RU2727248C2 - Cassettes with surgical staples with ejectors arrangement to form staple herringbone patterns - Google Patents

Abstract

FIELD: medical equipment.SUBSTANCE: group of inventions relates to surgical stapling and cutting tools and cassettes with staples to be used therewith. Matrix of surgical staple ejectors for functional use in cassette with surgical staples comprises first staple extractors and at least one second staple extractor. First staple ejectors are configured to be capable of sliding in the cartridge with surgical staples. Each first staple extractor supports at least two first surgical staples. Each of the first surgical staples contains the first crown. First crowns are parallel to each other. Each of the first staple extractors comprises a first cam slope and a second cam slope located at a distance from the first cam slope. At least one second staple extractor is configured to be slidable in the cartridge with surgical staples. Each second staple extractor supports a single second surgical cramp. Second surgical staple has a second crown extending in a second direction transverse to the first crown of each of the first surgical staples, supported on at least one first staple extractor. First and second staple extractors are aligned along one line in the cassette with surgical staples such that each second staple ejector is located between the first two staple extractors from the first staple extractors. Each of second staple extractors comprises primary cam slope and secondary cam slope spaced apart from primary cam slope. Cartridge with surgical staples comprises a cartridge body and aforesaid matrix of surgical staple ejectors. Cartridge body comprises a proximal end and a distal end. Surgical stapling instrument comprises a sled, a cassette with surgical staples and the above matrix of surgical staple ejectors. Slides are made with possibility of movement along axis. Sleds comprise first and second cam elements.EFFECT: use of inventions makes it possible to improve quality of staple line.14 cl, 75 dwg

Description

BACKGROUND OF THE INVENTION

The present invention relates to surgical instruments, and in various embodiments, to surgical stapling and cutting instruments and staple cassettes for use therewith.

The stapling instrument may include two interacting elongated jaws, each of which may be inserted into the patient's body and positioned relative to the tissue to be stitched and / or cut. In various embodiments, one jaw can support a staple cartridge with at least two rows of staples contained therein, and the other jaw can support an abutment with staple-forming recesses aligned with the rows of staples in the staple cartridge. The substantially stapling tool may further include a push rod and scalpel blade that are slidable relative to the jaws for sequentially pushing the staples out of the staple cassette via cam surfaces on the push rod and / or cam surfaces on a wedge-shaped slide that are pushed by the rod - a pusher. In at least one embodiment, the cam surfaces may be configured to activate a plurality of staple ejectors located in the cassette and associated with the staples to push the staples against the stop and form laterally disposed rows of deformed staples in the tissue sandwiched between the jaws. In at least one embodiment, the scalpel blade may follow the cam surfaces and cut tissue along a line between the rows of staples.

The foregoing description is only intended to illustrate various aspects of the relevant technology in the field of current application of the invention and should not be construed as limiting the scope of the claims.

BRIEF DESCRIPTION OF THE FIGURES

The various elements of the embodiments described herein, along with their advantages, can be understood upon reading the description below in conjunction with the accompanying drawings, with:

in FIG. 1 is a perspective view of an embodiment of a surgical instrument and elongate stem assembly;

in FIG. 2 is an exploded assembled view of the components of the handle or body portion of the surgical instrument shown in FIG. 1;

in FIG. 3 is an exploded view of a portion of the elongate bore assembly;

in FIG. 4 is another exploded view of another portion of the elongate barrel assembly shown in FIG. 3;

in FIG. 5 is a perspective view of a portion of an embodiment of a surgical end effector;

in FIG. 6 is an exploded view of the components of the surgical end effector shown in FIG. five;

in FIG. 7 is a top view of an embodiment of a surgical staple cartridge;

in FIG. 8 is a bottom view of an embodiment of the surgical staple cassette shown in FIG. 7;

in FIG. 9 is a drawing of staples positioned by the staple cassette shown in FIG. 7 and 8;

in FIG. 10 shows the staple pattern shown in FIG. 9, in a stretched state;

in FIG. 11 shows a previous drawing of staples implanted in tissue;

in FIG. 12 is a perspective view of an embodiment of a staple ejector;

in FIG. 13 is a top view of the embodiment of the staple ejector shown in FIG. 12;

in FIG. 14 is a bottom perspective view of the staple ejector shown in FIG. 12 and 13;

in FIG. 15 is a bottom perspective view of a portion of an embodiment of a surgical staple cartridge;

in FIG. 16 is a top plan view of respective ejector arrays used in the surgical staple cassette shown in FIG. 15;

in FIG. 17 is another top view of one of the ejector arrays shown in FIG. 16 supported in respective portions of the staple cassette embodiment;

in FIG. 18 is a top plan view of portions of the ejector arrays shown in FIG. 16 and 17 in conjunction with a slide or cam actuator of a surgical instrument;

in FIG. 19 is a front elevational view of the ejector array and sled / cam actuator shown in FIG. 18;

in FIG. 20 is a top view of corresponding portions of other embodiments of ejector arrays;

in FIG. 21 is another top view of one of the ejector arrays shown in FIG. 20;

in FIG. 22 is a top view of the distal ejector of the ejector array shown in FIG. 20;

in FIG. 23 is a perspective view of the distal ejector shown in FIG. 22 supporting the bracket;

in FIG. 24 is a bottom perspective view of the distal ejector shown in FIG. 22 and 23;

in FIG. 25 is a top view of the proximal ejector of the ejector array shown in FIG. 20;

in FIG. 26 is a perspective view of the proximal ejector shown in FIG. 25 supporting the bracket;

in FIG. 27 is a bottom perspective view of the proximal ejector shown in FIG. 25 and 26;

in FIG. 28 is a top plan view of corresponding portions of other embodiments of ejector arrays;

in FIG. 29 is a top view of one of the ejector arrays shown in FIG. 28;

in FIG. 30 is a top view of one of the ejectors of one of the ejector arrays shown in FIG. 29;

in FIG. 31 is a perspective view of the ejector shown in FIG. 30 supporting four braces;

in FIG. 32 is a bottom perspective view of the ejector shown in FIG. 30 and 31;

in FIG. 33 is a top plan view of corresponding portions of other embodiments of ejector arrays;

in FIG. 34 is a top view of one of the ejector arrays shown in FIG. 33;

in FIG. 35 is a top view of the proximal ejector of the ejector array shown in FIG. 34;

in FIG. 36 is a perspective view of the ejector shown in FIG. 35 supporting three braces;

in FIG. 37 is a bottom perspective view of the ejector shown in FIG. 35 and 36;

in FIG. 38 is a top view of the distal ejector of the ejector array shown in FIG. 34;

in FIG. 39 is a perspective view of the ejector shown in FIG. 38 supporting two braces;

in FIG. 40 is a bottom perspective view of the ejector shown in FIG. 38 and 39;

in FIG. 41 is a top view of corresponding portions of other embodiments of ejector arrays;

in FIG. 42 is a top view of one of the ejector arrays shown in FIG. 41;

in FIG. 43 is a top view of the distal ejector of the ejector array shown in FIG. 42;

in FIG. 44 is a perspective view of the ejector shown in FIG. 43, supporting three braces;

in FIG. 45 is a bottom perspective view of the ejector shown in FIG. 43 and 44;

in FIG. 46 is a top view of a proximal staple ejector of the ejector array shown in FIG. 42;

in FIG. 47 is a perspective view of the ejector shown in FIG. 46 supporting two staples;

in FIG. 48 is a bottom perspective view of the ejector shown in FIG. 46 and 47;

in FIG. 49 is a top plan view of corresponding portions of other embodiments of ejector arrays;

in FIG. 50 is a top view of one of the ejector arrays shown in FIG. 49;

in FIG. 50A is an enlarged view of a portion of the ejector array shown in FIG. 50;

in FIG. 50B is an enlarged view of another portion of the ejector array shown in FIG. 50;

in FIG. 51 is a top view of one of the ejectors of the ejector array shown in FIG. 50;

in FIG. 52 is a perspective view of the ejector shown in FIG. 51 supporting only five staples;

in FIG. 53 is a bottom perspective view of the ejector shown in FIG. 51 and 52;

in FIG. 54 is a top view of another ejector of the ejector array shown in FIG. 50;

in FIG. 55 is a perspective view of the ejector shown in FIG. 54 supporting four staples;

in FIG. 56 is a bottom perspective view of the ejector shown in FIG. 55;

in FIG. 57 is a top view of corresponding portions of other embodiments of ejector arrays;

in FIG. 58 is a top view of one of the ejector arrays shown in FIG. 57;

in FIG. 59 is a top view of the distal ejector of the ejector array shown in FIG. 58;

in FIG. 60 is a perspective view of the distal ejector shown in FIG. 59 supporting two braces;

in FIG. 61 is a bottom perspective view of the ejector shown in FIG. 59 and 60;

in FIG. 62 is a top plan view of corresponding portions of other embodiments of ejector arrays;

in FIG. 63 is a top view of one of the ejector arrays shown in FIG. 62 in conjunction with a portion of the surgical staple cassette;

in FIG. 64 is a top view of one of the ejector array ejectors shown in FIG. 62 and 63;

in FIG. 65 is a perspective view of the ejector shown in FIG. 64 supporting one bracket;

in FIG. 66 is a bottom perspective view of the ejector shown in FIG. 64 and 65;

in FIG. 67 is a top plan view of corresponding portions of other embodiments of ejector arrays;

in FIG. 68 is an enlarged top view of one of the ejector arrays shown in FIG. 67;

in FIG. 69 is a top view of the first, second and third embodiments of the staple ejector arrays shown in FIG. 67 and 68;

in FIG. 70 is a perspective view of one of the staple ejectors shown in FIG. 69;

in FIG. 71 is a bottom perspective view of the ejector shown in FIG. 70;

in FIG. 72 is a perspective view of a surgical staple cartridge using the staple ejector arrays shown in FIG. 67 and 68;

in FIG. 73 is a partial bottom perspective view of the surgical staple cartridge shown in FIG. 72;

in FIG. 74 is a perspective view of a portion of another embodiment of a surgical staple cartridge; and

in FIG. 75 is a view of three formed surgical staples that were formed using the surgical staple cassette shown in FIG. 74.

Corresponding elements in different views are denoted by corresponding symbols. The illustrative examples provided herein demonstrate various embodiments of the invention in one form. These illustrative examples should not be construed as limiting the scope of the invention in any way.

DETAILED DESCRIPTION

The applicant of this application owns the following patent applications filed on the same day, each of which is incorporated herein by reference in its entirety:

US Patent Application No. 14 / 843,168 entitled SURGICAL STAPLE CARTRIDGE WITH IMPROVED STAPLE DRIVER CONFIGURATIONS, Patent Attorney Dossier No. END7690USNP / 150113;

- US Patent Application No. 14 / 843,196 entitled SURGICAL STAPLE DRIVER ARRAYS, Patent Attorney File No. END7691USNP / 150114;

- US patent application No. 14 / 843,216 entitled SURGICAL STAPLE CARTRIDGE STAPLE DRIVERS WITH CENTRAL SUPPORT FEATURES, patent attorney dossier No. END7692USNP / 150115; and

- U.S. Patent Application No. 14 / 843,243 entitled SURGICAL STAPLE CONFIGURATIONS WITH CAMMING SURFACES LOCATED BETWEEN PORTIONS SUPPORTING SURGICAL STAPLES, Patent Attorney File No. END7693USNP / 150116.

The applicant of this application owns the following patent applications filed March 6, 2015, each of which is incorporated herein by reference in its entirety:

- US patent application No. 14 / 640,746 entitled POWERED SURGICAL INSTRUMENT;

- US patent application No. 14 / 640,795 entitled MULTIPLE LEVEL THRESHOLDS TO MODIFY OPERATION OF POWERED SURGICAL INSTRUMENTS;

- US patent application No. 14 / 640,832 entitled ADAPTIVE TISSUE COMPRESSION TECHNIQUES TO ADJUST CLOSURE RATES FOR MULTIPLE TISSUE TYPES; dossier of patent attorney No. END7557USNP / 140482;

- US patent application No. 14 / 640,935 entitled OVERLAID MULTI SENSOR RADIO FREQUENCY (RF) ELECTRODE SYSTEM TO MEASURE TISSUE COMPRESSION;

- US patent application No. 14 / 640,831 entitled MONITORING SPEED CONTROL AND PRECISION INCREMENTING OF MOTOR FOR POWERED SURGICAL INSTRUMENTS;

- US patent application No. 14 / 640,859 entitled TIME DEPENDENT EVALUATION OF SENSOR DATA TO DETERMINE STABILITY, CREEP, AND VISCOELASTIC ELEMENTS OF MEASURES;

- US patent application No. 14 / 640,817 entitled INTERACTIVE FEEDBACK SYSTEM FOR POWERED SURGICAL INSTRUMENTS;

- US patent application No. 14 / 640,844 entitled CONTROL TECHNIQUES AND SUB-PROCESSOR CONTAINED WITHIN MODULAR SHAFT WITH SELECT CONTROL PROCESSING FROM HANDLE;

- US patent application No. 14 / 640,837 entitled SMART SENSORS WITH LOCAL SIGNAL PROCESSING;

- US patent application No. 14 / 640,765 entitled SYSTEM FOR DETECTING THE MIS-INSERTION OF A STAPLE CARTRIDGE INTO A SURGICAL STAPLER;

- US patent application No. 14 / 640,799 entitled SIGNAL AND POWER COMMUNICATION SYSTEM POSITIONED ON A ROTATABLE SHAFT; and

- US patent application No. 14 / 640,780 entitled SURGICAL INSTRUMENT COMPRISING A LOCKABLE BATTERY HOUSING.

The applicant of this application owns the following patent applications filed February 27, 2015, each of which is incorporated herein by reference in its entirety:

- US patent application No. 14 / 633,576 entitled SURGICAL INSTRUMENT SYSTEM COMPRISING AN INSPECTION STATION;

- US patent application No. 14 / 633,546 entitled SURGICAL APPARATUS CONFIGURED TO ASSESS WHETHER A PERFORMANCE PARAMETER OF THE SURGICAL APPARATUS IS WITHIN AN ACCEPTABLE PERFORMANCE BAND;

- US patent application No. 14 / 633,576 entitled SURGICAL CHARGING SYSTEM THAT CHARGES AND / OR CONDITIONS ONE OR MORE BATTERIES;

- US patent application No. 14 / 633,566 entitled CHARGING SYSTEM THAT ENABLES EMERGENCY RESOLUTIONS FOR CHARGING A BATTERY;

- US patent application No. 14 / 633,555 entitled SYSTEM FOR MONITORING WHETHER A SURGICAL INSTRUMENT NEEDS TO BE SERVICED;

- US patent application No. 14 / 633,542 entitled REINFORCED BATTERY FOR A SURGICAL INSTRUMENT;

- US patent application No. 14 / 633,548 entitled POWER ADAPTER FOR A SURGICAL INSTRUMENT;

- US patent application No. 14 / 633,526 entitled ADAPTABLE SURGICAL INSTRUMENT HANDLE;

- US patent application No. 14 / 633,541 entitled MODULAR STAPLING ASSEMBLY; and

- US patent application No. 14 / 633,562 entitled SURGICAL APPARATUS CONFIGURED TO TRACK AN END-OF-LIFE PARAMETER.

The applicant of this application owns the following patent applications filed December 18, 2014, each of which is incorporated herein by reference in its entirety:

- US patent application No. 14 / 574,478 entitled SURGICAL INSTRUMENT SYSTEMS COMPRISING AN ARTICULATABLE END EFFECTOR AND MEANS FOR ADJUSTING THE FIRING STROKE OF A FIRING;

- US patent application No. 14 / 574,483 entitled SURGICAL INSTRUMENT ASSEMBLY COMPRISING LOCKABLE SYSTEMS;

- US patent application No. 14 / 575,139 entitled DRIVE ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS;

- US patent application No. 14 / 575.148 entitled LOCKING ARRANGEMENTS FOR DETACHABLE SHAFT ASSEMBLIES WITH ARTICULATABLE SURGICAL END EFFECTORS;

- US patent application No. 14 / 575,130 entitled SURGICAL INSTRUMENT WITH AN ANVIL THAT IS SELECTIVELY MOVABLE ABOUT A DISCRETE NON-MOVABLE AXIS RELATIVE TO A STAPLE CARTRIDGE;

- US patent application No. 14 / 575,143 entitled SURGICAL INSTRUMENTS WITH IMPROVED CLOSURE ARRANGEMENTS;

- US patent application No. 14 / 575,117 entitled SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS;

- US patent application No. 14 / 575,154 entitled SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND IMPROVED FIRING BEAM SUPPORT ARRANGEMENTS;

- US patent application No. 14 / 574,493 entitled SURGICAL INSTRUMENT ASSEMBLY COMPRISING A FLEXIBLE ARTICULATION SYSTEM; and

- US patent application No. 14 / 574,500 entitled SURGICAL INSTRUMENT ASSEMBLY COMPRISING A LOCKABLE ARTICULATION SYSTEM.

The applicant of this application owns the following patent applications filed on March 1, 2013, each of which is incorporated herein by reference in its entirety:

- US Patent Application No. 13 / 782,295 entitled Articulatable Surgical Instruments With Conductive Pathways For Signal Communication, now US Patent Application Publication No. 2014/0246471;

- US patent application No. 13 / 782,323 entitled Rotary Powered Articulation Joints For Surgical Instruments, now US patent application publication No. 2014/0246472;

- US patent application No. 13 / 782,338 entitled Thumbwheel Switch Arrangements For Surgical Instruments, now US patent application publication No. 2014/0249557;

- US patent application No. 13 / 782,499 entitled Electromechanical Surgical Device with Signal Relay Arrangement, currently US patent application publication No. 2014/0246474;

- US Patent Application No. 13 / 782,460 entitled Multiple Processor Motor Control for Modular Surgical Instruments, currently US Patent Application Publication No. 2014/0246478;

- US patent application No. 13 / 782,358 entitled Joystick Switch Assemblies For Surgical Instruments, now US Patent Publication No. 2014/0246477;

- US Patent Application No. 13 / 782,481 entitled Sensor Straightened End Effector During Removal Through Trocar, now US Patent Application Publication No. 2014/0246479;

- U.S. Patent Application No. 13 / 782,518 entitled Control Methods for Surgical Instruments with Removable Implement Portions, currently U.S. Patent Application Publication No. 2014/0246475;

- US patent application No. 13 / 782,375 entitled Rotary Powered Surgical Instruments With Multiple Degrees of Freedom, currently US patent application publication No. 2014/0246473; and

- US Patent Application No. 13 / 782,536 entitled Surgical Instrument Soft Stop, currently US Patent Application Publication No. 2014/0246476.

The applicant of this application also owns the following patent applications filed March 14, 2013, each of which is incorporated herein by reference in its entirety:

- US Patent Application No. 13 / 803,097 entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE, currently US Patent Application Publication No. 2014/0263542;

- US Patent Application No. 13 / 803,193 entitled CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICAL INSTRUMENT, currently US Patent Application Publication No. 2014/0263537;

- US Patent Application No. 13 / 803,053 entitled INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICAL INSTRUMENT, currently US Patent Application Publication No. 2014/0263564;

- US Patent Application No. 13 / 803,086 entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK, currently US Patent Application Publication No. 2014/0263541;

US Patent Application No. 13 / 803,210 entitled SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FOR SURGICAL INSTRUMENTS, currently US Patent Application Publication No. 2014/0263538;

US Patent Application No. 13 / 803,148 entitled MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT, currently US Patent Application Publication No. 2014/0263554;

- US Patent Application No. 13 / 803,066 entitled DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS, currently US Patent Application Publication No. 2014/0263565;

- US patent application No. 13 / 803,117, entitled ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICAL INSTRUMENTS, currently US patent application publication No. 2014/0263553;

- US Patent Application No. 13 / 803,130 entitled DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS, currently US Patent Application Publication No. 2014/0263543; and

- US Patent Application No. 13 / 803,159 entitled METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT, currently US Patent Application Publication No. 2014/0277017.

The applicant of this application belongs to the following patent application filed on March 7, 2014, which is fully incorporated into this document by reference:

- US Patent Application No. 14 / 200,111 entitled CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS, currently US Patent Application Publication No. 2014/0263539.

The applicant of this application also owns the following patent applications filed March 26, 2014, each of which is incorporated herein by reference in its entirety:

- US patent application No. 14 / 226,106 entitled POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS;

- US patent application No. 14 / 226,099 entitled STERILIZATION VERIFICATION CIRCUIT;

- US patent application No. 14 / 226,094 entitled VERIFICATION OF NUMBER OF BATTERY EXCHANGES / PROCEDURE COUNT;

- US patent application No. 14 / 226,117 entitled POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUIT AND WAKE UP CONTROL;

- US patent application No. 14 / 226,075 entitled MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFT ASSEMBLIES;

- US patent application No. 14 / 226,093 entitled FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS;

- US patent application No. 14 / 226,116 entitled SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION;

- US patent application No. 14 / 226,071 entitled SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY PROCESSOR;

- US patent application No. 14 / 226,097 entitled SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS;

- US patent application No. 14 / 226,126 entitled INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS;

- US patent application No. 14 / 226,133 entitled MODULAR SURGICAL INSTRUMENT SYSTEM;

- US patent application No. 14 / 226,081 entitled SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT;

- US patent application No. 14 / 226,076 entitled POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE PROTECTION;

- US patent application No. 14 / 226,111 entitled SURGICAL STAPLING INSTRUMENT SYSTEM; and

- US patent application No. 14 / 226,125 entitled SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT.

The applicant of this application also owns the following patent applications filed September 5, 2014, each of which is incorporated herein by reference in its entirety:

- US patent application No. 14 / 479,103 entitled CIRCUITRY AND SENSORS FOR POWERED MEDICAL DEVICE;

- US patent application No. 14 / 479,119 entitled ADJUNCT WITH INTEGRATED SENSORS TO QUANTIFY TISSUE COMPRESSION;

- US patent application No. 14 / 478,908 entitled MONITORING DEVICE DEGRADATION BASED ON COMPONENT EVALUATION;

- US patent application No. 14 / 478,895 entitled MULTIPLE SENSORS WITH ONE SENSOR AFFECTING A SECOND SENSOR'S OUTPUT OR INTERPRETATION;

- US patent application No. 14 / 479,110 entitled USE OF POLARITY OF HALL MAGNET DETECTION TO DETECT MISLOADED CARTRIDGE;

- US patent application No. 14 / 479,098 entitled SMART CARTRIDGE WAKE UP OPERATION AND DATA RETENTION;

- US patent application No. 14 / 479,115 entitled MULTIPLE MOTOR CONTROL FOR POWERED MEDICAL DEVICE; and

- US patent application No. 14 / 479,108 entitled LOCAL DISPLAY OF TISSUE PARAMETER STABILIZATION.

The applicant of this application also owns the following patent applications filed on April 9, 2014, each of which is incorporated herein by reference in its entirety:

US Patent Application No. 14 / 248,590 entitled MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVE SHAFTS, currently US Patent Application Publication No. 2014/0305987;

US Patent Application No. 14 / 248,581 entitled SURGICAL INSTRUMENT COMPRISING A CLOSING DRIVE AND A FIRING DRIVE OPERATED FROM THE SAME ROTATABLE OUTPUT, currently US Patent Application Publication No. 2014/0305989;

- US Patent Application No. 14 / 248,595 entitled SURGICAL INSTRUMENT SHAFT INCLUDING SWITCHES FOR CONTROLLING THE OPERATION OF THE SURGICAL INSTRUMENT, currently US Patent Application Publication No. 2014/0305988;

US Patent Application No. 14 / 248,588 entitled POWERED LINEAR SURGICAL STAPLER, currently US Patent Application Publication No. 2014/0309666;

- US patent application No. 14 / 248,591, entitled TRANSMISSION ARRANGEMENT FOR A SURGICAL INSTRUMENT, currently US patent application publication No. 2014/0305991;

- US patent application 14 / 248,584 entitled MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH ALIGNMENT FEATURES FOR ALIGNING ROTARY DRIVE SHAFTS WITH SURGICAL END EFFECTOR SHAFTS, currently US patent application publication no. 2014/0305994;

- US patent application No. 14 / 248,587, entitled POWERED SURGICAL STAPLER, currently US patent application publication No. 2014/0309665;

- US Patent Application No. 14 / 248,586 entitled DRIVE SYSTEM DECOUPLING ARRANGEMENT FOR A SURGICAL INSTRUMENT, currently US Patent Application Publication No. 2014/0305990; and

US Patent Application No. 14 / 248,607 entitled MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH STATUS INDICATION ARRANGEMENTS, currently US Patent Application Publication No. 2014/0305992.

The applicant of this application also owns the following patent applications filed April 16, 2013, each of which is incorporated herein by reference in its entirety:

- US Provisional Patent Application No. 61 / 812,365 entitled SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A SINGLE MOTOR;

- US Provisional Patent Application No. 61 / 812,376 entitled LINEAR CUTTER WITH POWER;

- US Provisional Patent Application No. 61 / 812,382 entitled LINEAR CUTTER WITH MOTOR AND PISTOL GRIP;

- US Provisional Patent Application No. 61 / 812,385 entitled SURGICAL INSTRUMENT HANDLE WITH MULTIPLE ACTUATION MOTORS AND MOTOR CONTROL; and

- US Provisional Patent Application No. 61 / 812,372 entitled SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A SINGLE MOTOR.

This document provides various detailed information required to understand the general design, functionality, manufacturing and application of the embodiments described herein and illustrated in the accompanying drawings. Well-known operating principles, components, and elements have not been described in detail herein, so as not to obscure the understanding of the embodiments described herein. The reader should understand that the embodiments described and illustrated herein are non-limiting examples. Thus, it should be understood that certain design and functional features described in this document may be indicative or explanatory. Variations and modifications to the embodiments described and illustrated herein may be made within the scope of the claims.

The terms “comprise” (and any of its forms such as “contains” and “containing”), “have” (and any of its forms such as “has” and “having”), “include” (and any forms such as "includes" and "includes") and "contain" (and any of its forms such as "contains" and "containing") are unrestricted linking verbs. Thus, a surgical system or device that “contains,” “has,” “includes,” or “contains” one or more features, has one or more features, but is not limited to only that one or more features. Likewise, a system element or devices that “contain,” “have,” “include,” or “contain” one or more elements, possess that one or more elements, but are not limited to only that one or more elements.

The terms "proximal" and "distal" are defined herein with respect to the physician operating the handle of the surgical instrument. The term "proximal" refers to the site closest to the physician, and the term "distal" refers to the site farthest from the physician. In addition, for convenience and clarity, the use of spatial terms such as "vertical", "horizontal", "up" and "down" in relation to figures in this document. However, since the use of surgical instruments involves many orientations and positions, these terms should not be construed as limiting and / or absolute.

Various examples of devices and methods have been proposed for performing laparoscopic and minimally invasive surgical procedures. However, the reader will immediately recognize that the various methods and devices described herein can be used in a variety of surgical procedures and applications, including, for example, those associated with open surgery. In the course of this detailed description, the reader will be able to further appreciate that the various instruments described in this document can be inserted into the body in any way - either through natural openings or through an incision or puncture hole made in tissues, etc. Working parts or portions of the end effectors of such instruments can be inserted directly into the patient's body or through an access device that has a working channel through which the end effector and an elongated stem of the surgical instrument can be passed.

The surgical stapling system may comprise a stem and an end effector extending from the stem. The end effector may comprise a first jaw and a second jaw. The first branch contains a staple cassette. The cassette with staples is designed to be inserted into and removed from the first branch; however, other embodiments are contemplated in which the staple cartridge is non-removable from the first jaw, or at least is quick-replaceable from the first jaw. The second branch contains a stop made with the possibility of deformation of the staples ejected from the cassette with staples. The second jaw is made with the possibility of rotation relative to the first jaw about the closing axis; however, other embodiments are contemplated in which the first jaw is rotatable relative to the second jaw. The surgical stapling system further comprises a pivot joint configured to rotate or pivot the end effector relative to the shaft. The end effector is rotatable about a pivot pivot axis passing through the pivot joint. Other embodiments are contemplated that do not include an articulated joint.

The staple cassette contains the cassette body. The cassette body includes a proximal end, a distal end, and a platform extending between the proximal end and the distal end. In use, the staple cassette is positioned on the first side of the fabric to be stitched and the abutment is positioned on the second side of the fabric. The stop moves to the cassette with staples to compress and press the fabric against the platform. Thereafter, the staples stored in the removable cassette body can be placed in the tissue. The cassette body includes staple cavities formed therein, and the staples are removably stored in the staple cavities. The staple cavities are arranged in six longitudinal rows. Three rows of staple cavities are located on the first side of the longitudinal groove and three rows of staple cavities are located on the second side of the longitudinal groove. Other designs of staples and staple cavities are possible.

The staples are supported in the cassette body using staple ejectors. The ejectors are movable between a first, or non-activated, position and a second, or activated, position for pushing the staples out of the staple cavities. The ejectors are supported in the cassette body by a retainer that extends around the bottom of the cassette body and includes resilient members configured to grip the cassette body and fix the retainer relative to the cassette body. The ejectors are made with the possibility of moving between their non-activated positions and their activated positions using a slide. The slide is movable between a proximal position adjacent to the proximal end and a distal position adjacent to the distal end. The slide contains a plurality of inclined surfaces made with the possibility of sliding under the ejectors and lifting the ejectors and the brackets supported on them against the stop.

In addition to the above, the slide is moved distally by the trigger. The trigger element is adapted to contact with the slide and push the slide towards the distal end. The longitudinal groove formed in the cassette body is configured to accommodate the trigger. The stop also includes a groove configured to receive the trigger. The trigger further comprises a first cam that interacts with the first jaws and a second cam that interacts with the second jaws. When the trigger is distally extended, the first cam and the second cam allow control of the distance, or tissue gap, between the platform of the staple cassette and the stop. The trigger also contains a scalpel capable of dissecting tissue captured between the cassette with staples and the stop. It is desirable to at least partially position the scalpel proximal to the ramped surfaces so that the staples are pushed out before the scalpel.

A surgical stapling instrument 10 is shown in FIG. 1. The surgical stapling instrument 100 is configured to accommodate an elastic or expandable staple suture. Various elastic staple sutures are described herein, and the surgical stapling instrument 10 is configured to accommodate any of such elastic staple sutures. In addition, surgical instruments other than the surgical stapling instrument 100 are configured to accommodate any one of the expandable staple sutures described herein.

As seen in FIG. 1-4, the surgical suturing instrument 10 includes a housing 12 that includes a handle 14 that is gripped, manipulated, and actuated by a physician. The housing 12 is operatively attachable to an elongate shaft assembly 200 that has an operatively associated end effector 700 that is configured to perform one or more surgical tasks or interventions. The elongated barrel assembly 200 may be interchangeable with other barrel assemblies in various ways, as described, for example, in U.S. Patent Application No. 14 / 226,075 entitled MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFT ASSEMBLIES, the contents of which are incorporated herein by reference in their entirety. In other designs, the elongated barrel assembly may not be interchangeable with other barrel assemblies and is essentially a special non-removable part of the tool. In addition, it should be understood that the various shapes of stem and end effector assemblies described herein can also be effectively used in conjunction with robotic-assisted surgical systems. Thus, the term "housing" can also encompass a housing or similar part of a robotic system that contains or otherwise functionally supports at least one drive system configured to generate and apply at least one control motion that can be used to drive the effect of the elongated barrel assemblies described herein and their respective equivalents. The term "frame" can refer to a portion of a hand-held surgical instrument. The term "frame" can also represent a part of a robotic controlled surgical instrument and / or a part of a robotic system that can be used to functionally control the surgical instrument. For example, the stem assemblies and end effectors described herein can be used with a variety of robotic systems, instruments, components and methods described in U.S. Patent Application No. 13 / 118,241 entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, currently US patent No. 9,072,535, which is fully incorporated into this document by reference.

