CN112153945A - Cartridge including latch key configured to lift firing member - Google Patents

Cartridge including latch key configured to lift firing member Download PDF

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Publication number
CN112153945A
CN112153945A CN201980034813.3A CN201980034813A CN112153945A CN 112153945 A CN112153945 A CN 112153945A CN 201980034813 A CN201980034813 A CN 201980034813A CN 112153945 A CN112153945 A CN 112153945A
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anvil
surgical
patent application
cartridge
staple cartridge
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Chinese (zh)
Inventor
F·E·谢尔顿四世
J·L·哈里斯
C·P·布德雷奥克斯
G·J·巴克斯
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Ethicon LLC
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Ethicon LLC
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Priority claimed from US16/281,670 external-priority patent/US11406382B2/en
Application filed by Ethicon LLC filed Critical Ethicon LLC
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Abstract

本发明公开了一种外科缝合组件(45000)。该外科缝合组件包括被构造成能够在该外科缝合组件中接收钉仓(45300)的缝合器械。该缝合器械包括第一钳口(45200)、能够相对于第一钳口运动的第二钳口(45400)、被构造成能够推动滑动件(45340)以部署钉的击发构件(45520)、以及闭锁件,该闭锁件被构造成能够在钉仓未正确地安置在缝合器械内时并且当钉仓的滑动件未处于未击发位置时防止击发构件朝远侧推进,其中当钉仓完全安置在缝合器械中时,钉仓的闭锁键(45300)使闭锁件的第一阶段失效,并且其中当滑动件处于未击发位置并且钉仓完全安置在缝合器械中时,滑动件(45340)使闭锁件的第二阶段失效。

Figure 201980034813

The present invention discloses a surgical suture assembly (45000). The surgical stapling assembly includes a stapling instrument configured to receive a staple cartridge (45300) in the surgical stapling assembly. The stapling instrument includes a first jaw (45200), a second jaw (45400) movable relative to the first jaw, a firing member (45520) configured to push a slider (45340) to deploy staples, and A latch configured to prevent distal advancement of the firing member when the staple cartridge is not properly seated within the stapling instrument and when the staple cartridge slide is not in the unfired position, wherein when the staple cartridge is fully seated in the stapling instrument The latch key (45300) of the staple cartridge deactivates the first stage of the latch when in the stapling instrument, and wherein the slide (45340) deactivates the latch when the slide is in the unfired position and the cartridge is fully seated in the stapling instrument The second stage fails.

Figure 201980034813

Description

包括被构造成能够提升击发构件的闭锁键的钉仓Cartridge including latch key configured to lift firing member

相关申请的交叉引用CROSS-REFERENCE TO RELATED APPLICATIONS

本申请要求2019年2月19日提交的名称为“METHODS FOR CONTROLLING A POWEREDSURGICAL STAPLER THAT HAS SEPARATE ROTARY CLOSURE AND FIRING SYSTEMS”的美国临时专利申请序列号62/807,310、2019年2月19日提交的名称为“SURGICAL STAPLINGDEVICES WITH IMPROVED LOCKOUT SYSTEMS”的美国临时专利申请序列号62/807,319、以及2019年2月19日提交的名称为“SURGICAL STAPLING DEVICES WITH IMPROVED ROTARYDRIVEN CLOSURE SYSTEMS”的美国临时专利申请序列号62/807,309的权益,这些申请的公开内容全文以引用方式并入本文。本申请要求2018年3月30日提交的名称为“SURGICALSYSTEMS WITH OPTIMIZED SENSING CAPABILITIES”的美国临时专利申请序列号62/650,887的权益,该申请的公开内容全文以引用方式并入本文。本申请要求2018年3月28日提交的名称为“INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATIONCAPABILITIES”的美国临时专利申请序列号62/649,302、2018年3月28日提交的名称为“DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS AND CREATE ANONYMIZEDRECORD”的美国临时专利申请序列号62/649,294、2018年3月28日提交的名称为“SURGICALHUB SITUATIONAL AWARENESS”的美国临时专利申请序列号62/649,300、2018年3月28日提交的名称为“SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATINGTHEATER”的美国临时专利申请序列号62/649,309、2018年3月28日提交的名称为“COMPUTERIMPLEMENTED INTERACTIVE SURGICAL SYSTEMS”的美国临时专利申请序列号62/649,310、2018年3月28日提交的名称为“USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TODETERMINE PROPERTIES OF BACK SCATTERED LIGHT”的美国临时专利申请序列号62/649,291、2018年3月28日提交的名称为“ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICALDEVICES”的美国临时专利申请序列号62/649,296、2018年3月28日提交的名称为“CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER”的美国临时专利申请序列号62/649,333、2018年3月28日提交的名称为“CLOUD-BASED MEDICALANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES”的美国临时专利申请序列号62/649,327、2018年3月28日提交的名称为“DATA HANDLING ANDPRIORITIZATION IN A CLOUD ANALYTICS NETWORK”的美国临时专利申请序列号62/649,315、2018年3月28日提交的名称为“CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES”的美国临时专利申请序列号62/649,313、2018年3月28日提交的名称为“DRIVE ARRANGEMENTSFOR ROBOT-ASSISTED SURGICAL PLATFORMS”的美国临时专利申请序列号62/649,320、2018年3月28日提交的名称为“AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICALPLATFORMS”的美国临时专利申请序列号62/649,307、以及2018年3月28日提交的名称为“SENSING ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS”的美国临时专利申请序列号62/649,323的权益,这些申请的公开内容全文以引用方式并入本文。This application claims U.S. Provisional Patent Application Serial No. 62/807,310, filed on February 19, 2019, entitled "METHODS FOR CONTROLLING A POWEREDSURGICAL STAPLER THAT HAS SEPARATE ROTARY CLOSURE AND FIRING SYSTEMS", filed on February 19, 2019, entitled US Provisional Patent Application Serial No. 62/807,319 for "SURGICAL STAPLINGDEVICES WITH IMPROVED LOCKOUT SYSTEMS" and US Provisional Patent Application Serial No. 62/807,309 for "SURGICAL STAPLING DEVICES WITH IMPROVED ROTARYDRIVEN CLOSURE SYSTEMS", filed February 19, 2019 , the disclosures of these applications are incorporated herein by reference in their entirety. This application claims the benefit of U.S. Provisional Patent Application Serial No. 62/650,887, filed March 30, 2018, entitled "SURGICAL SYSTEMS WITH OPTIMIZED SENSING CAPABILITIES," the disclosure of which is incorporated herein by reference in its entirety. This application claims US Provisional Patent Application Serial No. 62/649,302, filed March 28, 2018, entitled "INTERACTIVE SURGICAL SYSTEMS WITH ENCRYPTED COMMUNICATION CAPABILITIES," and entitled "DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS." AND CREATE ANONYMIZEDRECORD" U.S. Provisional Patent Application Serial No. 62/649,294, filed March 28, 2018, U.S. Provisional Patent Application Serial No. 62/649,300, filed March 28, 2018, titled "SURGICALHUB SITUATIONAL AWARENESS" U.S. Provisional Patent Application Serial No. 62/649,309 for "SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES IN OPERATINGTHEATER," U.S. Provisional Patent Application Serial No. 62/649,310, filed March 28, 2018, entitled "COMPUTERIMPLEMENTED INTERACTIVE SURGICAL SYSTEMS," U.S. Provisional Patent Application Serial No. 62/649,291, filed March 28, 2018, entitled "USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TODETERMINE PROPERTIES OF BACK SCATTERED LIGHT," filed March 28, 2018, entitled US Provisional Patent Application Serial No. 62/649,296 for "ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES", US Provisional Patent Application Serial No. for "CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION AND RECOMMENDATIONS TO A USER" filed March 28, 2018 62/649,333, U.S. Provisional Patent Application Serial No. 62/649,327, filed March 28, 2018, entitled "CLOUD-BASED MEDICALANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES," filed March 28, 2018 US Provisional Patent Application Serial No. 62/649,315, entitled "DATA HANDLING ANDPRIORITIZATION IN A CLOUD ANALYTICS NETWORK," US Provisional Patent Application Serial No. 62, entitled "CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES," filed March 28, 2018 /649,313, U.S. Provisional Patent Application Serial No. 62/649,320, filed March 28, 2018, entitled "DRIVE ARRANGEMENTSFOR ROBOT-ASSISTED SURGICAL PLATFORMS," filed March 28, 2018, entitled "AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT- ASSISTED SURGICAL PLATFORMS" U.S. Provisional Patent Application Serial No. 62/649,307, and U.S. Provisional Patent Application Serial No. 62/649,323, filed March 28, 2018, entitled "SENSING ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS", these applications The disclosure of the entirety of is incorporated herein by reference.

背景技术Background technique

本发明涉及外科器械,并且在各种布置中,涉及被设计成缝合和切割组织的外科缝合和切割器械以及与其一起使用的钉仓。The present invention relates to surgical instruments and, in various arrangements, to surgical stapling and cutting instruments designed to staple and cut tissue and staple cartridges for use therewith.

附图说明Description of drawings

本文所述的实施方案的各种特征连同其优点可结合如下附图根据以下描述来加以理解:The various features of the embodiments described herein, along with their advantages, can be understood from the following description in conjunction with the accompanying drawings:

图1为动力外科缝合系统的透视图;1 is a perspective view of a powered surgical suturing system;

图2为图1的动力外科缝合系统的可互换外科轴组件的透视图;2 is a perspective view of an interchangeable surgical shaft assembly of the powered surgical stapling system of FIG. 1;

图3为图1的动力外科缝合系统的柄部组件的各部分的分解组装视图;3 is an exploded assembled view of portions of the handle assembly of the powered surgical stapling system of FIG. 1;

图4为图2的可互换外科轴组件的分解组装视图;Figure 4 is an exploded assembly view of the interchangeable surgical shaft assembly of Figure 2;

图5为图4的可互换外科轴组件的一部分的另一个局部分解组装视图;Figure 5 is another partially exploded assembly view of a portion of the interchangeable surgical shaft assembly of Figure 4;

图6为另一个动力外科缝合系统的透视图;6 is a perspective view of another powered surgical suturing system;

图7为图6的动力外科缝合系统的轴组件的部分的分解组装视图;7 is an exploded assembled view of a portion of the shaft assembly of the powered surgical stapling system of FIG. 6;

图8为图6的动力外科缝合系统的柄部组件的各部分的分解组装视图;8 is an exploded assembled view of portions of the handle assembly of the powered surgical stapling system of FIG. 6;

图9为可与旋转动力外科缝合系统一起使用的另一个外科端部执行器的侧正视图;9 is a side elevational view of another surgical end effector usable with a rotary powered surgical stapling system;

图10是图9的外科端部执行器的分解组装视图;Figure 10 is an exploded assembled view of the surgical end effector of Figure 9;

图11为可与图9和图10的外科端部执行器一起使用的旋转动力击发构件的分解组装视图;11 is an exploded assembly view of a rotationally powered firing member usable with the surgical end effector of FIGS. 9 and 10;

图12为图9的外科端部执行器的局部剖视图,其示出了新的未击发外科钉仓在其中的初始插入;12 is a partial cross-sectional view of the surgical end effector of FIG. 9 showing initial insertion of a new unfired surgical staple cartridge therein;

图13为图12的外科端部执行器在已将外科钉仓可操作地安装在其中之后的另一个局部剖视图;13 is another partial cross-sectional view of the surgical end effector of FIG. 12 after the surgical staple cartridge has been operably installed therein;

图14为示出图13的端部执行器的击发构件和凸轮作用组件的放大局部剖视图;14 is an enlarged partial cross-sectional view showing the firing member and cam action assembly of the end effector of FIG. 13;

图15为在将新的外科钉仓插入其中之前并且其中其击发构件闭锁组件处于锁定位置的图9的外科端部执行器的另一个局部剖视图;15 is another partial cross-sectional view of the surgical end effector of FIG. 9 prior to insertion of a new surgical staple cartridge therein and with its firing member latch assembly in a locked position;

图16为示出图15的端部执行器的击发构件和闭锁凸耳的放大局部剖视图,其中为清楚起见省略了凸轮作用组件和端部执行器通道;16 is an enlarged partial cross-sectional view showing the firing member and latching lug of the end effector of FIG. 15, with the cam action assembly and end effector passageway omitted for clarity;

图17为另一个外科端部执行器的侧正视图,其中其砧座处于打开位置;Figure 17 is a side elevational view of another surgical end effector with its anvil in an open position;

图18为图17的外科端部执行器的局部底部透视图;Figure 18 is a partial bottom perspective view of the surgical end effector of Figure 17;

图19为图17的外科端部执行器的通道安装特征部和砧座闭锁弹簧的透视图;Figure 19 is a perspective view of the channel mounting feature and anvil latch spring of the surgical end effector of Figure 17;

图20为其中未安装有外科钉仓并且其砧座处于锁定位置的图17的外科端部执行器的局部底部透视图;20 is a partial bottom perspective view of the surgical end effector of FIG. 17 with the surgical staple cartridge not installed and its anvil in a locked position;

图21为在兼容外科钉仓已安装在其中并且砧座闭锁弹簧已运动到解锁位置后的图20的外科端部执行器的另一个局部底部透视图;21 is another partial bottom perspective view of the surgical end effector of FIG. 20 after a compatible surgical staple cartridge has been installed therein and the anvil latching spring has been moved to an unlocked position;

图22为图21所示的外科钉仓的近侧端部部分的透视图;Figure 22 is a perspective view of the proximal end portion of the surgical staple cartridge shown in Figure 21;

图23为外科钉仓以及外科端部执行器的对应砧座和砧座闭锁系统的局部分解组装视图;23 is a partially exploded assembled view of the surgical staple cartridge and the corresponding anvil and anvil latching system of the surgical end effector;

图24为外科钉仓以及另一个外科端部执行器的对应砧座和砧座闭锁系统的局部分解组装视图;24 is a partially exploded assembled view of a surgical staple cartridge and a corresponding anvil and anvil latching system of another surgical end effector;

图25为其中装载有兼容外科钉仓的另一个端部执行器的通道的局部底视图,其中为清楚起见省略了兼容外科钉仓的各部分;25 is a partial bottom view of a channel of another end effector with a compatible surgical staple cartridge loaded therein, with portions of the compatible surgical staple cartridge omitted for clarity;

图26为图25的外科端部执行器的一部分的侧正视图,其中为了清楚起见省略了通道、砧座和仓的各部分;Figure 26 is a side elevational view of a portion of the surgical end effector of Figure 25 with portions of the channel, anvil and cartridge omitted for clarity;

图27为图25和图26的外科端部执行器的局部剖面端视图,其中砧座示出为在兼容外科钉仓上处于闭合位置;Figure 27 is a partial cutaway end view of the surgical end effector of Figures 25 and 26 with the anvil shown in a closed position on a compatible surgical staple cartridge;

图28为图25和图26的外科端部执行器的另一个局部剖面端视图,其中其砧座示出为处于锁定打开位置;Figure 28 is another partial cutaway end view of the surgical end effector of Figures 25 and 26 with its anvil shown in a locked open position;

图29为图25和图26的外科端部执行器的砧座锁的侧正视图,该外科端部执行器被示出为处于锁定构型和解锁构型(以虚线显示);29 is a side elevational view of the anvil lock of the surgical end effector of FIGS. 25 and 26 shown in a locked configuration and an unlocked configuration (shown in phantom);

图30为另一个外科端部执行器的一部分的侧正视图,其中为了清楚起见省略了通道、砧座和仓的部分;Figure 30 is a side elevational view of a portion of another surgical end effector with portions of the channel, anvil and cartridge omitted for clarity;

图31为图30的外科端部执行器的砧座锁的前正视图;Figure 31 is a front elevational view of the anvil lock of the surgical end effector of Figure 30;

图32为图31的砧座锁的顶视图;Figure 32 is a top view of the anvil lock of Figure 31;

图33为另一个外科端部执行器的剖面侧视图,其中其砧座处于打开位置并且其中安装有兼容外科钉仓;33 is a cross-sectional side view of another surgical end effector with its anvil in an open position and with a compatible surgical staple cartridge installed therein;

图34为与图33的外科端部执行器的砧座锁定特征部的一部分相关的图33的兼容外科钉仓的近侧端部的局部透视图;34 is a partial perspective view of the proximal end of the compatible surgical staple cartridge of FIG. 33 in relation to a portion of the anvil locking feature of the surgical end effector of FIG. 33;

图35为图33的外科端部执行器的通道的一部分和插入其中的图33的兼容外科钉仓的轮廓的顶视图;35 is a top view of a portion of a channel of the surgical end effector of FIG. 33 and an outline of the compatible surgical staple cartridge of FIG. 33 inserted therein;

图36为图33的外科端部执行器的另一个剖面侧视图,其中其砧座在将不兼容外科钉仓初始安装在其中期间处于打开位置;Figure 36 is another cross-sectional side view of the surgical end effector of Figure 33 with its anvil in an open position during initial installation of an incompatible surgical staple cartridge therein;

图37为另一个外科端部执行器的剖面侧视图,其中其砧座在将兼容外科钉仓安装在其中期间处于打开位置;37 is a cross-sectional side view of another surgical end effector with its anvil in an open position during installation of a compatible surgical staple cartridge therein;

图38为另一个外科端部执行器的各部分的剖面侧视图,在其中安装兼容外科钉仓期间其砧座处于打开位置;38 is a cross-sectional side view of portions of another surgical end effector with its anvil in an open position during installation of a compatible surgical staple cartridge therein;

图39为另一个外科端部执行器的各部分的剖面侧视图,其中其砧座在将兼容外科钉仓安装在其中期间处于打开位置;39 is a cross-sectional side view of portions of another surgical end effector with its anvil in an open position during installation of a compatible surgical staple cartridge therein;

图40为图39的端部执行器在将不兼容仓安装在其中期间的剖面侧视图;40 is a cross-sectional side view of the end effector of FIG. 39 during installation of an incompatible cartridge therein;

图41为砧座的近侧端部部分的局部透视图;41 is a partial perspective view of the proximal end portion of the anvil;

图42为另一个砧座的近侧端部部分的局部透视图;Figure 42 is a partial perspective view of a proximal end portion of another anvil;

图43为另一个外科端部执行器的各部分的局部剖面端视图;Figure 43 is a partial cutaway end view of portions of another surgical end effector;

图44为图43的外科端部执行器的砧座的近侧端部部分的局部透视图;Figure 44 is a partial perspective view of the proximal end portion of the anvil of the surgical end effector of Figure 43;

图45为图43的外科端部执行器的通道和砧座锁的一部分的局部剖面透视图,其中砧座锁处于锁定位置;Figure 45 is a partial cutaway perspective view of a passageway and a portion of the anvil lock of the surgical end effector of Figure 43 with the anvil lock in a locked position;

图46为图43的外科端部执行器的局部侧正视图,其中砧座处于打开位置并且其砧座锁以虚线示出为处于锁定位置;46 is a partial side elevational view of the surgical end effector of FIG. 43 with the anvil in an open position and its anvil lock shown in phantom in a locked position;

图47为图43的外科端部执行器的通道和砧座锁的一部分的另一个局部剖面透视图,其中砧座锁处于解锁位置;Figure 47 is another partial cutaway perspective view of a passageway and a portion of the anvil lock of the surgical end effector of Figure 43 with the anvil lock in an unlocked position;

图48为图43的外科端部执行器的另一个局部侧正视图,其中砧座处于闭合位置并且其砧座锁以虚线示出为处于解锁位置;Figure 48 is another partial side elevational view of the surgical end effector of Figure 43 with the anvil in a closed position and its anvil lock shown in phantom in an unlocked position;

图49为另一个外科端部执行器的各部分的局部剖面端视图;Figure 49 is a partial cutaway end view of portions of another surgical end effector;

图50为图49的外科端部执行器的砧座的近侧端部部分的局部透视图;Figure 50 is a partial perspective view of the proximal end portion of the anvil of the surgical end effector of Figure 49;

图51为图49的外科端部执行器的通道和砧座锁的一部分的局部剖面侧视图,其中砧座锁处于锁定位置;Fig. 51 is a partial cross-sectional side view of a passageway and a portion of the anvil lock of the surgical end effector of Fig. 49 with the anvil lock in a locked position;

图52为另一个外科端部执行器的局部侧正视图,其中其砧座处于打开位置并且其砧座锁以虚线示出为处于锁定位置;52 is a partial side elevational view of another surgical end effector with its anvil in an open position and its anvil lock shown in phantom in a locked position;

图53为图52的外科端部执行器的砧座的一部分的侧正视图;Figure 53 is a side elevational view of a portion of the anvil of the surgical end effector of Figure 52;

图54为图53的砧座的一部分的局部透视图;Figure 54 is a partial perspective view of a portion of the anvil of Figure 53;

图55为图52的外科端部执行器的通道和砧座锁的一部分的局部剖面透视图,其中砧座锁处于锁定位置;Figure 55 is a partial cutaway perspective view of a passageway and a portion of the anvil lock of the surgical end effector of Figure 52 with the anvil lock in a locked position;

图56为图52的外科端部执行器的通道和砧座锁的一部分的另一个局部剖面透视图,其中砧座锁处于解锁位置;Figure 56 is another partial cutaway perspective view of a passageway and a portion of the anvil lock of the surgical end effector of Figure 52 with the anvil lock in an unlocked position;

图57为图52的外科端部执行器的局部侧正视图,其中砧座处于闭合位置并且其砧座锁以虚线示出为处于解锁位置;Figure 57 is a partial side elevational view of the surgical end effector of Figure 52 with the anvil in a closed position and its anvil lock shown in phantom in an unlocked position;

图58为另一个砧座的局部透视图;Figure 58 is a partial perspective view of another anvil;

