• 专利附录
  • 专利说明
  • 权利要求
  • 类似技术
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  • 法律状态
  • 优先权
    • 专利摘要:
    The present invention relates to a staple cartridge assembly comprising first staples including a drive portion and a clamping portion displaced from the drive portion by a first distance and additionally second staples including a drive portion and a clamping portion displaced from the drive portion by a second distance that is different from the first distance.
    公开号:BR112019012532A2
    申请号:R112019012532-9
    申请日:2017-12-04
    公开日:2019-11-19
    发明作者:E Shelton Frederick Iv；J Bakos Gregory；L Harris Jason
    申请人:Ethicon Llc；
    IPC主号:
    专利说明:

    Invention Patent Descriptive Report for CLAMP CARTRIDGE THAT UNDERSTANDS CLAMPS WITH DIFFERENT TIGHTENING WIDTHS.
    BACKGROUND [0001] The present invention relates to surgical instruments and, in various provisions, to surgical stapling and cutting instruments, as well as staple cartridges for use with them. BRIEF DESCRIPTION OF THE DRAWINGS [0002] Several characteristics of the modalities described here, together with their advantages, can be understood according to the description presented below, considered together with the attached drawings, as shown below:
    [0003] Figure 1 is a perspective view of an end actuator of a surgical stapling instrument according to at least one modality;
    [0004] Figure 2 is a partial perspective view of a staple cartridge for use with the end actuator of Figure 1;
    [0005] Figure 3 is a perspective view of a wire clip removably stored in the clip cartridge of Figure 2;
    [0006] Figure 3A is a perspective view of a staple driver configured to eject the staple of Figure 3 from the staple cartridge of Figure 2;
    [0007] Figure 4 is a partial perspective view of a staple cartridge for use with the end actuator of Figure 1;
    [0008] Figure 5 is a perspective view of a staple removably stored in the staple cartridge of Figure 4;
    [0009] Figure 6 is an illustration depicting the staples of the staple cartridge of Figure 2 and the staples of the staple cartridge of Figure 4 are alignable with the anvil pockets of the end actuator of Figure 1;
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    2/111 [0010] Figure 7 is an elevation view of the clamp in Figure 5; [0011] Figure 8 is a partial side view of the clamp in Figure 5;
    [0012] Figure 9 is a partial side view of the clamp in Figure 5;
    [0013] Figure 10 represents a slide of the staple cartridge of Figure 4 that directly engages the staple of Figure 5;
    [0014] Figure 11 is a partial cross-sectional view of the staple cartridge of Figure 4 illustrating the staple of Figure 5 in a non-triggered position;
    [0015] Figure 12 is a partial cross-sectional view of the staple cartridge of Figure 4 illustrating the staple of Figure 5 in a triggered position;
    [0016] Figure 13 comprises a perspective view and an elevation view of an alternative embodiment of the clamp of Figure 5; [0017] Figure 14 comprises a perspective view and an elevation view of a version of the clip of Figure 5 having non-parallel clip legs;
    [0018] Figure 15 is a partial plan view of a staple cartridge according to at least one embodiment;
    [0019] Figure 16 is a rear elevation end view of a slide for use with the staple cartridge of Figure 15;
    [0020] Figure 17 is a perspective view of the slide of Figure 16;
    [0021] Figure 18 is a partial cross-sectional view of a cartridge body of the staple cartridge of Figure 15;
    [0022] Figure 19 is a partial plan view of an anvil for use with the staple cartridge of Figure 15;
    [0023] Figure 20 is a partial plan view of a staple cartridge according to at least one embodiment;
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    3/111 [0024] Figure 21 is a front elevation end view of a slide for use with the staple cartridge of Figure 20;
    [0025] Figure 22 illustrates staples that have different sizes, according to at least one modality;
    [0026] Figure 23 includes perspective views of the clamps in Figure 22;
    [0027] Figure 24 is a partial plan view of a staple cartridge configured to use the staples in Figure 22; and [0028] Figure 25 is a partial perspective view of the staple cartridge in Figure 24.
    [0029] Corresponding reference characters indicate corresponding parts in the various views. The examples described herein illustrate various embodiments of the invention in one form, and such examples should not be considered as limiting the scope of the invention in any way.
    DETAILED DESCRIPTION [0030] The applicant for this application holds the following US patent applications, which were filed on the same date as this application and which are each incorporated herein by reference in their respective totalities:
    - US patent application serial number, entitled SURGICAL STAPLING INSTRUMENTS AND REPLACEABLE TOOL ASSEMBLIES THEREOF; Attorney document number END7980USNP / 160155;
    - US patent application serial number, entitled ARTICULATABLE SURGICAL STAPLING INSTRUMENTS; Attorney document number END7981USNP / 160156;
    - US patent application serial number, entitled LOCKOUT ARRANGEMENTS FOR SURGICAL END EFFECTORS; Attorney document number END7982USNP / 160157;
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    - US patent application serial number, entitled SURGICAL END EFFECTORS AND FIRING MEMBERS THEREOF; Attorney document number END7983USNP / 160158;
    - US patent application serial number, entitled LOCKOUT ARRANGEMENTS FOR SURGICAL END EFFECTORS AND REPLACEABLE TOOL ASSEMBLIES; Attorney document number END7984USNP / 160159; and
    - US patent application serial number, entitled SURGICAL END EFFECTORS AND ADAPTABLE FIRING MEMBERS THEREOF; Attorney document number END7985USNP / 160160. [0031] The applicant for this application holds the following US patent applications, which were filed on the same date as this application and which are each incorporated herein by reference in their respective totalities:
    - US patent application serial number, entitled STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLE CAVITIES THEREIN; Attorney document number END7986USNP / 160161;
    - US patent application serial number, entitled SURGICAL TOOL ASSEMBLIES WITH CLUTCHING ARRANGEMENTS FOR SHIFTING BETWEEN CLOSURE SYSTEMS WITH CLOSURE STROKE REDUCTION FEATURES AND ARTICULATION AND FIRING SYSTEMS; Attorney document number END7987USNP / 160162;
    - US patent application serial number, entitled SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS; Attorney document number END7988USNP / 160163;
    - US patent application serial number, entitled SURGICAL TOOL ASSEMBLIES WITH CLOSURE STROKE REDUCTION FEATURES; Attorney document number
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    END7989USNP / 160164;
    - US patent application serial number, entitled STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLE CAVITIES THEREIN; Attorney document number END7990USNP / 160165;
    - US patent application serial number, entitled SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS; Attorney document number END7991USNP / 160166;
    - US patent application serial number, entitled SURGICAL INSTRUMENTS WITH JAW OPENING FEATURES FOR INCREASING A JAW OPENING DISTANCE; Attorney document number END7992USNP / 160167;
    - US patent application serial number, entitled METHODS OF STAPLING TISSUE; Attorney document number END7993USNP / 160168;
    - US patent application serial number, entitled FIRING MEMBERS WITH ΝΟΝ-PARALLEL JAW ENGAGEMENT FEATURES FOR SURGICAL END EFFECTORS; Attorney document number END7994USNP / 160169;
    - US patent application serial number 14 / 319,004, entitled SURGICAL END EFFECTORS WITH EXPANDABLE TISSUE STOP ARRANGEMENTS; Attorney document number END7995USNP / 160170;
    - US patent application serial number, entitled SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS; Attorney document number END7996USNP / 160171;
    - US patent application serial number, entitled SURGICAL INSTRUMENT WITH POSITIVE JAW OPENING FEATURES; Attorney document number END7997USNP / 160172;
    - US patent application serial number, entitled
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    SURGICAL INSTRUMENTS WITH LOCKOUT ARRANGEMENTS FOR PREVENTING FIRING SYSTEM ACTUATION UNLESS AN UNSPENT STAPLE CARTRIDGE IS PRESENT; Attorney document number END7998USNP / 160173; and
    - US patent application serial number, entitled STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLE CAVITIES THEREIN; Attorney document number END7999USNP / 160174.
    [0032] The applicant for this application holds the following US patent applications, which were filed on the same date as this application and which are each incorporated herein by reference in their respective totalities:
    - US patent application serial number, entitled METHOD FOR RESETTING A FUSE OF A SURGICAL INSTRUMENT SHAFT; Attorney document number END8013USNP / 160175;
    - US patent application serial number, entitled STAPLE FORMING POCKET ARRANGEMENT TO ACCOMMODATE DIFFERENT TYPES OF STAPLES; Attorney document number END8014USNP / 160176;
    US Patent Application Serial No., SURGICAL INSTRUMENT COMPRISING IMPROVED JAW CONTROL; Attorney document number END8016USNP / 160178;
    - US patent application serial number, entitled STAPLE CARTRIDGE AND STAPLE CARTRIDGE CHANNEL COMPRISING WINDOWS DEFINED THEREIN; Attorney document number END8017USNP / 160179;
    US Patent Application Serial No., SURGICAL INSTRUMENT COMPRISING A CUTTING MEMBER; Attorney document number END8018USNP / 160180;
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    - US patent application serial number, entitled STAPLE FIRING MEMBER COMPRISING A MISSING CARTRIDGE AND / OR SPENT CARTRIDGE LOCKOUT; Attorney document number END8019USNP / 160181;
    - US patent application serial number, entitled FIRING ASSEMBLY COMPRISING A LOCKOUT; Attorney document number END8020USNP / 160182;
    - US patent application serial number, entitled SURGICAL INSTRUMENT SYSTEM COMPRISING AN END EFFECTOR LOCKOUT AND A FIRING ASSEMBLY LOCKOUT; Attorney document number END8021USNP / 160183;
    - US patent application serial number, entitled FIRING ASSEMBLY COMPRISING A FUSE; Attorney document number END8022USNP / 160184; and
    - US patent application serial number, entitled FIRING ASSEMBLY COMPRISING A MULTIPLE FAILED-STATE FUSE; Attorney document number END8023USNP / 160185.
    [0033] The applicant for this application holds the following US patent applications, which were filed on the same date as this application and which are each incorporated herein by reference in their respective totalities:
    - US patent application serial number, entitled STAPLE FORMING POCKET ARRANGEMENTS; Attorney document number END8038USNP / 160186;
    - US patent application serial number, entitled ANVIL ARRANGEMENTS FOR SURGICAL STAPLERS; Attorney document number END8039USNP / 160187;
    - US patent application serial number, entitled METHOD OF DEFORMING STAPLES FROM TWO DIFFERENT TYPES OF STAPLE CARTRIDGES WITH THE SAME SURGICAL STA
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    PLING INSTRUMENT; Attorney document number END8041USNP / 160189;
    - US patent application serial number, entitled BILATERALLY ASYMMETRIC STAPLE FORMING POCKET PAIRS; Attorney document number END8042USNP / 160190;
    - US patent application serial number, entitled CLOSURE MEMBERS WITH CAM SURFACE ARRANGEMENTS FOR SURGICAL INSTRUMENTS WITH SEPARATE AND DISTINCT CLOSURE AND FIRING SYSTEMS; Attorney document number END8043USNP / 160191;
    - US patent application serial number, entitled SURGICAL STAPLERS WITH INDEPENDENTLY ACTUATABLE CLOSING AND FIRING SYSTEMS; Attorney document number END8044USNP / 160192;
    - US patent application serial number, entitled SURGICAL STAPLING INSTRUMENTS WITH SMART STAPLE CARTRIDGES; Attorney document number END8045USNP / 160193;
    - US patent application serial number, entitled STAPLE FORMING POCKET ARRANGEMENTS COMPRISING PRIMARY SIDEWALLS AND POCKET SIDEWALLS; Attorney document number END8048USNP / 160196;
    - US patent application serial number, entitled NO-CARTRIDGE AND SPENT CARTRIDGE LOCKOUT ARRANGEMENTS FOR SURGICAL STAPLERS; Attorney document number END8050USNP / 160198;
    - US patent application serial number, entitled FIRING MEMBER PIN ANGLE; Attorney document number END8051USNP / 160199;
    - US patent application serial number, entitled
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    STAPLE FORMING POCKET ARRANGEMENTS COMPRISING ZONED FORMING S Attorney document number END8052USNP / 160200;
    - US patent application serial number, entitled SURGICAL INSTRUMENT WITH MULTIPLE FAILURE RESPONSE MODES; Attorney document number END8053USNP / 160201;
    - US patent application serial number, entitled SURGICAL INSTRUMENT WITH PRIMARY AND SAFETY PROCESSORS; Attorney document number END8054USNP / 160202;
    - US patent application serial number, entitled SURGICAL INSTRUMENTS WITH JAWS THAT ARE PIVOTABLE ABOUT A FIXED AXIS AND INCLUDE SEPARATE AND DISTINCT CLOSURE AND FIRING SYSTEMS; Attorney document number END8056USNP / 160204;
    - US patent application serial number, entitled ANVIL HAVING A KNIFE SLOT WIDTH; Attorney document number END8057USNP / 160205;
    - US patent application serial number, entitled CLOSURE MEMBER ARRANGEMENTS FOR SURGICAL INSTRUMENTS; Attorney document number END8058USNP / 160206; and
    - US patent application serial number, entitled FIRING MEMBER PIN CONFIGURATIONS; Attorney document number END8059USNP / 160207.
    [0034] The applicant for this application holds the following US patent applications, which were filed on the same date as this application and which are each incorporated by reference in their respective totalities:
    - US patent application serial number, entitled STEPPED STAPLE CARTRIDGE WITH ASYMMETRICAL STAPLES; Attorney document number END8000USNP / 160208;
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    - US patent application serial number, entitled STEPPED STAPLE CARTRIDGE WITH TISSUE RETENTION AND GAP SETTING FEATURES; Attorney document number END8001USNP / 160209;
    - US patent application serial number, entitled STAPLE CARTRIDGE WITH DEFORMABLE DRIVER RETENTION FEATURES; Attorney document number END8002USNP / 160210;
    - US patent application serial number, entitled DURABILITY FEATURES FOR END EFFECTORS AND FIRING ASSEMBLIES OF SURGICAL STAPLING INSTRUMENTS; Attorney document number END8003USNP / 160211;
    - US patent application serial number, entitled SURGICAL STAPLING INSTRUMENTS HAVING END EFFECTORS WITH POSITIVE OPENING FEATURES; Attorney document number END8004USNP / 160212; and
    - US patent application serial number, entitled CONNECTION PORTIONS FOR DEPOSABLE LOADING UNITS FOR SURGICAL STAPLING INSTRUMENTS; Attorney document number END8005USNP / 160213.
    [0035] The applicant for this application holds the following US patent applications, which were filed on the same date as this application and which are each incorporated herein by reference in their respective totalities:
    - US patent application serial number, entitled METHOD FOR ATTACHING A SHAFT ASSEMBLY TO A SURGICAL INSTRUMENT AND, ALTERNATIVELY, TO A SURGICAL ROBOT; Attorney document number END8006USNP / 160214;
    - US patent application serial number, entitled SHAFT ASSEMBLY COMPRISING A MANUALLY-OPERABLE RETRACTION SYSTEM FOR USE WITH A MOTORIZED SURGICAL
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    INSTRUMENT SYSTEM; Attorney document number END8007USNP / 160215;
    - US patent application serial number, entitled SHAFT ASSEMBLY COMPRISING SEPARATELY ACTUATABLE AND RETRACTABLE SYSTEMS; Attorney document number END8008USNP / 160216;
    - US patent application serial number, entitled SHAFT ASSEMBLY COMPRISING A CLUTCH CONFIGURED TO ADAPT THE OUTPUT OF A ROTARY FIRING MEMBER TO TWO DIFFERENT SYSTEMS; Attorney document number END8009USNP / 160217;
    - US patent application serial number, entitled SURGICAL SYSTEM COMPRISING A FIRING MEMBER ROTATABLE INTO AN ARTICULATION STATE TO ARTICULATE AN END EFFECTOR OF THE SURGICAL SYSTEM; Attorney document number END8010USNP / 160218;
    - US patent application serial number, entitled SHAFT ASSEMBLY COMPRISING A LOCKOUT; Attorney document number END8011USNP / 160219; and
    - US patent application serial number, entitled SHAFT ASSEMBLY COMPRISING FIRST AND SECOND ARTICULATION LOCKOUTS; Attorney document number END8012USNP / 160220.
    [0036] The applicant for this application holds the following US patent applications, which were filed on the same date as this application and which are each incorporated by reference in their respective totalities:
    - US patent application serial number, entitled SURGICAL STAPLING SYSTEMS; Attorney document number END8024USNP / 160221;
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    - US patent application serial number, entitled SURGICAL STAPLING SYSTEMS; Attorney document number END8025USNP / 160222;
    - US patent application serial number, entitled SURGICAL STAPLING SYSTEMS; Attorney document number END8026USNP / 160223;
    - US patent application serial number, entitled SURGICAL STAPLE CARTRIDGE WITH MOVABLE CAMMING MEMBER CONFIGURED TO DISENGAGE FIRING MEMBER LOCKOUT FEATURES; Attorney document number END8027USNP / 160224;
    - US patent application serial number, entitled SURGICAL STAPLING SYSTEMS; Attorney document number END8028USNP / 160225;
    - US patent application serial no., Entitled JAW ACTUATED LOCK ARRANGEMENTS FOR PREVENTING ADVANCEMENT OF A FIRING MEMBER IN A SURGICAL END EFFECTOR UNLESS AN UNFIRED CARTRIDGE IS INSTALLED IN THE END EFFECTOR; Attorney document number END8029USNP / 160226;
    - US patent application serial number, entitled AXIALLY MOVABLE CLOSURE SYSTEM ARRANGEMENTS FOR APPLYING CLOSURE MOTIONS TO JAWS OF SURGICAL INSTRUMENTS; Attorney document number END8030USNP / 160227;
    - US patent application serial number, entitled PROTECTIVE COVER ARRANGEMENTS FOR A JOINT INTERFACE BETWEEN A MOVABLE JAW AND ACTUATOR SHAFT OF A SURGICAL INSTRUMENT; Attorney document number END8031USNP / 160228;
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    - US patent application serial number, entitled SURGICAL END EFFECTOR WITH TWO SEPARATE COOPERATING OPENING FEATURES FOR OPENING AND CLOSING END EFFECTOR JAWS; Attorney document number END8032USNP / 160229;
    - US patent application serial number, entitled ARTICULATABLE SURGICAL END EFFECTOR WITH ASYMMETRIC SHAFT ARRANGEMENT; Attorney document number END8033USNP / 160230;
    - US patent application serial number, entitled ARTICULATABLE SURGICAL INSTRUMENT WITH INDEPENDENT PIVOTABLE LINKAGE DISTAL OF AN ARTICULATION LOCK; Attorney document number END8034USNP / 160231;
    - US patent application serial number, entitled ARTICULATION LOCK ARRANGEMENTS FOR LOCKING AN END EFFECTOR IN AN ARTICULATED POSITION IN RESPONSE TO ACTUATION OF A JAW CLOSURE SYSTEM; Attorney document number END8035USNP / 160232;
    - US patent application serial number, entitled LATERALLY ACTUATABLE ARTICULATION LOCK ARRANGEMENTS FOR LOCKING AN END EFFECTOR OF A SURGICAL INSTRUMENT IN AN ARTICULATED CONFIGURATION; Attorney document number END8036USNP / 160233; and
    - US patent application serial number, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH ARTICULATION STROKE AMPLIFICATION FEATURES; Attorney document number END8037USNP / 160234.