FIG. 1 shows a housing 12 or handle 14 of a surgical instrument 10 with a replaceable elongated barrel assembly 200 operatively associated therewith. As seen in FIG. 1, the handle 14 may comprise a pair of interconnected handle body segments 16 and 18 that can be connected by screws, latches, glue, etc. In the illustrated design, the handle body segments 16 and 18 collectively form a pistol grip portion 19 that can be gripped hand that the doctor can manipulate. As will be described in more detail below, handle 14 functionally supports a plurality of drive systems that are configured to generate and apply various control motions to respective portions of the replaceable barrel assembly to which the systems are operatively attached.

As shown in FIG. 2, handle 14 may further include a frame 20 operatively supporting a plurality of drive systems. For example, frame 20 may functionally support a first or closure drive system, generally referred to as member 30, which can be implemented to apply closing and opening movements to elongate barrel assembly 200 that is operatively associated with or attached thereto. In at least one form, the closure drive system 30 may include an actuator in the form of a closure trigger 32 that is pivotally supported by the frame 20. In particular, as shown in FIG. 2, the closing trigger 32 is pivotally coupled to the housing 14 by a pin 33. This design allows the physician to manipulate the closure trigger 32 such that when the physician grasps the pistol grip portion 19 of the handle 14, the closure 32 can be easily pivoted out of the initial, or non-activated, position to the activated position, and more specifically to the fully depressed or fully activated position. The closing trigger 32 can be biased to an unactivated position by a spring or other biasing mechanism (not shown). In various forms, the closure drive system 30 further includes a closure link assembly 34 that is pivotally coupled to the closure trigger 32. As seen in FIG. 2, cover link assembly 34 may include a first cover link 36 and a second cover link 38, which are pivotally coupled to the cover trigger 32 via a pin 35. The second cover link 38 may also be referred to herein as an attachment member and may include transverse fixing pin 37.

As shown in FIG. 2, the first cover link 36 may have a blocking wall or end 39 configured to cooperate with a cover mechanism release assembly 60 pivotally coupled to the frame 20. In at least one form, the closure release assembly 60 may comprise a release button assembly 62 that has a distally protruding locking pawl 64. The release button assembly 62 can be rotated counterclockwise by a release spring (not shown). When the clinician pushes the closure trigger 32 and moves it out of the non-activated position to the pistol grip portion 19 of the handle 14, the first closure link 36 pivots upward to the point where the locking pawl 64 engages in supportive engagement with the locking wall 39 on the first closure link 36. thus preventing the closing trigger 32 from returning to the non-activated position. Thus, the closure release assembly 60 serves to lock the closure trigger 32 in the fully activated position. When the physician needs to unlock the closure trigger 32 so that it can move to the non-activated position, the physician simply rotates the closure release button assembly 62 so that the locking pawl 64 disengages from the locking wall 39 on the first closure link 36. After the locking pawl is released 64, from engagement with the first cover link 36, the cover trigger 32 can be rotated back to a non-activated position. In addition, it is possible to implement other locking and releasing mechanisms of the closing trigger mechanism.

When the closure trigger 32 is moved from a non-activated position to an activated position, the closure release button 62 pivots between a first position and a second position. The pivot of the closing mechanism release button 62 may be called upward pivot; however, at least a portion of the cover mechanism release button 62 pivots towards the printed circuit board 100. As shown in FIG. 2, the closure release button 62 may include a extending arm 61 and a magnetic member 63, such as, for example, a permanent magnet mounted on the arm 61. When the closure release button 62 pivots from its first position to its second position, the magnetic element 63 may move towards the printed circuit board 100. The printed circuit board 100 may include at least one sensor that is configured to detect the movement of the magnetic element 63. In at least one embodiment, a sensor may be mounted on the bottom surface of the printed circuit board 100 Hall. The Hall sensor may be configured to detect changes in the magnetic field surrounding the Hall sensor caused by movement of the magnetic element 63. The Hall sensor may, for example, communicate with a microcontroller that may determine if the closing mechanism release button 62 is in a first position that is associated with an unactivated position of the closure trigger 32 and an open end effector configuration, in a second position that is associated with an activated position of the closure trigger 32 and a closed end effector configuration, and / or any position between the first position and the second position.

In the illustrated structure, the handle 14 and frame 20 may also functionally support another drive system, referred to herein as a trigger drive system 80, adapted to apply triggering motions to respective portions of an attached replaceable barrel assembly. The starter drive system 80 may also be referred to herein as the "second drive system". The starter drive system 80 may utilize an electric motor 82 that is housed in the pistol grip portion 19 of the handle 14. In various forms, the motor 82 may be a DC brushed motor drive with a maximum swing speed of, for example, approximately 25,000 rpm. In other designs, the motor may include a brushless motor, cordless motor, synchronous motor, stepper motor, or any other suitable electric motor. Motor 82 may be powered by a power source 90, which in one form may include a removable battery pack 92. As seen, for example, in FIG. 2, battery pack 92 may include a proximal housing portion 94 that is configured to be attached to a distal housing portion 96. The proximal body portion 94 and the distal body portion 96 are configured to functionally support a plurality of batteries 98. Each battery 98 may be, for example, a lithium ion (LI) or other suitable battery. The distal housing portion 96 is removably operatively attached to the control PCB assembly 100, which is also operatively connected to the motor 82. A series of series-connected batteries 98 can be used as a power source for the surgical instrument 10. In addition, the power source 90 can be replaceable and / or rechargeable.

As briefly described above with respect to various other forms, the electric motor 82 includes a rotatable barrel (not shown) operatively interacting with a gear assembly 84 that is mounted to be in gear engagement with a set or rack of drive teeth 122 at the longitudinal movement of the actuator 120. During use, the voltage polarity provided by the power supply 90 allows the electric motor 82 to rotate in a clockwise direction, the polarity of the voltage applied to the electric motor by the battery can be reversed to operate the electric motor 82 in the direction counterclock-wise. When the electric motor 82 rotates in one direction, the drive member 120 will be driven axially in the distal direction DD. When driving the motor 82 in the opposite pivot direction, the driving member 120 will be driven axially in the proximal direction PD. Handle 14 may include a switch that may be configured to reverse polarity applied to electric motor 82 by power supply 90. As in other forms described herein, the handle 14 may also include a sensor configured to detect the position of the actuator 120 and / or the direction of movement of the actuator 120.

The actuation of the motor 82 is controlled by a trigger 130 pivotally supported on the handle 14. The trigger 130 can be rotated between a non-activated position and an activated position. Trigger 130 can be biased to an unactivated position by a spring 132 or other biasing mechanism such that when a physician releases trigger 130 it can be rotated or otherwise returned to an unactivated position by spring 132 or a biasing mechanism. In at least one form, the firing trigger 130 may be located away from the closure trigger 32, as described above. The trigger safety button 134 can be pivotally mounted on at least one shape on the cover trigger 32 by means of a pin 35. The safety button 134 can be positioned between the trigger 130 and the cover trigger 32 and can have a protruding pivot joint 136. See FIG. 2. When the closing trigger 32 is in the non-activated position, the safety button 134 is contained in the handle 14 where the physician cannot easily access it and move it between the safe position, preventing the firing of the trigger 130, and the firing position in which a trigger 130 may be used. When the physician pushes the closing trigger 32, the safety button 134 and the trigger 130 rotate downward and in this position the physician can manipulate them.

As described above, handle 14 includes a closure trigger 32 and a firing trigger 130. The trigger 130 can be pivotally mounted on a closure trigger 32. When the closure trigger 32 is moved from a non-activated position to an activated position, the trigger 130 can go down, as briefly described above. After the safety button 134 has been moved to the firing position, the firing trigger 130 can be depressed to operate the trigger motor of the surgical instrument. In various cases, handle 14 may include a tracking system configured to determine the position of the closure trigger 32 and / or the position of the trigger 130.

As indicated above, in at least one form, the longitudinally movable drive element 120 has a rack of drive teeth 122 formed thereon for gearing with a corresponding drive gear 86 of the gear assembly 84. The at least one mold also includes a manually operated emergency assembly 140 configured to allow a physician to manually retract a drive member 120 that is movable longitudinally if motor 82 becomes unavailable. The emergency assembly 140 may include a lever or emergency handle assembly 142, which is manually rotatable into ratchet engagement with teeth 124 that are also present in the actuator 120. Thus, the physician can manually retract the actuator 120 using the emergency handle assembly 142 to ratchet the actuator 120 in the proximal direction PD. US Patent No. 8,608,045, entitled POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM, which describes emergency structures and other components, structures and systems that can also be used in the various tools described in this document, is fully incorporated into this document. document by reference.

As shown in FIG. 1 and 3, elongate shaft assembly 200 includes a surgical end effector 700 that includes an elongated bore 702 that is operatively capable of supporting staple cassette 800. The end effector 700 may further include an abutment 710 that is pivotally supported about the elongate bore 702. As will be described in more detail below, the surgical end effector 700 may be pivotable relative to the elongate shaft assembly about the articulation joint 270. In addition, various embodiments in which the end effector is not pivotable. As seen in FIG. 3 and 4, the bore assembly 200 may further include a proximal body or mouthpiece 201 consisting of mouthpiece portions 202 and 203. The barrel assembly 200 further includes a cover tube 260 that can be used to close and / or open the stop 310 of the end effector 700. As seen in FIG. 4, the barrel assembly 200 includes a rod 210 that may be configured to stationary support the barrel frame portion 212 and the articulation locking member 350. For more information on the design and operation of the articulation retention member 350, see U.S. Patent Application No. 13 / 803,086 entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK, now published in U.S. Patent Application Publication No. 2014/0263541, the contents of which are incorporated in their entirety in this document by reference. Shaft 210 may be configured to, firstly, slidably support trigger 220 therein, and secondly, slidably support cover tube 260 that extends around shaft 210. Shaft 210 also slidably supports a proximal actuator articulation member 230. The proximal articulation actuator 230 has a distal end 301 that is operatively operable with the articulation locking member 350. In one design, the articulation latching member 350 mates with a hinge frame 352 that is operatively operative to engage a guide pin (not shown) of an end effector frame (not shown).

In the illustrated structure, the rod 210 includes a proximal end 211 that is pivotally supported in the chassis 240. For example, in one design, the proximal end 211 of the rod 210 has threads 214 formed thereon for threaded attachment to a rod support 216 configured to be supported on the chassis 240. See FIG. 3. This arrangement facilitates pivotal attachment of the rod 210 to the chassis 240 such that the rod 210 can selectively rotate about the barrel axis SA-SA relative to the chassis 240. The barrel assembly 200 also includes a cover shuttle 250 that is slidably supported in chassis 240. in such a way that it can move about it along the axis. As seen in FIG. 3, the cover shuttle 250 includes a pair of proximally projecting hooks 252 that are adapted to attach to an attachment pin 37 that is attached to the second cover link 38, as will be described in more detail below. See FIG. 2. The proximal end 261 of the cover tube 260 is connected to the cover shuttle 250 for rotation relative thereto. For example, a U-shaped connector 263 fits into an annular groove 262 in the proximal end 261 of a cover tube 260 and locks within the vertical slots 253 in a cover shuttle 250. See FIG. 3. This arrangement serves to attach the cover tube 260 to the cover shuttle 250 for axial movement with it, while allowing the cover tube 260 to pivot relative to the cover shuttle 250 about the barrel axis SA-SA. The closure spring 268 bears on the closure tube 260 and serves to bias the closure tube 260 in the proximal direction PD, which may serve to pivot the closure trigger to an unactivated position when the barrel assembly 200 is operatively associated with the handle 14.

As also noted above, the elongate barrel assembly 200 further includes a trigger 220 that is supported for axial movement within the barrel shaft 210. Trigger 220 includes an intermediate trigger portion 222 configured to attach to a distal cutting portion or trigger rod 280. Trigger 220 may also be referred to herein as a "second bore" and / or a "second bore assembly." As seen in FIG. 4, the intermediate portion 222 of the launch shaft may include a longitudinal slot 223 at its distal end, which may be configured to receive a tongue 284 at the proximal end 282 of the distal launch rod 280. The longitudinal slot 223 and the proximal end 282 may be shaped and and may include a sliding joint 286. The sliding joint 286 may move the intermediate portion 222 of the firing shaft of the actuator 220 to move in such a way as to pivot the surgical end effector 700 without moving or less substantially without moving the trigger rod 280. Once the surgical end effector 700 has acquired an acceptable orientation, the intermediate portion 222 of the trigger barrel can be advanced distally until the proximal sidewall of the longitudinal slot 223 contacts the tongue 284 to advance the launch rod 280 and will not position a cassette clip that can be supported in the end effector 700. As further seen in FIG. 4, the barrel shaft 210 has an elongated opening or opening 213 to facilitate assembly and insertion of the intermediate portion 222 of the firing barrel into the barrel frame 210. After insertion of the intermediate section 222 of the launch barrel, the upper segment 215 of the frame may come into contact with the frame 212 of the barrel to enclose the intermediate section 222 of the launch barrel and the launch rod 280. Further description of the operation of the trigger element 220 is given in the application for patent No. 13 / 803,086. currently published in US patent application No. 2014/0263541.

In addition to the above, the barrel assembly 200 shown includes a clutch assembly 400 that may be configured to selectively and releasably connect the articulation actuator 230 and the trigger 220. In one form, the clutch assembly 400 includes a retaining ring, or a sleeve 402 disposed around trigger 220, wherein the locking sleeve 402 is pivotable between an engaged position where the locking sleeve 402 connects the articulation actuator 230 to the actuator 220, and a disengaged position in which the articulation actuator 230 is not operatively connected with trigger 200. When retaining sleeve 402 is in its engaged position, distal movement of trigger 220 may move articulation actuator 230 distally, and accordingly, proximal movement of trigger 220 may move proximal actuator articulation member 230 proximally. When the locking sleeve 402 is in its disengaged position, movement of the trigger 220 is not transmitted to the proximal articulation actuator 230, and as a result, the trigger 220 can move independently of the proximal articulation actuator 230. In various circumstances, the proximal articulation actuator 230 may be maintained in position by the articulation locking member 350 when the proximal articulation actuator 230 is not moved proximally or distally by the actuator 220.

As further seen in FIG. 4, an anchor sleeve 402 may comprise a cylindrical or at least substantially cylindrical body including a longitudinal bore 403 formed to receive a trigger 220. An anchor sleeve 402 may include diametrically opposed inward-facing retaining protrusions 404 and an outwardly facing retaining member 406. the projections 404 may be configured to selectively engage with trigger 220. More specifically, when the latch sleeve 402 is in its engaged position, the latch projections 404 may be positioned within the drive slot 224 formed in trigger 220 such that the distal push force and / or proximal pulling force can be transmitted from trigger 220 to retaining sleeve 402. When retaining sleeve 402 is in its engaged position, second retaining member 406 is positioned within a drive slot 232 formed in proximal on the articulation actuator 230 such that the distal thrust force and / or the proximal pulling force applied to the fixing sleeve 402 can be transmitted to the proximal articulation actuator 230. As a result, when the retaining sleeve 402 is in its engaged position, the trigger 220, the retaining sleeve 402, and the proximal articulation actuator 230 will move together. On the other hand, when the latching sleeve 402 is in its disengaged position, the latching protrusions 404 may not be located within the actuator slot 224 of the trigger 220, and as a result, the distal push force and / or the proximal pulling force may not be transmitted from the trigger member 220. to the anchor sleeve 402. Accordingly, the distal pushing force and / or the proximal pulling force may not be transmitted to the proximal articulation actuator 230. In such circumstances, trigger 220 may slide proximally and / or distally relative to the retaining sleeve 402 and the proximal articulation actuator 230.

As also seen in FIG. 4, the elongate barrel assembly 200 further includes a switch drum 500 that is rotatably disposed on a cover tube 260. The switch drum 500 includes a hollow barrel segment 502 that has a barrel bushing 504 formed thereon to receive an outwardly projecting drive pin 410. In various circumstances, the drive pin 410 extends through the slot 267 into a longitudinal slot 408 provided in the locking sleeve 402 to facilitate axial movement of the locking sleeve 402 when it engages the proximal articulation drive member 230. The pivotal torsion spring 420 is configured to engage with the barrel sleeve 504 on the switch drum 500 and a portion of the mouthpiece body 203 for applying bias to the switch drum 500. The switch drum 500 may further comprise formed therein at least partially annular holes 506 which, as shown in FIG. 5 and 6 may be configured to accommodate annular posts extending from mouthpiece portions 202, 203 and provide relative rotation, but not translational movement, between switch drum 500 and proximal mouthpiece 201. The posts also extend through holes 266 in closure tube 260 and are fixed in recesses in the stem 210 of the barrel. However, rotation of the mouthpiece 201 to the point at which the posts reach the end of their respective slots 506 in the switch drum 500 causes the switch drum 500 to rotate about the barrel axis SA-SA. Rotation of the switch drum 500 ultimately causes the drive pin 410 and retainer sleeve 402 to rotate between an engaged and a disengaged position. Thus, the mouthpiece 201 can essentially be used to operatively interact and release the pivot drive system and the starting drive system in various ways, as detailed in US Patent Application No. 13 / 803,086, currently US Patent Application Publication No. 2014/0263541.

As also shown in FIG. 3 and 4, elongate shaft assembly 200 may comprise slip ring assembly 600, which may be configured, for example, to conduct electrical power to and / or from end effector 700 and / or transmit signals to and / or from surgical end effector 700. him. Slip ring assembly 600 may include a proximal connecting flange 604 that is mounted on a chassis flange 242 extending from the chassis 240 and a distal connecting flange 601 that is located within a slot provided in the barrel bodies 202, 203. The proximal coupling flange 604 may include a first face, and the distal coupling flange 601 can include a second face that is adjacent to and movable relative to the first face. The distal connecting flange 601 is rotatable relative to the proximal connecting flange 604 about the bore axis SA-SA. The proximal connecting flange 604 may include a plurality of concentric or at least substantially concentric conductors 602 provided in its first face. Connector 607 may be mounted on the proximal side of distal connecting flange 601 and may have multiple contacts (not shown), each contact corresponding to and in electrical contact with one of the conductors 602. This design allows relative rotation between the proximal connecting flange 604 and the distal connecting flange 601 while maintaining electrical contact between them. The proximal connecting flange 604 may include an electrical connector 606 that provides signal exchange between the conductors 602 and the barrel PCB 610, for example, mounted on the barrel chassis 240. In at least one case, a plurality of wire harness may extend between electrical connector 606 and barrel PCB 610. US Patent Application No. 13 / 800,067, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed March 13, 2013, now US Patent Application Publication No. 2014/0263552, is hereby incorporated by reference in its entirety. US Patent Application No. 13 / 800,025, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed March 13, 2013, now US Patent Application Publication No. 2014/0263551, is hereby incorporated by reference in its entirety. Additional information regarding slip ring assembly 600 is provided in US Patent Application No. 13 / 803,086, currently US Patent Application Publication No. 2014/0263541.

As described above, the elongate stem assembly 200 may include a proximal portion that is fixedly mounted to the handle 14 and a distal portion that is pivotable about the longitudinal axis SA-SA of the stem. The rotatable distal portion of the barrel can be rotated relative to the proximal portion around the slip ring assembly 600 as described above. The distal connecting flange 601 of the slip ring assembly 600 may be disposed in the rotatable distal portion of the barrel. In addition, in addition to the above, the switch drum 500 may also be located in the rotatable distal portion of the barrel. By rotating the rotatable distal portion of the barrel, the distal connecting flange 601 and the switch drum 500 can rotate synchronously. In addition, the switch drum 500 is pivotable between a first position and a second position with respect to the distal connecting flange 601. When the switch drum 500 is in its first position, the pivot drive system (i.e., the proximal articulation drive member 230) can be operatively disconnected from the trigger system, and thus the end effector 700 of the barrel assembly 200 may not rotate when the trigger system is operating. When the switch drum 500 is in its second position, the pivot drive system (i.e., the proximal articulation drive member 230) can functionally interact with the trigger drive system, and thus the end effector 700 of the assembly can rotate when the trigger drive system is operating. 200 barrel. When the switch drum 500 moves between its first position and the second position, the switch drum 500 moves relative to the distal connecting flange 601. In various cases, the barrel assembly 200 may include at least one sensor configured to detect the position of the switch drum 500.

As also seen in FIG. 4, the cover tube assembly 260 includes a two-pivot cover sleeve assembly 271. In accordance with various shapes, the two-pivot closure sleeve assembly 271 includes an end effector closure sleeve 272 that includes distally projecting upper and lower shanks 273, 274. The upper double-pivot link 277 includes upwardly projecting distal and proximal pivot pins that engage respectively with an upper distal pin hole in the upper proximal protruding shank 273 and with an upper proximal pin hole in the upper distal protruding shank 264 on the closure tube 260. The lower double-pivot link 278 includes an upwardly protruding distal and proximal pivot pins that engage respectively with a lower distal pin hole in the lower proximally protruding shank 274; and with a lower proximal pin hole in the lower distal protruding shank 265.

As seen in FIG. 5 and 6, surgical end effector 700 includes an elongated bore 702 configured to functionally support surgical staple cassette 800. The elongated channel 702 has a proximal end portion 704 that includes two vertical side walls 706. The surgical end effector 700 further includes an abutment 710 that has an abutment body 712 on which a staple forming bottom surface 714 is formed. The proximal end 716 of the housing 712 the stop includes a laterally projecting stop journal 718. A pin slot 708 is provided in each side wall 706 of the elongated channel 702 to receive a corresponding one of the abutment pins 718. Such a structure serves to movably attach the stop 710 to the elongated channel 702 for selective pivotal movement between the open and closed (or clamped) positions. The stop 710 includes a tab 720 configured to engage a horseshoe groove 722 in an end effector cover sleeve 272. When the closure tube 260, and more particularly the closure sleeve 272 of the end effector, is moved distally, the side wall of the slot 722 may engage the tongue 720 and pivot the stop 710 toward the elongated bore 702. To open the stop 710, the closure tube 260, and more particularly the closure sleeve 272 of the end the effector is moved in the proximal direction. In this case, the central portion of the tongue, defined by the horseshoe groove 722, interacts with the tongue 720 on the stop 710 to rotate the stop 710 to the open position. Other stop and cover designs are described in U.S. Patent Application No. 14 / 742,914 entitled MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS, filed June 18, 2015, the entire contents of which are incorporated herein by reference.

As shown in FIG. 6-8, an exemplary staple cassette 800 includes a cassette body 802 that may be molded, for example, of a polymer material and releasably lockable within an elongated channel 702. The staple cassette body 802 includes a centrally located elongated groove 804, and configured to receive a tissue cutting element 750. A plurality of staple cavities 810a, 810b, 810c are disposed in the cassette body 802 on each side of the elongated groove 804. In the embodiment shown in FIG. 6-8, the staple cavities 810a, 810b, 810c are substantially oriented in a herringbone pattern. Each staple cavity 810a, 810b, 810c is designed to store the staple in a removable manner, although it is possible that some staple cavities 810a, 810b, 810c may lack staples. As will be described in more detail below, the staple cassette 800 further comprises a plurality of staple ejectors 900a, 900b displaced within the cassette body 802 in conjunction with respective staple cavities. Each staple ejector 900a, 900b is configured to support one or more staples and / or lift the staples out of the respective staple cavities 810a, 810b, 810c simultaneously or in parallel with engaging the slide or cam actuator 760.

As shown in FIG. 6 and indicated above, end effector 700 may include a tissue cutting member 750 that is configured to cut tissue captured between staple cassette 800 and anvil 710. In the example shown, tissue cutting member 750 is associated with or integral with the distal trigger rod 280 and is oriented to move within elongated slot 804. Distal extension of trigger rod 280 will therefore cause tissue cutting member 750 to distally extend within elongated slot 804 in staple cassette body 802. The abutment 710 also includes a longitudinal groove configured to at least partially receive the tissue cutting member 750; however, embodiments are contemplated in which only one of cassette 800 and anvil 710 includes a groove adapted to receive a tissue cutting member. In the illustrated embodiment, the tissue cutting member 750 includes at least one first protrusion 752 extending therefrom that is configured to engage with an abutment 710, and at least one second protrusion 754 configured to cooperate with an elongated channel 702. The protrusions 752 and 754 may position the stop 710 and staple cassette 800 relative to each other. As tissue cutting member 750 extends distally, protrusions 752 and 754 may position an abutment 710 and define a tissue clearance between the shaping staple bottom surface 714 of an abutment 710 and a platform surface 816 of a staple cassette 800 supported in an elongated channel 702.

As seen in FIG. 6, for example, a slide or cam actuator 760 is configured to interact with tissue cutting member 750 as tissue cutting member 750 distally moves through staple cassette 800 via a trigger bar 280. However, in other designs, slide 760 and tissue cutting member 750 may be configured as one component. In other designs that do not use a tissue cutting member, the launch bar may come into contact with the slide or cam members, or may be integral with them. The sled 760 includes one or more ramps or cam surfaces that are configured to interact to transmit a drive force or slide under the staple ejectors 900a, 900b and lift the staple ejectors 900a, 900b upward to the platform surface 816 of the staple cassette 800. In the illustrated embodiment, the slide 760 includes four slopes, or cam surfaces, or cam elements 762, 764, 766, and 768. As will be described in more detail below, the slide 760 is movable from the proximal end 803 of the staple cassette 800 to the distal end 811 cassette 800 and sequentially raising the staple ejectors 900a, 900b in the corresponding "ejector matrices" on each side of the elongated groove 804. When the ejectors 900a, 900b move to the platform surface 816 by means of the slide 760, the staple ejectors 900a, 900b lift the staples supported on them to the forming staples the lower surface 714 of the stop 710. As the slide 760 advances, the staples are distally extended to the shaping bracket of the lower surface 714 of the stop 710 and are pushed out of the staple cavities 810a, 810b, 810c by means of the staple ejectors 900a, 900b. The staple cassette 800 may further include an attached support tray 780 that extends around the bottom of the staple cassette body 802 and secures the staple ejectors 900a, 900b, staples, and / or slide 760 within the staple cassette 800.

As noted above, in the illustrated embodiment, the surgical instrument 10 includes a pivot drive system 500 that, when activated, can pivot the end effector 700 about the pivot joint 270. By pushing the proximal articulation drive member 230 in a first direction, the end effector 700 can pivot in in the first direction, and when the proximal articulation actuator 230 is pushed in the second direction, the end effector 700 may pivot in the second or opposite direction. In other embodiments, the end effector is non-pivotable. As shown in FIG. 6, the illustrated surgical end effector 700 includes an end effector mounting assembly 790 pivotally mountable on, for example, a portion of an articulation retention member 350 (FIG. 4) that is pivotable within a mounting hole 792 in end effector mounting 790. In the illustrated embodiment, the end effector mount 790 is mounted on the elongated bore 702 by a flexible pin 796 that extends through holes 705 formed in the elongated bore 702 and the end effector mount 790. As described in more detail in U.S. Patent Application Publication No. 2014/0263541, which is incorporated herein by reference in its entirety, the articulation lock 350 may be movable between a first, locked or engaged, position in which the lock is engaged with end effector mounting assembly 790, and a second, unlocked or disengaged position. When the articulation locking member 350 is in an engaged or locked position, the articulating locking member 350 can lock the end effector 700 in place. When the articulation retaining member 350 is in the disengaged position, the end effector 700 can pivot about the articulation 270. Other articulating structures are described in US Patent Application No. 14 / 314,788 entitled ROBOTICALLY-CONTROLLED SHAFT BASED ROTARY DRIVE SYSTEMS FOR SURGICAL INSTRUMENTS 25 June 2014, now US Patent Application Publication No. 2014/0305993, which is hereby incorporated by reference in its entirety. Other pivot designs are described in US Patent Application Publication No. 2013/0168435, entitled SURGICAL STAPLING INSTRUMENT WITH AN ARTICULATABLE END EFFECTOR, filed Feb. 26, 2013, which is incorporated herein by reference in its entirety.

As shown in FIG. 7 and 8, the staple cavities 810a, 810b, 810c of the staple cassette 800 that are exposed through the platform surface 816 may be positioned and configured such that the staples stored in the staple cavities 810a, 810b, 810c are installed as part of an expandable or "Flexible" or "elastic" staple suture. The staple cavities 810a, 810b, 810c are arranged in a "staple cavity array" essentially designated element 806. In at least one design, the staple cavity array 806 comprises a first row 807 of staple cavities 810a, which may include a first row staples with the ability to remove. A first row 807 of staple cavities 810a extends along a first longitudinal axis 812a adjacent the elongated slot 804. The staple cavity matrix 806 also includes a second row 808 of staple cavities 810b that may include a second row of removable staples. A second row 808 of staple cavities 810b extends along a second longitudinal axis 812b adjacent to a first row 807 of staple cavities 810a. The staple cavity array 806 further comprises a third row 809 of staple cavities 810c, which may include a third row of removable staples. A third row 809 of staple cavities 810c extends along a third longitudinal axis 812c adjacent to a second row 808 of staple cavities 810b. The first longitudinal axis 812a is parallel or at least substantially parallel to the second longitudinal axis 812b; however, other designs are possible where the first longitudinal axis 812a is not parallel to the second longitudinal axis 812b. The second longitudinal axis 812b is parallel or at least substantially parallel to the third longitudinal axis 812c; however, other designs are possible where the second longitudinal axis 812b is not parallel to the third longitudinal axis 812c. The first longitudinal axis 812a is parallel or at least substantially parallel to the third longitudinal axis 812c; however, other designs are possible where the first longitudinal axis 812a is not parallel to the third longitudinal axis 812c. As also seen in FIG. 7 and 8, the staple cassette 800 comprises a first portion of a staple cavity matrix 806 including a first row 807 of staple cavities 810a, a second row 808 of second staple cavities 810b, and a third row 809 of third staple cavities 810c on a first side 805 of the longitudinal slot 804, as well as a second portion of the staple cavity matrix 806, including a first row 810a, a second row 810b, and a third row 810c on the second side 801 of the longitudinal slot 804. The first portion of the matrix of cavities is a mirror image of the second portion of the matrix of cavities relative to the longitudinal slot ; however, other designs can be used.

As shown in FIG. 7, each of the first staple cavities 810a is oriented at a first angle 824a to a first support axis 997a perpendicular to the first longitudinal axis 812a. In the illustrated structure, each of the second staple cavities 810b is also oriented at a second angle 824b to a second support axis 997b perpendicular to the second longitudinal axis 812b. In addition, each of the third staple cavities 810c is oriented at a third angle 824c to a third bearing axis 997c perpendicular to the third longitudinal axis 812c. The first corner 824a is different from the second corner 824b; however, in other embodiments, the first angle 824a and the second angle 824b may be the same. The third corner 824c is different from the second corner 824b; however, in other embodiments, the third angle 824c and the second angle 824b may be the same. The first corner 824a is the same as the third corner 824c; however, in other embodiments, the first angle 824a and the third angle 824c may be different. In at least one embodiment, the angle 824a may be approximately forty-five (45) degrees (in the range of, for example, ± thirty (30) degrees); the angle 824b may be approximately fifty (50) degrees (in the range of, for example, ± 30 (thirty) degrees); and the angle 824c may be approximately forty-five (45) degrees (in the range of, for example, ± 30 (thirty) degrees).