图59为可结合图58的砧座使用的另一个通道的一部分的局部剖面透视图;Figure 59 is a partial cutaway perspective view of a portion of another channel that may be used in conjunction with the anvil of Figure 58;

图60为另一个砧座的一部分的侧正视图;Figure 60 is a side elevational view of a portion of another anvil;

图61为图60的砧座的一部分的透视图;Figure 61 is a perspective view of a portion of the anvil of Figure 60;

图62为另一个砧座的一部分的透视图;Figure 62 is a perspective view of a portion of another anvil;

图63为另一个外科端部执行器的侧正视图,其中其砧座在将外科钉仓安装在其中之前处于打开位置;Figure 63 is a side elevational view of another surgical end effector with its anvil in an open position prior to installing a surgical staple cartridge therein;

图64为图63的外科端部执行器在已将兼容外科钉仓安装在其中之后的另一个侧正视图;Figure 64 is another side elevational view of the surgical end effector of Figure 63 after a compatible surgical staple cartridge has been installed therein;

图65为图63的外科端部执行器的外科端部执行器闭合管的端部正视图,并且其中其闭合锁处于锁定位置;Figure 65 is an end elevational view of the surgical end effector closure tube of the surgical end effector of Figure 63 with its closure latch in a locked position;

图66为图65的外科端部执行器闭合管和闭合锁的另一个端部正视图,其中闭合锁被示出为处于解锁位置;Figure 66 is another end elevation view of the surgical end effector closure tube and closure latch of Figure 65, with the closure latch shown in an unlocked position;

图67为图63的外科端部执行器的兼容外科钉仓和闭合锁的一部分的局部透视图;67 is a partial perspective view of a portion of the surgical end effector of FIG. 63 that is compatible with a surgical staple cartridge and closure lock;

图68为图63的外科端部执行器的局部侧正视图,其中其砧座处于打开位置并且在将外科钉仓安装在其中之前;Figure 68 is a partial side elevational view of the surgical end effector of Figure 63 with its anvil in an open position and prior to installing a surgical staple cartridge therein;

图69为图68的外科端部执行器的另一个局部侧正视图,其中其砧座处于打开位置并且在将兼容外科钉仓安装在其中期间;Figure 69 is another partial side elevational view of the surgical end effector of Figure 68 with its anvil in an open position and during installation of a compatible surgical staple cartridge therein;

图70为图68的外科端部执行器的局部侧正视图,其中其砧座处于打开位置并且在将兼容外科钉仓初始安装在其中期间;Figure 70 is a partial side elevational view of the surgical end effector of Figure 68 with its anvil in an open position and during initial installation of a compatible surgical staple cartridge therein;

图71为图70的外科端部执行器的另一个局部侧正视图,其中其砧座处于打开位置并且在兼容外科钉仓已被可操作地安置在其中之后;Figure 71 is another partial side elevational view of the surgical end effector of Figure 70 with its anvil in an open position and after a compatible surgical staple cartridge has been operably seated therein;

图72为图70和图71所示的兼容外科钉仓的一部分的局部剖面透视图;Figure 72 is a partial cutaway perspective view of a portion of the compatible surgical staple cartridge shown in Figures 70 and 71;

图73为图70的外科端部执行器的另一个局部侧正视图,其中其砧座处于打开位置并且在其安装期间缺少兼容凸轮作用组件的外科钉仓处于起始位置;Fig. 73 is another partial side elevational view of the surgical end effector of Fig. 70 with its anvil in an open position and a surgical staple cartridge lacking a compatible cam action assembly in a starting position during its installation;

图74为另一个外科端部执行器的局部侧正视图,其中其砧座处于打开位置并且在将兼容外科钉仓初始安装在其中期间;Figure 74 is a partial side elevational view of another surgical end effector with its anvil in an open position and during initial installation of a compatible surgical staple cartridge therein;

图75为图74的外科端部执行器的另一个局部侧正视图,其中其砧座处于打开位置并且在兼容外科钉仓已被可操作地安置在其中之后;Figure 75 is another partial side elevational view of the surgical end effector of Figure 74 with its anvil in an open position and after a compatible surgical staple cartridge has been operably seated therein;

图76为图74和图75的外科端部执行器的砧座锁和通道安装特征部的透视图;Figure 76 is a perspective view of the anvil lock and channel mounting features of the surgical end effector of Figures 74 and 75;

图77为与图74和图75的外科端部执行器兼容的外科钉仓的一部分的透视图;Figure 77 is a perspective view of a portion of a surgical staple cartridge compatible with the surgical end effector of Figures 74 and 75;

图78为图74的外科端部执行器的另一个局部侧正视图,其中其砧座处于打开位置并且在不兼容外科钉仓已被安置在其中之后;Figure 78 is another partial side elevational view of the surgical end effector of Figure 74 with its anvil in an open position and after an incompatible surgical staple cartridge has been positioned therein;

图79为另一个外科端部执行器的侧正视图,其中装载有兼容外科钉仓并且其砧座处于打开位置;Figure 79 is a side elevational view of another surgical end effector with a compatible surgical staple cartridge loaded and its anvil in an open position;

图80为与图79的外科端部执行器兼容的外科钉仓的一部分的顶视图,其中为清楚起见省略了其各部分;Fig. 80 is a top view of a portion of a surgical staple cartridge compatible with the surgical end effector of Fig. 79, with portions thereof omitted for clarity;

图81为沿图80中的线81-81截取的安装在图79的外科端部执行器中的图80的外科钉仓的一部分的局部剖面侧视图,其示出了处于锁定位置的仓鼻部组件;81 is a partial cross-sectional side view of a portion of the surgical staple cartridge of FIG. 80 installed in the surgical end effector of FIG. 79, taken along line 81-81 in FIG. 80, showing the cartridge nose in a locked position components;

图82为沿图80中的线82-82截取的安装在图79的外科端部执行器中的图80的外科钉仓的一部分的另一个局部剖面侧视图,其示出了处于解锁位置的仓鼻部组件;Fig. 82 is another partial cutaway side view of a portion of the surgical staple cartridge of Fig. 80 installed in the surgical end effector of Fig. 79, taken along line 82-82 in Fig. 80, shown in an unlocked position warehouse nose assembly;

图83为沿图80中的线83-83截取的安装在图79的外科端部执行器中的图80的外科钉仓的一部分的另一个局部剖面侧视图,其示出了处于锁定位置的仓鼻部组件;Fig. 83 is another partial cutaway side view of a portion of the surgical staple cartridge of Fig. 80 installed in the surgical end effector of Fig. 79, taken along line 83-83 in Fig. 80, shown in a locked position warehouse nose assembly;

图84为沿图80中的线84-84截取的安装在图79的外科端部执行器中的图80的外科钉仓的一部分的另一个局部剖面侧视图,其示出了处于解锁位置的仓鼻部组件;Fig. 84 is another partial cross-sectional side view of a portion of the surgical staple cartridge of Fig. 80 installed in the surgical end effector of Fig. 79, taken along line 84-84 in Fig. 80, shown in an unlocked position warehouse nose assembly;

图85为外科钉仓的击发构件和凸轮作用组件的一部分的局部剖视图,其中凸轮作用组件处于起始位置并且与击发构件上的击发构件锁解锁接合;Figure 85 is a partial cross-sectional view of a portion of the firing member and cam action assembly of the surgical staple cartridge with the cam action assembly in the home position and locked and unlocked engagement with the firing member on the firing member;

图86为图85的击发构件的一部分的另一个局部剖视图,其中击发构件锁处于锁定位置;Figure 86 is another partial cross-sectional view of a portion of the firing member of Figure 85 with the firing member lock in the locked position;

图87为另一个外科端部执行器的砧座的一部分的侧正视图,其中砧座相对于安装在对应通道内的兼容外科钉仓处于打开位置,为了清楚起见已省略该通道;87 is a side elevational view of a portion of an anvil of another surgical end effector with the anvil in an open position relative to a compatible surgical staple cartridge mounted in a corresponding channel, the channel omitted for clarity;

图88为图87的砧座和外科钉仓在砧座的初始闭合期间的另一个侧正视图;Figure 88 is another side elevation view of the anvil and surgical staple cartridge of Figure 87 during initial closure of the anvil;

图89为图87的砧座和外科钉仓在砧座已运动到闭合位置之后的另一个侧正视图;Figure 89 is another side elevation view of the anvil and surgical staple cartridge of Figure 87 after the anvil has been moved to a closed position;

图90为图87至图89所示的兼容外科钉仓的一部分的透视图;Figure 90 is a perspective view of a portion of the compatible surgical staple cartridge shown in Figures 87-89;

图91为图87至图89的砧座的局部底视图;Figure 91 is a partial bottom view of the anvil of Figures 87-89;

图92为与图87至图89的砧座不兼容的外科钉仓的一部分的透视图;Figure 92 is a perspective view of a portion of a surgical staple cartridge that is not compatible with the anvil of Figures 87-89;

图93为图87至图89的砧座的侧正视图,该砧座相对于安装在对应通道内的图92的不兼容外科钉仓处于打开位置,为了清楚起见已省略该通道;93 is a side elevational view of the anvil of FIGS. 87-89 in an open position relative to the incompatible surgical staple cartridge of FIG. 92 mounted in a corresponding channel, the channel being omitted for clarity;

图94为图93的砧座和外科钉仓在砧座的初始闭合期间的另一个侧正视图;Figure 94 is another side elevation view of the anvil and surgical staple cartridge of Figure 93 during initial closure of the anvil;

图95为图93的砧座和外科钉仓在砧座已运动到闭合位置之后的另一个侧正视图;Figure 95 is another side elevational view of the anvil and surgical staple cartridge of Figure 93 after the anvil has been moved to a closed position;

图96为另一个外科端部执行器的一部分的局部剖面侧视图,其中装载有兼容外科钉仓并且为了清楚起见已省略其砧座;96 is a partial cutaway side view of a portion of another surgical end effector with a compatible surgical staple cartridge loaded and its anvil omitted for clarity;

图97为图96的外科钉仓和外科端部执行器的一部分的顶视图;Figure 97 is a top view of a portion of the surgical staple cartridge and surgical end effector of Figure 96;

图98为图97所示的兼容外科钉仓的近侧端部的一部分的透视图;Figure 98 is a perspective view of a portion of the proximal end of the compatible surgical staple cartridge shown in Figure 97;

图99为图96的外科端部执行器的一部分的另一个局部剖面侧视图,示出了其中兼容外科钉仓的安装;Fig. 99 is another partial cutaway side view of a portion of the surgical end effector of Fig. 96 showing the installation of a compatible surgical staple cartridge therein;

图100为图96的外科端部执行器的一部分的另一个局部剖面侧视图,示出了其中兼容外科钉仓的安装;Fig. 100 is another partial cutaway side view of a portion of the surgical end effector of Fig. 96 showing the installation of a compatible surgical staple cartridge therein;

图101为图98的外科端部执行器和兼容外科钉仓的顶视图;Figure 101 is a top view of the surgical end effector and compatible surgical staple cartridge of Figure 98;

图102为图96的外科端部执行器的一部分的另一个局部剖面侧视图,示出了其中不兼容外科钉仓的安装;Fig. 102 is another partial cutaway side view of a portion of the surgical end effector of Fig. 96 showing the installation of an incompatible surgical staple cartridge;

图103为图96的外科端部执行器的一部分的另一个局部剖面侧视图,示出了其中不兼容外科钉仓的安装;Fig. 103 is another partial cutaway side view of a portion of the surgical end effector of Fig. 96 showing the installation of an incompatible surgical staple cartridge;

图104为图103的外科端部执行器和不兼容外科钉仓的顶视图;Figure 104 is a top view of the surgical end effector and incompatible surgical staple cartridge of Figure 103;

图105为图96的外科端部执行器的一部分的另一个局部剖面侧视图,示出了其中不兼容外科钉仓的安装;Fig. 105 is another partial cutaway side view of a portion of the surgical end effector of Fig. 96 showing the installation of an incompatible surgical staple cartridge;

图106为图105的外科端部执行器和不兼容外科钉仓的顶视图;Figure 106 is a top view of the surgical end effector and incompatible surgical staple cartridge of Figure 105;

图107为其中安装有不兼容外科钉仓的另一个外科端部执行器的各部分的局部剖面透视图;Figure 107 is a partial cutaway perspective view of portions of another surgical end effector with an incompatible surgical staple cartridge installed therein;

图108为图107的外科端部执行器和不兼容外科钉仓的各部分的局部顶视图;Figure 108 is a partial top view of the surgical end effector and portions of the incompatible surgical staple cartridge of Figure 107;

图109为图105的外科端部执行器的另一个局部顶视图,其中兼容外科钉仓已安装在其中;Figure 109 is another partial top view of the surgical end effector of Figure 105 with a compatible surgical staple cartridge installed therein;

图110为其中安装有兼容外科钉仓的另一个外科端部执行器的各部分的局部剖面透视图;110 is a partial cutaway perspective view of portions of another surgical end effector with a compatible surgical staple cartridge installed therein;

图111为图110的外科端部执行器的各部分的局部分解组装视图;Figure 111 is a partially exploded assembled view of portions of the surgical end effector of Figure 110;

图112为图110的外科端部执行器和兼容外科钉仓的局部剖面端视图;Figure 112 is a partial cutaway end view of the surgical end effector and compatible surgical staple cartridge of Figure 110;

图113为其中安装有不兼容外科钉仓的图110的端部执行器的另一个局部剖面外科端视图;Figure 113 is another partial cutaway surgical end view of the end effector of Figure 110 with an incompatible surgical staple cartridge installed therein;

图114为其中安装有不兼容外科钉仓的图110的外科端部执行器的各部分的另一个局部剖面透视图;114 is another partial cutaway perspective view of portions of the surgical end effector of FIG. 110 with an incompatible surgical staple cartridge installed therein;

图115为图114的外科端部执行器和外科钉仓的顶视图;Figure 115 is a top view of the surgical end effector and surgical staple cartridge of Figure 114;

图116为另一个外科钉仓的一部分的顶视图;Figure 116 is a top view of a portion of another surgical staple cartridge;

图117为图116的外科钉仓的一部分的局部剖面透视图,其中其凸轮作用组件处于锁定位置;Figure 117 is a partial cutaway perspective view of a portion of the surgical staple cartridge of Figure 116 with its camming assembly in a locked position;

图118为与外科端部执行器的兼容致动器部分交接的图116的外科钉仓的另一个顶视图;Figure 118 is another top view of the surgical staple cartridge of Figure 116 interfaced with a compatible actuator portion of a surgical end effector;

图119为图116的外科钉仓的一部分的另一个局部剖面透视图,其中其凸轮作用组件处于解锁位置;Figure 119 is another partial cutaway perspective view of a portion of the surgical staple cartridge of Figure 116 with its cam action assembly in an unlocked position;

图120为根据至少一个实施方案的被示出为已移除一些部件的缝合器械的局部正视图,该缝合器械包括仓通道、定位在仓通道中的钉仓以及击发构件,其中该击发构件处于未击发位置;120 is a partial front view of a stapling instrument shown with some components removed, the stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, and a firing member, wherein the firing member is in a position in accordance with at least one embodiment, according to at least one embodiment unfired position;

图121为图120的缝合器械的局部正视图,示出了处于闭锁位置的击发构件;Fig. 121 is a partial elevation view of the stapling instrument of Fig. 120, showing the firing member in a locked position;

图122为根据至少一个实施方案的被示出为已移除一些部件的缝合器械的局部正视图,该缝合器械包括仓通道、定位在仓通道中的钉仓以及击发构件,其中该击发构件处于未击发位置;122 is a partial front view of a stapling instrument shown with some components removed, the stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, and a firing member, wherein the firing member is in a position in accordance with at least one embodiment, according to at least one embodiment unfired position;

图123为图122的缝合器械的局部正视图,示出了处于解锁位置的击发构件;Figure 123 is a partial front view of the stapling instrument of Figure 122, showing the firing member in an unlocked position;

图124为图122的缝合器械的局部正视图,示出了处于闭锁位置的击发构件;Fig. 124 is a partial elevation view of the stapling instrument of Fig. 122, showing the firing member in a locked position;

图125为图122的缝合器械的局部底视图,示出了处于未击发位置的击发构件;Figure 125 is a partial bottom view of the stapling instrument of Figure 122, showing the firing member in an unfired position;

图126为图122的钉仓的局部透视图;Figure 126 is a partial perspective view of the staple cartridge of Figure 122;

图127为根据至少一个实施方案的钉仓的局部透视图;127 is a partial perspective view of a staple cartridge according to at least one embodiment;

图128为根据至少一个实施方案的被示出为已移除一些部件的缝合器械的局部正视图,该缝合器械包括仓通道、定位在仓通道中的钉仓以及击发构件,其中该击发构件处于未击发位置;128 is a partial front view of a stapling instrument shown with some components removed, the stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, and a firing member, wherein the firing member is in accordance with at least one embodiment, according to at least one embodiment unfired position;

图129为图128的缝合器械的局部正视图,示出了处于解锁位置的击发构件;Figure 129 is a partial elevation view of the stapling instrument of Figure 128, showing the firing member in an unlocked position;

图130为被示为处于图128的未击发位置的图128的缝合器械的局部顶视图;Figure 130 is a partial top view of the stapling instrument of Figure 128 shown in the unfired position of Figure 128;

图131为被示为处于图129的解锁位置的图128的缝合器械的局部顶视图;Figure 131 is a partial top view of the stapling instrument of Figure 128 shown in the unlocked position of Figure 129;

图132为处于未用尽构型的图128的钉仓的局部透视图;132 is a partial perspective view of the staple cartridge of FIG. 128 in an unexhausted configuration;

图133为处于用尽构型的图128的钉仓的局部透视图;133 is a partial perspective view of the staple cartridge of FIG. 128 in an exhausted configuration;

图134为根据至少一个实施方案的被示出为已移除一些部件的缝合器械的局部正视图,该缝合器械包括仓通道、定位在仓通道中的钉仓以及击发构件,其中该击发构件处于未击发位置;134 is a partial front view of a stapling instrument shown with some components removed, the stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, and a firing member, wherein the firing member is in accordance with at least one embodiment, according to at least one embodiment unfired position;

图135为图134的缝合器械的局部正视图,示出了处于闭锁位置的击发构件;Fig. 135 is a partial elevation view of the stapling instrument of Fig. 134, showing the firing member in a locked position;

图136为根据至少一个实施方案的被示出为已移除一些部件的缝合器械的局部透视图,该缝合器械包括仓通道、定位在仓通道中的钉仓、击发构件、以及击发构件锁,其中该击发构件已被钉仓解锁;Figure 136 is a partial perspective view of a stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, a firing member, and a firing member lock, shown with some components removed, according to at least one embodiment, wherein the firing member has been unlocked by the cartridge;

图137为图136的缝合器械的局部正视图,示出了安置在仓通道中的不正确的钉仓;Figure 137 is a fragmentary elevation view of the stapling instrument of Figure 136 showing an incorrect staple cartridge seated in the cartridge channel;

图138为图136的缝合器械的局部剖视平面图,示出了安置在仓通道中的不正确的钉仓;Figure 138 is a partial cutaway plan view of the stapling instrument of Figure 136 showing an incorrect staple cartridge seated in the cartridge channel;

图139为图136的缝合器械的局部剖视平面图,示出了被钉仓解锁的击发构件锁;Figure 139 is a partial cutaway plan view of the stapling instrument of Figure 136 showing the firing member lock unlocked by the staple cartridge;

图140为根据至少一个另选实施方案的已被钉仓解锁的缝合器械的局部剖视图;140 is a partial cross-sectional view of a stapling instrument that has been unlocked with a staple cartridge, according to at least one alternative embodiment;

图141为根据至少一个另选实施方案的已被钉仓解锁的缝合器械的局部剖视图;141 is a partial cross-sectional view of a stapling instrument that has been unlocked with a staple cartridge, according to at least one alternative embodiment;

图142为图140的钉仓的局部透视图;Figure 142 is a partial perspective view of the staple cartridge of Figure 140;

图143为图141的钉仓的局部透视图;Figure 143 is a partial perspective view of the staple cartridge of Figure 141;

图144为根据至少一个实施方案的钉仓盘的局部剖面透视图;144 is a partial cutaway perspective view of a staple cartridge tray in accordance with at least one embodiment;

图145为根据至少一个实施方案的被示出为已移除一些部件的缝合器械的局部透视图,该缝合器械包括仓通道、定位在仓通道中的钉仓、击发构件、以及击发构件锁,其中该击发构件被钉仓解锁;145 is a partial perspective view of a stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, a firing member, and a firing member lock, shown with some components removed, according to at least one embodiment, wherein the firing member is unlocked by the cartridge;

图146为图145的缝合器械的局部透视图,示出了定位在仓通道中的不解锁击发构件的不同钉仓;Figure 146 is a partial perspective view of the stapling instrument of Figure 145 showing a different staple cartridge positioned in the cartridge channel without unlocking the firing member;

图147为图145的缝合器械的局部透视图,示出了处于锁定构型的击发构件;Figure 147 is a partial perspective view of the stapling instrument of Figure 145 showing the firing member in a locked configuration;

图148为被构造成能够被图146的不同钉仓解锁的缝合器械的局部透视图;Figure 148 is a partial perspective view of a stapling instrument configured to be unlocked by the different staple cartridges of Figure 146;

图149为钉仓的透视图,该钉仓类似于图146的钉仓并且被构造成能够解锁图148的缝合器械;Figure 149 is a perspective view of a staple cartridge similar to the staple cartridge of Figure 146 and configured to unlock the stapling instrument of Figure 148;

图150为钉仓的透视图,该钉仓类似于图145的钉仓并且被构造成能够解锁图145的缝合器械;Figure 150 is a perspective view of a staple cartridge similar to the staple cartridge of Figure 145 and configured to unlock the stapling instrument of Figure 145;

