELY,TO A SURGICAL ROBOT”的美国专利申请序列号15/385,887，现为美国专利10,835,245；
-名称为“SHAFT ASSEMBLY COMPRISING A MANUALLY-OPERABLE RETRACTIONSYSTEM FOR USE WITH A MOTORIZED SURGICAL INSTRUMENT SYSTEM”的美国专利申请序列号15/385,889，现为美国专利申请公布2018/0168590；
-名称为“SHAFT ASSEMBLY COMPRISING SEPARATELY ACTUATABLE ANDRETRACTABLE SYSTEMS”的美国专利申请序列号15/385,890，现为美国专利10,675,025；
-名称为“SHAFT ASSEMBLY COMPRISING A CLUTCH CONFIGURED TO ADAPT THEOUTPUT OF A ROTARY FIRING MEMBER TO TWO DIFFERENT SYSTEMS”的美国专利申请序列号15/385,891，现为美国专利申请公布2018/0168592；
-名称为“SURGICAL SYSTEM COMPRISING A FIRING MEMBER ROTATABLE INTO ANARTICULATION STATE TO ARTICULATE AN END EFFECTOR OF THE SURGICAL SYSTEM”的美国专利申请序列号15/385,892，现为美国专利10,918,385；
-名称为“SHAFT ASSEMBLY COMPRISING A LOCKOUT”的美国专利申请序列号15/385,894，现为美国专利10,492,785；和
-名称为“SHAFT ASSEMBLY COMPRISING FIRST AND SECOND ARTICULATIONLOCKOUTS”的美国专利申请序列号15/385,895，现为美国专利10,542,982。
本申请的申请人拥有于2016年12月21日提交且各自全文以引用方式并入本文的以下美国专利申请：
-名称为“SURGICAL STAPLING SYSTEMS”的美国专利申请序列号15/385,916，现为美国专利申请公布2018/0168575；
-名称为“SURGICAL STAPLING SYSTEMS”的美国专利申请序列号15/385,918，现为美国专利申请公布2018/0168618；
-名称为“SURGICAL STAPLING SYSTEMS”的美国专利申请序列号15/385,919，现为美国专利申请公布2018/0168619；
-名称为“SURGICAL STAPLE CARTRIDGE WITH MOVABLE CAMMING MEMBERCONFIGURED TO DISENGAGE FIRING MEMBER LOCKOUT FEATURES”的美国专利申请序列号15/385,921，现为美国专利10,687,809；
-名称为“SURGICAL STAPLING SYSTEMS”的美国专利申请序列号15/385,923，现为美国专利申请公布2018/0168623；
-名称为“JAW ACTUATED LOCK ARRANGEMENTS FOR PREVENTING ADVANCEMENT OFA FIRING MEMBER IN A SURGICAL END EFFECTOR UNLESS AN UNFIRED CARTRIDGE ISINSTALLED IN THE END EFFECTOR”的美国专利申请序列号15/385,925，现为美国专利10,517,595；
-名称为“AXIALLY MOVABLE CLOSURE SYSTEM ARRANGEMENTS FOR APPLYINGCLOSURE MOTIONS TO JAWS OF SURGICAL INSTRUMENTS”的美国专利申请序列号15/385,926，现为美国专利申请公布2018/0168577；
-名称为“PROTECTIVE COVER ARRANGEMENTS FOR A JOINT INTERFACE BETWEEN AMOVABLE JAW AND ACTUATOR SHAFT OF A SURGICAL INSTRUMENT”的美国专利申请序列号15/385,928，现为美国专利申请公布2018/0168578；
-名称为“SURGICAL END EFFECTOR WITH TWO SEPARATE COOPERATING OPENINGFEATURES FOR OPENING AND CLOSING END EFFECTOR JAWS”的美国专利申请序列号15/385,930，现为美国专利申请公布2018/0168579；
-名称为“ARTICULATABLE SURGICAL END EFFECTOR WITH ASYMMETRIC SHAFTARRANGEMENT”的美国专利申请序列号15/385,932，现为美国专利10,959,727；
-名称为“ARTICULATABLE SURGICAL INSTRUMENT WITH INDEPENDENT PIVOTABLELINKAGE DISTAL OF AN ARTICULATION LOCK”的美国专利申请序列号15/385,933，现为美国专利10,603,036；
-名称为“ARTICULATION LOCK ARRANGEMENTS FOR LOCKING AN END EFFECTOR INAN ARTICULATED POSITION IN RESPONSE TO ACTUATION OF A JAW CLOSURE SYSTEM”的美国专利申请序列号15/385,934，现为美国专利10,582,928；
-名称为“LATERALLY ACTUATABLE ARTICULATION LOCK ARRANGEMENTS FORLOCKING AN END EFFECTOR OF A SURGICAL INSTRUMENT IN AN ARTICULATEDCONFIGURATION”的美国专利申请序列号15/385,935，现为美国专利10,524,789；和
-名称为“ARTICULATABLE SURGICAL INSTRUMENTS WITH ARTICULATION STROKEAMPLIFICATION FEATURES”的美国专利申请序列号15/385,936，现为美国专利10,517,596。
本申请的申请人拥有于2016年6月24日提交且各自全文以引用方式并入本文的以下美国专利申请：
-名称为“STAPLE CARTRIDGE COMPRISING WIRE STAPLES AND STAMPED STAPLES”的美国专利申请序列号15/191,775，现为美国专利11,000,278；
-名称为“STAPLING SYSTEM FOR USE WITH WIRE STAPLES AND STAMPEDSTAPLES”的美国专利申请序列号15/191,807，现为美国专利10,702,270；
-名称为“STAMPED STAPLES AND STAPLE CARTRIDGES USING THE SAME”的美国专利申请序列号15/191,834，现为美国专利10,542,979；
-名称为“STAPLE CARTRIDGE COMPRISING OVERDRIVEN STAPLES”的美国专利申请序列号15/191,788，现为美国专利10,675,024；以及
-名称为“STAPLE CARTRIDGE COMPRISING OFFSET LONGITUDINAL STAPLE ROWS”的美国专利申请序列号15/191,818，现为美国专利10,893,863。
本申请的申请人拥有于2016年6月24日提交且各自全文以引用方式并入本文的以下美国专利申请：
-名称为“SURGICAL FASTENER”的美国设计专利申请序列号29/569,218，现为美国设计专利D826,405；
-名称为“SURGICAL FASTENER”的美国设计专利申请序列号29/569,227，现为美国设计专利D822,206；
-名称为“SURGICAL FASTENER CARTRIDGE”的美国设计专利申请序列号29/569,259，现为美国设计专利D847,989；以及
-名称为“SURGICAL FASTENER CARTRIDGE”的美国设计专利申请序列号29/569,264，现为美国设计专利D850,617。
本申请的申请人拥有2016年4月1日提交且各自全文以引用方式并入本文的以下专利申请：
-名称为“METHOD FOR OPERATING A SURGICAL STAPLING SYSTEM”的美国专利申请序列号15/089,325，现为美国专利11,045,191；
-名称为“MODULAR SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY”的美国专利申请序列号15/089,321，现为美国专利10,271,851；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY INCLUDING A RE-ORIENTABLE DISPLAY FIELD”的美国专利申请序列号15/089,326，现为美国专利10,433,849；
-名称为“SURGICAL INSTRUMENT HANDLE ASSEMBLY WITH RECONFIGURABLE GRIPPORTION”的美国专利申请序列号15/089,263，现为美国专利10,307,159；
-名称为“ROTARY POWERED SURGICAL INSTRUMENT WITH MANUALLY ACTUATABLEBAILOUT SYSTEM”的美国专利申请序列号15/089,262，现为美国专利10,357,246；
-名称为“SURGICAL CUTTING AND STAPLING END EFFECTOR WITH ANVILCONCENTRIC DRIVE MEMBER”的美国专利申请序列号15/089,277，现为美国专利10,531,874；
-名称为“INTERCHANGEABLE SURGICAL TOOL ASSEMBLY WITH A SURGICAL ENDEFFECTOR THAT IS SELECTIVELY ROTATABLE ABOUT A SHAFT AXIS”的美国专利申请序列号15/089,296，现为美国专利10,413,293；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING A SHIFTABLE TRANSMISSION”的美国专利申请序列号15/089,258，现为美国专利10,342,543；
-名称为“SURGICAL STAPLING SYSTEM CONFIGURED TO PROVIDE SELECTIVECUTTING OF TISSUE”的美国专利申请序列号15/089,278，现为美国专利10,420,552；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING A CONTOURABLE SHAFT”的美国专利申请序列号15/089,284，现为美国专利申请公布2017/0281186；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING A TISSUE COMPRESSIONLOCKOUT”的美国专利申请序列号15/089,295，现为美国专利10,856,867；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING AN UNCLAMPING LOCKOUT”的美国专利申请序列号15/089,300，现为美国专利10,456,140；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING A JAW CLOSURE LOCKOUT”的美国专利申请序列号15/089,196，现为美国专利10,568,632；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING A JAW ATTACHMENT LOCKOUT”的美国专利申请序列号15/089,203，现为美国专利10,542,991；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING A SPENT CARTRIDGELOCKOUT”的美国专利申请序列号15/089,210，现为美国专利10,478,190；
-名称为“SURGICAL INSTRUMENT COMPRISING A SHIFTING MECHANISM”的美国专利申请序列号15/089,324，现为美国专利10,314,582；
-名称为“SURGICAL STAPLING INSTRUMENT COMPRISING MULTIPLE LOCKOUTS”的美国专利申请序列号15/089,335，现为美国专利10,485,542；
-名称为“SURGICAL STAPLING INSTRUMENT”的美国专利申请序列号15/089,339，现为美国专利11,064,997；
-名称为“SURGICAL STAPLING SYSTEM CONFIGURED TO APPLY ANNULAR ROWS OFSTAPLES HAVING DIFFERENT HEIGHTS”的美国专利申请序列号15/089,253，现为美国专利10,413,297；
-名称为“SURGICAL STAPLING SYSTEM COMPRISING A GROOVED FORMING POCKET”的美国专利申请序列号15/089,304，现为美国专利10,285,705；
-名称为“ANVIL MODIFICATION MEMBERS FOR SURGICAL STAPLERS”的美国专利申请序列号15/089,331，现为美国专利10,376,263；
-名称为“STAPLE CARTRIDGES WITH ATRAUMATIC FEATURES”的美国专利申请序列号15/089,336，现为美国专利10,709,446；
-名称为“CIRCULAR STAPLING SYSTEM COMPRISING AN INCISABLE TISSUESUPPORT”的美国专利申请序列号15/089,312，现为美国专利申请公布2017/0281189；
-名称为“CIRCULAR STAPLING SYSTEM COMPRISING ROTARY FIRING SYSTEM”的美国专利申请序列号15/089,309，现为美国专利10,675,021；以及
-名称为“CIRCULAR STAPLING SYSTEM COMPRISING LOAD CONTROL”的美国专利申请序列号15/089,349，现为美国专利10,682,136。
本申请的申请人还拥有于2015年12月31日提交且各自全文以引用方式并入本文的如下标识的美国专利申请：
-名称为“MECHANISMS FOR COMPENSATING FOR BATTERY PACK FAILURE INPOWERED SURGICAL INSTRUMENTS”的美国专利申请序列号14/984,488，现为美国专利10,292,704；
-名称为“MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号14/984,525，现为美国专利10,368,865；以及
-名称为“SURGICAL INSTRUMENTS WITH SEPARABLE MOTORS AND MOTOR CONTROLCIRCUITS”的美国专利申请序列号14/984,552，现为美国专利10,265,068。
本申请的申请人还拥有于2016年2月9日提交且各自全文以引用方式并入本文的如下标识的美国专利申请：
-名称为“SURGICAL INSTRUMENT WITH ARTICULATING AND AXIALLYTRANSLATABLE END EFFECTOR”的美国专利申请序列号15/019,220，现为美国专利10,245,029；
-名称为“SURGICAL INSTRUMENTS WITH MULTIPLE LINK ARTICULATIONARRANGEMENTS”的美国专利申请序列号15/019,228，现为美国专利10,433,837；
-名称为“SURGICAL INSTRUMENT ARTICULATION MECHANISM WITH SLOTTEDSECONDARY CONSTRAINT”的美国专利申请序列号15/019,196，现为美国专利10,413,291；
-名称为“SURGICAL INSTRUMENTS WITH AN END EFFECTOR THAT IS HIGHLYARTICULATABLE RELATIVE TO AN ELONGATE SHAFT ASSEMBLY”的美国专利申请序列号15/019,206，现为美国专利10,653,413；
-名称为“SURGICAL INSTRUMENTS WITH NON-SYMMETRICAL ARTICULATIONARRANGEMENTS”的美国专利申请序列号15/019,215，现为美国专利申请公布2017/0224332；
-名称为“ARTICULATABLE SURGICAL INSTRUMENTS WITH SINGLE ARTICULATIONLINK ARRANGEMENTS”的美国专利申请序列号15/019,227，现为美国专利申请公布2017/0224334；
-名称为“SURGICAL INSTRUMENTS WITH TENSIONING ARRANGEMENTS FOR CABLEDRIVEN ARTICULATION SYSTEMS”的美国专利申请序列号15/019,235，现为美国专利10,245,030；
-名称为“ARTICULATABLE SURGICAL INSTRUMENTS WITH OFF-AXIS FIRING BEAMARRANGEMENTS”的美国专利申请序列号15/019,230，现为美国专利10,588,625；以及
-名称为“SURGICAL INSTRUMENTS WITH CLOSURE STROKE REDUCTIONARRANGEMENTS”的美国专利申请序列号15/019,245，现为美国专利10,470,764。
本申请的申请人还拥有于2016年2月12日提交且各自全文以引用方式并入本文的如下标识的美国专利申请：
-名称为“MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号15/043,254，现为美国专利10,258,331；
-名称为“MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号15/043,259，现为美国专利10,448,948；
-名称为“MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号15/043,275，现为美国专利申请公布2017/0231627；和
-名称为“MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号15/043,289，现为美国专利申请公布2017/0231628。
本申请的申请人拥有2015年6月18日提交且各自全文以引用方式并入本文的以下专利申请：
-名称为“SURGICAL END EFFECTORS WITH POSITIVE JAW OPENINGARRANGEMENTS”的美国专利申请序列号14/742,925，现为美国专利10,182,818；
-名称为“SURGICAL END EFFECTORS WITH DUAL CAM ACTUATED JAW CLOSINGFEATURES”的美国专利申请序列号14/742,941，现为美国专利10,052,102；
-名称为“MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS FOR ARTICULATABLESURGICAL INSTRUMENTS”的美国专利申请序列号14/742,914，现为美国专利10,405,863；
-名称为“ARTICULATABLE SURGICAL INSTRUMENTS WITH COMPOSITE FIRING BEAMSTRUCTURES WITH CENTER FIRING SUPPORT MEMBER FOR ARTICULATION SUPPORT”的美国专利申请序列号14/742,900，现为美国专利10,335,149；
-名称为“DUAL ARTICULATION DRIVE SYSTEM ARRANGEMENTS FOR ARTICULATABLESURGICAL INSTRUMENTS”的美国专利申请序列号14/742,885，现为美国专利10,368,861；以及
-名称为“PUSH/PULL ARTICULATION DRIVE SYSTEMS FOR ARTICULATABLESURGICAL INSTRUMENTS”的美国专利申请序列号14/742,876，现为美国专利10,178,992。
本申请的申请人拥有2015年3月6日提交且各自全文以引用方式并入本文的以下专利申请：
-名称为“POWERED SURGICAL INSTRUMENT”的美国专利申请序列号14/640,746，现为美国专利9,808,246；
-名称为“MULTIPLE LEVEL THRESHOLDS TO MODIFY OPERATION OF POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号14/640,795，现为美国专利10,441,279；
-名称为“ADAPTIVE TISSUE COMPRESSION TECHNIQUES TO ADJUST CLOSURERATES FOR MULTIPLE TISSUE TYPES”的美国专利申请序列号14/640,832，现为美国专利10,687,806；
-名称为“OVERLAID MULTI SENSOR RADIO FREQUENCY(RF)ELECTRODE SYSTEM TOMEASURE TISSUE COMPRESSION”的美国专利申请序列号14/640,935，现为美国专利10,548,504；
-名称为“MONITORING SPEED CONTROL AND PRECISION INCREMENTING OF MOTORFOR POWERED SURGICAL INSTRUMENTS”的美国专利申请序列号14/640,831，现为美国专利9,895,148；
-名称为“TIME DEPENDENT EVALUATION OF SENSOR DATA TO DETERMINESTABILITY,CREEP,ANDVISCOELASTIC ELEMENTS OF MEASURES”的美国专利申请序列号14/640,859，现为美国专利10,052,044；
-名称为“INTERACTIVE FEEDBACK SYSTEM FOR POWERED SURGICAL INSTRUMENTS”的美国专利申请序列号14/640,817，现为美国专利申请公布9,924,961；
-名称为“CONTROL TECHNIQUES AND SUB-PROCESSOR CONTAINED WITHIN MODULARSHAFT WITH SELECT CONTROL PROCESSING FROM HANDLE”的美国专利申请序列号14/640,844，现为美国专利10,045,776；