The staple cassette 800 is configured to receive the staple pattern 813 shown in FIG. 9. The staple cassette 800 is configured to accommodate a first row 817 of staples 820a along a first longitudinal axis 822a, a second row 818 staples 820b along a second longitudinal axis 822b, and a third row 819 staples 820c along a third longitudinal axis 822c. In various examples, staple cassette 800 is configured to accommodate a first row 817 of staples 820a, a second row 818 of staples 820b, and a third row 819 of staples 820c on the first side of the longitudinal section 826 and a first row 817 of staples 820a, a second row 818 of staples 820b, and a third row 819 staples 820c on the second side of the longitudinal section 826. The first rows 817 of staples 820a may be located adjacent to the longitudinal section 826, and the third row 819 staples 820c may be located farthest from the longitudinal section 826. Each second row 818 of staples 820b may be located between the first a row of 817 staples 820a and a third row of 819 staples 820c.

In addition to the above, the first staples 820a are removably stored in the first staple cavities 810a, the second staples 820b are removably stored in the second staple cavities 810b, and the third staples 820c are removably stored in the third staple cavities 810c. Staple cavities 810a-810c are configured to receive staples 820a-820c in the structure shown in FIG. 9 and 10. For example, the first braces 820a are oriented at a first angle 824a to a first support axis 999a perpendicular to the first longitudinal axis 822a. The second brackets 820b are oriented at a second angle 824b to a second support axis 999b perpendicular to the second longitudinal axis 822b. The third braces 820c are oriented at a third angle 824c to a third bearing axis 999c perpendicular to the third longitudinal axis 822c.

First staples 820a, second staples 820b, and third staples 820c may be positioned and configured to provide laterally overlapping staple seams. More specifically, as also seen in FIG. 9, the second longitudinal row 818 of the second brackets 820b is located laterally relative to the first longitudinal row 817 of the first brackets 820a such that the second brackets 820b are aligned with the gaps between the first brackets 820a, and similarly the third longitudinal row 819 of the third brackets 820c is located laterally with respect to a second longitudinal row 818 of second brackets 820b such that third brackets 820c align with the gaps between the second brackets 820b. This design can restrict the flow of blood from the tissue T to the slit 826.

In addition to the above, the staple pattern shown in FIG. 9 contains six longitudinal rows of staples. Other embodiments are contemplated that include less than six rows of staples, such as four rows of staples, or more than six rows of staples, such as eight rows of staples. The first brackets 820a, the second brackets 820b, and the third brackets 820c may have any suitable configuration, such as, for example, a V-shaped configuration or a U-shaped configuration. A staple having a V-shaped configuration may include a base or crown, a first leg extending from a first end of the base or crown, and a second leg extending from a second end of the base or crown, with the first leg and second leg extending in directions that are not parallel to each other. A staple having a U-shaped configuration may include a base or crown, a first leg extending from a first end of the base or crown, and a second leg extending from a second end of the base or crown, with the first leg and second leg extending in directions that parallel to each other.

With reference to the staple pattern shown, for example, in FIG. 9, each first staple 820a has a first staple base or crown 827a (FIG. 12) from which a first proximal staple stem 825a and a first distal staple stem 823a protrude. A staple cassette 800 adapted to use the staple pattern 813 shown in FIG. 9 may include a proximal end 803 and a distal end 811. The first proximal staple stem 825a may be closer to the proximal end 803 of the staple cassette 800 than the first distal staple leg 823a, and similarly, the first distal staple stem 823a may be closer to the distal the end 811 of the staple cassette 800 than the first proximal staple leg 825a. The first crown 827a of each first bracket 820a may form a first base axis FBA. Each first proximal staple stem 825a and first distal staple stem 823a may extend from a first base axis FBA. The first staples 820a may be positioned and configured to extend the first base axes FBA to the slit line 826 and to the distal end of the staple cassette 800. In other words, the first base axis FBA may be transverse to the elongated slot 804.

With reference to the staple pattern 813 shown, for example, in FIG. 9, each second staple 820b has a second staple base or crown 827b (FIG. 12) from which a second proximal staple stem 825b and a second distal staple stem 823b protrude. The second proximal staple leg 825b may be closer to the proximal end 803 of the staple cassette 800 than the second distal staple leg 823b, and similarly the second distal staple leg 823b may be closer to the distal end 811 of the staple cassette 800 than the second proximal staple leg 825b. The second crown 827b of each second bracket 820b may form a second base axis SBA. The second proximal staple stem 825b and the second distal staple stem 823b may extend from the second base axis SBA. The second staples 820b may be positioned and configured to extend the second base axes SBA to the slit line 826 and to the proximal end 803 of the staple cassette 800. In the example shown, the second base axes SBA are transverse to the first base axes as well as the elongated slot 804.

With reference to the staple pattern 813 shown, for example, in FIG. 9, each third staple 820c has a third staple base or crown 827c (FIG. 12) from which a third proximal staple stem 825c and a third distal staple stem 823c extend. The third proximal staple leg 825c may be closer to the proximal end 803 of the staple cassette 800 than the third distal staple leg 823c, and similarly the third distal staple leg 823c may be closer to the distal end 811 of the staple cassette 800 than the third proximal staple leg 825c. The third crown 827c of every third bracket 820c may form a third base axis TBA. The third proximal staple stem 825c and the third distal staple stem 823c may extend from the third axis of the TBA base. Third staples 820c may be located and configured to extend the third axes TBA of the base to the slit line 826 and to the distal end of the staple cassette. In the example shown, the third base axes TBA are parallel to the first base axes FBA and are transverse to the second base axes SBA as well as the elongated slot 804. This is only one embodiment and any suitable design is permitted.

In addition to the above, the first staples 820a are rolled over the first longitudinal axis 822a. See FIG. 9. The first distal legs 823a of the first staples 820a are located on one side of the first longitudinal axis 822a, and the first proximal legs 825a are located on the other side of the first longitudinal axis 822a. In other words, the legs of the first brackets 820a are offset from the first longitudinal axis 822a. Alternative embodiments are contemplated in which the first staples 820a are aligned with or collinear with the first longitudinal axis 822a. The second braces 820b are rolled over the second longitudinal axis 822b. The second distal legs 823b of the second braces 820b are located on one side of the second longitudinal axis 822b, and the second proximal legs 825b are located on the other side of the second longitudinal axis 822b. In other words, the legs of the second brackets 820b are offset from the second longitudinal axis 822b. Alternative embodiments are contemplated in which the second brackets 820b are aligned with or collinear with the second longitudinal axis 822b.

In the example shown, the third braces 820c are rolled over the third longitudinal axis 820c. The third distal legs 823c of the third staples 820c are located on one side of the third longitudinal axis 820c, and the third proximal legs 825c are located on the other side of the third longitudinal axis 822c. In other words, the legs of the third braces 820c are offset from the third longitudinal axis 822c. Alternative embodiments are contemplated in which the third brackets 820c are aligned with or collinear with the third longitudinal axis 822c. In certain embodiments, the first staple 820a may include a first proximal stem 825a that aligns with a second distal leg 823b of an adjacent second staple 820b. Similarly, the third staple 820c may include a third proximal stem 825c that aligns with the second distal leg 823b of the adjacent second staple 820b. In various embodiments, the first staple 820a may include a first proximal stem 825a that is located distal to the second distal leg 823b of the adjacent second staple 820b. Similarly, the third staple 820c may include a third proximal stem 825c that is located distal to the second distal leg 823b of the adjacent second staple 820b. The row of second brackets 820b is delimited by a row of first brackets 820a and a row of third brackets 820c. The second bracket 820b is delimited on one side by the first bracket 820a and on the other side by the third bracket 820c. More specifically, the first staple 820a is laterally inwardly relative to the second proximal leg 825b of the second staple 820b, and similarly, the third staple 820c is laterally outwardly located relative to the second distal leg 823b of the second staple 820b. Thus, the first brackets 820a can provide a border on one side of the second brackets 820b, and the third brackets 820b can provide a border on the other side of the second brackets 820b.

FIG. 11 shows a traditional 829 staple pattern. This staple pattern 829 comprises a first row 836 of first staples 830a located along a first longitudinal axis 832a, a second row 838 of second staples 830b located along a second longitudinal axis 832b, and a third row 840 of third staples 830c located along a third longitudinal axis 832c located on the first side of the longitudinal section 835 in the fabric T. The first staples 830a are aligned or at least substantially aligned with the first longitudinal axis 832a; the second brackets 830b are aligned or at least substantially aligned with the second longitudinal axis 832b; and the third braces 830c are aligned or at least substantially aligned with the third longitudinal axis 832c. In other words, the first brackets 830a are not angled with respect to the first longitudinal axis 832a, the second brackets 830b are not angled with respect to the second longitudinal axis 832b, and the third brackets 830c are not angled with respect to the third longitudinal axis 832c. This conventional staple pattern also includes a first row 836 of staples 830a located along a first longitudinal axis 832a, a second row 838 of staples 830b located along a second longitudinal axis 832b, and a third row 840 of staples 830c located along a third longitudinal axis 832c located on a second, or the opposite side of the longitudinal section 835.

When exposed to tissue T, sewn with staple pattern 829 shown in FIG. 11, the longitudinal tensile force of the fabric will stretch in the longitudinal direction. In addition, in various examples, as the fabric is stretched in the longitudinal direction, the staples 830a, 830b, and 830c can translate in the longitudinal direction. This design may be acceptable in various circumstances; however, staples 830a, 830b, and 830c can restrict the stretching and / or movement of the T tissue. In some cases, the T tissue stitched with staples 830a, 830b, and 830c may be much less flexible than an adjacent non-stitched fabric. In other words, a staple pattern 829 containing staples 830a, 830b, and 830c can cause sudden changes in fabric material properties. In at least one example, a large strain gradient is generated within tissue T as a result of the staple pattern, which in turn can create a large stress gradient within tissue T.

When the staples 830a-830c are pushed out of the staple cassette, the staple legs can pierce the fabric T. As a result, the staple legs create holes in the fabric. Various types of fabrics are elastic and can stretch around the staple legs as the staple legs pass through the fabric. In various examples, the resilience of the fabric may allow the fabric to stretch and resiliently return to the staple legs to reduce or eliminate gaps between the fabric and the staple legs. Such resilience or elasticity can also allow the tissue to stretch when the tissue is subjected to tensile force; however, this resilience can be limited by certain staple patterns. In at least one example, the staple pattern 829 shown in FIG. 11 can limit the longitudinal stretch of the fabric. When exposed to the stapled fabric using the staple pattern shown in FIG. 11, the longitudinal tensile force of the fabric may begin to pull away from the legs of the staple creating gaps between them. In some examples, especially with bariatric resection, such gaps can lead to intense bleeding from the stomach tissue. In some examples, especially in lung resection, this can lead, for example, to air leaks into the lung tissue.

The staple pattern 813 shown in FIG. 9 and 10 is more flexible and resilient than "traditional" versions of the staple pattern 829 of the type shown in FIG. 11. For example, when a longitudinal tensile force is applied to the tissue T as shown in FIG. 10, staples 820a, 820b, and 820c can, first, translate in the longitudinal direction when the fabric is stretched in the longitudinal direction and / or, second, rotate when the fabric is stretched in the longitudinal direction. In addition, the flexible staple pattern 813 shown in FIG. 9, can reduce or eliminate gaps between the staple legs and the tissue T when a longitudinal tensile force is applied to the tissue, and thus reduce bleeding and / or air leakage between the staple legs and the tissue. The staple pattern 813 shown in FIG. 9 is shown in an unstretched state. When stretched in the longitudinal direction of the fabric stapled with the staple pattern shown in FIG. 9, the staples can move longitudinally with the fabric and / or pivot within the fabric, as shown in FIG. 10. US Patent Application No. 14 / 498,121, entitled FASTENER CARTRIDGE FOR CREATING A FLEXIBLE STAPLE LINE, filed September 26, 2014, the entire contents of which are incorporated herein by reference, describes various advantages as well as other variations of the above elastic or flexible staple seams.

As indicated above, the staples 820a, 820b, 820c are supported on respective ejectors 900a, 900b that are movably supported in the cavities formed in the cassette body 802. To obtain staples with uniform "formed" shapes, it may be desirable for each of the staples to protrude from the corresponding cavity so that its legs are substantially perpendicular to the corresponding portion of the shaping staple of the bottom surface 714 of the abutment 710. As indicated above, the staple ejectors on which the brackets are supported, pushed upwardly by driving contact with the respective ramps or cam elements of the distally moving sled or cam member 760. Since the ramps of the carriage move in directions substantially transverse to the direction in which the ejectors move, the drive motion applied by the ramps of the carriage to the ejectors is may sometimes warp the staple ejector inside the corresponding cavity when pushed upward. Such misalignment of the ejector (s) can lead to undesirable effects, firstly, in an increase in the force required to advance the launch rod, and / or, secondly, in misalignment of the staples when they are ejected from the cassette body, which ultimately leads uneven shaping of the staples or even improper shaping of the staples. Thus, it may be desirable to employ staple ejector designs and appropriate cassette body designs to provide sufficient amount of support for the staple ejectors when they are driven into contact with the slopes of the sled.

FIG. 12-14 show a staple ejector 900a in accordance with at least one embodiment of the present invention. In at least one design, the staple ejectors 900b may be mirror images of the staple ejectors 900a. As seen in FIG. 12, one staple ejector 900a can support three staples 820a, 820b, 820c. The staple ejector 900a includes a first or innermost staple supporting portion 910 that is configured to support a first staple 820a, a second or central staple supporting portion 930 that is configured to support a second staple 820b, and a third or outermost staple supporting portion 950 that is configured to support the third bracket 820c. In this context, the term "innermost" refers to the staple supporting portion closest to the elongated groove 804 in the cassette body 802, and the term "outermost" refers to the staple supporting portion located farthest from the elongated groove 804.

As seen in FIG. 12, the first staple supporting portion 910 includes a first distal abutment 914 and a first proximal strut 918. The first staple supporting portion 910 further includes a first distal abutment bed 916 and a first proximal abutment bed 920 for supporting portions of the first crown 827a of the staple. As further seen in FIG. 12, when the first crown 827a of the first staple 820a is supported on the support beds 916 and 920, the first distal leg 823a is substantially axially aligned with the first distal leg 914, and the first proximal leg 825a is substantially axially aligned with the first proximal leg 918.

As shown in FIG. 12, ejector 900a further includes a second staple supporting portion 930 comprising a second distal abutment 934 and a second proximal abutment 938. The second brace supporting portion 930 further includes a second distal abutment 936 and a second proximal abutment 940 for supporting second crown portions 827b staples. As also seen in FIG. 12, when the second crown 827b of the second staple 820b is supported on the second beds 936 and 940, the second distal leg 823b is substantially axially aligned with the second distal support leg 934 and the second proximal leg 825b is substantially axially aligned with the second proximal leg 938.

As also seen in FIG. 12, ejector 900a includes a third staple support portion 950 that includes a third distal support leg 954 and a third proximal support leg 958. The third staple support portion 950 further includes a third distal support bed 956 and a third proximal support bed 960 configured with the ability to support sections of the third crown 827c of the third bracket 820c. As seen in FIG. 12, when the third crown 827c of the third staple 820c is supported on the third beds 956 and 960, the third distal stem 823c is substantially axially aligned with the third distal support leg 954, and the third proximal leg 825c is substantially axially aligned with the third proximal support leg 958.

As shown in FIG. 12-14, in at least one structure, a first staple supporting portion 910 is coupled to a second staple supporting portion 930 via a first or distal link 970. The first link 970 includes a first cam portion having a first cam surface or slope 974 defined on its underside. The second brace supporting portion 930 is similarly coupled to the third brace supporting portion 950 via a second or proximal connector 980. The second cam member 982 protrudes from or is attached to the third brace supporting portion 950 and has a second cam surface or slope 984 formed thereon. the first and second cam surfaces 974, 984 are formed at the same angle and are substantially parallel to each other. However, in other designs, the first and second cam surfaces 974, 984 may be different from each other. The cam angles of the first and second cam surfaces 974, 984 may be associated with the cam angles of the respective ramps or cam surfaces of the slide 760. In at least one embodiment, the staple ejector 900a (and 900b) is integrally formed or molded from, for example, Ultem. ® without filler. However, you can use other materials, such as Ultem® with glass or mineral filling, or nylon or nylon with glass filling. In other designs, the different portions of the staple ejector 900a (and 900b) may be made separately from different materials and bonded together using an adhesive, a low temperature seal, or the like.

FIG. 15 is a bottom perspective view of a portion of one shape of the surgical staple cassette body 802. As noted above, in at least one embodiment, the cassette body 802 includes an elongated slot 804 that may be centered in the body 802. In the embodiment shown, for example, in FIG. 15, an elongated slot 804 divides the cassette body 802 into two body portions 850, 870 and extends along the cassette center axis CA. As seen in this figure, the first housing portion 850 includes a first cassette wall portion 852 that includes first abutment grooves or slots 854, all of which are located on a corresponding first slot axis FSA located transversely to the cassette axis CA. The first housing portion 850 further includes a second cassette wall portion 856 in which second support grooves or slots 858 are formed, all of which are located on a corresponding second slot axis SSA located transversely with respect to the cassette axis CA. A plurality of spaced apart staple ejector guides 860 are disposed between the first cassette wall portion 852 and the second cassette wall portion 856. In at least one design, the staple ejector guides 860 are integral with one or both of the cassette wall portions 852, 856 in the cassette body 802. In other designs, the staple ejector guides 860 are attached to wall portions of the cassette body 802. Each staple ejector guide 860 can be slidably engaged or, in other words, slidably supported by two adjacent staple ejectors 900a. See FIG. 17.

As shown in FIG. 16 and 17, in at least one structure, each of the staple ejectors 900a includes opposing hook grooves 901, 903 configured to be "hooked" by respective opposing hook portions 862, 864, respectively, of the staple ejector guide 860. The hook portions 862 are configured to slide the first proximal support leg 918 of the corresponding staple ejector 900a, and the hook portions 864 are configured to slide the third distal support leg 954 of the associated staple ejector 900a. In addition, the staple ejector guide 860 further includes a proximal groove 863 that is configured to slidably support a second distal support post 934 of a corresponding staple ejector 900a, as well as a distal groove 868 that is configured to slide the second proximal support posts 938 of the corresponding staple ejector 900a. Thus, each staple ejector 900a that is in sliding contact with a corresponding staple ejector guide 860 is slidably movable relative to the staple ejector guide 860 when the staple ejector 900a comes into actuating contact with the ramps or cam surfaces 762, 764 of the slide ...

As also seen in FIG. 15, the second body portion 870 includes a primary cassette wall portion 872 that includes primary staple leg grooves or slots 874, all of which are located on a corresponding primary groove axis PSA located transversely to the cassette axis CA. The second housing portion further includes a secondary cassette wall portion 876 in which second abutment grooves or grooves 878 are formed, each oriented along a corresponding secondary groove axis SDSA located transversely relative to the cassette axis CA. A plurality of spaced apart staple ejector guides 860 are disposed between the primary cassette wall section 872 and the secondary cassette wall section 876, each of which is configured to slide contact with two adjacent staple ejectors 900b, which may be mirror images of the staple ejectors 900a, as described higher. Thus, each staple ejector 900b that is in sliding contact with a respective ejector guide 860 is slidable relative to the ejector guide 860 when the staple ejector 900b comes into actuating contact with the ramps or cam members 766, 768 of the slide. See FIG. 6.

In the illustrated embodiment, the staple ejectors 900a are disposed in a first "staple ejector array" substantially designated element 905a as shown in FIG. 16 and 17. When the staple ejectors 900a are positioned in accordance with FIG. 16 and 17, each staple ejector 900a may be in sliding contact with two respective staple guides 860. See FIG. 17. In addition, the first distal support leg 914 of each staple ejector 900a can slide within a corresponding first support groove or slot 854 in the first cassette wall portion 852. See FIG. 8 and 15. Likewise, the third proximal support post 958 of each staple ejector 900a can slide within a corresponding second support groove or slot 858 in the second cassette wall portion 856. Thus, each of the support legs of the staple ejector 900a is slidably supported by a respective staple ejector guide 860, or they are supported by a corresponding portion of the cassette wall. This design can prevent any misalignment of the support legs when the staple ejector moves upward within the cassette body.

As also seen in FIG. 16, each of the first cam portions 972 of the staple ejectors 900a is oriented along a first cam axis FCA. Therefore, in at least one embodiment, each of the first cam surfaces 974 is oriented along the first cam axis FCA. In addition, each of the second cam elements 982 of the staple ejectors 900a is oriented along the second cam axis SCA. Therefore, each of the second cam surfaces 984 of the staple ejectors 900a is oriented along the second cam axis SCA. In at least one design, the cam axes FCA and SCA are, for example, parallel to each other as well as to the elongated slot 804 (as shown by segmented lines in FIG. 16) in the staple cassette. In addition, in the shown staple ejector array 905b, each of the first cam elements 972 of the staple ejectors 900b is oriented along the primary first cam axis PCA. Therefore, in at least one embodiment, each of the first cam surfaces 974 of the staple ejectors 900b is oriented along the primary cam axis PCA. In addition, each of the second cam elements 982 of the staple ejectors 900b is oriented along the secondary cam axis SDCA. Therefore, each of the second cam surfaces 984 of the staple ejectors 900b is oriented along the secondary cam axis SDCA.

FIG. 18 and 19 show the position of the sled or cam actuator 760 relative to the staple ejectors 900a, 900b. As seen in FIG. 18, in the array 905a of the staple ejectors 900a, the slope or cam member 764 is oriented with the second cam shaft SCA. The ramp or cam element 762 is oriented with the first cam axis FCA. The slope or cam element 766 is oriented along the primary cam axis PCA and the slope or cam element 768 is oriented along the secondary cam axis SDCA. Thus, the ramp or cam member 764 is positioned to pass under a portion of each of the crowns 827c of the brackets 820c supported by the ejectors 900a. The slope or cam surface 762 is positioned to pass under a portion of each of the crowns 827c of the brackets 820a supported by the ejectors 900a. Likewise, in the array 905b of staple ejectors 900b, the slope or cam member 766 is positioned to pass under a portion of the crowns 827a of each of the staples 820a supported on the ejectors 900b. The ramp or cam member 768 is positioned to pass under the crown portion 827c of each of the brackets 820c supported on the ejectors 900b. In other words, none of the ramps or cam members 764, 762, 766, 768 are oriented with any of the legs of the brackets 820a, 820b, 820c supported on the ejectors 900a, 900b. Therefore, this arrangement allows the third proximal support legs 958 of each staple ejector 900a to slide within the corresponding second support grooves or slots 858 in the second cassette wall portion 856 in the cassette body 802. In addition, the first distal support legs 914 of each staple ejector 900a slidably enter the respective first support grooves or slots 854 in the first wall portion 852 of the cassette 800. Similarly, each of the support legs 918, 934, 938, 954 is also slidably supported in corresponding ejector rails 860 formed or attached to the cassette body 802. All of the ejector guides 860 may have the same or similar height to the wall portions 852, 856.

As shown, for example, in FIG. 19, the first and second cassette wall portions 852, 856 (not shown in FIG. 19) have a height indicated by H. The staple ejector rails 860 may have the same or similar height H. In at least some embodiments, this height may also be substantially contain the height of the cassette body 802. In other embodiments, a "stepped platform" can be used, which is a platform surface having more than one flat area with different heights, as measured from, for example, the bottom of the cassette body. FIG. 19, element 816 may be a staple platform surface (or at least one staple platform surface in stepped platform embodiments), and element 781 may be a surface on which staple ejectors 900a, 900b are located when characterized non-activated orientation in the cassette body. For example, member 781 can be the top surface of the support tray 780. See FIG. 6. In at least one design, the ejector guides 860 may also have a height equal to or approximately equal to the height H of the cassette wall portions 852, 856. Thus, the support legs of each ejector 900a, 900b are substantially slidably supported along their entire path (distance H) while moving upwardly in the cassette body upon contact with the ramps or cam elements on the slide 760. In other embodiments, the support legs of each ejector 900a 900b are supported over a distance or height of at least (0.340 centimeters (0.134 in) staple + at least 0.168 centimeters (0.066 in) ejector (0.5 centimeters (0.2 in) total) in case of cassette with staples , which can be used, for example, to suture lung tissue). In other words, the ejector can be extended to a distance at least equal to the height of the staple (eg, height 820). The crown of the staple is "ejected" from the staple recess in the cassette to prevent tissue from getting caught between the ejector and the cassette bed when fully extended. This feature will help to avoid skewing the staple ejectors 900a, 900b when activated, which can reduce the likelihood of malformed staples.

When the surgical instrument is "fired" or, in other words, when the trigger system 80 is activated and moves the trigger rod 280 distally, the tissue cutting member 750 engages the slide or cam member 760 and moves the cam member 760 distally through the staple cassette 800. As seen in FIG. 16, cam elements 982 of the staple ejector 900a are positioned "inward" (ie, closer to the elongated slot 804) from the support posts 958 (and the staple legs 825c supported thereon). Likewise, cam elements 982 of the staple ejectors 900b are disposed inwardly from the support posts 958 of these staple ejectors 900b and the staple legs 825c supported thereon. Such structures allow these support legs 958 to be fully slidably supported over the entire range of upward travel from the respective wall portions 856, 876 of the staple cassette. In addition, the support legs 934, 938, 918, 954 are supported throughout their upward travel range by respective staple ejector rails 860 formed in the cassette body 802. In other words, the support leg 914 of each of the staple ejectors 900a 900b is slidably supported in respective wall portions 852, 872 of the cassette body 802 throughout the upward travel range.

As shown in FIG. 16 and 17, the ejector array 905a comprises a plurality of staple ejectors 900a, each of which is configured to support three staples 820a, 820b, 820c. Of course, in use, each ejector 900a may actually support one, two, or all three of these braces. On each staple ejector 900a, the bracket 820a is located on the FBA axis. More specifically, the crown 827a of the staple 820a is located on the axis FBA. Bracket 820c is located on the TBA axis. More specifically, the crown 827c of the staple 820c is located on the third axis TBA of the base. In at least one design, the axes FBA and TBA are parallel to each other. Bracket 820b is centered between brackets 820a and 820c and is located along the SBA axis. More specifically, the shackle crown 827b is located on the second base axis SBA. In the construction shown, the SBA axis is transverse to the FBA and TBA axes. In other words, the staple ejector 900a is configured to support two surgical staples parallel to each other or extending in the same direction and one staple disposed transversely to the other two staples or extending in a different direction from the other two staples. In the structure shown, when all of the staple ejectors 900a, 900b are operatively supported in the staple cassette 800, each of the axes FBA, SBA, TBA is transverse to the elongated slot 804.

As shown in FIG. 16, when all of the staple ejectors 900a are operatively supported in the staple cassette, in the staple ejectors array 905a, the staple ejectors 900a form a first longitudinal row 1200a of staples 820a that is disposed adjacent to the elongated slot 804 in the cassette body 802. Each of the staples 820a in the first longitudinal row 1200a extends in the first direction as described above. Similarly, the staple ejectors 900a define a second longitudinal row 1202a of staples 820b adjacent to the first longitudinal row 1200a. The staples 820b in the second longitudinal row 1202a extend in a second direction that is different from the first direction of the staples 820a in the first longitudinal row 1200a. In addition, the staple ejectors 900a define a third longitudinal row 1204a of staples 820c that are oriented in a third direction that may or may not coincide with the direction of the staples 820a. For example, in the illustrated embodiment, the first and third directions are the same. The third longitudinal row 1204a is located adjacent to the second longitudinal row 1202a.

As shown in FIG. 16, when all of the staple ejectors 900b are operatively supported in the staple cassette, in the staple ejectors array 905b, the staple ejectors 900b form a first longitudinal row 1200b of staples 820a that are disposed adjacent the elongated slot 804 in the cassette body 802. Each of the staples 820a in the first longitudinal row 1200b extends in the first direction as described above. Similarly, the staple ejectors 900b form a second longitudinal row 1202b of staples 820b disposed adjacent to the first longitudinal row 1200b. The staples 820b in the second longitudinal row 1202a extend in a second direction that is different from the first direction of the staples 820a in the first longitudinal row 1200a. In addition, the staple ejectors 900b form a third longitudinal row 1204b of staples 820c, which are oriented in a third direction that may or may not coincide with the direction of the staples 820a. For example, in the illustrated embodiment, the first and third directions are the same. The third longitudinal row 1204b is located adjacent to the second longitudinal row 1202b.

Other staple ejector arrays 990a, 990b are shown in FIG. 20 and 21. As seen in these figures, the staple ejector array 990a uses a distal staple ejector 1000a and a proximal staple ejector 1100a in addition to a plurality of staple ejectors 900a. Likewise, the staple ejector array 990b includes a distal staple ejector 1000b and a proximal staple ejector 1100b. The distal staple ejector 1000b may be substantially a mirror image of the distal staple ejector 1000a, and the proximal staple ejector 1100b may be substantially a mirror image of the proximal staple ejector 1100a. FIG. 22-24 illustrate an example of the shape of a distal staple ejector 1000a, it should be understood that in at least one design, the distal staple ejector 1000b essentially contains the same elements as the distal staple ejector 1000a, but in a mirror image. Each distal staple ejector 1000a, 1000b includes a distal staple support portion 1010 that is configured to support the corresponding distal staple 820cd itself. As seen in FIG. 22-24, the distal bracket support portion 1010 includes a distal support leg 1014 and a proximal support leg 1018. The distal bracket support portion 1010 further includes a distal support bed 1016 and a proximal support bed 1020 for crown support portions 827c of the corresponding distal bracket 820cd. When the crown 827c of the distal staple 820cd is supported on the support beds 1016 and 1020, the first distal leg 823c of the staple 820cd is substantially axially oriented with the first distal strut 1016, and the first proximal leg 825c is substantially axially oriented with the first proximal strut 1018. In at least one design, the distal staple ejectors 1000a, 1000b include a distal connection element 1070. The distal connection element 1070 slidably engages with a corresponding most distal ejector guide (indicated by 860D in FIG. 21).

In at least one design, the distal connector 1070 includes a hook-shaped distal groove 1072 configured to be “hooked” by a hook-shaped portion 864 on the corresponding most distal ejector guide 860D. In addition, the distal connector 1070 may include a protrusion 1074 that is slidably engageable within a corresponding slot 868 in the distal ejector guide 860D. See FIG. 21. Thus, each distal staple ejector 1000a, 1000b is in sliding engagement with a respective ejector guide 860. In addition, in the array 990a of staple ejectors 900a, 1000a, the proximal support post 1018 of the distal staple ejector 1000a may slide within a corresponding second support groove or slot 858 in the second cassette wall portion 856. Likewise, the proximal support post 1018 of the distal staple ejector 1100b can slide within a corresponding second support groove or slot 878 in the secondary section 876 of the cassette wall. As also seen in FIG. 23 and 24, the first cam member 1022 protrudes from or is attached to a distal bracket supporting portion 1010 and has a first cam surface or slope formed thereon. The distal connector 1070 further includes a second distal cam portion 1026 having a second or a distal cam surface or slope 1028 as shown in FIG. 23 and 24. In at least one design, the cam surfaces 1024 have the same slope or angle as the slope / angle of the cam surfaces 984. Similarly, the cam surfaces 1028 have the same slope / angle as the slope / angle of the cam surfaces 974. In at least one embodiment, each distal staple ejector 1000a and 1000b is integrally formed or molded from, for example, unfilled Ultem® material. However, you can use other materials, such as Ultem® with glass or mineral filling, or nylon or nylon with glass filling. In other designs, the different portions of the distal staple ejectors 1000a, 1000b may be made separately from different materials and bonded together using an adhesive, a low-temperature seal, etc.