图151为根据至少一个实施方案的被示出为已移除一些部件的缝合器械的局部分解图,该缝合器械包括仓通道、定位在仓通道中的钉仓、击发构件、砧座、以及两用击发构件/砧座锁,其中该缝合器械被示出为处于锁定状态;151 is a partially exploded view of a stapling instrument shown with some components removed, the stapling instrument including a cartridge channel, a staple cartridge positioned in the cartridge channel, a firing member, an anvil, and two locking with a firing member/anvil, wherein the stapling instrument is shown in a locked state;

图152为通过将钉仓插入仓通道中而被解锁的图151的缝合器械的局部透视图;Figure 152 is a partial perspective view of the stapling instrument of Figure 151 unlocked by inserting the staple cartridge into the cartridge channel;

图153为图151的缝合器械的局部剖视图,示出了处于图151的锁定状态的缝合器械;Fig. 153 is a partial cross-sectional view of the stapling instrument of Fig. 151, showing the stapling instrument in the locked state of Fig. 151;

图154为图151的缝合器械的局部剖视图,示出了处于图152的解锁状态的缝合器械;Fig. 154 is a partial cross-sectional view of the stapling instrument of Fig. 151, showing the stapling instrument in the unlocked state of Fig. 152;

图155为图151的击发构件/砧座锁的透视图;Figure 155 is a perspective view of the firing member/anvil lock of Figure 151;

图155A为根据至少一个实施方案的钉仓的局部透视图;Figure 155A is a partial perspective view of a staple cartridge according to at least one embodiment;

图155B为根据至少一个实施方案的钉仓的局部透视图;155B is a partial perspective view of a staple cartridge according to at least one embodiment;

图155C为根据至少一个实施方案的钉仓的局部透视图;Figure 155C is a partial perspective view of a staple cartridge according to at least one embodiment;

图155D为根据至少一个实施方案的钉仓的局部透视图;Figure 155D is a partial perspective view of a staple cartridge according to at least one embodiment;

图155E为根据至少一个实施方案的钉仓的局部透视图;155E is a partial perspective view of a staple cartridge according to at least one embodiment;

图156为外科缝合组件的局部剖视图,该外科缝合组件包括砧座、钉仓、击发构件和击发闭锁件;156 is a partial cross-sectional view of a surgical stapling assembly including an anvil, a staple cartridge, a firing member, and a firing latch;

图157为被示为处于解锁构型的图156的击发构件和击发闭锁件的局部剖视图;Figure 157 is a partial cross-sectional view of the firing member and firing latch of Figure 156 shown in an unlocked configuration;

图158为被示为处于锁定构型的图156的击发构件和击发闭锁件的局部剖视图;Figure 158 is a partial cross-sectional view of the firing member and firing latch of Figure 156 shown in a locked configuration;

图159为图156的外科缝合组件的局部剖视图,其中外科缝合组件还包括外部进入孔,该外部进入孔被构造成能够允许使用者利用单独的闭锁键使击发闭锁件人工地运动到解锁构型;159 is a partial cross-sectional view of the surgical stapling assembly of FIG. 156, wherein the surgical stapling assembly further includes an external access hole configured to allow a user to manually move the firing latch to an unlocked configuration using a separate latch key ;

图160为图156的击发闭锁件的闭锁构件的透视图;Figure 160 is a perspective view of the latch member of the firing latch of Figure 156;

图161为外科缝合组件的局部剖视图,该外科缝合组件包括闭锁件和外部进入孔口,该外部进入孔口被构造成能够允许使用者利用单独的闭锁键使击发闭锁件人工地运动到解锁构型;161 is a partial cross-sectional view of a surgical stapling assembly including a latch and an external access aperture configured to allow a user to manually move the firing latch to an unlocked configuration using a separate latch key type;

图162为图161的外科缝合组件的底部平面图;Figure 162 is a bottom plan view of the surgical stapling assembly of Figure 161;

图163为外科缝合组件的局部剖视图,该外科缝合组件包括击发构件、仓通道、被构造成能够安装到仓通道中的钉仓、以及闭锁件,其中该闭锁件被示出为处于未接合构型;163 is a partial cross-sectional view of a surgical stapling assembly including a firing member, a cartridge channel, a staple cartridge configured to be installed into the cartridge channel, and a latch, where the latch is shown in an unengaged configuration type;

图164为图163的外科缝合组件的局部剖视图,其中该闭锁件被示出为处于接合构型;Fig. 164 is a partial cross-sectional view of the surgical stapling assembly of Fig. 163, wherein the latch is shown in an engaged configuration;

图165包括两个钉仓的正视图,每个钉仓包括不同的闭锁键;Figure 165 includes a front view of two staple cartridges, each including a different latch key;

图166为示出由图165的钉仓的每个闭锁键提供的刀提升定时的曲线图;Figure 166 is a graph showing knife lift timing provided by each latch key of the staple cartridge of Figure 165;

图167为示出由图165的钉仓的每个闭锁键提供的刀提升位移的曲线图;Figure 167 is a graph showing the knife lift displacement provided by each latch key of the staple cartridge of Figure 165;

图168为与外科缝合系统一起使用的第一钉仓的透视图,其中第一钉仓包括仓体、盘、滑动件和第一闭锁键;Figure 168 is a perspective view of a first staple cartridge for use with a surgical stapling system, wherein the first staple cartridge includes a cartridge body, a disk, a slider, and a first latching key;

图169为与外科缝合系统一起使用的第二钉仓的透视图,图168的第一钉仓与该外科缝合系统一起使用,其中第二钉仓包括仓体、盘、滑动件和第二闭锁键;Figure 169 is a perspective view of a second staple cartridge for use with the surgical stapling system with which the first staple cartridge of Figure 168 is used, wherein the second staple cartridge includes a cartridge body, a disc, a slider, and a second latch key;

图170为外科缝合组件的正视图,该外科缝合组件包括击发构件、包括钉仓的第一钳口、包括能够相对于第一钳口运动的砧座的第二钳口、以及闭锁件;170 is a front view of a surgical stapling assembly including a firing member, a first jaw including a staple cartridge, a second jaw including an anvil movable relative to the first jaw, and a latch;

图171为图170的外科缝合组件的局部透视图;Figure 171 is a partial perspective view of the surgical stapling assembly of Figure 170;

图172为图170的外科缝合组件的局部正视图,其中钉仓未安装在第一钳口内;Figure 172 is a partial elevation view of the surgical stapling assembly of Figure 170 with the staple cartridge not installed within the first jaw;

图173为图170的外科缝合组件的局部正视图,其中钉仓安装在第一钳口内;Figure 173 is a partial elevation view of the surgical stapling assembly of Figure 170 with the staple cartridge installed within the first jaw;

图174为图170的外科缝合组件的局部剖视图,其中钉仓安装在第一钳口内并且击发构件处于未击发位置;Figure 174 is a partial cross-sectional view of the surgical stapling assembly of Figure 170 with the staple cartridge installed in the first jaw and the firing member in an unfired position;

图175为图170的外科缝合组件的局部剖视图,其中钉仓安装在第一钳口内并且击发构件处于部分击发位置;Fig. 175 is a partial cross-sectional view of the surgical stapling assembly of Fig. 170 with the staple cartridge installed in the first jaw and the firing member in a partially fired position;

图176为图170的外科缝合组件的局部剖视图,其中钉仓未安装在第一钳口内并且击发构件处于未击发位置;Figure 176 is a partial cross-sectional view of the surgical stapling assembly of Figure 170 with the staple cartridge not installed within the first jaw and the firing member in the unfired position;

图177为图170的外科缝合组件的局部剖视图,其中钉仓未安装在第一钳口内并且击发构件处于锁定位置;Figure 177 is a partial cross-sectional view of the surgical stapling assembly of Figure 170 with the staple cartridge not installed in the first jaw and the firing member in the locked position;

图178为图170的外科缝合组件的局部正视图,其中钉仓安装在第一钳口内并且击发构件处于部分击发位置,其中一些部件以隐藏线示出;Fig. 178 is a partial elevation view of the surgical stapling assembly of Fig. 170 with the staple cartridge installed in the first jaw and the firing member in a partially fired position, with some components shown in hidden lines;

图179为图170的外科缝合组件的钉仓的透视图,该钉仓包括从其近侧端部延伸的闭锁键;Figure 179 is a perspective view of the staple cartridge of the surgical stapling assembly of Figure 170, the staple cartridge including a latching key extending from a proximal end thereof;

图180为图179的钉仓的局部平面图;并且Fig. 180 is a partial plan view of the staple cartridge of Fig. 179; and

图181为被构造用于与包括图179的钉仓的系统一起使用的第二钉仓的局部平面图,其中第二钉仓包括闭锁键,该闭锁键包括与图179的钉仓的闭锁键不同的构型。181 is a partial plan view of a second staple cartridge configured for use with a system including the staple cartridge of FIG. 179, wherein the second staple cartridge includes a latch key that includes a different latch key than the staple cartridge of FIG. 179 configuration.

在所述若干视图中,对应的参考符号指示对应的部件。本文所述的范例以一种形式示出了本发明的各种实施方案,且这种范例不应被解释为以任何方式限制本发明的范围。Corresponding reference characters indicate corresponding parts throughout the several views. The exemplifications described herein illustrate various embodiments of the invention in one form, and such exemplifications should not be construed to limit the scope of the invention in any way.

具体实施方式Detailed ways

本申请的申请人拥有与本申请于同一日期提交且各自全文以引用方式并入本文的以下美国专利申请:The applicant of the present application has the following US patent applications filed on the same date as the present application and each of which is incorporated herein by reference in its entirety:

-名称为“METHODS FOR CONTROLLING A POWERED SURGICAL STAPLER THAT HASSEPARATE ROTARY CLOSURE AND FIRING SYSTEMS”的美国专利申请,代理人案卷号END9020USNP1/180504-1M;- US Patent Application entitled "METHODS FOR CONTROLLING A POWERED SURGICAL STAPLER THAT HASSEPARATE ROTARY CLOSURE AND FIRING SYSTEMS", Attorney Docket No. END9020USNP1/180504-1M;

-名称为“surgical staplers with arrangements for maintaining a firingmember thereof in a locked configuration unless a compatible cartridge hasbeen installed therein”的美国专利申请,代理人案卷号END9021USNP2/180505-2;- US patent application entitled "surgical staplers with arrangements for maintaining a firing member thereof in a locked configuration unless a compatible cartridge hasbeen installed therein", Attorney Docket No. END9021USNP2/180505-2;

-名称为“SURGICAL INSTRUMENT COMPRISING CO-OPERATING LOCKOUT FEATURES”的美国专利申请,代理人案卷号END9021USNP3/180505-3;- US patent application entitled "SURGICAL INSTRUMENT COMPRISING CO-OPERATING LOCKOUT FEATURES", Attorney Docket No. END9021USNP3/180505-3;

-名称为“SURGICAL STAPLING ASSEMBLY COMPRISING A LOCKOUT AND ANEXTERIOR ACCESS ORIFICE TO PERMIT ARTIFICIAL UNLOCKING OF THE LOCKOUT”的美国专利申请,代理人案卷号END9021usnp4/180505-4;- US patent application entitled "SURGICAL STAPLING ASSEMBLY COMPRISING A LOCKOUT AND ANEXTERIOR ACCESS ORIFICE TO PERMIT ARTIFICIAL UNLOCKING OF THE LOCKOUT", Attorney Docket No. END9021usnp4/180505-4;

-名称为“SURGICAL STAPLING DEVICES WITH FEATURES FOR BLOCKINGADVANCEMENT OF A CAMMING ASSEMBLY OF AN INCOMPATIBLE CARTRIDGE INSTALLEDTHEREIN”的美国专利申请,代理人案卷号END9021USNP5/180505-5;- US Patent Application entitled "SURGICAL STAPLING DEVICES WITH FEATURES FOR BLOCKINGADVANCEMENT OF A CAMMING ASSEMBLY OF AN INCOMPATIBLE CARTRIDGE INSTALLEDTHEREIN", Attorney Docket No. END9021USNP5/180505-5;

-名称为“STAPLING INSTRUMENT COMPRISING A DEACTIVATABLE LOCKOUT”的美国专利申请,代理人案卷号END9021USNP6/18505-6;- US patent application entitled "STAPLING INSTRUMENT COMPRISING A DEACTIVATABLE LOCKOUT", Attorney Docket No. END9021USNP6/18505-6;

-名称为“SURGICAL INSTRUMENT COMPRISING A JAW CLOSURE LOCKOUT”的美国专利申请,代理人案卷号END9021USNP7/180505-7;- US patent application entitled "SURGICAL INSTRUMENT COMPRISING A JAW CLOSURE LOCKOUT", Attorney Docket No. END9021USNP7/180505-7;

-名称为“SURGICAL STAPLING DEVICES WITH CARTRIDGE COMPATIBLE CLOSUREAND FIRING LOCKOUT ARRANGEMENTS”的美国专利申请,代理人案卷号END9021USNP8/180505-8;- US Patent Application entitled "SURGICAL STAPLING DEVICES WITH CARTRIDGE COMPATIBLE CLOSUREAND FIRING LOCKOUT ARRANGEMENTS", Attorney Docket No. END9021USNP8/180505-8;

-名称为“SURGICAL STAPLE CARTRIDGE WITH FIRING MEMBER DRIVEN CAMMINGASSEMBLY THAT HAS an ONBOARD TISSUE CUTTING FEATURE”的美国专利申请,代理人案卷号END9022USNP1/180508-1;- U.S. Patent Application entitled "SURGICAL STAPLE CARTRIDGE WITH FIRING MEMBER DRIVEN CAMMINGASSEMBLY THAT HAS an ONBOARD TISSUE CUTTING FEATURE", Attorney's Docket No. END9022USNP1/180508-1;

-名称为“SURGICAL STAPLING DEVICES WITH IMPROVED ROTARY DRIVEN CLOSURESYSTEMS”的美国专利申请,代理人案卷号END9022USNP2/180508-2;- US Patent Application entitled "SURGICAL STAPLING DEVICES WITH IMPROVED ROTARY DRIVEN CLOSURESYSTEMS", Attorney Docket No. END9022USNP2/180508-2;

-名称为“SURGICAL STAPLING DEVICES WITH ASYMMETRIC CLOSURE FEATURES”的美国专利申请,代理人案卷号END9022USNP3/180508-3;- US patent application entitled "SURGICAL STAPLING DEVICES WITH ASYMMETRIC CLOSURE FEATURES", Attorney Docket No. END9022USNP3/180508-3;

-名称为“ROTARY DRIVEN FIRING MEMBERS WITH DIFFERENT ANVIL AND CHANNELENGAGEMENT FEATURES”的美国专利申请,代理人案卷号END9022USNP4/180508-4;以及- US patent application entitled "ROTARY DRIVEN FIRING MEMBERS WITH DIFFERENT ANVIL AND CHANNELENGAGEMENT FEATURES", Attorney Docket No. END9022USNP4/180508-4; and

-名称为“SURGICAL STAPLING DEVICE WITH SEPARATE ROTARY DRIVEN CLOSUREAND FIRING SYSTEMS AND FIRING MEMBER THAT ENGAGES BOTH JAWS WHILE FIRING”的美国专利申请,代理人案卷号END9022USNP5/180508-5。- US Patent Application entitled "SURGICAL STAPLING DEVICE WITH SEPARATE ROTARY DRIVEN CLOSUREAND FIRING SYSTEMS AND FIRING MEMBER THAT ENGAGES BOTH JAWS WHILE FIRING", Attorney Docket No. END9022USNP5/180508-5.

本申请的申请人拥有于2019年2月19日提交且各自全文以引用方式并入本文的以下美国临时专利申请:The applicant of the present application has the following U.S. Provisional Patent Applications filed on February 19, 2019, each of which is hereby incorporated by reference in its entirety:

-名称为“METHODS FOR CONTROLLING A POWERED SURGICAL STAPLER THAT HASSEPARATE ROTARY CLOSURE AND FIRING SYSTEMS”的美国临时专利申请序列号62/807,310;- U.S. Provisional Patent Application Serial No. 62/807,310 entitled "METHODS FOR CONTROLLING A POWERED SURGICAL STAPLER THAT HASSEPARATE ROTARY CLOSURE AND FIRING SYSTEMS";

-名称为“SURGICAL STAPLING DEVICES WITH IMPROVED LOCKOUT SYSTEMS”的美国临时专利申请序列号62/807,319;以及- U.S. Provisional Patent Application Serial No. 62/807,319 entitled "SURGICAL STAPLING DEVICES WITH IMPROVED LOCKOUT SYSTEMS"; and

-名称为“SURGICAL STAPLING DEVICES WITH IMPROVED ROTARY DRIVEN CLOSURESYSTEMS”的美国临时专利申请序列号62/807,309。- US Provisional Patent Application Serial No. 62/807,309 entitled "SURGICAL STAPLING DEVICES WITH IMPROVED ROTARY DRIVEN CLOSURESYSTEMS".

本申请的申请人拥有于2018年3月28日提交的以下美国临时专利申请,这些临时专利申请中的每个临时专利申请以引用方式全文并入本文:The applicant of the present application has the following U.S. provisional patent applications filed on March 28, 2018, each of which is incorporated herein by reference in its entirety:

-名称为“INTERACTIVE SURGICAL SYSTEMS WITH encrypted COMMUNICATIONCAPABILITIES”的美国临时专利申请序列号62/649,302;- U.S. Provisional Patent Application Serial No. 62/649,302 entitled "INTERACTIVE SURGICAL SYSTEMS WITH encrypted COMMUNICATIONCAPABILITIES";

-名称为“DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS ANDCREATE ANONYMIZED RECORD”的美国临时专利申请序列号62/649,294;- US Provisional Patent Application Serial No. 62/649,294 entitled "DATA STRIPPING METHOD TO INTERROGATE PATIENT RECORDS ANDCREATE ANONYMIZED RECORD";

-名称为“SURGICAL HUB SITUATIONAL AWARENESS”的美国临时专利申请序列号62/649,300;- US Provisional Patent Application Serial No. 62/649,300 entitled "SURGICAL HUB SITUATIONAL AWARENESS";

-名称为“SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES INOPERATING THEATER”的美国临时专利申请序列号62/649,309;- US Provisional Patent Application Serial No. 62/649,309 entitled "SURGICAL HUB SPATIAL AWARENESS TO DETERMINE DEVICES INOPERATING THEATER";

-名称为“COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS”的美国临时专利申请序列号62/649,310;- US Provisional Patent Application Serial No. 62/649,310 entitled "COMPUTER IMPLEMENTED INTERACTIVE SURGICAL SYSTEMS";

-名称为“USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINEPROPERTIES OF BACK SCATTERED LIGHT”的美国临时专利申请序列号62/649,291;- US Provisional Patent Application Serial No. 62/649,291 entitled "USE OF LASER LIGHT AND RED-GREEN-BLUE COLORATION TO DETERMINEPROPERTIES OF BACK SCATTERED LIGHT";

-名称为“ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES”的美国临时专利申请序列号62/649,296;- U.S. Provisional Patent Application Serial No. 62/649,296 entitled "ADAPTIVE CONTROL PROGRAM UPDATES FOR SURGICAL DEVICES";

-名称为“CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION ANDRECOMMENDATIONS TO A USER”的美国临时专利申请序列号62/649,333;- US Provisional Patent Application Serial No. 62/649,333 entitled "CLOUD-BASED MEDICAL ANALYTICS FOR CUSTOMIZATION ANDRECOMMENDATIONS TO A USER";

-名称为“CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATIONTRENDS AND REACTIVE MEASURES”的美国临时专利申请序列号62/649,327;- US Provisional Patent Application Serial No. 62/649,327 entitled "CLOUD-BASED MEDICAL ANALYTICS FOR SECURITY AND AUTHENTICATION TRENDS AND REACTIVE MEASURES";

-名称为“DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICSNETWORK”的美国临时专利申请序列号62/649,315;- US Provisional Patent Application Serial No. 62/649,315 entitled "DATA HANDLING AND PRIORITIZATION IN A CLOUD ANALYTICSNETWORK";

-名称为“CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES”的美国临时专利申请序列号62/649,313;- US Provisional Patent Application Serial No. 62/649,313 entitled "CLOUD INTERFACE FOR COUPLED SURGICAL DEVICES";

-名称为“DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS”的美国临时专利申请序列号62/649,320;- US Provisional Patent Application Serial No. 62/649,320 entitled "DRIVE ARRANGEMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS";

-名称为“AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICALPLATFORMS”的美国临时专利申请序列号62/649,307;以及- U.S. Provisional Patent Application Serial No. 62/649,307 entitled "AUTOMATIC TOOL ADJUSTMENTS FOR ROBOT-ASSISTED SURGICAL PLATFORMS"; and

-名称为“SENSING ARRANGEMENTS FOR Robot-Assisted Surgical PLATFORMS”的美国临时专利申请序列号62/649,323。- US Provisional Patent Application Serial No. 62/649,323 entitled "SENSING ARRANGEMENTS FOR Robot-Assisted Surgical PLATFORMS".

本申请的申请人拥有于2018年3月30日提交的以下美国临时专利申请,该临时专利申请以引用方式全文并入本文:The applicant of the present application has the following U.S. Provisional Patent Application filed on March 30, 2018, which is incorporated herein by reference in its entirety:

-名称为“SURGICAL SYSTEMS WITH OPTIMIZED SENSING CAPABILITIES”的美国临时专利申请序列号62/650,887。- US Provisional Patent Application Serial No. 62/650,887 entitled "SURGICAL SYSTEMS WITH OPTIMIZED SENSING CAPABILITIES".