    [0037] The applicant for this application holds the following US patent applications that were filed on June 24, 2016 and which are each incorporated herein by reference in their
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    11/14 respective total ages:
    - US patent application serial number 15 / 191,775, entitled STAPLE CARTRIDGE COMPRISING WIRE STAPLES AND STAMPED STAPLES;
    - US patent application serial number 15 / 191.807, entitled STAPLING SYSTEM FOR USE WITH WIRE STAPLES AND STAMPED STAPLES;
    - US patent application serial number 15 / 191,834, entitled STAMPED STAPLES AND STAPLE CARTRIDGES USING THE SAME;
    - US patent application serial number 15 / 191,788, entitled STAPLE CARTRIDGE COMPRISING OVERDRIVEN STAPLES; and
    - US patent application serial number 15 / 191,818, entitled STAPLE CARTRIDGE COMPRISING OFFSET LONGITUDINAL STAPLE ROWS;
    [0038] The applicant for this application holds the following US patent applications that were filed on June 24, 2016 and which are each incorporated by reference in their respective total ages:
    - US industrial design patent application serial number 29 / 569,218, entitled SURGICAL FASTENER;
    - US industrial design patent application serial number 29 / 569,227, entitled SURGICAL FASTENER;
    - US industrial design patent application serial number 29 / 569,259, entitled SURGICAL FASTENER CARTRIDGE; and
    - US industrial design patent application serial number 29 / 569,264, entitled SURGICAL FASTENER CARTRIDGE;
    [0039] The applicant for this application holds the following patent applications that were filed on April 1, 2016 and which are each incorporated herein by reference in their res
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    11/15 totalities:
    - US patent application serial number 15 / 089,325, entitled METHOD FOR OPERATING A SURGICAL STAPLING SYSTEM;
    - US patent application serial number 15 / 089,321, entitled MODULAR SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY;
    - US patent application serial number 15 / 089,326, entitled SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY INCLUDING A RE-ORIENTABLE DISPLAY FIELD;
    - US patent application serial number 15 / 089,263, entitled SURGICAL INSTRUMENT HANDLE ASSEMBLY WITH RECONFIGURABLE GRIP PORTION;
    - US patent application serial number 15 / 089,262, entitled ROTARY POWERED SURGICAL INSTRUMENT WITH MANUALLY ACTUATABLE BAILOUT SYSTEM;
    - US patent application Serial No. 15/089, 277, entitled SURGICAL CUTTING AND STAPLING END EFFECTOR WITH ANVIL CONCENTRIC DRIVE MEMBER;
    - US patent application serial number 15 / 089,296, entitled INTERCHANGEABLE SURGICAL TOOL ASSEMBLY WITH A SURGICAL END EFFECTOR THAT IS SELECTIVELY ROTATABLE ABOUT A SHAFT AXIS;
    - US patent application serial number 15 / 089,258, entitled SURGICAL STAPLING SYSTEM COMPRISING A SHIFTABLE TRANSMISSION;
    - US patent application serial number 15 / 089,278, entitled SURGICAL STAPLING SYSTEM CONFIGURED TO PROVIDE SELECTIVE CUTTING OF TISSUE;
    - US patent application serial number 15 / 089,284, entitled SURGICAL STAPLING SYSTEM COMPRISING A CONTOURABLE
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    SHAFT;
    - US patent application serial number 15 / 089,295, entitled SURGICAL STAPLING SYSTEM COMPRISING A TISSUE COMPRESSION LOCKOUT;
    - US patent application serial number 15 / 089,300, entitled SURGICAL STAPLING SYSTEM COMPRISING AN UNCLAMPING LOCKOUT;
    - US patent application serial number 15 / 089,196 entitled SURGICAL STAPLING SYSTEM COMPRISING A JAW CLOSURE LOCKOUT;
    - US patent application serial number 15 / 089,203, entitled SURGICAL STAPLING SYSTEM COMPRISING A JAW ATTACHMENT LOCKOUT;
    - US patent application serial number 15 / 089,210, entitled SURGICAL STAPLING SYSTEM COMPRISING A SPENT CARTRIDGE LOCKOUT;
    - US patent application serial number 15 / 089,324, entitled SURGICAL INSTRUMENT COMPRISING A SHIFTING MECHANISM;
    - US patent application serial number 15 / 089,335, entitled SURGICAL STAPLING INSTRUMENT COMPRISING MULTIPLE LOCKOUTS;
    - US patent application serial number 15 / 089,339, entitled SURGICAL STAPLING INSTRUMENT;
    - US patent application serial number 15 / 089,253, entitled SURGICAL STAPLING SYSTEM CONFIGURED TO APPLY ANNULAR ROWS OF STAPLES HAVING DIFFERENT HEIGHTS;
    - US patent application serial number 15 / 089,304, entitled SURGICAL STAPLING SYSTEM COMPRISING A GROOVED FORMING POCKET;
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    - US patent application serial number 15 / 089,331, entitled ANVIL MODIFICATION MEMBERS FOR SURGICAL STAPLERS;
    - US patent application serial number 15 / 089,336, entitled STAPLE CARTRIDGES WITH ATRAUMATIC FEATURES;
    - US patent application serial number 15 / 089,312, entitled CIRCULAR STAPLING SYSTEM COMPRISING AN INCISABLE TISSUE SUPPORT;
    - US patent application serial number 15 / 089,309, entitled CIRCULAR STAPLING SYSTEM COMPRISING ROTARY FIRING SYSTEM; and
    - US patent application serial number 15 / 089,349, entitled CIRCULAR STAPLING SYSTEM COMPRISING LOAD CONTROL.
    [0040] The applicant for this application also holds the US patent applications identified below, which were filed on December 31, 2015, which are each incorporated in this document for reference in their entirety, respectively:
    - US patent application serial number 14 / 984,488, entitled MECHANISMS FOR COMPENSATING FOR BATTERY PACK FAILURE IN POWERED SURGICAL INSTRUMENTS;
    - US patent application serial number 14 / 984,525, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS; and
    - US patent application serial number 14 / 984,552, entitled SURGICAL INSTRUMENTS WITH SEPARABLE MOTORS AND MOTOR CONTROL CIRCUITS.
    [0041] The applicant for this application also holds the US patent applications identified below, which were filed on February 9, 2016, which are each incorporated in this document for reference in their entirety, respectively.
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    - US patent application serial number 15 / 019,220, entitled SURGICAL INSTRUMENT WITH ARTICULATING AND AXIALLY TRANSLATABLE END EFFECTOR;
    - US patent application serial number 15 / 019,228, entitled SURGICAL INSTRUMENTS WITH MULTIPLE LINK ARTICULATION ARRANGEMENTS;
    - US patent application serial number 15 / 019,196, entitled SURGICAL INSTRUMENT ARTICULATION MECHANISM WITH SLOTTED SECONDARY CONSTRAINT;
    - US patent application serial number 15 / 019.206, entitled SURGICAL INSTRUMENTS WITH AN END EFFECTOR THAT IS HIGHLY ARTICULATABLE RELATIVE TO AN ELONGATE SHAFT ASSEMBLY;
    - US patent application serial number 15 / 019,215, entitled SURGICAL INSTRUMENTS WITH ΝΟΝ-SYMMETRICAL ARTICULATION ARRANGEMENTS;
    - US patent application serial number 15 / 019,227, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH SINGLE ARTICULATION LINK ARRANGEMENTS;
    - US patent application serial number 15 / 019,235, entitled SURGICAL INSTRUMENTS WITH TENSIONING ARRANGEMENTS FOR CABLE DRIVEN ARTICULATION SYSTEMS;
    - US patent application serial number 15 / 019,230, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH OFF-AXIS FIRING BEAM ARRANGEMENTS; and
    - US patent application serial number 15 / 019,245, entitled SURGICAL INSTRUMENTS WITH CLOSURE STROKE REDUCTION ARRANGEMENTS.
    [0042] The applicant for this application also holds the requests
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    19/111 of the US patent identified below, which were filed on February 12, 2016, which are each incorporated into this document for reference in their entirety, respectively:
    - US patent application serial number 15 / 043,254, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS;
    - US patent application serial number 15 / 043,259, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS;
    - US patent application serial number 15 / 043,275, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS; and
    - US patent application serial number 15 / 043,289, entitled MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWERED SURGICAL INSTRUMENTS.
    [0043] The applicant for this application holds the following patent applications that were filed on June 18, 2015 and which are each incorporated herein by reference in their respective total ages:
    - US patent application serial number 14 / 742,925, entitled SURGICAL END EFFECTORS WITH POSITIVE JAW OPENING ARRANGEMENTS;
    - US patent application serial number 14 / 742,941, entitled SURGICAL END EFFECTORS WITH DUAL CAM ACTUATED JAW CLOSING FEATURES;
    - US patent application serial number 14 / 742,914, entitled MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS;
    - US patent application serial number 14 / 742,900, entitled AR
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    TICULATABLE SURGICAL INSTRUMENTS WITH COMPOSITE FIRING BEAM STRUCTURES WITH CENTER FIRING SUPPORT MEMBER FOR ARTICULATION SUPPORT;
    - US patent application serial number 14 / 742,885, entitled DUAL ARTICULATION DRIVE SYSTEM ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS; and
    - US patent application serial number 14 / 742,876, entitled PUSH / PULL ARTICULATION DRIVE SYSTEMS FOR ARTICULATABLE SURGICAL INSTRUMENTS.
    [0044] The applicant for this application holds the following patent applications that were filed on March 6, 2015 and which are each incorporated herein by reference in their respective total ages:
    - US patent application serial number 14 / 640,746, entitled POWERED SURGICAL STAPLER, now publication of US patent application No. 2016/0256184;
    - US patent application serial number 14 / 640,795, entitled MULTIPLE LEVEL THRESHOLDS TO MODIFY OPERATION OF POWERED SURGICAL INSTRUMENTS, now US patent application publication 2016/02561185;
    - US patent application serial number 14 / 640,832, entitled ADAPTIVE TISSUE COMPRESSION TECHNIQUES TO ADJUST CLOSURE RATES FOR MULTIPLE TISSUE TYPES, now publication of US patent application No. 2016/0256154;
    - US patent application serial number 14 / 640,935, entitled OVERLAID MULTI SENSOR RADIO FREQUENCY (RF) ELECTRODE SYSTEM TO MEASURE TISSUE COMPRESSION, now publication of US patent application No. 2016/0256071;
    - US patent application serial number 14 / 640,831, entitled MONITORING SPEED CONTROL AND PRECISION INCREMEN
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    TING OF MOTOR FOR POWERED SURGICAL INSTRUMENTS, now US patent application publication No. 2016/0256153;
    - US patent application serial number 14 / 640,859, entitled TIME DEPENDENT EVALUATION OF SENSOR DATA TO DETERMINE STABILITY, CREEP, AND VISCOELASTIC ELEMENTS OF MEASURES, now publication of US patent application No. 2016/0256187;
    - US patent application serial number 14 / 640,817, entitled INTERACTIVE FEEDBACK SYSTEM FOR POWERED SURGICAL INSTRUMENTS, now US patent application publication 2016/0256186;
    - US patent application serial number 14 / 640,844, entitled CONTROL TECHNIQUES AND SUB-PROCESSOR CONTAINED WITHIN MODULAR SHAFT WITH SELECT CONTROL PROCESSING FROM HANDLE, now US patent application serial number 2016/0256155;
    - US patent application serial number 14 / 640,837, entitled SMART SENSORS WITH LOCAL SIGNAL PROCESSING, now publication of US patent application No. 2016/0256163;
    - US patent application serial number 14 / 640,765, entitled SYSTEM FOR DETECTING THE MIS-INSERTION OF A STAPLE CARTRIDGE INTO A SURGICAL STAPLER, now publication of patent application No. 2016/0256160;
    - US patent application serial number 14 / 640,799, entitled SIGNAL AND POWER COMMUNICATION SYSTEM POSITIONED ON A ROTATABLE SHAFT, now publication of US patent application No. 2016/0256162; and
    - US patent application serial number 14 / 640,780, entitled SURGICAL INSTRUMENT COMPRISING A LOCKABLE BATTERY HOUSING, now publication of US patent application No.
    Petition 870190056213, of 06/18/2019, p. 55/154
    11/22
    2016/0256161.
    [0045] The applicant for this application holds the following patent applications that were filed on February 27, 2015 and which are each incorporated herein by reference in their entirety:
    - US patent application serial number 14 / 633,576, entitled SURGICAL INSTRUMENT SYSTEM COMPRISING AN INSPECTION STATION, now publication of US patent application No. 2016/0249919;
    - US patent application serial number 14 / 633,546, entitled SURGICAL APPARATUS CONFIGURED TO ASSESS WHETHER A PERFORMANCE PARAMETER OF THE SURGICAL APPARATUS IS WITHIN AN ACCEPTABLE PERFORMANCE BAND, now publication of US patent application No. 2016/249915;
    - US patent application serial number 14 / 633,560, entitled SURGICAL CHARGING SYSTEM THAT CHARGES AND / OR CONDITIONS ONE OR MORE BATTERIES, now publication of US patent application No. 2016/0249910;
    - US patent application serial number 14 / 633,566, entitled CHARGING SYSTEM THAT ENABLES EMERGENCY RESOLUTIONS FOR CHARGING A BATTERY, now publication of patent application No. 2016/0249918;
    - US patent application serial number 14 / 633,555, entitled SYSTEM FOR MONITORING WHETHER A SURGICAL INSTRUMENT NEEDS TO BE SERVICED, now publication of US patent application No. 2016/0249916;
    - US patent application serial number 14 / 633,542, entitled REINFORCED BATTERY FOR A SURGICAL INSTRUMENT, now US patent application publication 2016/0249908;
    - US patent application serial number 14 / 633,548, entitled
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    POWER ADAPTER FOR A SURGICAL INSTRUMENT, now US patent application publication No. 2016/0249909;
    - US patent application serial number 14 / 633,526, entitled ADAPTABLE SURGICAL INSTRUMENT HANDLE, now US patent application publication 2016/0249945;
    - US patent application serial number 14 / 633,541, entitled MODULAR STAPLING ASSEMBLY, now publication of US patent application No. 2016/0249927; and
    - US patent application serial number 14 / 633,562, entitled SURGICAL APPARATUS CONFIGURED TO TRACK AN END-OFLIFE PARAMETER, now publication of US patent application No. 2016/0249917.
    [0046] The applicant for this application holds the following patent applications that were filed on December 18, 2014 and which are each incorporated herein by reference in their entirety:
    - US patent application serial number 14 / 574,478, entitled SURGICAL INSTRUMENT SYSTEMS COMPRISING AN ARTICULATABLE END EFFECTOR AND MEANS FOR ADJUSTING THE FIRING STROKE OF A FIRING, now publication of US patent application No. 2016/0174977;
    - US patent application serial number 14 / 574,483, entitled SURGICAL INSTRUMENT ASSEMBLY COMPRISING LOCKABLE SYSTEMS, now publication of US patent application No. 2016/0174969;
    - US patent application serial number 14 / 575,139, entitled DRIVE ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS, now publication of US patent application No. 2016/0174978;
    - US patent application serial number 14 / 575,148, entitled
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    LOCKING ARRANGEMENTS FOR DETACHABLE SHAFT ASSEMBLIES WITH ARTICULATABLE SURGICAL END EFFECTORS, now US patent application publication 2016/0174976;
    - U.S. Patent Application Serial 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, now publication of US patent application No. 2016/0174972;
    - US patent application serial number 14 / 575,143, entitled SURGICAL INSTRUMENTS WITH IMPROVED CLOSURE ARRANGEMENTS, now US patent application publication 2016/0174983;
    - US patent application serial number 14 / 575,117, entitled SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS, now US patent application publication 2016/0174975;
    - US patent application serial number 14 / 575,154, entitled SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS AND IMPROVED FIRING BEAM SUPPORT ARRANGEMENTS, now publication of US patent application No. 2016/0174973;
    - US patent application serial number 14 / 574,493, entitled SURGICAL INSTRUMENT ASSEMBLY COMPRISING A FLEXIBLE ARTICULATION SYSTEM, now publication of US patent application No. 2016/0174970; and
    - US patent application serial number 14 / 574,500, entitled SURGICAL INSTRUMENT ASSEMBLY COMPRISING A LOCKABLE ARTICULATION SYSTEM, now publication of US patent application No. 2016/0174971.
    [0047] The applicant for this application has the following parts
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    25/111 patent data that were filed on March 1, 2013 and which are each incorporated herein by reference in their entirety:
    - US patent application serial number 13 / 782,295, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH CONDUCTIVE PATHWAYS FOR SIGNAL COMMUNICATION, now publication of US patent application No. 2014/0246471;
    - US patent application serial number 13 / 782,323, entitled ROTARY POWERED ARTICULATION JOINTS FOR SURGICAL INSTRUMENTS, now publication of US patent application No. 2014/0246472;
    - US patent application serial number 13 / 782,338, entitled THUMBWHEEL SWITCH ARRANGEMENTS FOR SURGICAL INSTRUMENTS, now publication of US patent application No. 2014/0249557;
    - US patent application serial number 13 / 782,499, entitled ELECTROMECHANICAL SURGICAL DEVICE WITH SIGNAL RELAY ARRANGEMENT, now US patent No. 9,358,003;
    - US patent application serial number 13 / 782,460, entitled MULTIPLE PROCESSOR MOTOR CONTROL FOR MODULAR SURGICAL INSTRUMENTS, now publication of US patent application No. 2014/0246478;
    - US patent application serial number 13 / 782,358, entitled JOYSTICK SWITCH ASSEMBLIES FOR SURGICAL INSTRUMENTS, now US patent No. 9,326,767;
    - US patent application serial number 13 / 782,481, entitled SENSOR STRAIGHTENED END EFFECTOR DURING REMOVAL THROUGH TROCAR, now US patent No. 9,468,438;
    - US patent application serial number 13 / 782,518, entitled CONTROL METHODS FOR SURGICAL INSTRUMENTS WITH RE
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    MOVABLE IMPLEMENT PORTIONS, now US patent application publication No. 2014/0246475;
    - US patent application serial number 13 / 782,375, entitled ROTARY POWERED SURGICAL INSTRUMENTS WITH MULTIPLE DEGREES OF FREEDOM, now US patent No. 9,398,911; and
    - US patent application serial number 13 / 782,536, entitled SURGICAL INSTRUMENT SOFT STOP, now US patent No. 9,307,986.
    [0048] The applicant for this application also holds the following patent applications that were filed on March 14, 2013 and which are each incorporated herein by reference in their entirety:
    - US patent application serial number 13 / 803,097, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE, now publication of US patent application No. 2014/0263542;
    - US patent application serial number 13 / 803,193, entitled CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICAL INSTRUMENT, now publication of US patent application No. 9,332,987;
    - US patent application serial number 13 / 803,053, entitled INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICAL INSTRUMENT, now, publication of US patent application No. 2014/0263564;
    - US patent application serial number 13 / 803,086, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK, now publication of US patent application No. 2014/0263541;
    - US patent application serial number 13 / 803,210, entitled SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYS
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    11/271
    TEM FOR SURGICAL INSTRUMENTS, now US patent application publication No. 2014/0263538;
    - US patent application serial number 13 / 803,148, entitled MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT, now publication of US patent application No. 2014/0263554;
    - US patent application serial number 13 / 803,066, entitled DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS, now publication of US patent application No. 2014/0263565;
    - US patent application serial number 13 / 803,117, entitled ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICAL INSTRUMENTS, now US patent No. 9,351,726;
    - US patent application serial number 13 / 803,130, entitled DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICAL INSTRUMENTS, now US patent 9,351,727; and
    - US patent application serial number 13 / 803,159, entitled METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT, now publication of US patent application No. 2014/0277017. [0049] The applicant for the present application also holds the following patent application that was filed on March 7, 2014 and is hereby incorporated by reference in its entirety:
    - US patent application serial number 14 / 200,111, entitled CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS, now publication of US patent application No. 2014/0263539.
    [0050] The applicant for this application also holds the following patent applications that were filed on March 26, 2014 and which are each incorporated herein by reference in their entirety:
    - US patent application serial number 14 / 226,106, entitled POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL
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    INSTRUMENTS, now US patent application publication No. 2015/0272582;
    - US patent application serial number 14 / 226,099, entitled STERILIZATION VERIFICATION CIRCUIT, now publication of US patent application No. 2015/0272581;
    - US patent application serial number 14 / 226,094, entitled VERIFICATION OF NUMBER OF BATTERY EXCHANGES / PROCEDURE COUNT, now publication of US patent application No. 2015/0272580;
    - US patent application serial number 14 / 226,117, entitled POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUIT AND WAKE UP CONTROL, now US patent application publication 2015/0272574;
    - US patent application serial number 14 / 226,075, entitled MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFT ASSEMBLIES, now, US patent application publication 2015/0272579;
    - US patent application serial number 14 / 226,093, entitled FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICAL INSTRUMENTS, now publication of US patent application No. 2015/0272569;
    - US patent application serial number 14 / 226,116, entitled SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION, now publication of US patent application No. 2015/0272571;
    - US patent application serial number 14 / 226,071, entitled SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETY PROCESSOR, now publication of US patent application No. 2015/0272578;
    - US patent application serial number 14 / 226,097, entitled SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYS
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    11/29
    TEMS, now US patent application publication No. 2015/0272570;
    - US patent application serial number 14 / 226.126, entitled INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS, now US patent application publication 2015/0272572;
    - US patent application serial number 14 / 226,133, entitled MODULAR SURGICAL INSTRUMENT SYSTEM, now publication of US patent application No. 2015/0272557;
    - US patent application serial number 14 / 226,081, entitled SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT, now publication of US patent application No. 2015/0277471;
    - US patent application serial number 14 / 226,076, entitled POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLE VOLTAGE PROTECTION, now publication of US patent application No. 2015/0280424;
    - US patent application serial number 14 / 226,111, entitled SURGICAL STAPLING INSTRUMENT SYSTEM, now publication of US patent application No. 2015/0272583; and
    - US patent application serial number 14 / 226.125, entitled SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT, now US patent application publication 2015/0280384.