FIG. 25-27 show an example of a proximal staple ejector 1100a. The proximal staple ejector 1100b may be substantially a mirror image of the proximal staple ejector 1100a. Each proximal staple ejector 1100a, 1100b includes a proximal staple support portion 1110 that is configured to support the corresponding proximal staple 820ap itself. As seen in FIG. 25-27, the proximal bracket support portion 1110 includes a distal support leg 1114 and a proximal support leg 1118. The proximal bracket support portion 1110 further includes a distal support bed 1116 and a proximal support bed 1120 for crown support portions 827a of the corresponding proximal bracket 820ap. When the crown 827a of the proximal staple 820ap is supported on the support beds 1116 and 1120, the distal stem 823a of the staple 820ap is substantially axially aligned with the distal support leg 1116, and the proximal leg 825a is substantially axially aligned with the proximal leg 1118. At least one the structures of the proximal staple ejectors 1100a, 1100b include a body member 1170. The body member 1170 slidably engages with the corresponding most proximal ejector guide (designated 860P in FIG. 21).

In at least one design, the body member 1170 includes a hook-shaped distal groove 1172 configured to be "hooked" by a hook-shaped portion 862 on the most proximal ejector guide 860P. In addition, the body member 1170 may include a protrusion 1174 that is configured to slide into a corresponding slot 869 in the most proximal guide 860P of the staple ejector. Thus, each proximal staple ejector 1100a, 1100b is slidably engaged with a corresponding ejector guide 860P. In addition, in the array 990a of staple ejectors 900a, 1000a, 1100a, the distal support post 1114 of the proximal staple ejector 1100a may slide within the corresponding first staple leg groove 854 in the first cassette wall portion 852. Likewise, the distal staple support 1114 of the proximal staple ejector 1110b can slide within a corresponding primary staple leg groove 874 in the primary portion 872 of the cassette wall. As also seen in FIG. 26 and 27, the first proximal cam portion 1122 protrudes from or is attached to body member 1170 and has a first proximal cam surface or slope 1124 formed thereon. The body member 1170 also includes a second distal cam portion or slope 1126 having a a second distal cam surface 1128. In at least one design, cam surfaces 1124 have the same slope or angle as the slopes / angles of the cam surfaces or slopes 984, 1024. Similarly, the cam surfaces 1128 may have the same slope / angle as the slope / angle of cam surfaces 974 and 1028. In at least one embodiment, each proximal staple ejector 1100a and 1100b is integrally formed or molded from, for example, unfilled Ultem® material. However, you can use other materials, such as Ultem® with glass or mineral filling, or nylon or nylon with glass filling. In other designs, different portions of the proximal staple ejectors 1100a and 1100b may be made separately from different materials and bonded together using an adhesive, a low temperature seal, or the like.

As also seen in FIG. 20, in the staple ejector array 990a of the shown structure, the distal cam portion 1126 of the proximal staple ejector 1100a and each of the first cam elements 972 of the staple ejectors 900a, as well as the distal cam portion 1026 of the distal staple ejector 1000a are all oriented along the first cam axis FCA. Therefore, in at least one embodiment, each of the first distal cam surfaces 1028, 1128, as well as each of the first cam surfaces 974, is oriented along the first cam axis FCA. In addition, the second proximal cam portion 1122 of the proximal staple ejector 1100a and the proximal cam portion 1022 of the distal staple ejector 1000a, as well as each of the second cam elements 982 of the staple ejectors 900a, are oriented along the second cam axis SCA. Therefore, the proximal cam surfaces 1024, 1124 and the second cam surfaces 984 of the staple ejectors 900a are oriented along the second cam axis SCA. In addition, in the shown staple ejector array 990b, the distal cam portion 1126 of the proximal staple ejector 1100b and the distal cam portion 1026 of the distal staple ejector 1000b, as well as each of the cam elements 972 of the staple ejectors 900b, are all oriented along the primary cam axis PCA. Therefore, in at least one embodiment, the distal cam surfaces 1128, 1028 as well as each of the first cam surfaces 974 in the staple ejector array 990b are aligned with the primary cam axis PCA.

In addition, as shown in FIG. 20, in the staple ejector array 990b of the shown structure, the first distal cam portion 1126 of the proximal staple ejector 1100b and each of the first cam elements 972 of the staple ejectors 900b, as well as the first distal cam portion 1026 of the distal staple ejector 1000b are all oriented along the primary cam axis PCA. Therefore, in at least one embodiment, each of the first distal cam surfaces 1028, 1128, as well as each of the first cam surfaces 974 in the staple ejector array 990b, are oriented along the primary cam axis PCA. In addition, the second proximal cam portion 1122 of the proximal staple ejector 1100b and the second proximal cam portion 1022 of the distal staple ejector 1000b, as well as each of the second cam members 982 of the staple ejectors 900b, are all oriented along the secondary cam axis SDCA. Therefore, each of the proximal cam surfaces 1024, 1124 and the second cam surfaces 984 of the staple ejectors 900b are oriented along the second cam axis SDCA.

As described above, in matrix 990a, the slope or cam surface 764 of the sled or cam member 760 is oriented along the second cam axis SCA. Likewise, the slope or cam surface 762 is oriented along the first cam axis FCA. The slope or cam surface 766 is oriented with the PCA primary cam axis and the slope or cam surface 768 is oriented with the SDCA secondary cam axis. Thus, the ramp 764 is oriented with a portion of each of the crowns 827c of the staples 820c. The sloped surface 762 is oriented with a portion of each of the crowns 827c of the staples 820a as well as the crowns 827c of the staples 820cd. Similarly, in the array 990b of the ejectors 1000b, 900b, 1100b of the staples, the inclined surface 766 is oriented with a portion of the crowns 827a of each of the staples 820a, as well as with a portion of the crown 827a of the proximal staple 820ap itself. The sloped surface 768 is oriented with the crown portion 827c of each of the staples 820c, as well as the crown portion 827c of the distal staple 820cd itself. In other words, none of the slopes 764, 762, 766, 768 are oriented with any of the legs of the staples 820a, 820b, 820c, 820cd, and 820ap. Therefore, this arrangement allows the third proximal support legs 958 of each staple ejector 900a to slide within the corresponding second support grooves or slots 858 in the second cassette wall portion 856 in the cassette body 802. In addition, it is contemplated that the proximal support post 1018 of the distal staple ejector 1000a slidably fits within a corresponding support groove or slot 858 in the cassette wall portion 856. In addition, the first distal support legs 914 of each staple ejector 900a slidably within the respective first support grooves or slots 854 in the first wall portion 852 of the cassette 800. In addition, the distal support post 1114 of the proximal staple ejector 1100a slidably slides into the support groove or slot 854. In the staple ejector array 990a, each of the support legs 1014, 918, 934, 938, 954, 1118 is also slidably supported in respective ejector rails 860D, 860, 860P formed in the cassette body 802, and may have the same or the same height as wall sections 852, 856.

When the surgical instrument is "fired" or, in other words, when the trigger system 80 is activated and moves the trigger rod 280 distally, the tissue cutting member 750 engages the slide or cam member 760 and moves the cam member 760 distally through the staple cassette 800. As seen in FIG. 20, cam elements 982 of the staple ejector 900a are positioned "inward" from the support posts 958 (and the staple legs 825c supported thereon). Likewise, the cam member 1022 of the distal staple ejector 1000a is positioned inwardly from the proximal support post 1018 (and from the stem 825c of the distal staple 820cd itself supported thereon). In addition, all cam members 972 are positioned inward from the proximal support legs 914 (and from the legs 823a of the staples 820a supported thereon). In addition, the cam element 1126 of the proximal staple ejector 1100a is positioned inwardly from the support post 1114 (and from the leg 823a of the proximal staple 820ap itself supported thereon). The ejectors 1000b, 900b, 1100b in the ejector array 990b have a similar configuration. Such structures allow the support legs to be slidably supported over their entire upward movement range either in the corresponding grooves of the cassette wall portions or in the grooves of the corresponding ejector guides formed inside the cassette body.

As shown in FIG. 20, when all staple ejectors 900a, 1000a, and 1100a are functionally supported in the staple cassette, in the staple ejectors array 990a, the staple ejectors 900a, 1000a, 1100a form a first longitudinal row 1210a of staples 820a that is adjacent to the elongated slot 804 in the cassette body 802 ... Each of the staples 820a in the first longitudinal row 1210a extends in the first direction as described above. Likewise, the staple ejectors 900a define a second longitudinal row 1212a of staples 820b disposed adjacent to the first longitudinal row 1210a. The staples 820b in the second longitudinal row 1212a extend in a second direction that is different from the first direction of the staples 820a in the first longitudinal row 1210a. In addition, the staple ejectors 900a define a third longitudinal row 1214a of staples 820c that are oriented in a third direction that may or may not coincide with the direction of the staples 820a. For example, in the illustrated embodiment, the first and third directions are the same. The third longitudinal row 1214a is located adjacent to the second longitudinal row 1212a.

As shown in FIG. 20, when all of the staple ejectors 900b are operatively supported in the staple cassette, in the staple ejectors array 990b, the staple ejectors 900b form a first longitudinal row 1210b of staples 820a that is disposed adjacent an elongated slot 804 in the cassette body 802. Each of the staples 820a in the first longitudinal row 1201b extends in the first direction as described above. Similarly, the staple ejectors 900b form a second longitudinal row 1212b of staples 820b disposed adjacent to the first longitudinal row 1210b. The staples 820b in the second longitudinal row 1210b extend in a second direction that is different from the first direction of the staples 820a in the first longitudinal row 1210b. In addition, the staple ejectors 900b define a third longitudinal row 1214b of staples 820c that are oriented in a third direction that may or may not coincide with the direction of the staples 820a. For example, in the illustrated embodiment, the first and third directions are the same. In other words, the crown of the staples 820a may be located on one axis, and the staples 820c may be located on a different axis, parallel to the axis along which the crowns of the staples 820a are located, as will be described in more detail below. The third longitudinal row 1214b is located adjacent to the second longitudinal row 1212b.

Thus, when using the staple ejector dies 990a, 990b, there are two staples extending side by side in the same direction or along parallel axes running along both ends of each of the staple lines. In particular, the distal ejector 1000a supports the most distal staple 820cd in the longitudinal row of staples 1214a, which extends in the same direction and substantially adjacent to the most distal bracket 820a in the longitudinal row 1210a. Likewise, the proximal ejector 1100a supports the most proximal staple 820ap in the longitudinal row 1210a of staples that extends in the same direction and is substantially adjacent to the proximal staple 820a in the longitudinal row 1214a. Likewise, the distal ejector 1000b supports the most distal staple 820cd in the longitudinal row of staples 1214b, which extends in the same direction and substantially adjacent to the most distal bracket 820a in the longitudinal row 1210b. Likewise, the proximal ejector 1100b supports the most proximal staple 820ap in the longitudinal row 1210b of staples that extends in the same direction and is substantially adjacent to the proximal staple 820a in the longitudinal row 1214b. This staple pattern can provide an over-tight design at both ends of each staple line. In this context, "staple line" collectively denotes longitudinal rows of staples on one side of the elongated groove 804 in the staple cassette body 802. For example, the staple line, substantially designated element 1220a, collectively denotes longitudinal rows 1200a, 1202a, 1204a. Staple line 1220b collectively denotes longitudinal rows 1200b, 1202b, 1204b.

Other staple ejector arrays 1300a, 1300b are shown in FIG. 28 and 29. As seen in these figures, the staple ejector array 1300a uses a distal staple ejector 1000a and a plurality of staple ejectors 900a as described above. This matrix also uses a proximal staple ejector 1310a to functionally support a total of four staples. FIG. 30-32 show one example of the shape of the proximal staple ejector 1310a, it should be understood that in at least one design, the proximal staple ejector 1310b essentially contains the same elements as the proximal staple ejector 1310a, and it may be a mirror image. Each proximal staple ejector 1310a, 1310b includes an ejector body 1311. In at least one form, the ejector body 1311 includes a first or innermost staple supporting portion 1320 that is configured to support the staple 820a, a second or central staple supporting portion 1350 that is configured to support the staple 820b, a third support portion 1370, configured to support the staple 820b; and a fourth or most proximal staple support portion 1390 that is configured to support the proximal staple 820cp itself.

As seen in FIG. 30 and 31, the first staple supporting portion 1320 includes a first distal abutment 1324 and a first proximal abutment 1328. The first staple supporting portion 1320 further includes a first distal abutment bed 1326 and a first proximal abutment bed 1330 for supporting portions of the first crown 827a of the staple. As seen in FIG. 31, when the first crown 827a of the first staple 820a is supported on the support beds 1326 and 1330, the first distal leg 823a is substantially axially aligned with the first distal leg 1324, and the first proximal leg 825a is substantially axially aligned with the first proximal leg 1328. In addition, the crown 827a is supported or oriented along the first axis FBA of the base.

As shown in FIG. 30 and 31, the proximal staple ejector 1310a further includes a second staple support portion 1350 comprising a second distal support post 1354 and a second proximal support post 1358. The second staple support portion 1350 further includes a second distal support bed 1356 and a second proximal support bed 1360 for maintaining the sections of the second crown 827b of the staple. As seen in FIG. 31, when the second crown 827b of the second staple 820b is supported on the beds 1356 and 1360, the second distal stem 823b is substantially axially aligned with the second distal support leg 1354, and the second proximal leg 825b is substantially axially aligned with the second proximal leg 1358. In addition in addition, the shackle crown 827b is supported or oriented along a second base axis SBA, which in at least one structure is transverse to the first base axis FBA.

As also seen in FIG. 30 and 31, the proximal staple ejector 1310a includes a third staple support portion 1370 that includes a third distal support leg 1374 and a third proximal support leg 1378. The third staple support portion 1370 further includes a third distal support bed 1376 and a third proximal support bed 1380, configured to support portions of the third crown 827c of the third bracket 820c. As seen in FIG. 31, when the third crown 827c of the third staple 820c is supported on the beds 1376 and 1380, the third distal leg 823c is substantially axially aligned with the third distal support leg 1374, and the third proximal leg 825c is substantially axially aligned with the third proximal leg 1378. In addition in addition, the shackle crown 827c is supported or oriented along a third base axis TBA, which in at least one structure is parallel to the first base axis FBA and is transverse to the second base axis SBA.

As shown in FIG. 30 and 31, the proximal staple ejector 1310a includes a fourth staple support portion 1390 including a fourth distal support leg 1394 and a fourth proximal support leg 1398. The fourth staple support portion 1390 further includes a fourth distal support bed 1396 and a third proximal support bed 1400 configured to support portions of the fourth crown 827cp of the most proximal or fourth staple 820cp. As seen in FIG. 31, when the fourth crown 827cp of the fourth staple 820cp is supported on the stocks 1396 and 1400, the fourth distal stem 823cp is substantially axially aligned with the fourth distal support leg 1394, and the fourth proximal leg 825cp is substantially axially aligned with the fourth proximal support leg 1398. In addition In addition, the crown 827cp of the staple is supported or oriented along the proximal base axis PBA, which in at least one design is parallel to the first base axis and the third base axis TBA and is transverse to the second base axis SBA.

In at least one structure, the first staple supporting portion 1320, the second staple supporting portion 1350, the third staple supporting portion 1370, and the fourth staple supporting portion 1390 are all connected together by the connecting portion 1410. In at least one structure, the connecting portion 1410 is provided with a centrally located an aperture 1412 slidably slidably inserted into the proximal ejector guide 860P. See FIG. 29. A connecting portion 1410 is formed with a first hook-shaped groove 1414 hook-engaging with a hook-shaped portion 862P and with a second hook-shaped groove 1416 hooked-out with a hook-shaped portion 864P on the most proximal cassette guide 860P formed on the ejector body. In addition, a third groove 1418 is formed in the connecting portion 1410 for sliding engagement with the correspondingly shaped portion 866P of the ejector guide 860P. A fourth groove 1420 is formed in the connecting portion 1410 for sliding engagement with the hook portion 862 of the adjacent ejector guide 860. See FIG. 29. In addition, in the illustrated embodiment, the connecting portion 1410 includes a fifth groove 1422 for slidingly engaging the correspondingly shaped portion 868P of the most proximal ejector guide 860P. In addition, in the array 1300a of the staple ejectors 900a, 1000a, 1310a, the support legs 1324, 1394 of the proximal staple ejector 1310a may slidably enter the corresponding first support groove or slot 854 in the first cassette wall portion 852 as described above. In addition, the support post 1378 can be slidably supported within a corresponding support groove or slot 858 in the second cassette wall portion 856. Likewise, the support legs 1324, 1394 of the proximal staple ejector 1310b can slide within a corresponding primary support groove or slot 874 in the primary section 872 of the cassette wall as described above. In addition, the support post 1378 of the proximal staple ejector 1310b can be slidably supported within a corresponding support groove or slot 878 in the secondary section 876 of the cassette wall.

As also seen in FIG. 31 and 32, the connecting portion 1410 includes a first cam portion 1430 on which a first cam surface or slope 1432 is formed. The connecting portion 1410 further includes a second cam portion 1434 on which a second cam surface 1436 is formed. cam surfaces 1432, 1436 have a single slope or angle that may be the same or different from the slope (s) and / or angle (s) of the cam surfaces or slopes 974, 984. In at least one embodiment, each the proximal staple ejector 1310a and 1310b are integrally formed or molded from, for example, unfilled Ultem® material. However, you can use other materials, such as Ultem® with glass or mineral filling, or nylon or nylon with glass filling. In other designs, different portions of the proximal staple ejectors 1310a and 1310b may be made separately from different materials and bonded together using an adhesive, a low temperature seal, or the like.

As also seen in FIG. 28, in the staple ejector array 1300a of the shown structure, the first cam portion 1430 of the proximal staple ejector 1310a and the distal cam portion 1026 of the distal staple ejector 1000a, as well as each of the first cam elements 972 of the staple ejectors 900a, are all oriented along the first cam axis FCA. Therefore, the proximal cam surface 1028, the second cam surfaces 974 of the staple ejectors 900a, and the cam surface 1432 are all oriented along the first cam axis FCA. The second cam portion 1434 of the proximal staple ejector 1310a, each of the second cam elements 982 of the staple ejectors 900a, and the cam element 1022 of the distal staple ejector 1000a are all oriented along the second cam axis SCA. Therefore, in at least one embodiment, the cam surface 1436 as well as each of the cam surfaces 984 and the cam surface 1024 are all oriented along the second cam axis SCA. In addition, in the shown staple ejector array 1300b, the cam portion 1430 of the proximal staple ejector 1310b, each of the cam elements 972 of the staple ejectors 900b, and the cam element 1026 of the distal staple ejector 1000b are all oriented along the primary cam axis PCA. Therefore, the second cam surface 1432 of the proximal staple ejector 1310b, the second cam surfaces 974 of the staple ejectors 900b, and the cam surface 1028 of the distal staple ejector 1000b are all aligned with the second primary cam axis PCA. As shown in FIG. 28, in the staple ejector array 1300b of the shown structure, the second cam portion 1434 of the proximal staple ejector 1310b, each of the cam elements 982 of the staple ejectors 900b, and the first proximal cam portion 1022 of the distal staple ejector 1000b are all oriented along the secondary cam axis SDCA. Therefore, in at least one embodiment, each of the cam surfaces 1436, as well as each of the cam surfaces 984 and the cam surface 1024, are oriented along the secondary cam axis SDCA.

As shown in FIG. 28, when all of the staple ejectors 900a, 1000a, and 1310a are operatively supported in the staple cassette, in the staple ejectors array 1300a, the staple ejectors 900a, 1000a, 1310a form a first longitudinal row 1450a of staples 820a that is adjacent to an elongated slot 804 in the cassette body 802. Each of the staples 820a in the first longitudinal row 1450a extends in a first direction as described above. Similarly, the staple ejectors 900a and the proximal staple ejector 1310a form a second longitudinal row 1460a of staples 820b adjacent to the first longitudinal row 1450a. The staples 820b in the second longitudinal row 1460a extend in a second direction that is different from the first direction of the staples 820a in the first longitudinal row 1450a. In addition, the staple ejectors 1000a, 900a, and 1310a form a third longitudinal row 1470a of staples 820c, which are oriented in a third direction, which may or may not coincide with the direction of the staples 820a. For example, in the illustrated embodiment, the first and third directions are the same. The third longitudinal row 1470a is adjacent to the second longitudinal row 1460a.

As shown in FIG. 28, when all staple ejectors 1000b, 900b, and 1310b are operatively supported in the staple cassette, in the staple ejector array 1300b, the staple ejectors 1000b, 900b, and 1310b form a primary longitudinal row 1450b of staples 820a that is disposed adjacent to an elongated slot 804 in the cassette body 802 ... Each of the staples 820a in the primary longitudinal row 1450b extends in a first direction as described above. Similarly, staple ejectors 900b and 1310b form a secondary longitudinal row 1460b of staples 820b disposed adjacent to a primary longitudinal row 1450b. The staples 820b in the secondary longitudinal row 1460b extend in a second direction that is different from the first direction of the staples 820a in the primary longitudinal row 1450b. In addition, the staple ejectors 1000b, 900b, and 1310b form a tertiary longitudinal row 1470b of staples 820c that are oriented in a third direction that may or may not coincide with the direction of the staples 820a. For example, in the illustrated embodiment, the first and third directions are the same. Tertiary longitudinal row 1470b is located adjacent to secondary longitudinal row 1460b.

Thus, when using the staple ejector dies 1300a, 1300b, there are two staples extending side by side in one direction or along parallel axes running along both ends of each of the staple lines. In particular, the distal ejector 1000a supports the most distal staple 820cd in the longitudinal row of staples 1470a, which extends in the same direction and substantially adjacent to the most distal bracket in the longitudinal row 1450a. Similarly, the proximal ejector 1310a supports the two most proximal staples 820c and 820cp, respectively, in the longitudinal staple rows 1450a and 1470a, which extend in the same direction as the most proximal staple in the longitudinal row 1470a. Likewise, the distal ejector 1000b supports the most distal staple 820cd in the longitudinal row of staples 1470b, which extends in the same direction and substantially adjacent to the most distal bracket in the longitudinal row 1450b. Similarly, the proximal ejector 1310b supports the most proximal staple in the longitudinal staple row 1450b, which extends in the same direction and is substantially adjacent to the proximal staple itself in the longitudinal staple row 1470b. This staple pattern can provide an over-tight design at both ends of each staple line. In this context, "staple line" collectively denotes longitudinal rows of staples on one side of the elongated groove 804 in the staple cassette body 802. For example, a line of staples substantially designated element 1480a collectively denotes longitudinal staple rows 1450a, 1460a, 1470a. Staple line 1480b collectively denotes longitudinal staple rows 1450b, 1460b, 1470b.

As described above, in the array 1300a, the slope or cam member 764 of the sled or cam actuator 760 is oriented along the second cam axis SCA. Likewise, the slope or cam element 762 is oriented along the first cam axis FCA. The slope or cam element 766 is oriented along the primary cam axis PCA and the slope or cam element 768 is oriented along the secondary cam axis SDCA. Thus, the ramp or cam member 764 is oriented with a portion of each of the crowns 827c of the brackets 820c and 820cd. The bias or cam member 762 is oriented with a portion of each of the crowns 827a of the staples 820a as well as the crown 827c of the proximal staple 820cp itself. Likewise, in the staple ejector array 1300b 1000b, 900b, 1310b, the slope or cam member 766 is oriented with a portion of the crowns 827a of each of the staples 820a as well as the crown portion 827c of the proximal staple 820cp itself. The bias or cam member 768 is oriented with the crown portion 827c of each of the staples 820c as well as the crown portion 827c of the distal staple 820cd itself. In other words, none of the ramps or cam elements 764, 762, 766, 768 are oriented with any of the legs of the staples 820a, 820b, 820c, 820cd, and 820cp. Therefore, this arrangement allows the third proximal support legs 958 of each of the staple ejectors 900a, the proximal support legs 1018 of the distal staple ejector 1000a, and the support leg 1378 of the proximal staple ejector 1310 slidably enter the respective second support grooves or slots 858 in the second portion 856 the walls of the cassette body 802. Likewise, the first distal support legs 914 of each staple ejector 900a, as well as the support legs 1324, 1394 of the proximal staple equalizer 1310a, all slidably slide inside the respective first support grooves or slots 854 in the first wall portion 852 of the cassette 800. In the staple ejector array 1300a, each of support legs 1014, 918, 934, 938, 954, 1328, 1354, 1358, 1374, 1398 are also slidably supported in the respective ejector rails 860D, 860, 860P formed in the cassette body 802, and it may have the same or similar height as the sections 852, 856 of the wall.

Other staple ejector arrays 1500a, 1500b are shown in FIG. 33 and 34. As seen in these figures, the staple ejector array 1500a employs a plurality of staple ejectors 1510a operatively supporting three staples. The staple ejector array 1500a also includes a distal staple ejector 1610a operatively supporting two staples. Similarly, the staple ejector array 1500b includes a plurality of staple ejectors 1510b and a distal staple ejector 1610b. Staple ejectors 1510b can be mirror images of staple ejectors 1510a and include the same elements. The distal staple ejectors 1610b may be mirror images of the staple ejectors 1610a and include the same elements.

FIG. 35-37 show one example of the shape of the staple ejector 1510a, it should be understood that in at least one design, the staple ejector 1510b contains substantially the same elements as the staple ejector 1510a and may be a mirror image thereof. Each staple ejector 1510a, 1510b includes a staple ejector body 1511. In the shown construction, the ejector body 1511 includes a first or innermost staple supporting portion 1520 that is configured to support the staple 820a, a second or central staple supporting portion 1550 that is configured to support the staple 820b, and a third staple supporting portion 1570 that configured to support staple 820c. As seen in FIG. 35, first staple supporting portion 1520 includes a first distal abutment 1524 and a first proximal strut 1528. The first staple supporting portion 1520 further includes a first distal abutment bed 1526 and a first proximal abutment bed 1530 for supporting crown portions 827a of staple 820a. As seen in FIG. 31, when the crown 827a of the staple 820a is supported on the support beds 1526 and 1530, the distal stem 823a is substantially axially aligned with the first distal leg 1524 and the first proximal leg 825a is substantially axially aligned with the first proximal leg 1528. When the staple 820a supported on the first shackle supporting portion 1520, the shackle crown 827a is oriented along the first base axis FBA.

As shown in FIG. 35 and 36, the proximal staple ejector 1510a further includes a second staple support portion 1550 comprising a second distal support post 1554 and a second proximal support post 1558. The second staple support portion 1550 further includes a second distal support bed 1556 and a second proximal support bed 1560 for maintaining the crown portions 827b of the staple 820b. As seen in FIG. 36, when the crown 827b of the staple 820b is supported on the stocks 1556 and 1560, the distal stem 823b is substantially axially aligned with the second distal support leg 1554, and the proximal stem 825b is substantially axially aligned with the second proximal leg 1558. When the staple 820b is supported on the second bracket supporting portion 1550, the crown 827b of the bracket is oriented along the second base axis SBA. In the shown construction, the second base axis SBA is transverse to the first base axis FBA.

As also seen in FIG. 35 and 36, the proximal staple ejector 1510a includes a third staple support portion 1570 that includes a third distal support leg 1574 and a third proximal support leg 1578. The third staple support portion 1570 further includes a third distal support bed 1576 and a third proximal support bed 1580, configured to support portions of the crown 827c of the third bracket 820c. As seen in FIG. 31, when the crown 827c of the staple 820c is supported on the stocks 1576 and 1580, the distal stem 823c is substantially axially aligned with the distal support leg 1574, and the proximal stem 825c is substantially axially aligned with the third proximal leg 1578. When the staple 820c is supported on the third the bracket supporting portion 1570, the bracket crown 827c is oriented along the third base axis TBA. In the construction shown, the third base axis TBA is parallel to the first base axis FBA and is transverse to the second base axis SBA.

As shown in FIG. 35-37, in at least one structure, the first staple supporting portion 1520, the second staple supporting portion 1550, and the third staple supporting portion 1570 are all connected together via a connecting portion 1590. In at least one structure, the connecting portion 1590 is provided with a centrally located hole 1592 configured to slide thereinto the corresponding first ejector guide 1700. See FIG. 34. The connecting portion 1590 is formed with a first hook-shaped groove 1594 configured to hook into the hook-shaped portion 1702 on the first ejector guide 1700. The hook-shaped portion 1702 is configured to be slidably supported by the support post 1574. Also, as further seen in FIG. 34, each first ejector guide 1700 includes a slot 1704 that is slidably received by the second proximal support post 1558 of the corresponding staple ejector 1510a. Each staple ejector 1510a is also configured to slidably engage a second ejector guide 1720 as shown in FIG. 34. Each second ejector guide 1720 includes a first slot 1722 that is slidably received by the first proximal support post 1528 of the corresponding staple ejector 1510a. In addition, each second ejector guide 1720 further has a second groove 1724 that is slidably received by the second distal support post 1554 of the corresponding staple ejector 1510a.

As also seen in FIG. 35 and 36, the connecting portion 1590 includes a first cam portion 1596 on which a first cam surface or slope 1598 is formed. The connecting portion 1590 further includes a second cam portion 1600 on which a second cam surface 1602 is formed. cam surfaces 1598, 1602 have the same slope or angle, or they can have different slopes / angles. In at least one embodiment, each staple ejector 1510a and 1510b is integrally formed or molded from, for example, unfilled Ultem® material. However, you can use other materials, such as Ultem® with glass or mineral filling, or nylon or nylon with glass filling. In other designs, the different portions of the proximal staple ejectors 1510a and 1510b may be made separately from different materials and bonded together using an adhesive, a low-temperature seal, or the like.

The staple ejector array 1500a in the embodiment shown also includes a distal staple ejector 1610a configured to functionally support the two staples. FIG. 38-40 show one example of the shape of a distal staple ejector 1610a, it should be understood that in at least one design, the staple ejector 1610b contains substantially the same elements as the staple ejector 1610a, and may be a mirror image thereof. Each staple ejector 1610a, 1610b includes an ejector body 1611. In the structure shown, each ejector body 1611 includes a first staple supporting portion 1620 that is configured to support the staple 820a and a second staple supporting portion 1650 that is configured to support the staple 820c. As seen in FIG. 30, first staple supporting portion 1620 includes a first distal abutment 1624 and a first proximal abutment 1628. The first staple supporting portion 1620 further includes a first distal abutment bed 1626 and a first proximal abutment bed 1630 for supporting portions of the first crown 827a of the staple. As seen in FIG. 39, when the crown 827a of the staple 820a is supported on the support beds 1626 and 1630, the distal stem 823a is substantially axially aligned with the first distal leg 1624, and the proximal leg 825a is substantially axially aligned with the first proximal leg 1628. When the staple 820a is supported in the first bracket supporting portion 1620, the crown 827a of the bracket is oriented along the first base axis FBA.

As shown in FIG. 38 and 39, the distal staple ejector 1610a further includes a second staple support portion 1650 comprising a second distal support post 1654 and a second proximal support post 1658. The second staple support portion 1650 further includes a second distal support bed 1656 and a second proximal support bed 1660 for maintaining the 827c crown sections of the 820c staple. As seen in FIG. 39, when the crown 827c of the staple 820c is supported on the stocks 1656 and 1660, the distal stem 823c is substantially axially aligned with the second distal support leg 1654, and the proximal stem 825c is substantially axially aligned with the second proximal leg 1658. When the staple 820c is supported on the second bracket supporting portion 1650, the crown 827c of the bracket is oriented along the second base axis SBA. In the construction shown, the second base axis SBA is parallel to the first base axis FBA.