本申请的申请人拥有于2018年12月4日提交的以下美国专利申请,该专利申请以引用方式全文并入本文:The applicant of the present application has the following US patent application filed on December 4, 2018, which is hereby incorporated by reference in its entirety:

-名称为“METHOD OF COMPRESSING TISSUE WITHIN A STAPLING DEVICE ANDSIMULTANEOUSLY DISPLAYING THE LOCATION OF THE TISSUE WITHIN THE JAWS”的美国专利申请序列号16/209,423。- US Patent Application Serial No. 16/209,423 entitled "METHOD OF COMPRESSING TISSUE WITHIN A STAPLING DEVICE ANDSIMULTANEOUSLY DISPLAYING THE LOCATION OF THE TISSUE WITHIN THE JAWS".

本申请的申请人拥有于2018年8月20日提交且各自全文以引用方式并入本文的以下美国专利申请:The applicant of the present application has the following US patent applications filed on August 20, 2018, each of which is incorporated herein by reference in its entirety:

-名称为“METHOD FOR FAbricating SURGICAL STAPLER ANVILS”的美国专利申请序列号16/105,101;- US Patent Application Serial No. 16/105,101 entitled "METHOD FOR FAbricating SURGICAL STAPLER ANVILS";

-名称为“REINFORCED DEFORMABLE ANVIL TIP FOR SURGICAL STAPLER ANVIL”的美国专利申请序列号16/105,183;- US Patent Application Serial No. 16/105,183 entitled "REINFORCED DEFORMABLE ANVIL TIP FOR SURGICAL STAPLER ANVIL";

-名称为“SURGICAL STAPLER ANVILS WITH STAPLE DIRECTING PROTRUSIONS ANDTISSUE STABILITY FEATURES”的美国专利申请序列号16/105,150;- US Patent Application Serial No. 16/105,150 entitled "SURGICAL STAPLER ANVILS WITH STAPLE DIRECTING PROTRUSIONS ANDTISSUE STABILITY FEATURES";

-名称为“FABRICATING TECHNIQUES FOR SURGICAL STAPLER ANVILS”的美国专利申请序列号16/105,098;- US Patent Application Serial No. 16/105,098 entitled "FABRICATING TECHNIQUES FOR SURGICAL STAPLER ANVILS";

-名称为“SURGICAL STAPLER ANVILS WITH TISSUE STOP FEATURES CONFIGUREDTO AVOID TISSUE PINCH”的美国专利申请序列号16/105,140;- US Patent Application Serial No. 16/105,140 entitled "SURGICAL STAPLER ANVILS WITH TISSUE STOP FEATURES CONFIGUREDTO AVOID TISSUE PINCH";

-名称为“METHOD FOR OPERATING A POWERED ARTICULATABLE SURGICALINSTRUMENT”的美国专利申请序列号16/105,081;- US Patent Application Serial No. 16/105,081 entitled "METHOD FOR OPERATING A POWERED ARTICULATABLE SURGICALINSTRUMENT";

-名称为“SURGICAL INSTRUMENTS WITH PROGRESSIVE JAW CLOSUREARRANGEMENTS”的美国专利申请序列号16/105,094;- US Patent Application Serial No. 16/105,094 entitled "SURGICAL INSTRUMENTS WITH PROGRESSIVE JAW CLOSUREARRANGEMENTS";

-名称为“POWERED SURGICAL INSTRUMENTS WITH CLUTCHING ARRANGEMENTS TOCONVERT LINEAR DRIVE MOTIONS TO ROTARY DRIVE MOTIONS”的美国专利申请序列号16/105,097;- US Patent Application Serial No. 16/105,097 entitled "POWERED SURGICAL INSTRUMENTS WITH CLUTCHING ARRANGEMENTS TOCONVERT LINEAR DRIVE MOTIONS TO ROTARY DRIVE MOTIONS";

-名称为“POWERED ARTICULATABLE SURGICAL INSTRUMENTS WITH CLUTCHING ANDLOCKING ARRANGEMENTS FOR LINKING AN ARTICULATION DRIVE SYSTEM TO A FIRINGDRIVE SYSTEM”的美国专利申请序列号16/105,104;- US Patent Application Serial No. 16/105,104 entitled "POWERED ARTICULATABLE SURGICAL INSTRUMENTS WITH CLUTCHING ANDLOCKING ARRANGEMENTS FOR LINKING AN ARTICULATION DRIVE SYSTEM TO A FIRINGDRIVE SYSTEM";

-名称为“ARTICULATABLE MOTOR POWERED SURGICAL INSTRUMENTS WITHDEDICATED ARTICULATION MOTOR ARRANGEMENTS”的美国专利申请序列号16/105,119;- US Patent Application Serial No. 16/105,119 entitled "ARTICULATABLE MOTOR POWERED SURGICAL INSTRUMENTS WITHDEDICATED ARTICULATION MOTOR ARRANGEMENTS";

-名称为“SWITCHING ARRANGEMENTS FOR MOTOR POWERED ARTICULATABLESURGICAL INSTRUMENTS”的美国专利申请序列号16/105,160;以及- US Patent Application Serial No. 16/105,160 entitled "SWITCHING ARRANGEMENTS FOR MOTOR POWERED ARTICULATABLESURGICAL INSTRUMENTS"; and

-名称为“SURGICAL STAPLER ANVILS”的美国设计专利申请序列号29/660,252。- US Design Patent Application Serial No. 29/660,252 entitled "SURGICAL STAPLER ANVILS".

本申请的申请人拥有各自全文以引用方式并入本文的以下美国专利申请和美国专利:The applicant of the present application owns the following US patent applications and US patents, each of which is hereby incorporated by reference in its entirety:

-名称为“SURGICAL STAPLING INSTRUMENTS AND REPLACEABLE TOOL ASSEMBLIESTHEREOF”的美国专利申请序列号15/386,185,现为美国专利申请公布2018/0168642;- US Patent Application Serial No. 15/386,185 entitled "SURGICAL STAPLING INSTRUMENTS AND REPLACEABLE TOOL ASSEMBLIESTHEREOF", now US Patent Application Publication 2018/0168642;

-名称为“ARTICULATABLE SURGICAL STAPLING INSTRUMENTS”的美国专利申请序列号15/386,230,现为美国专利申请公布2018/0168649;- US Patent Application Serial No. 15/386,230 entitled "ARTICULATABLE SURGICAL STAPLING INSTRUMENTS", now US Patent Application Publication 2018/0168649;

-名称为“LOCKOUT ARRANGEMENTS FOR SURGICAL END EFFECTORS”的美国专利申请序列号15/386,221,现为美国专利申请公布2018/0168646;- US Patent Application Serial No. 15/386,221 entitled "LOCKOUT ARRANGEMENTS FOR SURGICAL END EFFECTORS", now US Patent Application Publication 2018/0168646;

-名称为“SURGICAL END EFFECTORS AND FIRING MEMBERS THEREOF”的美国专利申请序列号15/386,209,现为美国专利申请公布2018/0168645;- US Patent Application Serial No. 15/386,209 entitled "SURGICAL END EFFECTORS AND FIRING MEMBERS THEREOF", now US Patent Application Publication 2018/0168645;

-名称为“LOCKOUT ARRANGEMENTS FOR SURGICAL END EFFECTORS ANDREPLACEABLE TOOL ASSEMBLIES”的美国专利申请序列号15/386,198,现为美国专利申请公布2018/0168644;- US Patent Application Serial No. 15/386,198 entitled "LOCKOUT ARRANGEMENTS FOR SURGICAL END EFFECTORS ANDREPLACEABLE TOOL ASSEMBLIES", now US Patent Application Publication 2018/0168644;

-名称为“SURGICAL END EFFECTORS AND ADAPTABLE FIRING MEMBERS THEREFOR”的美国专利申请序列号15/386,240,现为美国专利申请公布2018/0168651;- US Patent Application Serial No. 15/386,240 entitled "SURGICAL END EFFECTORS AND ADAPTABLE FIRING MEMBERS THEREFOR", now US Patent Application Publication 2018/0168651;

-名称为“STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLECAVITIES THEREIN”的美国专利申请序列号15/385,939,现为美国专利申请公布2018/0168629;- US Patent Application Serial No. 15/385,939 entitled "STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLECAVITIES THEREIN", now US Patent Application Publication 2018/0168629;

-名称为“SURGICAL TOOL ASSEMBLIES WITH CLUTCHING ARRANGEMENTS FORSHIFTING BETWEEN CLOSURE SYSTEMS WITH CLOSURE STROKE REDUCTION FEATURES ANDARTICULATION AND FIRING SYSTEMS”的美国专利申请序列号15/385,941,现为美国专利申请公布2018/0168630;- US Patent Application Serial No. 15/385,941 entitled "SURGICAL TOOL ASSEMBLIES WITH CLUTCHING ARRANGEMENTS FORSHIFTING BETWEEN CLOSURE SYSTEMS WITH CLOSURE STROKE REDUCTION FEATURES ANDARTICULATION AND FIRING SYSTEMS", now US Patent Application Publication 2018/0168630;

-名称为“SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS”的美国专利申请序列号15/385,943,现为美国专利申请公布2018/0168631;- US Patent Application Serial No. 15/385,943 entitled "SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS", now US Patent Application Publication 2018/0168631;

名称为“SURGICAL TOOL ASSEMBLIES WITH CLOSURE STROKE REDUCTIONFEATURES”的美国专利申请序列号15/385,950,现为美国专利申请公布2018/0168635;US Patent Application Serial No. 15/385,950 entitled "SURGICAL TOOL ASSEMBLIES WITH CLOSURE STROKE REDUCTIONFEATURES", now US Patent Application Publication 2018/0168635;

-名称为“STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLECAVITIES THEREIN”的美国专利申请序列号15/385,945,现为美国专利申请公布2018/0168632;- US Patent Application Serial No. 15/385,945 entitled "STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLECAVITIES THEREIN", now US Patent Application Publication 2018/0168632;

-名称为“SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS”的美国专利申请序列号15/385,946,现为美国专利申请公布2018/0168633;- US Patent Application Serial No. 15/385,946 entitled "SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS", now US Patent Application Publication 2018/0168633;

-名称为“SURGICAL INSTRUMENTS WITH JAW OPENING FEATURES FOR INCREASINGA JAW OPENING DISTANCE”的美国专利申请序列号15/385,951,现为美国专利申请公布2018/0168636;- US Patent Application Serial No. 15/385,951 entitled "SURGICAL INSTRUMENTS WITH JAW OPENING FEATURES FOR INCREASINGA JAW OPENING DISTANCE", now US Patent Application Publication 2018/0168636;

-名称为“METHODS OF STAPLING TISSUE”的美国专利申请序列号15/385,953,现为美国专利申请公布2018/0168637;- US Patent Application Serial No. 15/385,953 entitled "METHODS OF STAPLING TISSUE", now US Patent Application Publication 2018/0168637;

-名称为“FIRING MEMBERS WITH NON-PARALLEL JAW ENGAGEMENT FEATURES FORSURGICAL END EFFECTORS”的美国专利申请序列号15/385,954,现为美国专利申请公布2018/0168638;- US Patent Application Serial No. 15/385,954 entitled "FIRING MEMBERS WITH NON-PARALLEL JAW ENGAGEMENT FEATURES FORSURGICAL END EFFECTORS", now US Patent Application Publication 2018/0168638;

-名称为“SURGICAL END EFFECTORS WITH EXPANDABLE TISSUE STOPARRANGEMENTS”的美国专利申请序列号15/385,955,现为美国专利申请公布2018/0168639;- US Patent Application Serial No. 15/385,955 entitled "SURGICAL END EFFECTORS WITH EXPANDABLE TISSUE STOPARRANGEMENTS", now US Patent Application Publication 2018/0168639;

-名称为“SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS”的美国专利申请序列号15/385,948,现为美国专利申请公布2018/0168584;- US Patent Application Serial No. 15/385,948 entitled "SURGICAL STAPLING INSTRUMENTS AND STAPLE-FORMING ANVILS", now US Patent Application Publication 2018/0168584;

-名称为“SURGICAL INSTRUMENTS WITH POSITIVE JAW OPENING FEATURES”的美国专利申请序列号15/385,956,现为美国专利申请公布2018/0168640;- US Patent Application Serial No. 15/385,956 entitled "SURGICAL INSTRUMENTS WITH POSITIVE JAW OPENING FEATURES", now US Patent Application Publication 2018/0168640;

-名称为“SURGICAL INSTRUMENTS WITH LOCKOUT ARRANGEMENTS FOR PREVENTINGFIRING SYSTEM ACTUATION UNLESS AN UNSPENT STAPLE CARTRIDGE IS PRESENT”的美国专利申请序列号15/385,958,现为美国专利申请公布2018/0168641;- US Patent Application Serial No. 15/385,958 entitled "SURGICAL INSTRUMENTS WITH LOCKOUT ARRANGEMENTS FOR PREVENTINGFIRING SYSTEM ACTUATION UNLESS AN UNSPENT STAPLE CARTRIDGE IS PRESENT", now US Patent Application Publication 2018/0168641;

-名称为“STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLECAVITIES THEREIN”的美国专利申请序列号15/385,947,现为美国专利申请公布2018/0168634;- US Patent Application Serial No. 15/385,947 entitled "STAPLE CARTRIDGES AND ARRANGEMENTS OF STAPLES AND STAPLECAVITIES THEREIN", now US Patent Application Publication 2018/0168634;

-名称为“METHOD FOR RESETTING A FUSE OF A SURGICAL INSTRUMENT SHAFT”的美国专利申请序列号15/385,896,现为美国专利申请公布2018/0168597;- US Patent Application Serial No. 15/385,896 entitled "METHOD FOR RESETTING A FUSE OF A SURGICAL INSTRUMENT SHAFT", now US Patent Application Publication 2018/0168597;

-名称为“STAPLE-FORMING POCKET ARRANGEMENT TO ACCOMMODATE DIFFERENTTYPES OF STAPLES”的美国专利申请序列号15/385,898,现为美国专利申请公布2018/0168599;- US Patent Application Serial No. 15/385,898 entitled "STAPLE-FORMING POCKET ARRANGEMENT TO ACCOMMODATE DIFFERENTTYPES OF STAPLES", now US Patent Application Publication 2018/0168599;

-名称为“SURGICAL INSTRUMENT COMPRISING IMPROVED JAW CONTROL”的美国专利申请序列号15/385,899,现为美国专利申请公布2018/0168600;- US Patent Application Serial No. 15/385,899 entitled "SURGICAL INSTRUMENT COMPRISING IMPROVED JAW CONTROL", now US Patent Application Publication 2018/0168600;

-名称为“STAPLE CARTRIDGE AND STAPLE CARTRIDGE CHANNEL COMPRISINGWINDOWS DEFINED THEREIN”的美国专利申请序列号15/385,901,现为美国专利申请公布2018/0168602;- US Patent Application Serial No. 15/385,901 entitled "STAPLE CARTRIDGE AND STAPLE CARTRIDGE CHANNEL COMPRISING WINDOWS DEFINED THEREIN", now US Patent Application Publication 2018/0168602;

-名称为“SURGICAL INSTRUMENT COMPRISING A CUTTING MEMBER”的美国专利申请序列号15/385,902,现为美国专利申请公布2018/0168603;- US Patent Application Serial No. 15/385,902 entitled "SURGICAL INSTRUMENT COMPRISING A CUTTING MEMBER", now US Patent Application Publication 2018/0168603;

-名称为“STAPLE FIRING MEMBER COMPRISING A MISSING CARTRIDGE AND/ORSPENT CARTRIDGE LOCKOUT”的美国专利申请序列号15/385,904,现为美国专利申请公布2018/0168605;- US Patent Application Serial No. 15/385,904 entitled "STAPLE FIRING MEMBER COMPRISING A MISSING CARTRIDGE AND/ORSPENT CARTRIDGE LOCKOUT", now US Patent Application Publication 2018/0168605;

-名称为“FIRING ASSEMBLY COMPRISING A LOCKOUT”的美国专利申请序列号15/385,905,现为美国专利申请公布2018/0168606;- US Patent Application Serial No. 15/385,905 entitled "FIRING ASSEMBLY COMPRISING A LOCKOUT", now US Patent Application Publication 2018/0168606;

-名称为“SURGICAL INSTRUMENT SYSTEM COMPRISING AN END EFFECTOR LOCKOUTAND A FIRING ASSEMBLY LOCKOUT”的美国专利申请序列号15/385,907,现为美国专利申请公布2018/0168608;- US Patent Application Serial No. 15/385,907 entitled "SURGICAL INSTRUMENT SYSTEM COMPRISING AN END EFFECTOR LOCKOUTAND A FIRING ASSEMBLY LOCKOUT", now US Patent Application Publication 2018/0168608;

-名称为“FIRING ASSEMBLY COMPRISING A FUSE”的美国专利申请序列号15/385,908,现为美国专利申请公布2018/0168609;- US Patent Application Serial No. 15/385,908 entitled "FIRING ASSEMBLY COMPRISING A FUSE", now US Patent Application Publication 2018/0168609;

-名称为“FIRING ASSEMBLY COMPRISING A MULTIPLE FAILED-STATE FUSE”的美国专利申请序列号15/385,909,现为美国专利申请公布2018/0168610;- US Patent Application Serial No. 15/385,909 entitled "FIRING ASSEMBLY COMPRISING A MULTIPLE FAILED-STATE FUSE", now US Patent Application Publication 2018/0168610;

-名称为“STAPLE-FORMING POCKET ARRANGEMENTS”的美国专利申请序列号15/385,920,现为美国专利申请公布2018/0168620;- US Patent Application Serial No. 15/385,920 entitled "STAPLE-FORMING POCKET ARRANGEMENTS", now US Patent Application Publication 2018/0168620;

-名称为“ANVIL ARRANGEMENTS FOR SURGICAL STAPLERS”的美国专利申请序列号15/385,913,现为美国专利申请公布2018/0168614;- US Patent Application Serial No. 15/385,913 entitled "ANVIL ARRANGEMENTS FOR SURGICAL STAPLERS", now US Patent Application Publication 2018/0168614;

-名称为“METHOD OF DEFORMING STAPLES FROM TWO DIFFERENT TYPES OFSTAPLE CARTRIDGES WITH THE SAME SURGICAL STAPLING INSTRUMENT”的美国专利申请序列号15/385,914,现为美国专利申请公布2018/0168615;- US Patent Application Serial No. 15/385,914 entitled "METHOD OF DEFORMING STAPLES FROM TWO DIFFERENT TYPES OFSTAPLE CARTRIDGES WITH THE SAME SURGICAL STAPLING INSTRUMENT", now US Patent Application Publication 2018/0168615;

-名称为“BILATERALLY ASYMMETRIC STAPLE-FORMING POCKET PAIRS”的美国专利申请序列号15/385,893,现为美国专利申请公布2018/0168594;- US Patent Application Serial No. 15/385,893 entitled "BILATERALLY ASYMMETRIC STAPLE-FORMING POCKET PAIRS", now US Patent Application Publication 2018/0168594;

-名称为“CLOSURE MEMBERS WITH CAM SURFACE ARRANGEMENTS FOR SURGICALINSTRUMENTS WITH SEPARATE AND DISTINCT CLOSURE AND FIRING SYSTEMS”的美国专利申请序列号15/385,929,现为美国专利申请公布2018/0168626;- US Patent Application Serial No. 15/385,929 entitled "CLOSURE MEMBERS WITH CAM SURFACE ARRANGEMENTS FOR SURGICALINSTRUMENTS WITH SEPARATE AND DISTINCT CLOSURE AND FIRING SYSTEMS", now US Patent Application Publication 2018/0168626;

-名称为“SURGICAL STAPLERS WITH INDEPENDENTLY ACTUATABLE CLOSING ANDFIRING SYSTEMS”的美国专利申请序列号15/385,911,现为美国专利申请公布2018/0168612;- US Patent Application Serial No. 15/385,911 entitled "SURGICAL STAPLERS WITH INDEPENDENTLY ACTUATABLE CLOSING ANDFIRING SYSTEMS", now US Patent Application Publication 2018/0168612;

-名称为“SURGICAL STAPLING INSTRUMENTS WITH SMART STAPLE CARTRIDGES”的美国专利申请序列号15/385,927,现为美国专利申请公布2018/0168625;- US Patent Application Serial No. 15/385,927 entitled "SURGICAL STAPLING INSTRUMENTS WITH SMART STAPLE CARTRIDGES", now US Patent Application Publication 2018/0168625;

-名称为“STAPLE CARTRIDGE COMPRISING STAPLES WITH DIFFERENT CLAMPINGBREADTHS”的美国专利申请序列号15/385,917,现为美国专利申请公布2018/0168617;- US Patent Application Serial No. 15/385,917 entitled "STAPLE CARTRIDGE COMPRISING STAPLES WITH DIFFERENT CLAMPINGBREADTHS", now US Patent Application Publication 2018/0168617;

-名称为“STAPLE-FORMING POCKET ARRANGEMENTS COMPRISING PRIMARYSIDEWALLS AND POCKET SIDEWALLS”的美国专利申请序列号15/385,900,现为美国专利申请公布2018/0168601;- US Patent Application Serial No. 15/385,900 entitled "STAPLE-FORMING POCKET ARRANGEMENTS COMPRISING PRIMARYSIDEWALLS AND POCKET SIDEWALLS", now US Patent Application Publication 2018/0168601;

-名称为“NO-CARTRIDGE AND SPENT CARTRIDGE LOCKOUT ARRANGEMENTS FORSURGICAL STAPLERS”的美国专利申请序列号15/385,931,现为美国专利申请公布2018/0168627;- US Patent Application Serial No. 15/385,931 entitled "NO-CARTRIDGE AND SPENT CARTRIDGE LOCKOUT ARRANGEMENTS FORSURGICAL STAPLERS", now US Patent Application Publication 2018/0168627;

-名称为“FIRING MEMBER PIN ANGLE”的美国专利申请序列号15/385,915,现为美国专利申请公布2018/0168616;- US Patent Application Serial No. 15/385,915 entitled "FIRING MEMBER PIN ANGLE", now US Patent Application Publication 2018/0168616;