-名称为“SMART SENSORS WITH LOCAL SIGNAL PROCESSING”的美国专利申请序列号14/640,837，现为美国专利9,993,248；
-名称为“SYSTEM FOR DETECTING THE MIS-INSERTION OF A STAPLE CARTRIDGEINTO A SURGICAL STAPLER”的美国专利申请序列号14/640,765，现为美国专利10,617,412；
-名称为“SIGNAL AND POWER COMMUNICATION SYSTEM POSITIONED ON AROTATABLE SHAFT”的美国专利申请序列号14/640,799，现为美国专利9,901,342；和
-名称为“SURGICAL INSTRUMENT COMPRISING A LOCKABLE BATTERY HOUSING”的美国专利申请序列号14/640,780，现为美国专利10,245,033。
本申请的申请人拥有于2015年2月27日提交且各自全文以引用方式并入本文的以下专利申请：
-名称为“SURGICAL INSTRUMENT SYSTEM COMPRISING AN INSPECTION STATION”的美国专利申请序列号14/633,576，现为美国专利10,045,779；
-名称为“SURGICAL APPARATUS CONFIGURED TO ASSESS WHETHER A PERFORMANCEPARAMETER OF THE SURGICAL APPARATUS IS WITHIN AN ACCEPTABLE PERFORMANCE BAND”的美国专利申请序列号14/633,546，现为美国专利10,180,463；
-名称为“SURGICAL CHARGING SYSTEM THAT CHARGES AND/OR CONDITIONS ONEOR MORE BATTERIES”的美国专利申请序列号14/633,560，现为美国专利申请公布2016/0249910；
-名称为“CHARGING SYSTEM THAT ENABLES EMERGENCY RESOLUTIONS FORCHARGING A BATTERY”的美国专利申请序列号14/633,566，现为美国专利10,182,816；
-名称为“SYSTEM FOR MONITORING WHETHER A SURGICAL INSTRUMENT NEEDS TOBE SERVICED”的美国专利申请序列号14/633,555，现为美国专利10,321,907；
-名称为“REINFORCED BATTERY FOR A SURGICAL INSTRUMENT”的美国专利申请序列号14/633,542，现为美国专利9,931,118；
-名称为“POWER ADAPTER FOR A SURGICAL INSTRUMENT”的美国专利申请序列号14/633,548，现为美国专利10,245,028；
-名称为“ADAPTABLE SURGICAL INSTRUMENT HANDLE”的美国专利申请序列号14/633,526，现为美国专利9,993,258；
-名称为“MODULAR STAPLING ASSEMBLY”的美国专利申请序列号14/633,541，现为美国专利10,226,250；和
-名称为“SURGICAL APPARATUS CONFIGURED TO TRACK AN END-OF-LIFEPARAMETER”的美国专利申请序列号14/633,562，现为美国专利10,159,483。
本申请的申请人拥有2014年12月18日提交且各自全文以引用方式并入本文的以下专利申请：
-名称为“SURGICAL INSTRUMENT SYSTEMS COMPRISING AN ARTICULATABLE ENDEFFECTOR AND MEANS FOR ADJUSTING THE FIRING STROKE OF A FIRING MEMBER”的美国专利申请序列号14/574,478，现为美国专利9,844,374；
-名称为“SURGICAL INSTRUMENT ASSEMBLY COMPRISING LOCKABLE SYSTEMS”的美国专利申请序列号14/574,483，现为美国专利10,188,385；
-名称为“DRIVE ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS”的美国专利申请序列号14/575,139，现为美国专利9,844,375；
-名称为“LOCKING ARRANGEMENTS FOR DETACHABLE SHAFT ASSEMBLIES WITHARTICULATABLE SURGICAL END EFFECTORS”的美国专利申请序列号14/575,148，现为美国专利10,085,748；
-名称为“SURGICAL INSTRUMENT WITH AN ANVIL THAT IS SELECTIVELY MOVABLEABOUT A DISCRETE NON-MOVABLE AXIS RELATIVE TO A STAPLE CARTRIDGE”的美国专利申请序列号14/575,130，现为美国专利10,245,027；
-名称为“SURGICAL INSTRUMENTS WITH IMPROVED CLOSURE ARRANGEMENTS”的美国专利申请序列号14/575,143，现为美国专利10,004,501；
-名称为“SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS ANDMOVABLE FIRING BEAM SUPPORT ARRANGEMENTS”的美国专利申请序列号14/575,117，现为美国专利9,943,309；
-名称为“SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS ANDIMPROVED FIRING BEAM SUPPORT ARRANGEMENTS”的美国专利申请序列号14/575,154，现为美国专利9,968,355；
-名称为“SURGICAL INSTRUMENT ASSEMBLY COMPRISING A FLEXIBLEARTICULATION SYSTEM”的美国专利申请序列号14/574,493，现为美国专利9,987,000；以及
-名称为“SURGICAL INSTRUMENT ASSEMBLY COMPRISING A LOCKABLEARTICULATION SYSTEM”的美国专利申请序列号14/574,500，现为美国专利10,117,649。
本申请的申请人拥有2013年3月1日提交且各自全文以引用方式并入本文的以下专利申请：
-名称为“ARTICULATABLE SURGICAL INSTRUMENTS WITH CONDUCTIVE PATHWAYSFOR SIGNAL COMMUNICATION”的美国专利申请序列号13/782,295，现为美国专利9,700,309；
-名称为“ROTARY POWERED ARTICULATION JOINTS FOR SURGICAL INSTRUMENTS”的美国专利申请序列号13/782,323，现为美国专利9,782,169；
-名称为“THUMBWHEEL SWITCH ARRANGEMENTS FOR SURGICAL INSTRUMENTS”的美国专利申请序列号13/782,338，现为美国专利申请公布2014/0249557；
-名称为“ELECTROMECHANICAL SURGICAL DEVICE WITH SIGNAL RELAYARRANGEMENT”的美国专利申请序列号13/782,499，现为美国专利9,358,003；
-名称为“MULTIPLE PROCESSOR MOTOR CONTROL FOR MODULAR SURGICALINSTRUMENTS”的美国专利申请序列号13/782,460，现为美国专利9,554,794；
-名称为“JOYSTICK SWITCH ASSEMBLIES FOR SURGICAL INSTRUMENTS”的美国专利申请序列号13/782,358，现为美国专利9,326,767；
-名称为“SENSOR STRAIGHTENED END EFFECTOR DURING REMOVAL THROUGHTROCAR”的美国专利申请序列号13/782,481，现为美国专利9,468,438；
-名称为“CONTROL METHODS FOR SURGICAL INSTRUMENTS WITH REMOVABLEIMPLEMENT PORTIONS”的美国专利申请序列号13/782,518，现为美国专利申请公布2014/0246475；
-名称为“ROTARY POWERED SURGICAL INSTRUMENTS WITH MULTIPLE DEGREES OFFREEDOM”的美国专利申请序列号13/782,375，现为美国专利9,398,911；和
-名称为“SURGICAL INSTRUMENT SOFT STOP”的美国专利申请序列号13/782,536，现为美国专利9,307,986。
本申请的申请人还拥有于2013年3月14日提交且各自全文以引用方式并入本文的以下专利申请：
-名称为“ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE”的美国专利申请序列号13/803,097，现为美国专利9,687,230；
-名称为“CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICALINSTRUMENT”的美国专利申请序列号13/803,193，现为美国专利申请公布9,332,987；
-名称为“INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICALINSTRUMENT”的美国专利申请序列号13/803,053，现为美国专利9,883,860；
-名称为“ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATIONLOCK”的美国专利申请序列号13/803,086，现为美国专利申请公布2014/0263541；
-名称为“SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FORSURGICAL INSTRUMENTS”的美国专利申请序列号13/803,210，现为美国专利9,808,244；
-名称为“MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT”的美国专利申请序列号13/803,148，现为美国专利10,470,762；
-名称为“DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICALINSTRUMENTS”的美国专利申请序列号13/803,066，现为美国专利9,134,287；
-名称为“ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICALINSTRUMENTS”的美国专利申请序列号13/803,117，现为美国专利申请公布9,351,726；
-名称为“DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICALINSTRUMENTS”的美国专利申请序列号13/803,130，现为美国专利9,351,727；和
-名称为“METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT”的美国专利申请序列号13/803,159，现为美国专利9,888,919。
本申请的申请人还拥有于2014年3月7日提交且全文以引用方式并入本文的以下专利申请：
-名称为“CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS”的美国专利申请序列号14/200,111，现为美国专利9,629,629。
本申请的申请人还拥有于2014年3月26日提交且各自全文以引用方式并入本文的以下专利申请：
-名称为“POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS”的美国专利申请序列号14/226,106，现为美国专利申请公布2015/0272582；
-名称为“STERILIZATION VERIFICATION CIRCUIT”的美国专利申请序列号14/226,099，现为美国专利9,826,977；
-名称为“VERIFICATION OF NUMBER OF BATTERY EXCHANGES/PROCEDURE COUNT”的美国专利申请序列号14/226,094，现为美国专利申请公布2015/0272580；
-名称为“POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUITAND WAKE UP CONTROL”的美国专利申请序列号14/226,117，现为美国专利10,013,049；
-名称为“MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFTASSEMBLIES”的美国专利申请序列号14/226,075，现为美国专利9,743,929；
-名称为“FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICALINSTRUMENTS”的美国专利申请序列号14/226,093，现为美国专利10,028,761；
-名称为“SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION”的美国专利申请序列号14/226,116，现为美国专利申请公布2015/0272571；
-名称为“SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETYPROCESSOR”的美国专利申请序列号14/226,071，现为美国专利9,690,362；
-名称为“SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS”的美国专利申请序列号14/226,097，现为美国专利9,820,738；
-名称为“INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS”的美国专利申请序列号14/226,126，现为美国专利申请公布10,004,497；
-名称为“MODULAR SURGICAL INSTRUMENT SYSTEM”的美国专利申请序列号14/226,133，现为美国专利申请公布2015/0272557；
-名称为“SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT”的美国专利申请序列号14/226,081，现为美国专利9,804,618；
-名称为“POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLEVOLTAGE PROTECTION”的美国专利申请序列号14/226,076，现为美国专利9,733,663；
-名称为“SURGICAL STAPLING INSTRUMENT SYSTEM”的美国专利申请序列号14/226,111，现为美国专利9,750,499；和
-名称为“SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT”的美国专利申请序列号14/226,125，现为美国专利10,201,364。
本申请的申请人还拥有于2014年9月5日提交且各自全文以引用方式并入本文的以下专利申请：
-名称为“CIRCUITRY AND SENSORS FOR POWERED MEDICAL DEVICE”的美国专利申请序列号14/479,103，现为美国专利10,111,679；
-名称为“ADJUNCT WITH INTEGRATED SENSORS TO QUANTIFY TISSUECOMPRESSION”的美国专利申请序列号14/479,119，现为美国专利9,724,094；
-名称为“MONITORING DEVICE DEGRADATION BASED ON COMPONENT EVALUATION”的美国专利申请序列号14/478,908，现为美国专利9,737,301；
-名称为“MULTIPLE SENSORS WITH ONE SENSOR AFFECTING A SECOND SENSOR'SOUTPUT OR INTERPRETATION”的美国专利申请序列号14/478,895，现为美国专利9,757,128；
-名称为“POLARITY OF HALL MAGNET TO DETECT MISLOADED CARTRIDGE”的美国专利申请序列号14/479,110，现为美国专利10,016,199；
-名称为“SMART CARTRIDGE WAKE UP OPERATION AND DATA RETENTION”的美国专利申请序列号14/479,098，现为美国专利10,135,242；
-名称为“MULTIPLE MOTOR CONTROL FOR POWERED MEDICAL DEVICE”的美国专利申请序列号14/479,115，现为美国专利9,788,836；和
-名称为“LOCAL DISPLAY OF TISSUE PARAMETER STABILIZATION”的美国专利申请序列号14/479,108，现为美国专利申请公布2016/0066913。
本申请的申请人还拥有于2014年4月9日提交且各自全文以引用方式并入本文的以下专利申请：
-名称为“MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVESHAFTS”的美国专利申请序列号14/248,590，现为美国专利9,826,976；
-名称为“SURGICAL INSTRUMENT COMPRISING A CLOSING DRIVE AND A FIRINGDRIVE OPERATED FROM THE SAME ROTATABLE OUTPUT”的美国专利申请序列号14/248,581，现为美国专利9,649,110；
-名称为“SURGICAL INSTRUMENT SHAFT INCLUDING SWITCHES FOR CONTROLLINGTHE OPERATION OF THE SURGICAL INSTRUMENT”的美国专利申请序列号14/248,595，现为美国专利9,844,368；
-名称为“POWERED LINEAR SURGICAL STAPLER”的美国专利申请序列号14/248,588，现为美国专利10,405,857；
-名称为“TRANSMISSION ARRANGEMENT FOR A SURGICAL INSTRUMENT”的美国专利申请序列号14/248,591，现为美国专利10,149,680；
-名称为“MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH ALIGNMENTFEATURES FOR ALIGNING ROTARY DRIVE SHAFTS WITH SURGICAL END EFFECTOR SHAFTS”的美国专利申请序列号14/248,584，现为美国专利9,801,626；
-名称为“POWERED SURGICAL STAPLER”的美国专利申请序列号14/248,587，现为美国专利9,867,612；
-名称为“DRIVE SYSTEM DECOUPLING ARRANGEMENT FOR A SURGICALINSTRUMENT”的美国专利申请序列号14/248,586，现为美国专利10,136,887；和
-名称为“MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH STATUSINDICATION ARRANGEMENTS”的美国专利申请序列号14/248,607，现为美国专利9,814,460。
本申请的申请人还拥有于2013年4月16日提交且各自全文以引用方式并入本文的以下专利申请：
-名称为“SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY ASINGLE MOTOR”的美国临时专利申请序列号61/812,365；
-名称为“LINEAR CUTTER WITH POWER”的美国临时专利申请序列号61/812,376；
-名称为“LINEAR CUTTER WITH MOTOR AND PISTOL GRIP”的美国临时专利申请序列号61/812,382；
-名称为“SURGICAL INSTRUMENT HANDLE WITH MULTIPLE ACTUATION MOTORS ANDMOTOR CONTROL”的美国临时专利申请序列号61/812,385；以及
-名称为“SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY ASINGLE MOTOR”的美国临时专利申请序列号61/812,372。
本申请的申请人还拥有于2015年9月2日提交且各自全文以引用方式并入本文的以下专利申请：
-名称为“SURGICAL STAPLE CARTRIDGE WITH IMPROVED STAPLE DRIVERCONFIGURATIONS”的美国专利申请序列号14/843,168，现为美国专利10,314,587；
-名称为“SURGICAL STAPLE DRIVER ARRAYS”的美国专利申请序列号14/843,196，现为美国专利10,172,619；
-名称为“SURGICAL STAPLE CARTRIDGE STAPLE DRIVERS WITH CENTRAL SUPPORTFEATURES”的美国专利申请序列号14/843,216，现为美国专利10,251,648；
-名称为“SURGICAL STAPLE CONFIGURATIONS WITH CAMMING SURFACES LOCATEDBETWEEN PORTIONS SUPPORTING SURGICAL STAPLES”的美国专利申请序列号14/843,243，现为美国专利10,357,252；和
-名称为“SURGICAL STAPLE CARTRIDGES WITH DRIVER ARRANGEMENTS FORESTABLISHING HERRINGBONE STAPLE PATTERNS”的美国专利申请序列号14/843,267，现为美国专利10,238,390。
本申请的申请人还拥有于2014年9月26日提交且各自全文以引用方式并入本文的以下专利申请：
-名称为“CIRCULAR FASTENER CARTRIDGES FOR APPLYING RADIALLY EXPANDABLEFASTENER LINES”的美国专利申请序列号14/498,070，现为美国专利10,426,476；
-名称为“SURGICAL STAPLE AND DRIVER ARRANGEMENTS FOR STAPLECARTRIDGES”的美国专利申请序列号14/498,087，现为美国专利10,206,677；
-名称为“SURGICAL STAPLE AND DRIVER ARRANGEMENTS FOR STAPLECARTRIDGES”的美国专利申请序列号14/498,105，现为美国专利9,801,628；
-名称为“FASTENER CARTRIDGE FOR CREATING A FLEXIBLE STAPLE LINE”的美国专利申请序列号14/498,121，现为美国专利9,801,627；