In at least one structure, the first staple supporting portion 1620 and the second staple supporting portion 1650 of the distal staple ejector 1610a are connected together via a connecting portion 1690. In at least one structure, the ejector body portion 1690 is provided with a centrally located opening 1692 configured to receive it slidably with the corresponding ejector distal guide 1730d. See FIG. 34. The ejector distal guide 1730d includes a slot 1732 that is slidably received by the first distal support post 1624 of the distal staple ejector 1610a. The distal staple ejector 1610a is also slidably engaging the most distal second ejector guide 1720d as shown in FIG. 34. The most distal second staple ejector guide 1720d includes a first groove 1722d that is slidably received by the first proximal support 1628 of the distal staple ejector 1610a. In addition, the most distal second staple ejector guide 1720d further has a second groove 1724d that is slidably received by a second distal support post 1554 of the corresponding staple ejector 1510a.

As also seen in FIG. 39 and 40, the coupling portion 1690 includes a first cam portion 1694 on which a first cam surface or slope 1696 is formed. The coupling portion 1690 also includes a second cam portion 1698 on which a second cam surface 1700 is formed. cam surfaces 1696, 1700 have the same slope or angle, or they can have different slopes / angles. In at least one embodiment, each distal staple ejector 1610a, 1610b is integrally formed or molded from, for example, unfilled Ultem® material. However, you can use other materials, such as Ultem® with glass or mineral filling, or nylon or nylon with glass filling. In other designs, different portions of the distal ejectors 1610a, 1610b may be made separately from different materials and bonded together using an adhesive, a low temperature seal, or the like.

As also seen in FIG. 33, in the staple ejector array 1500a of the shown structure, the first cam portion 1596 of each of the staple ejectors 1510a and the cam portion 1694 of the distal staple ejector 1610a are all oriented along the first cam axis FCA. Thus, the cam surface 1598 of each of the ejectors 1510a and the cam surface 1696 of the distal ejector 1610a are oriented along the first cam axis FCA. The second cam portion 1600 of each of the ejectors 1510a and the cam portion 1698 of the distal staple ejector 1610a are all oriented along the second cam axis of the SCA. Thus, in at least one embodiment, the cam surface 1602 of each of the ejectors 1510a and the cam surface 1700 of the distal ejector 1610a are oriented along the second cam axis of the SCA. Furthermore, in the illustrated embodiment, the staple ejector array 1500b, the cam portion 1596 of each of the ejectors 1510b, and the cam portion 1694 of the distal ejector 1610b are all aligned with the primary cam axis PCA. Thus, the cam surface 1598 of each of the ejectors 1510b and the cam surface 1696 of the distal ejector 1610b are aligned with the primary cam axis PCA. As shown in FIG. 33, in the staple ejector array 1500b of the illustrated structure, the cam portion 1600 of each of the ejectors 1510b and the cam portion 1698 of the distal ejector 1610b are all oriented along the secondary cam axis SDCA. Thus, in at least one embodiment, the cam surface 1602 of each of the ejectors 1510b and the cam surface 1700 of the distal ejector 1610b are oriented along the secondary cam axis SDCA.

As shown in FIG. 33, when all of the ejectors 1510a and 1610a are operatively supported in the staple cassette, in the staple ejectors array 1500a, the staple ejectors 1510a, 1610a form a first longitudinal row 1750a of staples 820a that is disposed adjacent to the elongated slot 804 in the cassette body 802. Each of the staples 820a in the first longitudinal row 1750a extends in the first direction as described above. Likewise, the ejectors 1510a define a second longitudinal row 1760a of staples 820b adjacent to the first longitudinal row 1750a. The staples 820b in the second longitudinal row 1760a extend in a second direction that is different from the first direction of the staples 820a in the first longitudinal row 1750a. In addition, pushers 1510a and 1610a define a third longitudinal row 1770a of staples 820c that are oriented in a third direction that may or may not coincide with the direction of staples 820a. For example, in the illustrated embodiment, the first and third directions are the same. The third longitudinal row 1770a is located adjacent to the second longitudinal row 1760a.

As shown in FIG. 33, when all staple ejectors 1510b and 1610b are operatively supported in the staple cassette, in the staple ejectors array 1500b, the staple ejectors 1510b and 1610b form a primary longitudinal row 1750b of staples 820a that are disposed adjacent to the elongated slot 804 in the cassette body 802. Each of the staples 820a in the primary longitudinal row 1750b extends in a first direction as described above. Similarly, the staple ejectors 1510b form a secondary longitudinal row 1760b of staples 820b disposed adjacent to the primary longitudinal row 1750b. The staples 820b in the secondary longitudinal row 1760b extend in a second direction that is different from the first direction of the staples 820a in the primary longitudinal row 1750b. In addition, the staple ejectors 1510b and 1610b form a tertiary longitudinal row 1770b of staples 820c that are oriented in a third direction that may or may not coincide with the direction of the staples 820a. For example, in the illustrated embodiment, the first and third directions are the same. The tertiary longitudinal row 1770b is adjacent to the secondary longitudinal row 1760b.

Thus, when using the staple ejector dies 1500a, 1500b, there are two staples extending side-by-side in the same direction or along parallel axes running along either end of each of the staple lines. In particular, the distal ejector 1610a supports the two most distal staples in longitudinal rows 1750a, 1770a that extend in the same direction. Likewise, the most proximal ejector 1510a supports the two most proximal staples in longitudinal rows 1550a, 1570a of staples that extend in the same direction. Similarly, the distal ejector 1610b supports the two most distal staples in longitudinal staple rows 1750b, 1770b that extend in the same direction. This staple pattern can provide an over-tight design at both ends of each staple line. In this context, "staple line" collectively denotes longitudinal rows of staples on one side of the elongated groove 804 in the staple cassette body 802. For example, a line of staples substantially designated element 1780a collectively denotes longitudinal rows 1750a, 1760a, 1770a of staples. Staple line 1780b collectively denotes longitudinal staple rows 1750b, 1760b, 1770b.

As described above, in die 1500a, the slope or cam surface 764 of the sled or cam actuator 760 is oriented along the second cam axis SCA. Likewise, the slope or cam element 762 is oriented along the first cam axis FCA. The slope or cam element 766 is oriented along the primary cam axis PCA and the slope or cam element 768 is oriented along the secondary cam axis SDCA. Thus, the ramp or cam member 764 is oriented with a portion of each of the crowns 827c of the brackets 820c. The ramp or cam member 762 is oriented with a portion of each of the crowns 827a of the brackets 820a. Similarly, in the array 1500b of the staple ejectors 1510b, 1610b, the slope or cam member 766 is oriented with a portion of the crowns 827a of each of the staples 820a. The ramp or cam member 768 is oriented with a portion of the crown 827c of each of the braces 820c. In other words, none of the ramps or cam elements 764, 762, 766, 768 are oriented with any of the legs of the staples 820a, 820c. Therefore, this arrangement allows the third proximal support legs 1578 of each of the staple ejectors 1510a, as well as the proximal support leg 1658 of the distal staple ejector 1610a, to slide within the respective second support grooves or slots 858 in the second wall portion 856 of the cassette body 802. Likewise, the first distal support legs 1524 of each staple ejector 1510a, as well as the support leg 1624 of the distal staple equalizer 1610a, all slide into respective first support grooves or slots 854 in the first wall portion 852 of the cassette 800. In the staple ejector array 1500a, each of the support legs 1654, 1628, 1554, 1558, 1574, 1528 is also slidably supported in respective ejector rails 1700, 1720, 1730d formed in the cassette body 802 and may have the same or similar height as the cassette wall portions 852, 856.

Other staple ejector dies 1800a, 1800b are shown in FIG. 41 and 42. As seen in these figures, the staple ejector array 1800a employs a plurality of staple ejectors 1810a to functionally support three staples. The staple ejector array 1800a also includes a proximal staple ejector 1910a operatively supporting two staples. Similarly, the staple ejector array 1800b includes a plurality of staple ejectors 1810b and a proximal staple ejector 1910b. The staple ejectors 1810b can be mirror images of the staple ejectors 1810a and include the same elements. The proximal staple ejectors 1910b may be mirror images of the staple ejectors 1910a and include the same features.

FIG. 43-45 show one example of the shape of the staple ejector 1810a, and it should be understood that in at least one design, the staple ejector 1810b contains substantially the same elements as the staple ejector 1810a, and may be a mirror image thereof. Each staple ejector 1810a, 1810b includes a staple ejector housing 1811. In the shown construction, the ejector body 1811 includes a first or innermost staple supporting portion 1820 that is configured to support the staple 820a, a second or central staple supporting portion 1850 that is configured to support the staple 820b, and a third staple supporting portion 1870 that configured to support staple 820c. As seen in FIG. 43, first staple supporting portion 1820 includes a first distal abutment 1824 and a first proximal abutment 1828. The first staple supporting portion 1820 further includes a first distal abutment bed 1826 and a first proximal abutment bed 1830 for supporting crown portions 827a of staple 820a. As seen in FIG. 44, when the crown 827a of the staple 820a is supported on the support beds 1826 and 1830, the distal stem 823a is substantially axially aligned with the first distal leg 1824, and the first proximal leg 825a is substantially axially aligned with the first proximal leg 1828. When the staple 820a supported on the first bracket supporting portion 1820, the bracket crown 827a is oriented along the first base axis FBA.

As shown in FIG. 43 and 44, the staple ejector 1810a further includes a second staple support portion 1850 comprising a second distal support leg 1854 and a second proximal support leg 1858. The second staple support portion 1850 further includes a second distal support bed 1856 and a second proximal support bed 1860 for supporting sections of the crown 827b staples 820b. As seen in FIG. 44, when the crown 827b of the staple 820b is supported on the stocks 1856 and 1860, the distal stem 823b is substantially axially aligned with the second distal support leg 1854, and the proximal stem 825b is substantially axially aligned with the second proximal leg 1858. When the staple 820b is supported on the second bracket supporting portion 1850, the crown 827b of the bracket is oriented along the second base axis SBA. In the shown construction, the second base axis SBA is transverse to the first base axis FBA. See FIG. 43.

As also seen in FIG. 43 and 44, the staple ejector 1810a includes a third staple support portion 1870 that includes a third distal support leg 1874 and a third proximal support leg 1878. The third staple support portion 1870 further includes a third distal support bed 1876 and a third proximal support bed 1880 configured to support the crown portions 827c of the third bracket 820c. As seen in FIG. 44, when the crown 827c of the staple 820c is supported on the stocks 1876 and 1880, the distal stem 823c is substantially axially aligned with the distal support leg 1874, and the proximal stem 825c is substantially axially aligned with the third proximal support leg 1878. When the staple 820c is supported on the third the bracket supporting portion 1870, the crown 827c of the bracket is oriented along the third axis TBA of the base. In the construction shown, the third base axis TBA is parallel to the first base axis FBA and is transverse to the second base axis SBA. See FIG. 43.

As shown in FIG. 43-45, in at least one structure, the first staple supporting portion 1820, the second staple supporting portion 1850, and the third staple supporting portion 1870 are all connected together via a connecting portion 1890. In at least one structure, the ejector body portion 1890 is provided with a centrally located opening 1892, configured to slide therein a corresponding distal ejector guide 2000. See FIG. 42. The connecting portion 1890 is formed with a first hook-shaped groove 1894 configured to be hooked by the hook-shaped portion 2002 on the first ejector guide 2000. The hook-shaped portion 2002 is configured to be slidably supported by the support post 1828. Also, as further seen in FIG. 42, each first ejector rail 2000 includes a groove 2004 that is slidably received by a support post 1878 of a corresponding staple ejector 1810a. Each staple ejector 1810a is also configured to slide into the second ejector guide 2020 as shown in FIG. 42. Each second ejector rail 2020 includes a first slot 2022 that is slidably received by the support post 1858 of the corresponding staple ejector 1810a. In addition, every second ejector guide 2020 further has a second groove 2024 that is slidably received by the support post 1874 of the corresponding staple ejector 1810a.

As also seen in FIG. 44 and 45, connecting portion 1890 includes a first cam portion 1896 on which a first cam surface or slope 1898 is formed. The connecting portion 1890 further includes a second cam portion 1900 on which a second cam surface 1902 is formed. designs, cam surfaces 1898, 1902 have the same slope or angle, or they can have different slopes / angles. In at least one embodiment, each staple ejector 1810a and 1810b is integrally formed or molded from, for example, unfilled Ultem® material. However, you can use other materials, such as Ultem® with glass or mineral filling, or nylon or nylon with glass filling. In other designs, different portions of the proximal staple ejectors 1810a and 1810b may be made separately from different materials and bonded together using an adhesive, low temperature seal, or the like.

The staple ejector array 1800a in the embodiment shown also includes a proximal staple ejector 1910a configured to functionally support the two staples. FIG. 46-48 show one example of the shape of a distal staple ejector 1910a, it should be understood that in at least one design, the staple ejector 1910b contains substantially the same elements as the staple ejector 1910a, and may be a mirror image thereof. Each staple ejector 1910a, 1910b includes an ejector body 1911. In the illustrated construction, each ejector body 1911 includes a first staple supporting portion 1920 that is configured to support the staple 820a and a second staple supporting portion 1950 that is configured to support the staple 820c. As seen in FIG. 46, first staple supporting portion 1920 includes a first distal staple 1924 and a first proximal staple 1928. The first staple supporting portion 1920 further includes a first distal abutment bed 1926 and a first proximal abutment bed 1930 for supporting portions of the first crown 827a of the staple. As seen in FIG. 47, when the crown 827a of the staple 820a is supported on the support beds 1926 and 1930, the distal stem 823a is substantially axially aligned with the first distal support leg 1924, and the proximal stem 825a is substantially axially aligned with the first proximal leg 1928. When the staple 820a is supported in the first bracket-supporting portion 1920, the crown 827a of the bracket is oriented along the first base axis FBA. See FIG. 47.

As shown in FIG. 46 and 47, the distal staple ejector 1910a further includes a second staple support portion 1950 including a second distal support leg 1954 and a second proximal support leg 1958. The second staple support portion 1950 further includes a second distal support bed 1956 and a second proximal support bed 1960 for maintaining the 827c crown sections of the 820c staple. As seen in FIG. 47, when the crown 827c of the staple 820c is supported on the 1956 and 1960 stocks, the distal stem 823c is substantially axially aligned with the second distal support leg 1954, and the proximal stem 825c is substantially axially aligned with the second proximal support leg 1958. When the staple 820c is supported on the second bracket-supporting portion 1950, the bracket crown 827c is oriented along the second base axis SBA. In the construction shown, the second base axis SBA is parallel to the first base axis FBA.

As shown in FIG. 46-48, in at least one structure, the first staple supporting portion 1920 and the second staple supporting portion 1950 of the proximal staple ejector 1910a are linked together by the connecting portion 1990. In at least one structure, the connecting portion 1990 is configured to slideably mate with the most proximal second ejector guide 2020P. See FIG. 42. The support post 1954 of the proximal ejector 1910a is slidably supported within the slot 2024 of the most proximal second ejector rail 2020P.

As also seen in FIG. 47 and 48, the connecting portion 1990 includes a first cam portion 1992 on which a first cam surface or slope 1994 is formed. The connecting portion 1990 also includes a second cam portion 1996 on which a second cam surface 1998 is formed. designs, cam surfaces 1994, 1998 have the same slope or angle, or they may have different slopes / angles. In at least one embodiment, each proximal ejector 1910a and 1910b is integrally formed or molded from, for example, unfilled Ultem® material. However, you can use other materials, such as Ultem® with glass or mineral filling, or nylon or nylon with glass filling. In other designs, different portions of the distal ejectors 1910a, 1910b may be made separately from different materials and bonded together using an adhesive, low temperature seal, etc.

As also seen in FIG. 41, in the staple ejector array 1800a of the shown structure, the cam portion 1896 of each of the staple ejectors 1810a and the cam portion 1992 of the proximal staple ejector 1910a are all oriented along the first cam axis FCA. Thus, the cam surface 1994 of each of the ejectors 1910a and the cam surface 1994 of the proximal ejector 1910a are oriented along the first cam axis FCA. The second cam portion 1900 of each of the ejectors 1910a and the cam portion 1996 of the proximal staple ejector 1910a are all oriented along the second cam axis SCA. Thus, in at least one embodiment, the cam surface 1902 of each of the ejectors 1910a and the cam surface 1998 of the proximal ejector 1910a are oriented along the second cam axis of the SCA. Further, in the illustrated embodiment, the staple ejector array 1900b, the cam portion 1896 of each of the ejectors 1810b, and the cam portion 1992 of the proximal ejector 1910b are all oriented along the primary cam axis PCA. Thus, the cam surface 1898 of each of the ejectors 1810b and the cam surface 1994 of the proximal ejector 1910b are oriented along the primary cam axis PCA. As shown in FIG. 41, in the staple ejector array 1800b of the structure shown, the cam portion 1900 of each of the ejectors 1810b and the cam portion 1996 of the proximal ejector 1910b are all oriented along the secondary cam axis SDCA. Thus, in at least one embodiment, the cam surface 1902 of each of the ejectors 1810b and the cam surface 1998 of the proximal ejector 1910b are oriented along the secondary cam axis SDCA.

As shown in FIG. 41, when all of the ejectors 1810a and 1910a are operatively supported in the staple cassette, in the staple ejectors array 1800a, the staple ejectors 1810a, 1910a form a first longitudinal row 2050a of staples 820a that is disposed adjacent to the elongated slot 804 in the cassette body 802. Each of the staples 820a in the first longitudinal row 2050a extends in the first direction as described above. Likewise, ejectors 1810a define a second longitudinal row 2060a of staples 820b adjacent to the first longitudinal row 2050a. The staples 820b in the second longitudinal row 2060a extend in a second direction that is different from the first direction of the staples 820a in the first longitudinal row 2050a. In addition, ejectors 1810a and 1910a define a third longitudinal row 2070a of staples 820c that are oriented in a third direction, which may or may not coincide with the direction of staples 820a. For example, in the illustrated embodiment, the first and third directions are the same. The third longitudinal row 2070a is located adjacent to the second longitudinal row 2070a.

As shown in FIG. 41, when all of the staple ejectors 1810b and 1910b are operatively supported in the staple cassette, in the staple ejectors array 1800b, the staple ejectors 1810b and 1910b form a primary longitudinal row 2050b of staples 820a that are adjacent to an elongated slot 804 in the cassette body 802. Each of the staples 820a in the primary longitudinal row 2050b extends in a first direction as previously described. Similarly, the staple ejectors 1810b form a secondary longitudinal row 2060b of staples 820b disposed adjacent to the primary longitudinal row 2050b. The staples 820b in the secondary longitudinal row 2060b extend in a second direction that is different from the first direction of the staples 820a in the primary longitudinal row 2050b. In addition, the staple ejectors 1810b and 1910b form a tertiary longitudinal row 2070b of staples 820c that are oriented in a third direction that may or may not coincide with the direction of the staples 820a. For example, in the illustrated embodiment, the first and third directions are the same. The tertiary longitudinal row 2070b is adjacent to the secondary longitudinal row 2060b.

Thus, when using the staple ejector dies 1800a, 1800b, there are two staples extending side by side in the same direction or along parallel axes running along both ends of each of the staple lines. In particular, the proximal ejector 1910a supports the two most distal staples in the longitudinal rows 2050a, 2070a, each of which extends in the same direction. Likewise, the most distal ejector 1810a supports the two most proximal staples in the longitudinal rows 2050a, 2070a of staples that extend in the same direction. This staple pattern can provide an over-tight design at both ends of each staple line. In this context, "staple line" collectively denotes longitudinal rows of staples on one side of the elongated groove 804 in the staple cassette body 802. For example, a line of staples, substantially designated element 2080a, collectively denotes longitudinal rows 2050a, 2060a, 2070a of staples. Staple line 2080b collectively denotes longitudinal staple rows 2050b, 2060b, 2070b.

As described above, in the matrix 1800a, the slope or cam member 764 of the sled or cam actuator 760 is oriented along the second cam axis SCA. Likewise, the slope or cam element 762 is oriented along the first cam axis FCA. The slope or cam element 766 is oriented along the primary cam axis PCA and the slope or cam element 768 is oriented along the secondary cam axis SDCA. Thus, the ramp or cam member 764 is oriented with a portion of each of the crowns 827c of the brackets 820c. The ramp or cam member 762 is oriented with a portion of each of the crowns 827a of the brackets 820a. Similarly, in the array 1800b of the staple ejectors 1810b, 1910b, the slope or cam member 766 is oriented with a portion of the crowns 827a of each of the staples 820a. The ramp or cam member 768 is oriented with a portion of the crown 827c of each of the braces 820c. In other words, none of the ramps or cam elements 764, 762, 766, 768 are oriented with any of the legs of the staples 820a, 820c. Consequently, this arrangement allows the third proximal support legs 1878 of each of the staple ejectors 1810a, as well as the proximal support leg 1958 of the proximal staple ejector 1910a, to slide within the respective second support grooves or slots 858 in the second wall portion 856 of the cassette body 802. Likewise, all of the first distal support legs 1824 of each staple ejector 1810a, as well as the support leg 1924 of the proximal staple ejector 1910a, slidably fit inside the respective first support grooves or slots 854 in the first wall portion 852 of the cassette 800. In the staple ejector array 1800a, each of the support racks 1874, 1828, 1854, 1858, 1954, 1928 are also slidably supported in respective ejector rails 2000, 2020, 2020P that are formed in the cassette body 802.

Other staple ejector arrays 2100a, 2100b are shown in FIG. 49 and 50. As seen in these figures, the staple ejector array 2100a employs a plurality of staple ejectors 2110a operatively supporting five staples and a plurality of staple ejectors 2310a operatively supporting four staples. Similarly, the staple ejector array 2100b includes a plurality of staple ejectors 2310b and a distal staple ejector 2310b. The staple ejectors 2110b may be mirror images of the staple ejectors 2110a and include the same elements. The staple ejectors 2310b may be mirror images of the staple ejectors 2310a and include the same elements.

FIG. 51-53 show one example of the shape of the staple ejector 2110a, it should be understood that in at least one design, the staple ejector 2110b essentially contains the same elements as the staple ejector 2110a and may be a mirror image thereof. Each staple ejector 2110a, 2110b includes a staple ejector body 2111. In the structure shown, the ejector body 2111 includes a first staple supporting portion 2120 that is configured to support the staple 820a. As seen in FIG. 51, the first staple supporting portion 2120 comprises a first distal abutment 2124 and a first proximal abutment 2128. The first staple supporting portion 2120 further includes a first distal abutment bed 2126 and a first proximal abutment bed 2130 for supporting crown portions 827a of the corresponding staple 820a. As seen in FIG. 52, when the crown 827a of the staple 820a is supported on the support beds 2126 and 2130, the distal stem 823a is substantially axially aligned with the first distal leg 2124, and the first proximal leg 825a is substantially axially aligned with the first proximal leg 2128. When the staple 820a supported on the first shackle supporting portion 2120, the shackle crown 827a is oriented along the first base axis FBA.

As shown in FIG. 51 and 52, the staple ejector 2110a further comprises

a primary staple supporting portion 2140 comprising a second distal strut 2142 and a second proximal strut 2146. The second staple supporting portion 2140 further includes a second distal abutment bed 2144 and a second proximal abutment bed 2148 for supporting the crown portions 827c of the staple 820c. As seen in FIG. 52, when the crown 827c of the staple 820c is supported on the stocks 2144 and 2148, the distal stem 823c is substantially axially aligned with the second distal support leg 2142, and the proximal stem 825c is substantially axially aligned with the second proximal leg 2146. When the staple 820c is supported on in the primary shackle supporting portion 2140, the shackle crown 827c is oriented along the primary base axis PBA. In the construction shown, the primary base axis PBA is parallel to the first base axis FBA. See FIG. 51.

The staple ejector 2110a further comprises a second staple supporting portion 2150 comprising a second distal staple 2154 and a second proximal staple 2158. The second staple supporting portion 2150 further includes a second distal abutment bed 2156 and a second proximal staple bed 2160 for supporting the crown portions 827b of the staple 820b. As seen in FIG. 52, when the crown 827b of the staple 820b is supported on the stocks 2156 and 2160, the distal stem 823b is substantially axially aligned with the second distal support leg 2154, and the proximal stem 825b is substantially axially aligned with the second proximal leg 2158. When the staple 820b is supported on the second bracket supporting portion 2150, the crown 827b of the bracket is oriented along the second base axis SBA. In the shown construction, the second base axis SBA is transverse to the first base axis FBA and the primary base axis PBA. See FIG. 51.

As further seen in FIG. 51 and 52, the staple ejector 2110a includes a third staple support portion 2160 that includes a third distal support leg 2162 and a third proximal support leg 2166. The third staple support portion 2160 further includes a third distal support bed 2164 and a third proximal support bed 2168 configured to support portions of crown 827a of staple 820a. As seen in FIG. 52, when the crown 827a of the staple 820a is supported on the stocks 2164 and 2168, the distal stem 823a is substantially axially aligned with the distal support leg 2162, and the proximal stem 825a is substantially axially aligned with the third proximal leg 2166. When the staple 820a is supported on the third the bracket supporting portion 2160, the crown 827a of the bracket is oriented along the third base axis TBA. In the construction shown, the third base axis TBA is parallel to the first base axis FBA and the primary base axis PBA and is transverse to the second base axis SBA. See FIG. 51.

As also seen in FIG. 51 and 52, the staple ejector 2110a includes a fourth staple support portion 2170 that includes a fourth distal support leg 2172 and a fourth proximal support leg 2176. The fourth staple support portion 2170 further includes a fourth distal support bed 2174 and a fourth proximal support bed 2178 configured to support the crown portions 827c of the staple 820c. As seen in FIG. 52, when crown 827c of staple 820c is supported on stocks 2174 and 2178, distal stem 823c is substantially axially aligned with distal strut 2172, and proximal leg 825c is substantially axially aligned with fourth proximal strut 2176. When staple 820c is supported on fourth the bracket supporting portion 2160, the bracket crown 827a is oriented along the fourth axis FTBA of the base. In the construction shown, the fourth base axis FTBA is parallel to the first base axis FBA, the primary base axis PBA and the third base axis TBA, and is transverse to the second base axis SBA. See FIG. 51.

As shown in FIG. 51-53, in at least one structure, a first staple supporting portion 2120, a primary staple supporting portion 2140, a second staple supporting portion 2150, a third staple supporting portion 2160, and a fourth staple supporting portion 2170 are all linked together via a connecting portion 2190. At least in one design, the connecting portion 2190 is configured with a first opening 2191 that is slidably received therein by a corresponding first ejector guide 2200, as will be further described below. See FIG. 50 and 50A. The connecting portion 2190 is formed with a first hook-shaped groove 2192 formed for hook engagement with the hook-shaped portion 2202 on the first ejector guide 2200. In one case, the hook portion 2202 has a slot 2204 that is slidably supported by a corresponding support post 2172. See FIG. 50A. Alternatively, slot 2204 is configured to receive a corresponding support portion 2144 as shown in FIG. 50A. In addition, as further seen in FIG. 50A, each first ejector guide 2200 includes a slot 2206 that is slidably received by the support post 2156 of the corresponding staple ejector 2110a. As seen in FIG. 50A and 51, the connecting portion 2190 further has a second through hole 2194 slidably engaged with the second ejector guide 2220. Each second ejector guide 2220 includes a first hook portion 2222 in which a groove 2224 is formed. In one case, the groove 2224 is slidably received by the support post 2128 of the corresponding staple ejector 2110a. In addition, each second ejector guide 2220 further has a second slot 2226, which in one case is slidably received by the support post 2152 of the corresponding staple ejector 2110a.

As also seen in FIG. 52 and 53, connecting portion 2190 includes a first cam portion 2195 on which a first cam surface or slope 2196 is formed. The connecting portion 2190 further includes a second cam portion 2197 on which a second cam surface 2198 is formed. cam surfaces 2196, 2198 have the same slope or angle, or they can have different slopes / angles. In at least one embodiment, each staple ejector 2110a and 2110b is integrally formed or molded from, for example, unfilled Ultem® material. However, you can use other materials, such as Ultem® with glass or mineral filling, or nylon or nylon with glass filling. In other designs, different portions of the proximal staple ejectors 2110a and 2110b may be made separately from different materials and bonded together using an adhesive, a low temperature seal, or the like.

The staple ejector array 2100a in the illustrated embodiment also includes a second staple ejector 2310a configured to functionally support four staples. FIG. 54-56 show one example of the shape of a distal staple ejector 2310a, it should be understood that in at least one design, the staple ejector 2310b contains substantially the same elements as the staple ejector 2310a, and may be a mirror image thereof. Each staple ejector 2310a, 2310b includes an ejector body 2311. In the illustrated structure, each ejector body 2311 includes a first staple supporting portion 2320 that is configured to support the staple 820a, a second staple supporting portion 2330 that is configured to support the staple 820b, a third staple supporting portion 2340 that is operatively supported another bracket 820b; and a fourth bracket supporting portion 2350 that is configured to functionally support the bracket 820c. As seen in FIG. 54, the first staple supporting portion 2320 includes a first distal abutment 2322 and a first proximal staple 2326. The first staple supporting portion 2320 further includes a first distal abutment bed 2324 and a first proximal abutment bed 2328 for supporting portions of the first crown 827a of the staple. As seen in FIG. 55, when the crown 827a of the staple 820a is supported on the support beds 2324 and 2328, the distal stem 823a is substantially axially aligned with the first distal leg 2322, and the proximal stem 825a is substantially axially aligned with the first proximal leg 2326. When the staple 820a is supported in the first bracket supporting portion 1620, the crown 827a of the bracket is oriented along the first base axis FBA. See FIG. 54.

As shown in FIG. 54 and 55, the second staple ejector 2310a further comprises a second staple support portion 2330 comprising a second distal support post 2332 and a second proximal support post 2326. The second staple support portion 2330 further includes a second distal support bed 2334 and a second proximal support bed 2338 for maintaining the crown portions 827b of the staple 820b. As seen in FIG. 55, when the crown 827b of the staple 820b is supported on the stocks 2334 and 2338, the distal stem 823b is substantially axially aligned with the second distal support leg 2332, and the proximal stem 825b is substantially axially aligned with the second proximal leg 2336. When the staple 820b is supported on the second bracket supporting portion 2330, the crown 827b of the bracket is oriented along the second base axis SBA. In the shown construction, the second base axis SBA is transverse to the first base axis FBA.

In addition, in the illustrated embodiment, the second staple ejector 2310a further comprises a third staple support portion 2340 that includes a third distal support leg 2342 and a third proximal support leg 2346. The third staple support portion 2340 further includes a third distal support bed 2344 and a third proximal a support bed 2348 for supporting portions of the crown 827b of the other bracket 820b. As seen in FIG. 55, when the crown 827b of another staple 820b is supported on stocks 2344 and 2348, the distal stem 823b is substantially axially aligned with the third distal support leg 2342, and the proximal stem 825b is substantially axially aligned with the third proximal leg 2346. When the other staple 820b supported on the third bracket supporting portion 2340, the bracket crown 827b is oriented along the third base axis TBA. In the construction shown, the third base axis TBA is parallel to the second base axis SBA and is transverse to the first base axis FBA.