-名称为“STAPLE-FORMING POCKET ARRANGEMENTS COMPRISING ZONED FORMINGSURFACE GROOVES”的美国专利申请序列号15/385,897,现为美国专利申请公布2018/0168598;- US Patent Application Serial No. 15/385,897 entitled "STAPLE-FORMING POCKET ARRANGEMENTS COMPRISING ZONED FORMING SURFACE GROOVES", now US Patent Application Publication 2018/0168598;

-名称为“SURGICAL INSTRUMENT WITH MULTIPLE FAILURE RESPONSE MODES”的美国专利申请序列号15/385,922,现为美国专利申请公布2018/0168622;- US Patent Application Serial No. 15/385,922 entitled "SURGICAL INSTRUMENT WITH MULTIPLE FAILURE RESPONSE MODES", now US Patent Application Publication 2018/0168622;

-名称为“SURGICAL INSTRUMENT WITH PRIMARY AND SAFETY PROCESSORS”的美国专利申请序列号15/385,924,现为美国专利申请公布2018/0168624;- US Patent Application Serial No. 15/385,924 entitled "SURGICAL INSTRUMENT WITH PRIMARY AND SAFETY PROCESSORS", now US Patent Application Publication 2018/0168624;

-名称为“ANVIL HAVING A KNIFE SLOT WIDTH”的美国专利申请序列号15/385,910,现为美国专利申请公布2018/0168611;- US Patent Application Serial No. 15/385,910 entitled "ANVIL HAVING A KNIFE SLOT WIDTH", now US Patent Application Publication 2018/0168611;

-名称为“CLOSURE MEMBER ARRANGEMENTS FOR SURGICAL INSTRUMENTS”的美国专利申请序列号15/385,903,现为美国专利申请公布2018/0168604;- US Patent Application Serial No. 15/385,903 entitled "CLOSURE MEMBER ARRANGEMENTS FOR SURGICAL INSTRUMENTS", now US Patent Application Publication 2018/0168604;

-名称为“FIRING MEMBER PIN CONFIGURATIONS”的美国专利申请序列号15/385,906,现为美国专利申请公布2018/0168607;- US Patent Application Serial No. 15/385,906 entitled "FIRING MEMBER PIN CONFIGURATIONS", now US Patent Application Publication 2018/0168607;

-名称为“STEPPED STAPLE CARTRIDGE WITH ASYMMETRICAL STAPLES”的美国专利申请序列号15/386,188,现为美国专利申请公布2018/0168585;- US Patent Application Serial No. 15/386,188 entitled "STEPPED STAPLE CARTRIDGE WITH ASYMMETRICAL STAPLES", now US Patent Application Publication 2018/0168585;

-名称为“STEPPED STAPLE CARTRIDGE WITH TISSUE RETENTION AND GAPSETTING FEATURES”的美国专利申请序列号15/386,192,现为美国专利申请公布2018/0168643;- US Patent Application Serial No. 15/386,192 entitled "STEPPED STAPLE CARTRIDGE WITH TISSUE RETENTION AND GAPSETTING FEATURES", now US Patent Application Publication 2018/0168643;

-名称为“STAPLE CARTRIDGE WITH DEFORMABLE DRIVER RETENTION FEATURES”的美国专利申请序列号15/386,206,现为美国专利申请公布2018/0168586;- US Patent Application Serial No. 15/386,206 entitled "STAPLE CARTRIDGE WITH DEFORMABLE DRIVER RETENTION FEATURES", now US Patent Application Publication 2018/0168586;

-名称为“DURABILITY FEATURES FOR END EFFECTORS AND FIRING ASSEMBLIESOF SURGICAL STAPLING INSTRUMENTS”的美国专利申请序列号15/386,226,现为美国专利申请公布2018/0168648;- US Patent Application Serial No. 15/386,226 entitled "DURABILITY FEATURES FOR END EFFECTORS AND FIRING ASSEMBLIESOF SURGICAL STAPLING INSTRUMENTS", now US Patent Application Publication 2018/0168648;

-名称为“SURGICAL STAPLING INSTRUMENTS HAVING END EFFECTORS WITHPOSITIVE OPENING FEATURES”的美国专利申请序列号15/386,222,现为美国专利申请公布2018/0168647;- US Patent Application Serial No. 15/386,222 entitled "SURGICAL STAPLING INSTRUMENTS HAVING END EFFECTORS WITHPOSITIVE OPENING FEATURES", now US Patent Application Publication 2018/0168647;

-名称为“CONNECTION PORTIONS FOR DEPOSABLE LOADING UNITS FOR SURGICALSTAPLING INSTRUMENTS”的美国专利申请序列号15/386,236,现为美国专利申请公布2018/0168650;- US Patent Application Serial No. 15/386,236 entitled "CONNECTION PORTIONS FOR DEPOSABLE LOADING UNITS FOR SURGICALSTAPLING INSTRUMENTS", now US Patent Application Publication 2018/0168650;

-名称为“METHOD FOR ATTACHING A SHAFT ASSEMBLY TO A SURGICALINSTRUMENT AND,ALTERNATIVELY,TO A SURGICAL ROBOT”的美国专利申请序列号15/385,887,现为美国专利申请公布2018/0168589;- US Patent Application Serial No. 15/385,887 entitled "METHOD FOR ATTACHING A SHAFT ASSEMBLY TO A SURGICALINSTRUMENT AND, ALTERNATIVELY, TO A SURGICAL ROBOT", now US Patent Application Publication 2018/0168589;

-名称为“SHAFT ASSEMBLY COMPRISING A MANUALLY-OPERABLE RETRACTIONSYSTEM FOR USE WITH A MOTORIZED SURGICAL INSTRUMENT SYSTEM”的美国专利申请序列号15/385,889,现为美国专利申请公布2018/0168590;- US Patent Application Serial No. 15/385,889 entitled "SHAFT ASSEMBLY COMPRISING A MANUALLY-OPERABLE RETRACTION SYSTEM FOR USE WITH A MOTORIZED SURGICAL INSTRUMENT SYSTEM", now US Patent Application Publication 2018/0168590;

-名称为“SHAFT ASSEMBLY COMPRISING SEPARATELY ACTUATABLE ANDRETRACTABLE SYSTEMS”的美国专利申请序列号15/385,890,现为美国专利申请公布2018/0168591;- US Patent Application Serial No. 15/385,890 entitled "SHAFT ASSEMBLY COMPRISING SEPARATELY ACTUATABLE ANDRETRACTABLE SYSTEMS", now US Patent Application Publication 2018/0168591;

-名称为“SHAFT ASSEMBLY COMPRISING A CLUTCH CONFIGURED TO ADAPT THEOUTPUT OF A ROTARY FIRING MEMBER TO TWO DIFFERENT SYSTEMS”的美国专利申请序列号15/385,891,现为美国专利申请公布2018/0168592;- US Patent Application Serial No. 15/385,891 entitled "SHAFT ASSEMBLY COMPRISING A CLUTCH CONFIGURED TO ADAPT THEOUTPUT OF A ROTARY FIRING MEMBER TO TWO DIFFERENT SYSTEMS", now US Patent Application Publication 2018/0168592;

-名称为“SURGICAL SYSTEM COMPRISING A FIRING MEMBER ROTATABLE INTO ANARTICULATION STATE TO ARTICULATE AN END EFFECTOR OF THE SURGICAL SYSTEM”的美国专利申请序列号15/385,892,现为美国专利申请公布2018/0168593;- US Patent Application Serial No. 15/385,892 entitled "SURGICAL SYSTEM COMPRISING A FIRING MEMBER ROTATABLE INTO ANARTICULATION STATE TO ARTICULATE AN END EFFECTOR OF THE SURGICAL SYSTEM", now US Patent Application Publication 2018/0168593;

-名称为“SHAFT ASSEMBLY COMPRISING A LOCKOUT”的美国专利申请序列号15/385,894,现为美国专利申请公布2018/0168595;- US Patent Application Serial No. 15/385,894 entitled "SHAFT ASSEMBLY COMPRISING A LOCKOUT", now US Patent Application Publication 2018/0168595;

-名称为“SHAFT ASSEMBLY COMPRISING FIRST AND SECOND ARTICULATIONLOCKOUTS”的美国专利申请序列号15/385,895,现为美国专利申请公布2018/0168596;- US Patent Application Serial No. 15/385,895 entitled "SHAFT ASSEMBLY COMPRISING FIRST AND SECOND ARTICULATION LOCKOUTS", now US Patent Application Publication 2018/0168596;

-名称为“SURGICAL STAPLING SYSTEMS”的美国专利申请序列号15/385,916,现为美国专利申请公布2018/0168575;- US Patent Application Serial No. 15/385,916 entitled "SURGICAL STAPLING SYSTEMS", now US Patent Application Publication 2018/0168575;

-名称为“SURGICAL STAPLING SYSTEMS”的美国专利申请序列号15/385,918,现为美国专利申请公布2018/0168618;- US Patent Application Serial No. 15/385,918 entitled "SURGICAL STAPLING SYSTEMS", now US Patent Application Publication 2018/0168618;

-名称为“SURGICAL STAPLING SYSTEMS”的美国专利申请序列号15/385,919,现为美国专利申请公布2018/0168619;- US Patent Application Serial No. 15/385,919 entitled "SURGICAL STAPLING SYSTEMS", now US Patent Application Publication 2018/0168619;

-名称为“SURGICAL STAPLE CARTRIDGE WITH MOVABLE CAMMING MEMBERCONFIGURED TO DISENGAGE FIRING MEMBER LOCKOUT FEATURES”的美国专利申请序列号15/385,921,现为美国专利申请公布2018/0168621;- US Patent Application Serial No. 15/385,921 entitled "SURGICAL STAPLE CARTRIDGE WITH MOVABLE CAMMING MEMBERCONFIGURED TO DISENGAGE FIRING MEMBER LOCKOUT FEATURES", now US Patent Application Publication 2018/0168621;

-名称为“SURGICAL STAPLING SYSTEMS”的美国专利申请序列号15/385,923,现为美国专利申请公布2018/0168623;- US Patent Application Serial No. 15/385,923 entitled "SURGICAL STAPLING SYSTEMS", now US Patent Application Publication 2018/0168623;

-名称为“JAW ACTUATED LOCK ARRANGEMENTS FOR PREVENTING ADVANCEMENT OFA FIRING MEMBER IN A SURGICAL END EFFECTOR UNLESS AN UNFIRED CARTRIDGE ISINSTALLED IN THE END EFFECTOR”的美国专利申请序列号15/385,925,现为美国专利申请公布2018/0168576;- US Patent Application Serial No. 15/385,925 entitled "JAW ACTUATED LOCK ARRANGEMENTS FOR PREVENTING ADVANCEMENT OFA FIRING MEMBER IN A SURGICAL END EFFECTOR UNLESS AN UNFIRED CARTRIDGE ISINSTALLED IN THE END EFFECTOR", now US Patent Application Publication 2018/0168576;

-名称为“AXIALLY MOVABLE CLOSURE SYSTEM ARRANGEMENTS FOR APPLYINGCLOSURE MOTIONS TO JAWS OF SURGICAL INSTRUMENTS”的美国专利申请序列号15/385,926,现为美国专利申请公布2018/0168577;- US Patent Application Serial No. 15/385,926 entitled "AXIALLY MOVABLE CLOSURE SYSTEM ARRANGEMENTS FOR APPLYING CLOSURE MOTIONS TO JAWS OF SURGICAL INSTRUMENTS", now US Patent Application Publication 2018/0168577;

-名称为“PROTECTIVE COVER ARRANGEMENTS FOR A JOINT INTERFACE BETWEEN AMOVABLE JAW AND ACTUATOR SHAFT OF A SURGICAL INSTRUMENT”的美国专利申请序列号15/385,928,现为美国专利申请公布2018/0168578;- US Patent Application Serial No. 15/385,928 entitled "PROTECTIVE COVER ARRANGEMENTS FOR A JOINT INTERFACE BETWEEN AMOVABLE JAW AND ACTUATOR SHAFT OF A SURGICAL INSTRUMENT", now US Patent Application Publication 2018/0168578;

-名称为“SURGICAL END EFFECTOR WITH TWO SEPARATE COOPERATING OPENINGFEATURES FOR OPENING AND CLOSING END EFFECTOR JAWS”的美国专利申请序列号15/385,930,现为美国专利申请公布2018/0168579;- US Patent Application Serial No. 15/385,930 entitled "SURGICAL END EFFECTOR WITH TWO SEPARATE COOPERATING OPENINGFEATURES FOR OPENING AND CLOSING END EFFECTOR JAWS", now US Patent Application Publication 2018/0168579;

-名称为“ARTICULATABLE SURGICAL END EFFECTOR WITH ASYMMETRIC SHAFTARRANGEMENT”的美国专利申请序列号15/385,932,现为美国专利申请公布2018/0168628;- US Patent Application Serial No. 15/385,932 entitled "ARTICULATABLE SURGICAL END EFFECTOR WITH ASYMMETRIC SHAFTARRANGEMENT", now US Patent Application Publication 2018/0168628;

-名称为“ARTICULATABLE SURGICAL INSTRUMENT WITH INDEPENDENT PIVOTABLELINKAGE DISTAL OF AN ARTICULATION LOCK”的美国专利申请序列号15/385,933,现为美国专利申请公布2018/0168580;- US Patent Application Serial No. 15/385,933 entitled "ARTICULATABLE SURGICAL INSTRUMENT WITH INDEPENDENT PIVOTABLELINKAGE DISTAL OF AN ARTICULATION LOCK", now US Patent Application Publication 2018/0168580;

-名称为“ARTICULATION LOCK ARRANGEMENTS FOR LOCKING AN END EFFECTOR INAN ARTICULATED POSITION IN RESPONSE TO ACTUATION OF A JAW CLOSURE SYSTEM”的美国专利申请序列号15/385,934,现为美国专利申请公布2018/0168581;- US Patent Application Serial No. 15/385,934 entitled "ARTICULATION LOCK ARRANGEMENTS FOR LOCKING AN END EFFECTOR INAN ARTICULATED POSITION IN RESPONSE TO ACTUATION OF A JAW CLOSURE SYSTEM", now US Patent Application Publication 2018/0168581;

-名称为“LATERALLY ACTUATABLE ARTICULATION LOCK ARRANGEMENTS FORLOCKING AN END EFFECTOR OF A SURGICAL INSTRUMENT IN AN ARTICULATEDCONFIGURATION”的美国专利申请序列号15/385,935,现为美国专利申请公布2018/0168582;- US Patent Application Serial No. 15/385,935 entitled "LATERALLY ACTUATABLE ARTICULATION LOCK ARRANGEMENTS FORLOCKING AN END EFFECTOR OF A SURGICAL INSTRUMENT IN AN ARTICULATED CONFIGURATION", now US Patent Application Publication 2018/0168582;

-名称为“ARTICULATABLE SURGICAL INSTRUMENTS WITH ARTICULATION STROKEAMPLIFICATION FEATURES”的美国专利申请序列号15/385,936,现为美国专利申请公布2018/0168583;- US Patent Application Serial No. 15/385,936 entitled "ARTICULATABLE SURGICAL INSTRUMENTS WITH ARTICULATION STROKEAMPLIFICATION FEATURES", now US Patent Application Publication 2018/0168583;

-名称为“FASTENER CARTRIDGES INCLUDING EXTENSIONS HAVING DIFFERENTCONFIGURATIONS”的美国专利申请序列号14/318,996,现为美国专利申请公布2015/0297228;- US Patent Application Serial No. 14/318,996 entitled "FASTENER CARTRIDGES INCLUDING EXTENSIONS HAVING DIFFERENTCONFIGURATIONS", now US Patent Application Publication 2015/0297228;

-名称为“FASTENER CARTRIDGE COMPRISING FASTENER CAVITIES INCLUDINGFASTENER CONTROL FEATURES”的美国专利申请序列号14/319,006,现为美国专利10,010,324;- US Patent Application Serial No. 14/319,006 entitled "FASTENER CARTRIDGE COMPRISING FASTENER CAVITIES INCLUDINGFASTENER CONTROL FEATURES", now US Patent 10,010,324;

-名称为“SURGICAL FASTENER CARTRIDGES WITH DRIVER STABILIZINGARRANGEMENTS”的美国专利申请序列号14/318,991,现为美国专利9,833,241;- US Patent Application Serial No. 14/318,991 entitled "SURGICAL FASTENER CARTRIDGES WITH DRIVER STABILIZINGARRANGEMENTS", now US Patent 9,833,241;

-名称为“SURGICAL END EFFECTORS WITH FIRING ELEMENT MONITORINGARRANGEMENTS”的美国专利申请序列号14/319,004,现为美国专利9,844,369;- US Patent Application Serial No. 14/319,004 entitled "SURGICAL END EFFECTORS WITH FIRING ELEMENT MONITORING ARRANGEMENTS", now US Patent 9,844,369;

-名称为“FASTENER CARTRIDGE COMPRISING NON-UNIFORM FASTENERS”的美国专利申请序列号14/319,008,现为美国专利申请公布2015/0297232;- US Patent Application Serial No. 14/319,008 entitled "FASTENER CARTRIDGE COMPRISING NON-UNIFORM FASTENERS", now US Patent Application Publication 2015/0297232;

-名称为“FASTENER CARTRIDGE COMPRISING DEPLOYABLE TISSUE ENGAGINGMEMBERS”的美国专利申请序列号14/318,997,现为美国专利申请公布2015/0297229;- US Patent Application Serial No. 14/318,997 entitled "FASTENER CARTRIDGE COMPRISING DEPLOYABLE TISSUE ENGAGINGMEMBERS", now US Patent Application Publication 2015/0297229;

-名称为“FASTENER CARTRIDGE COMPRISING TISSUE CONTROL FEATURES”的美国专利申请序列号14/319,002,现为美国专利9,877,721;- US Patent Application Serial No. 14/319,002 entitled "FASTENER CARTRIDGE COMPRISING TISSUE CONTROL FEATURES", now US Patent 9,877,721;

-名称为“FASTENER CARTRIDGE ASSEMBLIES AND STAPLE RETAINER COVERARRANGEMENTS”的美国专利申请序列号14/319,013,现为美国专利申请公布2015/0297233;以及- US Patent Application Serial No. 14/319,013 entitled "FASTENER CARTRIDGE ASSEMBLIES AND STAPLE RETAINER COVERARRANGEMENTS", now US Patent Application Publication 2015/0297233; and

-名称为“FASTENER CARTRIDGE INCLUDING A LAYER ATTACHED THERETO”的美国专利申请序列号14/319,016,现为美国专利申请公布2015/0297235。- US Patent Application Serial No. 14/319,016 entitled "FASTENER CARTRIDGE INCLUDING A LAYER ATTACHED THERETO", now US Patent Application Publication 2015/0297235.

本申请的申请人拥有于2016年6月24日提交且各自全文以引用方式并入本文的以下美国专利申请:The applicant of the present application has the following US patent applications filed on June 24, 2016, each of which is incorporated herein by reference in its entirety:

-名称为“STAPLE CARTRIDGE COMPRISING WIRE STAPLES AND STAMPED STAPLES”的美国专利申请序列号15/191,775,现为美国专利申请公布2017/0367695;- US Patent Application Serial No. 15/191,775 entitled "STAPLE CARTRIDGE COMPRISING WIRE STAPLES AND STAMPED STAPLES", now US Patent Application Publication 2017/0367695;

-名称为“STAPLING SYSTEM FOR USE WITH WIRE STAPLES AND STAMPEDSTAPLES”的美国专利申请序列号15/191,807,现为美国专利申请公布2017/0367696;- US Patent Application Serial No. 15/191,807 entitled "STAPLING SYSTEM FOR USE WITH WIRE STAPLES AND STAMPEDSTAPLES", now US Patent Application Publication 2017/0367696;

-名称为“STAMPED STAPLES AND STAPLE CARTRIDGES USING THE SAME”的美国专利申请序列号15/191,834,现为美国专利申请公布2017/0367699;- US Patent Application Serial No. 15/191,834 entitled "STAMPED STAPLES AND STAPLE CARTRIDGES USING THE SAME", now US Patent Application Publication 2017/0367699;

-名称为“STAPLE CARTRIDGE COMPRISING OVERDRIVEN STAPLES”的美国专利申请序列号15/191,788,现为美国专利申请公布2017/0367698;以及- US Patent Application Serial No. 15/191,788 entitled "STAPLE CARTRIDGE COMPRISING OVERDRIVEN STAPLES", now US Patent Application Publication 2017/0367698; and

-名称为“STAPLE CARTRIDGE COMPRISING OFFSET LONGITUDINAL STAPLE ROWS”的美国专利申请序列号15/191,818,现为美国专利申请公布2017/0367697。- US Patent Application Serial No. 15/191,818 entitled "STAPLE CARTRIDGE COMPRISING OFFSET LONGITUDINAL STAPLE ROWS", now US Patent Application Publication 2017/0367697.

本申请的申请人拥有于2016年6月24日提交且各自全文以引用方式并入本文的以下美国专利申请:The applicant of the present application has the following US patent applications filed on June 24, 2016, each of which is incorporated herein by reference in its entirety:

-名称为“SURGICAL FASTENER”的美国设计专利申请序列号29/569,218,现为美国设计专利D826,405;- US Design Patent Application Serial No. 29/569,218 entitled "SURGICAL FASTENER", now US Design Patent D826,405;

-名称为“SURGICAL FASTENER”的美国设计专利申请序列号29/569,227,现为美国设计专利D822,206;- US Design Patent Application Serial No. 29/569,227 entitled "SURGICAL FASTENER", now US Design Patent D822,206;

-名称为“SURGICAL FASTENER CARTRIDGE”的美国设计专利申请序列号29/569,259;以及- US Design Patent Application Serial No. 29/569,259 entitled "SURGICAL FASTENER CARTRIDGE"; and

-名称为“SURGICAL FASTENER CARTRIDGE”的美国设计专利申请序列号29/569,264。- US Design Patent Application Serial No. 29/569,264 entitled "SURGICAL FASTENER CARTRIDGE".