-名称为“METHOD FOR CREATING A FLEXIBLE STAPLE LINE”的美国专利申请序列号14/498,145，现为美国专利10,327,764；和
-名称为“SURGICAL STAPLING BUTTRESSES AND ADJUNCT MATERIALS”的美国专利申请序列号14/498,107，现为美国专利9,943,310。
本申请的申请人还拥有2013年11月26日发布的名称为“STAPLE CARTRIDGECAVITY CONFIGURATIONS”的美国专利8,590,762，该专利全文以引用方式并入本文。
本申请的申请人还拥有2014年5月20日发布的名称为“STAPLE CARTRIDGE CAVITYCONFIGURATION WITH COOPERATIVE SURGICAL STAPLE”的美国专利8,727,197，该专利全文以引用方式并入本文。
现在将描述某些示例性实施方案，以提供对本文所公开的装置和方法的结构、功能、制造和用途的原理的全面理解。这些示例性实施方案的一个或多个示例在附图中示出。本领域的普通技术人员将会理解，在本文中具体描述并示出于附图中的装置和方法为非限制性的示例性实施方案，并且本发明的各种示例性实施方案的范围仅由权利要求书限定。结合一个示例性实施方案示出或描述的特征部可与其他示例性实施方案的特征部进行组合。此类修改和变型旨在包括在本发明的范围之内。
术语“包括(comprise)”(以及“包括(comprise)”的任何形式，诸如“包括(comprises)”和“包括(comprising)”)、“具有(have)”(以及“具有(have)”的任何形式，诸如“具有(has)”和“具有(having)”)、“包含(include)”(以及“包含(include)”的任何形式，诸如“包含(includes)”和“包含(including)”)、以及“含有(contain)”(以及“含有(contain)”的任何形式，诸如“含有(contains)”和“含有(containing)”)为开放式系动词。因此，“包括”、“具有”、“包含”或“含有”一个或多个元件的外科系统、装置、或设备具有这些一个或多个元件，但不限于仅具有这些一个或多个元件。同样，“包括”、“具有”、“包含”或“含有”一个或多个特征部的系统、装置、或设备的元件具有那些一个或多个特征部，但不限于仅具有那些一个或多个特征部。
术语“近侧”和“远侧”在本文中是相对于操纵外科器械的柄部部分的临床医生来使用的。术语“近侧”是指最靠近临床医生的部分，术语“远侧”是指远离临床医生定位的部分。还应当理解，为简洁和清楚起见，本文可结合附图使用诸如“竖直”、“水平”、“上”和“下”等空间术语。然而，外科器械在许多定向和方位中使用，并且这些术语并非是限制性的和/或绝对的。
提供各种示例性装置和方法以用于执行腹腔镜式和微创外科手术。然而，读者将容易理解，本文所公开的各种方法和装置可用于多种外科手术和应用中，包括例如与开放式外科手术结合。继续参阅本具体实施方式，读者将进一步理解，本文所公开的各种器械能够以任何方式插入体内，诸如通过自然腔道、通过成形于组织中的切口或穿刺孔等。器械的工作部分或端部执行器部分可直接插入患者体内或者可通过具有工作通道的进入装置插入，外科器械的端部执行器和细长轴可通过所述工作通道推进。
外科缝合系统可包括轴和从轴延伸的端部执行器。所述端部执行器包括第一钳口和第二钳口。第一钳口包括钉仓。钉仓能够插入第一钳口中并且能够从第一钳口移除；然而，设想到其中钉仓不能够从第一钳口移除或至少能够易于从第一钳口替换的其他实施方案。第二钳口包括被构造成能够使从钉仓射出的钉变形的砧座。第二钳口能够围绕闭合轴线相对于第一钳口枢转；然而，可设想到其中第一钳口能够相对于第二钳口枢转的其他实施方案。外科缝合系统还包括被构造成能够允许端部执行器相对于轴旋转或进行关节运动的关节运动接头。端部执行器能够围绕延伸穿过关节运动接头的关节运动轴线旋转。设想了不包括关节运动接头的其他实施方案。
所述钉仓包括仓体。仓体包括近侧端部、远侧端部和在近侧端部与远侧端部之间延伸的平台。在使用中，钉仓被定位在待缝合的组织的第一侧上，并且砧座被定位在组织的第二侧上。砧座朝向钉仓移动以将组织压缩并抵靠平台夹持。然后，可移除地存储在仓体中的钉可被部署到组织中。仓体包括限定于仓体中的钉腔，其中，钉可移除地存储在钉腔中。钉腔被布置成六个纵向排。三排钉腔被定位在纵向狭槽的第一侧上且三排钉腔被定位在纵向狭槽的第二侧上。钉腔和钉的其他布置结构也是可能的。
钉由仓体中的钉驱动器支撑。驱动器能够在第一或非击发位置和第二或击发位置之间移动，以从钉腔射出钉。驱动器通过保持器保留在仓体中，所述保持器围绕仓体的底部延伸并且包括被构造成能够抓持仓体以及将保持器保持至仓体的弹性构件。驱动器能够通过滑动件在其非击发位置与其击发位置之间移动。滑动件能够在与仓体的近侧端部相邻的近侧位置和与仓体的远侧端部相邻的远侧位置之间移动。滑动件包括多个斜坡表面，该斜坡表面被构造成能够朝向砧座在驱动器下方滑动以及提升驱动器，并且钉在驱动器上受到支撑。
除上述以外，滑动件还可通过击发构件朝远侧移动。击发构件被构造成能够接触滑动件并朝向远侧端部推动滑动件。限定于仓体中的纵向狭槽被构造成能够接纳击发构件。砧座还包括被构造成能够接纳击发构件的狭槽。击发构件还包括接合第一钳口的第一凸轮和接合第二钳口的第二凸轮。随着击发构件朝远侧推进，第一凸轮和第二凸轮可控制钉仓的平台和砧座之间的距离或组织间隙。击发构件还包括被构造成能够切入在钉仓和砧座中间捕获的组织的刀。希望刀定位成至少部分接近斜坡表面，使得钉先于刀被射出。
击发外科缝合组件可涉及在第一方向上推进击发构件以在第二方向上移动紧固件。例如，击发构件可在击发行程期间沿紧固件仓的纵向轴线朝远侧推进。击发构件或滑动件可包括纵向导轨，这些纵向导轨被构造成能够接合钉支撑驱动器上的对应斜坡表面。导轨沿斜坡表面的移动可将击发构件的纵向移动转化为驱动器的横向提升移动。当驱动器在紧固件仓中竖直地提升时，紧固件可被向上推动并且推出紧固件仓。
击发构件被构造成能够在击发行程期间将显著力传输到驱动器。这些力足以将紧固件从紧固件仓中的腔射出并进入夹持在外科端部执行器的钳口之间的组织中。驱动器相对于仓体的几何形状可有利于平滑击发运动。相反地，相对于仓体装配不当的驱动器在击发运动期间可能易于扭转或扭曲，这可能导致紧固件未击发和/或外科端部执行器卡住。
钉在所得钉线中的布置也是重要的考虑因素。某些钉线几何形状可更好地适应缝合组织的拉伸或移动。例如，在某些实例中，具有相对于中心线或切割线倾斜定向的钉的钉线可更好地有利于组织延伸。例如，当钉线包括倾斜定向的钉时，缝合组织可以能够更多地拉伸和弯曲。然而，倾斜定向的钉在将倾斜定向的钉嵌套在紧固件仓中、将倾斜定向的成形凹坑嵌套在与倾斜定向的钉对准的砧座中、在击发行程期间平衡扭矩以及在击发运动期间支撑钉等方面存在附加挑战。
在本公开的某些方面中，所得钉线可包括以从中心线向外增加的角度定向的钉。例如，中间钉排中的钉可相对于中心线以比内钉排中的钉大的角度定位，并且相对于中心线以比外钉排中的钉小的角度定位。附加地或另选地，所得钉线可包括同一排中的相邻钉之间的空间，该空间从中心线向外增加。例如，中间排中的钉可比内钉排中的钉间隔开更多并且比外钉排中的钉间隔开更少。
在某些实例中，所得钉线可包括纵向定向的钉和倾斜定向的钉两者。例如，第一排可包括纵向定向的钉，并且第二排可包括倾斜定向的钉。纵向定向的钉可平行于纵向轴线和/或穿过仓体的击发路径。在各种实例中，纵向定向的钉可与切割线相邻定位，这可沿切割线推进密封和止血。例如，最内排钉(在切割线的一侧或两侧上)可包括纵向定向的钉，并且一个或多个外排钉(在切割线的一侧或两侧上)可包括倾斜定向的钉。
附加地或另选地，所得钉线还可包括平面钉(例如，2-D钉)和非平面钉(例如，3-D钉)两者。例如，第一排可包括平面钉，并且第二排可包括非平面钉。非平面钉可形成修改的B形，其中，钉腿远离钉的中心线和基部分开。在各种实例中，平面钉可与切割线相邻定位，这可沿切割线推进密封和止血。例如，最内排钉(在切割线的一侧或两侧上)可包括平面钉，并且一个或多个外排钉(在切割线的一侧或两侧上)可包括非平面钉。在某些实例中，平面钉可与纵向轴线对准，并且非平面钉可相对于纵向轴线倾斜定向。
在某些实例中，本文进一步描述的改进的紧固件仓和钉图案可更好地平衡钉驱动器，防止驱动器滚动，确保驱动器与腔之间的紧密配合，保持仓体的壁厚和/或保护驱动器斜坡抵靠滑动件的完整性。本文进一步描述了这些改进和其他改进。
图1描绘了处于打开构型的外科缝合组件200。更具体地，外科缝合组件包括被构造成能够在打开位置与闭合位置之间移动的第一钳口201和第二钳口203。在闭合位置中，钳口201和203可闭合在组织上以抓持、夹持、操纵和以其他方式影响组织。第一钳口201被构造成能够相对于第二钳口203枢转。在其他实例中，第二钳口203可被构造成能够相对于第一钳口201枢转。在某些实例中，一个钳口201或203可被固定，并且另一钳口201或203可枢转。在其他实例中，钳口201和203两者可枢转以使外科缝合组件在打开构型与闭合构型之间移动。
外科缝合组件200还包括细长通道202和砧座204。细长通道202被构造成能够接纳紧固件仓组件206。紧固件仓组件206可以可移除地定位在细长通道202中。例如，外科缝合组件200可以是可重复使用的部件，并且紧固件仓组件206可以是可替换的部件，该可替换的部件可用另一紧固件仓组件206替换以用于后续的击发和/或后续的使用。砧座204与紧固件仓组件206相对。砧座被构造成能够在击发行程期间形成从紧固件仓组件射出的紧固件。
主要参见图2至图6，紧固件仓组件206包括仓体208，该仓体具有纵向刀狭槽210，该纵向刀狭槽被限定成从仓体208的近侧端部207朝向仓体208的远侧端部209至少部分地穿过仓体208。纵向刀狭槽210被构造成能够接纳穿过其中的击发构件。击发构件的直立部分可包括切割边缘。在某些实例中，切割边缘被构造成能够在击发行程期间平移穿过紧固件仓组件206，以切断夹持在钳口201和203之间的组织。
仓体208还包括组织支撑平台212。腔214限定到组织支撑平台212中，在该组织支撑平台中形成开口。腔214被构造成能够在击发运动期间接纳紧固件并且将紧固件朝向组织引导并引导到组织中。腔214被布置成多排216。
主要参见图4，仓体208包括位于纵向刀狭槽210的两侧上的三排216。这些排包括由内腔214a构成的内排216a、由中间腔214b构成的中间排216b、以及由外腔214c构成的外排216c。
在其他实例中，仓体208可包括位于纵向刀狭槽210的一侧或两侧上的附加排的腔或较少排的腔。在某些实例中，紧固件仓组件206可关于纵向轴线A对称，并且多排腔可关于纵向轴线A对称。在其他实例中，多排腔可关于纵向轴线A对称。
仓体208中的内腔214a相对于纵向轴线A纵向定向。中间腔214b和外腔214c相对于纵向轴线A倾斜定向。中间腔214b远离纵向轴线A成角度，并且外腔朝向纵向轴线A成角度。在这种实例中，内腔214a的纵向对准以及中间腔214b和外腔214c的成角度定向允许中间腔紧密地嵌套在内腔214a与外腔214c之间。以不同角定向定位的钉腔的嵌套布置可提供钉腔和对应钉的紧凑布置。各种示例性尺寸使得驱动器、钉、成形凹坑等的阵列能够配合在例如用于微创外科手术的紧固件仓组件的小形状因子内。
主要参见图3，紧固件仓组件206还包括仓盘218，该仓盘被构造成能够封装仓体208的一部分。钉220可移除地定位在仓体208中的腔214中。钉220可以是V形钉，其具有线性基部、从线性基部的第一端部延伸的第一腿、以及从线性基部的第二端部延伸的第二腿。第一腿和第二腿侧向向外张开以接合腔214的内侧壁。钉220可在击发行程之前通过腿与腔214的内侧壁之间的摩擦配合连接保持在腔214中。
钉220由仓体208中的驱动器224、226可动地支撑。驱动器224、226是三重驱动器。每个驱动器224、226包括三个支架并且被构造成能够支撑内排216a中的钉220、中间排216b中的钉220以及外排216c中的钉220。为了支撑跨多排216以不同角度定向的钉220，三重驱动器224、226包括支撑柱(其包括以不同角度定向的支架)、支撑柱之间的连接器、以及位于下侧上的被构造成能够在击发行程期间由滑动件230驱动的斜坡228(即，内斜坡228a和外斜坡228b)(图6)。驱动器224、226是位于仓体208的第一侧(例如，右侧)上的第一驱动器224和位于仓体208的第二侧(例如，左侧)上的第二驱动器226。由于腔214和钉220在纵向轴线A的任一侧上的对称布置，因此第一驱动器224是第二驱动器226的镜像。仓盘218被构造成能够将驱动器224、226保持在仓体208中。
紧固件仓组件206还包括滑动件230，该滑动件被构造成能够在击发运动期间朝远侧平移以接合驱动器224、226并提升驱动器224、226以从仓体208射出紧固件220。主要参见图3，滑动件230是四导轨滑动件，该四导轨滑动件具有连接凸缘231、被构造成能够移动穿过纵向刀狭槽210的中心立柱232、一对内导轨234和一对外导轨236。内导轨234和外导轨236被构造成能够分别驱动接合每个驱动器224、226的内斜坡228a和外斜坡228b，以将驱动器224、226朝向平台212提升。
如本文进一步描述的，滑动件230可由金属构成，这可使内导轨234和外导轨236更窄，同时将足够的力传输到驱动器224、226，而不会在负载下屈曲或以其他方式变形。较窄导轨对应于穿过仓体208的较窄导轨通道，使得仓体壁可被加宽以在击发行程期间更好地引导其上的驱动器224、226和钉220。
图8和图9描绘了紧固件仓组件206，在该紧固件仓组件中滑动件230从最近侧位置朝远侧推进到击发行程中间的中间位置。内导轨234和外导轨236在击发行程期间与多个相邻驱动器224、226接合，并且最近侧驱动器224、226已经被向上驱动穿过腔214以将最近侧钉220击发出仓体208。驱动器224、226和支撑在其上的钉220在击发行程期间被逐渐地驱动并从仓体208的近侧端部207击发到远侧端部209。读者应当理解，驱动器224、226的顺序近侧至远侧驱动和钉220的击发被构造成能够密封紧邻切割的与切割线相邻的组织。例如，钉220可被构造成能够在切割边缘横切中间组织时接合并密封组织。在某些实例中，横切可在缝合之后立即进行。
在完成击发行程时，驱动器224、226可在腔214中被向上驱动以将钉220提升出仓体208。主要参见图10，驱动器224已被提升到其完全击发位置，在该完全击发位置中，其钉支撑支架定位在仓体208外部。在这种实例中，驱动器224已被超速驱动。驱动器224的超速驱动允许钉220的基部在击发行程期间离开平台212并使紧固件仓组件206完全脱离接合。
现在参见图11和图12，紧固件仓组件206的近侧部分被示出为具有处于非击发近侧位置的滑动件230。腔214的排216关于纵向刀狭槽210对称。每个腔214包括近侧端部250和远侧端部252。第一排216a中的第一腔214a(及其平台开口)相对于纵向轴线A纵向定向。例如，每个第一腔214a可在其近侧端部250与其远侧端部252之间限定第一近侧至远侧轴线PD1。第一近侧至远侧轴线PD1平行于纵向轴线A。第一腔214a纵向间隔开第一长度L1。第一长度L1限定在从第一排216a中的一个第一腔214a的远侧端部252到相邻第一腔214a的近侧端部250的纵向方向上。
第二排216b中的第二腔214b(及其平台开口)相对于纵向轴线A倾斜定向。例如，每个第二腔214b可在其近侧端部250与其远侧端部252之间限定第二近侧至远侧轴线PD2。第二近侧至远侧轴线PD2相对于纵向轴线A以第二腔角度θ2倾斜定向。第二近侧至远侧轴线PD2远离纵向轴线A成角度。第二腔214b纵向间隔开第二长度L2。第二长度L2限定在从第二排216b中的一个第二腔214b的远侧端部252到相邻第二腔214b的近侧端部250的纵向方向上。
第三排216c中的第三腔214c(以及其平台开口)相对于纵向轴线A倾斜定向。例如，每个第三腔214c可在其近侧端部250与其远侧端部252之间限定第三近侧至远侧轴线PD3。第三近侧至远侧轴线PD3相对于纵向轴线A以第三腔角度θ3倾斜定向。第三近侧至远侧轴线PD3朝向纵向轴线A成角度。第三腔214c纵向间隔开第三长度L3。第三长度L3限定在从第三排216c中的一个第三腔214c的远侧端部252到相邻第三腔214c的近侧端部250的纵向方向上。
第三腔角度θ3大于第二腔角度θ2。例如，第二腔角度θ2可以为大约10度，并且第三腔角度θ3可以为大约21.5度。第二腔角度θ2和第三腔角度θ3两者大于第一腔214a相对于纵向轴线定向的角度。例如，在第一腔214a平行于纵向轴线A的情况下，第一腔214a相对于纵向轴线A的角度可以为零。在各种实例中，钉腔214的角定向可限定从中心线向外朝向仓体208的侧向侧的渐增梯度。例如，在紧固件仓组件206包括位于纵向刀狭槽210的一侧(或两侧)上的第四排216的腔214的情况下，第四排216可例如比第二腔角度θ3大的角度定向。
第三腔角度θ3可充分地成角度，使得滑动件230可完全在外排216c中的钉220下方通过，同时仍然为仓外侧壁提供足够的空间以竖直地支撑驱动器224、226的外侧部分和其上的钉220。例如，在某些实例中，第三腔角度θ3可大于或小于21.5度，同时仍然维持足以用于竖直支撑并且适于注射成型的最小外侧壁厚度(例如，约0.01英寸的最小壁厚度)。
第三长度L3大于第二长度L2和第一长度L1。在各种实例中，第一长度L1小于第二长度L2，使得相邻腔214之间的纵向长度从纵向轴线A的侧向外侧增加。换句话说，随着腔214的角定向增加，相邻腔214之间的纵向长度也增加。
现在主要参见图21，每个钉腔之间的端对端距离对应于同一排中的一个钉220的远侧端部与相邻钉的近侧端部之间的钉间隙。内腔214a限定第一间隙G1，中间腔214b限定第二间隙G2，并且外腔214c限定第三间隙G3。第三间隙G3大于第二间隙G2和第一间隙G1。在各种实例中，第一间隙G1小于第二间隙G2，使得钉线中的相邻钉220之间的间隙从纵向轴线A的侧向外侧增加。换句话说，随着钉220的角定向增加，相邻钉220之间的钉间隙也增加。例如，第一间隙G1可以为大约0.025英寸，第二间隙G2可以为大约0.0303英寸，并且第三间隙G3可以为大约0.0454英寸。
现在主要参见图20，用于外排216c的第三近侧至远侧轴线PD3与纵向轴线A以及在外腔214c中的支撑柱261c的几何中心263c处平移的外滑动件导轨236相交。换句话说，外导轨236在几何中心263c处穿过近侧至远侧轴线PD3，并且穿过仓体208用于接纳并引导外导轨236的通道狭槽276被定位成向内远离仓体208的外侧面211足够远，以维持外腔214c与外侧面211之间以及围绕外腔214c中的钉220的竖直部分(例如，钉腿)的最小壁厚。在这种实例中，钉的竖直部分(例如，钉腿)可在击发运动期间被充分地支撑。
仍主要参见图20，示出了仓体208中的壁之间的各种尺寸关系。尽管驱动器及其钉的紧凑布置，但是仓体208可在各种腔和穿过其中的通道之间维持最小壁厚。例如，仓体208可限定最小宽度W3(内腔214a与相邻中间腔214b之间的最小距离)、W4(中间腔214b与相邻外腔214c之间的最小距离)、W5(外腔214c的远侧端部252与外通道狭槽276之间的最小距离)和W6(外腔214c的近侧端部250与外导轨通道之间的最小距离)。最小宽度W3、W4、W5和W6可以为至少0.01英寸，以确保足够的驱动器/钉支撑和/或注射成型流动路径。例如，最小宽度W3、W4、W5和W6可被设计成通过改变驱动器和钉的布置来优化为或约0.01英寸，以确保在整个仓体208中维持最小宽度。在其他实例中，最小宽度W3、W4、W5和W6中的至少一者可介于0.01英寸与0.02英寸之间。
主要参见图23，紧固件仓组件206中的嵌套驱动器224、226的紧凑阵列提供足够紧密的钉线以密封组织，同时仍然允许缝合组织的可延伸性和拉伸。在图23中描绘了示例性距离，其中，描绘了例示性切线T1和T2。切线T1是从中间腔214b中的钉220到内腔214a中的钉220的最近切线。切线T2是从外腔214c中的钉220到中间腔214b中的钉220的最近切线。在各种实例中，从切线T1、T2到相邻排的切线的中心线的切向距离TD在排与排之间可为相同的。例如，沿PD1轴线从切线T1到内排216a中的钉220的中心线的第一切向距离TD1可等于或基本上等于沿PD2轴线从切线T2到中间排216b中的钉220的中心线的第二切向距离TD2。在本公开的各个方面中，切向距离TD1和TD2可小于0.03英寸，并且在某些实例中可介于0.02英寸与0.03英寸之间。例如，切向距离TD1和TD2可以为0.21英寸。在其他实例中，切向距离TD1和TD2可以是不同的。
现在参见图24，在紧固件仓组件206中的嵌套驱动器224、226的布置在每一排216中的钉220之间提供不同的平行偏移。例如，中间排216b中的钉220沿基本上平行并且偏移第一平行偏移距离PO1的PD2轴线延伸，并且外排216c中的钉220沿基本上平行并且偏移第二平行偏移距离PO2的PD3轴线延伸。第二平行偏移距离PO2为第一平行偏移距离PO1的大约两倍。例如，在驱动器224、226纵向间隔开0.134英寸的纵向长度LL的实例中，第一平行偏移距离PO1可以为0.023英寸，并且第二平行偏移距离PO2可以为0.049英寸。读者应当理解，如果纵向长度LL增加，则第一平行偏移距离PO1和第二平行偏移距离PO2也将增加。
再次参见图11，中间腔214b嵌套并侧向定位在第一腔214a与第三腔214c之间。更具体地，中间腔214b定位在近侧定位的内腔214a和外腔214c之间以及远侧定位的内腔214a和外腔214c之间。仓体208中的腔214被定位成形成腔端部簇的重复图案。例如，腔214形成腔端部250、252的纵向重复的高密度簇258和腔端部250、252的纵向重复的低密度簇256。当钉220安装在腔214中时，腔端部250、252对应于钉腿。因此，腔的布置对应于紧固件的布置，这些紧固件被定位成形成紧固件腿的纵向重复的高密度簇和紧固件腿的纵向重复的低密度簇。
仍参见图11，每个高密度簇258包括三个钉端部250、252，并且每个低密度簇256包括三个钉端部。更具体地，每个高密度簇258包括来自内腔214a的端部250或252、来自中间腔214b的端部250或252、以及来自外腔214c的端部250或252。在这种情况下，紧固件腿的每个簇包括来自内腔214a、中间腔214b和外腔214c的紧固件的腿。例如，高密度簇258包括内腔214a和外腔214c两者的远侧端部252以及中间腔214b的近侧端部250。低密度簇256包括内腔214a和外腔214c两者的近侧端部250以及中间腔214b的远侧端部252。每个腔214包括高密度簇258中的一个端部250或252和低密度簇256中的相对端部250或252。因此，高密度簇258和低密度簇256沿纵向轴线A形成交替图案。
在图12中描绘仓体208的下侧，其中，滑动件230位于仓体208的近侧端部207处的近侧未击发位置。滑动件可包括竖直导轨，这些竖直导轨驱动接合驱动器224、226(图3)上的斜坡表面的下侧，以朝向平台212(图3)驱动驱动器224、226。外导轨236被构造成能够接合驱动器224、226的外斜坡228b(图6)，并且内导轨道234被构造成能够接合这些驱动器的内斜坡228a(图6)。纵向刀狭槽210的第一侧上的内导轨234和外导轨236被构造成能够同时分别驱动驱动器224、226的内斜坡228a和外斜坡228b。更具体地，内导轨234和外导轨236纵向对准，并且内斜坡228a和外斜坡228b纵向对准。此外，内导轨234和外导轨236同时接合两个斜坡228a和228b，并且同时完成斜坡228a、228b上的向上推动运动。
在各种实例中，滑动件230及其导轨234、236由金属构成。例如，滑动件230可由金属形成(例如，铸造)，使得导轨234、236可比常规滑动件导轨更窄，这需要穿过仓体208的更窄通道和仓体208中的更多材料(即，更厚的腔壁)。较窄滑动件导轨234、236及其通路还以相对于纵向轴线的腔角度/定向的排到原始梯度容纳钉腔214的固结阵列。例如，为了容纳钉腔214的固结阵列，外导轨236可被定位成沿与腔214及其开口侧向对准的外轴线L2移动，而内导轨道234被定位成沿从内腔214a侧向向内定位的内轴线L1移动。主要参见图12，外腔214c限定外侧外排边界，并且内腔214a限定内侧内排边界。每个外轴线L2可在外侧外排边界与内侧内排边界之间纵向延伸。