As shown in FIG. 54 and 55, the second staple ejector 2310a further includes a fourth staple support portion 2350 comprising a fourth distal support leg 2352 and a second proximal support leg 2356. The fourth staple support portion 2350 further includes a fourth distal support bed 2354 and a fourth proximal support bed 2358 for maintaining the 827c crown sections of the 820c staple. As seen in FIG. 55, when the crown 827c of the staple 820c is supported on the stocks 2354 and 2358, the distal stem 823c is substantially axially aligned with the fourth distal support leg 2352, and the proximal stem 825c is substantially axially aligned with the fourth proximal support leg 2356. When the staple 820c is supported on the fourth bracket supporting portion 2350, the crown 827c of the bracket is oriented along the fourth axis FTBA of the base. In the construction shown, the fourth base axis FTBA is parallel to the first base axis FBA and is transverse to the second base axis SBA and the third base axis TBA.

In at least one structure, the first staple supporting portion 2320, the second staple supporting portion 2330, the third staple supporting portion 2340, and the fourth staple supporting portion 2350 of the second staple ejector 2310a are connected together by the connecting portion 2390. In the example shown, the connecting portion 2390 is slidably formed mating with a respective first staple guide 2200 and a second staple guide 2220. In particular, a first opening 2391 is provided in the connecting portion 2390 and is slidably received therein by the corresponding first staple guide 2200. When the staple ejector 2310a is in sliding engagement with the respective first staple guides 2200, the support post 2346 slides into a slot 2206 in the corresponding first staple guide 2200. Likewise, the post 2336 slides into a slot 2206 of the other first bracket guide 2200. In addition, the inverted first staple guide 2200I forms a boundary between the first and second ejectors 2110a and 2310a. As seen in FIG. 50, the support post 2166 of the first ejector rail 2110a slides into a slot 2004 in the inverted first ejector guide 2200I, and the support post 2332 of the corresponding second ejector rail 2310a slides into the slot 2206 in the inverted first ejector guide 2200I. In addition, the support leg 2342 of the second ejector rail 2310a slides into a slot 2226 in the corresponding second ejector rail 2220, and the support leg 2326 slides into the slot 2224 in the corresponding second ejector rail 2220.

As also seen in FIG. 55 and 56, the connecting portion 2390 includes a first cam portion 2392 on which a first cam surface or slope 2394 is formed. The connecting portion 2390 also includes a second cam portion 2396 on which a second cam surface 2398 is formed. designs, cam surfaces 2394, 2398 have the same slope or angle, or they can have different slopes / angles. In at least one embodiment, each of the second staple ejectors 2310a and 2310b is integrally formed or formed from, for example, unfilled Ultem® material. However, you can use other materials, such as Ultem® with glass or mineral filling, or nylon or nylon with glass filling. In other designs, the different portions of the second ejectors 2310a and 2310b may be made separately of different materials and bonded together using an adhesive, a low temperature seal, or the like.

As also seen in FIG. 49, in the staple ejector array 2100a of the shown structure, the cam portion 2195 of each of the first staple ejectors 2110a and the cam portion 2392 of each of the second staple ejectors 2310a are all oriented along the first cam axis FCA. Thus, the cam surface 2196 of each of the first ejectors 2110a and the cam surface 2394 of each of the second staple ejectors 2310a are oriented along the first cam axis FCA. As also seen in FIG. 49, the second cam portion 2197 of each of the first ejectors 2110a and the cam portion 2396 of each of the second staple ejectors 2310a are all oriented along the second cam axis SCA. Thus, in at least one embodiment, the cam surface 2198 of each of the first ejectors 2110a and the cam surface 2398 of each of the second ejectors 2310a are oriented along the second cam axis SCA. In addition, in the illustrated embodiment, the staple ejector array 2100b, the cam portion 2195 of each of the first ejectors 2110b, and the cam portion 2392 of each of the second ejectors 2310b are all aligned with the primary cam axis PCA. Thus, the cam surface 2196 of each of the first ejectors 2110b and the cam surface 2394 of each of the second staple ejectors 2310b are oriented along the primary cam axis PCA. As shown in FIG. 49, in the staple ejector array 2100b of the shown structure, the cam portion 2197 of each of the first ejectors 2110b and the cam portion 2396 of each of the second ejectors 2310b are all oriented along the secondary cam axis SDCA. Thus, in at least one embodiment, the cam surface 2198 of each of the first ejectors 2110b and the cam surface 2398 of each of the second ejectors 2310b are oriented along the secondary cam axis SDCA.

As shown in FIG. 49, when all of the first ejectors 2110a and second ejectors 2310a are operatively supported in the staple cassette, in the staple ejectors array 2100a, the staple ejectors 2110a, 2310a form a first longitudinal staple row 2450a that is disposed adjacent to the elongated slot 804 in the cassette body 802. Each of the staples in the first longitudinal row 2450a extends in the first direction as described above. Similarly, ejectors 2110a and 2310a define a second longitudinal row 2460a of staples adjacent to the first longitudinal row 2450a. The staples in the second longitudinal row 2460a extend in a second direction that is different from the first direction of the staples in the first longitudinal row 2450a. In addition, ejectors 2110a and 2310a define a third longitudinal row 2470a of staples that are oriented in a third direction, which may or may not coincide with the direction of the staples in the first longitudinal row 2450a. For example, in the illustrated embodiment, the first and third directions are the same. The third longitudinal row 2470a is located adjacent to the second longitudinal row 2060a.

As shown in FIG. 49, when all staple ejectors 2110b and 2310b are operatively supported in the staple cassette, in the staple ejectors array 2100b, the staple ejectors 2110b and 2310b form a primary longitudinal staple row 2450b that is disposed adjacent to the elongated slot 804 in the cassette body 802. Each of the staples in the primary longitudinal row 2050b extends in a first direction as described above. Similarly, staple ejectors 2110b and 2310b form a secondary longitudinal staple row 2460b disposed adjacent to the primary longitudinal staple row 2450b. The staples in the secondary longitudinal row 2460b extend in a second direction that is different from the first direction of the staples in the primary longitudinal row 2450b. In addition, the ejectors 2110b and 2310b form a tertiary longitudinal row 2470b of staples that are oriented in a third direction, which may or may not coincide with the direction of the staples in the primary longitudinal row 2450b. For example, in the illustrated embodiment, the first and third directions are the same. A tertiary longitudinal row 2470b is disposed adjacent to a secondary longitudinal row 2460b.

Thus, when using the staple ejector dies 2100a, 2100b, there are two staples extending side by side in the same direction or along parallel axes running along either end of each of the staple lines. In particular, the most proximal first ejector 2110a supports the two most proximal staples in longitudinal rows 2450a, 2470a, all of which extend in the same direction. Similarly, the most distal first ejector 2110a supports the two most proximal staples in longitudinal staple rows 2450a, 2470a that extend in the same direction. The same staple patterns are also formed in the staple ejector array 2100b. Such staple patterns can provide an over-tight design at both ends of each staple line. In this context, "staple line" collectively denotes longitudinal rows of staples on one side of the elongated groove 804 in the staple cassette body 802. For example, a line of staples substantially designated element 2480a collectively denotes longitudinal staples 2450a, 2460a, 2470a. Staple line 2480b collectively denotes longitudinal staple rows 2450b, 2460b, 2470b.

As described above, in the array 2100a, the slope or cam member 764 of the sled or cam actuator 760 is oriented along the second cam axis SCA. Likewise, the slope or cam element 762 is oriented along the first cam axis FCA. The slope or cam element 766 is oriented along the primary cam axis PCA and the slope or cam element 768 is oriented along the secondary cam axis SDCA. Thus, the slope or cam member 764 is oriented with a portion of each of the staple crowns in the longitudinal row 2470a of staples. The ramp or cam member 762 is oriented with a portion of each of the shackle crowns in the longitudinal row 2450a. Similarly, in the array 2100b of the staple ejectors 2110b, 2310b, the slope or cam member 766 is oriented with a portion of the crowns of each of the staples in the longitudinal row 2450b of staples. The ramp or cam member 768 is oriented with a portion of the crown of each of the staples in the longitudinal row 2470b of staples. In other words, none of the ramps or cam elements 764, 762, 766, 768 are oriented with any of the shackle legs in the longitudinal rows 2470a, 2450a, 2450b, 2470b. Therefore, this arrangement allows the support legs 2176 and 2146 of each of the first ejectors 2110a, as well as the support leg 2356 of each of the second ejectors 2310a, to slide within the respective second support grooves or slots 858 in the second cassette wall portion 856 of the cassette body 802. Likewise, all of the posts 2162 and 2124 of each of the first staple ejectors 2110a as well as the support post 2322 of each of the second ejectors 2310a slidably slide inside the respective first support grooves or slots 854 in the first wall portion 852 of the cassette 800. All remaining support legs of each of the first and second ejectors 2110a, 2310a slidably fit inside the respective guide ejectors 2200, 2220, 2200I. The same design is provided in the staple ejector array 2100b.

Other staple ejector arrays 2500a, 2500b are shown in FIG. 57 and 58. As seen in these figures, the staple ejector array 2500a is similar to the staple ejector array 2100a described above, except that the most distal ejector in the array is a distal staple ejector 2610a adjacent to the second staple ejector 2310a. Here, in the staple ejector array 2100a, the first staple ejector 2110a is the most distal ejector. The distal staple ejector 2610a functionally supports two staples. Similarly, the staple ejectors array 2500b includes a plurality of first staple ejectors 2110b and a plurality of second staple ejectors 2310b, as well as a distal staple ejector 2610b. The staple ejector 2610b may be a mirror image of the staple ejector 2610a and include the same elements.

FIG. 59-61 show one example of the shape of the distal staple ejector 2610a, it should be understood that in at least one design, the distal staple ejector 2610b contains substantially the same elements as the distal staple ejector 2610a and may be a mirror image thereof. Each staple ejector 2610a, 2610b includes a staple ejector body 2611. In the illustrated construction, the ejector body 2611 includes a first or innermost staple supporting portion 2620 that is configured to support the staple 820a and a second or central staple supporting portion 2650 that is configured to support the staple 820c. As seen in FIG. 59, first staple supporting portion 2620 includes a first distal abutment 2622 and a first proximal abutment 2626. The first staple supporting portion 2620 further includes a first distal abutment bed 2624 and a first proximal abutment bed 2628 for supporting crown portions 827a of staple 820a. As seen in FIG. 60, when the crown 827a of the staple 820a is supported on the support beds 2624 and 2628, the distal stem 823a is substantially axially aligned with the first distal leg 2622, and the first proximal leg 825a is substantially axially aligned with the first proximal leg 2626. When the staple 820a supported on the first bracket supporting portion 2620, the bracket crown 827a is oriented along the first base axis FBA.

As shown in FIG. 59 and 60, the distal staple ejector 2610a further includes a second staple support portion 2650 comprising a second distal support post 2652 and a second proximal support post 2656. The second staple support portion 2650 further includes a second distal support bed 2654 and a second proximal support bed 2658 for maintaining the 827c crown sections of the 820c staple. As seen in FIG. 60, when the crown 827c of the staple 820c is supported on the stocks 2654 and 2658, the distal stem 823c is substantially axially aligned with the second distal support leg 2652, and the proximal stem 825c is substantially axially aligned with the second proximal leg 2656. When the staple 820c is supported on the second bracket supporting portion 2650, the crown 827c of the bracket is oriented along the second base axis SBA. In the construction shown, the second base axis SBA is parallel to the first base axis FBA.

In at least one structure, the first staple supporting portion 2620 and the second staple supporting portion 2650 are coupled together by a connecting portion 2690 that is slidably engaged with an inverted ejector guide 2200I. As seen, for example, in FIG. 58, the support post 2626 of the distal ejector 2610a is slidably positioned within the slot 2204 in the inverted ejector guide 2200I. As also seen in FIG. 59-61, connecting portion 2690 includes a first cam portion 2692 on which a first cam surface or slope 2694 is formed. The connecting portion 2690 further includes a second cam portion 2696 on which a second cam surface 2698 is formed. structures, the cam surfaces 2694, 2698 have the same slope or angle as the corresponding cam surfaces of the first and second ejectors 2310a, 2310a. In at least one embodiment, each staple ejector 2610a and 2610b is integrally formed or molded from, for example, unfilled Ultem® material. However, you can use other materials, such as Ultem® with glass or mineral filling, or nylon or nylon with glass filling. In other designs, different portions of the distal staple ejectors 2610a, 2610b may be made separately from different materials and bonded together using an adhesive, a low temperature seal, etc.

As also seen in FIG. 57, in the staple ejector array 2500a of the shown structure, the cam portion 2195 of each of the first staple ejectors 2110a and the cam portion 2392 of each of the second staple ejectors 2310a, as well as the cam portion 2692 of the distal staple ejector 2610a are all oriented along the first cam axis FCA. Thus, the cam surface 2196 of each of the first ejectors 2110a and the cam surface 2394 of each of the second staple ejectors 2310a, as well as the cam surface 2694 of the distal ejector 2610a, are oriented along the first cam axis FCA. The cam portion 2197 of each of the first ejectors 2110a and the cam portion 2396 of each of the second staple ejectors 2310a as well as the cam portion 2696 of the distal ejector 2610a are all oriented along the second cam axis of the SCA. Thus, in at least one embodiment, the cam surface 2198 of each of the first ejectors 2110a and the cam surface 2398 of each of the second staple ejectors 2310a, as well as the cam surface of the distal ejector 2610a, are oriented along the second cam axis SCA. Further, in the illustrated embodiment, the staple ejector array 2500b, the cam portion 2195 of each of the first ejectors 2110b, and the cam portion 2392 of each of the second ejectors 2310b, and the cam portion 2692 of the distal ejector 2610b are all aligned with the primary cam axis PCA. Thus, the cam surface 2196 of each of the first ejectors 2110b and the cam surface 2394 of each of the second staple ejectors 2310b, as well as the cam surface 2694 of the distal ejector 2610b, are oriented along the primary cam axis PCA. As shown in FIG. 57, in the ejector array 2500b of the shown structure, the cam portion 2197 of each of the first ejectors 2110b and the cam portion 2396 of each of the second ejectors 2310b, as well as the cam portion 2696 of the distal ejector 2610b, are all oriented along the secondary cam axis SDCA. Thus, in at least one embodiment, the cam surface 2198 of each of the first ejectors 2110b and the cam surface 2398 of each of the second staple ejectors 2310b, as well as the cam surface 2698 of the distal ejector 2610b, are aligned with the secondary cam axis SDCA.

As shown in FIG. 57, when all of the staple ejectors 2110a, 2310a, and 2610a are operatively supported in the staple cassette, in the staple ejectors array 2500a, the staple ejectors 2110a, 2310a, 2610a form a first longitudinal row 2750a of staples 820a that is adjacent to the elongated slot 804 in the cassette body 802. Each of the staples 820a in the first longitudinal row 2750a extends in the first direction as described above. Similarly, ejectors 2110a and 2310a define a second longitudinal row 2760a of staples 820b adjacent to the first longitudinal row 2750a. The staples 820b in the second longitudinal row 2760a extend in a second direction that is different from the first direction of the staples 820a in the first longitudinal row 2750a. In addition, the pushers 2110a, 2310a, 2610a form a third longitudinal row 2770a of staples 820c that are oriented in a third direction that may or may not coincide with the direction of staples 820a. For example, in the illustrated embodiment, the first and third directions are the same. The third longitudinal row 2770a is adjacent to the second longitudinal row 2760a.

As shown in FIG. 57, when all of the staple ejectors 2110b, 2310b, 2610b are functionally supported in the staple cassette, in the staple ejectors array 2500b, the staple ejectors 2110b, 2310b, and 2610b form a primary longitudinal row 2750b of staples 820a that is disposed adjacent to the elongated slot 804 in the cassette body 802 ... Each of the staples 820a in the primary longitudinal row 2750b extends in a first direction as described above. Similarly, staple ejectors 2110b and 2310b form a secondary longitudinal row 2760b of staples 820b disposed adjacent to the primary longitudinal row 2750b. The staples 820b in the secondary longitudinal row 2760b extend in a second direction that is different from the first direction of the staples 820a in the primary longitudinal row 1750b. In addition, the staple ejectors 2110b, 2310b, and 2610b form a tertiary longitudinal row 2770b of staples 820c that are oriented in a third direction, which may or may not coincide with the direction of the staples 820a. For example, in the illustrated embodiment, the first and third directions are the same. The tertiary longitudinal row 2770b is adjacent to the secondary longitudinal row 2760b.

Thus, when using the staple ejector dies 2500a, 2500b, there are two staples extending side by side in the same direction or along parallel axes running along both ends of each of the staple lines. In particular, the distal ejector 2610a supports the two most distal staples in longitudinal rows 2750a, 2770a, all of which extend in the same direction. Likewise, the most proximal first ejector 2110a supports the two most proximal staples in longitudinal rows 2750a, 2770a of staples that extend in the same direction. This staple pattern can provide an over-tight design at both ends of each staple line.

Other staple ejector arrays 2800a, 2800b are shown in FIG. 62 and 63. As seen in these figures, a plurality of staple ejectors 2610a are used in the staple ejector array 2800a as described above. The staple ejector 2610a is the most proximal ejector, and the other staple ejector 2610a forms the most distal ejector in the ejector array 2800a. Additional staple ejectors 2610a alternate with staple ejectors 2910a, each of which is configured to functionally support a single staple 820b.

FIG. 64-66 show one example of the shape of the staple ejector 2910a, it should be understood that in at least one design, the distal staple ejector 2910b contains substantially the same elements as the distal staple ejector 2910a, and may be a mirror image thereof. Each staple ejector 2910a, 2910b includes a staple ejector body 2911. In the illustrated construction, the ejector body 2911 includes a first bracket supporting portion 2920 that is configured to support the bracket 820b. As seen in FIG. 64, the first staple supporting portion 2920 includes a first distal abutment 2922 and a first proximal abutment 2926. The first staple supporting portion 2920 further includes a first distal abutment bed 2924 and a first proximal abutment bed 2928 for supporting the crown portions 827b of the staple 820b. As seen in FIG. 65, when the crown 827b of the staple 820b is supported on the support beds 2924 and 2928, the distal stem 823b is substantially axially aligned with the first distal leg 2922, and the first proximal leg 825b is substantially axially aligned with the first proximal leg 2926. When the staple 820b supported on a first bracket supporting portion 2920, the bracket crown 827b is oriented along a primary base axis PBA, which is transverse to the first and second base axes of ejectors 2610a.

In the illustrated embodiment, the staple ejector 2910a further comprises a connecting portion 2990 that is slidably engaged with the first and second ejector guides 3000, 3100 that are formed in the staple cassette. As shown in FIG. 63, the first ejector guide 3000 includes a first hook portion 3002 in which a groove 3004 is formed, which is slidably engaged with the support post 2652 of the corresponding staple ejector 2610a. In addition, the first ejector guide 3000 includes a second hook portion 3006 in which a groove 3008 is formed which is slidably engaged with the support post 2926 of the corresponding staple ejector 2910a. The second ejector guide 3100 is essentially an inverted ejector guide 3000. As seen in FIG. 63, the second ejector guide 3100 includes a first hook-shaped portion 3102 in which a groove 3104 is formed which slidably engages with a support post 2926 of the corresponding ejector 2910a. The second ejector guide 3100 further has a second hook-shaped portion 3106 in which a groove 3108 is formed which slidably engages with a support post 2922 of a corresponding ejector 2910a. As also seen in FIG. 64-66, the connecting portion 2990 includes a first cam portion 2992 on which a first cam surface or slope 2994 is formed. The connecting portion 2990 further includes a second cam portion 2996 on which a second cam surface 2998 is formed. of construction, the cam surfaces 2994, 2998 have the same slope or angle as the corresponding cam surfaces of the ejectors 2610a. In at least one embodiment, each staple ejector 2910a is integrally formed or molded from, for example, unfilled Ultem® material. However, you can use other materials, such as Ultem® with glass or mineral filling, or nylon or nylon with glass filling. In other designs, the different portions of the staple ejectors 2910a and 2910b may be made separately from different materials and bonded together using adhesive, low temperature soldering, or the like.

As also seen in FIG. 62, in the staple ejector array 2800a of the shown structure, the cam portion 2692 of each of the staple ejectors 2610a and the cam portion 2992 of each of the ejectors 2910a are all oriented along the first cam axis FCA. Thus, the cam surface 2694 of each of the ejectors 2610a and the cam surface 2994 of each of the ejectors 2910a are oriented along the first cam axis FCA. The cam portion 2696 of each of the ejectors 2610a and the cam portion 2996 of each of the ejectors 2910a are all oriented along the second cam axis of the SCA. Thus, in at least one embodiment, the cam surface 2698 of each of the ejectors 2610a and the cam surface 2998 of each of the ejectors 2910a are oriented along the second cam axis SCA. In addition, in the illustrated embodiment, the staple ejector array 2800b, the cam portion 2692 of each of the ejectors 2610b, and the cam portion 2992 of each of the ejectors 2910b are oriented along the primary cam axis PCA. Thus, the cam surface 2694 of each of the ejectors 2610b and the cam surface 2994 of each of the staple ejectors 2910b are oriented along the primary cam axis PCA. As shown in FIG. 62, in the ejector array 2800b of the shown structure, each of the cam portion 2696 of each of the ejectors 2610b and the cam portion 2996 of each of the ejectors 2910b is oriented along the secondary cam axis SDCA. Thus, in at least one embodiment, the cam surface 2698 of each of the ejectors 2610b and the cam surface 2998 of each of the ejectors 2910b are oriented along the secondary cam axis SDCA.

As shown in FIG. 62, when all of the ejectors 2610a and 2910a are operatively supported in the staple cassette, in the staple ejectors array 2800a, the staple ejectors 2610a form a first longitudinal row 3050a of staples 820a that are disposed adjacent to an elongated slot 804 in the cassette body 802. Each of the staples 820a in the first longitudinal row 3050a extends in the first direction as described above. Likewise, the ejectors 2910a define a second longitudinal row 3060a of staples 820b adjacent to the first longitudinal row 3050a. The staples 820b in the second longitudinal row 3060a extend in a second direction that is different from the first direction of the staples 820a in the first longitudinal row 3050a. In addition, ejectors 2610a define a third longitudinal row 3070a of staples 820c that are oriented in a third direction that may or may not coincide with the direction of staples 820a. For example, in the illustrated embodiment, the first and third directions are the same. The third longitudinal row 3070a is located adjacent to the second longitudinal row 3060a.

As shown in FIG. 62, when all of the staple ejectors 2610b and 2910b are operatively supported in the staple cassette, in the staple ejectors array 2800b, the staple ejectors 2610b form a primary longitudinal row 3050b of staples 820a that is disposed adjacent to the elongated slot 804 in the cassette body 802. Each of the staples 820a in the primary longitudinal row 3050b extends in a first direction as described above. Similarly, staple ejectors 2910b form a secondary longitudinal row 3060b of staples 820b disposed adjacent to the primary longitudinal row 3050b. The staples 820b in the secondary longitudinal row 3060b extend in a second direction that is different from the first direction of the staples 820a in the primary longitudinal row 3050b. In addition, the staple ejectors 2610b form a tertiary longitudinal row 3070b of staples 820c that are oriented in a third direction that may or may not coincide with the direction of the staples 820a. For example, in the illustrated embodiment, the first and third directions are the same. A tertiary longitudinal row 3070b is disposed adjacent to a secondary longitudinal row 3060b.

Thus, when using the staple ejector dies 2800a, 2800b, there are two staples extending side by side in the same direction or along parallel axes running along both ends of each of the staple lines. In particular, the distal ejector 2610a supports the two most distal staples in longitudinal rows 3050a, 3070a that extend in the same direction. Similarly, the most proximal ejector 2610a supports the two most proximal staples in longitudinal rows 3050a, 3070a of staples that extend in the same direction. This staple pattern can provide an over-tight design at both ends of each staple line.

Other staple ejector arrays 3100a, 3100b are shown in FIG. 67 and 68. As seen in these figures, a plurality of staple ejectors 3210a, 3310a, 3410a are used in the staple ejector array 3100a, each supporting a single staple. Likewise, the staple ejector array 3100b includes a plurality of staple ejectors 3210b, 3310b, 3410b. The staple ejectors 3210a may be mirror images of the staple ejectors 3210b and include the same elements. The staple ejectors 3310a may be mirror images of the staple ejectors 3310b and include the same elements. Staple ejectors 3410a may be mirror images of staple ejectors 3410b and include the same elements.

As seen in FIG. 69, first ejector 3210b includes a first staple supporting portion 3220 in which a distal bed 3222 and a proximal bed 3224 are formed. The first staple supporting portion 3220 is configured to functionally support a first staple (not shown). When the first bracket is supported in the first bracket supporting portion 3220, the crown of the first bracket is supported along the first base axis FBA. Further, in the embodiment shown, the second ejector 3310b includes a second staple supporting portion 3320 in which a distal bed 3322 and a proximal bed 3324 are formed. The second staple supporting portion 3320 is operatively capable of supporting a second staple (not shown). When the second bracket is supported in the second bracket-supporting portion 3320, the crown of the second bracket is supported along a second base axis SBA located transversely with respect to the first base axis FBA. The shown array 3100b of staple ejectors also includes a third staple ejector 3410b having a third staple supporting portion 3420. The third staple supporting portion 3420 defines a proximal bed 3422 and a distal bed 3424 and is configured to functionally support a third staple (not shown). When the third bracket is supported on the third bracket supporting portion 3420, the crown of the third bracket is supported along a third base axis TBA that is parallel to the first base axis FBA and is transverse to the second base axis SBA.

As shown in FIG. 69, each of the ejectors 3210b, 3310b, 3410b has a pair of cam portions protruding therefrom, each of which is formed with a cam or ramp surface. For example, the first ejector 3210b includes a first cam portion 3230 on which a slope or cam surface 3232 is formed and a second cam portion 3234 on which a slope or cam surface 3236 is formed. To form an opening for an adjacent proximal second ejector 3310b at the proximal end 3237 the second cam portion 3234 is formed at an angle 3238 as shown in FIG. 69. The second ejector 3310b includes a first cam portion 3330 on which a slope or cam surface 3332 is formed and a second cam portion 3334 on which a slope or cam surface 3336 is formed. To form a lumen for an adjacent proximal first ejector 3210 and an adjacent proximal third of the ejector 3410b, a first angle 3333 is formed at the proximal end 3331 of the first cam portion 3330, and an angle 3337 is formed at the proximal end 3335 of the second cam portion 3334, as shown in FIG. 69. The third ejector 3410b includes a first cam portion 3430 on which a slope or cam surface 3432 is formed and a second cam portion 3434 on which a slope or cam surface 3436 is formed. To form a lumen for an adjacent proximal second ejector 3310b at the proximal end 3431 of the first cam portion 3430, an angle 3433 is formed. In FIG. 70 and 71, a second ejector 3310b is shown to illustrate the slopes or cam surfaces 3332, 3336, it should be understood that the first and third ejectors 3210a, 3410a have similar designs.

In the illustrated embodiment, each of the ejectors 3210b, 3310b, 3410b has two cam portions with parallel ramps or cam surfaces. Thus, each of the ejectors 3210b, 3310b, 3410b is driven by two ramps or cam members on a skid or cam actuator. However, in this embodiment, the carriage or cam actuator is configured with only eight ramps (four on each side of the elongated slot 804). Cam surfaces on each of the ejectors 3210b, 3310b, 3410b are angled to cooperate with the angle of the respective ramp or cam element to push the respective ejector upward within the staple cassette as the sled or cam actuator moves distally along the staple cassette.

FIG. 72 shows an example of a staple cassette 4800 having a cassette body 4802 that includes an elongated slot 4804 for receiving a tissue cutting element as described herein. An elongated slot 4804 is centered on the cassette axis CA and divides the cassette body 4802 into two body sections 4810 and 4910. FIG. 73 is a bottom perspective view of a portion of one shape of the surgical staple cassette body 802 '. As seen in this figure, the first housing portion 4810 includes a first cassette wall portion 4812 that includes first abutment grooves or slots 4814 formed therein, each oriented along a corresponding axis FSA of the first slot located transversely with respect to axis CA cassette. The second housing portion 4810 further includes a second cassette wall portion 4820 that has second support grooves or slots 4822 formed therein, each oriented along a corresponding second slot axis SSA located transversely with respect to the cassette axis CA. Between the first cassette wall section 4812 and the second cassette wall section 4820, there are four spaced slots 4830, 4832, 4834, 4836 to accommodate the respective slopes or cam elements of the sled or cam actuator. Slots 4830 and 4832 define a plurality of segmented guide rails 4840, all of which have a groove 4842. Similarly, slots 4832 and 4834 define another plurality of segmented guide rails 4850, all of which have two slots 4852 and 4854. In addition, slots 4834 and 4836 form another plurality of segmented guide rails 4860, all of which have a groove 4862.

As shown in FIG. 73, the segmented guide rails 4840 are segmented with slots 4844 that are oriented to accommodate the shackle supporting portion 3220 of the respective first shaper ejector 3210a. In addition, the ends of the bracket supporting portion 3220 are positioned in respective slots 4814 and 4852 so that each of the first ejectors 3210a is fully slidably supported in the cassette body 4802 throughout its upward travel range. Likewise, the segmented guide rails 4850 are segmented with second slots 4856 that are oriented to accommodate the shackle supporting portion 3320 of the corresponding second shaper ejector 3310a. In addition, the ends of the staple supporting portion 3320 are positioned in respective slots 4842 and 4862 so that each of the second staple ejectors 3310a is fully slidably supported in the cassette body 4802 throughout its upward travel range. In addition, the segmented guide rails 4860 are segmented with third slots 4864 that are oriented to accommodate the bracket supporting portion 3420 of the corresponding second staple ejector 3410a. In addition, the ends of the staple supporting portion 3420 are positioned in respective slots 4822 and 4854 so that each of the third staple ejectors 3410a is fully slidably supported in the cassette body 4802 throughout its upward travel range. It should be understood that slots 4844, 4856, and 4864 extend through platform surface 4805 of cassette body 4802 so that the staples can exit cassette body 4802. Slots 4844, 4856, 4864 may also be called "staple cavities". See FIG. 72.

Similarly, the second housing portion 4910 includes a first cartridge wall portion 4912 in which first abutment grooves or grooves 4914 are formed, all of which are located along a respective primary slot axis PSA located transversely to the cartridge axis CA. The second housing section 4910 further includes a second cassette wall section 4920 in which second abutment grooves or slots 4922 are formed, all of which are located along a corresponding secondary groove axis SDSA located transversely relative to the cassette axis CA. Between the first cassette wall section 4912 and the second cassette wall section 4920 there are four spaced slots 4930, 4932, 4934, 4936 to accommodate the respective ramps or cam elements of the sled or cam actuator. Slots 4930 and 4932 form a plurality of segmented guide rails 4940, all of which have a slot 4942. Similarly slots 4932 and 4934 form another set of segmented guide rails 4950, all of which have two slots 4952 and 4954. In addition, slots 4934 and 4936 form another plurality of segmented guide rails 4960, all of which have a groove 4962.

As shown in FIG. 73, the segmented guide rails 4940 are segmented with slots 4944 that are oriented to accommodate the clip-supporting portion 3220 of the corresponding first clip ejector 3210b. In addition, the ends of the bracket supporting portion 3220 are positioned in respective slots 4914 and 4952 such that each of the first ejectors 3210b is fully slidably supported in the cassette body 4802 throughout its upward travel range. Likewise, the segmented guide rails 4950 are segmented with second slots 4956 that are oriented to receive the clip-supporting portion 3320 of the corresponding second clip ejector 3310b. In addition, the ends of the staple supporting portion 3320 are positioned in respective slots 4942 and 4962 so that each of the second staple ejectors 3310b is fully slidably supported in the cassette body 4802 throughout its upward travel range. In addition, the segmented guide rails 4960 are segmented with third slots 4964 that are oriented to accommodate the bracket supporting portion 3420 of the corresponding second staple ejector 3410b. In addition, the ends of the staple supporting portion 3420 are positioned in respective slots 4922 and 4954 so that each of the third staple ejectors 3410b is fully slidably supported in the cassette body 4802 throughout its upward travel range. It should be understood that slots 4944, 4956 and 4964 extend through the platform surface 4805 of the cassette body 4802 so that the staples can exit the cassette body 4802. Slots 4944, 4956, 4964 may also be referred to as “staple cavities”. See FIG. 72.