本申请的申请人拥有于2016年4月1日提交且各自全文以引用方式并入本文的以下专利申请:The applicant of the present application has the following patent applications filed on April 1, 2016, each of which is incorporated herein by reference in its entirety:

-名称为“METHOD FOR OPERATING A SURGICAL STAPLING SYSTEM”的美国专利申请序列号15/089,325,现为美国专利申请公布2017/0281171;- US Patent Application Serial No. 15/089,325 entitled "METHOD FOR OPERATING A SURGICAL STAPLING SYSTEM", now US Patent Application Publication 2017/0281171;

-名称为“MODULAR SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY”的美国专利申请序列号15/089,321,现为美国专利申请公布2017/0281163;- US Patent Application Serial No. 15/089,321 entitled "MODULAR SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY", now US Patent Application Publication 2017/0281163;

-名称为“SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY INCLUDING A RE-ORIENTABLE DISPLAY FIELD”的美国专利申请序列号15/089,326,现为美国专利申请公布2017/0281172;- US Patent Application Serial No. 15/089,326 entitled "SURGICAL STAPLING SYSTEM COMPRISING A DISPLAY INCLUDING A RE-ORIENTABLE DISPLAY FIELD", now US Patent Application Publication 2017/0281172;

-名称为“SURGICAL INSTRUMENT HANDLE ASSEMBLY WITH RECONFIGURABLE GRIPPORTION”的美国专利申请序列号15/089,263,现为美国专利申请公布2017/0281165;- US Patent Application Serial No. 15/089,263 entitled "SURGICAL INSTRUMENT HANDLE ASSEMBLY WITH RECONFIGURABLE GRIPPORTION", now US Patent Application Publication 2017/0281165;

-名称为“ROTARY POWERED SURGICAL INSTRUMENT WITH MANUALLY ACTUATABLEBAILOUT SYSTEM”的美国专利申请序列号15/089,262,现为美国专利申请公布2017/0281161;- US Patent Application Serial No. 15/089,262 entitled "ROTARY POWERED SURGICAL INSTRUMENT WITH MANUALLY ACTUATABLEBAILOUT SYSTEM", now US Patent Application Publication 2017/0281161;

-名称为“SURGICAL CUTTING AND STAPLING END EFFECTOR WITH ANVILCONCENTRIC DRIVE MEMBER”的美国专利申请序列号15/089,277,现为美国专利申请公布2017/0281166;- US Patent Application Serial No. 15/089,277 entitled "SURGICAL CUTTING AND STAPLING END EFFECTOR WITH ANVILCONCENTRIC DRIVE MEMBER", now US Patent Application Publication 2017/0281166;

-名称为“INTERCHANGEABLE SURGICAL TOOL ASSEMBLY WITH A SURGICAL ENDEFFECTOR THAT IS SELECTIVELY ROTATABLE ABOUT A SHAFT AXIS”的美国专利申请序列号15/089,296,现为美国专利申请公布2017/0281168;- US Patent Application Serial No. 15/089,296 entitled "INTERCHANGEABLE SURGICAL TOOL ASSEMBLY WITH A SURGICAL ENDEFECTOR THAT IS SELECTIVELY ROTATABLE ABOUT A SHAFT AXIS", now US Patent Application Publication 2017/0281168;

-名称为“SURGICAL STAPLING SYSTEM COMPRISING A SHIFTABLE TRANSMISSION”的美国专利申请序列号15/089,258,现为美国专利申请公布2017/0281178;- US Patent Application Serial No. 15/089,258 entitled "SURGICAL STAPLING SYSTEM COMPRISING A SHIFTABLE TRANSMISSION", now US Patent Application Publication 2017/0281178;

-名称为“SURGICAL STAPLING SYSTEM CONFIGURED TO PROVIDE SELECTIVECUTTING OF TISSUE”的美国专利申请序列号15/089,278,现为美国专利申请公布2017/0281162;- US Patent Application Serial No. 15/089,278 entitled "SURGICAL STAPLING SYSTEM CONFIGURED TO PROVIDE SELECTIVECUTTING OF TISSUE", now US Patent Application Publication 2017/0281162;

-名称为“SURGICAL STAPLING SYSTEM COMPRISING A CONTOURABLE SHAFT”的美国专利申请序列号15/089,284,现为美国专利申请公布2017/0281186;- US Patent Application Serial No. 15/089,284 entitled "SURGICAL STAPLING SYSTEM COMPRISING A CONTOURABLE SHAFT", now US Patent Application Publication 2017/0281186;

-名称为“SURGICAL STAPLING SYSTEM COMPRISING A TISSUE COMPRESSIONLOCKOUT”的美国专利申请序列号15/089,295,现为美国专利申请公布2017/0281187;- US Patent Application Serial No. 15/089,295 entitled "SURGICAL STAPLING SYSTEM COMPRISING A TISSUE COMPRESSIONLOCKOUT", now US Patent Application Publication 2017/0281187;

-名称为“SURGICAL STAPLING SYSTEM COMPRISING AN UNCLAMPING LOCKOUT”的美国专利申请序列号15/089,300,现为美国专利申请公布2017/0281179;- US Patent Application Serial No. 15/089,300 entitled "SURGICAL STAPLING SYSTEM COMPRISING AN UNCLAMPING LOCKOUT", now US Patent Application Publication 2017/0281179;

-名称为“SURGICAL STAPLING SYSTEM COMPRISING A JAW CLOSURE LOCKOUT”的美国专利申请序列号15/089,196,现为美国专利申请公布2017/0281183;- US Patent Application Serial No. 15/089,196 entitled "SURGICAL STAPLING SYSTEM COMPRISING A JAW CLOSURE LOCKOUT", now US Patent Application Publication 2017/0281183;

-名称为“SURGICAL STAPLING SYSTEM COMPRISING A JAW ATTACHMENT LOCKOUT”的美国专利申请序列号15/089,203,现为美国专利申请公布2017/0281184;- US Patent Application Serial No. 15/089,203 entitled "SURGICAL STAPLING SYSTEM COMPRISING A JAW ATTACHMENT LOCKOUT", now US Patent Application Publication 2017/0281184;

-名称为“SURGICAL STAPLING SYSTEM COMPRISING A SPENT CARTRIDGELOCKOUT”的美国专利申请序列号15/089,210,现为美国专利申请公布2017/0281185;- US Patent Application Serial No. 15/089,210 entitled "SURGICAL STAPLING SYSTEM COMPRISING A SPENT CARTRIDGELOCKOUT", now US Patent Application Publication 2017/0281185;

-名称为“SURGICAL INSTRUMENT COMPRISING A SHIFTING MECHANISM”的美国专利申请序列号15/089,324,现为美国专利申请公布2017/0281170;- US Patent Application Serial No. 15/089,324 entitled "SURGICAL INSTRUMENT COMPRISING A SHIFTING MECHANISM", now US Patent Application Publication 2017/0281170;

-名称为“SURGICAL STAPLING INSTRUMENT COMPRISING MULTIPLE LOCKOUTS”的美国专利申请序列号15/089,335,现为美国专利申请公布2017/0281155;- US Patent Application Serial No. 15/089,335 entitled "SURGICAL STAPLING INSTRUMENT COMPRISING MULTIPLE LOCKOUTS", now US Patent Application Publication 2017/0281155;

-名称为“SURGICAL STAPLING INSTRUMENT”的美国专利申请序列号15/089,339,现为美国专利申请公布2017/0281173;- US Patent Application Serial No. 15/089,339 entitled "SURGICAL STAPLING INSTRUMENT", now US Patent Application Publication 2017/0281173;

-名称为“SURGICAL STAPLING SYSTEM CONFIGURED TO APPLY ANNULAR ROWS OFSTAPLES HAVING DIFFERENT HEIGHTS”的美国专利申请序列号15/089,253,现为美国专利申请公布2017/0281177;- US Patent Application Serial No. 15/089,253 entitled "SURGICAL STAPLING SYSTEM CONFIGURED TO APPLY ANNULAR ROWS OFSTAPLES HAVING DIFFERENT HEIGHTS", now US Patent Application Publication 2017/0281177;

-名称为“SURGICAL STAPLING SYSTEM COMPRISING A GROOVED FORMING POCKET”的美国专利申请序列号15/089,304,现为美国专利申请公布2017/0281188;- US Patent Application Serial No. 15/089,304 entitled "SURGICAL STAPLING SYSTEM COMPRISING A GROOVED FORMING POCKET", now US Patent Application Publication 2017/0281188;

-名称为“ANVIL MODIFICATION MEMBERS FOR SURGICAL STAPLERS”的美国专利申请序列号15/089,331,现为美国专利申请公布2017/0281180;- US Patent Application Serial No. 15/089,331 entitled "ANVIL MODIFICATION MEMBERS FOR SURGICAL STAPLERS", now US Patent Application Publication 2017/0281180;

-名称为“STAPLE CARTRIDGES WITH ATRAUMATIC FEATURES”的美国专利申请序列号15/089,336,现为美国专利申请公布2017/0281164;- US Patent Application Serial No. 15/089,336 entitled "STAPLE CARTRIDGES WITH ATRAUMATIC FEATURES", now US Patent Application Publication 2017/0281164;

-名称为“CIRCULAR STAPLING SYSTEM COMPRISING AN INCISABLE TISSUESUPPORT”的美国专利申请序列号15/089,312,现为美国专利申请公布2017/0281189;- US Patent Application Serial No. 15/089,312 entitled "CIRCULAR STAPLING SYSTEM COMPRISING AN INCISABLE TISSUESUPPORT", now US Patent Application Publication 2017/0281189;

-名称为“CIRCULAR STAPLING SYSTEM COMPRISING ROTARY FIRING SYSTEM”的美国专利申请序列号15/089,309,现为美国专利申请公布2017/0281169;以及- US Patent Application Serial No. 15/089,309 entitled "CIRCULAR STAPLING SYSTEM COMPRISING ROTARY FIRING SYSTEM", now US Patent Application Publication 2017/0281169; and

-名称为“CIRCULAR STAPLING SYSTEM COMPRISING LOAD CONTROL”的美国专利申请序列号15/089,349,现为美国专利申请公布2017/0281174。- US Patent Application Serial No. 15/089,349 entitled "CIRCULAR STAPLING SYSTEM COMPRISING LOAD CONTROL", now US Patent Application Publication 2017/0281174.

本申请的申请人还拥有于2015年12月31日提交且各自全文以引用方式并入本文的如下标识的美国专利申请:The applicant of the present application also owns the following identified US patent applications filed on December 31, 2015, each of which is incorporated herein by reference in its entirety:

-名称为“MECHANISMS FOR COMPENSATING FOR BATTERY PACK FAILURE INPOWERED SURGICAL INSTRUMENTS”的美国专利申请序列号14/984,488,现为美国专利申请公布2017/0189018;- US Patent Application Serial No. 14/984,488 entitled "MECHANISMS FOR COMPENSATING FOR BATTERY PACK FAILURE INPOWERED SURGICAL INSTRUMENTS", now US Patent Application Publication 2017/0189018;

-名称为“MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号14/984,525,现为美国专利申请公布2017/0189019;以及- US Patent Application Serial No. 14/984,525 entitled "MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS", now US Patent Application Publication 2017/0189019; and

-名称为“SURGICAL INSTRUMENTS WITH SEPARABLE MOTORS AND MOTOR CONTROLCIRCUITS”的美国专利申请序列号14/984,552,现为美国专利申请公布2017/0189020。- US Patent Application Serial No. 14/984,552 entitled "SURGICAL INSTRUMENTS WITH SEPARABLE MOTORS AND MOTOR CONTROLCIRCUITS", now US Patent Application Publication 2017/0189020.

本申请的申请人还拥有于2016年2月9日提交且各自全文以引用方式并入本文的如下标识的美国专利申请:The applicant of the present application also owns the following identified US patent applications filed on February 9, 2016, each of which is incorporated herein by reference in its entirety:

-名称为“SURGICAL INSTRUMENT WITH ARTICULATING AND AXIALLYTRANSLATABLE END EFFECTOR”的美国专利申请序列号15/019,220,现为美国专利申请公布2017/0224333;- US Patent Application Serial No. 15/019,220 entitled "SURGICAL INSTRUMENT WITH ARTICULATING AND AXIALLYTRANSLATABLE END EFFECTOR", now US Patent Application Publication 2017/0224333;

-名称为“SURGICAL INSTRUMENTS WITH MULTIPLE LINK ARTICULATIONARRANGEMENTS”的美国专利申请序列号15/019,228,现为美国专利申请公布2017/0224342;- US Patent Application Serial No. 15/019,228 entitled "SURGICAL INSTRUMENTS WITH MULTIPLE LINK ARTICULATION ARRANGEMENTS", now US Patent Application Publication 2017/0224342;

-名称为“SURGICAL INSTRUMENT ARTICULATION MECHANISM WITH SLOTTEDSECONDARY CONSTRAINT”的美国专利申请序列号15/019,196,现为美国专利申请公布2017/0224330;- US Patent Application Serial No. 15/019,196 entitled "SURGICAL INSTRUMENT ARTICULATION MECHANISM WITH SLOTTED SECONDARY CONSTRAINT", now US Patent Application Publication 2017/0224330;

-名称为“SURGICAL INSTRUMENTS WITH AN END EFFECTOR THAT IS HIGHLYARTICULATABLE RELATIVE TO AN ELONGATE SHAFT ASSEMBLY”的美国专利申请序列号15/019,206,现为美国专利申请公布2017/0224331;- US Patent Application Serial No. 15/019,206 entitled "SURGICAL INSTRUMENTS WITH AN END EFFECTOR THAT IS HIGHLYARTICULATABLE RELATIVE TO AN ELONGATE SHAFT ASSEMBLY", now US Patent Application Publication 2017/0224331;

-名称为“SURGICAL INSTRUMENTS WITH NON-SYMMETRICAL ARTICULATIONARRANGEMENTS”的美国专利申请序列号15/019,215,现为美国专利申请公布2017/0224332;- US Patent Application Serial No. 15/019,215 entitled "SURGICAL INSTRUMENTS WITH NON-SYMMETRICAL ARTICULATION ARRANGEMENTS", now US Patent Application Publication 2017/0224332;

-名称为“ARTICULATABLE SURGICAL INSTRUMENTS WITH SINGLE ARTICULATIONLINK ARRANGEMENTS”的美国专利申请序列号15/019,227,现为美国专利申请公布2017/0224334;- US Patent Application Serial No. 15/019,227 entitled "ARTICULATABLE SURGICAL INSTRUMENTS WITH SINGLE ARTICULATIONLINK ARRANGEMENTS", now US Patent Application Publication 2017/0224334;

-名称为“SURGICAL INSTRUMENTS WITH TENSIONING ARRANGEMENTS FOR CABLEDRIVEN ARTICULATION SYSTEMS”的美国专利申请序列号15/019,235,现为美国专利申请公布2017/0224336;- US Patent Application Serial No. 15/019,235 entitled "SURGICAL INSTRUMENTS WITH TENSIONING ARRANGEMENTS FOR CABLEDRIVEN ARTICULATION SYSTEMS", now US Patent Application Publication 2017/0224336;

-名称为“ARTICULATABLE SURGICAL INSTRUMENTS WITH OFF-AXIS FIRING BEAMARRANGEMENTS”的美国专利申请序列号15/019,230,现为美国专利申请公布2017/0224335;以及- US Patent Application Serial No. 15/019,230 entitled "ARTICULATABLE SURGICAL INSTRUMENTS WITH OFF-AXIS FIRING BEAMARRANGEMENTS", now US Patent Application Publication 2017/0224335; and

-名称为“SURGICAL INSTRUMENTS WITH CLOSURE STROKE REDUCTIONARRANGEMENTS”的美国专利申请序列号15/019,245,现为美国专利申请公布2017/0224343。- US Patent Application Serial No. 15/019,245 entitled "SURGICAL INSTRUMENTS WITH CLOSURE STROKE REDUCTION ARRANGEMENTS", now US Patent Application Publication 2017/0224343.

本申请的申请人还拥有于2016年2月12日提交且各自全文以引用方式并入本文的如下标识的美国专利申请:The applicant of the present application also owns the following identified US patent applications filed on February 12, 2016, each of which is incorporated herein by reference in its entirety:

-名称为“MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号15/043,254,现为美国专利申请公布2017/0231623;- US Patent Application Serial No. 15/043,254 entitled "MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS", now US Patent Application Publication 2017/0231623;

-名称为“MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号15/043,259,现为美国专利申请公布2017/0231626;- US Patent Application Serial No. 15/043,259 entitled "MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS", now US Patent Application Publication 2017/0231626;

-名称为“MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号15/043,275,现为美国专利申请公布2017/0231627;以及- US Patent Application Serial No. 15/043,275 entitled "MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS", now US Patent Application Publication 2017/0231627; and

-名称为“MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号15/043,289,现为美国专利申请公布2017/0231628。- US Patent Application Serial No. 15/043,289 entitled "MECHANISMS FOR COMPENSATING FOR DRIVETRAIN FAILURE IN POWEREDSURGICAL INSTRUMENTS", now US Patent Application Publication 2017/0231628.

本申请的申请人拥有于2015年6月18日提交且各自全文以引用方式并入本文的以下专利申请:The applicant of the present application has the following patent applications filed on June 18, 2015, each of which is incorporated herein by reference in its entirety:

-名称为“SURGICAL END EFFECTORS WITH POSITIVE JAW OPENINGARRANGEMENTS”的美国专利申请序列号14/742,925,现为美国专利申请公布2016/0367256;- US Patent Application Serial No. 14/742,925 entitled "SURGICAL END EFFECTORS WITH POSITIVE JAW OPENINGARRANGEMENTS", now US Patent Application Publication 2016/0367256;

-名称为“SURGICAL END EFFECTORS WITH DUAL CAM ACTUATED JAW CLOSINGFEATURES”的美国专利申请序列号14/742,941,现为美国专利10,052,102;- US Patent Application Serial No. 14/742,941 entitled "SURGICAL END EFFECTORS WITH DUAL CAM ACTUATED JAW CLOSINGFEATURES", now US Patent 10,052,102;

-名称为“MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS FOR ARTICULATABLESURGICAL INSTRUMENTS”的美国专利申请序列号14/742,914,现为美国专利申请公布2016/0367255;- US Patent Application Serial No. 14/742,914 entitled "MOVABLE FIRING BEAM SUPPORT ARRANGEMENTS FOR ARTICULATABLESURGICAL INSTRUMENTS", now US Patent Application Publication 2016/0367255;

-名称为“ARTICULATABLE SURGICAL INSTRUMENTS WITH COMPOSITE FIRING BEAMSTRUCTURES WITH CENTER FIRING SUPPORT MEMBER FOR ARTICULATION SUPPORT”的美国专利申请序列号14/742,900,现为美国专利申请公布2016/0367254;- US Patent Application Serial No. 14/742,900 entitled "ARTICULATABLE SURGICAL INSTRUMENTS WITH COMPOSITE FIRING BEAMSTRUCTURES WITH CENTER FIRING SUPPORT MEMBER FOR ARTICULATION SUPPORT", now US Patent Application Publication 2016/0367254;

-名称为“DUAL ARTICULATION DRIVE SYSTEM ARRANGEMENTS FOR ARTICULATABLESURGICAL INSTRUMENTS”的美国专利申请序列号14/742,885,现为美国专利申请公布2016/0367246;以及- US Patent Application Serial No. 14/742,885 entitled "DUAL ARTICULATION DRIVE SYSTEM ARRANGEMENTS FOR ARTICULATABLESURGICAL INSTRUMENTS", now US Patent Application Publication 2016/0367246; and

-名称为“PUSH/PULL ARTICULATION DRIVE SYSTEMS FOR ARTICULATABLESURGICAL INSTRUMENTS”的美国专利申请序列号14/742,876,现为美国专利10,178,992。- US Patent Application Serial No. 14/742,876 entitled "PUSH/PULL ARTICULATION DRIVE SYSTEMS FOR ARTICULATABLESURGICAL INSTRUMENTS", now US Patent 10,178,992.