在本公开的一个方面中，内轴线L2从内腔214a侧向向内定位在仓体208的每一侧上的内排216a与纵向轴线A之间。此外，外导轨236可被构造成能够在外排216c中的外腔214c的倾斜定向的紧固件220下方通过。例如，倾斜定向的外腔214c中的每个紧固件220可包括外侧腿和内侧腿，并且外轴线L2可定位在外腔214c中的紧固件220的外侧腿与内侧腿之间。
仓体208中的钉腔214的紧凑布置可优化紧固件仓组件206的小占有面积，以针对每一排以不同的角定向配合三排钉。此外，腔壁的厚度受到制造工艺的限制(例如，注射成型部件需要最小宽度以使注射材料在模具中充分流动)。腔壁还必须在击发运动期间充分地支撑驱动器224、226和钉220，以确保驱动器224、226不会扭转或卡在腔中。腔壁的弯曲或其他变形可导致紧固件仓组件206的误击发。
仍参见图12以及图18和图19，仓体208的内侧壁限定用于滑动件230的内导轨234的通道与纵向刀狭槽210之间的最小宽度W1。仓体208的外侧壁限定外腔214c的近侧端部250与仓体208的外侧面211之间的最小宽度W2。最小宽度W1和W2可以为至少0.01英寸，以确保足够的驱动器/钉支撑和/或注射成型流动路径。在各种实例中，最小宽度W1可介于0.01英寸与0.02英寸之间。例如，最小宽度W1可以为0.012英寸，并且最小宽度W2可以为0.015英寸。
现在主要参考图13至图17，示出了驱动器224、226。驱动器224、226包括支撑支架260的柱261。更具体地，驱动器224、226是三重驱动器，这些三重驱动器各自具有三个柱261a、261b和261c，并且每个柱分别终止于支架260a、260b和260c。柱261被构造成能够在击发行程期间移动穿过腔214。腔214的侧壁在击发行程期间朝向仓平台212引导柱261以射出支撑在支架260a、260b和260c上的钉220。支架260a、260b和260c被构造成能够相对于仓体208被超速驱动，如本文进一步描述的。每个支架260a、260b和260c分别限定近侧至远侧轴线PD1、PD2和PD3，该近侧至远侧轴线对应于支架定位在其中的钉腔的近侧至远侧轴线。更具体地，内支架260a沿第一近侧至远侧轴线PD1定向，中间支架260b沿第二近侧至远侧轴线PD2定向，并且外支架260c沿第三近侧至远侧轴线PD3定向。PD1相对于纵向轴线A以第一角度定向，PD2相对于纵向轴线A以第二角度(θ2)定向，并且PD3相对于纵向轴线A以第三角度(θ3)定向。
在各种实例中，第一角度为零，并且PD1轴线平行于或基本上平行于纵向轴线A定向。内排钉的纵向对准可有助于沿切割线提供牢固的密封。PD2轴线远离纵向轴线A和沿该纵向轴线的切割线成角度。例如，使位于中间排中且与内排相邻的中间支架260b成角度可增加同一排中的相邻钉腿之间的间距以改善压力分布。此外，使中间支架260b(及其上的钉)远离纵向轴线A成角度可有利于组织在击发行程期间远离切割线流动。在某些实例中，远离切割线和最内排向外的组织流动可产生更紧密的钉线并改善止血。在某些实例中，第二角度(θ2)介于5度与20度之间，并且可以例如为10度。第二角度(θ2)大于第一角度，该第一角度在驱动器224、226中为零。PD3朝向纵向轴线A和沿该纵向轴线的切割线成角度。例如，使位于最外排中的第三支架260c成角度可增加同一排中的相邻钉腿之间的间距，这可改善缝合组织中的压力分布。此外，使第三支架260c(及其上的钉)朝向纵向轴线A成角度可固结钉线并允许相邻的近侧至远侧驱动器224、226和其上的钉的嵌套以使钉之间的空间最小化并改善止血。在某些实例中，第三角度(θ3)介于10度与30度之间，并且可以例如为21.5度。第三角度(θ3)大于驱动器224、226中的第一角度和第二角度(θ2)。
主要参见图13，每个支架260a、260b和260c分别包括几何中心263a、263b和263c，近侧至远侧轴线(分别为PD1、PD2和PD3)穿过该几何中心。在每个驱动器224、226上，内支架260a的第一几何中心263a与外支架260b的第三几何中心263c纵向对准。此外，第三几何中心263c从第一几何中心263a侧向偏移内至外侧向偏移Y1。由于紧凑的钉和驱动器布置，因此内至外侧向偏移Y1可最小化至小于0.10英寸，并且可以例如为0.075英寸。在其他实例中，内至外侧向偏移Y1可例如介于0.07英寸与0.085英寸之间。此外，在每个驱动器224、226上，中间支架260b的第二几何中心263b从第一几何中心263a和第三几何中心263c纵向偏移纵向交错X。此外，第二几何中心263b从第一几何中心263a侧向偏移内至中间侧向偏移Y2。由于紧凑的钉和驱动器布置，因此纵向交错X可最小化至小于0.080英寸，并且可以例如为0.062英寸。在其他实例中，纵向交错X可例如介于0.07英寸与0.06英寸之间。另外，内至中间侧向偏移Y2可最小化至小于0.050英寸，并且可以例如为0.035英寸。在其他实例中，内至中间侧向偏移Y2可例如介于0.045英寸与0.03英寸之间。
驱动器224、226包括在内柱261a与中间柱261b之间延伸的内桥接件262，并且还包括在中间柱261b与外柱261c之间延伸的外桥接件264。桥接件262、264连接柱261以形成跨越三排腔的三重驱动器。驱动器224、226还包括从内柱261a侧向向内延伸的内侧凸缘266和从外侧柱261c朝远侧且侧向向外延伸的外侧凸缘268。在击发行程期间，内侧凸缘266和外侧凸缘268分别可动地接合楔形内导轨234和楔形外导轨236。例如，内侧凸缘266的下侧包括内斜坡228a，并且下侧外侧凸缘268包括外斜坡228b。导轨234、236被构造成能够在击发运动期间分别沿凸缘266、268的下侧和/或沿斜坡228a、228b移动。主要参见图14，如本文进一步描述的，内导轨234(图11)被构造成能够沿第一纵向轴线L1移动，并且内凸缘266从内柱261a侧向向内延伸以将内斜坡228a定位成与第一纵向轴线L1对准。此外，外导轨236(图11)被构造成能够沿第二纵向轴线L2移动，并且外凸缘268从外柱261c侧向向外延伸以使外导轨236与相应驱动器224、226之间的接合表面延伸到外斜坡228b的远侧。
驱动器224、226还包括至少一个直立肋270，该至少一个直立肋被构造成能够接纳在仓体208中的凹陷部中。肋270与凹陷部之间的接合在击发运动期间进一步引导驱动器224、226，并且防止驱动器224、226在腔214中旋转和卡住。
主要参见图14，驱动器224、226还包括位于内柱261a与中间柱261b之间的质心(“CoM”)。斜坡228a、228b各自包括前远侧边缘229和后近侧边缘227。驱动器224、226的CoM被定位在其后近侧边缘227近侧。更具体地，在图14中，CoM在近侧方向上从后近侧边缘227纵向偏移距离Z。在某些实例中，距离Z可小于0.01英寸。在某些实例中，距离Z可介于0.004英寸与0.008英寸之间。例如，在本公开的各个方面中，距离Z为0.0057英寸。通过调整内桥接件262和外桥接件264的几何形状来调整CoM的三维位置。例如，通过使内桥接件262朝远侧延伸，驱动器224、226的CoM朝远侧移位。在这种实例中，可例如调整内桥接件262的长度以确保CoM朝远侧超过后近侧边缘227，这可在某些实例中防止在击发运动期间的驱动器滚动。
现在参见图18和图19，仓体208的部分被示出为具有可移除地定位在其腔214中的驱动器224、226。仓体208包括支撑驱动器224、226的外侧边缘的外侧壁以及支撑驱动器224、226的与纵向刀狭槽210相邻的内侧边缘的内侧壁。仓体208的在外侧壁与内侧壁之间的内侧轮廓壁形成岛状部277，该岛状部限定腔214、用于接纳(和引导)驱动器224、226和钉220的直立腔和轨道、以及用于在击发行程期间接纳(和引导)滑动件230的导轨234、236的通道狭槽274、276(图18)。由于仓体208中的钉腔214的压缩布置，因此岛状部277可通过窄通道狭槽274、276与外侧壁和内侧壁分开，滑动件230的窄导轨234、236分别被构造成能够在击发行程期间沿这些窄通道狭槽通过。
岛状部277限定仓体208中的直立特征部，这些直立特征部由相对的肋278支撑，这些相对的肋从平台212向下延伸并且形成平台212的比平台212的相邻部分厚的部分。例如，在图10中进一步示出了由相对的肋278提供的增加的厚度。相对的肋278的尺寸可被设计为基本上填充连续驱动器224、226之间的纵向空间以及从平台212到用于导轨234、236的纵向通道的竖直空间。滑动件230的顶部与相对的肋278之间的间隙可被最小化以充分地支撑岛状部277并且防止岛状部277在击发行程期间弯曲或扭曲。例如，击发行程期间的显著击发力可在岛状部277上施加扭矩。在没有足够支撑的情况下，岛状部277在某些实例中易于向前弯曲。相对的肋278支撑岛状部277并且提供用于例如塑料树脂流入每个岛状部277的流动路径。在各种实例中，平台212本身太薄而不能在模制工艺中允许足够的流体流入岛状部中。
现在主要参见图22和图22A，示出了紧固件仓组件206的一部分。滑动件230的内导轨234被构造成能够沿第一纵向轴线L1移动，并且滑动件230的外导轨236被构造成能够沿第二纵向轴线L2移动。第二纵向轴线L2限定仓体208中的通道狭槽276(图18)，外导轨236在击发行程期间平移穿过该通道狭槽。驱动器226的外支撑柱261c延伸到通道狭槽276中，并且当外导轨236接合驱动器226的下侧上的外斜坡228b并且沿外支撑柱261c和外凸缘或尾部268的下侧时被提升出通道狭槽276。内纵向轴线L1限定仓体208中的通道274(图18)，内导轨234在击发行程期间平移穿过该通道。导轨234、236可由金属构成，以便即使当减小到狭窄宽度以配合在狭窄通道狭槽274、276中时也足够牢固。内导轨234的外侧表面被定位成距内腔214a的内边缘最小宽度W7，其中，仓体208在内腔214a的端部处形成轨道，用于在击发行程期间支撑钉220的竖直部分(例如，钉腿)。在各种实例中，最小宽度W7可以为大约0.010英寸或小于0.010英寸。例如，最小宽度W7可以为0.007英寸，这可以为塑料注射成型部件的极限。通过将最小宽度W7减小到最小可制造尺寸，紧固件仓组件2006的宽度可被最小化以保持例如用于微创外科手术的小占有面积。在最小宽度W7处，仓体208可具有足够的材料，即壁厚，以在钉220从内腔214a击发并进入组织时将钉220直立地保持在内腔214a中。
最小宽度W1和W2(图12)；W3、W4、W5和W6(图20)；和W7(图22)在本文中进一步描述，以及近侧至远侧轴线PD1、PD2和PD3的角定向(例如，角度θ2和θ3)(图11和图13)；纵向长度L1、L2和L3(图11)；纵向交错X(图13)；侧向偏移Y1和Y2(图13)；和钉间隙G1、G2和G3(图21)；切向距离TD1和TD2(图23)；和平行偏移距离PO1和PO2(图24)；例如。在图25中还示出了紧固件仓组件206的某些示例性尺寸关系。例如，在本公开的各个方面中，用于注射成型部件中的塑料流动的最小壁厚为最小宽度W3，其为0.010英寸。
仍参见图25，例如，纵向刀狭槽210和滑动件230的内导轨234(图3)之间的仓壁的最小宽度W15可受到注射成型部件的制造限制的限制。最小宽度W15可小于0.020英寸，并且在本公开的各个方面中为0.012英寸。在其他实例中，最小宽度W15可以为例如0.01英寸。用于内导轨234的通道狭槽274的最小宽度W8也可减小以配合较窄的金属导轨，诸如内导轨234。例如，通道狭槽274(及通道狭槽276)的最小宽度W8可小于0.02英寸，并且在本公开的各个方面中为0.012英寸。在其他实例(其中，滑动件导轨小于0.01英寸)中，最小宽度W15可以为0.01英寸。
图25进一步描绘了用于在击发运动期间捕获钉220的竖直部分(例如，钉腿)的边缘尺寸。例如，边缘宽度W9、W10、W11、W12和W13被构造成能够在钉腿的击发运动期间支撑钉腿。在各种实例中，钉220可以为例如具有向外张开的腿的V形钉，如本文进一步描述的。围绕钉腔的仓体的近侧边缘和/或远侧边缘被构造成能够在驱动器224、226朝向仓平台提升钉基部时接合钉腿并且支撑钉腿。尽管不是仓体208中的完整壁(其受到本文进一步描述的不同尺寸限制)，但是围绕腔214的这些边缘或延伸部限定对其上的腔214、驱动器224、226和钉220的紧凑阵列的关键限制。例如，制造限制和材料强度限制可规定最小边缘宽度，该最小边缘宽度可例如小于0.010英寸。在本公开的各个方面中，边缘宽度W9、W10、W11、W12和W13为大约0.006英寸。在某些实例中，参考边缘宽度W9、W12、W13(围绕中间行216b和外行216c中的倾斜定向的腔214、支撑柱261和钉220)，边缘宽度可为一定角度，并且沿钉的竖直部分被支撑的成角度的腔的最小边缘宽度受到仓体208的制造和材料限制的迫使。
在各种实例中，钉腔和其中的钉的紧凑布置可通过砧座中的钉成形凹坑的几何形状和布置来实现。例如，成形凹坑可包括一对杯，并且每个杯可被构造成能够接纳一个钉腿。杯被构造成能够捕获钉腿的末端并使钉腿沿预定义轨迹朝向其成形构型变形。为了捕获在击发行程期间经受组织流动和相关联的力的钉腿的末端，每个成形凹坑可大于钉腿的末端的目标接触区域。钉成形凹坑及其杯可在砧座上占据比紧固件仓组件中的对应钉腔的占有面积大的占有面积。因此，对本文所述的钉腔布置的限制可进一步受到成形凹坑近侧至远侧以及在排与排之间的可嵌套性的限制。
在各种实例中，用于在砧座的成形表面上形成凹坑的可用空间在组织止挡件近侧进一步减小，这可占据沿成形表面的外侧边缘的空间(real estate)。将成形凹坑放置在组织止挡件近侧可通过进一步延伸用于相关联的横切的缝合线来改善密封和/或止血。例如，对于紧固件仓组件200，成形凹坑的布置可朝近侧延伸超过由组织止挡件限定的组织止挡件平面，这使得钉线能够朝近侧延伸。
主要参见图26至图28，砧座204包括砧座成形表面280，该砧座成形表面具有限定在其中的纵向狭槽282和成形凹坑284。成形凹坑284在纵向狭槽282的任一侧上布置成多排286。成形凹坑284被构造成能够接纳紧固件的腿并且将紧固件腿沿预定义曲率引导为成形构型。
主要参见图28，仓体208包括位于纵向狭槽282的两侧上的三排286。这些排包括由内成形凹坑284a构成的内排286a、由中间成形凹坑284b构成的中间排286b、以及由外成形凹坑284c构成的外排286c。
在其他实例中，成形表面280可包括位于纵向狭槽282的一侧或两侧上的附加排的成形凹坑或较少排的成形凹坑。在某些实例中，成形表面280可关于纵向轴线A对称，并且多排成形凹坑可关于纵向轴线A对称。在其他实例中，多排成形凹坑可关于纵向轴线A对称。
砧座204中的内成形凹坑284a与纵向轴线A纵向对准，即沿平行于或基本上平行于纵向轴线A的第一近侧至远侧轴线PD1或凹坑中心线延伸。每个内成形凹坑284a包括单独的杯287a、287b。中间成形凹坑284b和外成形凹坑284c相对于纵向轴线A倾斜定向。中间成形凹坑284b各自限定从其近侧端部到远侧端部的第二近侧至远侧轴线PD2或凹坑中心线，并且第二近侧至远侧轴线PD2远离纵向轴线A成角度。尽管每个中间成形凹坑284b(由中间成形凹坑284b的两个杯288a、288b限定)的PD2轴线远离纵向轴线成角度，但是形成中间成形凹坑284b的单独的杯288a、288b平行于纵向轴线A定向并且彼此侧向偏移，这导致PD2轴线的倾斜定向。
外成形凹坑284c各自限定从其近侧端部到远侧端部的第三近侧至远侧轴线PD3或凹坑中心线，并且PD3轴线朝向纵向轴线A成角度。外成形凹坑284c的每个杯289a、289b也相对于纵向轴线A以倾斜角度定向。内成形凹坑284a的纵向对准以及中间成形凹坑284b和外成形凹坑284c的成角度定向允许中间成形凹坑284b紧密地嵌套在内成形凹坑284a与外成形凹坑284c之间。以不同角定向定位的成形凹坑的嵌套布置可提供成形凹坑的紧凑布置和对应紧密的钉线，同时仍允许足够的拉伸以适应缝合组织的移动。本文进一步描述了各种示例性尺寸，其使得驱动器、钉、成形凹坑等的阵列能够配合在用于微创外科手术诸如例如微创胸外科手术的紧固件仓组件的小形状因子内。
第二近侧至远侧轴线PD2相对于纵向轴线A以第二凹坑角度θ2定向，并且第三近侧至远侧轴线PD3相对于纵向轴线A以第三凹坑角度θ3定向。第三凹坑角度θ3大于第二凹坑角度θ2。例如，第二凹坑角度θ2可介于8度与12度之间(例如，大约10度)，并且第三凹坑角度θ3可介于18度与25度之间(例如，大约21.5度)。在各种实例中，成形凹坑的近侧至远侧轴线PD1、PD2、PD3的角度可匹配或等于钉腔214(及其中的钉220)的近侧至远侧轴线PD1、PD2、PD3的角度。第二凹坑角度θ2和第三凹坑角度θ3两者大于第一成形凹坑284a相对于纵向轴线定向的角度。例如，在第一成形凹坑284a平行于纵向轴线A的情况下，第一成形凹坑284a相对于纵向轴线A的角度可以为零。在各种实例中，限定在成形凹坑284的端部之间的近侧至远侧轴线的角定向可限定从纵向中心线向外朝向砧座204的侧向侧的渐增梯度。
主要参见图28A，每个成形凹坑包括被构造成能够接纳钉腿的一对成形杯287a、287b、288a、288b、289a、289b。更具体地，内成形凹坑284a包括对准并连接的内近侧杯287a和内远侧杯287b。此外，内杯287a、287b与中心内轴线C1(图28)对准，该中心内轴线与PD1轴线共线。内近侧杯287a被构造成能够接纳近侧钉腿，并且内远侧杯287b被构造成能够接纳同一钉的远侧钉腿。钉腿可沿每个内杯287a、287b的入口斜坡朝向其第一近侧至远侧轴线PD1引导，可在每个内杯287a、287b的顶点处弯曲，并且通过杯287a、287b的出口斜坡进一步变形，朝向紧固件仓组件206(图1)返回，并沿着其近侧至远侧轴线PD1。内成形凹坑284a被构造成能够使钉变形成平面或基本上平面的构型，其中，钉腿和基部与穿过其第一近侧至远侧轴线PD1的平面对准。
中间成形凹坑284b包括独立的中间近侧杯288a和中间远侧杯288b。中间杯288a、288b各自纵向(即平行于纵向轴线A并且彼此平行)定向；并且彼此侧向偏移和断开。此外，中间杯288a、288b与中心中间轴线C2(图28)等距地间隔开，该中心中间轴线限定中间排286b并且平行于纵向轴线A定向。中间近侧杯288a被构造成能够接纳近侧钉腿，并且中间远侧杯288b被构造成能够接纳远侧钉腿。钉腿可沿每个中间杯288a、288b的入口斜坡引导，可在每个中间杯288a、288b的顶点处弯曲，并且可通过杯288a、288b的出口斜坡进一步变形，以朝向紧固件仓组件206(图1)返回，但偏离其第二近侧至远侧轴线PD2。中间成形凹坑284b被构造成使钉220变形成非平面构型，其中，钉腿和基部被变形为彼此不对准并且不与穿过其第二近侧至远侧轴线PD2的平面对准。
外成形凹坑284c包括断开的外近侧杯289a和外远侧杯289b。外杯289a、289b各自相对于纵向轴线A倾斜定向并且彼此平行，但是彼此偏移且相互独立，并且偏移限定外排286c的中心外轴线C3(图28)。外近侧杯289a被构造成能够接纳近侧钉腿，并且外远侧杯289b被构造成能够接纳远侧钉腿。钉腿可沿每个外杯289a、289b的入口斜坡引导，可在每个外杯289a、289b的顶点处弯曲，并且通过杯289a、289b的出口斜坡进一步变形，朝向紧固件仓组件206(图1)返回，但偏离其第三近侧至远侧轴线PD3。外成形凹坑284c被构造成使钉变形为非平面构型，其中，钉腿和基部被变形成彼此不对准并且不与穿过其第三近侧至远侧轴线PD3的平面对准。
平面和非平面钉以及用于形成其的砧座在2021年3月24日提交的名称为“METHODOF USING A POWERED STAPLING DEVICE”的美国专利申请17/211,145中进一步描述，该美国专利申请全文以引用方式并入本文。
内成形凹坑284a的内杯287a、287b是连接的；然而，中间成形凹坑284b的中间杯288a、288b和外成形凹坑284的外杯289a、289b是离散且独立的杯。
在各种实例中，中心内轴线C1与中心中间轴线C2之间的距离可小于中心中间轴线C2与中心外轴线C3之间的距离。例如，中心内轴线C1与中心中间轴线C2之间的距离可小于成形凹坑的宽度。附加地或另选地，中心中间轴线C2与中心外轴线C3之间的距离可大于成形凹坑284的宽度。
在本公开的各个方面中，填充有成形凹坑284的成形表面280的部分在由在制造工艺期间可形成的成形凹坑的闭合程度所施加的约束内被最大化。在某些实例中，成形表面280的总组织接触表面的35％至55％可在成形凹坑的边界内。例如，在图26中的砧座204中，成形凹坑284的边界内的成形表面280的总面积除以成形表面280的总面积为37.4％。在前述示例中，成形表面的总面积可以为0.782平方英寸，并且成形凹坑284的边界内的成形表面280的总面积可以为0.293平方英寸。
砧座204还包括远离成形表面280突出的组织止挡件290。每个组织止挡件290可包括直立的面向远侧的边缘292。面向远侧的边缘292限定组织止挡件平面P，该组织止挡件平面阻止组织朝近侧突出超过钳口201、203之间的枢转点(图1)。例如，如果组织被定位成经过组织止挡件平面P，则外科缝合组件100可能无法充分地闭合并且夹持到组织上。主要参见图28和图28A，一个完整的内成形凹坑284a、一个完整的中间成形凹坑284b和一个完整的外成形凹坑284c定位在组织止挡件平面P近侧。此外，在这种实例中，至少一个纵向定向的钉凹坑284a和两个倾斜定向的钉凹坑284b、284c定位在组织止挡件平面P近侧。在本公开的各个方面中，被构造成能够形成平面钉的至少一个成形凹坑(例如，内成形凹坑284a)和被构造成能够形成非平面钉的至少一个成形凹坑(例如，中间成形凹坑284b和外成形凹坑284c)定位在组织止挡件平面P近侧。
在本公开的各个方面中，从内排214a击发的钉220可在组织止挡件平面P近侧形成，从中间排214b击发的钉220可在组织止挡件平面P近侧形成，并且从外排214c击发的钉220可在组织止挡件平面P近侧形成。此外，在这种实例中，钉线中的至少一个纵向对准的钉220(由第一成形凹坑284a形成)和至少一个倾斜定向的钉220(由第二成形凹坑284b或第三成形凹坑284c形成)可位于组织止挡件平面P近侧。在本公开的各个方面中，钉线中的至少一个平面成形钉220(由第一成形凹坑284a形成)和至少一个非平面成形钉220(由第二成形凹坑284b或第三成形凹坑284c)可位于组织止挡件平面P近侧。
第二成形凹坑284b和第三成形凹坑284c是三维成形凹坑。可调整三维成形凹坑的结构以配合砧座几何形状约束和/或最大钉腿交叉。相对于非平面钉，钉腿交叉可在某些实例中改善体内平衡。三维成形凹坑(例如，284b和284c)的尺寸被设计成在钉基部或冠部与钉腿之间具有变化的张开角度，并且具有变化的凹坑半径以适应砧座204的占有面积限制，同时使钉腿交叉最大化。
主要参见图28A，第一张开角度θS1限定在PD2轴线与由成形钉220”的近侧腿限定的轴线之间，并且第二张开角度θS2限定在PD2轴线与由成形钉220”的远侧腿限定的轴线之间。在图28A中，第一张开角度θS1和第二张开角度θS2是相同的。例如，张开角度θS1和θS2两者可以为九度。在本公开的各个方面中，张开角度θS1和θS2可介于五度与十五度之间。在某些实例中，第一张开角度θS1和第二张开角度θS2可以为不同的。
第三张开角度θS3限定在PD3轴线与由钉220”'的近侧腿限定的轴线之间，并且第四张开角度θS4限定在PD3轴线与由钉220”'的远侧腿限定的轴线之间。在图28A中，第三张开角度θS3和第四张开角度θS4是相同的。例如，张开角度θS3和θS4两者可以为八度。在本公开的各个方面中，张开角度θS3和θS4可介于五度与十五度之间。在某些实例中，第三张开角度θS3和第四张开角度θS4可以为不同的。