In the structure shown, when the ejectors 3210a, 3310a, 3410a are installed in the cassette body 4802 to form a staple ejector array 3100a, the cam portion 3230 of each of the first ejectors 3210a is oriented along the first cam axis FCA defined by the first slot 4830. Thus, the cam surfaces 3232 also oriented along the first cam axis FCA for cam contact with a corresponding cam element or slope on a skid or cam actuator. Likewise, the cam portion 3234 of each of the first ejectors 3210a, as well as each of the cam portions 3330 of the second ejectors 3310a, are aligned with the second cam axis SCA defined by the slot 4832. Thus, the cam surfaces 3236 and 3332 are also aligned with the second cam axis SCA for cam contact with appropriate cam element or slope on a skid or cam actuator. In addition, the cam portion 3430 of each of the third ejectors 3410a as well as each of the cam portions 3334 of each of the second ejectors 3310a are oriented along the third cam axis TCA defined by the slot 4834. Thus, the cam surfaces 3432 and 3336 are also oriented along the third cam axis TCA for cam contact with a corresponding cam element or slope on a skid or cam actuator. In addition, the cam portion 3434 of each of the third ejectors 3410a is oriented along the fourth FTCA axis defined by the slot 4836. Thus, the cam surfaces 3436 are also oriented along the fourth FTCA cam axis for cam engagement with a corresponding cam member or slope on a skid or cam actuator.

In the shown staple ejector array 3100b, the cam portion 3230 of each of the first ejectors 3210b is also oriented along the primary cam axis PCA defined by the first slot 4930. Thus, the cam surfaces 3232 are also oriented along the first cam axis PCA for cam contact with a corresponding cam element or slope on slide or cam actuator. Likewise, the cam portion 3234 of each of the first ejectors 3210b, as well as each of the cam portions 3330 of the second ejectors 3310b, are oriented along the secondary cam axis SDCA defined by the slot 4932. Therefore, the cam surfaces 3236 and 3332 are also oriented along the secondary cam axis SDCA for cam contact with appropriate cam element or slope on a skid or cam actuator. In addition, the cam portion 3430 of each of the third ejectors 3410b as well as each of the cam portions 3334 of each of the second ejectors 3310b are oriented along the tertiary cam axis TRCA defined by the slot 4934. Thus, the cam surfaces 3432 and 3336 are also oriented along the tertiary cam axis TRCA for cam contact with a corresponding cam element or slope on a skid or cam actuator. In addition, the cam portion 3434 of each of the third ejectors 3410a is oriented along the other fourth FRCA axis defined by the slot 4936. Thus, the cam surfaces 3436 are also oriented along the other fourth FRCA cam axis for cam engagement with a corresponding cam element or ramp on a skid or cam actuator. mechanism.

In at least one design, cam surfaces 3232, 3236, 3332, 3336, 3432, 3436 can be formed with identical slopes or angles, or they can have different slopes. However, in the illustrated embodiment, for example, the cam surfaces 3232 are oriented or otherwise configured to functionally match the cam element angle / orientation or slope of the sled or cam actuator. In addition, in the illustrated embodiment, cam surfaces 3236 and 3332 are formed with the same slope or angle and / or are differently configured to functionally match the angle / orientation of the corresponding cam element or slope of the sled or cam actuator. However, it is possible that the angle or inclination of the cam surfaces 3236, 3332 is different from the angle or inclination of the cam surfaces 3232. Similarly, the cam surfaces 3432 and 3336 are formed with the same inclination or angle and / or have a different configuration in order to functionally match the angle / the orientation of the corresponding cam element or the slope of the carriage or cam actuator. However, it is possible for the angle or tilt of cam surfaces 3432, 3336 to be different from the angle or tilt of cam surfaces 3232, 3234, 3332. Further, in the embodiment shown, cam surfaces 3436 are formed with the same tilt or angle and / or have a different configuration. to provide a functional match with the angle / orientation of the corresponding cam element or the slope of the slide or cam actuator. However, it is possible that the angle or inclination of the cam surfaces 3436 is not the same as the angle or inclination of the cam surfaces 3232, 3234, 3332, 3432, 3336.

As shown in FIG. 67, when all of the staple ejectors 3210a, 3310a, 3410a are operatively supported in the staple cassette, in the staple ejectors array 3100a, the staple ejectors 3210a form a first longitudinal row 5000a of staples that are disposed adjacent to the elongated slot 804 in the cassette body 4802. Each of the staples in the first longitudinal row 5000a extends in the first direction as described above. Similarly, the staple ejectors 3310a define a second longitudinal row 5010a of staples adjacent to the first longitudinal row 5000a. The staples in the second longitudinal row 5010a extend in a second direction that is different from the first direction of the staples in the first longitudinal row 5000a. In addition, the staple ejectors 3410a define a third longitudinal row 5020a of staples that are oriented in a third direction, which may or may not coincide with the direction of the staples in the second longitudinal row 5010a. For example, in the illustrated embodiment, the first and third directions are the same. The third longitudinal row 5020a is located adjacent to the second longitudinal row 5010a.

In the shown construction, when all staple ejectors 3210b, 3310b, 3410b are operatively supported in the staple cassette in the staple ejectors array 3100b, the staple ejectors 3210b form a primary longitudinal staple row 5000b that is disposed adjacent to the elongated slot 804 in the cassette body 4802. Each of the staples in the primary longitudinal row 5000b extends in a first direction as described above. Similarly, the staple ejectors 3310b form a secondary longitudinal staple row 5010b disposed adjacent to the primary longitudinal staple row 5000b. The staples in the secondary longitudinal row 5010b extend in a second direction that is different from the first direction of the staples in the primary longitudinal row 5000b. In addition, the ejectors 3410b form a tertiary longitudinal row 5020b of staples that are oriented in a third direction, which may or may not coincide with the direction of the staples in the secondary longitudinal row 5010b. For example, in the illustrated embodiment, the first and third directions are the same. A tertiary longitudinal row 5020b is disposed adjacent to a secondary longitudinal row 5010b.

FIG. 74 is a portion of another surgical staple cassette 6000 that is configured to produce staple lines having different formed heights and in which the various staple ejector arrays described herein can be used. The surgical staple cassette 6000 includes a cassette body 6002 having an elongated slot 6004 that divides the cassette body into a first cassette portion 6010 and a second cassette portion 6110. The first cassette portion 6010 includes a "stepped platform" 6012. In the example shown, the lowest platform surface or "first" platform portion is designated member 6020. A first platform portion 6020 includes a series of staple slots or first recesses 6022 configured to support the first longitudinal line 6030 of the first surgical staples 7000. In the illustrated embodiment, the first staple recesses 6022 in line 6030 are parallel to each other and oriented, each along a corresponding first axis FA.

As further seen in FIG. 74, the stepped platform 6012 further includes a second platform portion 6040 having a height or thickness T1. In other words, the second platform portion 6040 protrudes above the first platform portion 6020 by a thickness T1. In one example, T1 can be approximately 0.025 centimeters (0.01 inches). However, you can use other thicknesses or height differences. For example, T1 can range from 0.013 centimeters to 0.064 centimeters (0.005 inches to 0.025 inches). A second series of staple slots or second recesses 6042 are oriented in a second platform portion 6040 to support a second line 6050 of second staples 7020. The second staple recesses 6042 are parallel to each other and are all oriented along the second axis SA. The second axes can be located transversely relative to the first FA axes.

As can also be seen in FIG. 74, the first stepped platform 6012 further includes a third platform portion 6060 having a height or thickness T2. In other words, the third platform portion 6060 protrudes above the first platform portion 6020 by a thickness T2. In one example, T2 can be approximately 0.05 centimeters (0.02 inches). However, you can use other thicknesses or height differences. For example, T1 can range from 0.013 centimeters to 0.076 centimeters (0.005 inches to 0.030 inches). A third series of staple slots or second recesses 6062 are oriented in third platform portion 6060 to support a third line 6070 of third staples 7020. The third staple recesses 6062 are parallel to each other and are all oriented along the third axis TA. The third axes, for example, may be parallel to the first axes FA and may be located transversely with respect to the second axes SA.

In use, when the surgical instrument abutment is locked in a closed position in which the shaping staple bottom surface of the abutment is against the platform of the staple cassette 6000, the third platform portion 6070 will be closer to the lower abutment surface than the second platform portion 6040 and the first platform portion 6020. Likewise, the second platform portion 6040 is located closer to the shaping bracket of the lower abutment surface than the first platform portion 6020. Thus, as shown in FIG. 75, the third staples 7030 that are supported in the third staple recesses 6062 will have a third molding height TFH that is less than the second molding height SFH of the second staples 7020 supported in the second staple recesses 6042, and the second molding height SFH of the second staples 7020 is less than the first the forming height FFH of the staples supported in the first staple recesses 6022. As shown in FIG. 74, a line 6070 of third staples 7030 may be disposed adjacent to the elongated slot 6004. Thus, staples 7030 closest to the cut line of the fabric will have the smallest height when formed.

The second cassette region 6110 includes a primary platform region 6120, which is the lowest surface of the platform. A series of staple slots or primary recesses 6122 are disposed in the primary platform portion 6120, configured to support a primary longitudinal line 6130 of the first surgical staples 7000. In the illustrated embodiment, the primary staple recesses 6122 in the primary line 6130 are parallel to each other and oriented along corresponding to the primary axis PA. As further seen in FIG. 74, the stepped platform 6012 further includes a secondary platform portion 6140 having a height or thickness T1 '. In other words, the secondary platform portion 6140 protrudes above the primary platform portion 6120 by a thickness T1 '. In the construction shown, T1 'is equal to T1. However, other designs assume that T1 'is not equal to T1. A second series of staple slots or second recesses 6142 are oriented in the secondary platform portion 6140 so as to support the secondary line 6150 of the second staples 7020. The secondary staple recesses 6142 are parallel to each other and all oriented along the secondary axis SDA. The SDA secondary axes can be located transversely to the PA primary axes.

As can also be seen in FIG. 74, the stepped platform 6012 further includes a tertiary platform portion 6160 having a height or thickness T2 '. In other words, the tertiary platform region 6160 protrudes above the primary platform region 6120 by a thickness T2 '. In the construction shown, T2 'equals T2. However, other designs assume that T2 'is not equal to T2. A tertiary series of staple slots or tertiary grooves 6162 are oriented in platform tertiary region 6160 so as to support a tertiary line 6170 of third staples 7030. The tertiary staple grooves 6162 are parallel to each other and all oriented along the tertiary axis TRA. The tertiary axes TRA, for example, can be parallel to the primary axes PA and can be transverse to the secondary axes SDA.

In use, when the surgical instrument abutment is locked in a closed position in which the shaping staple bottom surface of the abutment is against the platform of the staple cassette 6000, the tertiary platform region 6160 will be closer to the lower surface than the second platform region 6040 and the first platform region 6020. Likewise, the secondary platform portion 6140 is located closer to the shaping bracket of the lower abutment surface than the primary platform portion 6120. Thus, as shown in FIG. 75, the third staples 7030 that are supported in the third staple recesses 6062 will have a third molding height TFH that is less than the second molding height SFH of the second staples 7020 supported in the secondary staple recesses 6142, and the second molding height SFH of the second staples 7020 is less than the first forming height FFH of staples supported in primary staple recesses 6122. As shown in FIG. 74, a line 6170 of third staples 7030 may be disposed adjacent to the elongated slot 6004. Thus, staples 7030 closest to the cut line of the fabric will have the smallest height when formed.

Various designs of staple ejectors described herein can be effectively applied to the above-described stepped platform structure to obtain staples having different heights in the formed state. A variety of ejector combinations and stepped platform configurations are provided throughout this document. The different staples used may initially have different unformed heights. For example, all staples in one line of staples may have the same height, but may have a different height than all staples in another line or other lines of staples in the cassette. The staples can be U-shaped or V-shaped. Staples can have different wire diameters. Additional information on staple configurations, cassettes, and ejector designs for molding staples with different formed heights is set forth in US Pat. No. 7,669,746, entitled STAPLE CARTRIDGES FOR FORMING STAPLES HAVING DIFFERENT FORMED HEIGHTS; US Pat. No. 7,500,979 entitled SURGICAL STAPLING DEVICE WITH MULTIPLE STACKED ACTUATOR WEDGE CAMS FOR DRIVING STAPLE DRIVERS; US Pat. No. 7,673,781 entitled SURGICAL STAPLING DEVICE WITH STAPLE DRIVER THAT SUPPORTS MULTIPLE WIRE DIAMETER STAPLES; US Pat. No. 8,636,187 entitled SURGICAL STAPLING SYSTEMS THAT PRODUCE FORMED STAPLES HAVING DIFFERENT LENGTHS; US Pat. No. 7,934,630 entitled STAPLE CARTRIDGES FOR FORMING STAPLES HAVING DIFFERENT FORMED HEIGHTS; US Pat. No. 8,567,656 entitled STAPLE CARTRIDGES FOR FORMING STAPLES HAVING DIFFERENT FORMED HEIGHTS; US Patent No. 8,464,923 entitled STAPLE CARTRIDGES FOR FORMING STAPLES HAVING DIFFERENT FORMED HEIGHTS, the entire contents of which are incorporated herein by reference.

As you study this detailed description, it will be understood that the various forms of surgical staple cassettes described herein can also be effectively used in connection with robotic-assisted surgical systems. Thus, the term "housing" can also encompass a housing or similar part of a robotic system that contains or otherwise functionally supports at least one drive system configured to generate and apply at least one control motion that can be used to drive the effect of the elongated barrel assemblies described herein and their respective equivalents. The term "frame" can refer to a portion of a hand-held surgical instrument. The term "frame" can also represent a part of a robotic controlled surgical instrument and / or a part of a robotic system that can be used to functionally control the surgical instrument. For example, the stem assemblies described herein can be used with a variety of robotic systems, tools, components and methods described in U.S. Patent Application No. 13 / 118,241 entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, currently published in U.S. Patent Application Publication No. 13 / 118,241. US patent No. 9,072,535, which is fully incorporated into this document by reference.

The surgical instrument systems described in this document are driven by an electric motor; however, the surgical instrument systems described herein can be propelled in any suitable manner. In various cases, the surgical instrument systems described herein may, for example, be driven by a manual trigger. The motor or motors may contain part or parts of a robotic control system.

The surgical instrument systems described herein are powered by one or more electric motors; however, the surgical instrument systems described herein can be propelled in any suitable manner. In various cases, the surgical instrument systems described herein may, for example, be driven by a manual trigger.

Examples of

Example 1 Surgical staple ejector array for functional use with a surgical staple cassette. In at least one configuration, the surgical staple ejector array comprises a distal staple ejector configured to slide in a cassette with surgical staples and operatively capable of supporting a single distal surgical staple oriented distally. The plurality of intermediate staple ejectors are configured to be slidably supported in a cassette with surgical staples in series, with the most distal of the intermediate staple ejectors disposed adjacent to the distal staple ejector. Each of the intermediate staple ejectors is configured to functionally support the first surgical staple oriented in the first direction, as well as the second surgical staple oriented in the second direction, and the third surgical staple oriented in the third direction. The proximal staple ejector is slidably supported adjacent the most proximal of the intermediate staple ejectors. The proximal staple ejector is configured to functionally support the proximal surgical staple oriented in the proximal direction.

Example 2. An ejector array of surgical staples according to example 1, in which the distal direction is parallel to at least one of the first, second and third directions.

Example 3. The staple ejector array of Examples 1 or 2, wherein the proximal direction is parallel to at least one of the first, second and third directions.

Example 4: The staple ejector array of Examples 1, 2, or 3, wherein the distal direction, the first direction, the third direction and the proximal direction are parallel to each other.

Example 5 The surgical staple ejector array of Examples 1, 2, 3 or 4, wherein the distal crown of the distal surgical staple is supported along the distal base axis and the first crown of the first surgical staple is supported along a first base axis that is parallel to the distal base axis.

Example 6 A surgical staple ejector array of Example 5, wherein the second crown of the second surgical staple is supported along a second base axis transverse to the first base axis.

Example 7 An array of surgical staple ejectors of Examples 5 or 6, wherein the third crown of the third surgical staple is supported along a third base axis that is parallel to the first base axis.

Example 8 A surgical staple ejector array of Example 7 wherein the proximal crown of the proximal staple is supported on a proximal base axis that is parallel to the third base axis of a third surgical staple supported in the most proximal of the intermediate staple ejectors.

Example 9 A staple cassette that contains a cassette body containing a proximal end and a distal end. The distal staple ejector is movably supported in the cassette body and is configured to support the single most distal surgical staple oriented distally. The plurality of intermediate staple ejectors are movably supported in the cassette body in series, with the most distal of the intermediate staple ejectors disposed adjacent the distal staple ejector. Each of the intermediate staple ejectors supports a first staple in a first direction, a second staple in a second direction, and a third staple in a third direction. The proximal staple ejector is slidably supported adjacent the most proximal of the intermediate staple ejectors. The proximal staple ejector is configured to functionally support the proximal surgical staple oriented in the proximal direction.

Example 10 The staple cassette of Example 9 wherein the distal crown of the distal staple is supported along the distal base axis and the first crown of the first staple is supported along a first base axis that is parallel to the distal base axis. The second crown of the second surgical staple is supported along a second base axis that is transverse to the first base axis. The third crown of the third surgical staple is supported on a third base axis that is parallel to the first base axis. The proximal crown of the proximal staple is supported on a proximal base axis that is parallel to the third base axis of the third staple supported in the most proximal of the intermediate staple ejectors.

Example 11 The staple cassette of Examples 9 or 10, wherein the distal staple ejector comprises a distal staple support member comprising a distal support post that is configured to support the distal stem of the distal surgical staple. The distal bracket support element further comprises a proximal support post configured to support the proximal stem of the distal surgical staple. One of the distal and proximal support legs is slidably supported in one of the first wall portion and the second wall portion of the cassette body.

Example 12 The staple cassette of Example 11, wherein the distal staple ejector further comprises a distal cam surface oriented along a first cam axis extending transversely between the distal and proximal support legs.

Example 13 A cassette with surgical staples according to examples 9, 10, 11, or 12, in which at least one of the intermediate staple ejectors comprises a first bracket supporting element comprising a first distal support post that is configured to support the first distal stem of the corresponding first surgical staples. The first staple supporting member further comprises a first proximal support post configured to support the first proximal leg of the corresponding first surgical staple. The intermediate staple ejector further comprises a second staple supporting member comprising a second distal support post configured to support a second distal stem of the corresponding second surgical staple. The second staple supporting member further comprises a second proximal support post configured to support the second proximal stem of the corresponding second surgical staple. The intermediate staple ejector further comprises a third staple supporting element comprising a third distal support post configured to support a third distal stem of the corresponding third surgical staple. The third staple support member further comprises a third proximal support post configured to support the third proximal stem of the corresponding third surgical staple. One of the third distal support post and the third proximal support post is slidably supported in one of the first and second wall portions of the cassette body.

Example 14 The staple cassette of Examples 9, 10, 11, 12, or 13, wherein the proximal staple ejector comprises a proximal staple support member having another distal support leg that is configured to support another distal stem of the proximal staple. The proximal staple support member further comprises another proximal strut configured to support the other proximal stem of the proximal surgical staple. One of the other distal and the other proximal support legs is slidably supported in one of the first wall portion and the second wall portion of the cassette body.

Example 15 The staple cassette of Example 14 further comprising at least one distal cam surface on a distal staple support member and at least one first cam surface on at least one of first, second and third staple support members. At least one proximal cam surface is located on a proximal bracket support member.

Example 16 The staple cassette of Example 15, wherein at least one distal cam surface, at least one first cam surface, and at least one proximal cam surface are oriented along a common cam axis.

Example 17 The staple cassette of Examples 15 or 16, wherein at least one distal cam surface comprises a first distal cam surface and a second distal cam surface spaced from the first distal cam surface. The first cam surface includes a first cam surface and a second cam surface spaced from the first cam surface. At least one proximal cam surface includes a first proximal cam surface and a second proximal cam surface.

Example 18 The staple cassette of Example 17 wherein the first distal cam surface, the first cam surface, and the first proximal cam surface are oriented along the first cam axis, and the second distal cam surface, the second cam surface, and the second proximal cam surface are oriented along the second cam shaft.

Example 19 The surgical staple cassette of Example 18 wherein a first cam surface is located on a first staple supporting member and a second cam surface is located on a third staple supporting member.

Example 20 A surgical instrument comprising axially movable sleds that contain first and second cam elements. The surgical instrument further comprises a cassette with surgical staples and at least one distal ejector of staples, which is supported for movement in the cassette with surgical staples. Each distal staple ejector is configured to functionally support a corresponding distal staple and comprises a first distal cam surface oriented for cam contact with the first cam element and a second distal cam surface oriented for cam contact with the second cam element. A plurality of intermediate staple ejectors are movable in a sequential surgical staple cassette. The most distal of the intermediate staple ejectors is disposed adjacent to one of at least one of the distal staple ejectors. Each of the intermediate staple ejectors supports a corresponding first brace, a corresponding second brace, and a corresponding third brace. Each intermediate staple ejector comprises a first cam surface oriented for cam contact with the first cam element and a second cam surface oriented for cam contact with the second cam element. The proximal staple ejector is slidably supported adjacent the most proximal of the intermediate staple ejectors. The proximal staple ejector is configured to functionally support the corresponding proximal surgical staple and comprises a first proximal cam surface oriented for cam contact with the first cam element and a second proximal cam surface oriented for cam contact with the second cam element.

Example 21. Surgical staple ejector array for functional use with a surgical staple cassette. In at least one form, the surgical staple ejector array comprises a distal staple ejector that is slidably supported in a surgical staple cassette. The array of surgical staples ejectors is also configured to functionally support at least two distal surgical staples, each oriented in a distal direction. At least one first intermediate staple ejector is designed to be slidably supported in a cassette with surgical staples. The intermediate staple ejector functionally supports at least two first surgical staples, each oriented in a first direction, and at least two second surgical staples, each oriented in a second direction that is different from the first direction. The at least one second intermediate staple ejector is configured to be slidably supported adjacent to at least one of the distal staple ejectors and a corresponding one of the at least one first intermediate staple ejector. Each of the at least one second intermediate staple ejector is configured to functionally support five second surgical staples, wherein at least two of the second surgical staples are oriented, each, in the primary direction, and at least one other of the second surgical staples is oriented in the secondary direction. direction different from the primary direction.

Example 22 An array of surgical staple ejectors as in Example 21, wherein at least one of the first and second directions is parallel to the distal direction.

Example 23. An array of ejectors for surgical staples according to examples 21 or 22, in which the first and second directions are located transversely relative to each other.

Example 24. An array of surgical staple ejectors of Examples 21, 22, or 23, wherein at least one of the primary and secondary directions is parallel to the distal direction.

Example 25 An array of surgical staple ejectors of Examples 21, 22, 23, or 24, wherein four of the second staples are oriented in the primary direction and one of the second staples is oriented in the secondary direction.

Example 26. An array of surgical staples ejectors according to examples 21, 22, 23, 24 or 25, in which one of the distal surgical staples contains a distal crown oriented along the first distal axis of the base, and the other of the distal surgical staples contains another distal crown oriented along a second distal base axis that is parallel to the first distal base axis. One of the first surgical staples has a first staple crown oriented along the first base axis, and the other of the first surgical staples includes another first staple crown oriented along the other first base axis that is parallel to the first base axis. One of the second surgical staples contains a second staple crown oriented along the second base axis, and the other of the second surgical staples contains another second staple crown oriented along the other second base axis that is parallel to the second base axis.

Example 27. Array of ejectors of surgical staples according to example 26, where the first and second distal axes of the base are parallel to the first axis of the base and the other first axis of the base, and the second axis of the base and the other second axis of the base are located transversely relative to the first axis of the base and the other first axis of the base ...

Example 28. An array of surgical staple ejectors according to examples 21, 22, 23, 24, 25, 26 or 27, in which the distal staple ejector comprises at least one distal cam surface, and wherein at least one of the at least one first intermediate staple ejector comprises at least one first cam surface, and wherein at least one of the at least one second intermediate staple ejector comprises at least one primary cam surface, and wherein at least one distal cam surface, and at least one first cam surface and at least one primary cam surface are oriented along the first cam axis.

Example 29. The surgical staple ejector array of Example 28, wherein the distal staple ejector comprises a first distal cam surface and a second distal cam surface spaced from the first distal cam surface. Each of the at least one first intermediate staple ejector comprises a first cam surface and a second cam surface spaced from the first cam surface. Each of the at least one second intermediate staple ejector comprises a primary cam surface and a secondary cam surface spaced from the primary cam surface. The first distal cam surface, each of the first cam surfaces, and each of the primary cam surfaces are oriented along the first cam axis. The second distal cam surface, each of the second cam surfaces, and each of the secondary cam surfaces are oriented along the second cam axis.

Example 30. A cassette with surgical staples, containing a cassette body containing a proximal end and a distal end. The distal staple ejector is movable in the cassette body and configured to support at least two distal surgical staples. Each of the distal surgical staples extends distally. At least one intermediate staple ejector is supported in the cassette body. Each of the first intermediate staple ejectors is configured to support at least two first surgical staples, each of which extends in a first direction, and at least two other first surgical staples, each of which extends in a second direction. The cassette with surgical staples further comprises at least one second intermediate staple ejector, which is configured to be slidingly supported adjacent to at least one of the distal staple ejectors and a corresponding one of the first intermediate staple ejectors. Each of the second intermediate staple ejectors is configured to functionally support five other surgical staples, with at least two of the other surgical staples each oriented in a primary direction, and at least one third of the other surgical staples oriented in a secondary direction different from primary direction.

Example 31. A staple cassette according to Example 30, wherein the first of the distal surgical staples comprises a first distal crown oriented along the first distal base axis, and wherein the second of the distal surgical staples comprises a second distal crown oriented along the second distal base axis, which is parallel to the first distal axis of the base. At least one of the first surgical staples comprises a first staple crown oriented along a first base axis, and wherein at least one other of the first surgical staples comprises another first staple crown oriented along a different first base axis that is parallel to the first base axis. At least one of the second surgical staples includes a second staple crown oriented along the second base axis, and at least one other of the second surgical staples includes another second staple crown oriented along the other second base axis that is parallel to the second base axis.

Example 32. The staple cassette of Examples 30 or 31, wherein the distal staple ejector comprises a distal staple support member comprising a distal support post that is configured to support the distal stem of the distal staple. The distal staple ejector further comprises a proximal support post configured to support the proximal stem of the distal surgical staple. The distal staple ejector also includes another distal staple support member comprising another distal support post configured to support another distal stem of the other distal staple. The other distal staple support member further comprises another proximal support post configured to support the other proximal stem of the other distal surgical staple.

Example 33. A cassette with surgical staples according to example 32, in which one of the distal support post and the other distal support post is slidably supported in one of the first and second sections of the cassette wall in the cassette body, and wherein one of the proximal support post or the other the proximal support leg is slidably supported in another of the first and second cassette wall portions.

Example 34. The staple cassette of Examples 32 or 33, wherein the distal staple ejector further comprises a first distal cam surface on a first distal bracket support member and a second distal cam surface on a second distal bracket support member.

Example 35. A cassette with surgical staples according to examples 30, 31, 32, 33 or 34, in which at least one of the first intermediate staple ejectors comprises a first bracket support element containing a first distal support post that is configured to support the first distal stem the corresponding first surgical staple. The first staple supporting member further comprises a first proximal support post configured to support the first proximal leg of the corresponding first surgical staple. At least one of the first intermediate staple ejectors further comprises a second staple supporting member comprising a second distal support post configured to support a second distal stem of the corresponding second surgical staple. The second staple supporting member further comprises a second proximal support post configured to support the second proximal stem of the corresponding second surgical staple. At least one of the first intermediate staple ejectors also includes a third staple support member comprising a third distal support post adapted to support a third distal stem of the corresponding third surgical staple. The third staple support member further comprises a third proximal support post configured to support the third proximal stem of the corresponding third surgical staple. At least one of the first intermediate staple ejectors further comprises a fourth staple supporting element comprising a fourth distal support post configured to support a fourth distal stem of the corresponding fourth surgical staple. The fourth staple supporting member further comprises a fourth proximal support post configured to support the fourth proximal stem of the corresponding fourth surgical staple. The first crown of the corresponding first surgical staple and the second crown of the corresponding second surgical staple are parallel to each other. The third crown of the corresponding third surgical staple and the fourth crown of the corresponding fourth surgical staple are parallel to each other and are located transversely with respect to the first and second crowns.

Example 36. A staple cassette of Example 35, wherein one of the first distal support leg or the third proximal support leg is slidably supported in one of the first and second cassette wall portions in the cassette body, and the other is from the first distal support leg and the third proximal support leg is slidably supported in another of the first and second cassette wall portions.

Example 37. A cassette with surgical staples according to examples 30, 31, 32, 33, 34, 35 or 36, in which at least one of the second intermediate staple ejectors comprises another first staple support element containing another first distal support leg, which is made with the possibility of supporting the other first distal stem of the corresponding first other surgical staple. The other first staple support member further comprises another first proximal support post configured to support the other first proximal leg of the corresponding first other surgical staple. The second intermediate staple ejector further comprises another second staple support member comprising another second distal support post configured to support another second distal stem of the corresponding second other surgical staple. The other second staple support member further comprises another second proximal support leg configured to support the other second proximal stem of the corresponding second other surgical staple. The second intermediate staple ejector further comprises another third staple support member comprising another third distal support post configured to support the other third distal stem of the corresponding third other surgical staple. The other third staple support member further comprises another third proximal support post configured to support the other third proximal stem of the corresponding third other surgical staple. The second intermediate staple ejector further comprises another fourth staple support member comprising another fourth distal support post configured to support the other fourth distal stem of the corresponding fourth other surgical staple. The other fourth staple support member further comprises another fourth proximal support post configured to support the other fourth proximal stem of the corresponding fourth other surgical staple. The other first crown of the first corresponding other surgical staple, and the other second crown of the second corresponding other surgical staple, and the other third crown of the third corresponding other surgical staple, and the other fourth crown of the fourth corresponding other surgical staple are parallel to each other. The second intermediate staple ejector further comprises a fifth staple supporting element comprising a fifth distal support post configured to support the fifth distal stem of the corresponding fifth other surgical staple. The fifth staple support member further comprises a fifth proximal support post configured to support the fifth proximal stem of the corresponding fifth other surgical staple. The fifth crown of the fifth corresponding other surgical staple is transverse to the other first crown, the other second crown, the other third crown, and the other fourth crown.

Example 38. A staple cassette of Example 37, wherein the other first proximal support leg or the other third proximal support leg are all slidably supported in one of the first and second cassette wall portions in the cassette body, and wherein the other second proximal support leg and the other fourth proximal support strut are all slidably supported in another of the first and second cassette wall portions.