    [0051] The applicant for this application also holds the following patent applications that were filed on September 5, 2014 and which are each incorporated herein by reference in their entirety:
    - US patent application serial number 14 / 479,103, entitled CIRCUITRY AND SENSORS FOR POWERED MEDICAL DEVICE, now US patent application publication 2016/0066912;
    - US patent application serial number 14 / 479,119, entitled ADJUNCT WITH INTEGRATED SENSORS TO QUANTIFY TISSUE
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    11/30
    COMPRESSION, now US patent application publication No. 2016/0066914;
    - US patent application serial number 14 / 478,908, entitled MONITORING DEVICE DEGRADATION BASED ON COMPONENT EVALUATION, now US patent application publication 2016/0066910;
    - US patent application serial number 14 / 478,895, entitled MULTIPLE SENSORS WITH ONE SENSOR AFFECTING A SECOND SENSOR'S OUTPUT OR INTERPRETATION, now, publication of US patent application No. 2016/0066909;
    - US patent application serial number 14 / 479,110, entitled POLARITY OF HALL MAGNET TO DETECT MISLOADED CARTRIDGE, now US patent application publication n ° US 2016/0066915;
    - US patent application serial number 14 / 479,098, entitled SMART CARTRIDGE WAKE UP OPERATION AND DATA RETENTION, now, US patent application publication 2016/0066911;
    - US patent application serial number 14 / 479,115, entitled MULTIPLE MOTOR CONTROL FOR POWERED MEDICAL DEVICE, now, publication of US patent application No. 2016/0066916; and
    - US patent application serial number 14 / 479,108, entitled LOCAL DISPLAY OF TISSUE PARAMETER STABILIZATION, now, publication of US patent application No. 2016/0066913.
    [0052] The applicant for this application also holds the following patent applications that were filed on April 9, 2014 and which are each incorporated herein by reference in their entirety:
    - US patent application serial number 14 / 248,590, entitled MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVE SHAFTS, now US patent application publication no.
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    11/311
    2014/0305987;
    - US patent application serial number 14 / 248,581, entitled SURGICAL INSTRUMENT COMPRISING A CLOSING DRIVE AND A FIRING DRIVE OPERATED FROM THE SAME ROTATABLE OUTPUT, now publication of patent application No. 2014/0305989;
    - US patent application serial number 14 / 248,595, entitled SURGICAL INSTRUMENT SHAFT INCLUDING SWITCHES FOR CONTROLLING THE OPERATION OF THE SURGICAL INSTRUMENT, now, publication of US patent application No. 2014/0305988;
    - US patent application serial number 14 / 248,588, entitled POWERED LINEAR SURGICAL STAPLER, now publication of US patent application No. 2014/0309666;
    - US patent application serial number 14 / 248,591, entitled TRANSMISSION ARRANGEMENT FOR A SURGICAL INSTRUMENT, now publication of US patent application No. 2014/0305991;
    - US patent application serial number 14 / 248,584, entitled MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH ALIGNMENT FEATURES FOR ALIGNING ROTARY DRIVE SHAFTS WITH SURGICAL END EFFECTOR SHAFTS, now, publication of US patent application No. 2014/0305994;
    - US patent application serial number 14 / 248,587, entitled POWERED SURGICAL STAPLER, now publication of US patent application No. 2014/0309665;
    - US patent application serial number 14 / 248,586, entitled DRIVE SYSTEM DECOUPLING ARRANGEMENT FOR A SURGICAL INSTRUMENT, now publication of patent application No. 2014/0305990; and
    - US patent application serial number 14 / 248,607, entitled MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH STA
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    11/31
    TUS INDICATION ARRANGEMENTS, now US patent application publication No. 2014/0305992.
    [0053] The applicant for this application also holds the following patent applications that were filed on April 16, 2013 and which are each incorporated herein by reference in their entirety:
    - US provisional patent application serial number 61 / 812,365, entitled SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A SINGLE MOTOR;
    - US provisional patent application serial number 61 / 812,376, entitled LINEAR CUTTER WITH POWER;
    - US provisional patent application serial number 61 / 812,382, entitled LINEAR CUTTER WITH MOTOR AND PISTOL GRIP;
    - US provisional patent application serial number 61 / 812,385, entitled SURGICAL INSTRUMENT HANDLE WITH MULTIPLE ACTUATION MOTORS AND MOTOR CONTROL; and
    - US provisional patent application serial number 61 / 812,372, entitled SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY A SINGLE MOTOR.
    [0054] The applicant for this application holds the following US patent applications that were filed on August 26, 2015 and which are each incorporated herein by reference in their respective totalities:
    - US patent application serial number 14 / 836,324, entitled SURGICAL STAPLES FOR MINIMIZING STAPLE ROLL;
    - US patent application serial number 14 / 836,411, entitled SURGICAL STAPLES COMPRISING HARDNESS VARIATIONS FOR IMPROVED FASTENING OF TISSUE;
    - US patent application serial number 14 / 836,058, entitled SURGICAL STAPLE STRIPS FOR PERMITTING VARYING STAPLE
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    11/33
    PROPERTIES AND ENABLING EASY CARTRIDGE LOADING;
    - US patent application serial number 14 / 836,110, entitled SURGICAL STAPLING CONFIGURATIONS FOR CURVED AND CIRCULAR STAPLING INSTRUMENTS;
    - US patent application serial number 14 / 836,036, entitled STAPLE CARTRIDGE ASSEMBLY WITHOUT A BOTTOM COVER;
    - US patent application serial number 14 / 836,077, entitled STAPLE CARTRIDGE ASSEMBLY COMPRISING STAPLE CAVITIES FOR PROVIDING BETTER STAPLE GUIDANCE;
    - US patent application serial number 14 / 836,225, entitled STAPLE CARTRIDGE ASSEMBLY INCLUDING STAPLE GUIDES;
    - US patent application serial number 14 / 836,351, entitled STAPLE CARTRIDGE ASSEMBLY COMPRISING STAPLE ALIGNMENT FEATURES ON A FIRING MEMBER;
    - US patent application serial number 14 / 836,163, entitled STAPLE CARTRIDGE ASSEMBLY COMPRISING VARIOUS TISSUE COMPRESSION GAPS AND STAPLE FORMING GAPS;
    - US patent application serial number 14 / 836,294, entitled STAPLES CONFIGURED TO SUPPORT AN IMPLANTABLE ADJUNCT;
    - US patent application serial number 14 / 836,375, entitled STAPLES COMPRISING A COVER;
    - US patent application serial number 14 / 836,137, entitled STAPLE CARTRIDGE ASSEMBLY INCLUDING FEATURES FOR CONTROLLING THE ROTATION OF STAPLES WHEN BEING EJECTED THEREFROM; and
    - US patent application serial number 14 / 836,020, entitled SURGICAL STAPLES COMPRISING FEATURES FOR IMPROVED FASTENING OF TISSUE.
    [0055] The applicant for this application also has the following
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    34/111 patent applications, which were filed on December 23, 2013 and which are each incorporated herein by reference in their respective total ages;
    - US patent application serial number 14 / 138,554, entitled SURGICAL INSTRUMENTS WITH ARTICULATABLE SHAFT ARRANGEMENTS; now US patent application publication No. 2015/0173789;
    - US patent application serial number 14 / 138,465, entitled SURGICAL STAPLES AND STAPLE CARTRIDGES; now US patent application publication No. 2015/0173744;
    - US patent application serial number 14 / 138,474, entitled ARTICULATABLE SURGICAL INSTRUMENTS WITH SEPARATE AND DISTINCT CLOSING AND FIRING SYSTEMS; now US patent application publication No. 2015/0173745;
    - US patent application serial number 14 / 138,485, entitled SURGICAL CUTTING AND STAPLING INSTRUMENTS WITH INDEPENDENT JAW CONTROL FEATURES; now US patent application publication No. 2015/0173746;
    - US patent application serial number 14 / 138,475, entitled SURGICAL STAPLES AND STAPLE CARTRIDGES; now US patent application publication No. 2015/0173749;
    - US patent application serial number 14 / 138,481, entitled SURGICAL STAPLES AND METHODS FOR MAKING THE SAME; now US patent application publication No. 2015/0173750;
    - US patent application serial number 14 / 138,489, entitled SURGICAL STAPLES, STAPLE CARTRIDGES AND SURGICAL END EFFECTORS; now US patent application publication No. 2015/0173751;
    - US design patent application serial number 29 / 477,488, entitled SURGICAL FASTENER;
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    - US patent application serial number 14 / 138,505, entitled FASTENER CARTRIDGE COMPRISING AN EXTENDABLE FIRING MEMBER; now US patent application publication No. 2015/0173760;
    - Patent Application No. Serial No. 14 / 138,518, entitled FASTENER CARTRIDGE COMPRISING A FIRING MEMBER CONFIGURED TO DIRECTLY ENGAGE AND EJECT FASTENERS FROM THE FASTENER CARTRIDGE; now US patent application publication No. 2015/0173761;
    - US patent application serial number 14 / 138,530, entitled FASTENER CARTRIDGE COMPRISING A FIRING MEMBER INCLUDING FASTENER TRANSFER SURFACES; now US patent application publication No. 2015/0173762;
    - US patent application serial number 14 / 138,507, entitled MODULAR SURGICAL INSTRUMENTS; now US patent application publication No. 2015/0173747;
    - US patent application serial number 14 / 138,497, entitled SURGICAL CUTTING AND STAPLING INSTRUMENTS WITH ARTICULATABLE END EFFECTORS; now US patent application publication No. 2015/0173755; and
    - US patent application serial number 14 / 138,516, entitled SURGICAL CUTTING AND STAPLING METHODS; now US patent application publication No. 2015/0173756.
    [0056] Numerous specific details are presented to provide a complete understanding of the structure, function, manufacture and general use of the modalities described in the specification and illustrated in the attached drawings. Well-known operations, components and elements have not been described in detail, so as not to obscure the modalities described in the specification. The reader will understand that the modalities described and illustrated in this
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    36/111 are non-limiting examples and, therefore, it can be understood that the specific structural and functional details disclosed in the present invention can be representative and illustrative. Variations and changes can be made to this, without departing from the scope of the claims.
    [0057] The terms comprise (and any form of understand, as you understand and understand), have (and any form of have, as have and have), include (and any form of include, as include and that includes) and contains (and any form of contains, as contains and that contains) are unrestricted link verbs. As a result, a surgical system, device or apparatus that comprises, has, includes or contains one or more elements has those one or more elements, but is not limited to having only those one or more elements. Likewise, an element of a surgical system, device or apparatus that comprises, has, includes or contains one or more resources has these one or more resources, but is not limited to having only those one or more resources.
    [0058] The terms proximal and distal are used in the present invention with reference to a physician who handles the handle portion of a surgical instrument. The term proximal refers to the portion closest to the doctor, and the distal term refers to the portion located opposite the doctor. It will also be understood that, for the sake of convenience and clarity, spatial terms such as vertical, horizontal, up and down can be used in the present invention with respect to drawings. However, surgical instruments can be used in many orientations and positions, and these terms are not intended to be limiting and / or absolute.
    [0059] Several devices and methods are exemplified
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    37/111 pain for laparoscopic and minimally invasive surgical procedures. However, the reader will readily understand that the various methods and devices disclosed in the present invention can be used in a number of surgical procedures and applications, including, for example, in relation to open surgical procedures. With the advancement of this Detailed Description, the reader will also understand that the various instruments disclosed here can be inserted into a body in any way, such as through a natural orifice, through an incision or perforation formed in tissue, etc. Functional portions or portions of the instrument end actuator can be inserted directly into a patient's body or can be inserted via an access device that has a working channel through which the end actuator and the elongated drive shaft surgical instrument can be advanced.
    [0060] The surgical stapling system can comprise a drive shaft and an end actuator that extends from the drive shaft. The end actuator comprises a first jaw and a second jaw. The first gripper comprises a staple cartridge. The staple cartridge is insertable into, and removable from, the first jaw; however, other modalities are provided for in which a staple cartridge is not removable, or at least readily replaceable, from the first gripper. The second claw comprises an anvil configured to deform the staples ejected from the staple cartridge. The second claw is pivoting relative to the first claw around a geometric axis of the lid; however, other modalities are foreseen in which the first claw is pivoting in relation to the second claw. The surgical stapling system additionally comprises an articulation joint configured to allow the end actuator to be rotated or
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    38/111 articulated in relation to the drive shaft. The end actuator is rotatable about a geometric pivot axis that extends through the pivot joint. Other modalities are foreseen that do not include an articulation joint.
    [0061] The staple cartridge comprises a cartridge body. The cartridge body includes a proximal end, a distal end, and a platform that extends between the proximal end and the distal end. In use, the staple cartridge is positioned on a first side of the fabric to be stapled and the anvil is positioned on a second side of the fabric. The anvil is moved towards the staple cartridge to compress and secure the fabric against the platform. After that, the staples removably stored in the cartridge body can be implanted in the fabric. The cartridge body includes staple cavities defined therein, the staples are removably stored in the staple cavities. The staple cavities are arranged in six longitudinal rows. Three rows of staple cavities are positioned on a first side of a longitudinal slot and three rows of staple cavities are positioned on a second side of the longitudinal slot. Other arrangements of staple cavities and staples may be possible.
    [0062] The clamps are supported by clamp actuators on the cartridge body. The actuators are movable between a first position, or non-triggered position, and a second position, or triggered position, to eject the clamps from the clamp cavities. The drivers are retained in the cartridge body by a retainer that extends around the bottom of the cartridge body and includes resilient members configured to secure the cartridge body and retain the retainer in the cartridge body. The actuators are movable between their non-triggered positions and their positions triggered by a slider. The slider is movable
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    39/111 between a proximal position adjacent to the proximal end and a distal position adjacent to the distal end. The slider comprises a plurality of inclined surfaces configured to slide under the actuators and lift the actuators, and the staples held therein, towards the anvil.
    [0063] In addition to the above, the slider is moved distally by a firing member. The firing member is configured to be in contact with the slide and to push the slide towards the distal end. In one or more alternative modes, the slider is connected to the trigger member. The longitudinal slot defined in the cartridge body is configured to receive the firing member. The anvil also includes a slot configured to receive the firing member. The firing member further comprises a first meat that engages the first claw and a second meat that engages the second claw. As the firing member is advanced distally, the first meat and the second meat can control the distance, or fabric span, between the staple cartridge platform and the anvil. Other arrangements are provided for in which the firing member has only one meat member or no meat member. Such modalities may comprise other suitable means for holding the first grapple and the second grapple in position. In any case, the firing member also comprises a knife configured to make an incision in the tissue captured between the staple cartridge and the anvil. It is desirable for the knife to be positioned at least partially proximal to the inclined surfaces, so that the clamps are ejected in front of the knife.
    [0064] An end actuator 100 of a surgical stapling system is illustrated in Figure 1. The end actuator 100 comprises a frame 190, a cartridge gripper 110 and a
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    40/111 anvil 120. The cartridge claw 110 extends fixedly from frame 190. The anvil 120 is movable between an open or loose position, and a closed or clamped position (Figure 1) in relation to the cartridge claw 110. In alternative embodiments, the cartridge claw 110 is movable between an open or loose position, and a closed or clamped position, relative to anvil 120. In at least one such embodiment, anvil 120 extends fixedly from frame 190.
    [0065] The cartridge gripper 110 is configured to receive a staple cartridge, such as a staple cartridge 130, for example. Referring primarily to Figure 2, staple cartridge 130 comprises a cartridge body 132. Cartridge body 132 comprises a platform 133 configured to support a patient's tissue, a longitudinal slot 135 and six longitudinal rows of staple cavities 134 defined therein. The longitudinal slot 135 is configured to receive a firing member, such as firing member 270 (Figure 12), for example. Each staple cavity 134 is configured to receive and removably store a staple 140 (Figure 3) therein. The staple cartridge 130 further comprises staple actuators, such as staple actuator 180 (Figure 3A), for example, configured to drive staples 140 out of staple cavities 134. With reference to Figures 3 and 3A, each clamp 180 comprises a frame 182 configured to hold and / or engage a base or crown 142 of a clamp 140. Other clamp drivers are provided, in which the driver comprises two frames, three frames or four frames, for example, to hold and engage more than one clamp.
    [0066] In addition to the above, the staple cartridge 130 also comprises a slide configured to engage the staple actuators 180. More specifically, the slide
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    41/111 comprises one or more ramps configured to engage one or more meats defined in the clamp actuators 180, such as meat 185, for example, and to lift the clamp actuators 180 and the clamps 140 into the clamp cavities 134 according to the slide it is moved distally through the staple cartridge 130. The firing member 270 is configured to move the slider distally from a proximal position, not fired towards a distal position, fired during a staple firing stroke. In at least one case, each clamp 140 is fully positioned below the platform 133 of the cartridge body 132 when the clamps 140 are in their non-fired positions. In such cases, the clamp legs 144 of the clamps 140 do not extend above the platform 133 when the clamps 140 are in their non-triggered positions. In use, the tips 146 of the clamp legs 144 emerge above the platform 133 as the clamps 140 are being fired. Such arrangements can reduce the possibility of staples 140 engaging with a patient's tissue when staple cartridge 130 is moved relative to the tissue.
    [0067] In several other cases, in addition to the above, the tips 146 of the staple legs 144 extend above the platform 133 when the staples 140 are in their non-triggered positions. Referring mainly to Figure 2, the cartridge body 132 further comprises projections 136 extending above the platform 133 which are configured to at least partially surround the tips 146 when the clamps 140 are in their non-triggered positions. The lengths of the clamp legs 144 are selected, so that the tips 146 are positioned below the upper surfaces of the projections 136 when the clamps 140 are in their non-triggered positions. Projections 136 are also configured to guide staple legs 144 as
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    42/111 staples 140 are ejected from staple cavities 134. In certain respects, projections 136 extend staple cavities 134 above platform 133. Such arrangements may allow larger or taller staples to be used while, at the same time, providing protection for the clamps even if the clamps extend above platform 133.
    [0068] In addition to the above, staples 140 are composed of wires. The wire has a round, or at least substantially round, cross section; however, any suitable cross section can be used. For example, a square cross section and / or a cross section that has at least one flat side could be used. The wire is comprised of metal, such as titanium and / or stainless steel, for example. That said, the yarn can be made of any suitable material, such as plastic, for example.
    [0069] Each clamp 140 comprises a flexed wire that has been formed to comprise the crown 142 and the clamp legs 144 of the clamp 140. As described in more detail below, the anvil 120 is configured to deform the clamps 140 between an untriggered configuration (Figure 3) and a triggered configuration. As shown in Figure 3, the legs 144 of a clamp 140 are not parallel to each other when the clamp 140 is in its non-triggered configuration. In such cases, the clamps 140 comprise substantially V-shaped configurations when the clamps 140 are in their non-triggered configuration. In certain embodiments, clamps having legs parallel, or at least substantially parallel, when the clamps are in their configuration can be used. In such cases, the clamps comprise substantially U-shaped configurations when the clamps are in their non-triggered configuration.
    [0070] Again with reference to Figure 2, the ink cartridge
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    43/111 clamps 130 additionally comprise a retainer 160 attached to the cartridge body 132. The retainer 160 extends at least partially around the bottom of the cartridge 132 and is configured to prevent the clamps 140, the clamp actuators 180 and / or the slide slides off the bottom of the cartridge body 132. The retainer 160 is configured to engage the cartridge body 132 by means of a snap fit; however, retainer 160 can be attached to the cartridge body 132 in any suitable manner. In addition, retainer 160 is configured to engage the jaw of the cartridge 110 by means of a snap fit to releasably retain the staple cartridge 130 in the jaw of the cartridge 110. That said, the staple cartridge 130 can be retained in a manner releasable to cartridge gripper 110 in any suitable manner.
    [0071] In addition to the above, end actuator 100 is also configured to be used with staple cartridges other than staple cartridge 130, such as staple cartridge 230 (Figure 4), for example. In other words, the staple cartridge 230, for example, can be used with the end actuator 100 instead of the staple cartridge 130. In certain cases, the end actuator 100 can be used with a staple cartridge 130 and , after the staple cartridge 130 has been at least partially fired, the staple cartridge 130 can be removed from the first jaw 110 and then replaced with an untapped staple cartridge 230. In several cases, a surgeon can selectively use and interchangeably one or more staple cartridges 130 and one or more staple cartridges 230 in any suitable order.
    [0072] Referring to Figure 4, the staple cartridge 230 comprises a cartridge body 232 and a retainer 260 attached to the cartridge body 232. Retainer 260 is similar to retainer 160 in many respects. The retainer 260 is configured to engage the car body
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    44/111 tucho 232 in a snap-fit manner; however, retainer 260 can be attached to the cartridge body 232 in any suitable manner. In addition, retainer 260 is configured to engage cartridge jaw 110 in a press fit manner to releasably retain staple cartridge 230 in cartridge jaw 110. That said, staple cartridge 230 can be retained in releasable to the cartridge gripper 110 in any suitable manner.