例如，中间成形凹坑284b也可具有0.055英寸的凹坑半径，并且外成形凹坑284c可具有0.060英寸的凹坑半径。在其他实例中，在不同排中形成的非平面钉的张开角度和/或凹坑半径可以为相同的。
同一钉线上的非平面钉之间的钉腿交叉也可能有所不同。例如，在图28A中，成形钉220”(由中间成形凹坑284b形成)可在交叉钉腿的末端之间具有第一重叠部O1(图30)，并且成形钉220”'(由外成形凹坑284c形成)可在交叉钉腿的末端之间具有第二重叠O2(图31)。成形钉220'(由内成形凹坑284a形成)可在钉腿的末端之间限定空间S(图29)而不是重叠。图29至图31描绘了由不同成形凹坑284形成的成形钉220'、220”和220”'的不同成形钉几何形状。值得注意的是，在本公开的各个方面中，未成形钉220可以为相同的。钉220'(图29)、220”(图30)和220”'(图31)的成形高度可以为相同高度。尽管如此，钉呈现不同的成形几何形状，成形钉220'形成在钉腿的末端之间具有空间S的平面钉，成形钉220”形成在钉腿的末端之间具有重叠O1的非平面钉，成形钉220”'形成在钉腿的末端之间具有与重叠O1不同的重叠O2的非平面钉。参考图30和图31，例如，第一重叠O1为0.015英寸，并且第二重叠O2为0.023英寸。
在其他实例中，钉220'、220”和220”'的成形高度可在排与排之间变化。附加地或另选地，未成形钉可在排与排之间变化。例如，为了更好地配合在紧凑的占有面积内，钉可在仓体208的同一侧上的不同排中具有不同的冠部长度和/或不同的腿长度。
在图32和图33中示出了不同钉线中的示例压力分布300、310。例如，图32中的压力分布300由三个相邻排的纵向对准的平面钉产生，并且压力分布310由纵向对准的平面钉与利用外科缝合组件100(图1)形成的倾斜定向的非平面钉的组合产生。通过优化成形凹坑几何形状、成形凹坑和钉的角定向、钉冠部的宽度和非平面钉腿的张开与砧座204和整个外科缝合组件100的几何约束，可实现更宽的压力分布。更具体地，与压力分布300中的较高压力区和较低压力区的斑点阵列相比，在压力分布310中跨越内钉排与外钉排之间实现了较宽的期望压力带。
在图34和图35中示出了不同钉线的示例应变轮廓曲线图320、330。例如，图34中的应变等高线图320由三个相邻排的纵向对准的平面钉产生，并且压力分布330由纵向对准的平面钉与利用外科缝合组件100(图1)形成的倾斜定向的非平面钉的组合产生。在优化钉线以改善压缩轮廓的同时，如图33中所示，例如，倾斜定向的钉也可改善钉线拉伸、柔韧性或顺应性。更顺应的钉线可能不太可能导致穿刺部位(诸如在胸外科手术期间的肺部中)处的空气泄漏。更具体地，在曲线图320中沿钉线的全局拉伸可大于曲线图310中沿钉线的全局拉伸。在测试期间的压力和拉伸负载条件下，例如，曲线图320的钉线沿钉线实现了7.08％的全局拉伸，并且曲线图330的钉线沿钉线实现了8.03％的全局拉伸。
主要参见图36、图37和图37A，描绘了砧座304。砧座304在许多方面类似于砧座204，并且本文进一步描述各种差异。砧座304可用于外科缝合组件100(图1)中，并且在各种实例中可使从紧固件仓组件206射出的钉变形。砧座304包括砧座成形表面380，该砧座成形表面具有限定在其中的纵向狭槽382和成形凹坑384。成形凹坑384在纵向狭槽382的任一侧上布置成多排386(即，内排384a中的内成形凹坑386a、中间排384b中的中间成形凹坑386b以及外排384c中的外成形凹坑386c)。例如，纵向狭槽382适于接纳击发构件的直立部分，诸如I形梁击发构件上的上部部分和上部销或凸缘。成形凹坑384被构造成能够接纳紧固件的腿并且将紧固件腿沿预定义曲率引导为成形构型。
在其他实例中，成形表面380可包括位于纵向狭槽382的一侧或两侧上的附加排的成形凹坑或较少排的成形凹坑。在某些实例中，成形表面380可关于纵向轴线A对称，并且多排成形凹坑可关于纵向轴线A对称。在其他实例中，多排成形凹坑可关于纵向轴线A对称。
砧座304中的内成形凹坑384a与纵向轴线A纵向对准，即沿平行于或基本上平行于纵向轴线A的第一近侧至远侧轴线PD1或凹坑中心线延伸。中间成形凹坑384b和外成形凹坑384c相对于纵向轴线A倾斜定向。中间成形凹坑384b各自限定从其近侧端部到远侧端部的第二近侧至远侧轴线PD2或凹坑中心线，并且第二近侧至远侧轴线PD2远离纵向轴线A成角度。外成形凹坑384c各自限定从其近侧端部到远侧端部的第三近侧至远侧轴线PD3或凹坑中心线，并且PD3轴线朝向纵向轴线A成角度。内成形凹坑384a的纵向对准以及中间成形凹坑384b和外成形凹坑384c的成角度定向允许中间成形凹坑384b紧密地嵌套在内成形凹坑384a与外成形凹坑384c之间。以不同角定向定位的成形凹坑384布置可提供成形凹坑的紧凑布置和对应紧密的钉线，同时仍允许足够的拉伸以适应缝合组织的移动。本文进一步描述了各种示例性尺寸，其使得驱动器、钉、成形凹坑等的阵列能够配合在用于微创外科手术诸如例如微创胸外科手术的紧固件仓组件的小形状因子内。
第二近侧至远侧轴线PD2相对于纵向轴线A以第二凹坑角度θ2定向，并且第三近侧至远侧轴线PD3相对于纵向轴线A以第三凹坑角度θ3定向。第三凹坑角度θ3大于第二凹坑角度θ2。例如，第二凹坑角度θ2可介于8度与12度之间(例如，大约10度)，并且第三凹坑角度θ3可介于18度与25度之间(例如，大约21.5度)。在各种实例中，成形凹坑384的近侧至远侧轴线PD1、PD2、PD3的角度可匹配或等于钉腔214(及其中的钉220)的近侧至远侧轴线PD1、PD2、PD3的角度。第二凹坑角度θ2和第三凹坑角度θ3两者大于第一成形凹坑384a相对于纵向轴线定向的角度。例如，在第一成形凹坑384a平行于纵向轴线A的情况下，第一成形凹坑384a相对于纵向轴线A的角度可以为零。在各种实例中，限定在成形凹坑384的近侧端部350与远侧端部352(图39)之间的近侧至远侧轴线的角定向可限定从纵向中心线向外朝向砧座204的侧向侧的渐增梯度。
中心轴线限定成形凹坑384的每一排386。中心轴线延伸穿过相应排中的每个成形凹坑384的凹坑中心354。更具体地，内中心轴线C1延伸穿过每个内成形凹坑384a的凹坑中心354。内中心轴线C1与第一近侧至远侧轴线PD1共线。中间中心轴线C2延伸穿过每个中间成形凹坑384b的凹坑中心354。中间中心轴线C2平行于纵向轴线A并且以角度θ2横切第二近侧至远侧轴线PD2。外中心轴线C3延伸穿过每个外成形凹坑384c的凹坑中心354。外中心轴线C3平行于纵向轴线A并且以角度θ3横切第三近侧至远侧轴线PD3。
主要参见图37A，每个成形凹坑384包括被构造成能够接纳钉腿的一对杯(例如，近侧杯387a和远侧杯387b)。内成形凹坑384a、中间成形凹坑384b和外成形凹坑384c限定相同的几何形状，但是在排与排之间以不同的角度定向。因此，近侧杯387a限定相同的几何形状(但在排与排之间的定向不同)，并且远侧杯387b限定相同的几何形状(但在排与排之间的定向不同)。此外，每个近侧杯387a是远侧杯387b在凹坑中心354处跨平分成形凹坑384的平面的镜像反射。本文进一步描述了内成形凹坑384a的几何形状，但是读者将当理解，内成形凹坑384a的以下描述也适用于中间成形凹坑384b和384c。在本公开的其他方面中，例如，至少一排成形凹坑(诸如被构造成能够形成例如非平面钉的成形凹坑284b和284c(图26至图28A))可限定不同的几何形状。
每个成形凹坑384的近侧杯387a和远侧杯387b与该成形凹坑384的近侧至远侧轴线或凹坑轴线对准。此外，每个成形凹坑384的近侧杯387a和远侧杯387b在限定凹坑中心354的居中定位的颈部处连接。近侧至远侧轴线PD1、PD2、PD3延伸穿过每个成形凹坑384的凹坑中心354并且平分成形凹坑384的每个杯387a、387b。
主要参见图38至图41，内成形凹坑384a包括近侧杯387a和远侧杯387b，该近侧杯被构造成能够接纳近侧钉腿，该远侧杯被构造成能够接纳同一钉的远侧钉腿。钉腿可沿每个内杯387a、387b的入口斜坡并沿其第一近侧至远侧轴线PD1被引导，该入口斜坡朝向凹坑中心354会聚。内成形凹坑384a被构造成使钉腿在每个近侧杯387a和远侧杯387b的顶点处弯曲，并且每个近侧杯387a和远侧杯387b的出口斜坡被构造成使钉腿进一步变形，朝向紧固件仓组件206(图1)返回，并沿着其第一近侧至远侧轴线PD1。内成形凹坑384a被构造成能够使钉变形成平面或基本上平面的构型，其中，钉腿和基部与穿过其第一近侧至远侧轴线PD1的平面对准。
近侧杯387a和远侧杯387b限定远离凹坑中心354延伸的泪滴形状。更具体地，成形凹坑384a的边界限定轮廓边界线，其中，近侧杯387a在近侧端部350附近最宽，并且远侧杯387b在远侧端部352附近最宽。杯387a、387b朝向颈部(即，凹坑中心354)向内渐缩，杯387a、387b在颈部处限定其最窄宽度。现在参见图39至图41中的剖视图，近侧杯387a在近侧端部350附近最浅，并且远侧杯387b在远侧端部352附近最浅。从图39中所示的浅盆几何形状开始，近侧杯387a和远侧杯387b变得更深，并且壁向凹坑中心354过渡到更直、轮廓更小的形状，如图40中所示。图40中所示的中间位置处的内成形凹坑384a的壁限定了具有平坦底部的修改的V形通道。现在参见图41，进一步朝向凹坑中心354，当杯387a、387b在连接近侧杯387a和远侧杯387b的颈部处继续变窄时，内成形凹坑384a的壁过渡到更直立的定向。
在本公开的各个方面中，内成形凹坑384a的前述描述也可适用于例如内成形凹坑284a(图26至图28A)。值得注意的是，成形凹坑284a和384a两者包括连接的杯，该连接的杯关于近侧至远侧轴线和在凹坑中心处平分近侧至远侧轴线的横向轴线对称。
再次参见图37A，在各种实例中，中心内轴线C1与中心中间轴线C2之间的距离可小于中心中间轴线C2与中心外轴线C3之间的距离。例如，中心内轴线C1与中心中间轴线C2之间的距离可小于成形凹坑的宽度。附加地或另选地，中心中间轴线C2与中心外轴线C3之间的距离可大于成形凹坑384的宽度。
在本公开的各个方面中，填充有成形凹坑384的成形表面380的部分在由在制造工艺期间可形成的成形凹坑的闭合程度所施加的约束内被最大化。例如，如本文相对于砧座304进一步描述的，成形表面380的总组织接触表面的35％至55％可在成形凹坑的边界内。
再次参见图37和图38，砧座304还包括远离成形表面380突出的组织止挡件390。每个组织止挡390可包括限定组织止挡件平面P的直立的面向远侧的边缘392，如本文进一步描述的。主要参见图37和图37A，一个完整的内成形凹坑384a、一个完整的中间成形凹坑384b和一个完整的外成形凹坑384c定位在组织止挡件平面P近侧。此外，在这种实例中，至少一个纵向定向的钉凹坑384a和两个倾斜定向的钉凹坑384b、384c定位在组织止挡件平面P近侧。在本公开的各个方面中，钉线中的至少一个纵向对准的钉220(由第一成形凹坑384a形成)和至少一个倾斜定向的钉220(由第二成形凹坑384b或第三成形凹坑384c形成)可位于组织止挡件平面P近侧。
在本公开的各个方面中，紧固件仓组件可利用钉腔、驱动器和钉的不同布置。此外，钉腔、驱动器和钉的不同布置可能需要与紧固件仓组件相对的砧座中的成形凹坑的不同布置。本文进一步描述了另选的实施方案。读者应当理解，对紧固件仓组件的修改可能需要对砧座进行对应的改变。
现在参考图42至图44，示出了紧固件仓组件406。紧固件仓组件406在许多方面类似于紧固件仓组件206(图1至图12)，并且适于与外科缝合组件(例如，图1中的外科缝合组件100)一起使用，并且适于接纳穿过其中的平移击发构件以横切组织并沿切割线的两侧顺序地击发紧固件。紧固件仓组件406包括仓体408，该仓体具有纵向刀狭槽410，该纵向刀狭槽被限定成从仓体408的近侧端部407朝向仓体408的远侧端部409至少部分地穿过仓体408。纵向刀狭槽410被构造成能够接纳穿过其中的击发构件的一部分。例如，击发构件的直立部分可包括切割边缘。
仓体408还包括组织支撑平台412。腔414限定到组织支撑平台412中，在该组织支撑平台中形成开口。腔414被构造成能够在击发运动期间接纳紧固件并将紧固件朝向组织引导并引导到组织中。腔414被布置成多排416。
主要参见图43，仓体408包括位于纵向刀狭槽410的两侧上的三排416。这些排包括由内腔414a构成的内排416a、由中间腔414b构成的中间排416b、以及由外腔414c构成的外排416c。
在其他实例中，仓体408可包括位于纵向刀狭槽410的一侧或两侧上的附加排的腔或较少的排腔。仓体408中的腔414的排416在纵向刀狭槽410的任一侧上是相同的。在其他实例中，紧固件仓组件406可关于纵向轴线A对称，并且多排腔可关于纵向轴线A对称。
仓体408中的中间腔414b相对于纵向轴线A纵向定向。换句话说，沿中间腔414b的中心线延伸的第二近侧至远侧轴线PD2平行于或基本上平行于纵向轴线A定向。然而，纵向相邻的中间腔414b的第二近侧至远侧轴线PD2不共线。相反，中间腔414b侧向交错以容纳与该中间腔相邻的内腔414a和外腔414c。更具体地，第一中间腔414b与纵向刀狭槽410间隔开第一距离D1(图43)，并且相邻的第二中间腔414b与纵向刀狭槽410间隔开第二距离D2，其中，第一距离D1不同于第二距离D2。
内腔414a和外腔414c相对于纵向轴线A(并且相对于第二近侧至远侧轴线PD2)倾斜定向。换句话说，沿内腔414a的中心线延伸的第一近侧至远侧轴线PD1相对于纵向轴线A以倾斜角度θ1定向。此外，沿外腔414c的中心线延伸的第三近侧至远侧轴线PD3相对于纵向轴线A(并且相对于第二近侧至远侧轴线PD2)以倾斜角度θ3定向。内腔414a和外腔414c相对于纵向轴线A以交替的正角度和负角度定向。例如，沿内排416a，内腔414a在仓体408的两侧上在朝向纵向轴线A以倾斜角度θ1定向与远离纵向轴线A以倾斜角度θ1定向之间交替。类似地，沿外排416c，外腔414c在仓体408的两侧上在朝向纵向轴线A以倾斜角度θ3定向与远离纵向轴线A以倾斜角度θ3定向之间交替。此外，在纵向刀狭槽410的同一侧上对准的内腔414a和外腔414c(并且由本文进一步描述的相同驱动器426或428支撑)彼此平行定向。换句话说，内腔414a和外腔414c的第一近侧至远侧轴线PD1和第三近侧至远侧轴线PD3分别彼此平行但不平行于第二近侧至远侧轴线PD2。
在本公开的各个方面中，倾斜角度θ1和θ3可介于5度与25度之间。在某些方面中，倾斜角度θ1和θ3可以为相同的，并且可以为例如约10度，或例如约20度。在所描绘的实施方案中，倾斜角度θ1和θ3为15度。还可设想另选的角定向。
六个腔(两个内腔414a、两个中间腔414b和两个外腔414c)的布置沿仓体408的长度(或长度的一部分)形成纵向重复图案458。纵向重复图案458包括由第一驱动器424(图44)击发的三个钉220和由第二驱动器426(图44)击发的三个钉220。每个图案458形成波，并且波的序列沿平台412侧向起伏并且对应于钉线中的成形钉的波状图案。
在本公开的各个方面中，选择波的图案以提供钉腔414和对应钉420的紧凑布置，从而改善体内平衡。本文进一步描述了各种示例性尺寸(例如，角定向)，其使得驱动器、钉、成形凹坑等的阵列能够配合在例如用于微创外科手术的紧固件仓组件的小形状因子内。
主要参见图42，紧固件仓组件406还包括仓盘418，该仓盘被构造成能够封装仓体408的一部分。钉220可以可移除地定位在仓体408中的腔414中。钉220由仓体408中的第一驱动器424和第二驱动器426可动地支撑；驱动器424、426是三重驱动器。
第一驱动器424具有对应于内腔/内钉和外腔/外钉的向外角度的第一几何形状。第二驱动器426具有对应于内腔/内钉和外腔/外钉的向内角度的第二几何形状。第一驱动器424和第二驱动器426沿仓体408的两侧交替。仓盘418被构造成能够将驱动器424、426保持在仓体408中。
现在主要参考图45至图47，示出了第一驱动器424。第一驱动器424包括三个支架460a、460b和460c，并且每个驱动器424被构造成能够支撑内排416a中的钉220、中间排416b中的钉220和外排416c中的钉220。为了支撑在排与排之间以不同角度定向的钉220，三重驱动器424分别包括以不同角度定向的支架460a、460b、460c的柱461a、461b、461c、支撑柱之间的桥接件(或凸缘)462、464，以及其下侧上的斜坡(即，第一斜坡428a和第二斜坡428b)(图46)。斜坡428a和428b被构造成能够在击发行程期间由滑动件430驱动。读者应当理解，除了内支撑柱461a和外支撑柱461c(及其支架460a、460c)相对于中间支撑柱461b(及其支架460b)的纵向定向的相反角定向之外，第二驱动器426在许多方面也类似于第一驱动器424。
现在主要参见图44，紧固件仓组件406还包括滑动件430，该滑动件被构造成能够在击发运动期间朝远侧平移以接合驱动器424、426并且提升驱动器424、426以从仓体408射出支撑在这些驱动器上的钉220。滑动件430是四导轨滑动件，该四导轨滑动件具有连接凸缘431、位于纵向刀狭槽410的第一侧上的第一对导轨434以及位于纵向刀狭槽410的第二侧上的第二对导轨436。第一对导轨434彼此纵向对准并且从第二对导轨436纵向偏移，第二对导轨也彼此纵向对准。
在图44中也描绘仓体408的下侧，其中，滑动件430位于仓体408的近侧端部407处的近侧未击发位置。导轨434、436被构造成能够驱动地接合驱动器424、426(例如，图45至图47)的下侧上的斜坡428a、428b，以朝向平台412(图42)驱动驱动器424、426。导轨434与纵向刀狭槽410的第一侧上的内排416a和外排416c对准并且可在定位在其中的驱动器424、426下方通过，并且导轨436与纵向刀狭槽410的第二侧上的内排416a和外排416c对准并且可在定位在其中的驱动器424、426下方通过。
柱461a、461b、461c被构造成能够在击发行程期间分别移动穿过腔414a、414b、414c。腔414的侧壁在击发行程期间朝向平台412引导柱461a、461b、461c以射出支撑在支架460a、460b和460c上的钉220。支架460a、460b和460c可相对于仓体408被超速驱动，如本文进一步描述的。每个支架460a、460b和460c分别限定近侧至远侧轴线PD1、PD2和PD3，该近侧至远侧轴线对应于支架定位在其中的钉腔414a、414b、414c的近侧至远侧轴线PD1、PD2、PD3。更具体地，内支架460a沿第一近侧至远侧轴线PD1定向，中间支架460b沿第二近侧至远侧轴线PD2定向，并且外支架460c沿第三近侧至远侧轴线PD3定向。
第一近侧至远侧轴线PD1相对于纵向轴线A以第一角度θ1定向，第二近侧至远侧轴线PD2相对于纵向轴线A以第二角度θ2定向，并且第三近侧至远侧轴线PD3相对于纵向轴线A以第三角度θ3定向。在各种实例中，第二角度θ2为零度并且PD1轴线平行于或基本上平行于纵向轴线A定向。一排钉的纵向对准可有助于沿切割线提供牢固的密封。
在各种实例中，第一角度θ1和第三角度θ3可介于5度与25度之间。在某些实施方案中，倾斜角度θ1和θ3是相同的，并且可以为约10度或约20度。在所描绘的实施方案中，第一近侧至远侧轴线PD1和第三近侧至远侧轴线PD3平行，并且第一角度θ1和第三角度θ3为与内钉腔414a和外侧钉腔414c的角定向相对应的15度。
在其他实施方案中，第一角度θ1和第三角度θ3可大于15度，并且例如可介于15度与25度之间。在其他实施方案中，第一角度θ1和第三角度θ3可小于15度，并且例如可介于5度与15度之间。在某些实例中，使内支架460a和外支架460c(及其上的钉)成角度可有利于组织流动并产生更紧的钉线并改善钉组织的止血和/或顺应性。此外，钉线中的内钉和外钉220的角定向的交替可允许相邻的第一驱动器424和第二驱动器426以及其上的钉220的进一步嵌套以使钉220之间的间距最小化。较高的角度可允许钉线的进一步拉伸或伸长，但可能需要在紧凑型紧固件仓组件内增加更宽的侧对侧占有面积，从而可能不会如端对端那样紧密地嵌套。例如，沿钉线纵向交替倾斜定向的钉的角定向可允许从相邻的第一驱动器424和第二驱动器426击发的钉220之间更大的近侧至远侧重叠。
主要参见图47，第一驱动器424中的第一角度θ1和第三角度θ3在第一方向上成角度，该第一方向在第一驱动器424定位在纵向刀狭槽410的第一侧上时朝向纵向刀狭槽410并且在第一驱动器424定位在纵向刀狭槽410的相对侧上时远离纵向刀狭槽410。此外，每个支架460a、460b和460c分别包括几何中心463a、463b和463c，近侧至远侧轴线(分别为PD1、PD2和PD3)穿过该几何中心。内支架460a的第一几何中心463a与外支架460b的第三几何中心463c纵向对准；第二几何中心463b位于第一几何中心463和第三几何中心463c远侧。
第一驱动器424包括在内柱461a与中间柱461b之间延伸的内桥接件462，并且还包括在中间柱461b与外柱461c之间延伸的外桥接件464。桥接件462、464连接柱461以形成跨越三排腔414并支撑三个钉220的三重驱动器。滑动件430的导轨434、436被构造成能够在击发运动期间沿驱动器424的下侧及其斜坡428a、428b(图46)移动。
第一导轨434被构造成能够沿第一纵向轴线L1和第二纵向轴线L2移动，该第一纵向轴线延伸穿过仓体408的一侧上的第一几何中心463a，该第二纵向轴线延伸穿过仓体408的同一侧上的第三几何中心463c。类似地，第二导轨436被构造成能够沿第一纵向轴线L1和第二纵向轴线L2移动，该第一纵向轴线延伸穿过仓体408的第二(相对)侧上的第一几何中心463a，该第二纵向轴线延伸穿过仓体408的第二侧上的第三几何中心463c。在这种实例中，第一导轨434被构造成能够同时接触并驱动仓体408的第一侧上的驱动器424、426上的斜坡428a、428b。此外，第二导轨436被构造成能够同时接触并驱动仓体408的第二侧上的驱动器424、426上的斜坡428a、428b。
在本公开的各个方面中，驱动器424、426可以为质量平衡的，使得其质心与斜坡428a、428b等距地间隔开，这些斜坡在击发行程期间由导轨434、436驱动。附加地或另选地，在本公开的各个方面中，质心可定位在斜坡428a、428b的前缘近侧，例如，如本文相对于驱动器224和226(图14和图15)进一步描述的。例如，可调整凸缘462、464的长度和/或宽度以将质心移位到合适的位置。
现在参考图48至图51，示出了紧固件仓组件506。紧固件仓组件506在许多方面类似于紧固件仓组件206(图1至图12)，并且适于与外科缝合组件(例如，图1中的外科缝合组件100)一起使用，并且适于接纳穿过其中的平移击发构件以横切组织并沿切割线的两侧顺序地击发紧固件。紧固件仓组件506包括仓体508，该仓体具有纵向刀狭槽510，该纵向刀狭槽被限定成从仓体508的近侧端部507朝向仓体508的远侧端部509至少部分地穿过仓体508。纵向刀狭槽510被构造成能够接纳穿过其中的击发构件的一部分。例如，击发构件的直立部分可包括切割边缘。
仓体508还包括组织支撑平台512。腔514限定到组织支撑平台512中，在该组织支撑平台中形成开口。腔514被构造成能够在击发运动期间接纳紧固件并将紧固件朝向组织引导并引导到组织中。腔514被布置成多排516。
主要参见图49，仓体508包括位于纵向刀狭槽510的两侧上的三排516。这些排包括由内腔514a构成的内排516a、由中间腔514b构成的中间排516b、以及由外腔514c构成的外排516c。
在其他实例中，仓体508可包括位于纵向刀狭槽510的一侧或两侧上的附加排的腔或较少排的腔。仓体508中的腔514的排516关于纵向刀狭槽510对称。在其他实例中，紧固件仓组件506可关于纵向轴线A不对称和/或多排腔可关于纵向轴线A不对称。