Example 39. The staple cassette of Examples 37 or 38, further comprising a primary cam surface positioned adjacent to and internally to the other first proximal support leg and the other third proximal support leg. The secondary cam surface is positioned adjacent to the other second proximal support leg and the other fourth proximal support leg and is located inwardly relative to them.

Example 40. A surgical instrument comprising axially movable sleds that include first and second cam elements. The surgical instrument further comprises a cassette with surgical staples and at least one distal ejector of staples, which is supported for movement in the cassette with surgical staples. Each distal staple ejector is configured to functionally support two distal surgical staples and includes a first distal cam surface oriented for cam contact with the first cam element. Each distal staple ejector further comprises a second distal cam surface oriented for cam contact with the second cam element. The at least one first intermediate staple ejector is movably supported in the surgical staple cassette and supports four surgical staples. Each first intermediate staple ejector has a first cam surface oriented for cam contact with the first cam element and a second cam surface oriented for cam contact with the second cam element. The surgical instrument further comprises at least one second intermediate staple ejector, which is slidably supported in the surgical staple cassette adjacent to at least one of the distal staple ejectors and a corresponding one of the first intermediate staple ejectors. Each second intermediate staple ejector is configured to functionally support at least five other surgical staples and includes a first proximal cam surface oriented for cam contact with the first cam element. Each of the second intermediate staple ejectors further comprises a second proximal cam surface oriented for cam contact with the second cam element.

Example 41. A surgical staple ejector comprising an ejector body that is slidably supported in a surgical staple cassette. In at least one form, the ejector body comprises at least two staple supporting elements, each staple supporting element being configured to functionally support a respective surgical staple. The ejector body further comprises a first cam surface and a second cam surface located at a distance from the first cam surface. The ejector body further comprises at least one opening made with the possibility of sliding therein a corresponding ejector guide formed in the cassette with surgical staples.

Example 42. The surgical staple ejector of Example 41, wherein each of the at least one opening is located between the first and second cam surfaces.

Example 43. The surgical staple ejector of Examples 41 or 42, wherein the ejector body comprises a distal end and a proximal end, and wherein at least one of the proximal end and the distal end is slidably engaged with another of the respective guide ejectors.

Example 44. A surgical staple ejector of Examples 41, 42, or 43, wherein one of the at least two staple supporting members supports a corresponding surgical staple along the base axis, and wherein the other of the staple supporting members supports another surgical staple along a different base axis, which is parallel to the base axis.

Example 45. The surgical staple ejector of Example 44, wherein the other base axis is transverse to the base axis.

Example 46. The surgical staple ejector of Examples 41, 42, 43, 44, or 45, wherein one of the staple supporting members comprises a proximal support leg that is configured to support the proximal stem of the associated surgical staple. The staple support member further comprises a distal support post configured to support the distal stem of the corresponding surgical staple. Another of the staple-supporting members comprises another proximal support post configured to support the other proximal stem of another corresponding surgical staple. The other staple support member further comprises another distal support post configured to support the other distal stem of another corresponding surgical staple. One of the proximal support leg and the distal support leg is slidably supported within a corresponding groove in the wall portion of the surgical staple cassette. One of the other proximal support post and the other distal support post is slidably supported within another corresponding slot in another portion of the surgical staple cassette wall.

Example 47. A surgical staple ejector according to example 46, wherein the cassette with surgical staples forms the axis of the cassette, and wherein each of the corresponding slot and another corresponding slot is located transversely relative to the axis of the cassette.

Example 48 A surgical staple ejector of Example 47, wherein a corresponding ejector guide is centered between a portion of the cassette wall and another portion of the cassette wall.

Example 49. A cassette with surgical staples comprising a cassette body that forms the axis of the cassette and includes a first cassette wall and a second cassette wall spaced from the first cassette wall. The cassette body further comprises at least two vertical ejector guides located between the first cassette wall and the second cassette wall. The cassette with surgical staples further comprises at least one ejector of surgical staples having an ejector body that includes a proximal end capable of sliding engagement with one of the ejector guides and a distal end capable of sliding engagement with the other of the ejector guides. The ejector body further comprises at least one staple supporting element that is configured to functionally support the surgical staple.

Example 50. A staple cassette of Example 49, wherein at least one staple supporting member comprises a first staple supporting member configured to support a first surgical staple and a second staple supporting member configured to support a second surgical staple. A part of the first staple supporting member is slidably supported within a corresponding groove in the first wall of the cassette, and another part of the second staple supporting member is slidably supported within another corresponding groove in the second wall of the cassette.

Example 51. The staple cassette of Example 50, wherein each of a corresponding slot and another corresponding slot is transverse to the cassette axis.

Example 52. A staple cassette of Examples 49, 50, or 51, wherein the first surgical staple comprises a first crown supported on a first base axis, and wherein the second surgical staple comprises a second crown supported on a second base axis that is parallel to the first axis grounds.

Example 53 A staple cassette of Example 52, wherein the second base axis is transverse to the first base axis.

Example 54. A staple cassette of Examples 49, 50, 51, or 52, wherein each surgical staple ejector further comprises at least one opening that is slidably slidable into the corresponding additional ejector guide.

Example 55. A surgical instrument comprising axially movable sleds that include a first cam member movable along a first cam axis and a second cam member movable along a second cam axis. The surgical instrument further comprises a cassette with surgical staples, which comprises a cassette body containing a first cassette wall and a second cassette wall spaced from the first cassette wall. The cassette body further contains at least two vertical guide brackets located between the first wall of the cassette and the second wall of the cassette. The surgical instrument further comprises at least one ejector of surgical staples, comprising an ejector body that comprises a proximal end capable of sliding engagement with one of the ejector guides and a distal end capable of sliding engagement with the other of the ejector guides. The surgical staple ejector further comprises at least one staple-supporting element that is configured to functionally support the surgical staple.

Example 56. The surgical instrument of Examples 55, wherein the ejector body further comprises a first cam surface oriented toward one side of each of the ejector guides and oriented along the first cam axis and a second cam surface oriented toward the other side of each of the ejector guides and oriented along second cam shaft.

Example 57. The surgical instrument of Example 55, wherein the ejector body further comprises at least one hole positioned between the first and second cam surfaces and is slidably slidable into the corresponding additional ejector guide.

Example 58. The surgical instrument of Examples 55, 56, or 57, wherein at least one staple supporting member comprises a first staple supporting member configured to support a first surgical staple and a second staple supporting member configured to support a second surgical staple. A part of the first staple supporting member is slidably supported in the first wall of the cassette and the other part of the second staple supporting member is slidably supported in the second wall of the cassette.

Example 59. The surgical instrument of Examples 55, 56, 57 or 58, wherein the cassette with surgical staples forms the axis of the cassette, and wherein each of the corresponding groove and another corresponding groove is located transversely relative to the axis of the cassette.

Example 60. The surgical instrument of Examples 54, 55, 56, 57, 58, or 59, wherein at least one staple supporting member comprises a first staple supporting member configured to support a first surgical staple and a second staple supporting member configured with the ability to support a second surgical staple. A part of the first staple supporting member is slidably supported in the first wall of the cassette and the other part of the second staple supporting member is slidably supported in the second wall of the cassette.

Example 61. A surgical staple ejector configured for use with a surgical staple cassette that operatively interacts with a cam member of a surgical instrument movable along a first cam axis. In at least one form, the surgical staple ejector comprises an ejector body configured to be slidably supported within the surgical staple cassette. A cam surface is provided on the ejector body, oriented for cam engagement with the cam element of the surgical instrument along the first cam axis when the ejector body is slidably supported in the surgical staple cassette. The staple supporting portion is configured to functionally support the at least one surgical staple relative to the cam surface so that the cam element extends transversely under the crown portion of at least one of the at least one staple supporting portion when the cam element enters in contact with the cam surface.

Example 62 A surgical staple ejector of Example 61, wherein each of the at least one surgical staple supported on the staple supporting portion comprises a proximal stem protruding from the staple crown and a distal stem protruding from the staple crown. The staple supporting portion also supports at least one surgical staple relative to the cam surface such that the cam member is not axially aligned with the proximal and distal legs of any surgical staples supported on the staple supporting portion when the cam member comes into contact. with cam surface.

Example 63. The surgical staple ejector of Examples 61 or 62, wherein the staple supporting portion comprises a first staple supporting portion that is configured to functionally support the first surgical staple. The first surgical brace contains the first crown of the brace. The first distal stem protrudes from the end of the first brace crown, and the first proximal leg protrudes from the other end of the first brace crown. The first staple-supporting portion operatively supports the first crown of the staple along a first base axis located transversely to the first base axis, and includes a first proximal support post configured to support the first proximal leg of the first surgical staple. The first staple-supporting portion further comprises a first distal support post configured to support the first distal stem of the first surgical staple. The cam surface is oriented relative to the first proximal support post and the first distal support post such that the cam member extends between the first proximal support post and the first distal support post when the cam element engages the cam surface.

Example 64. A surgical staple ejector of Example 63, wherein the staple supporting portion further comprises a second staple supporting portion that is configured to functionally support the second surgical staple. The second surgical brace contains the second crown of the brace. The second distal stem protrudes from the end of the second crown of the staple, and the second proximal leg protrudes from the other end of the second crown of the staple. The second staple supporting portion comprises a second proximal support post configured to support the second proximal leg. The second bracket-supporting portion further comprises a second distal support post configured to support the second distal stem.

Example 65. A surgical staple ejector of Example 64, wherein the second staple supporting portion operatively supports the second crown of the staple along a second base axis transverse to the first base axis.

Example 66. A surgical staple ejector of Example 64, wherein the staple supporting portion operatively supports a second crown of the staple along a second base axis that is parallel to the first base axis.

Example 67. A surgical staple ejector of Examples 60, 61, 62, 63, 64, 65, or 66, wherein the surgical instrument comprises a second axially movable cam element, and wherein said staple support portion further comprises a second cam surface oriented for cam engagement with a second axially movable cam element.

Example 68. A staple ejector of Examples 60, 61, 62, 63, 64, 65, or 66, wherein the surgical instrument comprises a second axially movable cam element, and wherein the staple supporting portion further comprises a second cam surface oriented for cam engagement with a second axially movable cam element.

Example 69. The surgical staple ejector of Example 68, wherein the second cam surface is oriented relative to the second staple supporting portion such that the second cam element extends between the second proximal abutment and the second distal abutment when the second cam element engages the second cam. surface.

Example 70. An ejector of the surgical staples of examples 63, 64, 65, 66, 67, 68 or 69, in which the ejector body is slidably supported between the first section of the cassette wall and the second section of the cassette wall, and wherein one of the first proximal support post and the first distal support slides into a corresponding wall groove in one of the first and second wall portions of the cassette.

Example 71. A surgical staple ejector according to Example 70, wherein the surgical staple cassette further comprises at least one ejector guide, and wherein one of the first proximal support post and the first distal support post is slidably supported within a corresponding wall slot, and the other of the first proximal support post and the first distal support post is slidably supported within a corresponding guide slot in at least one ejector guide.

Example 72. Surgical staple ejector according to example 71, wherein the cassette with surgical staples has the height of the cassette, and wherein the wall groove extends along the height of the cassette, and wherein at least one ejector guide has a guide height, and the corresponding guide groove has a length groove equal to the height of the guide.

Example 73. The surgical staple ejector of example 72, in which the height of the cassette and the height of the guide are equal.

Example 74. The surgical staple ejector of Examples 64, 65, 66, 67, 68, 69, 70, 71, 72, or 73, wherein the staple supporting portion further comprises a third staple supporting portion that is configured to functionally support the third surgical staple. The third surgical brace contains the third crown of the brace. The third proximal pedicle protrudes from the end of the third crown of the staple. The third proximal pedicle protrudes from the other end of the third crown of the staple. The third staple supporting portion includes a third proximal support post configured to support the third proximal leg. The third bracket supporting portion further comprises a third distal support post configured to support the third distal stem.

Example 75. A surgical staple ejector according to Example 74, wherein the third staple supporting portion further comprises a second cam surface oriented relative to the third proximal abutment and the third distal abutment such that the corresponding portion of the cam element extends between the third proximal abutment and the third distal abutment strut when the corresponding portion of the cam element engages the second cam surface.

Example 76 The surgical staple ejector of Examples 74 or 75, wherein a third staple supporting portion operatively supports a third crown of the staple on a third base axis that is parallel to the first base axis.

Example 77. The surgical staple ejector of Examples 74, 75, or 76, wherein the staple supporting portion further comprises a fourth staple supporting portion that is configured to functionally support the fourth surgical staple. The fourth surgical brace contains the fourth brace crown. The fourth distal stem protrudes from the end of the fourth crown of the staple. The fourth proximal pedicle protrudes from the other end of the fourth crown of the staple. The fourth staple supporting portion includes a fourth proximal support post configured to support the fourth proximal leg. The fourth bracket-supporting portion further comprises a fourth distal support post configured to support the fourth distal stem.

Example 78. A surgical staple ejector according to Example 77, wherein the fourth staple support portion further comprises a second cam surface oriented relative to the fourth proximal support post and the fourth distal support post such that the corresponding portion of the cam element extends between the fourth proximal support post and the fourth distal support strut when the corresponding portion of the cam element engages the second cam surface.

Example 79 The surgical staple ejector of Examples 77 or 78, wherein the staple supporting portion further comprises a fifth staple supporting portion that is configured to functionally support the fifth surgical staple. The fifth brace contains the fifth brace crown. The fifth distal stem protrudes from the end of the fifth brace crown. The fifth proximal stem protrudes from the other end of the fifth brace crown. The fifth bracket-supporting portion comprises a fifth proximal support post configured to support the fifth proximal leg. The fifth bracket-supporting portion further comprises a fifth distal support post configured to support the fifth distal stem.

Example 80. A surgical staple ejector according to Example 79, wherein the fifth staple supporting portion further comprises a second cam surface oriented relative to the fifth proximal abutment and the fifth distal abutment such that the corresponding portion of the cam element extends between the fifth proximal abutment and the fifth distal abutment strut when the corresponding portion of the cam element engages the second cam surface.

Example 81. A surgical staple ejector comprising an ejector body that is slidably supported in a surgical staple cassette. The staple supporting portion is configured to functionally support the surgical staple. The surgical brace contains the brace crown. The proximal stem protrudes from the end of the staple crown and the distal leg protrudes from the other end of the staple crown. The staple-supporting portion contains a proximal support post configured to support the proximal leg. The bracket supporting portion further comprises a distal support post configured to support the distal stem. The ejector body further comprises at least one cam surface extending along a cam axis located transversely between the proximal and distal support legs.

Example 82 A staple cassette comprising a first cassette wall portion and a second cassette wall portion. The surgical staple cassette further comprises at least one staple ejector that is slidably supported between the first cassette wall portion and the second cassette wall portion. The at least one staple ejector comprises an ejector body that is configured to functionally support at least one surgical staple. The surgical brace contains the brace crown. The proximal stem protrudes from one end of the brace crown. The distal pedicle protrudes from the other end of the brace crown. The ejector body contains a proximal support post configured to support the proximal stem. The ejector body additionally contains a distal support post configured to support the distal stem. At least one of the proximal and distal support legs is slidably supported in one of the first and second wall portions of the cassette. The ejector body further comprises at least one cam surface extending along a cam axis located transversely between the proximal and distal support legs.

Example 83. Surgical staple ejector array for functional use with a surgical staple cassette. In at least one form, the surgical staple ejector array comprises a plurality of first staple ejectors, each of which is slidably supported in a surgical staple cassette. Each first staple ejector is further configured to functionally support at least two first surgical staples that are parallel to each other. The surgical staple ejector array further comprises at least one second staple ejector that is configured to slide in a cassette with surgical staples. Every second staple ejector is configured to support a single second surgical staple. The second surgical staple extends in a second direction transverse to each of the first surgical staples supported by at least one adjacent corresponding first staple ejector. The first and second staple ejectors are aligned in the surgical staple cassette in such a way that one of the first staple ejectors is located on each of the axial sides of each second staple ejector.

Example 84. An array of surgical staple ejectors according to Example 83, wherein each of the first surgical staples comprises a first crown, and wherein the first crown of one of the first surgical staples supported on one of the first staple ejectors is oriented along the first axis of the base, and wherein the other crown of the other of the first surgical staples supported on the first staple ejector is oriented along a second base axis that is parallel to the first base axis. Each of the second braces contains a second crown oriented along a third base axis located transversely relative to the first and second base axes.

Example 85 Surgical staple ejector array of Examples 83 or 84, wherein one of the plurality of first staple ejectors is the most distal first staple ejector in the staple ejector array and the other of the first staple ejectors is the most proximal first staple ejector in the staple ejector array ...

Example 86. An array of surgical staple ejectors of Examples 83, 84, or 85, wherein each of the first staple ejectors includes a first cam surface and a second cam surface spaced from the first cam surface.

Example 87. The surgical staple ejector array of Example 86, wherein every second staple ejector comprises a primary cam surface and a secondary cam surface spaced from the primary cam surface. The first cam surface and the primary cam surface are oriented along the first cam axis, and the second cam surface and the secondary cam surface are oriented along the second cam axis.

Example 88. An array of surgical staple ejectors as in Example 87, wherein the first and second cam axes are transverse to the first and second base axes.

Example 89. A surgical staple ejector array of Example 83, wherein the third base axis is transverse to the first and second cam axes.

Example 90. An array of surgical staple ejectors according to examples 83, 84, 85, 86, 87, 88, or 89, in which a portion of each of the first staple ejectors is configured to be slidably supported in the first portion of the wall of the surgical staple cassette, while the other part of each first staple ejector is slidably supported in the second wall portion of the surgical staple cassette.

Example 91 A cassette with surgical staples comprising a cassette body that contains a proximal end and a distal end. The plurality of first staple ejectors are movably supported in the cassette body. Each first staple ejector is configured to support the first two surgical staples oriented in their respective first directions. The at least one second staple ejector is slidably supported in the surgical staple cassette adjacent the two respective first staple ejectors. Every second staple ejector supports a single second surgical staple. The second surgical staple extends in a second direction transverse to each of the respective first directions. The first and second staple ejectors are aligned in the cassette body in such a way that one first staple ejector is located on each of the axial sides of each second staple ejector.

Example 92. The surgical staple cassette of Example 91, wherein one of the first surgical staples supported on one of the first staple ejectors contains a first crown oriented along a first base axis. Another of the first surgical staples supported on the first staple ejector comprises a different first crown oriented along a different first base axis. The other first base axis is parallel to the first base axis. Each second bracket contains a second crown oriented along the second base axis, located transversely relative to the first base axis and the other first base axis.

Example 93. The surgical staple cassette of Examples 91 or 92, wherein the first staple ejector comprises a first staple support member comprising a first distal support post that is configured to support the first distal stem of the corresponding first surgical staple. The first staple supporting member further comprises a first proximal support post configured to support the first proximal leg of the corresponding first surgical staple. The first staple ejector further comprises another first staple supporting member comprising another first distal support post configured to support the other first distal stem of another corresponding first surgical staple. The other first staple support member further comprises another first proximal support post configured to support the other first proximal leg of the corresponding other first surgical staple.

Example 94. The staple cassette of Example 93, wherein each first staple support member further comprises a first cam surface oriented along a first cam axis extending transversely between the first distal and first proximal abutment posts. Each first bracket supporting member further has a second cam surface oriented along a second cam axis extending transversely between the other first distal and the other first proximal support legs.

Example 95. The staple cassette of Examples 93 or 94, wherein at least one second staple ejector comprises a second staple support member comprising a second distal support post that is configured to support a second distal stem of a corresponding second surgical staple. The second staple supporting member further comprises a second proximal support post configured to support the second proximal stem of the corresponding second surgical staple.

Example 96. The staple cassette of Example 95, wherein each second staple supporting member further comprises a primary first cam surface disposed adjacent to the second proximal support post and oriented along the first cam axis. The second bracket supporting member further comprises a secondary cam surface located adjacent to the second distal support post and oriented along the second cam axis.

Example 97. A staple cassette of Examples 93, 94, 95, or 96, wherein a first distal support leg is slidably supported within a corresponding first slot in a first wall portion of the cassette body and the other first proximal support leg is slidably supported inside the corresponding second groove in the second wall section of the cassette body.

Example 98 A staple cassette of Examples 93, 94, 95, 96, or 97, wherein each first staple ejector further comprises a first cam surface oriented along a first cam axis extending transversely between the first distal and first proximal abutments. Each first staple ejector further comprises a second cam surface oriented along a second cam axis extending transversely between the other first distal support post and the other first proximal support post.

Example 99. A cassette with surgical staples according to example 97, in which the cassette body forms the axis of the cassette, and the first groove is located along the axis of the first groove, located transversely relative to the axis of the cassette, and the second groove is located along the second axis located transversely relative to the axis cassette.

Example 100. The staple cassette of Example 98, wherein each second staple ejector further comprises a primary cam surface oriented along a first cam axis and a secondary cam surface oriented along a second cam axis.

Example 101. A surgical instrument comprising axially movable sleds that include first and second cam elements. The surgical instrument further comprises a surgical staple cassette and a plurality of first staple ejectors that are movably supported in the surgical staple cassette. Each first staple ejector is configured to support the first two surgical staples oriented in their respective first directions. Each first staple ejector comprises a first cam surface oriented for cam contact with the first cam element and a second cam surface oriented for cam contact with the second cam element. The surgical instrument further comprises a plurality of second staple ejectors that are slidably supported in a surgical staple cassette adjacent to at least one corresponding first staple ejector. Every second staple ejector supports a single second surgical staple. The second surgical staple extends in a second direction transverse to each of the respective first directions. Each second staple ejector comprises a primary cam surface oriented for cam contact with the first cam element and a secondary cam surface oriented for cam contact with the second cam element.

Full descriptions

U.S. Patent No. 5,403,312, entitled ELECTROSURGICAL HEMOSTATIC DEVICE, issued April 4, 1995;

U.S. Patent No. 7,000,818 entitled SURGICAL STAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS, issued February 21, 2006;

US Patent No. 7,422,139 entitled MOTOR-DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK, issued September 9, 2008;

US Patent No. 7,464,849 entitled ELECTRO-MECHANICAL SURGICAL INSTRUMENT WITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS, issued December 16, 2008;

US Patent No. 7,670,334 entitled SURGICAL INSTRUMENT HAVING AN ARTICULATING END EFFECTOR, issued March 2, 2010;

U.S. Patent No. 7,753,245 entitled SURGICAL STAPLING INSTRUMENTS, issued July 13, 2010;

US Patent No. 8,393,514 entitled SELECTIVELY ORIENTABLE IMPLANTABLE FASTENER CARTRIDGE, issued March 12, 2013;

U.S. Patent Application No. 11 / 343,803 entitled SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES; currently US patent No. 7,845,537;

U.S. Patent Application No. 12 / 031,573, entitled SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING RF ELECTRODES, filed February 14, 2008;

US Patent Application No. 12 / 031,873, entitled END EFFECTORS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT, filed Feb. 15, 2008, now US Patent No. 7,980,443;

US Patent Application No. 12 / 235,782 entitled MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT, now US Patent No. 8,210,411;

US Patent Application No. 12 / 249,117, entitled POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM, now US Patent No. 8,608,045;

U.S. Patent Application No. 12 / 647,100, entitled MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY, filed December 24, 2009; currently US patent No. 8,220,688;

U.S. Patent Application No. 12 / 893,461, entitled STAPLE CARTRIDGE, filed September 29, 2012; now U.S. Patent No. 8,733,613;

US Patent Application No. 13 / 036,647, entitled SURGICAL STAPLING INSTRUMENT, filed February 28, 2011, now US Patent No. 8,561,870;

US Patent Application No. 13 / 118,241 entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, now US Patent No. 9,072,535;

US Patent Application No. 13 / 524,049 entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE, filed June 15, 2012, now US Patent No. 9,101,358;

US Patent Application No. 13 / 800,025, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed March 13, 2013, currently US Patent Application Publication No. 2014/0263551;

US Patent Application No. 13 / 800,067, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed March 13, 2013, currently US Patent Application Publication No. 2014/0263552;

US Patent Application Publication No. 2007/0175955, entitled SURGICAL CUTTING AND FASTENING INSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM, filed January 31, 2006; and

US Patent Application Publication No. 2010/0264194, entitled SURGICAL STAPLING INSTRUMENT WITH AN ARTICULATABLE END EFFECTOR, filed April 22, 2010, now US Patent No. 8,308,040, is incorporated herein by reference.

While various embodiments of devices have been described herein in connection with certain described embodiments, various modifications and variations may be made to the device. In addition, for some of the components for which a material description is provided, other materials may be used. In addition, according to various embodiments, one component may be replaced by multiple components, and multiple components may be replaced by a single component to perform a specific function or functions. The above description and the appended claims are intended to embrace all such changes and additions.

The devices described in this document can be configured to be recycled after a single use, or they can be configured to be reused. However, in any case, the device can be restored for reuse after at least one use. Refurbishment can include any combination of the steps of disassembling the device, then cleaning or replacing specific parts, and then reassembling. In particular, the device can be disassembled, and any number of specific parts or parts of the device can be selectively replaced or removed in any combination. After cleaning and / or replacing specific parts, the device can be reassembled for later use, either in a refurbishing workshop or by the surgical team just prior to surgery. It will be apparent to those skilled in the art that various disassembly, cleaning, replacement and reassembly techniques can be used to rebuild a device. The use of such techniques, as well as the resulting reconditioned device, are within the scope of this application.

By way of example only, the aspects described herein may be implemented prior to surgery. First, a new or used instrument can be obtained and repaired if necessary. Subsequently, the instrument can be sterilized. In one sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic bag or a Tyvek bag. Subsequently, the container with the instrument can be placed in the field of radiation that can penetrate into the container, such as gamma radiation, X-rays or a beam of fast electrons. Radiation can kill bacteria on the surface of the instrument and in the container. Subsequently, the sterilized instrument can be stored in a sterile container. The sealed container can keep the instrument sterile until a medical facility requires it. The device can also be sterilized using any other technique known in the art including, but not limited to, beta or gamma radiation, ethylene oxide, plasma peroxide, or steam.

Although the present invention has been described as having exemplary configurations, the present invention may be further modified within the spirit and scope of the description. Therefore, it is assumed that the present application covers all possible variations, methods of application or adaptation of the invention by applying its general principles.

Any patent, publication, or other disclosure material, in whole or in part, that is indicated as incorporated herein by reference, is incorporated herein only to the extent that the incorporated material does not contradict existing definitions, provisions, or other disclosure material presented herein. document. Thus, the description expressly set forth herein, to the extent necessary, prevails over any conflicting material incorporated herein by reference. Any material or part thereof indicated as incorporated herein by reference, but contrary to existing definitions, provisions, or other disclosure materials set forth herein, will be included only to the extent that no conflict arises between the included material and existing disclosure material. ...

Claims (35)

1. Matrix (2800a, 2800b) of surgical staple ejectors for functional use in a cassette with surgical staples, and the specified matrix of surgical staple ejectors contains: first staple ejectors (2610a) configured to be slidably supported in a staple cassette, each said first staple ejector (2610a) supporting at least two first staple ejectors (820a, 820c), and each of the first surgical staples ( 820a, 820c) contains a first crown (827a, 827c), with the first crowns (827a, 827c) parallel to each other, with each of the first ejectors (2610a) brackets containing a first cam ramp (2694) and a second cam ramp (2698), located at a distance from the specified first cam slope (2694), and at least one second staple ejector (2910a) configured to slide in a cassette with surgical staples, each said second staple ejector (2910a) supporting a single second surgical staple (820b), wherein the second surgical staple (820b) has a second crown (827b) extending in a second direction transverse to the first crown (827a) of each of the first surgical staples (820a, 820c) supported on said at least one first staple ejector (2610a), said first and second ejectors (2610a , 2910a) staples are aligned in a surgical staple cassette such that each said second staple ejector (2910a) is located between two first staple ejectors (2610a) of the first staple ejectors, with each of the second staple ejectors (2910a) containing primary cam bias (2994) and secondary cam bias (2998) spaced apart from the specified primary cam slope (2994). 2. The surgical staple ejector array of claim 1, wherein one of said first staple ejectors (2610a) is the most distal first staple ejector in said staple ejector array (2800a, 2800b), and the other of said first staple ejectors (2610a) represents the most proximal first staple ejector in said staple ejector array (2800a, 2800b). 3. The surgical staple ejector array of claim 1, wherein said first cam bias (2694) and said primary cam bias (2994) are aligned along the first cam axis, and said second cam bias (2698) and said secondary cam bias (2998) aligned along the second cam axis. 4. The surgical staple ejector array of claim 3, wherein said first and second cam axes are respectively transverse to said first and second crowns (827a, 827c). 5. Surgical staple cassette containing: body (802 ') cassette containing a proximal end and a distal end; and an array (2800a, 2800b) of ejectors of surgical staples according to claim 1. 6. The surgical staple cassette according to claim 5, wherein a portion of each said first staple ejector (2610a) is slidably supported in a first portion (4812) of the wall of the surgical staple cassette, and wherein the other portion of each said first staple ejector (2610a) the staples are slidably supported in the second portion (4820) of the surgical staple cassette wall. 7. The surgical staple cassette of claim 6, wherein said first staple ejector (2610a) comprises: the first brace support member (2620) containing: a first distal support post (2622) configured to support a first distal stem (823a) of a corresponding first surgical staple (820a); and a first proximal support post (2626) configured to support a first proximal stem (825a) of a corresponding first surgical staple (820a), and wherein said first staple ejector (2610a) further comprises: another first brace support element (2650) containing: another first distal support leg (2652) configured to support another first distal stem (823c) of another corresponding first surgical staple (820c); and another first proximal support leg (2656) configured to support another first proximal stem (825c) of another corresponding first surgical staple (820c). 8. The staple cassette of claim 7, wherein the first cam ramp (2694) is aligned along a first cam axis extending transversely between said first distal and first proximal support legs (2622, 2626); and the second cam ramp (2698) is aligned on a second cam axis extending transversely between said other first distal and said other first proximal support legs (2652, 2656). 9. The surgical staple cassette of claim 8, wherein at least one of said second staple ejectors (2910a) comprises: a second brace supporting member (2920) containing: a second distal support post (2922) configured to support a second distal stem (823b) of a corresponding second surgical staple (820b); and a second proximal support leg (2926) configured to support a second proximal stem (825b) of a corresponding second surgical staple (820b). 10. The staple cassette of claim 9, wherein the primary cam ramp (2994) is positioned adjacent to said second proximal support leg (2926) and aligned along said first cam axis; and a secondary cam ramp (2998) is disposed adjacent to said second distal support leg (2922) and aligned with said second cam axis. 11. A staple cassette according to claim 7, wherein said first distal support leg (2622) is slidably supported within a corresponding first slot (4814) in a first wall portion (4812) of said cassette body, and wherein said other first proximal a support post (2656) is slidably supported within a corresponding second slot (2822) in a second wall portion (4820) of said cassette body. 12. The staple cassette of claim 11, wherein the first cam ramp (2694) is aligned on a first cam axis extending transversely between said first distal and first proximal support legs (2622, 2626); and the second cam ramp (2698) is aligned on a second cam axis extending transversely between said other first distal and said other first proximal support legs (2652, 2656). 13. Cassette with surgical staples according to claim 12, in which the primary cam ramp (2994) is aligned on the specified first cam axis; and the secondary cam ramp (2998) is aligned along said second cam axis. 14. Surgical stapling instrument containing: sled (760), made with the possibility of movement along the axis, which contains the first and second cam elements; cassette (800) with surgical staples; and an array (2800a, 2800b) of ejectors of surgical staples according to claim 1.

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