    [0073] The cartridge body 232 comprises a platform 233 configured to support a patient's tissue, a longitudinal slot 135 and longitudinal rows of staple cavities defined therein. Platform 233 comprises a first portion on a first side of longitudinal slot 135 and a second portion on a second side of longitudinal slot 135. Each of the first portion and second portion of platform 233 comprises a first longitudinal, or inner, row of staple cavities, a second longitudinal, or intermediate, row of staple cavities, and a third longitudinal, or outer, row of staple cavities. The first portion of the platform 233 comprises a first longitudinal row comprising staple cavities 234a, a second longitudinal row comprising staple cavities 234a and a third longitudinal row comprising staple cavities 234a '. The second portion of the platform 233 comprises a first longitudinal row comprising staple cavities 234a ', a second longitudinal row comprising staple cavities 234a', and a third longitudinal row comprising staple cavities 234.
    [0074] In addition to the above, the staple cavities 234a and the staple cavities 234a 'are similar in many respects, except that they are mirror images of each other. The staple cavities 234a can be called
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    45/111 staple on the 'left' and staple cavities 234a 'can be called staple cavities on the' right '. Obviously, left and right are a matter of perspective and a different, or even opposite, nomenclature could be used. In addition, any suitable arrangement of staple pockets on the left 234a and staple pockets on the right 234a 'can be used.
    [0075] With reference to Figures 4, 5 and 14, a staple 240 is removably stored in each staple cavity 234a. Referring to Figure 13, a staple 240 'is removably stored in each staple cavity 234a'. Clip 240 and Clip 240 'are similar in many ways, except that they are mirror images of each other. Consistent with the nomenclature used above, clamp 240 is a 'left' clamp and clamp 240 'is a' right 'clamp.
    [0076] Again with reference to Figure 4, the second portion of platform 233 is a mirror image of the first portion of platform 233. Such an arrangement produces staple lines symmetrical with respect to the tissue cut line, that is, a longitudinal incision created by a cutting edge 272 defined in the firing member 270 when the firing member 270 moves distally through the longitudinal slot 135 during a firing stroke. In other embodiments, the second portion of platform 233 is not a mirror image of the first portion of platform 233. Such arrangements produce asymmetric staple lines in the fabric being stapled in relation to the cut line.
    [0077] With reference mainly to Figures 7 to 10, the clamp 240 comprises a crown 242, a proximal clamp leg 244p connected to the crown 242 and a distal leg 244d connected to the crown 242. More particularly, the clamp 240 comprises a proximal connector 248p connecting the proximal staple leg 244p
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    46/111 to the crown 242 and a distal connector 248d that connects the distal staple leg 244d to the crown 242. The proximal connector 248p is integrally formed with the proximal staple leg 244p and the crown 242 and, similarly, the distal connector 248d is integrally formed with the distal clamp leg 244d and the crown 242. The clamp 240 additionally comprises a driver 246 formed integrally with and extending from the crown 242. The driver 246 comprises a cam surface 245 defined in the same as it is configured to be directly engaged by a slide 250 of the staple cartridge 230 during the staple firing stroke, as shown in Figure 10.
    [0078] As can be seen in Figures 7 to 10, the crown 242 and the driver 246 collectively define a height that is higher than the proximal connector 248p and / or the distal connector 248d. In addition, the collective height of the crown 242 and the driver 246 defines a dimension that is greater than any width in cross section of the clamp legs 244p and 244d.
    [0079] As can also be seen in Figures 7 to 10, the proximal leg 244p, the proximal connector 248p, the distal leg 244d and the distal connector 244d do not extend below the driver 246. In other words, the driver 246 comprises the bottom of the clamp 240. In addition, the entire flesh surface 245 is below the proximal leg 244p, the proximal connector 248p, the distal leg 244d and the distal connector 244d. Such an arrangement helps to ensure that the slider 250 contacts the driver 246 of the clamp 240, and not another portion of the clamp 240.
    [0080] In addition to the above, with reference again to Figure 13, clamp 240 'comprises a crown 242', a proximal leg 244p 'connected to crown 242', a distal leg 244d 'connected to crown 242', and a trigger 246 'entirely formed with and extending
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    47/111 from the crown 242 ’. The actuator 246 'comprises a cam surface 245' defined thereon which is configured to be directly engaged by the slide 250 during the clamp firing stroke. Unless otherwise specified, the teachings provided herein in relation to clamps 240 are adaptable to clamps 240 '. For the sake of brevity, the discussions that address these adaptations may not be specifically articulated in the present invention.
    [0081] Each clamp 240 is comprised of a single piece of metal, such as titanium and / or stainless steel, for example. Other materials, such as plastic, for example, could be used. In several cases, staples 240 are stamped from one or more sheets of material. In at least one case, a continuous flat strip of metal stock is fed into a feed matrix that reaches or stamps the material tape and moves the crown 242 away or out of the plane with the clamp legs 244p and 244d. Alternatively, the staple legs 244p and 244d are moved away from or out of the plane with the crown 242. In many cases, the feed matrix is also configured to form one or more radiated edges in the staples 240, as in the staple legs 244p and 244d, for example. The feed matrix is also configured to stamp the ends 246 of the staple legs 244p and 244d, in certain cases, and remove any excess material from the material tape. Each of these formation steps can occur in one or more stations of the advance matrix and / or in the same station, or stations, of formation of the advance matrix. This arrangement will ultimately produce a strip of staples 240 attached to a continuous bandolier, for example. The staples 240 are separated from the bandolier and then inserted into the staple wells 234. In certain cases, the staple tape 240 is loaded into a loading block where the bandolier is then removed from the staples 240. Then
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    48/111 In addition, the loading block is used to insert the staples 240 into the staple cavities 234a of the cartridge body 232. In at least one case, the loading block is also configured to receive staples 240 ', so that staples 240 and 240 'are loaded into cartridge body 232 at the same time.
    [0082] In addition to the above, with reference mainly to Figure 7, the trigger 246 of each clamp 240 is attached to the shoulder strap at a connection point 249 that is defined on the distal side of the trigger 246. Such an arrangement reduces the possibility of a burr or a tip, for example, extending downward from the actuator 246 and preventing the longitudinal advance of the slider 250. That said, any suitable attachment point, or points, could be used to hold the clamps 240 in the bandolier. In addition to or in place of the above, a wire flaring, electrical discharge machining and / or any other suitable manufacturing process can be used to form clamps 240. In addition, clamps 240 'can be manufactured using any of the methods described here, among others.
    [0083] With reference to Figures 8 and 9, the proximal staple leg 244p and the distal staple leg 244d of a staple 240 define a staple leg plane 241 s. When a staple 240 is positioned in a staple cavity 234a, in addition to the above, the proximal staple leg 244p of staple 240 is positioned proximally to the distal staple leg 244d. In addition, the proximal staple leg 244p and the distal staple leg 244d of a staple 240 are aligned with a firing geometric axis. This firing geometry axis is also aligned with the staple legs 244p and 244d of other staples 240 when the staples 240 are positioned in a longitudinal row of staple cavities 234a. As a result, the staple leg planes 241 s of the staples
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    49/111 pos 240 in a longitudinal row of clip cavities 234a are aligned, or at least substantially aligned, with one another. It should be considered that the staple legs 244p and 244d comprise a width or thickness, and that the plane of the staple leg 241 s can include the widths of the staple legs 244p and / or 244d.
    [0084] In addition to the above, with reference to Figures 4 and 6, the left staples 240 stored in the first internal longitudinal row of staple cavities are removably stored therein, so that the staple leg planes 241 s clamps 240 are closer to the longitudinal slot 135 than their drive planes 241c. Correspondingly, with continued reference to Figures 4 and 6, the staples on the right 240 'stored in the second longitudinal inner row of staple cavities are also removably stored therein, so that the staple leg planes 241 s from the clamps 240 'are closer to the longitudinal slot 135 than their drive planes 241c. Similarly, the left staples 240 stored in the first intermediate longitudinal row of staple cavities are removably stored therein so that the staple leg planes 241 s of staples 240 are closer to the longitudinal slot 135 than their drive plans 241c. Likewise, the staples on the right 240 'stored in the second intermediate longitudinal row of staple cavities are removably stored therein so that the staple leg planes 241 s of staples 240' are closer to the longitudinal slot 135 than your 241c drive plans. On the other hand, again with reference to Figures 4 and 6, the staples on the right 240 'stored in the first longitudinal outer row of staple cavities are removably stored therein so that the driving planes 241c of the staples 240' are more close to the longitudinal slit 135 that their plans
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    50/111 staple leg 241s. Likewise, the left staples 240 stored in the second outer longitudinal row of staple cavities are also removably stored therein, so that the driving planes 241c of the staples 240 are closer to the longitudinal slot 135 than their planes. staple leg 241 s.
    [0085] The staple legs 244p and 244d of a staple 240 comprise a tissue clamping or gripping portion of staple 240 that is configured to trap a patient's tissue in the staple
    240 when the legs 244p and 244d of the clamp 240 are deformed against the anvil 120, as described in more detail below. In several cases, the proximal staple leg 244p and the distal staple leg 244d are formed within the staple leg plane 241 s. In other cases, however, one or both of the staple legs 244p and 244d may be deformed out of the staple leg plane
    241 s.
    [0086] In addition to the above, the proximal staple leg 244p of a staple 240 is parallel, or at least substantially parallel, to the staple leg 244d when staple 240 is in its non-triggered configuration, as shown in Figure 7. As As a result, the clip legs 244p, 244d and the crown 242 of the clip 240 form a substantially U-shaped configuration when the clip 240 is in its non-triggered configuration. In such a configuration, the upward movement of the staple legs 244p and 244d when the staple 240 is ejected from the staple cavity 234a may be easier to control than in other configurations. In various alternative embodiments, with reference to Figure 14, the proximal staple leg 244p and the distal staple leg 244d of the staple 240 extend outwardly from each other and / or in directions that are not parallel to each other. In at least one of these cases, the clip legs 244p, 244d and the crown
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    51/111
    242 of clamp 240 form a substantially V-shaped configuration when clamp 240 is in its non-triggered configuration. In such a configuration, the clamp legs 244p and 244d of a clamp 240 can be in contact with, and resiliently prone inwardly through the side walls of a clamp cavity 234a which can resiliently clamp the clamps 240 in the clamp cavities 234a.
    [0087] In addition to the above, retainer 260 extends at least partially around the bottom of cartridge 232 and is configured to prevent clips 240, clips 240 'and / or slide 250 from falling off the bottom of the cartridge body 232.
    [0088] With reference mainly to Figure 10, the driver 246 of a clamp 240 comprises a drive portion of the clamp 240. A longitudinal ramp 255 of the slider 250 is configured to engage sequentially and slide under the drivers 246 of the clamps 240 to lift the staples 240 upwardly into the staple cavities 234a towards the anvil 120. The meat surface 245 of each staple 240 is defined on the proximal side of the driver 246 and comprises the point at which the slide 250 initiates contact with the staple 240. The driver 246 of each clamp 240 is defined within a driving plane 241c that is aligned, or at least substantially aligned, with the longitudinal ramp 255. The cam surface 245 is also defined within the driving plane 241c. It should be considered that the cam surface 245 and / or the driver 246 comprise a width or thickness, and that the drive plane 241c can include the width of the cam surface 245 and / or driver 246.
    [0089] Again with reference to Figures 8 and 9, the connectors 248p and 248d separate the clamp legs 244p and 244d, respectively, from the crown 242 of a clamp 240. As illustrated in
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    11/11
    Figures 8 and 9, the driving plane 241c of a clamp 240 is laterally displaced from the plane of the clamp leg 241 s of the clamp 240. As also illustrated in Figures 8 and 9, the driving plane 241c of a clamp 240 is parallel to, or at least substantially parallel to, the staple leg plane 241 s of the staple 240. In such cases, the driving planes 241c of a longitudinal row of staples 240 are aligned with each other along a longitudinally driven geometric axis. The geometrical axis of longitudinal drive is parallel and adjacent to the geometrical axis of longitudinal firing aligned with the staple leg planes 241 s, which is discussed above.
    [0090] With reference again to Figures 8 to 10, the longitudinal ramps 255 do not engage the proximal connectors 248p or the distal connectors of the clamps 240. Similarly, the longitudinal ramps 255 do not engage the clamp legs 244p and 244d of the clamps 240 In addition, no portion of the slider 250 engages the proximal connectors 248p, the proximal staple legs 244p, the distal connectors 248p and the distal staple legs 244d of the staples 240. Instead, the longitudinal ramps 255 directly engage the surfaces of meat 245 of the clamps 240, as the slider 250 is moved distally during a firing stroke. As the slider 250 is moved distally, the longitudinal ramps 255 slide under the meat surfaces 245 and sequentially raise the clamps 240 upwards towards the anvil 120 between an un-fired position (Figure 11) and a fired position (Figure 12). In other words, the clamps 240 slide up the longitudinal ramps 255 within the clamp cavities 234a towards their fired positions, as shown in Figure 12.
    [0091] In addition to the above, with reference mainly to Figure 10, the drive surface 245 of the clamp 240 is not visible.
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    53/111 tends into the 248p proximal connector. The driver 246 comprises a notch, or relief, 247 that separates the drive surface 245 from the proximal connector 248p. In several cases, the notch 247 is defined in the drive plane 241c. In at least one case, the notch 247 extends into the proximal connector 248p. The notch 247 is configured to ensure that the slider 250 comes into contact with the driver 246 of the clamp 240, i.e., within the driving plane 241c of the clamp 240, and not the proximal connector 248p and / or proximal leg 244p. The notch 247 also creates a clear boundary between the driver 246 and the proximal connector 248p, so that the meat surface 245 is not twisted out of the drive plane 241c. In addition, the notch 247 separates the drive plane 241c from a perpendicular plane including the proximal clamp leg 244p.
    [0092] Similar to the above, the drive surface 245 does not extend into the distal connector 248d.
    [0093] In addition to the above, the driving surfaces 245 of the clamps 240 extend at an angle that corresponds, or at least substantially corresponds, to the angle of the longitudinal ramps 255 of the slider 250. That said, any suitable angles could be used.
    [0094] In at least one case, in addition to the above, each clamp 240 is fully positioned below the platform 233 of the cartridge body 232 when the clamps 240 are in their non-triggered positions. In such cases, the legs 244 of the clamps 240 do not extend above the platform 233 when the clamps 240 are in their non-triggered positions. In use, the tips 246 of the staple legs 244 emerge above the platform 233 as the staples 240 are fired. Such arrangements may reduce the possibility that staples 240 will hook onto the fabric
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    54/111 of a patient when the staple cartridge 230 is moved relative to the tissue.
    [0095] In several cases, in addition to the above, the tips 246 of the staple legs 244p and / or 244d extend above the platform 233 when the staples 240 are in their non-triggered positions. Referring mainly to Figures 4 and 6, the cartridge body 232 further comprises projections 236 extending above the platform 233 which are configured to at least partially surround the tips 246 when the clamps 240 are in their non-triggered positions. The lengths of the staple legs 244p and 244d are selected so that the tips 246 are positioned below the upper surfaces of the projections 236 when the staples 240 are in their non-triggered positions. In certain respects, the projections 236 extend the staple cavities 234 above the platform 233. Such arrangements can allow larger or taller staples to be used and, at the same time, provide protection for the staples even if the staples extend above the platform 233. The projections 236 are also configured to guide the staple legs 244 as the staples 240 are ejected from the staple cavities 234.
    [0096] In addition to the above, clamps 240 reach their completely triggered configuration when the top surfaces 253 of the longitudinal ramps 255 pass under the bottom surfaces of clamps 240. With reference now to Figure 12, a clamp 240 has almost reached the surface top 253 of a longitudinal ramp 255 and, in this way, almost reached its completely fired configuration. Since the top surface 253 moves distally from a deformed clamp 240 and disengages from deformed clamp 240, elastic reaction forces and / or potential energy stored in deformed clamp 240 can push a portion of the deform clamp
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    55/111 sent 240 back to the staple cavity 234a from which it was ejected.
    [0097] With reference again to Figures 11 and 12, the anvil 120 comprises forming pockets configured to deform the clamps 240 and 240 '. Each training pocket comprises a proximal training container 124p configured to receive the proximal staple leg 244p from a staple 240, for example, and a distal training container 124d configured to receive the distal staple leg 244d from the staple 240. The container proximal forming tube 124p is configured to deform the proximal staple leg 244p inwardly towards the distal staple leg 244d. Similarly, distal forming container 124d is configured to deform distal staple leg 244d inwardly toward proximal staple leg 244p. Other embodiments are provided in which one or both of the clip legs 244p and 244d are curved out of each other and / or in any other suitable direction. Again with reference to Figure 12, the clamps 240 and 240 'are deformed in a B-shaped configuration by the anvil 120; however, anvil 120 can be configured to deform clamps 240 and 240 'in any suitable configuration.
    [0098] As discussed above, end actuator 100 is usable with a staple cartridge 100 or, alternatively, a staple cartridge 200. As a result, anvil 120 is configured to deform the staples 140 of the staple cartridge 100 and, in addition, the staples 240, 240 'of the staple cartridge 200. In other words, each forming pocket defined on the anvil 120 is configured to deform a staple 140 that was manufactured from a flexed wire and a staple 240, or staple 240 ', which was stamped from a sheet of flat material, for example. For example, with reference mainly to Figure 6, the 124p proximal forming vessel of
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    56/111 a training pocket is configured to deform a proximal staple leg 144 from a staple 140 and a proximal staple leg 244p from a staple 240. The proximal training container 124p of a training pocket is also configured to deform a proximal staple leg 244p 'if a staple 240' is aligned with the training pocket instead of a staple 240. Similar to the above, the distal training container 124d of a training pocket is configured to deform a training leg distal clamp 144 of a clamp 140 and a distal clamp leg 244d of a clamp 240. Likewise, the distal forming container 124d of a forming pocket is also configured to deform a distal clamp leg 244d 'if a clamp 240' aligned with the training pocket instead of a clamp 240.
    [0099] In addition to the above, the staple cavities 134 of the staple cartridge 130 and the staple cavities 234a of the staple cartridge 230 are alignable with the anvil forming pockets 120, so that the tips 146 of staples 140 and the tips 246 dps staples 240 reach the same points, or targets, inside the forming containers 124p and 124d - depending on which staple cartridge is attached to the end actuator 100. It should be understood that due to variations in the composition of the fabric , for example, that tips 146 and tips 246 may not actually reach the same targets in training containers 124p and 124d. That said, the anvil forming cavities 120 are configured to guide the legs 144 of the clamps 140 and the legs 244p, 244d of the clamps 240 to a desired alignment. For this purpose, proximal forming containers 124p comprise guide walls 126p and distal forming containers 124d comprise guide walls 126d which are configured to guide and form the legs of the clamps 140, 240 and 240 'in a desired configuration.
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    57/111 [0100] Again with reference to Figure 7, the clamp 240 comprises a fabric engaging surface 243 defined on the top surface of the crown 242. The surface 243 of the clamp 240 is configured to support and / or apply pressure to the tissue captured within clip 240 when clip 240 is formed in its triggered configuration. Now with reference to Figure 11, the surface 243 of the clip 240 is positioned far below the platform 233 of the cartridge body 232 when the clip 240 is in its non-triggered position. As clamp 240 is moved to its fired position, with reference now to Figure 12, surface 243 emerges at least partially above platform 233. In other words, slider 250 at least partially overtakes clamp 240. In such cases, the The surface 243 of the staple 240 may be in a borderline position and apply pressure to the fabric as the staple 240 is being deformed. In certain cases, only a portion of the surface 243 is excessively pushed above the platform 233 when the clamp 240 is in its fully fired position. In other cases, the entire surface 243 is excessively pushed above the platform 233 when the clamp 240 is in its fully fired position. Such an arrangement can apply a significant amount of clamping pressure to the tissue, which can reduce bleeding from the tissue.
    [0101] In various circumstances, in addition to the above, the driver 246 of a clamp 240 remains at least partially below platform 233 when the surface 243 of clamp 240 is excessively pushed above platform 233. In certain cases, clamp 240 is configured so that driver 246 does not emerge above platform 233 regardless of the amount by which surface 243 is excessively pushed above platform 233. In such cases, the entire driver 246 remains
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    58/111 below platform 233 during the staple firing process. In at least one example, the meat surface 245 of the clip 240 does not emerge above the platform 233 when the clip 240 is excessively pushed. In several cases, the top surfaces 253 of the longitudinal ramps 255 do not extend above the platform 233, which means that the slider 250 will not direct all of the clips 240 above the platform 233 during the staple firing process.