内腔514a、中间腔514b和外腔514c相对于纵向轴线A倾斜定向。更具体地，内腔514a限定相对于纵向轴线A倾斜定向的第一近侧至远侧轴线PD1，中间腔514b限定相对于纵向轴线A倾斜定向的第二近侧至远侧轴线PD2，并且外腔514c限定相对于纵向轴线A倾斜定向的第三近侧至远侧轴线PD3。第一近侧至远侧轴线PD1和第三近侧至远侧轴线PD3是平行的，并且第二近侧至远侧轴线PD2横切第一近侧至远侧轴线PD1和第三近侧至远侧轴线PD3。腔514a、514b和514c的角定向分别对应于支撑柱561a、561b和561c(及其支架560a、560b和560c以及支撑在其上的钉)的角定向，这将在本文中进一步描述。
主要参见图48，紧固件仓组件506还包括仓盘518，该仓盘被构造成能够封装仓体508的一部分。钉220(诸如图3中所示的那些钉)可以可移除地定位在仓体508中的腔514中。钉220由仓体508中的第一驱动器524和第二驱动器526可动地支撑；第一驱动器524和第二驱动器526是三重驱动器。
第一驱动器524具有第一几何形状并且第二驱动器526具有第二几何形状，由于第一驱动器524在仓体508的第一侧上以及第二驱动器526在仓体508的第二侧上的对称布置，因此该第二几何形状是第一几何形状的镜像。仓盘518被构造成能够将第一驱动器524和第二驱动器526保持在仓体508中。
现在主要参见图50和图51，紧固件仓组件506还包括滑动件530，该滑动件被构造成能够在击发运动期间朝远侧平移以接合驱动器524、526并且提升驱动器524、526以从仓体508射出支撑在这些驱动器上的钉220。滑动件530是双导轨滑动件，该双导轨滑动件具有连接凸缘531、位于纵向刀狭槽510的第一侧上的第一导轨534和位于纵向刀狭槽510的第二侧上的第二导轨536。第一导轨534从第二导轨536纵向偏移。滑动件530还包括中心立柱532，该中心立柱定位在第一导轨534和第二导轨536中间并且被构造成能够在击发运动期间移动穿过纵向刀狭槽510。
在图50和图51中也描绘仓体508的下侧，其中，滑动件530位于仓体508的近侧端部507处的近侧未击发位置。导轨534、536被构造成能够驱动地接合驱动器524、526(例如，图43至图45)的下侧上的(第一驱动器524的)斜坡528a和(第二驱动器526的)斜坡528b，以朝向平台512(图48)驱动驱动器524、526。导轨534与纵向刀狭槽510的第一侧上的中间排516b对准并且可在定位在其中的驱动器524下方通过，并且导轨536与纵向刀狭槽510的第二侧上的中间排516b对准并且可在定位在其中的驱动器526下方通过。
现在主要参考图52至图56，示出了第二驱动器526。第二驱动器526包括三个支架560a、560b和560c，并且每个第二驱动器526被构造成能够支撑内排516a中的钉220、中间排516b中的钉220和外排516c中的钉220。为了支撑在排与排之间以不同角度定向的钉220，第二驱动器526包括分别包括以不同角度定向的支架560a、560b、560c的柱561a、561b、561c、支撑柱之间的桥接件(或凸缘)562、以及该第二驱动器的下侧上的斜坡528b(图53)。斜坡528b被构造成能够在击发行程期间由滑动件530(图50和图51)驱动地接合和提升。读者应当理解，除了其镜像几何形状之外，第一驱动器524在许多方面也类似于第二驱动器526。
柱561a、561b、561c被构造成能够在击发行程期间分别移动穿过腔514a、514b、514c。腔514的侧壁在击发行程期间朝向平台512引导柱561a、561b、561c以射出支撑在支架560a、560b和560c上的钉220。支架560a、560b和560c可相对于仓体508被超速驱动，如本文进一步描述的。每个支架560a、560b和560c分别限定近侧至远侧轴线PD1、PD2和PD3，该近侧至远侧轴线对应于支架定位在其中的钉腔514a、514b、514c的近侧至远侧轴线PD1、PD2、PD3。更具体地，内支架560a沿第一近侧至远侧轴线PD1定向，中间支架560b沿第二近侧至远侧轴线PD2定向，并且外支架560c沿第三近侧至远侧轴线PD3定向。
第一近侧至远侧轴线PD1相对于纵向轴线A以第一角度θ1定向，第二近侧至远侧轴线PD2相对于纵向轴线A以第二角度θ2定向，并且第三近侧至远侧轴线PD3相对于纵向轴线A以第三角度θ3定向。在所描绘的实施方案中，中间支架560b的第二角度θ2分别大于内支架560a和外支架560c的第一角度θ1和第三角度θ3。例如，第二角度θ2是第一角度θ1和第三角度θ3的两倍。
在第一近侧至远侧轴线PD1和第三近侧至远侧轴线PD3远离纵向轴线A定向的情况下，第二近侧至远侧轴线PD2朝向纵向轴线A定向，反之亦然。前述布置以及支架560a、560b、560c和其上的钉的变化的角定向允许驱动器的近侧至远侧嵌套以及所得钉线中的钉220的重叠，这改善了在各种实例中的密封和体内平衡。此外，例如，钉的成角度定向可在缝合组织中提供柔韧性和更顺应的钉线。
在各种实例中，第一角度θ1和第三角度θ3可介于10度与30度之间。在某些实施方案中，倾斜角度θ1和θ3是相同的。在所描绘的实施方案中，第一近侧至远侧轴线PD1和第三近侧至远侧轴线PD3平行，并且第一角度θ1和第三角度θ3为与内钉腔514a和外侧钉腔514c的角定向相对应的20度。
在各种实例中，第二角度θ2可介于30度与50度之间。在所描绘的实施方案中，第二角度θ2为与中间钉腔514b的角定向相对应的41度。在第二角度θ2为41度且第一角度θ1和第三角度θ3为20度的情况下，第二角度θ2为第一角度θ1和第三角度θ3的量的大约两倍。
在本公开的其他方面中，第一角度θ1和第三角度θ3可小于10度或大于30度。在各个方面中，第二角度θ2可小于30度或大于50度。此外，在某些实例中，第二角度θ2可小于第一角度θ1和第三角度θ3的两倍，诸如第一角度θ1和第三角度θ3的1.5x，或者大于第一角度θ1和第三角度θ3的两倍，诸如第一角度θ1和第三角度θ3的2.5x。
主要参见图55，第二驱动器526中的第一角度θ1和第三角度θ3在朝向纵向刀狭槽510的第一方向上成角度。每个支架560a、560b和560c分别包括几何中心563a、563b和563c，近侧至远侧轴线(分别为PD1、PD2和PD3)穿过该几何中心。内支架560a的第一几何中心563a与外支架560c的第三几何中心563c纵向对准；第二几何中心563b位于第一几何中心563a和第三几何中心563c远侧。
第二驱动器526包括在内柱561a、中间柱561b和外柱561c之间延伸的桥接件或连接器562。桥接件562连接柱561以形成跨越三排腔514并支撑三个钉220的三重驱动器。斜坡528b定位在桥接件562的下侧上并且与中间柱561b纵向对准。主要参见图56，斜坡528b限定斜坡宽度R。斜坡宽度R可受到内柱461a与外柱461c的端部之间的空间限制，滑动件导轨536在击发行程期间平移穿过该空间。斜坡宽度R可被构造成使内柱461a与外柱461c之间的可用空间最大化，以提供用于驱动第二驱动器526的更大表面积。具有R的斜坡可进一步对应于导轨534、536沿其平移的通道574、576(图50和图51)的宽度。例如，通道574、576可被构造成能够紧密地接纳导轨534、536以引导导轨534、536并且防止在击发行程期间的粘结或卡住。
在所描绘的实施方案中，斜坡宽度R为0.050英寸。在其他实例中，斜坡宽度R可小于0.050英寸或大于0.050英寸。例如，斜坡宽度R可介于0.40英寸与0.60英寸之间。
再次参见图50和图51，导轨534、536被构造成能够在击发运动期间沿驱动器524、526的下侧及其斜坡528a、528b移动。第一导轨534被构造成能够沿第一纵向轴线L1移动，该第一纵向轴线延伸穿过仓体508的一侧上的第二几何中心。类似地，第二导轨536被构造成能够沿第二纵向轴线L2移动，该第二纵向轴线延伸穿过仓体508的第二(相对)侧上的第二几何中心563b。由于第一导轨534和第二导轨536之间的纵向偏移以及第一驱动器524与纵向刀狭槽510的相对侧上的对应第二驱动器526的纵向对准，因此第二驱动器526在第一驱动器524之前被击发。
在本公开的各个方面中，驱动器524、526可以为质量平衡的，使得其质心与其斜坡528a、528b等距地间隔开，该斜坡在击发行程期间由导轨534、536驱动。附加地或另选地，在本公开的各个方面中，质心可定位在斜坡528a、528b的前缘近侧，例如，如本文相对于驱动器224和226(图14和图15)进一步描述的。例如，可调整桥接件562的长度和/或宽度以将质心移动到合适的位置。
在本公开的各个方面中，紧固件仓组件可包括在纵向击发行程期间从线性紧固件仓顺序击发的倾斜定向的紧固件，如本文进一步描述的。在各种实例中，倾斜定向的紧固件可由倾斜定向的支架支撑，这些支架被构造和定位成在排与排之间和/或近侧至远侧嵌套以固结钉线并在缝合组织中提供紧密密封。例如，倾斜定向的紧固件可改善缝合组织的拉伸性，并且对应于更顺应的钉线。在某些实例中，倾斜定向的紧固件可以重叠和交叉布置定位，其中，一个钉基部在另一个钉基部上方交叉。在各种实例中，重叠的紧固件可提供紧密的钉线并防止空气泄漏，同时允许钉线的膨胀和收缩。在某些外科手术(诸如在组织愈合时肺部反复充气和放气的胸部横断术)中，顺应的钉线尤其重要。
在各种实例中，较长的钉冠部可改善体内平衡。为了将较长的钉冠部配合到紧固件仓组件的紧凑占有面积中，同时维持相对于切割线的高角定向，钉可覆盖在仓体708中。例如，如本文进一步描述的，重叠的钉冠部或基部可容纳在仓体中并通过可动地支撑重叠的钉冠部的驱动器从仓体射出。
现在参考图57，示出了紧固件仓组件706。紧固件仓组件706在许多方面类似于紧固件仓组件206(图1至图12)，并且适于与外科缝合组件(例如，图1中的外科缝合组件100)一起使用，并且被构造成能够接纳穿过其中的平移击发构件以横切组织并沿切割线的两侧顺序地击发紧固件。紧固件仓组件706包括仓体708，该仓体具有纵向刀狭槽710，该纵向刀狭槽被限定成从仓体708的近侧端部707朝向仓体708的远侧端部709至少部分地穿过仓体708。纵向刀狭槽710被构造成能够接纳穿过其中的击发构件的一部分。例如，击发构件的直立部分可包括切割边缘。
仓体708还包括组织支撑平台712。腔714限定到组织支撑平台712中，在该组织支撑平台中形成开口。腔714为X形腔并且被构造成能够接纳重叠的钉并且在击发运动期间将钉朝向组织引导并引导到组织中。例如，钉720可定位在腔714中。钉720可在许多方面类似于钉220(图3)。例如，钉720可以是V形钉，其具有线性基部722、从线性基部722的第一端部延伸的第一腿721、以及从线性基部722的第二端部延伸的第二腿723。第一腿721和第二腿723可侧向向外张开。在各个方面中，钉720被构造成能够变形为B形钉。B形钉可限定平面成形形状或非平面成形构型，如本文进一步描述的。每个X形腔714中的钉720的基部722是交叉的。
仓体708包括位于纵向狭槽710的两侧上的X形腔714的单个阵列。在其他实例中，仓体708可包括位于纵向刀狭槽710的一侧或两侧上的附加排的腔或较少排的腔。仓体708中的腔714的阵列关于纵向刀狭槽710对称。在其他实例中，紧固件仓组件706可关于纵向轴线A不对称和/或腔714可关于纵向轴线A不对称。
每个腔714包括第一部分和第二部分，该第一部分沿远离纵向轴线A倾斜定向的第一近侧至远侧轴线PD1延伸，该第二部分与第一部分相交并且沿朝向纵向轴线A倾斜定向的第二近侧至远侧轴线PD2延伸。第一部分和第二部分相交或交叉。第一近侧至远侧轴线PD1和第二近侧至远侧轴线PD2的角定向与钉支撑支架和支撑在其上的钉的角定向相对应，这将在本文中进一步描述。
主要参见图57，紧固件仓组件706还包括仓盘718，该仓盘被构造成能够封装仓体708的一部分。钉720(参见图59)可以可移除地定位在仓体708中的腔714中。钉720由定位在仓体708中的驱动器724(图59)可动地支撑；驱动器724是双驱动器。仓盘718被构造成能够将驱动器724保持在仓体708中。
具有导轨的滑动件(诸如滑动件530(图50和图51))被构造成能够移动穿过仓体708以接合驱动器724并将这些驱动器朝向平台712提升。导轨被构造成能够驱动地接合驱动器724的下侧上的斜坡728。导轨可横切近侧至远侧轴线中的一个近侧至远侧轴线(例如，图59中的第二近侧至远侧轴线PD2)并且横切另一个近侧至远侧轴线(例如，图59中的第一近侧至远侧轴线PD1)。
现在主要参考图59，示出了驱动器724。驱动器724包括两个相交的支架760a和760b。支架760a和760b可相对于仓体708被超速驱动，如本文进一步描述的。每个支架760a和760b分别限定近侧至远侧轴线PD1和PD2，该近侧至远侧轴线对应于支架定位在其中的钉腔714的近侧至远侧轴线PD1和PD2。更具体地，支架760a沿第一近侧至远侧轴线PD1远离纵向刀狭槽710定向，并且支架760b沿第二近侧至远侧轴线PD2朝向纵向刀狭槽710定向。支撑第一钉720a的基部722a的支架760a比支撑第二钉720b的在第一钉720a上方交叉的基部722b的支架760b深。在本公开的各个方面中，在每个腔714中，第一近侧至远侧轴线PD1垂直于第二近侧至远侧轴线PD2。
第一近侧至远侧轴线PD1相对于纵向轴线A以第一角度θ1定向，并且第二近侧至远侧轴线PD2相对于纵向轴线A以第二角度θ2定向。在所描绘的实施方案中，第二角度θ2等于第一角度θ1。例如，第一角度θ1和第二角度θ2可以为45度，但相对于纵向轴线A在相反方向上定向。在各种实例中，例如，钉的成角度定向可在缝合组织中提供柔韧性和更顺应的钉线。
在各种实例中，第一角度θ1和第二角度θ2可介于15度与75度之间。在本公开的各个方面中，第一角度θ1和第二角度θ2可以为不同的。
现在参考图60和图61，示出了紧固件仓组件806。紧固件仓组件806在许多方面类似于紧固件仓组件206(图1至图12)，并且适于与外科缝合组件(例如，图1中的外科缝合组件100)一起使用，并且被构造成能够接纳穿过其中的平移击发构件以横切组织并沿切割线的两侧顺序地击发紧固件。紧固件仓组件806包括仓体808，该仓体具有纵向刀狭槽810，该纵向刀狭槽被限定成从仓体808的近侧端部807朝向仓体808的远侧端部809至少部分地穿过仓体808。纵向刀狭槽810被构造成能够接纳穿过其中的击发构件的一部分。例如，击发构件的直立部分可包括切割边缘。
仓体808还包括组织支撑平台812。相交腔814限定到组织支撑平台812中，在该组织支撑平台中形成相交开口。相交腔814形成沿仓体808的每一侧侧向和纵向的相交开口的交叉阵列。在所描绘的布置中，仓体808中的所有腔814通过其相交、交叉布置连接。
相交腔814被构造成能够接纳重叠的钉并且在击发运动期间将重叠的钉朝向组织引导并引导到组织中。例如，图62至图66所示的钉820可定位在腔814中。钉820可在许多方面类似于钉220(图3)。例如，钉820可以是V形钉，其具有线性基部822、从线性基部822的第一端部延伸的第一腿821、以及从线性基部822的第二端部延伸的第二腿823。参见图63。第一腿821和第二腿823可侧向向外张开。在各个方面中，钉820被构造成能够变形为B形钉。B形钉可限定平面成形形状或非平面成形构型，如本文进一步描述的。相交腔814中的钉820的基部822是交叉的。更具体地，每个中间钉820的基部822在垂直于其定向的两个相邻钉820的基部822的上方或下方交叉。
仓体808包括位于纵向狭槽810的两侧上的相交腔814的连接阵列。在其他实例中，仓体808可包括位于纵向刀狭槽810的一侧或两侧上的附加排的腔，诸如保持与切割线相邻的纵向定向的钉的单独的一排腔，例如，如本文进一步描述的。仓体808中的腔814的阵列关于纵向刀狭槽810对称。在其他实例中，紧固件仓组件806可关于纵向轴线A不对称和/或腔814可关于纵向轴线A不对称。
相交腔814包括第一部分813和第二部分815，该第一部分沿远离纵向轴线A倾斜定向的第一近侧至远侧轴线PD1延伸，该第二部分垂直于第一部分813并且沿朝向纵向轴线A倾斜定向的第二近侧至远侧轴线PD2延伸。第一部分813和第二部分815沿仓体808的长度相交或交叉，以沿其长度(或长度的一部分)连接相交腔814。每个第一部分813沿仓体808的中间部分与一对相邻的第二部分815相交。类似地，每个第二部分815沿仓体808的中间部分与一对相邻的第一部分813相交。第一近侧至远侧轴线PD1和第二近侧至远侧轴线PD2的角定向与钉支撑支架和支撑在其上的钉820的角定向相对应，这将在本文中进一步描述。
主要参见图60，紧固件仓组件806还包括仓盘818，该仓盘被构造成能够封装仓体808的一部分。钉820(参见图62至图66)可以可移除地定位在仓体808中的腔814中。钉820由定位在仓体808中的驱动器824、826(图62)可动地支撑；驱动器824、826是双驱动器。仓盘818被构造成能够将驱动器824、826保持在仓体808中。
主要参见图62，紧固件仓组件806还包括滑动件830，该滑动件被构造成能够移动穿过仓体808以接合驱动器824、826并将这些驱动器朝向平台812提升。滑动件包括导轨834、836，这些导轨被构造成能够驱动地接合驱动器824、826的下侧上的斜坡。如本文进一步描述的，导轨834、836被构造成能够在击发行程期间移动穿过仓体808中的通道狭槽并且驱动地接合驱动器。
现在主要参考图62至图66，示出了第二驱动器826的阵列。读者应当理解，除了其镜像几何形状之外，第一驱动器824在许多方面类似于第二驱动器826。更具体地，第一驱动器824具有第一几何形状并且第二驱动器826具有第二几何形状，由于第一驱动器824在仓体808的第一侧上并且第二驱动器826在仓体808的第二侧上的对称布置，因此该第二几何形状是第一几何形状的镜像。每个第二驱动器826包括两个相交的支架860a和860b。支架860a和860b可相对于仓体808被超速驱动，如本文进一步描述的。每个支架860a和860b分别限定近侧至远侧轴线PD1和PD2，该近侧至远侧轴线对应于支架定位在其中的钉腔814的部分813、815的近侧至远侧轴线PD1和PD2。更具体地，支架860a沿第一近侧至远侧轴线PD1远离纵向刀狭槽810定向，并且支架860b沿第二近侧至远侧轴线PD2朝向纵向刀狭槽810定向。支撑第二钉820b的基部822b的支架860b比支撑第一钉820a的在第二钉820b上方交叉的基部822a的支架860a深。在本公开的各个方面中，第一近侧至远侧轴线PD1垂直于第二近侧至远侧轴线PD2。
第一近侧至远侧轴线PD1相对于纵向轴线A(并且相对于图66中的纵向轴线L1)以第一角度θ1定向，并且第二近侧至远侧轴线PD2相对于纵向轴线A(并且相对于图66中的纵向轴线L2)以第二角度θ2定向。在所描绘的实施方案中，第二角度θ2等于第一角度θ1。例如，第一角度θ1和第二角度θ2可以为45度，但相对于纵向轴线A在相反方向上定向。在各种实例中，例如，钉的成角度定向可在缝合组织中提供柔韧性和更顺应的钉线。
在本公开的其他方面中，第一角度θ1和第二角度θ2可介于15度与75度之间。在本公开的各个方面中，第一角度θ1和第二角度θ2可以为不同的，并且可例如以倾斜角度横切。
主要参见图63，支架860a和860b分别由柱861a、861b支撑。每个驱动器826的柱861a、861b交叉以形成不对称的X形状(参见图66)。驱动器826还包括凸缘862和864，这些凸缘从柱861a、861b延伸以形成用于驱动器826的下侧上的斜坡的延伸支撑表面。主要参见图65，滑动件830的导轨834、836被构造成能够分别沿纵向轴线L1、L2移动，这些纵向轴线分别延伸穿过凸缘862、864。在本公开的各个方面中，滑动件导轨834和836沿其平移的纵向轴线L1和L2可在由驱动器826支撑的交叉钉820的相交位置下方通过。
在紧固件仓组件包括重叠钉的实例中，砧座还可适于包括重叠成形凹坑，该重叠成形凹坑适于接纳从其射出的钉。
主要参见图67和图68，描述了砧座804。砧座804在许多方面类似于砧座204(图1)，并且本文进一步描述各种差异。例如，砧座804可与紧固件仓组件806(图60)一起使用。砧座804包括砧座成形表面880，该砧座成形表面具有限定在其中的纵向狭槽882和成形凹坑884。成形凹坑884在纵向狭槽882的任一侧上形成交叉阵列。例如，纵向狭槽882适于接纳击发构件的直立部分，诸如I形梁击发构件上的上部部分和上部销或凸缘。成形凹坑884被构造成能够接纳紧固件的腿并且将紧固件腿沿预定义曲率引导为成形构型。
成形凹坑884包括沿对应于腔814(图61)的第一部分813中的钉820的第一近侧至远侧轴线PD1延伸的第一成形凹坑884a和沿对应于腔814的第二部分815中的钉820的第二近侧至远侧轴线PD2延伸的第二成形凹坑884b。成形凹坑884a、884b被构造成使钉变形为平面或基本上平面的构型，其中，钉腿和基部与穿过其近侧至远侧轴线的平面对准。
每个成形凹坑884包括被构造成能够接纳钉腿的一对杯(例如，近侧杯887a和远侧杯887b)。每个近侧杯887a是远侧杯887b在凹坑中心处跨平分成形凹坑884的平面的镜像反射。每个成形凹坑884的近侧杯887a和远侧杯887b与该成形凹坑884的近侧至远侧轴线或凹坑轴线对准。此外，每个成形凹坑884的近侧杯887a和远侧杯887b在居中定位的颈部处连接。近侧至远侧轴线PD1、PD2延伸穿过每个成形凹坑884的凹坑中心并且平分成形凹坑884的每个杯887a、887b。此外，交叉成形凹坑884在其颈部处横切交叉成形凹坑。
本文所述的紧固件仓组件和砧座可结合到手持式外科器械和/或机器人外科工具中。在各种实例中，紧固件仓组件可结合到例如图69所示的可互换外科工具组件1000中，该可互换外科工具组件可操作地联接到马达驱动的柄部组件1500。工具组件1000也可有效地与机器人控制的或自动化外科系统的工具驱动组件一起使用。例如，本文所公开的外科工具组件可与各种机器人系统、器械、部件和方法诸如但不限于名称为“SURGICAL STAPLINGINSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS”的美国专利9,072,535中公开的那些一起使用，该专利申请据此全文以引用方式并入本文。柄部组件1500以及机器人系统的工具驱动组件在本文中也可称为“控制系统”或“控制单元”。
图69和图70示出了可互换外科工具组件1000与柄部组件1500的附接。柄部组件1500可包括柄部壳体1502，该柄部壳体包括可由临床医生抓持和操纵的手枪式抓持部分1504。柄部组件1500还可包括可操作地支撑多个驱动系统的框架1506。例如，框架1506可以可操作地支撑“第一”或闭合驱动系统(通常表示为1510)，其可用于将闭合和打开运动施加到可操作地附接或联接到柄部组件1500的可互换外科工具组件1000。在至少一种形式中，闭合驱动系统1510可包括被框架1506枢转地支撑的闭合触发器1512形式的致动器。这种布置使得闭合触发器1512将能够由临床医生操纵，使得当临床医生抓持柄部组件1500的手枪式抓持部分1504时，闭合触发器1512可容易从启动或“未致动”位置枢转到“致动”位置并且更具体地枢转到完全压缩或完全致动位置。在各种形式中，闭合驱动系统1510还包括闭合连杆组件1514，该闭合连杆组件可枢转地联接到闭合触发器1512或以其他方式可操作地与该闭合触发器连接。在使用中，为了致动闭合驱动系统1510，临床医生将闭合触发器1512朝手枪式握把部1504压下。如名称为“SURGICAL INSTRUMENT COMPRISING A SENSOR SYSTEM”的美国专利申请序列号14/226,142(现为美国专利申请公布2015/0272575)(该专利申请据此全文以引用方式并入本文)中进一步详细描述的，当临床医生完全压下闭合触发器1512以达到完全闭合行程时，闭合驱动系统1510被构造成能够将闭合触发器1512锁定到完全压下或完全致动的位置。当临床医生希望解锁闭合触发器1512以允许其被偏置到未致动位置时，临床医生简单地启动闭合释放按钮组件1518，其使闭合触发器1512能够返回到未致动位置。闭合释放按钮组件1518还可被构造成能够与各种传感器交互，这些传感器与柄部组件1500中的微控制器1520通信以跟踪闭合触发器1512的位置。关于闭合释放按钮组件1518的构型和操作的进一步细节可见于美国专利申请公布2015/0272575中。