本申请的申请人拥有于2015年3月6日提交且各自全文以引用方式并入本文的以下专利申请:The applicant of the present application has the following patent applications filed on March 6, 2015, each of which is incorporated herein by reference in its entirety:

-名称为“POWERED SURGICAL INSTRUMENT”的美国专利申请序列号14/640,746,现为美国专利9,808,246;- US Patent Application Serial No. 14/640,746 entitled "POWERED SURGICAL INSTRUMENT", now US Patent 9,808,246;

-名称为“MULTIPLE LEVEL THRESHOLDS TO MODIFY OPERATION OF POWEREDSURGICAL INSTRUMENTS”的美国专利申请序列号14/640,795,现为美国专利申请公布2016/02561185;- US Patent Application Serial No. 14/640,795 entitled "MULTIPLE LEVEL THRESHOLDS TO MODIFY OPERATION OF POWEREDSURGICAL INSTRUMENTS", now US Patent Application Publication 2016/02561185;

-名称为“ADAPTIVE TISSUE COMPRESSION TECHNIQUES TO ADJUST CLOSURERATES FOR MULTIPLE TISSUE TYPES”的美国专利申请序列号14/640,832,现为美国专利申请公布2016/0256154;- US Patent Application Serial No. 14/640,832 entitled "ADAPTIVE TISSUE COMPRESSION TECHNIQUES TO ADJUST CLOSURERATES FOR MULTIPLE TISSUE TYPES", now US Patent Application Publication 2016/0256154;

-名称为“OVERLAID MULTI SENSOR RADIO FREQUENCY (RF)ELECTRODE SYSTEM TOMEASURE TISSUE COMPRESSION”的美国专利申请序列号14/640,935,现为美国专利申请公布2016/0256071;- US Patent Application Serial No. 14/640,935 entitled "OVERLAID MULTI SENSOR RADIO FREQUENCY (RF) ELECTRODE SYSTEM TOMEASURE TISSUE COMPRESSION", now US Patent Application Publication 2016/0256071;

-名称为“MONITORING SPEED CONTROL AND PRECISION INCREMENTING OF MOTORFOR POWERED SURGICAL INSTRUMENTS”的美国专利申请序列号14/640,831,现为美国专利9,895,148;- US Patent Application Serial No. 14/640,831 entitled "MONITORING SPEED CONTROL AND PRECISION INCREMENTING OF MOTORFOR POWERED SURGICAL INSTRUMENTS", now US Patent 9,895,148;

-名称为“TIME DEPENDENT EVALUATION OF SENSOR DATA TO DETERMINESTABILITY,CREEP,AND VISCOELASTIC ELEMENTS OF MEASURES”的美国专利申请序列号14/640,859,现为美国专利10,052,044;- US Patent Application Serial No. 14/640,859 entitled "TIME DEPENDENT EVALUATION OF SENSOR DATA TO DETERMINESTABILITY, CREEP, AND VISCOELASTIC ELEMENTS OF MEASURES", now US Patent 10,052,044;

-名称为“INTERACTIVE FEEDBACK SYSTEM FOR POWERED SURGICAL INSTRUMENTS”的美国专利申请序列号14/640,817,现为美国专利申请公布9,924,961;- US Patent Application Serial No. 14/640,817 entitled "INTERACTIVE FEEDBACK SYSTEM FOR POWERED SURGICAL INSTRUMENTS", now US Patent Application Publication 9,924,961;

-名称为“CONTROL TECHNIQUES AND SUB-PROCESSOR CONTAINED WITHIN MODULARSHAFT WITH SELECT CONTROL PROCESSING FROM HANDLE”的美国专利申请序列号14/640,844,现为美国专利10,045,776;- US Patent Application Serial No. 14/640,844 entitled "CONTROL TECHNIQUES AND SUB-PROCESSOR CONTAINED WITHIN MODULARSHAFT WITH SELECT CONTROL PROCESSING FROM HANDLE", now US Patent 10,045,776;

-名称为“SMART SENSORS WITH LOCAL SIGNAL PROCESSING”的美国专利申请序列号14/640,837,现为美国专利9,993,248;- US Patent Application Serial No. 14/640,837 entitled "SMART SENSORS WITH LOCAL SIGNAL PROCESSING", now US Patent 9,993,248;

-名称为“SYSTEM FOR DETECTING THE MIS-INSERTION OF A STAPLE CARTRIDGEINTO A SURGICAL STAPLER”的美国专利申请序列号14/640,765,现为美国专利申请公布2016/0256160;- US Patent Application Serial No. 14/640,765 entitled "SYSTEM FOR DETECTING THE MIS-INSERTION OF A STAPLE CARTRIDGEINTO A SURGICAL STAPLER", now US Patent Application Publication 2016/0256160;

-名称为“SIGNAL AND POWER COMMUNICATION SYSTEM POSITIONED ON AROTATABLE SHAFT”的美国专利申请序列号14/640,799,现为美国专利9,901,342;以及- US Patent Application Serial No. 14/640,799 entitled "SIGNAL AND POWER COMMUNICATION SYSTEM POSITIONED ON AROTATABLE SHAFT", now US Patent 9,901,342; and

-名称为“SURGICAL INSTRUMENT COMPRISING A LOCKABLE BATTERY HOUSING”的美国专利申请序列号14/640,780,现为美国专利申请公布2016/0256161。- US Patent Application Serial No. 14/640,780 entitled "SURGICAL INSTRUMENT COMPRISING A LOCKABLE BATTERY HOUSING", now US Patent Application Publication 2016/0256161.

本申请的申请人拥有于2015年2月27日提交且各自全文以引用方式并入本文的以下专利申请:The applicant of the present application has the following patent applications filed on February 27, 2015, each of which is incorporated herein by reference in its entirety:

-名称为“SURGICAL INSTRUMENT SYSTEM COMPRISING AN INSPECTION STATION”的美国专利申请序列号14/633,576,现为美国专利10,045,779;- US Patent Application Serial No. 14/633,576 entitled "SURGICAL INSTRUMENT SYSTEM COMPRISING AN INSPECTION STATION", now US Patent 10,045,779;

-名称为“SURGICAL APPARATUS CONFIGURED TO ASSESS WHETHER A PERFORMANCEPARAMETER OF THE SURGICAL APPARATUS IS WITHIN AN ACCEPTABLE PERFORMANCE BAND”的美国专利申请序列号14/633,546,现为美国专利10,180,463;- US Patent Application Serial No. 14/633,546 entitled "SURGICAL APPARATUS CONFIGURED TO ASSESS WHETHER A PERFORMANCEPARAMETER OF THE SURGICAL APPARATUS IS WITHIN AN ACCEPTABLE PERFORMANCE BAND", now US Patent 10,180,463;

-名称为“SURGICAL CHARGING SYSTEM THAT CHARGES AND/OR CONDITIONS ONEOR MORE BATTERIES”的美国专利申请序列号14/633,560,现为美国专利申请公布2016/0249910;- US Patent Application Serial No. 14/633,560 entitled "SURGICAL CHARGING SYSTEM THAT CHARGES AND/OR CONDITIONS ONEOR MORE BATTERIES", now US Patent Application Publication 2016/0249910;

-名称为“CHARGING SYSTEM THAT ENABLES EMERGENCY RESOLUTIONS FORCHARGING A BATTERY”的美国专利申请序列号14/633,566,现为美国专利申请公布2016/0249918;- US Patent Application Serial No. 14/633,566 entitled "CHARGING SYSTEM THAT ENABLES EMERGENCY RESOLUTIONS FORCHARGING A BATTERY", now US Patent Application Publication 2016/0249918;

-名称为“SYSTEM FOR MONITORING WHETHER A SURGICAL INSTRUMENT NEEDS TOBE SERVICED”的美国专利申请序列号14/633,555,现为美国专利申请公布2016/0249916;- US Patent Application Serial No. 14/633,555 entitled "SYSTEM FOR MONITORING WHETHER A SURGICAL INSTRUMENT NEEDS TOBE SERVICED", now US Patent Application Publication 2016/0249916;

-名称为“REINFORCED BATTERY FOR A SURGICAL INSTRUMENT”的美国专利申请序列号14/633,542,现为美国专利9,931,118;- US Patent Application Serial No. 14/633,542 entitled "REINFORCED BATTERY FOR A SURGICAL INSTRUMENT", now US Patent 9,931,118;

-名称为“POWER ADAPTER FOR A SURGICAL INSTRUMENT”的美国专利申请序列号14/633,548,现为美国专利申请公布2016/0249909;- US Patent Application Serial No. 14/633,548 entitled "POWER ADAPTER FOR A SURGICAL INSTRUMENT", now US Patent Application Publication 2016/0249909;

-名称为“ADAPTABLE SURGICAL INSTRUMENT HANDLE”的美国专利申请序列号14/633,526,现为美国专利申请公布2016/0249945;- US Patent Application Serial No. 14/633,526 entitled "ADAPTABLE SURGICAL INSTRUMENT HANDLE", now US Patent Application Publication 2016/0249945;

-名称为“MODULAR STAPLING ASSEMBLY”的美国专利申请序列号14/633,541,现为美国专利申请9,993,258;以及- US Patent Application Serial No. 14/633,541 entitled "MODULAR STAPLING ASSEMBLY", now US Patent Application 9,993,258; and

-名称为“SURGICAL APPARATUS CONFIGURED TO TRACK AN END-OF-LIFEPARAMETER”的美国专利申请序列号14/633,562,现为美国专利10,159,483。- US Patent Application Serial No. 14/633,562 entitled "SURGICAL APPARATUS CONFIGURED TO TRACK AN END-OF-LIFEPARAMETER", now US Patent 10,159,483.

本申请的申请人拥有于2014年12月18日提交且各自全文以引用方式并入本文的以下专利申请:The applicant of the present application has the following patent applications filed on December 18, 2014, each of which is incorporated herein by reference in its entirety:

-名称为“SURGICAL INSTRUMENT SYSTEMS COMPRISING AN ARTICULATABLE ENDEFFECTOR AND MEANS FOR ADJUSTING THE FIRING STROKE OF A FIRING MEMBER”的美国专利申请序列号14/574,478,现为美国专利9,844,374;- US Patent Application Serial No. 14/574,478 entitled "SURGICAL INSTRUMENT SYSTEMS COMPRISING AN ARTICULATABLE ENDEFFECTOR AND MEANS FOR ADJUSTING THE FIRING STROKE OF A FIRING MEMBER", now US Patent 9,844,374;

-名称为“SURGICAL INSTRUMENT ASSEMBLY COMPRISING LOCKABLE SYSTEMS”的美国专利申请序列号14/574,483,现为美国专利申请公布2016/0174969;- US Patent Application Serial No. 14/574,483 entitled "SURGICAL INSTRUMENT ASSEMBLY COMPRISING LOCKABLE SYSTEMS", now US Patent Application Publication 2016/0174969;

-名称为“DRIVE ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS”的美国专利申请序列号14/575,139,现为美国专利9,844,375;- US Patent Application Serial No. 14/575,139 entitled "DRIVE ARRANGEMENTS FOR ARTICULATABLE SURGICAL INSTRUMENTS", now US Patent 9,844,375;

-名称为“LOCKING ARRANGEMENTS FOR DETACHABLE SHAFT ASSEMBLIES WITHARTICULATABLE SURGICAL END EFFECTORS”的美国专利申请序列号14/575,148,现为美国专利10,085,748;- US Patent Application Serial No. 14/575,148 entitled "LOCKING ARRANGEMENTS FOR DETACHABLE SHAFT ASSEMBLIES WITHARTICULATABLE SURGICAL END EFFECTORS", now US Patent 10,085,748;

-名称为“SURGICAL INSTRUMENT WITH AN ANVIL THAT IS SELECTIVELY MOVABLEABOUT A DISCRETE NON-MOVABLE AXIS RELATIVE TO A STAPLE CARTRIDGE的美国专利申请序列号14/575,130,现为美国专利申请公布2016/0174972;- US Patent Application Serial No. 14/575,130 entitled "SURGICAL INSTRUMENT WITH AN ANVIL THAT IS SELECTIVELY MOVABLEABOUT A DISCRETE NON-MOVABLE AXIS RELATIVE TO A STAPLE CARTRIDGE, now US Patent Application Publication 2016/0174972;

-名称为“SURGICAL INSTRUMENTS WITH IMPROVED CLOSURE ARRANGEMENTS”的美国专利申请序列号14/575,143,现为美国专利10,004,501;- US Patent Application Serial No. 14/575,143 entitled "SURGICAL INSTRUMENTS WITH IMPROVED CLOSURE ARRANGEMENTS", now US Patent 10,004,501;

-名称为“SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS ANDMOVABLE FIRING BEAM SUPPORT ARRANGEMENTS”的美国专利申请序列号14/575,117,现为美国专利9,943,309;- US Patent Application Serial No. 14/575,117 entitled "SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS ANDMOVABLE FIRING BEAM SUPPORT ARRANGEMENTS", now US Patent 9,943,309;

-名称为“SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS ANDIMPROVED FIRING BEAM SUPPORT ARRANGEMENTS”的美国专利申请序列号14/575,154,现为美国专利9,968,355;- US Patent Application Serial No. 14/575,154 entitled "SURGICAL INSTRUMENTS WITH ARTICULATABLE END EFFECTORS ANDIMPROVED FIRING BEAM SUPPORT ARRANGEMENTS", now US Patent 9,968,355;

-名称为“SURGICAL INSTRUMENT ASSEMBLY COMPRISING A FLEXIBLEARTICULATION SYSTEM”的美国专利申请序列号14/574,493,现为美国专利9,987,000;以及- US Patent Application Serial No. 14/574,493 entitled "SURGICAL INSTRUMENT ASSEMBLY COMPRISING A FLEXIBLEARTICULATION SYSTEM", now US Patent 9,987,000; and

-名称为“SURGICAL INSTRUMENT ASSEMBLY COMPRISING A LOCKABLEARTICULATION SYSTEM”的美国专利申请序列号14/574,500,现为美国专利10,117,649;- US Patent Application Serial No. 14/574,500 entitled "SURGICAL INSTRUMENT ASSEMBLY COMPRISING A LOCKABLEARTICULATION SYSTEM", now US Patent 10,117,649;

本申请的申请人拥有于2013年3月1日提交且各自全文以引用方式并入本文的以下专利申请:The applicant of the present application has the following patent applications filed on March 1, 2013, each of which is incorporated herein by reference in its entirety:

-名称为“Articulatable Surgical Instruments With Conductive PathwaysFor Signal Communication”的美国专利申请序列号13/782,295,现为美国专利申请公布2014/0246471;- US Patent Application Serial No. 13/782,295 entitled "Articulatable Surgical Instruments With Conductive Pathways For Signal Communication", now US Patent Application Publication 2014/0246471;

-名称为“Rotary Powered Articulation Joints For Surgical Instruments”的美国专利申请序列号13/782,323,现为美国专利申请公布2014/0246472;- US Patent Application Serial No. 13/782,323 entitled "Rotary Powered Articulation Joints For Surgical Instruments", now US Patent Application Publication 2014/0246472;

-名称为“Thumbwheel Switch Arrangements For Surgical Instruments”的美国专利申请序列号13/782,338,现为美国专利申请公布2014/0249557;- US Patent Application Serial No. 13/782,338 entitled "Thumbwheel Switch Arrangements For Surgical Instruments", now US Patent Application Publication 2014/0249557;

-名称为“Electromechanical Surgical Device with Signal RelayArrangement”的美国专利申请序列号13/782,499,现为美国专利申请公布9,358,003;- US Patent Application Serial No. 13/782,499 entitled "Electromechanical Surgical Device with Signal Relay Arrangement", now US Patent Application Publication 9,358,003;

-名称为“Multiple Processor Motor Control for Modular SurgicalInstruments”的美国专利申请序列号13/782,460,现为美国专利申请公布2014/0246478;- US Patent Application Serial No. 13/782,460 entitled "Multiple Processor Motor Control for Modular Surgical Instruments", now US Patent Application Publication 2014/0246478;

-名称为“Joystick Switch Assemblies For Surgical Instruments”的美国专利申请序列号13/782,358,现为美国专利申请公布9,326,767;- US Patent Application Serial No. 13/782,358 entitled "Joystick Switch Assemblies For Surgical Instruments", now US Patent Application Publication 9,326,767;

-名称为“Sensor Straightened End Effector During Removal ThroughTrocar”的美国专利申请序列号13/782,481,现为美国专利申请公布9,468,438;- US Patent Application Serial No. 13/782,481 entitled "Sensor Straightened End Effector During Removal ThroughTrocar", now US Patent Application Publication 9,468,438;

-名称为“Control Methods for Surgical Instruments with RemovableImplement Portions”的美国专利申请序列号13/782,518,现为美国专利申请公布2014/0246475;- US Patent Application Serial No. 13/782,518 entitled "Control Methods for Surgical Instruments with RemovableImplement Portions", now US Patent Application Publication 2014/0246475;

-名称为“Rotary Powered Surgical Instruments With Multiple Degrees ofFreedom”的美国专利申请序列号13/782,375,现为美国专利申请公布9,398,911;以及- US Patent Application Serial No. 13/782,375 entitled "Rotary Powered Surgical Instruments With Multiple Degrees of Freedom", now US Patent Application Publication 9,398,911; and

-名称为“SURGICAL INSTRUMENT SOFT STOP”的美国专利申请序列号13/782,536,现为美国专利申请公布9,307,986。- US Patent Application Serial No. 13/782,536 entitled "SURGICAL INSTRUMENT SOFT STOP", now US Patent Application Publication 9,307,986.

本申请的申请人还拥有于2013年3月14日提交且各自全文以引用方式并入本文的以下专利申请:The applicant of the present application also owns the following patent applications filed on March 14, 2013, each of which is incorporated herein by reference in its entirety:

-名称为“ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE”的美国专利申请序列号13/803,097,现为美国专利9,687,230;- US Patent Application Serial No. 13/803,097 entitled "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING A FIRING DRIVE", now US Patent 9,687,230;

-名称为“CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICALINSTRUMENT”的美国专利申请序列号13/803,193,现为美国专利申请公布9,332,987;- US Patent Application Serial No. 13/803,193 entitled "CONTROL ARRANGEMENTS FOR A DRIVE MEMBER OF A SURGICALINSTRUMENT", now US Patent Application Publication 9,332,987;

-名称为“INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICALINSTRUMENT”的美国专利申请序列号13/803,053,现为美国专利9,883,860;- US Patent Application Serial No. 13/803,053 entitled "INTERCHANGEABLE SHAFT ASSEMBLIES FOR USE WITH A SURGICALINSTRUMENT", now US Patent 9,883,860;

-名称为“ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATIONLOCK”的美国专利申请序列号13/803,086,现为美国专利申请公布2014/0263541;- US Patent Application Serial No. 13/803,086 entitled "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK", now US Patent Application Publication 2014/0263541;

-名称为“SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FORSURGICAL INSTRUMENTS”的美国专利申请序列号13/803,210,现为美国专利9,808,244;- US Patent Application Serial No. 13/803,210 entitled "SENSOR ARRANGEMENTS FOR ABSOLUTE POSITIONING SYSTEM FORSURGICAL INSTRUMENTS", now US Patent 9,808,244;

-名称为“MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT”的美国专利申请序列号13/803,148,现为美国专利申请公布2014/0263554;- US Patent Application Serial No. 13/803,148 entitled "MULTI-FUNCTION MOTOR FOR A SURGICAL INSTRUMENT", now US Patent Application Publication 2014/0263554;

-名称为“DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICALINSTRUMENTS”的美国专利申请序列号13/803,066,现为美国专利9,629,623;- US Patent Application Serial No. 13/803,066 entitled "DRIVE SYSTEM LOCKOUT ARRANGEMENTS FOR MODULAR SURGICALINSTRUMENTS", now US Patent 9,629,623;

-名称为“ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICALINSTRUMENTS”的美国专利申请序列号13/803,117,现为美国专利申请公布9,351,726;- US Patent Application Serial No. 13/803,117 entitled "ARTICULATION CONTROL SYSTEM FOR ARTICULATABLE SURGICALINSTRUMENTS", now US Patent Application Publication 9,351,726;

-名称为“DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICALINSTRUMENTS”的美国专利申请序列号13/803,130,现为美国专利申请公布9,351,727;以及- US Patent Application Serial No. 13/803,130 entitled "DRIVE TRAIN CONTROL ARRANGEMENTS FOR MODULAR SURGICALINSTRUMENTS", now US Patent Application Publication 9,351,727; and

-名称为“METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT”的美国专利申请序列号13/803,159,现为美国专利9,888,919;- US Patent Application Serial No. 13/803,159 entitled "METHOD AND SYSTEM FOR OPERATING A SURGICAL INSTRUMENT", now US Patent 9,888,919;

本申请的申请人还拥有于2014年3月7日提交且全文以引用方式并入本文的以下专利申请:The applicant of the present application also owns the following patent application filed on March 7, 2014 and incorporated herein by reference in its entirety:

-名称为“CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS”的美国专利申请序列号14/200,111,现为美国专利9,629,629。- US Patent Application Serial No. 14/200,111 entitled "CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS", now US Patent 9,629,629.