    [0102] In addition to the above, it should be considered that the projections 236 extend above the platform 233. As shown in Figure 12, the slider 250 is configured to at least partially overlap the surfaces 243 of the clamps 240 above the projections 236 In such cases, the surfaces 243 at least partially exceed the projections 236, as the clamp 240 is moved to its fully fired position. In certain instances, only a portion of the surface 243 is excessively pushed above the projections 246 when the clamp 240 is in its fully fired position. In other cases, the entire surface 243 is excessively pushed above the projections 246 when the clamp 240 is in its fully fired position. Such an arrangement can apply a significant amount of clamping pressure to the tissue, which can reduce bleeding from the tissue.
    [0103] In addition to the above, the engaging surface of fabric 243 can engage or come into direct contact with the fabric. In other cases, the auxiliary material, such as a piece of reinforcement material and / or a fabric thickness compensator, for example, can be positioned on the platform 233 of the staple cartridge 230 and the fabric engaging surface 243 can engage or get in direct contact with the auxiliary material. References featuring auxiliary material are incorporated by reference elsewhere in this application.
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    59/111 [0104] Again with reference to Figure 7, the engaging surface of the fabric 243 comprises a flat portion, a first slanted portion on a first side of the flat portion, and a second slanted portion on a second side of the flat portion. Such an arrangement can apply pressure to the tissue captured within the clip 240 from three directions. That said, the engaging surface of the fabric 243 can comprise any suitable configuration, such as an entirely flat configuration or a rounded configuration, for example.
    [0105] As discussed above, with reference again to Figure 6, staple cartridges 130 and 230 can be used selectively and interchangeably with end actuator 100. As also discussed above, staple cartridges 130 and 230 are fixable removably to claw 110. In several alternative embodiments, each of the clip cartridges 130 and 230 comprises a complete claw that is fixable and removable from frame 190 of end actuator 110. In such cases, a physician could remove an entire claw end actuator clamp cartridge 110 and replace it with another entire clamp cartridge jaw - one that has not yet been triggered and comprises the types of clamps and / or the clamp pattern that the physician wants, for example.
    [0106] In addition to the above, it should be noted that Figure 6 is an illustration intended to demonstrate that end actuator 100 can be used with staple cartridge 130 and staple cartridge 230. Although staple cartridge 130 and the staple cartridge 230 are both shown in Figure 6, it should be understood that the staple cartridge 130 and the staple cartridge 230 are not used at the same time within the same end actuator 100. That said, several modalities are envisaged in which a staple cartridge uses wire staples and, in addition, staples formed from one or more sheets of material, for example. In
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    60/111 with at least one embodiment, a staple cartridge comprises staples 140 and staples 240 removably stored therein, for example. Other embodiments are provided in which a staple cartridge comprises staples 140, staples 240 and staples 240 ', for example.
    [0107] Referring to Figure 20, in addition to the above, a staple cartridge 430 comprises a cartridge body 432 including a platform 433 and a longitudinal slot 135 defined therein. The longitudinal slit 135 defines a longitudinal slit geometric axis 139 extending through the center thereof. The staple cartridge 430 further comprises a first, or internal, longitudinal row of staple wells 434a, a second, or intermediate, longitudinal row of staple wells 434b and a third, or external, longitudinal row of staple wells 434c in one side of the longitudinal slot 135. The staple cartridge 430 also comprises a first, or internal, longitudinal row of staple cavities 434a ', a second, or intermediate, longitudinal row of staple cavities 434b' and a third, or external, row longitudinal staple cavities 434c 'on the other side of longitudinal slot 135. Staple cavities 434a, 434a', 434b, and 434b 'are similar to left staple cavities 234a (Figures 4 and 6) in many respects. Staple cavities 434c and 434c 'are similar to staple cavities 134 (Figures 2 and 6) in many ways. Staples 240 are removably stored in staple cavities 434a, 434a ', 434b and 434b'. Staples 140 are removably stored in staple wells 434c and 434c '.
    [0108] Referring to Figure 21, staple cartridge 430 further comprises a slide 450 configured to eject staples 140 and 240 from cartridge body 432. Slide 450 comprises a longitudinal ramp 455a configured to engage
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    61/111 the staples 240 stored in the staple cavities 434a directly, a longitudinal ramp 455a 'configured to directly engage the staples 240 stored in the staple cavities 434a', a longitudinal ramp 455b configured to directly engage the staples 240 stored in the staple cavities 434b and a longitudinal ramp 455b 'configured to directly engage the staples 240 stored in the staple cavities 434b'. The slide 450 additionally comprises a longitudinal ramp 455c configured to eject the clamps 140 from the staple cavities 434c and a longitudinal ramp 455c 'configured to eject the clamps 140 from the staple cavities 434c'. More specifically, staple cartridge 430 comprises a row of staple actuators configured to hold and / or engage staples 140 stored in staple cavities 434c and a row of staple actuators configured to hold and / or engage staples 140 stored in staple cavities 434c 'and, when the slide 450 is advanced distally, the longitudinal ramps 455c and 455c' of the slide 450 engage the staple actuators to lift the staples 140 upward into the staple cavities 434c and 434c 'and deform the staples 140 against an anvil positioned opposite the staple cartridge 430. These staple triggers can be similar in many ways to the staple trigger illustrated in Figure 3A, for example.
    [0109] In addition to the above, the staple cavities 434a are positioned along a longitudinal geometry axis 437a, the staple cavities 434b are positioned along a longitudinal geometry axis 437b, and the staple cavities 434c are positioned along longitudinal axis 437c. Similarly, the staple cavities 434a 'are positioned along a longitudinal geometric axis 437a', the staple cavities 434b 'are positioned
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    62/111 driven along a longitudinal axis 437b 'and the clamp cavities 434c' are positioned along a longitudinal axis 437c '. The distance between the longitudinal axis 437a and the longitudinal slot geometric axis 139 is shorter than the distance between the longitudinal geometric axis 437a 'and the longitudinal slot geometric axis 139. As a result, the longitudinal geometric axis 437a' is scaled or displaced laterally compared to the longitudinal axis 437a. Similarly, the distance between the longitudinal row of the clip cavities 434a and the longitudinal slot 135 is shorter than the distance between the longitudinal row of the clip cavities 434a 'and the longitudinal slot 135. In addition, the distance between the axis longitudinal geometric axis 437b and longitudinal slit geometric axis 139 is shorter than the distance between longitudinal geometric axis 437b 'and longitudinal slit geometric axis 139. As a result, longitudinal geometric axis 437b' is staggered or displaced laterally compared to the longitudinal geometric axis 437b. Similarly, the distance between the longitudinal row of the clip cavities 434b and the longitudinal slot 135 is shorter than the distance between the longitudinal row of the clip cavities 434b 'and the longitudinal slot 135. Comparatively, the longitudinal geometric axis 437c and the longitudinal geometric axis 437c 'are equidistant from the longitudinal slot geometric axis 139. Correspondingly, the longitudinal rows of the staple cavities 343c and the staple cavities 343c' are equidistant from the longitudinal slot 135.
    [0110] The longitudinal rows of staple cavities defined in the staple cartridge 430 are not evenly spaced. In many ways, the spacing between the longitudinal rows is different. As can be seen in Figure 20, the spacing of the longitudinal rows of the staple cavities 434a, 434b and 434c on one side of the longitudinal slot 135 is different from the spacing of the rows
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    63/111 longitudinal grooves of clip 434a ', 434b' and 434c 'on the other side of longitudinal slot 135.
    [0111] In addition to the above, the longitudinal geometrical axes 437a, 437a ', 437b, 437b', 437c and 437c 'comprise driving geometry axes. These drive axes are aligned with the drive portions of the clamps 240 and the meat surfaces of the clamp actuators that support the clamps 140, as the case may be. The longitudinal ramps of the slider 450 are aligned with these geometric drive axes. For example, with reference to Figures 20 and 21, the longitudinal ramp 455a of the slider 450 is aligned with the longitudinal geometric axis 437a. Similarly, longitudinal ramp 455b is aligned with longitudinal geometric axis 437b and longitudinal ramp 455c is aligned with longitudinal geometric axis 437c. In addition, the longitudinal ramp 455a 'is aligned with the longitudinal geometric axis 437a', the longitudinal ramp 455b 'is aligned with the longitudinal geometric axis 437b' and the longitudinal ramp 455c 'is aligned with the longitudinal geometric axis 437c'. For this purpose, the longitudinal ramp 455a and the longitudinal geometric axis 437a are at a distance 457a away from the longitudinal slit geometric axis 139, the longitudinal ramp 455b and the longitudinal geometric axis 437b are at a distance 457b away from the longitudinal slit geometric axis. 139, and the longitudinal ramp 455c and the longitudinal geometric axis 437c are at a distance 457c away from the longitudinal slit geometric axis 139. Similarly, the longitudinal ramp 455a 'and the longitudinal geometric axis 437a' are at a distance 457a 'apart from the longitudinal slit geometric axis 139, the longitudinal ramp 455b 'and the longitudinal geometric axis 437b' are at a distance 457b 'away from the longitudinal slit geometric axis 139, and the longitudinal ramp 455c' and the longitudinal geometric axis 437c 'are an
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    64/111 distance 457c 'away from the longitudinal slit geometric axis 139.
    [0112] As seen in Figure 21, none of the distances 457a, 457a ', 457b and 457b' are the same. They are all different. As a result, the slide tracks 450 are asymmetrically spaced.
    [0113] With reference to Figure 21, the slider 450 comprises a central portion 451 configured to move within the longitudinal slot 135 of the cartridge body 432. The central portion 451 is dimensioned and configured to be received within the slot 135, approximately, so that little, if any, lateral movement is allowed between the slider 450 and the cartridge body 432, so that the longitudinal ramps of the slider 450 remain properly aligned with the clamps 240 and with the clamp drivers that are configured to drive the staples 140.
    [0114] Again with reference to Figure 20, the outer rows of staples dispensed by the staple cartridge 430 are wire staples, while the inner and intermediate rows of staples dispensed by the staple cartridge 430 are formed from flat stock and / or stamped. That said, other provisions are foreseen. In at least one case, for example, the intermediate and outer rows of staples dispensed by a staple cartridge are wire staples, while the internal rows of staples dispensed by the staple cartridge are patterned staples. In other cases, for example, the inner and intermediate rows of staples dispensed by a staple cartridge are wire staples, while the outer rows of staples dispensed by the staple cartridge are patterned staples. When a staple cartridge deploys two or more rows of wire staples on one side of a longitudinal slot, two or more rows of staple actuators can be used to deploy the staples from the
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    65/111 staple cartridge. In several cases, a staple cartridge can use double actuators, for example, which are configured to deploy wire staples from two longitudinal rows at the same time that the longitudinal rows comprising the wire staples are adjacent to each other. Other driver arrangements configured to deploy more than two clamps, such as three clamps and / or four clamps, for example, can be used.
    [0115] As a result of the above, the staple cartridge 430 produces an asymmetric pattern of staples on the fabric. Among other things, staple cartridge 430 produces a first staple pattern on the fabric on one first side of the cut line and a second, or different, staple pattern on the fabric on a second side of the cut line.
    [0116] Now with reference to Figures 15 to 19, a staple cartridge 330 comprises a cartridge body 332 including a platform 333 and a longitudinal slot 135 defined there. The longitudinal slit 135 defines a longitudinal slit geometric axis 139 extending through the center thereof. The staple cartridge 330 further comprises a first, or internal, longitudinal row of staple cavities 334a, a second, or intermediate, longitudinal row of staple cavities 334b and a third, or external, longitudinal row of staple cavities 334c in one side of the longitudinal slot 135. The staple cartridge 330 also comprises a first, or internal, longitudinal row of staple cavities 334a ', a second, or intermediate, longitudinal row of staple cavities 334b' and a third, or external, row length of staple cavities 334c 'on the other side of longitudinal slot 135. Staple cavities 334a, 334a', 334b, 334b ', 334c and 334c' are similar to staple cavities on the left 234a (Figures 4 and 6) in many
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    66/111 aspects. Staples 240 are removably stored in staple cavities 334a, 334a ', 334b, 334b', 334c and 334c '.
    [0117] Referring to Figures 16 and 17, the staple cartridge 330 further comprises a slide 350 configured to eject the staples 240 from the cartridge body 332. The slide 350 comprises a longitudinal ramp 355a configured to directly engage the stored staples 240 in the staple cavities 334a, a longitudinal ramp 355a 'configured to directly engage the staples 240 stored in the staple cavities 334a', a longitudinal ramp 355b configured to directly engage the staples 240 stored in the staple cavities 334b and a configured longitudinal ramp 355b 'configured to directly engage the staples 240 stored in the staple cavities 334b '. The slide 350 further comprises a longitudinal ramp 355c configured to directly engage the clamps 240 stored in the clamp cavities 334c and a longitudinal ramp 355c 'configured to directly engage the clamps 240 stored in the clamp cavities 334c'.
    [0118] In addition to the above, the staple cavities 334a are positioned along a longitudinal geometry axis 337a, the staple cavities 334b are positioned along a longitudinal geometry axis 337b, and the staple cavities 334c are positioned along of a longitudinal geometric axis 337c. Similarly, the staple cavities 334a 'are positioned along a longitudinal geometry axis 337a', the second staple cavities 334b 'are positioned along a longitudinal geometry axis 337b' and the staple cavities 334c 'are positioned along the along a longitudinal geometric axis 337c '. The distance between the longitudinal geometric axis 337a and the longitudinal slit geometric axis 139 is less than the distance between the longitudinal geometric axis 337a 'and the geometric axis of
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    67/111 longitudinal slot 139. As a result, the longitudinal geometric axis 337a 'is misaligned or offset laterally with respect to the longitudinal geometric axis 337a. Similarly, the distance between the longitudinal row of the clip cavities 334a and the longitudinal slot 135 is less than the distance between the longitudinal row of the clip cavities 334a 'and the longitudinal slot 135.
    [0119] In addition, the distance between longitudinal geometric axis 337b and longitudinal slot geometric axis 139 is less than the distance between longitudinal geometric axis 337b 'and longitudinal slot geometric axis 139. As a result, the longitudinal geometric axis 337b 'is misaligned or displaced laterally in relation to the longitudinal geometric axis 337b. Similarly, the distance between the longitudinal row of the clip cavities 334b and the longitudinal slot 135 is less than the distance between the longitudinal row of the clip cavities 334b 'and the longitudinal slot 135. In addition, the distance between the geometric axis longitudinal slot 337c and the longitudinal slot 139 axis is shorter than the distance between the longitudinal slot 337c 'and the longitudinal slot 139 axis. As a result, the longitudinal slot 337c' is offset or laterally offset from the axis longitudinal geometric 337c. Similarly, the distance between the longitudinal row of the clip cavities 334c and the longitudinal slot 135 is less than the distance between the longitudinal row of the clip cavities 334c 'and the longitudinal slot 135.
    [0120] In addition to the above, the longitudinal geometric axes 337a, 337a ’, 337b, 337b’, 337c and 337c ’comprise driving geometry axes. These drive axes are aligned with the drive portions of clamps 240. The longitudinal ramps of the slide 350 are aligned with these geometric drive axes. For example, the longitudinal ramp 355a of the slider 350 is aligned with the longitudinal geometric axis 337a. Similarly,
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    68/111 the longitudinal ramp 355b is aligned with the longitudinal geometric axis 337b and the longitudinal ramp 355c is aligned with the longitudinal geometric axis 337c. In addition, longitudinal ramp 355a 'is aligned with longitudinal geometric axis 337a', longitudinal ramp 355b 'is aligned with longitudinal geometric axis 337b' and longitudinal ramp 355c 'is aligned with longitudinal geometric axis 337c'. For this purpose, the longitudinal ramp 355a and the longitudinal geometric axis 337a are at a distance 357a from the geometric axis of the longitudinal slot 139, the longitudinal ramp 355b and the longitudinal geometric axis 337b are at a distance 357b from the geometric axis of the longitudinal slot 139 and the longitudinal ramp 355c and the longitudinal geometric axis 337c are at a distance 357c from the longitudinal slit geometric axis 139. Similarly, the longitudinal ramp 355a 'and the longitudinal geometric axis 337a' are at a distance 357a 'from the geometric axis of the slit longitudinal 139, the longitudinal ramp 355b 'and the longitudinal geometric axis 337b' are at a distance 357b 'from the geometric axis of the longitudinal slit 139 and the longitudinal ramp 355c' and the longitudinal geometric axis 337c 'are at a distance 357c' from the geometric axis of the longitudinal slot 139.
    [0121] With reference mainly to Figure 17, the slider 350 comprises a central portion 351 configured to move within the longitudinal slot 135 of the cartridge body 332. The central portion 351 is dimensioned and configured to be received within the slot 135, so that little, if any, lateral movement is allowed between the slide 350 and the cartridge body 332, so that the longitudinal ramps of the slide 350 remain properly aligned with the clamps 240.
    [0122] Again with reference to Figure 17, a gap 359a is defined between the central portion 351 of the slide 350 and the longitudinal ramp 355a. Similarly, a span 359b is defined between the longitudinal ramp
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    69/111 nal 355a and the longitudinal ramp 355b and a span 359c is defined between the longitudinal ramp 355b and the longitudinal ramp 355c. The span 359a is smaller than the span 359b and, similarly, the span 359b is smaller than the span 359c. Likewise, a gap 359a 'is defined between the central portion 351 of the slide 350 and the longitudinal ramp 355a'. Similarly, a span 359b 'is defined between the longitudinal ramp 355a' and the longitudinal ramp 355b 'and a span 359c' is defined between the longitudinal ramp 355b 'and the longitudinal ramp 355c'. The span 359a 'is smaller than the span 359b' and, similarly, the span 359b 'is smaller than the span 359c'. Other provisions are possible.
    [0123] Figure 18 is a cross-sectional view of the cartridge body 332 illustrating longitudinal channels defined there that connect the staple cavities in the rows of staple cavities and allow the longitudinal ramps of the slide 350 to pass through the cartridge body. 332. For example, a channel 338a longitudinally connects the clamp cavities 334a and is configured to receive the longitudinal ramp 355a from the slide 350. Similarly, a channel 338b longitudinally connects the clamp cavities 334b and is configured to receive the longitudinal ramp 355b of the slide 350 and, in addition, a channel 338c longitudinally connects the staple cavities 334c and is configured to receive the longitudinal ramp 355c of the slide 350. Also, a channel 338a 'longitudinally connects the staple cavities 334a' and is configured to receiving the longitudinal ramp 355a 'of the slide 350, a channel 338b' longitudinally connects the staple cavities 334b 'and is configured to receive the longitudinal ramp 355b' of the slide 350, and a channel 338c 'longitudinally connects the clip cavities 334c' and is configured to receive the longitudinal ramp 355c 'of the slide 350.
    [0124] Referring now to Figure 19, an anvil 320 is configured to be used with the staple cartridge 330. The anvil
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    70/111
    320 comprises training pockets 324 configured to deform the staples 240 removably stored in the staple cartridge 330 when the staples 240 are ejected from the staple cartridge 330. The training pockets 324 are arranged in six longitudinal rows that can be registered with the six longitudinal rows of staple cavities defined in the staple cartridge 330. For example, a longitudinal row of forming pockets 324 is defined along a longitudinal anvil geometry axis 327a which is alignable with the staple leg planes of staples 240 stored in the longitudinal row of staple cavities 334a. Similarly, a longitudinal row of forming pockets 324 is defined along a longitudinal geometric axis of the anvil 327b which is alignable with the staple leg planes of staples 240 stored in the longitudinal row of staple cavities 334b and, in addition , a longitudinal row of forming pockets 324 is defined along the longitudinal geometric axis of the anvil 327c which is alignable with the staple leg planes of the staples 240 stored in the longitudinal row of staple cavities 334c. In addition, a longitudinal row of forming pockets 324 is defined along a longitudinal anvil geometrical axis 327a 'which is alignable with the staple leg planes of staples 240 stored in the longitudinal row of staple cavities 334a', a row The longitudinal axis of forming pockets 324 is defined along a longitudinal anvil geometric axis 327b 'which is alignable with the staple leg planes of the staples 240 stored in the longitudinal row of staple cavities 334b', and a longitudinal line of staple pockets. formation 324 is defined along a longitudinal anvil geometrical axis 327c 'which is alignable with the staple leg planes of staples 240 stored in the longitudinal row of staple cavities 334c'.