在至少一种形式中，柄部组件1500和框架1506可以可操作地支撑在本文中被称为击发驱动系统1530的另一个驱动系统，该驱动系统被构造成能够将击发动作施加到附接到其上的可互换外科工具组件的对应部分。如在美国专利申请公布2015/0272575中详细描述的，击发驱动系统1530可采用位于柄部组件1500的手枪式抓持部分1504中的电动马达1505(图69)。在各种形式中，马达1505可以是具有例如约25,000RPM的最大转速的DC有刷驱动马达。在其他布置中，马达1505可包括无刷马达、无绳马达、同步马达、步进马达或任何其他合适的电动马达。马达1505可由功率源1522供电，在一种形式中，该功率源可包括可移除电源组。电源组可将多个锂离子(“LI”)或其他合适的电池支撑在其中。可串联连接的多个电池可用作柄部组件1500的功率源1522。另外，功率源1522可以是可替换的和/或可再充电的。
电动马达1505被构造成能够根据马达的极性在远侧和近侧方向上轴向驱动可纵向移动的驱动构件1540。例如，当马达1505在一个旋转方向上被驱动时，可纵向移动的驱动构件1540将在远侧方向“DD”上被轴向地驱动。当马达1505在相反的旋转方向上被驱动时，可纵向移动驱动构件1540将在近侧方向“PD”上被轴向地驱动。柄部组件1500可包括开关1513，该开关可被配置为能够使由功率源1522施加到电动马达1505的极性反转或以其他方式控制马达1505。柄部组件1500还可包括一个或多个传感器(未示出)，其被构造成能够检测驱动构件1540的位置和/或驱动构件1540移动的方向。通过被可枢转地支撑在柄部组件1500上的击发触发器1532可控制马达1505的致动。击发触发器1532可在未致动位置与致动位置之间枢转。击发触发器1532可被弹簧(未示出)或其他偏置构造偏置到未致动位置，使得当临床医生释放击发触发器1532时，其可被弹簧或偏置构造枢转到或以其他方式返回到未致动位置。在至少一种形式中，击发触发器1532可定位在闭合触发器1512的“外侧”，如上文所讨论。如美国专利申请公布2015/0272575中所讨论的，柄部组件1500可配备有击发触发器安全按钮(未示出)，以防止击发触发器1532的无意致动。当闭合触发器1512处于未致动位置时，安全按钮被容纳在柄部组件1500中，在此情况下，临床医生不能容易地接近安全按钮并使安全按钮在防止击发触发器1532的致动的安全位置与其中可击发击发触发器1532的击发位置之间移动。在临床医生压下闭合触发器1512时，安全按钮和击发触发器1532可向下枢转，然后他们可被临床医生操纵。
在至少一种形式中，可纵向移动的驱动构件1540可具有形成在其上的齿条齿(未示出)，用于与对应的驱动齿轮装置(未示出)啮合接合，该驱动齿轮装置与马达1505连接。关于那些特征的进一步的细节可见于美国专利申请公布2015/0272575。至少一种形式还包括可手动致动的“救助”组件，该救助组件被构造成能够允许临床医生在马达1505变得停用的情况下手动地回缩可纵向移动的驱动构件1540。救助组件可包括杠杆或救助柄部组件，其在可释放门1550下方储存在柄部组件1500内。杠杆被构造成能够被手动枢转成与驱动构件1540中的齿棘轮接合。因此，临床医生可通过使用救助柄部组件手动地回缩驱动构件1540，以使驱动构件1540在近侧方向“PD”上做棘轮运动。名称为“POWERED SURGICALCUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM”的美国专利申请序列号12/249,117，现为美国专利申请公布2010/0089970(其全部公开内容据此以引用方式并入本文)公开了也可与本文公开的工具组件1000一起使用的救助装置和其他部件、装置和系统。
可互换的外科工具组件1000包括轴安装部分1300，该轴安装部分可操作地附接到细长轴组件1400。包括细长通道1102的外科端部执行器1100可操作地附接到细长轴组件1400，该细长通道被构造成能够将钉仓1110可操作地支撑在其中。本文进一步描述了另选的钉仓组件。端部执行器1100还可包括相对于细长通道1102被枢转地支撑的砧座1130，并且本文进一步描述了另选的砧座。细长通道1102/钉仓组件1110和砧座1130也可称为“钳口”。可互换外科工具组件1000还可包括关节运动接头1200和关节运动锁，该关节运动锁可被构造成能够将端部执行器1100围绕关节运动轴线B-B(横向于轴轴线SA)可释放地保持在期望的关节运动位置。关于该关节运动锁的构造和操作的许多细节可见于名称为“ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK”的美国专利申请序列号13/803,086，现为美国专利申请公布2014/0263541，其全部公开内容据此以引用方式并入本文。关于该关节运动锁的其他细节也可以在2016年2月9日提交的名称为“SURGICAL INSTRUMENT ARTICULATION MECHANISM WITH SLOTTED SECONDARYCONSTRAINT”的美国专利申请序列号15/019,196中找到，其全部公开内容据此以引用方式并入本文。
工具组件进一步描述在2016年12月21日提交的名称为“SURGICAL STAPLINGINSTRUMENTS AND STAPLE-FORMING ANVILS”的美国专利公布2018/0168584中，该美国专利公布全文以引用方式并入本文。
实施例
实施例集1
实施例1—一种外科缝合组件，包括仓体和紧固件。所述仓体限定纵向轴线。腔限定在所述仓体中。所述紧固件可动地支撑在所述腔中。所述紧固件成排地布置在所述仓体的第一侧上，所述紧固件包括内排、外排以及定位在所述内排和所述外排中间的中间排。所述紧固件包括：位于所述内排中的内紧固件，所述内紧固件包括内侧边缘；位于所述外排中的外紧固件，所述外紧固件包括外侧腿；以及位于所述中间排中的中间紧固件。所述内紧固件、所述外紧固件和所述中间紧固件中的至少一者平行于所述纵向轴线。所述内紧固件、所述外紧固件和所述中间紧固件中的至少一者相对于所述纵向轴线倾斜定向。所述外科缝合组件还包括可动地定位在所述腔中的三重驱动器。所述三重驱动器包括支撑所述内紧固件、所述外紧固件和所述中间紧固件的第一三重驱动器。所述第一三重驱动器包括：外斜坡，所述外斜坡定位在所述外紧固件的所述外侧腿与所述内紧固件的所述内侧边缘之间；以及内斜坡，所述内斜坡从所述内紧固件的所述内侧边缘侧向向内定位。
实施例2-根据实施例1所述的外科缝合组件，还包括被构造成能够沿所述纵向轴线平移的滑动件，其中，所述滑动件包括被构造成能够同时分别驱动所述第一三重驱动器的所述内斜坡和所述外斜坡的内导轨和外导轨。
实施例3-根据实施例2所述的外科缝合组件，其中，所述滑动件包括金属滑动件。
实施例4-根据实施例2或3所述的外科缝合组件，其中，所述外紧固件包括外侧腿和内侧腿，并且其中，所述外导轨被构造成能够沿定位在所述外侧腿与所述内侧腿之间的第一纵向轴线移动。
实施例5-根据实施例4所述的外科缝合组件，其中，所述内导轨被构造成能够沿从所述内紧固件侧向向内定位的第二纵向轴线移动。
实施例6-根据实施例1、2、3、4或5所述的外科缝合组件，其中，所述第一三重驱动器包括质心，并且其中，所述内斜坡包括位于所述质心近侧的前远侧斜坡端部。
实施例7-根据实施例1、2、3、4、5或6所述的外科缝合组件，其中，所述中间紧固件相对于所述纵向轴线以中间角度定向，并且其中，所述外紧固件相对于所述纵向轴线以外角度定向，其中，所述中间角度小于所述外角度。
实施例8-根据实施例1、2、3、4、5、6或7所述的外科缝合组件，其中，所述中间紧固件限定远离所述纵向轴线成角度的近侧至远侧轴线，并且其中，所述外紧固件限定朝向所述纵向轴线成角度的近侧至远侧轴线。
实施例9-根据实施例1、2、3、4、5、6、7或8所述的外科缝合组件，其中，所述仓体包括外面，其中，所述仓体限定所述腔与所述外面之间的最小壁厚，并且其中，所述最小壁厚为0.010英寸。
实施例10—一种外科缝合组件，包括仓体和紧固件。所述仓体限定纵向轴线并且包括平台。腔限定在所述仓体中并且在所述平台中形成开口。所述紧固件可移除地定位在所述腔中。所述腔包括：位于所述仓体的第一侧上的内排中的内腔；位于所述仓体的所述第一侧上的外排中的外腔；以及位于定位在所述仓体的所述第一侧上的所述内排和所述外排中间的中间排中的中间腔。所述内腔相对于所述纵向轴线以内角度定向。所述内腔限定内侧内排边界。所述外腔相对于所述纵向轴线以外角度定向。所述外腔限定外侧外排边界。所述中间腔相对于所述纵向轴线以中间角度定向。所述中间角度大于所述内角度并且小于所述外角度。所述外科缝合组件还包括被构造成能够沿所述纵向轴线平移的金属滑动件。所述金属滑动件包括：内导轨，所述内导轨被构造成能够沿从所述内侧内排边界侧向向内的内纵向轴线移动；以及外导轨，所述外导轨被构造成能够沿所述外侧外排边界与所述内侧内排边界中间的外纵向轴线移动。
实施例11-根据实施例10所述的外科缝合组件，其中，所述外科缝合组件还包括驱动器，所述驱动器将所述紧固件可动地支撑在所述腔中，其中，所述驱动器包括内斜坡和外斜坡，其中，所述内导轨被构造成能够驱动所述内斜坡，并且其中，所述外导轨被构造成能够驱动所述外斜坡。
实施例12-根据实施例11所述的外科缝合组件，其中，所述驱动器包括三重驱动器。
实施例13-根据实施例10、11或12所述的外科缝合组件，其中，所述外腔还限定内侧外排边界，并且其中，所述外纵向轴线定位在所述外侧外排边界与所述内侧外排边界中间。
实施例14-根据实施例10、11、12或13所述的外科缝合组件，其中，所述内角度相对于所述纵向轴线基本上为零度。
实施例15-一种外科缝合组件，包括限定纵向轴线并且包括平台的仓体。腔限定在所述仓体中并且在所述平台中形成开口的图案。所述外科缝合组件还包括金属滑动件。所述金属滑动件包括：位于所述仓体的第一侧上的内导轨；以及位于所述仓体的所述第一侧上的外导轨。所述外科缝合组件还包括：紧固件，所述紧固件可移除地定位在所述腔中；以及三重驱动器，所述三重驱动器可动地支撑所述紧固件。所述开口的图案包括所述仓体的所述第一侧上的开口。所述仓体的所述第一侧上的所述开口包括：第一开口，所述第一开口各自限定平行于所述纵向轴线定向的第一近侧至远侧轴线；以及第二开口，所述第二开口各自限定相对于所述纵向轴线倾斜定向的第二近侧至远侧轴线。所述内导轨被构造成能够沿从所述仓体的所述第一侧上的所述开口侧向偏移的内轴线移动。所述外导轨被构造成能够沿与所述仓体的所述第一侧上的所述开口侧向对准的外轴线移动。
实施例16-根据实施例15所述的外科缝合组件，其中，所述仓体还包括刀狭槽，其中，所述第一开口定位在与所述刀狭槽相邻的第一排开口中，并且其中，所述第二开口布置在第二排开口中。
实施例17-根据实施例16所述的外科缝合组件，还包括第三开口，所述第三开口各自限定相对于所述纵向轴线倾斜定向的第三近侧至远侧轴线，其中，所述第三开口定位在第三排开口中，其中，所述第三排开口位于所述第一排开口与所述第二排开口之间，并且其中，所述第三开口嵌套在所述第一开口与所述第二开口之间。
实施例18-根据实施例17所述的外科缝合组件，其中，所述第二近侧至远侧轴线相对于所述纵向轴线以第二角度定向，其中，所述第三近侧至远侧轴线相对于所述纵向轴线以第三角度定向，并且其中，所述第二角度大于所述第三角度。
实施例19-根据实施例16、17或18所述的外科缝合组件，其中，所述内轴线位于所述第一近侧至远侧轴线的侧向内侧并且位于所述刀狭槽的侧向外侧。
实施例20-根据实施例15、16、17或19所述的外科缝合组件，其中，所述外轴线横切所述第二开口的所述第二近侧至远侧轴线。
实施例集2
实施例1-一种外科缝合组件，包括限定沿纵向轴线延伸的刀狭槽的仓体。所述仓体包括组织支撑平台。腔限定在所述仓体中并且在所述组织支撑平台中形成多排开口。所述多排开口包括：第一排，所述第一排位于所述刀狭槽的第一侧上并且包括相对于所述纵向轴线倾斜定向的第一开口；第二排，所述第二排位于所述刀狭槽的所述第一侧上并且包括相对于所述纵向轴线倾斜定向的第二开口；以及第三排，所述第三排位于所述刀狭槽的所述第一侧上。所述外科缝合组件还包括可移除地定位在所述腔中的紧固件。所述紧固件被定位成形成紧固件腿的纵向重复的高密度簇和紧固件腿的纵向重复的低密度簇。
实施例2-根据实施例1所述的外科缝合组件，其中，每个纵向重复的高密度簇包括三个紧固件腿。
实施例3-根据实施例1或2所述的外科缝合组件，其中，每个纵向重复的低密度簇包括三个紧固件腿。
实施例4-根据实施例1、2或3所述的外科缝合组件，其中，所述紧固件包括中间紧固件，所述中间紧固件包括第一腿和第二腿，其中，紧固件腿的第一高密度簇围绕所述第一腿，并且其中，钉腿的第一低密度簇围绕所述第二腿。
实施例5-根据实施例1、2、3或4所述的外科缝合组件，其中，所述第三排包括相对于所述纵向轴线纵向定向的第三开口。
实施例6-根据实施例5所述的外科缝合组件，其中，所述第三排包括与所述刀狭槽相邻的内排。
实施例7-根据实施例1、2、3、4、5或6所述的外科缝合组件，其中，所述第一开口朝向所述刀狭槽成角度，并且其中，所述第二开口远离所述刀狭槽成角度。
实施例8-根据实施例1、2、3、4、5、6或7所述的外科缝合组件，其中，所述第一排包括外排，并且其中，所述第二排包括位于所述内排与所述外排之间的中间排。
实施例9-根据实施例5所述的外科缝合组件，其中，所述第一开口相对于所述纵向轴线以第一角度定向，其中，所述第二开口相对于所述纵向轴线以第二角度定向，其中，所述第三开口相对于所述纵向轴线以第三角度定向，并且其中，所述第一角度、所述第二角度和所述第三角度是不同的。
实施例10-根据实施例9所述的外科缝合组件，其中，所述第二角度大于所述第三角度并且小于所述第一角度。
实施例11-根据实施例1、2、3、4、5、6、7、8、9或10所述的外科缝合组件，还包括三重驱动器，其中，每个三重驱动器被构造成能够从三排腔提升紧固件。
实施例12-一种外科缝合组件，包括限定沿纵向轴线延伸的狭槽的仓体。所述仓体包括组织支撑平台。腔限定在所述仓体中并且在所述组织支撑平台中形成多排开口。所述多排开口包括：第一排，所述第一排位于所述狭槽的第一侧上并且包括相对于所述纵向轴线倾斜定向的第一开口；第二排，所述第二排位于所述狭槽的所述第一侧上并且包括相对于所述纵向轴线倾斜定向的第二开口；以及第三排，所述第三排位于所述狭槽的所述第一侧上。所述外科缝合组件还包括可移除地定位在所述腔中的紧固件。所述紧固件被定位成形成交替的高密度腿簇和低密度腿簇。每个紧固件包括高密度腿簇中的第一腿和低密度腿簇中的第二腿。
实施例13-根据实施例12所述的外科缝合组件，其中，每个高密度簇由三个紧固件腿组成，并且其中，每个低密度簇由三个紧固件腿组成。
实施例14-根据实施例12或13所述的外科缝合组件，其中，所述第三排包括第三开口，并且其中，所述第三开口是纵向定向的。
实施例15-根据实施例12、13或14所述的外科缝合组件，其中，所述第三排包括与所述狭槽相邻的内排。
实施例16-根据实施例15所述的外科缝合组件，其中，所述第一排包括外排，其中，所述第二排包括位于所述内排与所述外排之间的中间排，其中，所述外排中的所述第一开口朝向所述狭槽成角度，并且其中，所述中间排中的所述第二开口远离所述狭槽成角度。
实施例17-根据实施例14所述的外科缝合组件，其中，所述第一开口相对于所述纵向轴线以第一角度定向，其中，所述第二开口相对于所述纵向轴线以第二角度定向，其中，所述第三开口相对于所述纵向轴线以第三角度定向，并且其中，所述第一角度、所述第二角度和所述第三角度是不同的。
实施例18—一种外科缝合组件，包括仓体和紧固件。所述仓体限定沿纵向轴线延伸的狭槽。腔限定在所述仓体中。所述紧固件可移除地定位在所述腔中。所述紧固件包括腿。所述紧固件被布置成多排，包括：外排，所述外排位于所述狭槽的第一侧上并且包括相对于所述纵向轴线以外角度定向的外紧固件；中间排，所述中间排位于所述狭槽的所述第一侧上并且包括相对于所述纵向轴线以中间角度定向的中间紧固件；以及内排，所述内排位于所述狭槽的所述第一侧上并且包括相对于所述纵向轴线以内角度定向的内紧固件。所述内角度、所述中间角度和所述外角度是不同的。所述腿被布置在纵向重复的低密度区之间的纵向重复的高密度区中。
实施例19-根据实施例18所述的外科缝合组件，其中，所述内角度为零。
实施例20-根据实施例18或19所述的外科缝合组件，其中，所述紧固件包括定位在所述中间排中的中间紧固件。所述中间紧固件包括基部、近侧腿和远侧腿。所述基部包括近侧端部和远侧端部。所述近侧腿从所述近侧端部延伸。所述近侧腿位于所述高密度区中的一个高密度区中。所述远侧腿从所述远侧端部延伸。所述远侧腿位于所述低密度区中的一个低密度区中。
实施例集3
实施例1-一种外科缝合组件，包括限定纵向轴线并且包括平台的仓体。腔限定在所述仓体中并且在所述平台中形成开口。所述外科缝合组件还包括可移除地定位在所述腔中的紧固件。所述腔包括：位于所述仓体的第一侧上的内排腔；位于所述仓体的所述第一侧上的外排腔；以及定位在所述仓体的所述第一侧上的所述内排腔和所述外排腔中间的中间排腔。所述内排腔包括第一内腔和第二内腔，所述第一内腔包括内远侧端部。所述第二内腔包括与所述内远侧端部相邻的内近侧端部。所述第一内腔和所述第二内腔相对于所述纵向轴线以内角度定向。所述外排腔包括第一外腔和第二外腔，所述第一外腔包括外远侧端部，所述第二外腔包括与所述外远侧端部相邻的外近侧端部。所述第一外腔和所述第二外腔相对于所述纵向轴线以外角度定向。所述中间排腔包括第一中间腔和第二中间腔，所述第一中间腔包括中间远侧端部，所述第二中间腔包括与所述中间远侧端部相邻的中间近侧端部。所述第一中间腔和所述第二中间腔相对于所述纵向轴线以中间角度定向。所述中间角度大于所述内角度并且小于所述外角度。所述内角度相对于所述纵向轴线基本上为零度。
实施例2-根据实施例1所述的外科缝合组件，其中，内纵向平台长度限定在所述内远侧端部与所述内近侧端部之间，其中，外纵向平台长度限定在所述外远侧端部与所述外近侧端部之间，其中，中间纵向平台长度限定在所述中间远侧端部与所述中间近侧端部之间，并且其中，所述中间纵向平台长度大于所述内纵向平台长度并且小于所述外纵向平台长度。
实施例3-根据实施例1或2所述的外科缝合组件，其中，所述中间远侧端部比所述中间近侧端部离所述纵向轴线远。
实施例4-根据实施例1、2或3所述的外科缝合组件，其中，所述中间角度为10度。
实施例5-根据实施例1、2、3或4所述的外科缝合组件，其中，所述外近侧端部比所述外远侧端部离所述纵向轴线远。
实施例6-根据实施例1、2、3、4或5所述的外科缝合组件，其中，所述外角度为21.5度。
实施例7-根据实施例1、2、3、4、5或6所述的外科缝合组件，其中，所述仓体包括外面，其中，所述仓体限定所述外排腔与所述外面之间的最小壁厚，并且其中，所述最小壁厚为0.010英寸。
实施例8-根据实施例1、2、3、4、5、6或7所述的外科缝合组件，还包括驱动器，所述驱动器将所述紧固件可动地支撑在所述腔中，其中，所述驱动器包括三重驱动器。
实施例9-根据实施例8所述的外科缝合组件，其中，每个三重驱动器包括质心和具有前远侧端部的斜坡，并且其中，所述前远侧端部位于所述质心近侧。
实施例10-根据实施例1、2、3、4、5、6、7、8或9所述的外科缝合组件，还包括驱动器和滑动件，所述驱动器将所述紧固件可动地支撑在所述腔中，所述滑动件被构造成能够沿所述纵向轴线平移。每个驱动器包括外斜坡和内斜坡。所述滑动件包括外导轨和内导轨，所述外导轨和所述内导轨被构造成能够同时分别驱动每个驱动器的所述外斜坡和所述内斜坡。
实施例11-一种外科缝合组件，包括限定纵向轴线的仓体。腔限定在所述仓体中。所述外科缝合组件还包括可移除地定位在所述腔中的紧固件。所述紧固件包括内排、外排以及定位在所述内排和所述外排中间的中间排。所述内排包括第一内紧固件和第二内紧固件，所述第一内紧固件包括内远侧端部，所述第二内紧固件与所述第一内紧固件相邻。所述第二内紧固件包括内近侧端部。内纵向长度限定在所述内远侧端部与所述内近侧端部之间。所述外排包括第一外紧固件和第二外紧固件，所述第一外紧固件包括外远侧端部，所述第二外紧固件与所述第一外紧固件相邻。所述第一外紧固件和所述第二外紧固件相对于所述纵向轴线以外角度倾斜定向。所述第二外紧固件包括外近侧端部。外纵向长度限定在所述外远侧端部与所述外近侧端部之间。所述中间排包括第一中间紧固件和第二中间紧固件，所述第一中间紧固件包括中间远侧端部，所述第二中间紧固件与所述第一中间紧固件相邻。所述第一中间紧固件和所述第二中间紧固件相对于所述纵向轴线以中间角度倾斜定向。所述第二中间紧固件包括中间近侧端部。中间纵向长度限定在所述中间远侧端部与所述中间近侧端部之间。所述中间角度小于所述外角度。所述中间纵向长度大于所述内纵向长度并且小于所述外纵向长度。
实施例12-根据实施例11所述的外科缝合组件，其中，所述内排基本上平行于所述纵向轴线。
实施例13-根据实施例11或12所述的外科缝合组件，其中，所述中间远侧端部比所述中间近侧端部离所述纵向轴线远。
实施例14-根据实施例11、12或13所述的外科缝合组件，其中，所述外近侧端部比所述外远侧端部离所述纵向轴线远。
实施例15-根据实施例11、12、13或14所述的外科缝合组件，其中，所述仓体包括外面，其中，所述仓体限定所述外排与所述外面之间的最小壁厚，并且其中，所述最小壁厚为0.010英寸。
实施例16-根据实施例11、12、13、14或15所述的外科缝合组件，还包括驱动器，所述驱动器将所述紧固件可动地支撑在所述腔中，其中，所述驱动器包括三重驱动器。
实施例17-一种外科缝合组件，包括限定纵向轴线并且包括平台的仓体。腔限定在所述仓体中并且在所述平台中形成开口的图案。所述外科缝合组件还包括可移除地定位在所述腔中的紧固件。所述开口的图案包括所述仓体的第一侧上的开口。所述仓体的所述第一侧上的所述开口包括：内开口，所述内开口各自限定平行于所述纵向轴线定向的内近侧至远侧轴线；外开口，所述外开口各自限定相对于所述纵向轴线以外角度倾斜定向的外近侧至远侧轴线；以及中间开口，所述中间开口各自限定相对于所述纵向轴线以中间角度倾斜定向的中间近侧至远侧轴线。所述中间开口嵌套在所述内开口与所述外开口之间。所述中间角度不同于所述外角度。
实施例18-根据实施例17所述的外科缝合组件，其中，所述外近侧至远侧轴线朝向所述纵向轴线成角度，并且其中，所述中间近侧至远侧轴线远离所述纵向轴线成角度。
实施例19-根据实施例17或18所述的外科缝合组件，其中，所述中间角度小于所述外角度。
实施例20-根据实施例17、18或19所述的外科缝合组件，还包括砧座，所述砧座包括多排成形凹坑，其中，至少一个成形凹坑被构造成能够形成二维B形紧固件，并且其中，至少一个成形凹坑被构造成能够形成三维B形紧固件。
实施例集4
实施例1-一种外科缝合组件，包括第一钳口和第二钳口。所述第一钳口和所述第二钳口中的至少一者能够在打开构型与闭合构型之间移动。所述外科缝合组件还包括紧固件仓。所述紧固件仓包括：平台；纵向狭槽，所述纵向狭槽限定第一仓侧和第二仓侧；钉腔，所述钉腔限定在所述平台中；钉，所述钉可移除地储存在所述钉腔中；以及驱动器，所述驱动器可动地支撑所述钉。所述钉腔包括位于所述第一仓侧上的纵向定向的钉腔和倾斜定向的钉腔。所述钉包括所述纵向定向的钉腔中的纵向定向的钉和所述倾斜定向的钉腔中的倾斜定向的钉。所述驱动器包括支撑所述纵向定向的钉和所述倾斜定向的钉的第一驱动器。所述外科缝合组件还包括砧座，所述砧座包括砧座表面，所述砧座表面包括钉成形凹坑。所述外科缝合组件还包括近侧组织止挡件，所述近侧组织止挡件限定最近侧组织平面，所述最近侧组织平面在所述第一钳口和所述第二钳口处于所述闭合构型时延伸穿过所述平台和所述砧座表面。所述纵向定向的钉和所述倾斜定向的钉定位在所述最近侧组织平面近侧。
实施例2-根据实施例1所述的外科缝合组件，还包括击发构件，所述击发构件被构造成能够沿所述纵向狭槽平移并且在击发行程期间从所述紧固件仓顺序地击发所述钉。
实施例3-根据实施例1或2所述的外科缝合组件，其中，所述钉成形凹坑包括对应于所述纵向定向的钉的纵向定向的凹坑和对应于所述倾斜定向的钉的倾斜定向的凹坑。