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    71/111 [0125] Figure 22 illustrates staples that have different sizes, according to at least one modality. Referring mainly to Figures 22 and 23, a clamp 540 'comprises a crown 542, a proximal clamp leg 544p' and a distal clamp leg 544d '. The clamp 540 'further comprises a proximal connector 548p' which secures the proximal clamp leg 544p 'to the crown 542. The clamp 540' also comprises a distal connector 548d 'which secures the distal clamp leg 544d' to the crown 542. The leg proximal staple 544p 'and distal staple leg 544d' define a foreground leg 550 '. The clamp 540 'additionally comprises a first cam surface which is integrally formed with the crown 542. The first cam surface defines a cam plane 549. The proximal connector 548p' and the distal connector 548d 'define a distance 543' between the plane of the meat 549 and the plane of the first leg 550 '.
    [0126] Referring also to Figures 22 and 23, a clamp 540 comprises a crown 542, a proximal clamp leg 544p and a distal clamp leg 544d. The clamp 540 comprises a proximal connector 548p that secures the proximal clamp leg 544p to the crown 542. The clamp 540 additionally comprises a distal connector 548d that secures the distal clamp leg 544d to the crown 542. The proximal clamp leg 544pe the leg of distal clip 544d define a second leg plane 550. The clip 540 additionally comprises a second cam surface which is integrally formed with the crown 542. The second cam surface defines a cam plane 549. The proximal connector 548p and the distal connector 548d define a distance 543 between the plane of the meat 549 and the second leg plane 550.
    [0127] Again with reference to Figures 22 and 23, a clamp 540 '"comprises a crown 542, a proximal clamp leg 544p'" and a distal clamp leg 544d '". The 540 'clamp buy
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    72/111 attaches a proximal connector 548p 'that secures the proximal clip leg 544p ”' to the crown 542. The clip 540 'further comprises a distal connector 548d' that secures the distal clip leg 544d 'to the crown 542. The proximal clamp 544p 'and the distal clamp leg define a third leg plane 550'. The clamp 540 'additionally comprises a third flesh surface integrally formed with the crown 542. The third flesh surface defines a meat plane 549. The proximal connector 548p' ”and the distal connector 548d '” define a distance 543' ”between the meat plane 549 and the third leg plane 550 '”.
    [0128] As discussed above, the legs 548p 'and 548d' of a clamp 540 'are positioned equidistant from the plane of meat 549 of clamp 540'. Other modalities are provided in which the legs 548p 'and 548d' are not equidistant from the plane of meat 549. In at least one embodiment, the leg 548p 'is positioned even further from the plane of meat 549 than the leg 548d'. Alternatively, leg 548d 'is positioned further away from the plane of meat 549 than leg 548p'. Such arrangements can provide a flow in the clips that increases the flow of blood to the tissue captured by the clips. Similarly, legs 548p and 548d may not be positioned equidistant from the meat plane 549 of clamps 540. In addition, similarly, legs 548p '”and 548d'”, respectively, may not be positioned equidistant from the plane of meat 549 of staples 540 '”.
    [0129] With additional reference to Figures 22 and 23, clamps 540 ', 540 and 540' are comprised of any suitable material, such as those disclosed in connection with clamp 240, for example. The clamps 540 ', 540 and 540' are formed from a single / unitary piece of metal. Other materials, such as plastic, for example, can be used. The staples are stamped using the same
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    73/111 process and / or equivalent processes as described in relation to staples 240 above, for example. In other embodiments, clips 540 ', 540 and 540' are comprised of different materials than those described above in relation to clip 240.
    [0130] As seen mainly in Figures 22 and 23, each of the clips 540 ', 540 and 540' comprises the same crown size 542. In other embodiments, the crowns 542 of the clips 540 ', 540 and / or 540' are many different. The clamps 540 ', 540 "and 540" comprise different widths between their meat planes and their staple leg plans. As described above, clamp 540 'comprises a plane of rib 549 and a first leg plane 550' separated by a first distance 543 ', clamp 540 "comprises a plane of rib 549 and a second leg plane 550" separated by a second distance 543 "and the clamp 540" 'comprises a plane of cam 549 and a third leg plane 550 "separated by a third distance 543"'. The first distance 543 'of the clamp 540' is less than the second distance 543 "of the clamp 540". The first distance 543 'is also less than the third distance 543' of the clamp 540 '. Similarly, the second distance 543 "of the clamp 540 is less than the third distance 543 'of the clamp 540'.
    [0131] Still with reference to Figures 22 and 23, the distances 543 ', 543 ”and 543”' that define the width of each clamp 540 ', 540 ”and 540”', respectively, define the area of the contact surface with the fabric of each staple leg. A clamping pressure is applied to the tissue that is being stapled by the surgical staples with the use of a surgical stapling instrument, as discussed above. The intensity of the clamping pressure applied to the fabric is proportional to the clamping force applied to the fabric and inversely proportional to the area of the contact surface with the fabric. The area of the contact surface with the fabric of each staple leg varies in relation to
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    74/111 at each distance 543 ’, 543” and 543 ’”. More specifically, the clamping pressure applied to the fabric by the fabric contact surface of the staple legs decreases as the distance between the meat planes and the leg planes of the 540 ', 540 "and 540" staples increases. In other words, the clamping pressure applied to the fabric increases as the distance between the meat planes and the leg planes of the 540 ', 540 "and 540" clamps decreases.
    [0132] Furthermore, with reference to Figures 22 and 23, the area of the contact surface of a staple with the fabric increases as the width of the staples 540 ', 540 "and 540" increases. Consequently, the compressive force applied to the fabric captured by a deformed staple is applied to a larger area of the fabric as the staple width increases. As an example, the clip legs 544d ”and 544p” of the clip 540 ”are adjusted to a greater width 543”, in the opposite direction to the crown 542 than the width 543 'of the clip 540' and consequently the pressure applied to the fabric by clamp 540 ”is less than the pressure applied by clamp 540 '. In relation to the clip 540 '", the clip legs 544d'" and 544p '"are arranged in a width 543", which is greater than both the widths 543 "and 543" of the clips 540 "and 540", respectively. Consequently, the pressure applied to the fabric by the clamp 540 'is less than the pressure applied to the fabric by the clamps 540' and 540 ".
    [0133] The area of the fabric contact surface of staples 540 ', 540 "and 540" increases in relation to the cut line. In at least one embodiment, staples 540 'are closer to the cut line and comprise the smallest fabric contact surface in relation to the fabric contact surfaces of staples 540 ”and 540'. In the same embodiment, staples 540 "are located adjacent to staples 540" on the opposite side of the cut line and staples 540 "additionally comprise a contact surface with the fabric
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    75/111 greater than the tissue contact surface of the 540 'clips. The clamps 540 'are located adjacent to the clamps 540 and are the furthest from the cut line. Staples 540 ’” comprise the largest fabric contact surface in relation to the fabric contact surface of staples 540 ’and 540”. [0134] Figure 24 shows a partial plan view of a staple cartridge 530 used to store staples 540 ', 540 ”and 540'” illustrated in Figure 22. With reference to Figures 24 and 25, staple cartridge 530 comprises a cartridge body 532. The cartridge body 532 comprises a platform 533 that supports a patient's tissue, a longitudinal slot 135 and six longitudinal rows of staple cavities defined in the cartridge body 532. Platform 533 comprises a first portion on a first side of the longitudinal slot 135 and a second portion on a second side of the longitudinal slot 135. The first portion and the second portion of the platform 533 each comprise a first longitudinal, or internal, row of clip cavities 534 ', a second longitudinal, or intermediate row 534 ", of staple cavities, and a third longitudinal, or outer row, of 534" staple cavities. Each staple cavity receives and stores a staple in it. The staple cartridge 530 further comprises a plurality of staple actuators, such as the staple actuators 180 discussed above with reference to Figure 3A, for example. The clip drivers push the clips 540 ’, 540” and 540 ’” out of the clip cavities 534 ’, 534’ ”and 534’ ”, respectively.
    [0135] In addition to the above, the first portion of platform 533 comprises a first internal longitudinal row of staple cavities 534 ', a second intermediate longitudinal row of staple cavities 534 ”and a third external longitudinal row of staple cavities 534' ”. The second portion of the 533 platform buy
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    76/111 endows a first internal longitudinal row of clip cavities 534 ', a second intermediate longitudinal row of clip cavities 534 "and a third external longitudinal row of clip cavities 534". In fact, the first portion of platform 533 comprises a mirror image of the second portion of platform 533. This arrangement produces staple lines symmetrical with respect to the cut line created in the fabric as a firing member, such as the firing member 270 discussed. above with respect to Figure 12, for example, being moved in a distal direction through the cartridge body 530 during a firing stroke. Alternatively, the first portion of platform 533 may not be a mirror image of the second portion of platform 533 in some embodiments. Each of the longitudinal rows of the staple cavities 534 ', 534 "and 534'" can be arranged in any suitable order and can store any suitable variation of the staples 540 ', 540 and 540', among others.
    [0136] The longitudinal rows of staple cavities support a plurality of staples 540 ', 540 and 540', illustrated in the Figure. 22. The staple cavities 534 'of the first internal longitudinal row store the staples 540'. The 534 ”staple cavities of the second intermediate longitudinal row store the 540” staples. The staple cavities 534 ’” of the third outer longitudinal row store the staples 540 ’”. In some alternative embodiments, staples 540 'are stored in the outermost rows of staples and staples 540' are stored in the innermost part of the staple rows. In other alternative embodiments, staples 540 are stored in the innermost part of the staple rows and staples 540 'are stored in the intermediate staple rows. In some alternative embodiments, clips 540 'are stored in the rows of intermediate clips and clips 540 are stored in the rows of outermost clips.
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    77/111 [0137] The staple cartridge 530 comprises three rows of staples on each side of the longitudinal slot 135, each of the three rows having different sizes of staples inside. Alternatively, a staple cartridge can comprise some rows comprising the same staple sizes and other rows comprising different staple sizes. In some alternative embodiments, the innermost staple rows and the intermediate staple rows comprise staples 540 ', for example. In other embodiments, the intermediate staple rows and the outermost staple rows comprise 540 ”staples, for example. In some alternative embodiments, the innermost staple rows and the outermost staple rows comprise the 540 ”clips, for example. Alternatively, the innermost staple rows, the intermediate staple rows and the outermost staple rows may comprise any suitable variety or arrangement of staples 540 ', 540 and 540'.
    Examples [0138] Example 1 - A surgical stapling system comprising a drive shaft that includes a proximal end and a distal end, and an end actuator that extends from the distal end of the drive shaft, the end actuator being it is mobile between an open configuration and a closed configuration. The end actuator comprises a frame, an anvil extending distally from the frame, the anvil comprising a longitudinal row of forming pockets, and a first set of staple cartridge attachable to the end actuator. The first staple cartridge assembly comprises a first cartridge body that includes a first longitudinal row of staple cavities and, in addition, a plurality of first staples stored so
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    78/111 removable in the first longitudinal row of staple cavities. Each first clamp is comprised of a flexed wire and is aligned with a forming pocket when the end actuator is in the closed configuration. The surgical stapling system also comprises a second set of staple cartridges that can be attached to the end actuator in place of the first set of staple cartridges. The second staple cartridge assembly comprises a second cartridge body that includes a second longitudinal row of staple wells and, in addition, a plurality of second staples removably stored in the second longitudinal row of staple wells. Each second clamp is formed from a flat stock and is aligned with a forming pocket when the end actuator is in the closed configuration.
    [0139] Example 2 - The surgical stapling system of Example 1, each training pocket comprising a proximal training vessel and a distal training vessel.
    [0140] Example 3 - The surgical stapling system of Examples 1 or 2, each first clamp comprising a proximal leg formed by the proximal formation vessel and a distal leg formed by the distal formation vessel.
    [0141] Example 4 - The surgical stapling system of Examples 1,2 or 3, wherein each second clamp comprises a proximal leg formed by the proximal formation vessel and a distal leg formed by the distal formation vessel.
    [0142] Example 5 - The surgical stapling system of Examples 1,2, 3 or 4, the end actuator additionally comprising a gripper configured to receive the first set of staple cartridges and the second set of staple cartridges, in place of the first staple cartridge assembly.
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    79/111 [0143] Example 6 - The surgical stapling system of Example 5, in which the claw is rotatable in relation to the anvil to position the end actuator in the closed configuration.
    [0144] Example 7 - The surgical stapling system of Examples 5 or 6, in which the anvil is rotatable in relation to the claw to place the end actuator in the closed configuration.
    [0145] Example 8 - The surgical stapling system of example 1, in which the first set of staple cartridge comprises a first clamp fixable to the structure, and the second set of cartridge comprises a second clamp fixable to the structure.
    [0146] Example 9 - The surgical stapling system of Example 8, in which the anvil is rotatable in relation to the structure to place the end actuator in the closed configuration.
    [0147] Example 10-0 surgical stapling system of Examples 8 or 9, in which the first jaw is rotatable with respect to the frame to place the end actuator in the closed configuration when the first jaw is attached to the frame, and the the second jaw is rotatable with respect to the frame to place the end actuator in the closed configuration when the second jaw is attached to the frame.
    [0148] Example 11-0 surgical stapling system of Examples 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10, the first set of staple cartridges comprising staple drivers configured to push the first clamps out of the first clamp cavities, and each second clamp comprising a fully formed clamp driver.
    [0149] Example 12 - a surgical stapling system comprising a drive shaft including a proximal end and a distal end, and an extending end actuator
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    80/111 if from the distal end of the drive shaft, the end actuator being movable between a loose configuration and a stuck configuration. The end actuator comprises a frame, an anvil extending distally from the frame, the anvil comprising a longitudinal row of forming pockets, and a first set of staple cartridge attachable to the end actuator. The first staple cartridge assembly comprises a first cartridge body that includes a first longitudinal row of staple cavities and, in addition, a plurality of first staples removably stored in the first longitudinal row of staple cavities. Each first clamp is comprised of a flexed wire and is aligned with a forming pocket when the end actuator is in the secured configuration. The surgical stapling system also comprises a second set of staple cartridges that can be attached to the end actuator as an alternative to the first set of staple cartridges. The second staple cartridge assembly comprises a second cartridge body that includes a second longitudinal row of staple wells and, in addition, a plurality of second staples removably stored in the second longitudinal row of staple wells. The second clips are stamped from one or more flat sheets of material and are aligned with the forming pockets when the end actuator is in the stuck configuration.
    [0150] Example 13-0 surgical stapling system of Example 12, each training pocket comprising a proximal training vessel and a distal training vessel.
    [0151] Example 14-0 surgical stapling system of Examples 12 or 13, each first clamp comprising a proximal leg, formed by the proximal formation vessel and a distal leg, formed by the distal formation vessel.
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    81/111 [0152] Example 15-0 surgical stapling system of Examples 12, 13 or 14, wherein each second clamp comprises a proximal leg, formed by the proximal formation vessel and a distal leg, formed by the distal formation vessel.
    [0153] Example 16-0 surgical stapling system of Examples 12, 13, 14 or 15, the end actuator additionally comprising a gripper configured to receive the first set of staple cartridge and the second set of staple cartridge as an alternative to the first staple cartridge set.
    [0154] Example 17-0 surgical stapling system of Example 16, the claw rotating in relation to the anvil to position the end actuator in the clamped configuration.
    [0155] Example 18-0 surgical stapling system of Examples 16 or 17, in which the anvil is rotatable with respect to the claw to place the end actuator in the clamped configuration.
    [0156] Example 19-0 surgical stapling system of Example 12, wherein the first set of staple cartridge comprises a first clamp fixable to the structure, and the second set of cartridge comprises a second clamp fixable to the structure.
    [0157] Example 20 - The surgical stapling system of Example 19, in which the anvil is rotatable in relation to the structure to position the end actuator in the stuck configuration.
    [0158] Example 21 - The surgical stapling system of Examples 19 or 20, in which the first jaw is rotatable in relation to the frame to place the end actuator in the secured configuration when the first jaw is attached to the frame, and the second claw is rotatable with respect to the frame to place the end actuator in the clamped configuration when the second claw is secured
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    82/111 attached to the structure.
    [0159] Example 22 - The surgical stapling system of Examples 12, 13, 14, 15, 16, 17, 18, 19, 20 or 21, the first staple cartridge set comprising staple actuators configured to push the first staples out of the first staple cavities, and the second staple comprises an integrally formed staple driver.
    [0160] Example 23 - A surgical fixation system comprising a drive shaft that includes a proximal end and a distal end, and an end actuator that extends from the distal end of the drive shaft, the end actuator being between an open configuration and a closed configuration. The end actuator comprises a frame and an anvil extending distally from the frame, the anvil comprising forming pockets. The surgical fixation system additionally comprises a first set of fastener cartridge that can be attached to the end actuator. The first fastener cartridge assembly comprises a first cartridge body including first fastener wells and, in addition, a plurality of first fasteners removably stored in the first fastener wells. Each first fastener is comprised of a flexed wire, and the first fastener cavities are aligned with the forming pockets when the end actuator is in the closed configuration. The surgical fixation system also comprises a second set of fasteners cartridge that can be attached to the end actuator in place of the first set of fasteners cartridge, the second set of fasteners comprising a second cartridge body including second fasteners and , in addition, a plurality of second fasteners stored removably in the second
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    83/111 fastener holes. Each second fastener is formed from a flat stock, and the second fastener cavities are aligned with the forming pockets when the end actuator is in the closed configuration.
    [0161] Example 24 - A staple cartridge assembly comprising a cartridge body including a proximal end, a distal end, and staple cavities extending between the proximal end and the distal end, and in addition, stored staples removably in the staple cavities, each staple being formed from a flat stock. Each clamp comprises a crown, a proximal leg, a distal leg, the proximal leg and the distal leg defining a clamp leg plane, and an inclined flesh surface that extends from and is integrally formed with the crown, the sloped meat surface defining a meat plane that is different from the staple leg plane. Each clamp also comprises a proximal connector that extends between and is integrally formed with the proximal leg and crown and a distal connector that extends between and is integrally formed with the distal leg and crown, with the inclined flesh surface not extends from the proximal connector, and the inclined flesh surface does not extend from the distal connector. The staple cartridge assembly also comprises a slide configured to engage the inclined meat surfaces of the staples and eject the staples from the staple cavities during a staple firing stroke.
    [0162] Example 25 - The staple cartridge assembly of Example 24, in which the inclined meat surface is flat and in which the proximal connector and the distal connector flex outwardly from the meat plane towards the plane of the leg. clip.
    [0163] Example 26 - The staple cartridge assembly of the
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    84/111
    Examples 24 or 25, in which the inclined meat surface comprises a proximal frontal area in the meat plane.
    [0164] Example 27 - The staple cartridge assembly of Examples 24, 25 or 26, each staple additionally comprising a gap notch between the proximal front area and the proximal connector, and the gap notch is defined in meat plan.
    [0165] Example 28 - The staple cartridge assembly of Examples 24, 25, 26 or 27, the proximal leg and the distal leg of each staple extending outward in non-parallel directions from the crown when the staples are in a non-triggered configuration. [0166] Example 29 - The staple cartridge assembly of Examples 24, 25, 26, 27 or 28, with the proximal and distal legs of the staples being flexed inwardly by the side walls of the staple cavities when the staples are stored in the staple cavities.
    [0167] Example 30 - The staple cartridge assembly of Examples 24, 25, 26, 27, 28 or 29, in which the slide does not engage the proximal connectors and distal connectors of the staples during the staple firing stroke.
    [0168] Example 31 - The staple cartridge assembly of Examples 24, 25, 26, 27, 28, 29 or 30, wherein the entire inclined meat surface is positioned below the proximal staple leg and the staple leg distant.
    [0169] Example 32 - The staple cartridge set of Examples 24, 25, 26, 27, 28, 29, 30 or 31, the inclined meat surface comprising an initial collection point for the slide.
    [0170] Example 33 - A staple cartridge assembly comprising a cartridge body including a proximal end,
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    85/111 a distal end, staple cavities extending between the proximal end and the distal end, and in addition, staples removably stored in the staple cavities, the staples being formed from one or more sheets metallic. Each clamp comprises a crown, a proximal leg, a distal leg and a flesh surface extending from and integrally formed with the crown, the flesh surface defining a flesh plane, and the proximal leg being the distal leg are not in the flesh plane. Each clamp also comprises a proximal connector that extends between and is integrally formed with the proximal leg and crown and a distal connector that extends between and is integrally formed with the distal leg and crown, the flesh surface not being extends from the proximal connector. The staple cartridge assembly also comprises a slide configured to engage the meat surfaces of the staples and eject the staples from the staple cavities during a staple firing stroke.
    [0171] Example 34 - The staple cartridge set of example 33, the meat surface being flat, and the proximal connector and the connector flexing out of the meat plane.
    [0172] Example 35 - The staple cartridge assembly of Examples 33 or 34, the meat surface comprising a proximal front part in the meat plane.
    [0173] Example 36 - The staple cartridge assembly of Examples 33, 34 or 35, each staple additionally comprising a gap notch between the proximal front area and the proximal connector, and the gap notch is defined in meat plan.
    [0174] Example 37 - The staple cartridge assembly of Examples 33, 34, 35 or 36, the proximal leg and the distal leg of each staple extending outward in non-parallel directions from
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    86/111 of the crown when the clamps are in a non-triggered configuration. [0175] Example 38 - The staple cartridge assembly of Examples 33, 34, 35, 36 or 37, the proximal and distal legs of the staples being flexed inwards by the side walls of the staple cavities when the staples are stored in the staple cavities.
    [0176] Example 39 - The staple cartridge set of Examples 33, 34, 35, 36, 37 or 38, the slider not engaging the proximal connectors of the staples during the staple firing stroke.
    [0177] Example 40 - The staple cartridge assembly of Examples 33, 34, 35, 36, 37, 38 or 39, the entire flesh surface of which is positioned below the proximal staple leg and the distal staple leg .
    [0178] Example 41 - The staple cartridge set of Examples 33, 34, 35, 36, 37, 38, 39 or 40, the meat surface comprising an initial collection point for the slide.
    [0179] Example 42 - A staple cartridge assembly comprising a cartridge body including a platform comprising a proximal end and a distal end, a longitudinal slot in the platform, the longitudinal slot being configured to receive a firing member , a first longitudinal row of staple cavities, and a second longitudinal row of staple cavities. The staple cartridge assembly further comprises a movable slide towards the distal end by the firing member during a firing stroke and a plurality of first staples removably stored in the first longitudinal row of staple cavities, each first staple comprising a flexed wire. The staple cartridge assembly also comprises a plurality of staple actuators configured
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    87/111 to hold the first clips, the slide being configured to engage the clip drivers to eject the first clips from the first longitudinal row of clip cavities during the firing stroke, and a plurality of second clips removably stored in the second longitudinal row of clamp cavities, each second clamp being formed from flat stock and comprising an integrally formed driver, and the slider being configured to directly engage the integrally formed drivers of the second clamps and ejecting the second clamps of the second longitudinal row of staple cavities during the firing stroke.
    [0180] Example 43 - The staple cartridge assembly of Example 42, the first longitudinal row of staple cavities being adjacent to the longitudinal slot, and the first longitudinal row of staple cavities being intermediate between the longitudinal slot and the second longitudinal row of staple cavities.
    [0181] Example 44 - The staple cartridge assembly of example 42, the second longitudinal row of staple cavities being adjacent to the longitudinal slot, and the second longitudinal row of staple cavities being intermediate between the longitudinal slot and the first longitudinal row of staple cavities.
    [0182] Example 45 - The staple cartridge assembly of Examples 42, 43 or 44, the cartridge body additionally comprising a third longitudinal row of staple cavities, the staple cartridge assembly further comprising a plurality of third staples removably stored in the third longitudinal row of staple cavities, and each third staple is comprised of a flexed wire.
    [0183] Example 46 - The staple cartridge set of example 45, the third longitudinal row of
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    88/111 clamp is adjacent to the first longitudinal row of clamp cavities, the clamp drivers being configured to hold the third clamps, and the slider being configured to engage the clamp drivers to eject the third clamps in the third row length of staple cavities during the firing stroke.
    [0184] Example 47 - The staple cartridge assembly of example 45, which further comprises a plurality of staple actuators configured to hold the third staples and be engaged by the slide to eject the third staples from the third longitudinal row of staple cavities during the firing stroke.
    [0185] Example 48 - The staple cartridge assembly of Examples 42, 43 or 44, the cartridge body additionally comprising a third longitudinal row of staple cavities, the staple cartridge assembly further comprising a plurality of third staples removably stored in the third longitudinal row of staple cavities, each third staple being formed from flat stock and comprising an integrally formed actuator, and the slider being configured to directly engage the integrally formed actuators of the third staples and eject the third staples from the third longitudinal row of staple cavities during the firing stroke.
    [0186] Example 49 - The staple cartridge assembly of example 48, wherein the third longitudinal row of staple cavities is adjacent to the longitudinal slot, the second longitudinal row of staple cavities being adjacent to the third longitudinal row of cavities staple, and the second longitudinal row of staple cavities is intermediate to the first longitudinal row of staple cavities and the third longitudinal row
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    89/111 of staple cavities.
    [0187] Example 50 - A staple cartridge assembly comprising a cutting member and a cartridge body, the cartridge body including a platform comprising a proximal end and a distal end, a longitudinal slot defined in the platform, the longitudinal slot being configured to receive the cutting member, a first longitudinal row of staple cavities, and a second longitudinal row of staple cavities. The staple cartridge assembly further comprises a movable slide towards the distal end by the cutting member during a firing stroke and a plurality of first staples removably stored in the first longitudinal row of staple cavities, each first staple comprising a flexed wire. The staple cartridge assembly also comprises a plurality of staple actuators configured to hold the first staples, the slider being configured to engage the staple actuators to eject the first staples from the first longitudinal row of staple cavities during the course of firing and, in addition, a plurality of second staples removably stored in the second longitudinal row of staple cavities, the second staples being stamped from one or more metal blades, and the slider being configured to engage the second clips directly and eject the second clips from the second longitudinal row of clip cavities during the firing stroke.
    [0188] Example 51 - The staple cartridge assembly of example 50, the first longitudinal row of staple cavities being adjacent to the longitudinal slot, and the first longitudinal row of staple cavities being intermediate to the longitudinal slot and the Monday
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    90/111 longitudinal row of staple cavities.
    [0189] Example 52 - The staple cartridge assembly of Example 50, the second longitudinal row of staple cavities being adjacent to the longitudinal slot, and the second longitudinal row of staple cavities being intermediate to the longitudinal slot and the first longitudinal row of staple cavities.
    [0190] Example 53 - The staple cartridge assembly of Examples 50, 51 or 52, the cartridge body additionally comprising a third longitudinal row of staple cavities, the staple cartridge assembly further comprising a plurality of third staples removably stored in the third longitudinal row of staple cavities, and each third staple is comprised of a flexed wire.
    [0191] Example 54 - The staple cartridge assembly of Example 53, the third longitudinal row of staple cavities being adjacent to the first longitudinal row of staple cavities, the staple drivers being configured to support the third staples , and the slider is configured to engage the clamp actuators to eject the third clamps from the third longitudinal row of clamp cavities during the firing stroke.
    [0192] Example 55 - The staple cartridge assembly of example 53, which further comprises a plurality of staple actuators configured to support the third staples and be engaged by the slide to eject the third staples from the third longitudinal row of staple cavities during the firing stroke.
    [0193] Example 56 - The clamp cartridge assembly of Examples 50, 51, 52, 53, 54 or 55, the cartridge body additionally comprising a third longitudinal row of clamp cavities, the cartridge assembly being staples comprises
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    91/111 additionally a plurality of third staples removably stored in the third longitudinal row of staple cavities, the third staples being formed from one or more metal blades, and the slider being configured to directly engage the third clips and eject the third clips from the third longitudinal row of staple cavities during the firing stroke.
    [0194] Example 57 - The staple cartridge assembly of Examples 50, 51 or 52, wherein the third longitudinal row of staple cavities is adjacent to the longitudinal slot, the second longitudinal row of staple cavities being adjacent to the third longitudinal row of staple wells, and the second longitudinal row of staple wells is intermediate between the first longitudinal row of staple wells and the third longitudinal row of staple wells.
    [0195] Example 58 - A staple cartridge assembly comprising a cartridge body including a platform comprising a proximal end and a distal end, a longitudinal slot in the platform, the longitudinal slot being configured to receive a firing member and a plurality of staple cavities. The staple cartridge assembly further comprises a movable slide towards the distal end by the firing member during a firing stroke, a plurality of first staples removably stored in the staple cavities, each first staple being comprised of a thread flexed and, in addition, a plurality of clamp actuators, the slider being configured to engage the clamp actuators to eject the first clamps from the clamp cavities during the firing stroke. The staple cartridge assembly also comprises a plurality of second staples
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    92/111 stored removably in the clamp cavities, each second clamp being formed from a flat stock and comprising an integrally formed driver, and the slider being configured to directly engage the integrally formed drivers of the second clamps and eject the second clips from the clip cavities during the firing stroke.
    [0196] Example 59 - A staple cartridge assembly comprising a cartridge body including a proximal end, a distal end, a platform configured to support a patient's tissue, and a plurality of staple cavities defined in the platform. The staple cartridge assembly also comprises a plurality of metal staples removably stored in staple cavities, each metal staple comprising a crown comprising a fabric contact surface, a first leg connected to the crown, a second leg connected to the crown and a driver integrally formed with the crown. In addition, the staple cartridge assembly comprises a movable slide towards the distal end during a firing stroke, the slide being configured to directly engage the actuators of the metallic staples and move each metallic staple between a non-triggered position and a triggered position during the firing stroke, with the contact surfaces with the crown tissue being positioned above the platform when the metal clamps are in the triggered position, and the metal clamp actuators are positioned at least partially below the platform when the metal clips are in the fired position.
    [0197] Example 60 - The staple cartridge assembly of example 59, the cartridge body additionally comprising guides extending from the platform that are configured
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    93/111 das to support and guide the clamp legs above the platform as the metal clamps are moved to the fired position, and the contact surfaces with the crown fabric are at least partially positioned above the guides when the clamps are in the fired position.
    [0198] Example 61 - The clamp cartridge assembly of Examples 59 or 60, the slider comprising one or more actuation surfaces configured to engage the metal clamp actuators, each actuation surface comprising a top surface , and the top surface of each drive surface is completely below the platform.
    [0199] Example 62 - A staple cartridge assembly comprising a cartridge body including a proximal end, a distal end, a platform configured to support a patient's tissue, and a defined staple cavity in the platform. The staple cartridge assembly further comprises a staple removably stored in the staple cavity, the staple including a crown comprising a fabric engaging surface, a first leg extending from the crown, a second leg extends from the crown, and a driver integrally formed with the crown. In addition, the staple cartridge assembly comprises a movable slide towards the distal end during a firing stroke, the slider being configured to directly engage the staple trigger and move the staple between an un-triggered position and a triggered position. during the firing stroke, with the fabric engagement surface of the crown being positioned at least partially above the platform when the clamp is in the firing position, and the actuator is positioned at least partially below
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    94/111 x the platform when the clamp is in the fired position.
    [0200] Example 63 - The staple cartridge assembly of example 62, the cartridge body additionally comprising a guide extending from the platform which is configured to support and guide the first staple leg above the platform as per the clamp is moved to the fired position, and the contact surface with the crown tissue is at least partially positioned above the guide when the clamp is in the fired position.
    [0201] Example 64 - The clamp cartridge assembly of Examples 62 or 63, the slider comprising a drive surface configured to engage the clamp driver, the drive surface comprising a top surface, and the top surface is completely below the platform.
    [0202] Example 65 - A staple cartridge assembly comprising a cartridge body including a proximal end, a distal end, a platform configured to support a patient's tissue, and a defined staple cavity in the platform. The staple cartridge assembly further comprises a staple removably stored in the staple cavity, the staple including a crown comprising a fabric engaging surface, a first leg extending from the crown, a second leg extends from the crown, and a driver integrally formed with the crown. The staple cartridge assembly also comprises a movable firing member towards the distal end during a firing stroke, the firing member being configured to directly engage the staple trigger and move the staple between an un-triggered position and a triggered position during the firing stroke, and
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    95/111 being that the fabric engagement surface of the crown is positioned fully above the platform when the clamp is in the triggered position, and the driver is positioned entirely below the platform when the clamp is in the triggered position.
    [0203] Example 66 - The staple cartridge assembly of example 65, the cartridge body additionally comprising a guide extending from the platform which is configured to support and guide the first staple leg above the platform as the clamp is moved to the fired position, and the contact surface with the crown tissue is fully positioned partially above the guide when the clamp is in the fired position.
    [0204] Example 67 - The clamp cartridge assembly of Examples 65 or 66, the firing member comprising a drive surface configured to engage the clamp driver, the drive surface comprising a top surface, and the top surface being completely below the platform.
    [0205] Example 68 - A staple cartridge assembly comprising a cartridge body, including a platform configured to support the fabric, the longitudinal slot defined in the platform, the longitudinal slot defining a longitudinal slot axis, the the longitudinal slot is configured to receive a cutting member and the platform comprising a first portion of the platform on a first side of the longitudinal slot and a second portion of the platform on a second side of the longitudinal slot. The cartridge body further comprises a first row of staple cavities defined in the first portion of the platform adjacent the longitudinal slot, wherein the first row of staple cavities is defined along a first longitudinal geometric axis, and
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    96/111 where a first distance is defined between the first longitudinal geometric axis and the longitudinal geometric axis. The cartridge body also comprises a second row of staple cavities defined on the second portion of the platform adjacent to the longitudinal slot, the second row of staple cavities being defined along a second longitudinal geometric axis, a second distance being defined between the second longitudinal geometric axis and the longitudinal slit geometric axis, and the second distance is different from the first distance. The staple cartridge assembly further comprises staples removably stored in the first row of staple wells and the second row of staple wells.
    [0206] Example 69 - The staple cartridge assembly of example 68, which additionally comprises a slide, the slide comprising a first longitudinal ramp configured to eject the staples from the first row of staple cavities and a second longitudinal ramp configured for eject the clamps from the second row of clamp cavities.
    [0207] Example 70 - The staple cartridge set of example 69, the first distance being defined between the first longitudinal ramp and the longitudinal slit geometric axis, and the second distance being defined between the second longitudinal ramp and the longitudinal slit geometric axis.
    [0208] Example 71 - A fastener cartridge assembly comprising a cartridge body including a platform configured to support a patient's tissue and a longitudinal slot defined in the platform, the longitudinal slot defining a longitudinal slot axis, being that the longitudinal slot is configured to receive a cutting member and the platform comprising a first portion of platform on a first side of the longitudinal slot
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    97/111 tudinal and a second portion of platform on a second side of the longitudinal slit. The cartridge body further comprises a first row of fastener cavities defined in the first portion of the platform adjacent to the longitudinal slot, the first row of fastener cavities being defined along a first longitudinal geometric axis, and a first distance is defined between the first longitudinal geometric axis and the longitudinal geometric axis. The cartridge body also comprises a second row of fastener cavities defined on the second portion of the platform adjacent to the longitudinal slot, the second row of fastener cavities being defined along a second longitudinal geometric axis, a second distance being defined between the second longitudinal geometric axis and the longitudinal slit geometric axis, and the second distance is different from the first distance. The fastener cartridge assembly further comprises fasteners stored removably in the first row of fasteners and in the second row of fasteners, the fasteners being formed from one or more sheets of material.
    [0209] Example 72 - The fastener cartridge assembly of example 71, the first row of fastener cavities being closer to the longitudinal slot than the second row of fastener cavities.
    [0210] Example 73 - The fastener cartridge assembly of example 71, the second row of fastener cavities being closer to the longitudinal slot than the first row of fastener cavities.
    [0211] Example 74 - The fastener cartridge set of Examples 71, 72 or 73, which additionally comprises a slide, the slide comprising a first long ramp
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    98/111 tudinal configured to eject the fasteners from the first row of fastener cavities and a second longitudinal ramp configured to eject the fasteners from the second row of fastener cavities.
    [0212] Example 75 - The fastener cartridge set of example 74, the first longitudinal ramp being positioned closer to the longitudinal slot than the second longitudinal ramp. [0213] Example 76 - The fastener cartridge set of example 74, in which the second longitudinal ramp is positioned closer to the longitudinal slot than the first longitudinal ramp.
    [0214] Example 77 - A staple cartridge assembly comprising a cartridge body including a platform configured to support a patient's tissue and a longitudinal slot defined in the platform, the longitudinal slot being configured to receive a cutting member , and the platform comprising a first platform portion on a first side of the longitudinal slot and a second platform portion on a second side of the longitudinal slot. The cartridge body further comprises a first row of staple cavities defined in the first platform portion adjacent the longitudinal slot, and a first distance is defined between the first row of staple cavities and the longitudinal slot. The cartridge body also comprises a second row of staple cavities defined in the second platform portion adjacent the longitudinal slot, and a second distance is defined between the second row of staple cavities and the longitudinal slot, and the second distance is different from the first distance. The staple cartridge assembly further comprises staples removably stored in the first row of staple wells and the second row of staple wells.
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    99/111 [0215] Example 78 - The staple cartridge assembly of example 77, which additionally comprises a slide, the slide including a first longitudinal ramp configured to eject the clips from the first row of staple cavities and a second ramp longitudinal line configured to eject the clamps from the second row of clamp cavities.
    [0216] Example 79 - The staple cartridge set of example 78, the first distance being defined between the first longitudinal ramp and the longitudinal slot, and the second distance being defined between the second longitudinal ramp and the longitudinal slot .
    [0217] Example 80 - The staple cartridge assembly of Examples 78 or 79, each staple comprising a crown, a portion of meat formed integrally with the crown, the slider being configured to directly engage the portion of meat, and a tissue squeeze portion displaced from the meat portion.
    [0218] Example 81 - The staple cartridge assembly of example 80, in which the meat portions of the staples are positioned closer to the longitudinal slot than the tissue tightening portions.
    [0219] Example 82 - The staple cartridge assembly of example 80, with the tissue clamping portions of the staples being positioned closer to the longitudinal slot than the meat portions.
    [0220] Example 83 - The staple cartridge set of Examples 77, 78, 79, 80, 81 or 82, the first distance being shorter than the second distance.
    [0221] Example 84 - The staple cartridge assembly of Examples 77, 78, 79, 80, 81 or 82, the second distance being shorter than the first distance.
    [0222] Example 85 - A staple cartridge set that with
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    100/111 comprises a cartridge body, the cartridge body being a first longitudinal row of staple cavities and a second longitudinal row of staple cavities. The staple cartridge assembly also comprises a plurality of first staples removably stored in the first longitudinal row of staple wells and a plurality of second staples removably stored in the second longitudinal row of staple wells. Each first clamp comprises a first crown, a first proximal leg and a first distal leg, the first proximal leg and first distal leg defining a first leg plane. Each first clamp also comprises a first meat surface extending from and formed integrally with the first crown, the first meat surface defining a first meat place. Each first clamp also comprises a first proximal connector, which extends between and is integrally formed with the first proximal leg and the first crown. Each first clamp additionally comprises a first distal connector that extends between and is integrally formed with the first distal leg and the first crown, the first proximal connector and the first distal connector defining a first distance between the first plane of meat and the foreground of leg. Each second clamp comprises a second crown, a second proximal leg and a second distal leg, the second proximal leg and second distal leg defining a second leg plane. Each second clamp comprises a second meat surface also extending from and integrally formed with the second crown, the second meat surface defining a second meat plane. Each second clamp also comprises a second proximal connector that extends between and is integrally formed with the second proximal leg and the second crown. Each second clamp additionally comprises one if
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    101/111 second distal connector that extends between and is integrally formed with the second distal leg and the second crown, with the second proximal connector and the second distal connector defining a second distance between the second plane of flesh and the second plane of leg and the second distance is different from the first distance.
    [0223] Example 86 - The staple cartridge assembly of Example 85, wherein the cartridge body further comprises a longitudinal slot configured to receive a cutting member.
    [0224] Example 87 - The staple cartridge assembly of Examples 85 or 86, the first distance being greater than the second distance, the first longitudinal row of staple cavities being adjacent to the longitudinal slot and the the first longitudinal row of staple cavities is intermediate between the longitudinal slot and the second longitudinal row of staple cavities.
    [0225] Example 88 - The staple cartridge assembly of Examples 85 or 86, the first distance being greater than the second distance, the second longitudinal row of staple cavities being adjacent to the longitudinal slot and the the second longitudinal row of staple cavities is intermediate between the longitudinal slot and the first longitudinal row of staple cavities.
    [0226] Example 89 - The staple cartridge assembly of Examples 85, 86, 87 or 88, in which the first planes of flesh of the first staples are closer to the longitudinal slot than the first planes of legs.
    [0227] Example 90 - The staple cartridge assembly of Examples 85, 86, 87, 88 or 89, in which the second meat planes of the second staples are positioned closer to the longitudinal slot than the second legs planes.
    [0228] Example 91 - The staple cartridge assembly of the
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    102/111
    Examples 85, 86, 87, 88 or 89, the second leg planes of the second clips being positioned closer to the longitudinal slit than the second meat planes.
    [0229] Example 92 - The staple cartridge assembly of Examples 85 or 86, the first planes of legs of the first staples being positioned closer to the longitudinal slot than the first planes of meat.
    [0230] Example 93 - The staple cartridge assembly of Examples 85, 96 or 92, wherein the second meat planes of the second staples are positioned closer to the longitudinal slot than the second leg planes.
    [0231] Example 94 - The staple cartridge assembly of Examples 85, 86 or 92, the second leg planes of the second staples being positioned closer to the longitudinal slot than the second meat planes.