实施例4-根据实施例3所述的外科缝合组件，其中，在所述闭合构型中，所述纵向定向的钉与所述纵向定向的凹坑对准，并且所述倾斜定向的钉与所述倾斜定向的凹坑对准。
实施例5-根据实施例3或4所述的外科缝合组件，其中，所述纵向定向的凹坑被构造成能够将所述纵向定向的钉形成为平面构型，并且其中，所述倾斜定向的凹坑被构造成能够将所述倾斜定向的钉形成为非平面构型。
实施例6-根据实施例3、4或5所述的外科缝合组件，其中，所述纵向定向的凹坑包括：第一杯，所述第一杯包括第一入口斜坡和第一出口斜坡；第二杯，所述第二杯包括第二入口斜坡和第二出口斜坡；以及纵向凹坑中心线，所述纵向凹坑中心线在所述第一入口斜坡与所述第二入口斜坡之间延伸。所述第一出口斜坡和所述第二出口斜坡沿所述纵向凹坑中心线延伸。
实施例7-根据实施例3、4、5或6所述的外科缝合组件，其中，所述倾斜定向的凹坑包括：第三杯，所述第三杯包括第三入口斜坡和第三出口斜坡；第四杯，所述第四杯包括第四入口斜坡和第四出口斜坡；以及倾斜凹坑中心线，所述倾斜凹坑中心线在所述第三入口斜坡与所述第四入口斜坡之间延伸。所述第三出口斜坡和所述第四出口斜坡从所述倾斜凹坑中心线分开。
实施例8-根据实施例1、2、3、4、5、6或7所述的外科缝合组件，其中，所述钉腔被布置成在所述紧固件仓中形成多排腔，其中，所述多排腔包括：内排，所述内排包括一系列纵向定向的钉腔，所述一系列纵向定向的钉腔包括所述纵向定向的钉腔；以及外排，所述外排包括一系列倾斜定向的钉腔，所述一系列倾斜定向的钉腔包括所述倾斜定向的钉腔。
实施例9-根据实施例1、2、3、4、5、6、7或8所述的外科缝合组件，其中，所述近侧组织止挡件包括从所述砧座朝向所述平台延伸的相对的组织止挡件。
实施例10-根据实施例9所述的外科缝合组件，其中，所述相对的组织止挡件包括直立的面向远侧的边缘，并且其中，所述直立的面向远侧的边缘限定所述最近侧组织平面。
实施例11-一种外科缝合组件，包括紧固件仓。所述紧固件仓包括：平台；纵向狭槽，所述纵向狭槽限定第一仓侧和第二仓侧；钉腔，所述钉腔限定在所述平台中；钉，所述钉可移除地储存在所述钉腔中；驱动器，所述驱动器可动地支撑所述钉。所述钉腔包括位于所述第一仓侧上的第一排中的一系列纵向定向的钉腔和位于所述第一仓侧上的第二排中的一系列倾斜定向的钉腔。所述钉包括第一纵向定向的钉和第一倾斜定向的钉。所述驱动器包括可动地支撑所述第一纵向定向的钉和所述第一倾斜定向的钉的三重驱动器。所述外科缝合组件还包括近侧组织止挡件，所述近侧组织止挡件限定延伸穿过所述平台的最近侧组织平面。所述第一纵向定向的钉和所述第一倾斜定向的钉定位在所述最近侧组织平面近侧。
实施例12-根据实施例11所述的外科缝合组件，其中，所述钉腔还包括位于所述第一仓侧上的第三排中的第二系列倾斜定向的钉腔，其中，所述第二排位于所述第一排与所述第三排中间。
实施例13-根据实施例11或12所述的外科缝合组件，其中，所述第一排包括与所述纵向狭槽相邻的内排。
实施例14-根据实施例11、12或13所述的外科缝合组件，还包括第一钳口和第二钳口，其中，所述第一钳口和所述第二钳口中的至少一者能够在打开构型与闭合构型之间移动。
实施例15-根据实施例14所述的外科缝合组件，其中，所述紧固件仓安装到所述第一钳口。
实施例16-根据实施例14或15所述的外科缝合组件，还包括安装到所述第二钳口的砧座，其中，所述砧座包括钉成形凹坑。
实施例17-根据实施例11、12、13、14、15或16所述的外科缝合组件，还包括击发构件，所述击发构件被构造成能够沿所述纵向狭槽平移并且在击发行程期间从所述紧固件仓顺序地击发所述钉。
实施例18-一种外科缝合组件，包括第一钳口和第二钳口。所述第一钳口和所述第二钳口中的至少一者能够在打开构型与闭合构型之间移动。所述外科缝合组件还包括紧固件仓。所述紧固件仓包括：平台；纵向狭槽，所述纵向狭槽限定第一仓侧和第二仓侧；第一钉腔，所述第一钉腔限定在所述平台中，位于所述第一仓侧上的第一腔排中；第二钉腔，所述第二钉腔限定在所述平台中，位于所述第一仓侧上的第二腔排中；以及钉，所述钉可移除地储存在所述第一钉腔和所述第二钉腔中。所述外科缝合组件还包括击发构件和砧座，所述击发构件被构造成能够沿所述纵向狭槽平移以击发所述钉。砧座包括：砧座表面；第一成形凹坑，所述第一成形凹坑限定在所述砧座表面中；以及第二成形凹坑，所述第二成形凹坑限定在所述砧座表面中。所述第一成形凹坑被构造成能够将可移除地储存在所述第一钉腔中的所述钉形成为平面钉构型。所述第二成形凹坑被构造成能够将可移除地储存在所述第二钉腔中的所述钉形成为非平面钉构型。所述外科缝合组件还包括近侧组织止挡件，所述近侧组织止挡件限定延伸穿过所述平台和所述砧座表面的最近侧组织平面。至少一个第一成形凹坑和至少一个第二成形凹坑位于所述最近侧组织平面近侧。
实施例19-根据实施例18所述的外科缝合组件，其中，每个第一成形凹坑包括：第一杯，所述第一杯包括第一入口斜坡和第一出口斜坡；第二杯，所述第二杯包括第二入口斜坡和第二出口斜坡；以及第一凹坑中心线，所述第一凹坑中心线在所述第一入口斜坡与所述第二入口斜坡之间延伸。所述第一出口斜坡和所述第二出口斜坡沿所述第一凹坑中心线延伸。每个第二成形凹坑包括：第三杯，所述第三杯包括第三入口斜坡和第三出口斜坡；第四杯，所述第四杯包括第四入口斜坡和第四出口斜坡；以及第二凹坑中心线，所述第二凹坑中心线在所述第三入口斜坡与所述第四入口斜坡之间延伸。所述第三出口斜坡和所述第四出口斜坡从所述第二凹坑中心线分开。
实施例20-根据实施例18或19所述的外科缝合组件，其中，所述第一凹坑中心线平行于所述纵向狭槽定向，并且其中，所述第二凹坑中心线相对于所述纵向狭槽倾斜定向。
本文所述的许多外科器械系统由电动马达促动；但是本文所述的外科器械系统可以任何合适的方式促动。在各种实例中，例如，本文所述的外科器械系统可由手动操作的触发器促动。在某些实例中，本文公开的马达可包括机器人控制系统的一部分或多个部分。此外，本文公开的任何端部执行器和/或工具组件可与机器人外科器械系统一起使用。例如，名称为“SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENTARRANGEMENTS”的美国专利申请序列号13/118,241(现为美国专利9,072,535)更详细地公开了机器人外科器械系统的若干示例并且全文以引用方式并入本文。
已结合钉的部署和变形描述了本文所述的外科器械系统；然而，本文所述的实施方案不限于此。例如，设想了部署除钉之外的紧固件诸如夹具或大头钉的各种实施方案。此外，还设想了利用用于密封组织的任何合适装置的各种实施方案。例如，根据各种实施方案的端部执行器可包括被配置为能够加热和密封组织的电极。另外，例如，根据某些实施方案的端部执行器可施加振动能量来密封组织。
在线性端部执行器和/或线性紧固件仓的上下文中描述了本文所述的各种实施方案。此类实施方案和其教导内容可应用于非线性端部执行器和/或非线性紧固件仓，诸如例如圆形和/或波状端部执行器。例如，2011年2月28日提交的名称为“SURGICAL STAPLINGINSTRUMENT”的美国专利申请序列号13/036,647(现为美国专利申请公布2011/0226837，现为美国专利8,561,870)中公开了包括非线性端部执行器的各种端部执行器，该专利据此全文以引用方式并入。另外，2012年9月29日提交的名称为“STAPLE CARTRIDGE”的美国专利申请序列号12/893,461(现为美国专利申请公布2012/0074198)据此全文以引用方式并入。2008年2月15日提交的名称为“END EFFECTORS FOR A SURGICAL CUTTING AND STAPLINGINSTRUMENT”的美国专利申请序列号12/031,873(现为美国专利7,980,443)据此全文以引用方式并入。2013年3月12日公布的名称为“SELECTIVELY ORIENTABLE IMPLANTABLEFASTENER CARTRIDGE”的美国专利8,393,514同样据此全文以引入方式并入。
下述专利的全部公开内容据此以引用方式并入本文：
-公布于1995年4月4日的名称为“ELECTROSURGICAL HEMOSTATIC DEVICE”的美国专利5,403,312；
-公布于2006年2月21日的名称为“SURGICAL STAPLING INSTRUMENT HAVINGSEPARATE DISTINCT CLOSING AND FIRING SYSTEMS”的美国专利7,000,818；
-公布于2008年9月9日的名称为“MOTOR-DRIVEN SURGICAL CUTTING ANDFASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK”的美国专利7,422,139；
-公布于2008年12月16日的名称为“ELECTRO-MECHANICAL SURGICAL INSTRUMENTWITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS”的美国专利7,464,849；
-公布于2010年3月2日的名称为“SURGICAL INSTRUMENT HAVING ANARTICULATING END EFFECTOR”的美国专利7,670,334；
-公布于2010年7月13日的名称为“SURGICAL STAPLING INSTRUMENTS”的美国专利7,753,245；
-公布于2013年3月12日的名称为“SELECTIVELY ORIENTABLE IMPLANTABLEFASTENER CARTRIDGE”的美国专利8,393,514；
-名称为“SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES”的美国专利申请序列号11/343,803，现为美国专利7,845,537；
-提交于2008年2月14日的名称为“SURGICAL CUTTING AND FASTENINGINSTRUMENT HAVING RF ELECTRODES”的美国专利申请序列号12/031,573；
-提交于2008年2月15日的名称为“END EFFECTORS FOR A SURGICAL CUTTING ANDSTAPLING INSTRUMENT”的美国专利申请序列号12/031,873，现为美国专利7,980,443；
-名称为“MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT”的美国专利申请序列号12/235,782，现为美国专利8,210,411；
-名称为“MOTORIZED SURGICAL INSTRUMENT”的美国专利申请序列号12/235,972，现为美国专利9,050,083。
-名称为“POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLYRETRACTABLE FIRING SYSTEM”的美国专利申请序列号12/249,117，现为美国专利8,608,045；
-提交于2009年12月24日的名称为“MOTOR-DRIVEN SURGICAL CUTTINGINSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY”的美国专利申请序列号12/647,100，现为美国专利8,220,688；
-提交于2012年9月29日的名称为“STAPLE CARTRIDGE”的美国专利申请序列号12/893,461，现为美国专利8,733,613；
-提交于2011年2月28日的名称为“SURGICAL STAPLING INSTRUMENT”的美国专利申请序列号13/036,647，现为美国专利8,561,870；
-名称为“SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLEDEPLOYMENT ARRANGEMENTS”的美国专利申请序列号13/118,241，现为美国专利9,072,535；
-提交于2012年6月15日的名称为“ARTICULATABLE SURGICAL INSTRUMENTCOMPRISING A FIRING DRIVE”的美国专利申请序列号13/524,049，现为美国专利9,101,358；
-提交于2013年3月13日的名称为“STAPLE CARTRIDGE TISSUE THICKNESS SENSORSYSTEM”的美国专利申请序列号13/800,025，现为美国专利9,345,481；
提交于2013年3月13日的名称为“STAPLE CARTRIDGE TISSUE THICKNESS SENSORSYSTEM”的美国专利申请序列号13/800,067，现为美国专利申请公布2014/0263552；
-提交于2006年1月31日的名称为“SURGICAL CUTTING AND FASTENINGINSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM”的美国专利申请公布2007/0175955；和
-提交于2010年4月22日的名称为“SURGICAL STAPLING INSTRUMENT WITH ANARTICULATABLE END EFFECTOR”的美国专利申请公布2010/0264194，现为美国专利8,308,040。
虽然本文已结合某些实施方案描述了各种装置，但也可实施对这些实施方案的许多修改和变型。在一个或多个实施方案中，具体特征、结构或特性可以任何合适的方式进行组合。因此，在无限制的情况下，结合一个实施方案示出或描述的具体特征、结构或特性可全部或部分地与一个或多个其他实施方案的特征、结构或特性组合。另外，在公开了用于某些部件的材料的情况下，也可使用其他材料。此外，根据多种实施方案，单个部件可被替换为多个部件，并且多个部件也可被替换为单个部件，以执行给定的一种或多种功能。上述具体实施方式和下述权利要求旨在涵盖所有此类修改和变型。
本文所公开的装置可被设计成在单次使用之后废弃，或者其可被设计成多次使用。然而无论是哪种情况，该装置都可在至少使用一次后经过修整再行使用。修整可包括以下步骤的任意组合，这些步骤包括但不限于拆卸装置、之后进行装置具体部件的清洁或更换、以及随后重新组装装置。具体地，修整设施和/或外科团队可拆卸装置，并且在清洁和/或更换装置的特定部件之后，可重新组装装置以供后续使用。本领域的技术人员将理解，对装置进行修整可利用各种技术来进行拆卸、清洁/替换和重新组装。此类技术的使用以及所得的修复装置均在本申请的范围内。
本文所公开的装置可在手术之前进行处理。首先，可获得新的或用过的器械，并且根据需要进行清洁。然后，可对器械进行消毒。在一种消毒技术中，将该器械放置在密闭且密封的容器(诸如，塑料或TYVEK袋)中。然后可将容器和器械置于可穿透容器的辐射场，诸如γ辐射、X射线和/或高能电子。辐射可杀死器械上和容器中的细菌。经消毒的器械随后可被存储在无菌容器中。密封容器可将器械保持为无菌的，直至在医疗设施中将该容器打开。还可使用本领域已知的任何其他技术对装置进行消毒，所述技术包括但不限于β辐射、γ辐射、环氧乙烷、等离子过氧化物和/或蒸汽。
尽管本发明已被描述为具有示例性设计，但可在本公开的实质和范围内进一步修改本发明。因此，本申请旨在涵盖使用本发明的一般原理的本发明的任何变型、用途或改型。
Claims (20)
1.一种外科缝合组件，包括：
仓体，所述仓体限定纵向轴线，其中，腔限定在所述仓体中；
紧固件，所述紧固件可动地支撑在所述腔中，其中，所述紧固件成排地布置在所述仓体的第一侧上，所述紧固件包括内排、外排以及定位在所述内排和所述外排中间的中间排，并且其中，所述紧固件包括：
位于所述内排中的内紧固件，所述内紧固件包括内侧边缘；
位于所述外排中的外紧固件，所述外紧固件包括外侧腿；以及
位于所述中间排中的中间紧固件，其中，所述内紧固件、所述外紧固件和所述中间紧固件中的至少一者平行于所述纵向轴线，并且其中，所述内紧固件、所述外紧固件和所述中间紧固件中的至少一者相对于所述纵向轴线倾斜定向；以及
三重驱动器，所述三重驱动器可动地定位在所述腔中，其中，所述三重驱动器包括支撑所述内紧固件、所述外紧固件和所述中间紧固件的第一三重驱动器，并且其中，所述第一三重驱动器包括：
外斜坡，所述外斜坡定位在所述外紧固件的所述外侧腿与所述内紧固件的所述内侧边缘之间；以及
内斜坡，所述内斜坡从所述内紧固件的所述内侧边缘侧向向内定位。
2.根据权利要求1所述的外科缝合组件，还包括被构造成能够沿所述纵向轴线平移的滑动件，其中，所述滑动件包括被构造成能够同时分别驱动所述第一三重驱动器的所述内斜坡和所述外斜坡的内导轨和外导轨。
3.根据权利要求2所述的外科缝合组件，其中，所述滑动件包括金属滑动件。
4.根据权利要求2或权利要求3所述的外科缝合组件，其中，所述外紧固件包括外侧腿和内侧腿，并且其中，所述外导轨被构造成能够沿定位在所述外侧腿与所述内侧腿之间的第一纵向轴线移动。
5.根据权利要求2至4中任一项所述的外科缝合组件，其中，所述内导轨被构造成能够沿从所述内紧固件侧向向内定位的第二纵向轴线移动。
6.根据任一前述权利要求所述的外科缝合组件，其中，所述第一三重驱动器包括质心，并且其中，所述内斜坡包括位于所述质心近侧的前远侧斜坡端部。
7.根据任一前述权利要求所述的外科缝合组件，其中，所述中间紧固件相对于所述纵向轴线以中间角度定向，并且其中，所述外紧固件相对于所述纵向轴线以外角度定向，其中，所述中间角度小于所述外角度。
8.根据任一前述权利要求所述的外科缝合组件，其中，所述中间紧固件限定远离所述纵向轴线成角度的近侧至远侧轴线，并且其中，所述外紧固件限定朝向所述纵向轴线成角度的近侧至远侧轴线。
9.根据任一前述权利要求所述的外科缝合组件，其中，所述仓体包括外面，其中，所述仓体限定所述腔与所述外面之间的最小壁厚，并且其中，所述最小壁厚为0.010英寸。
10.一种外科缝合组件，包括：
仓体，所述仓体限定纵向轴线并且包括平台，其中，腔限定在所述仓体中并且在所述平台中形成开口；以及
紧固件，所述紧固件可移除地定位在所述腔中；
其中，所述腔包括：
位于所述仓体的第一侧上的内排中的内腔，其中，所述内腔相对于所述纵向轴线以内角度定向，并且其中，所述内腔限定内侧内排边界；
位于所述仓体的所述第一侧上的外排中的外腔，其中，所述外腔相对于所述纵向轴线以外角度定向，并且其中，所述外腔限定外侧外排边界；以及
位于定位在所述仓体的所述第一侧上的所述内排和所述外排中间的中间排中的中间腔，其中，所述中间腔相对于所述纵向轴线以中间角度定向，并且其中，所述中间角度大于所述内角度并且小于所述外角度；并且
其中，所述外科缝合组件还包括被构造成能够沿所述纵向轴线平移的金属滑动件，并且其中，所述金属滑动件包括：
内导轨，所述内导轨被构造成能够沿从所述内侧内排边界侧向向内的内纵向轴线移动；以及
外导轨，所述外导轨被构造成能够沿所述外侧外排边界与所述内侧内排边界中间的外纵向轴线移动。
11.根据权利要求10所述的外科缝合组件，其中，所述外科缝合组件还包括驱动器，所述驱动器将所述紧固件可动地支撑在所述腔中，其中，所述驱动器包括内斜坡和外斜坡，其中，所述内导轨被构造成能够驱动所述内斜坡，并且其中，所述外导轨被构造成能够驱动所述外斜坡。
12.根据权利要求11所述的外科缝合组件，其中，所述驱动器包括三重驱动器。
13.根据权利要求10至12中任一项所述的外科缝合组件，其中，所述外腔还限定内侧外排边界，并且其中，所述外纵向轴线定位在所述外侧外排边界与所述内侧外排边界中间。
14.根据权利要求10至13中任一项所述的外科缝合组件，其中，所述内角度相对于所述纵向轴线基本上为零度。
15.一种外科缝合组件，包括：
仓体，所述仓体限定纵向轴线并且包括平台，其中，腔限定在所述仓体中并且在所述平台中形成开口的图案；
金属滑动件，所述金属滑动件包括：
位于所述仓体的第一侧上的内导轨；以及
位于所述仓体的所述第一侧上的外导轨；
紧固件，所述紧固件可移除地定位在所述腔中；以及
三重驱动器，所述三重驱动器可动地支撑所述紧固件；
其中，所述开口的图案包括所述仓体的所述第一侧上的开口，并且其中，所述仓体的所述第一侧上的所述开口包括：
第一开口，所述第一开口各自限定平行于所述纵向轴线定向的第一近侧至远侧轴线；以及
第二开口，所述第二开口各自限定相对于所述纵向轴线倾斜定向的第二近侧至远侧轴线；
其中，所述内导轨被构造成能够沿从所述仓体的所述第一侧上的所述开口侧向偏移的内轴线移动，并且其中，所述外导轨被构造成能够沿与所述仓体的所述第一侧上的所述开口侧向对准的外轴线移动。
16.根据权利要求15所述的外科缝合组件，其中，所述仓体还包括刀狭槽，并且其中，所述第一开口定位在与所述刀狭槽相邻的第一排开口中，并且其中，所述第二开口布置在第二排开口中。
17.根据权利要求16所述的外科缝合组件，还包括第三开口，所述第三开口各自限定相对于所述纵向轴线倾斜定向的第三近侧至远侧轴线，其中，所述第三开口定位在第三排开口中，其中，所述第三排开口位于所述第一排开口与所述第二排开口之间，并且其中，所述第三开口嵌套在所述第一开口与所述第二开口之间。
18.根据权利要求17所述的外科缝合组件，其中，所述第二近侧至远侧轴线相对于所述纵向轴线以第二角度定向，并且其中，所述第三近侧至远侧轴线相对于所述纵向轴线以第三角度定向，其中，所述第二角度大于所述第三角度。
19.根据权利要求16至18中任一项所述的外科缝合组件，其中，所述内轴线位于所述第一近侧至远侧轴线的侧向内侧并且位于所述刀狭槽的侧向外侧。
20.根据权利要求15至19中任一项所述的外科缝合组件，其中，所述外轴线横切所述第二开口的所述第二近侧至远侧轴线。
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US17/503,834 | 2021-10-18 | ||
| US17/503,834 US11957337B2 (en) | 2021-10-18 | 2021-10-18 | Surgical stapling assembly with offset ramped drive surfaces |
| PCT/IB2022/059920 WO2023067463A1 (en) | 2021-10-18 | 2022-10-17 | Surgical stapling assembly with offset ramped drive surfaces |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN118102986A true CN118102986A (zh) | 2024-05-28 |
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| CN202280070081.5A Pending CN118102986A (zh) | 2021-10-18 | 2022-10-17 | 具有偏移斜坡驱动表面的外科缝合组件 |
Country Status (4)
| Country | Link |
|---|---|
| US (1) | US11957337B2 (zh) |
| EP (1) | EP4255319A1 (zh) |
| CN (1) | CN118102986A (zh) |
| WO (1) | WO2023067463A1 (zh) |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| JP7010956B2 (ja) * | 2016-12-21 | 2022-01-26 | エシコン エルエルシー | 組織をステープル留めする方法 |
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2022
- 2022-10-17 CN CN202280070081.5A patent/CN118102986A/zh active Pending
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