    [0232] Example 95 - The staple cartridge assembly of Example 85, the cartridge body additionally comprising a third longitudinal row of staple cavities and the staple cartridge assembly further comprising a plurality of third stored staples of removable in the third longitudinal row of staple cavities. Each third clamp comprises a third crown, a third proximal leg and a third distal leg, the third proximal leg and third distal leg defining a third clamp leg plane. Each third clamp also comprises a third meat surface extending from and integrally formed with the third crown, the third meat surface defining a third meat plane and a third proximal connector that extends between and is integrally formed with the third proximal leg and the third crown. Each third clamp additionally comprises a third distal connector that is
    Petition 870190056213, of 06/18/2019, p. 136/154
    103/111 extends between and is integrally formed with the third distal leg and the third crown, the third proximal connector and the third distal connector defining a third distance between the third plane of flesh and the third plane of the clamp leg and being that the third distance is different from the second distance and the first distance.
    [0233] Example 96 - The staple cartridge assembly of Example 95, wherein the cartridge body further comprises a longitudinal slot configured to receive a cutting member.
    [0234] Example 97 - the staple cartridge set of Examples 95 or 96, the first planes of meat of the first staples being closer to the longitudinal groove than the first planes of the leg, the second planes of meat of the second staples are closer to the longitudinal slit than the planes of the third leg.
    [0235] Example 98 - The staple cartridge set of Examples 95 or 96, the first leg planes of the first staples being closer to the longitudinal slot than the first planes of meat, the planes of the second leg of the second staples are closer to the longitudinal slit than the second planes of meat and the third leg planes of the third staples are closer to the longitudinal slit than the third planes of meat.
    [0236] Example 99 - The staple cartridge assembly of Example 95, the first planes of the meat of the first staples being aligned longitudinally with respect to each other and the planes of the second meat being aligned longitudinally with respect to each other .
    [0237] Example 100-0 staple cartridge set from Example 95, the first staples and the second staples
    Petition 870190056213, of 06/18/2019, p. 137/154
    104/111 are stamped from a flat stock.
    [0238] Example 101-0 staple cartridge set of Example 95, the first staples and second staples being formed from one or more sheets of material.
    [0239] Example 102 - A staple cartridge assembly comprising a cartridge body, the cartridge body being a first longitudinal row of staple wells and a second longitudinal row of staple wells. The staple cartridge assembly also comprises a plurality of first staples removably stored in the first longitudinal row of staple cavities. Each first clamp comprises a first crown, a first proximal leg and a first distal leg, the first proximal leg and first distal leg defining a first leg plane. Each first clamp also comprises a first actuation surface, which extends from and is integrally formed with the first crown and a first proximal connector that extends between and is integrally formed with the first proximal leg and the first crown. Each first clamp additionally comprises a first distal connector, which extends between and is integrally formed with the first distal leg and the first crown, the first proximal connector and the first distal connector defining a first width between the first crown and the first leg plan. The staple cartridge assembly also comprises a plurality of second staples removably stored in the second longitudinal row of staple cavities. Each second clamp comprises a second crown, a second proximal leg and a second distal leg, the second proximal leg and second distal leg defining a second leg plane. Each second clamp also comprises a second drive surface, extending from and integrally formed with the second crown and a
    Petition 870190056213, of 06/18/2019, p. 138/154
    105/111 second proximal connector that extends between and is integrally formed with the second proximal leg and the second crown. Each second clamp additionally comprises a second distal connector that extends between and is integrally formed with the second distal leg and the second crown, the second proximal connector and the second distal connector defining a second width between the second crown and the second plane leg and the second width is different from the first width.
    [0240] Example 103 - A staple cartridge assembly comprising a cartridge body, the cartridge body being a first longitudinal row of staple wells and a second longitudinal row of staple wells. The staple cartridge assembly also comprises a plurality of first staples removably stored in the first longitudinal row of staple cavities. Each first clamp comprises a first crown, a first proximal leg and a first distal leg, the first proximal leg and the first distal leg defining a first fixation portion. Each first clamp also comprises a first cam integrally formed with the first crown and a first proximal connector extending between, and integrally formed with, the first proximal leg and the first crown. Each first clamp additionally comprises a first distal connector that extends between, and is integrally formed with, the first distal leg and the first crown, the first proximal connector and the first distal connector defining a first width between the first crown and the first fixing portion. The staple cartridge assembly also comprises a plurality of second staples removably stored in the second longitudinal row of staple cavities. Each second clamp comprises a second crown, one if
    Petition 870190056213, of 06/18/2019, p. 139/154
    106/111 second proximal leg and a second distal leg, with the second proximal leg and the second distal leg defining a second fixation portion. Each second clamp also comprises: a second cam integrally formed with the second crown and a second proximal connector that extends between, and is integrally formed with, the second proximal leg and the second crown. Each second clamp additionally comprises a second distal connector that extends between and is integrally formed with the second distal leg and the second crown, the second proximal connector and the second distal connector defining a second width between the second crown and the second portion and the second width is different from the first width.
    [0241] Many of the surgical instrument systems described here are driven by an electric motor; however, the surgical instrument systems described here can be operated in any suitable way. In several examples, the surgical instrument systems described herein can be induced, for example, by a manually operated trigger. In certain cases, the motors disclosed in this document may comprise a portion or portions of a robotically controlled system. In addition, any of the end actuators and / or tool sets shown in the present invention can be used with a robotic surgical instrument system. US patent application serial number 13 / 118,241, entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENT ARRANGEMENTS, now US patent No. 9,072,535, for example, reveals several examples of a robotic surgical instrument system in more detail.
    [0242] The surgical instrument systems described here have been described in connection with the implantation and deformation of the clamps; however, the modalities described in the present invention do not
    Petition 870190056213, of 06/18/2019, p. 140/154
    107/111 are limited in this way. Several modalities are foreseen, which implant fasteners in addition to staples, like claws or tacks, for example. In addition, several modalities are contemplated, which use any suitable means to seal the fabric. For example, an end actuator, according to various modalities, may comprise electrodes configured to heat and seal the tissue. Likewise, for example, an end actuator according to certain modalities, can apply vibrational energy to seal the tissue.
    [0243] The totality of the revelations of:
    - US patent No. 5,403,312, entitled ELECTROSURGICAL HEMOSTATIC DEVICE, which was granted on April 4, 1995;
    - US patent No. 7,000,818, entitled SURGICAL STAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS, which was granted on February 21, 2006;
    - US patent No. 7,422,139, entitled MOTOR-DRIVEN SURGICAL CUTTING AND FASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK, which was granted on September 9, 2008;
    - US patent No. 7,464,849, entitled ELECTROMECHANICAL SURGICAL INSTRUMENT WITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS, which was granted on December 16, 2008;
    - US patent No. 7,670,334, entitled SURGICAL INSTRUMENT HAVING AN ARTICULATING END EFFECTOR, which was granted on March 2, 2010;
    - US patent No. 7,753,245, entitled SURGICAL STAPLING INSTRUMENTS, which was granted on July 13, 2010;
    - US patent No. 8,393,514, entitled SELECTIVELY ORIENTABLE IMPLANTABLE FASTENER CARTRIDGE, which was granted on March 12, 2013;
    Petition 870190056213, of 06/18/2019, p. 141/154
    108/111
    - US patent application serial number 11 / 343,803, entitled SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES; now US patent No. 7,845,537;
    - US patent application serial number 12 / 031,573, entitled SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING RF ELECTRODES, filed on February 14, 2008;
    - US patent application serial number 12 / 031,873, entitled END EFFECTORS FOR A SURGICAL CUTTING AND STAPLING INSTRUMENT, filed on February 15, 2008, now US patent No. 7,980,443;
    - US patent application serial number 12 / 235,782, entitled MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT, now US patent No. 8,210,411;
    - US patent application serial number 12 / 249,117, entitled POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM, now US patent No. 8,608,045;
    - US patent application serial number 12 / 647,100, entitled MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY, filed on December 24, 2009; now US patent No. 8,220,688;
    - US patent application serial number 12 / 893,461, entitled STAPLE CARTRIDGE, filed on September 29, 2012, now US patent No. 8,733,613;
    - US patent application serial number 13 / 036,647, entitled SURGICAL STAPLING INSTRUMENT, filed on February 28, 2011, now US patent No. 8,561,870;
    - US patent application serial number 13 / 118,241, entitled SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STA
    Petition 870190056213, of 06/18/2019, p. 142/154
    109/111
    PLE DEPLOYMENT ARRANGEMENTS, now US patent No. 2012 / 9,072,535;
    - US patent application serial number 13 / 524,049, entitled ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE, filed on June 15, 2012; now US patent No. 9,101,358;
    - US patent application serial number 13 / 800,025, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed on March 13, 2013, now US patent No. 9,345,481;
    US patent application serial number 13 / 800,067, entitled STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM, filed on March 13, 2013, now publication of US patent application No. 2014/0263552;
    - US patent application publication No. 2007/0175955, entitled SURGICAL CUTTING AND FASTENING INSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM, filed on January 31, 2006; and
    - US patent application publication 2010/0264194, entitled SURGICAL STAPLING INSTRUMENT WITH AN ARTICULATABLE END EFFECTOR, filed on April 22, 2010, now US patent No. 8,308,040, are hereby incorporated by reference.
    [0244] Although several devices have been described here in connection with certain modalities, modifications and variations of these modalities can be implemented. Specific resources, structures or characteristics can be combined in any suitable way in one or more modalities. Therefore, the specific resources, structures or characteristics illustrated or described in connection with a modality can be combined, in whole or in part, with the resources, structures or characteristics of one or more
    Petition 870190056213, of 06/18/2019, p. 143/154
    110/111 other modalities, without limitation. In addition, where materials are revealed for certain components, other materials can be used. In addition, according to various modalities, a single component can be replaced by multiple components and multiple components can be replaced by a single component, to perform one or more specific functions. The aforementioned description and the following claims are intended to cover all such modifications and variations.
    [0245] The devices disclosed here can be designed so that they are discarded after a single use, or can be designed so that they are used multiple times. In either case, however, a device can be reconditioned for reuse after at least one use. Reconditioning can include any combination of steps including, but not limited to, disassembling the device followed by cleaning or replacing specific parts of the device and subsequent reassembly of the device. In particular, a reconditioning facility and / or surgical staff can disassemble a device and, after cleaning and / or replacing particular parts of the device, the device can be reassembled for subsequent use. Those skilled in the art will understand that reconditioning a device can use a variety of techniques to disassemble, clean / replace and reassemble. The use of these techniques, as well as the resulting refurbished device, are all within the scope of this application.
    [0246] The devices revealed here can be processed before surgery. First, a new or used instrument can be obtained and, if necessary, cleaned. The instrument can then be sterilized. In a sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK bag. The container and the instrument can then be placed in a field
    Petition 870190056213, of 06/18/2019, p. 144/154
    111/111 radiation that can penetrate the container, such as gamma radiation, X-rays and / or high-energy electrons. Radiation can kill bacteria on the instrument and the container. The sterile instrument can then be stored in a sterile container. The sealed container can keep the instrument sterile until it is opened at the medical facility. A device can also be sterilized using any other known technique, including, but not limited to, beta radiation, gamma radiation, ethylene oxide, plasma peroxide and / or water vapor.
    [0247] Although this invention has been described as having exemplary designs, the present invention can be further modified within the spirit and scope of the disclosure. It is intended, therefore, that this application covers any variations, uses or adaptations of the invention with the use of its general principles.
    [0248] Any patent, publication or other description material, in whole or in part, that is said to be incorporated into the present invention as a reference, is incorporated into the present invention only to the extent that the incorporated materials do not conflict with existing definitions, statements or other description material presented in this description. Accordingly, and to the extent necessary, the disclosure as explicitly presented herein replaces any conflicting material incorporated by reference to the present invention. Any material, or portion thereof, which is incorporated herein by reference, but which conflicts with the definitions, statements, or other disclosure materials contained herein, will be incorporated here only insofar as there is no conflict between the material embedded and existing disclosure material.
    权利要求:
    Claims (19)
    [1]
    1. Staple cartridge set, characterized by comprising:
    a cartridge body comprising:
    a first longitudinal row of staple cavities; and a second longitudinal row of staple cavities;
    a plurality of first staples removably stored in said first longitudinal row of staple cavities, each said first staple comprising:
    a first crown;
    a first proximal leg;
    a first distal leg, said first proximal leg and said first distal leg defining a first leg plane;
    a first surface of meat extending from, and integrally formed with, said first crown, said first surface of meat defining a first plane of meat;
    a first proximal connector that extends between, and is integrally formed with said first proximal leg and said first crown; and a first distal connector extending between, and formed integrally with, said first distal leg and said first crown, said first proximal connector and said first distal connector defining a first distance between said first plane of meat and said first leg plan;
    a plurality of second staples removably stored in said second longitudinal row of staple cavities, each of said second staples comprising:
    a second crown;
    Petition 870190056213, of 06/18/2019, p. 146/154
    [2]
    2/8 a second proximal leg;
    a second distal leg, said second proximal leg and said second distal leg defining a second leg plane;
    a second meat surface extending from, and integrally formed with, said second crown, said second meat surface defining a second meat plane;
    a second proximal connector extending between, and integrally formed with, said second proximal leg and said second crown; and a second distal connector extending between, and integrally formed with, said second distal leg and said second crown, said second proximal connector and said second distal connector defining a second distance between said second plane of meat and said second leg plan, and said second distance being different from said first distance.
    Staple cartridge assembly according to claim 1, characterized in that said cartridge body further comprises a longitudinal slot configured to receive a cutting member.
    [3]
    Staple cartridge assembly according to claim 2, characterized in that said first distance is greater than said second distance, said first longitudinal row of staple cavities being adjacent to said longitudinal slot, and that said first longitudinal row of staple cavities is intermediate between said longitudinal slot and said second longitudinal row of staple cavities.
    [4]
    4. Staple cartridge assembly, according to claim 2, characterized in that said first distance is greater than said second distance, said second long row
    Petition 870190056213, of 06/18/2019, p. 147/154
    3/8 tudinal of staple cavities is adjacent to said longitudinal slot, and said second longitudinal row of staple cavities is intermediate between said longitudinal slot and said first longitudinal row of staple cavities.
    [5]
    5. Staple cartridge assembly according to claim 2, characterized in that said first planes of flesh of said first staples are closer to said longitudinal slot than said first planes of leg.
    [6]
    6. Staple cartridge assembly according to claim 5, characterized in that said second meat planes of said second staples are closer to said longitudinal slot than said second leg planes.
    [7]
    7. Staple cartridge assembly according to claim 5, characterized in that said second leg planes of said second staples are closer to said longitudinal slot than said second planes of meat.
    [8]
    8. Staple cartridge assembly according to claim 2, characterized in that said first leg planes of said first staples are closer to said longitudinal slot than said first planes of meat.
    [9]
    9. Staple cartridge assembly according to claim 8, characterized in that said second meat planes of said second staples are closer to said longitudinal slot than said second leg planes.
    [10]
    10. Staple cartridge assembly according to claim 8, characterized in that said second leg planes of said second staples are closer to said longitudinal slot than said second planes of meat.
    [11]
    11. Staple cartridge assembly according to claim 1, characterized in that said cartridge body comprises
    Petition 870190056213, of 06/18/2019, p. 148/154
    4/8 additionally a third longitudinal row of staple cavities, said staple cartridge assembly further comprising a plurality of third staples removably stored in said third longitudinal row of staple cavities and each said third staple comprising :
    a third crown;
    a third proximal leg;
    a third distal leg, said third proximal leg and said third distal leg defining a third staple leg plane;
    a third meat surface extending from, and integrally formed with, said third crown, said third meat surface defining a third meat plane;
    a third proximal connector extending between, and integrally formed with, said third proximal leg and said third crown; and a third distal connector which extends between, and is integrally formed with, said third distal leg and said third crown, said third proximal connector and said third distal connector defining a third distance between said third plane of meat and said third staple leg plane, and said third distance being different from said second distance and said first distance.
    [12]
    Staple cartridge assembly according to claim 11, characterized in that said cartridge body further comprises a longitudinal slot configured to receive a cutting member.
    [13]
    13. Staple cartridge assembly according to claim 12, characterized in that said first planes of flesh of said first staples are closer to said slot
    Petition 870190056213, of 06/18/2019, p. 149/154
    5/8 longitudinal than said first leg planes, said second meat planes of said second clamps being closer to said longitudinal slit than said second leg planes, and said third meat planes of said third clips are closer to said longitudinal slit than said third leg planes.
    [14]
    14. Staple cartridge assembly according to claim 12, characterized in that said first leg planes of said first staples are closer to said longitudinal slit than said first planes of meat, said second leg planes being of said second clips are closer to said longitudinal slot than said second planes of meat, and said third leg planes of said third clips are closer to said longitudinal slot than said third planes of meat.
    [15]
    15. Staple cartridge assembly according to claim 1, characterized in that said first planes of meat of said first staples are longitudinally aligned with each other and said second planes of meat are aligned longitudinally with each other.
    [16]
    16. Staple cartridge assembly according to claim 1, characterized in that said first staples and said second staples are stamped from a flat stock.
    [17]
    17. Staple cartridge assembly according to claim 1, characterized in that said first staples and said second staples are formed from one or more sheets of material.
    [18]
    18. Staple cartridge set, characterized by comprising:
    a cartridge body comprising:
    Petition 870190056213, of 06/18/2019, p. 150/154
    6/8 a first longitudinal row of staple cavities; and a second longitudinal row of staple cavities;
    a plurality of first staples removably stored in said first longitudinal row of staple cavities, each said first staple comprising:
    a first crown;
    a first proximal leg;
    a first distal leg, said first proximal leg and said first distal leg defining a first leg plane;
    a first drive surface extending from, and integrally formed with, said first crown;
    a first proximal connector that extends between, and is integrally formed with said first proximal leg and said first crown; and a first distal connector extending between, and integrally formed with, said first distal leg and said first crown, said first proximal connector and said first distal connector defining a first width between said first crown and said first leg plan; and a plurality of second staples removably stored in said second longitudinal row of staple cavities, each of said second staples comprising:
    a second crown;
    a second proximal leg;
    a second distal leg, said second proximal leg and said second distal leg defining a second leg plane;
    a second drive surface that extends to
    Petition 870190056213, of 06/18/2019, p. 151/154
    7/8 from, and is integrally formed with, said second crown;
    a second proximal connector extending between, and integrally formed with, said second proximal leg and said second crown; and a second distal connector extending between, and integrally formed with, said second distal leg and said second crown, said second proximal connector and said second distal connector defining a second width between said second crown and said second leg plane, and said second width being different from said first width.
    [19]
    19. Staple cartridge set, characterized by comprising:
    a cartridge body comprising:
    a first longitudinal row of staple cavities; and a second longitudinal row of staple cavities;
    a plurality of first staples removably stored in said first longitudinal row of staple cavities, each said first staple comprising:
    a first crown;
    a first proximal leg;
    a first distal leg, said first proximal leg and said first distal leg defining a first grip portion;
    a first meat formed integrally with said first crown;
    a first proximal connector that extends between, and is integrally formed with said first proximal leg and said first crown; and a first distal connector that extends between, and is integrally formed with, said first distal leg and said first
    Petition 870190056213, of 06/18/2019, p. 152/154
    8/8 crown, said first proximal connector and said first distal connector defining a first width between said first crown and said first clamping portion; and a plurality of second staples removably stored in said second longitudinal row of staple cavities, each of said second staples comprising:
    a second crown;
    a second proximal leg;
    a second distal leg, said second proximal leg and said second distal leg defining a second clamping portion;
    a second meat formed integrally with said second crown;
    a second proximal connector extending between, and integrally formed with, said second proximal leg and said second crown; and a second distal connector extending between, and integrally formed with, said second distal leg and said second crown, said second proximal connector and said second distal connector defining a second width between said second crown and said second clamping portion, and said second width being different from said first width.
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    同族专利:
    公开号 | 公开日
    WO2018118405A1|2018-06-28|
    MX2019007429A|2019-10-24|
    US10993715B2|2021-05-04|
    JP2020501799A|2020-01-23|
    EP3338697B1|2019-11-20|
    US20180168617A1|2018-06-21|
    CN110099616A|2019-08-06|
    EP3338697A1|2018-06-27|
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    法律状态:
    2021-10-13| B350| Update of information on the portal [chapter 15.35 patent gazette]|
    优先权:
    申请号 | 申请日 | 专利标题
    US15/385,917|US10993715B2|2016-12-21|2016-12-21|Staple cartridge comprising staples with different clamping breadths|
    PCT/US2017/064508|WO2018118405A1|2016-12-21|2017-12-04|Staple cartridge comprising staples with different clamping breadths|
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