本申请的申请人还拥有于2014年3月26日提交且各自全文以引用方式并入本文的以下专利申请:The applicant of the present application also owns the following patent applications filed on March 26, 2014, each of which is incorporated herein by reference in its entirety:

-名称为“POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS”的美国专利申请序列号14/226,106,现为美国专利申请公布2015/0272582;- US Patent Application Serial No. 14/226,106 entitled "POWER MANAGEMENT CONTROL SYSTEMS FOR SURGICAL INSTRUMENTS", now US Patent Application Publication 2015/0272582;

-名称为“STERILIZATION VERIFICATION CIRCUIT”的美国专利申请序列号14/226,099,现为美国专利9,826,977;- US Patent Application Serial No. 14/226,099 entitled "STERILIZATION VERIFICATION CIRCUIT", now US Patent 9,826,977;

-名称为“VERIFICATION OF NUMBER OF BATTERY EXCHANGES/PROCEDURE COUNT”的美国专利申请序列号14/226,094,现为美国专利申请公布2015/0272580;- US Patent Application Serial No. 14/226,094 entitled "VERIFICATION OF NUMBER OF BATTERY EXCHANGES/PROCEDURE COUNT", now US Patent Application Publication 2015/0272580;

-名称为“POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUITAND WAKE UP CONTROL”的美国专利申请序列号14/226,117,现为美国专利10,013,049;- US Patent Application Serial No. 14/226,117 entitled "POWER MANAGEMENT THROUGH SLEEP OPTIONS OF SEGMENTED CIRCUITAND WAKE UP CONTROL", now US Patent 10,013,049;

-名称为“MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFTASSEMBLIES”的美国专利申请序列号14/226,075,现为美国专利9,743,929;- US Patent Application Serial No. 14/226,075 entitled "MODULAR POWERED SURGICAL INSTRUMENT WITH DETACHABLE SHAFTASSEMBLIES", now US Patent 9,743,929;

-名称为“FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICALINSTRUMENTS”的美国专利申请序列号14/226,093,现为美国专利10,028,761;- US Patent Application Serial No. 14/226,093 entitled "FEEDBACK ALGORITHMS FOR MANUAL BAILOUT SYSTEMS FOR SURGICALINSTRUMENTS", now US Patent 10,028,761;

-名称为“SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION”的美国专利申请序列号14/226,116,现为美国专利申请公布2015/0272571;- US Patent Application Serial No. 14/226,116 entitled "SURGICAL INSTRUMENT UTILIZING SENSOR ADAPTATION", now US Patent Application Publication 2015/0272571;

-名称为“SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETYPROCESSOR”的美国专利申请序列号14/226,071,现为美国专利9,690,362;- US Patent Application Serial No. 14/226,071 entitled "SURGICAL INSTRUMENT CONTROL CIRCUIT HAVING A SAFETYPROCESSOR", now US Patent 9,690,362;

-名称为“SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS”的美国专利申请序列号14/226,097,现为美国专利9,820,738;- US Patent Application Serial No. 14/226,097 entitled "SURGICAL INSTRUMENT COMPRISING INTERACTIVE SYSTEMS", now US Patent 9,820,738;

-名称为“INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS”的美国专利申请序列号14/226,126,现为美国专利申请公布10,004,497;- US Patent Application Serial No. 14/226,126 entitled "INTERFACE SYSTEMS FOR USE WITH SURGICAL INSTRUMENTS", now US Patent Application Publication 10,004,497;

-名称为“MODULAR SURGICAL INSTRUMENT SYSTEM”的美国专利申请序列号14/226,133,现为美国专利申请公布2015/0272557;- US Patent Application Serial No. 14/226,133 entitled "MODULAR SURGICAL INSTRUMENT SYSTEM", now US Patent Application Publication 2015/0272557;

-名称为“SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT”的美国专利申请序列号14/226,081,现为美国专利9,804,618;- US Patent Application Serial No. 14/226,081 entitled "SYSTEMS AND METHODS FOR CONTROLLING A SEGMENTED CIRCUIT", now US Patent 9,804,618;

-名称为“POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLEVOLTAGE PROTECTION”的美国专利申请序列号14/226,076,现为美国专利9,733,663;- US Patent Application Serial No. 14/226,076 entitled "POWER MANAGEMENT THROUGH SEGMENTED CIRCUIT AND VARIABLEVOLTAGE PROTECTION", now US Patent 9,733,663;

-名称为“SURGICAL STAPLING INSTRUMENT SYSTEM”的美国专利申请序列号14/226,111,现为美国专利9,750,499;以及- US Patent Application Serial No. 14/226,111 entitled "SURGICAL STAPLING INSTRUMENT SYSTEM", now US Patent 9,750,499; and

-名称为“SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT”的美国专利申请序列号14/226,125,现为美国专利申请公布2015/0280384。- US Patent Application Serial No. 14/226,125 entitled "SURGICAL INSTRUMENT COMPRISING A ROTATABLE SHAFT", now US Patent Application Publication 2015/0280384.

本申请的申请人还拥有于2014年9月5日提交且各自全文以引用方式并入本文的以下专利申请:The applicant of the present application also owns the following patent applications filed on September 5, 2014, each of which is incorporated herein by reference in its entirety:

-名称为“CIRCUITRY AND SENSORS FOR POWERED MEDICAL DEVICE”的美国专利申请序列号14/479,103,现为美国专利10,111,679;- US Patent Application Serial No. 14/479,103 entitled "CIRCUITRY AND SENSORS FOR POWERED MEDICAL DEVICE", now US Patent 10,111,679;

-名称为“ADJUNCT WITH INTEGRATED SENSORS TO QUANTIFY TISSUECOMPRESSION”的美国专利申请序列号14/479,119,现为美国专利9,724,094;- US Patent Application Serial No. 14/479,119 entitled "ADJUNCT WITH INTEGRATED SENSORS TO QUANTIFY TISSUECOMPRESSION", now US Patent 9,724,094;

-名称为“MONITORING DEVICE DEGRADATION BASED ON COMPONENT EVALUATION”的美国专利申请序列号14/478,908,现为美国专利9,737,301;- US Patent Application Serial No. 14/478,908 entitled "MONITORING DEVICE DEGRADATION BASED ON COMPONENT EVALUATION", now US Patent 9,737,301;

-名称为“MULTIPLE SENSORS WITH ONE SENSOR AFFECTING A SECOND SENSOR'SOUTPUT OR INTERPRETATION”的美国专利申请序列号14/478,895,现为美国专利9,757,128;- US Patent Application Serial No. 14/478,895 entitled "MULTIPLE SENSORS WITH ONE SENSOR AFFECTING A SECOND SENSOR'SOUTPUT OR INTERPRETATION", now US Patent 9,757,128;

-名称为“POLARITY OF HALL MAGNET TO IDENTIFY CARTRIDGE TYPE”的美国专利申请序列号14/479,110,现为美国专利10,016,199;- US Patent Application Serial No. 14/479,110 entitled "POLARITY OF HALL MAGNET TO IDENTIFY CARTRIDGE TYPE", now US Patent 10,016,199;

-名称为“SMART CARTRIDGE WAKE UP OPERATION AND DATA RETENTION”的美国专利申请序列号14/479,098,现为美国专利10,135,242;- US Patent Application Serial No. 14/479,098 entitled "SMART CARTRIDGE WAKE UP OPERATION AND DATA RETENTION", now US Patent 10,135,242;

-名称为“MULTIPLE MOTOR CONTROL FOR POWERED MEDICAL DEVICE”的美国专利申请序列号14/479,115,现为美国专利9,788,836;以及- US Patent Application Serial No. 14/479,115 entitled "MULTIPLE MOTOR CONTROL FOR POWERED MEDICAL DEVICE", now US Patent 9,788,836; and

-名称为“LOCAL DISPLAY OF TISSUE PARAMETER STABILIZATION”的美国专利申请序列号14/479,108,现为美国专利申请公布2016/0066913。- US Patent Application Serial No. 14/479,108 entitled "LOCAL DISPLAY OF TISSUE PARAMETER STABILIZATION", now US Patent Application Publication 2016/0066913.

本申请的申请人还拥有于2014年4月9日提交且各自全文以引用方式并入本文的以下专利申请:The applicant of the present application also owns the following patent applications filed on April 9, 2014, each of which is incorporated herein by reference in its entirety:

-名称为“MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVESHAFTS”的美国专利申请序列号14/248,590,现为美国专利9,826,976;- US Patent Application Serial No. 14/248,590 entitled "MOTOR DRIVEN SURGICAL INSTRUMENTS WITH LOCKABLE DUAL DRIVESHAFTS", now US Patent 9,826,976;

-名称为“SURGICAL INSTRUMENT COMPRISING A CLOSING DRIVE AND A FIRINGDRIVE OPERATED FROM THE SAME ROTATABLE OUTPUT”的美国专利申请序列号14/248,581,现为美国专利9,649,110;- US Patent Application Serial No. 14/248,581 entitled "SURGICAL INSTRUMENT COMPRISING A CLOSING DRIVE AND A FIRINGDRIVE OPERATED FROM THE SAME ROTATABLE OUTPUT", now US Patent 9,649,110;

-名称为“SURGICAL SYSTEM COMPRISING FIRST AND SECOND DRIVE SYSTEMS”的美国专利申请序列号14/248,595,现为美国专利9,844,368;- US Patent Application Serial No. 14/248,595 entitled "SURGICAL SYSTEM COMPRISING FIRST AND SECOND DRIVE SYSTEMS", now US Patent 9,844,368;

-名称为“POWERED LINEAR SURGICAL STAPLER”的美国专利申请序列号14/248,588,现为美国专利申请公布2014/0309666;- US Patent Application Serial No. 14/248,588 entitled "POWERED LINEAR SURGICAL STAPLER", now US Patent Application Publication 2014/0309666;

-名称为“SURGICAL INSTRUMENT COMPRISING A GAP SETTING SYSTEM”的美国专利申请序列号14/248,591,现为美国专利10,149,680;- US Patent Application Serial No. 14/248,591 entitled "SURGICAL INSTRUMENT COMPRISING A GAP SETTING SYSTEM", now US Patent 10,149,680;

-名称为“MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH ALIGNMENTFEATURES FOR ALIGNING ROTARY DRIVE SHAFTS WITH SURGICAL END EFFECTOR SHAFTS”的美国专利申请序列号14/248,584,现为美国专利9,801,626;- US Patent Application Serial No. 14/248,584 entitled "MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH ALIGNMENTFEATURES FOR ALIGNING ROTARY DRIVE SHAFTS WITH SURGICAL END EFFECTOR SHAFTS", now US Patent 9,801,626;

-名称为“POWERED SURGICAL STAPLER”的美国专利申请序列号14/248,587,现为美国专利9,867,612;- US Patent Application Serial No. 14/248,587 entitled "POWERED SURGICAL STAPLER", now US Patent 9,867,612;

-名称为“DRIVE SYSTEM DECOUPLING ARRANGEMENT FOR A SURGICALINSTRUMENT”的美国专利申请序列号14/248,586,现为美国专利10,136,887;以及- US Patent Application Serial No. 14/248,586 entitled "DRIVE SYSTEM DECOUPLING ARRANGEMENT FOR A SURGICALINSTRUMENT", now US Patent 10,136,887; and

-名称为“MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH STATUSINDICATION ARRANGEMENTS”的美国专利申请序列号14/248,607,现为美国专利9,814,460。- US Patent Application Serial No. 14/248,607 entitled "MODULAR MOTOR DRIVEN SURGICAL INSTRUMENTS WITH STATUSINDICATION ARRANGEMENTS", now US Patent 9,814,460.

本申请的申请人还拥有于2013年4月16日提交且各自全文以引用方式并入本文的以下专利申请:The applicant of the present application also owns the following patent applications filed on April 16, 2013, each of which is incorporated herein by reference in its entirety:

-名称为“SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY ASINGLE MOTOR”的美国临时专利申请序列号61/812,365;- US Provisional Patent Application Serial No. 61/812,365 entitled "SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY ASINGLE MOTOR";

-名称为“LINEAR CUTTER WITH POWER”的美国临时专利申请序列号61/812,376;- US Provisional Patent Application Serial No. 61/812,376 entitled "LINEAR CUTTER WITH POWER";

-名称为“LINEAR CUTTER WITH MOTOR AND PISTOL GRIP”的美国临时专利申请序列号61/812,382;- US Provisional Patent Application Serial No. 61/812,382 entitled "LINEAR CUTTER WITH MOTOR AND PISTOL GRIP";

-名称为“SURGICAL INSTRUMENT HANDLE WITH MULTIPLE ACTUATION MOTORS ANDMOTOR CONTROL”的美国临时专利申请序列号61/812,385;以及- U.S. Provisional Patent Application Serial No. 61/812,385 entitled "SURGICAL INSTRUMENT HANDLE WITH MULTIPLE ACTUATION MOTORS ANDMOTOR CONTROL"; and

-名称为“SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY ASINGLE MOTOR”的美国临时专利申请序列号61/812,372。- US Provisional Patent Application Serial No. 61/812,372 entitled "SURGICAL INSTRUMENT WITH MULTIPLE FUNCTIONS PERFORMED BY ASINGLE MOTOR".

本文列出了许多具体细节,以提供对说明书中所述和附图中所示的实施方案的整体结构、功能、制造和用途的透彻理解。没有详细描述熟知的操作、部件和元件,以免使说明书中描述的实施方案模糊不清。读者将会理解,本文所述和所示的实施方案为非限制性示例,从而可认识到,本文所公开的特定结构和功能细节可为代表性和例示性的。在不脱离权利要求的范围的情况下,可对这些实施方案进行变型和改变。Numerous specific details are set forth herein in order to provide a thorough understanding of the general structure, function, manufacture, and use of the embodiments described in the specification and shown in the accompanying drawings. Well-known operations, components and elements have not been described in detail so as not to obscure the embodiments described in the specification. The reader will understand that the embodiments described and illustrated herein are by way of non-limiting example, so that the specific structural and functional details disclosed herein may be representative and illustrative, and may be appreciated. Variations and changes may be made to these embodiments without departing from the scope of the claims.

术语“包括(comprise)”(以及“包括(comprise)”的任何形式,诸如“包括(comprises)”和“包括(comprising)”)、“具有(have)”(以及“具有(have)”的任何形式,诸如“具有(has)”和“具有(having)”)、“包含(include)”(以及“包含(include)”的任何形式,诸如“包含(includes)”和“包含(including)”)、以及“含有(contain)”(以及“含有(contain)”的任何形式,诸如“含有(contains)”和“含有(containing)”)为开放式系动词。因此,“包括”、“具有”、“包含”或“含有”一个或多个元件的外科系统、装置、或设备具有这些一个或多个元件,但不限于仅具有这些一个或多个元件。同样,“包括”、“具有”、“包含”或“含有”一个或多个特征部的系统、装置、或设备的元件具有那些一个或多个特征部,但不限于仅具有那些一个或多个特征部。The term "comprise" (and any form of "comprise" such as "comprises" and "comprising"), "have" (and "have" any form, such as "has" and "having"), "include" (and any form of "include", such as "includes" and "including" "), and "contain" (and any form of "contain" such as "contains" and "containing") are open-ended copulas. Thus, a surgical system, device, or device that "comprises," "has," "comprises," 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 system, apparatus, or device that "comprises," "has," "includes," or "contains" one or more features has those one or more features, but is not limited to having only those one or more features feature part.

术语“近侧”和“远侧”在本文中是相对于操纵外科器械的柄部部分的临床医生来使用的。术语“近侧”是指最靠近临床医生的部分,并且术语“远侧”是指远离临床医生定位的部分。还应当理解,为简洁和清楚起见,本文可结合附图使用诸如“竖直”、“水平”、“上”和“下”等空间术语。然而,外科器械在许多方向和位置中使用,并且这些术语并非限制性的和/或绝对的。The terms "proximal" and "distal" are used herein with respect to a clinician manipulating the handle portion of a surgical instrument. The term "proximal" refers to the portion closest to the clinician, and the term "distal" refers to the portion located away from the clinician. It should also be understood that, for brevity and clarity, spatial terms such as "vertical," "horizontal," "upper," and "lower" may be used herein in connection with the drawings. However, surgical instruments are used in many orientations and positions, and these terms are not intended to be limiting and/or absolute.

提供各种示例性装置和方法以用于执行腹腔镜式和微创外科手术。然而,读者将容易理解,本文所公开的各种方法和装置可用于多种外科手术和应用中,包括例如与开放式外科手术结合。继续参阅本具体实施方式,读者将进一步理解,本文所公开的各种器械能够以任何方式插入体内,诸如通过自然孔口、通过成形于组织中的切口或穿刺孔等。器械的工作部分或端部执行器部分可直接插入患者体内或者可通过具有工作通道的进入装置插入,外科器械的端部执行器和细长轴可通过所述工作通道推进。Various exemplary devices and methods are provided for performing laparoscopic and minimally invasive surgical procedures. However, the reader will readily appreciate that the various methods and devices disclosed herein can be used in a variety of surgical procedures and applications, including, for example, in conjunction with open surgery. With continued reference to this detailed description, the reader will further appreciate that the various instruments disclosed herein can be inserted into the body in any manner, such as through a natural orifice, through an incision or puncture hole formed in tissue, and the like. The working or end effector portion of the instrument can be inserted directly into the patient or through an access device having a working channel through which the end effector and elongated shaft of the surgical instrument can be advanced.

外科缝合系统可包括轴和从轴延伸的端部执行器。端部执行器包括第一钳口和第二钳口。第一钳口包括钉仓。钉仓能够插入到第一钳口中并且能够从第一钳口移除;然而,设想到其中钉仓不能够从第一钳口移除或至少能够易于从第一钳口替换的其他实施方案。第二钳口包括被构造成能够使从钉仓射出的钉变形的砧座。第二钳口能够相对于第一钳口围绕闭合轴线枢转;然而,可设想到其中第一钳口能够相对于第二钳口枢转的其他实施方案。外科缝合系统还包括被构造成能够允许端部执行器相对于轴旋转或进行关节运动的关节运动接头。端部执行器能够围绕延伸穿过关节运动接头的关节运动轴线旋转。设想了不包括关节运动接头的其他实施方案。The surgical stapling system can include a shaft and an end effector extending from the shaft. The end effector includes a first jaw and a second jaw. The first jaw includes a staple cartridge. The staple cartridge is insertable into and removable from the first jaw; however, other embodiments are contemplated in which the staple cartridge cannot be removed from the first jaw, or at least easily replaceable from the first jaw. The second jaw includes an anvil configured to deform staples ejected from the staple cartridge. The second jaw is pivotable relative to the first jaw about the closing axis; however, other embodiments are contemplated in which the first jaw is pivotable relative to the second jaw. The surgical stapling system also includes an articulation joint configured to allow rotation or articulation of the end effector relative to the shaft. The end effector is rotatable about an articulation axis extending through the articulation joint. Other embodiments are contemplated that do not include articulation joints.

钉仓包括仓体。仓体包括近侧端部、远侧端部和在近侧端部与远侧端部之间延伸的平台。在使用中,钉仓被定位在待缝合的组织的第一侧上,并且砧座被定位在组织的第二侧上。砧座朝向钉仓运动以将组织抵靠平台压缩并夹持。然后,可移除地储存在仓体中的钉可被部署到组织中。仓体包括限定于其中的钉腔,其中钉可移除地储存在钉腔中。钉腔被布置成六纵向排。三排钉腔被定位在纵向狭槽的第一侧上且三排钉腔被定位在纵向狭槽的第二侧上。钉腔和钉的其他布置也是可能的。The staple cartridge includes a cartridge body. The cartridge body includes a proximal end, a distal end, and a platform extending between the proximal and distal ends. In use, the staple cartridge is positioned on a first side of tissue to be stapled, and the anvil is positioned on a second side of tissue. The anvil is moved toward the staple cartridge to compress and clamp the tissue against the platform. The staples, which are removably stored in the cartridge body, can then be deployed into tissue. The cartridge body includes staple cavities defined therein, wherein the staples are removably stored in the staple cavities. The nail cavities are arranged in six longitudinal rows. Three rows of staple cavities are positioned on a first side of the 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 are also possible.

钉由仓体中的钉驱动器支撑。驱动器能够在第一或未击发位置和第二或击发位置之间运动,以从钉腔射出钉。驱动器通过保持器保留在仓体中,该保持器围绕仓体的底部延伸并且包括被构造成能够抓持仓体以及将保持器保持至仓体的弹性构件。驱动器能够通过滑动件在其未击发位置与其击发位置之间运动。滑动件能够在与近侧端部相邻的近侧位置和与远侧端部相邻的远侧位置之间运动。滑动件包括多个斜坡表面,该斜坡表面被构造成能够朝向砧座在驱动器下方滑动以及提升驱动器,并且钉在驱动器上受到支撑。The staples are supported by staple drivers in the cartridge body. The driver is movable between a first or unfired position and a second or fired position to fire staples from the staple cavity. The driver is retained in the cartridge body by a retainer that extends around the bottom of the cartridge body and includes a resilient member configured to grip and retain the retainer to the cartridge body. The driver can be moved between its unfired position and its fired position by means of a slide. The slider is movable between a proximal position adjacent the proximal end and a distal position adjacent the distal end. The slider includes a plurality of ramp surfaces configured to slide under the driver toward the anvil and to lift the driver, and the staples are supported on the driver.

除上述以外,滑动件还可通过击发构件朝远侧运动。击发构件被构造成能够接触滑动件并朝向远侧端部推动滑动件。限定于仓体中的纵向狭槽被构造成能够接收击发构件。砧座还包括被构造成能够接收击发构件的狭槽。击发构件还包括接合第一钳口的第一凸轮和接合第二钳口的第二凸轮。在击发构件朝远侧推进时,第一凸轮和第二凸轮可控制钉仓的平台和砧座之间的距离或组织间隙。击发构件还包括被构造成能够切入在钉仓和砧座中间捕集的组织的刀。希望刀定位成至少部分地接近斜坡表面,使得钉先于刀被射出。In addition to the above, the slider can also be moved distally by the firing member. The firing member is configured to contact the slider and urge the slider toward the distal end. A longitudinal slot defined in the cartridge body is configured to receive a firing member. The anvil also includes a slot configured to receive the firing member. The firing member also includes a first cam engaging the first jaw and a second cam engaging the second jaw. The first and second cams may control the distance or tissue clearance between the platform of the staple cartridge and the anvil as the firing member is advanced distally. The firing member also includes a knife configured to cut through tissue captured between the staple cartridge and the anvil. It is desirable for the knife to be positioned at least partially proximate the ramp surface so that the nails are fired ahead of the knife.

图1示出了包括可操作地联接到外壳1012的可互换轴组件1200的外科器械1010。图2示出了与外壳1012或柄部1014分离的可互换轴组件1200。如在图3中可见,柄部1014可包括一对可互连柄部外壳段1016和1018,这对柄部外壳段可借助螺钉、按扣特征部、粘合剂等互连。在例示的布置中,柄部外壳段1016和1018配合形成手枪式握把部1019。图1和图3示出了可再利用或不可再利用的马达驱动外科切割和紧固器械1010。在例示的实施方案中,器械1010包括先前的外壳1012,该外壳包括被构造成能够被临床医生抓持、操纵和致动的柄部1014。外壳1012被构造用于可操作地附接到可互换轴组件1200,该可互换轴组件具有可操作地联接到其的外科端部执行器1300,该外科端部执行器被构造成能够执行一种或多种外科任务或外科手术。继续参阅本具体实施方式,将会理解,本文所公开的各种形式的可互换轴组件也可有效地与机器人控制的外科系统结合使用。因此,术语“外壳”也可涵盖机器人系统的容纳或以其他方式可操作地支撑至少一个驱动系统的外壳或类似部分,所述至少一个驱动系统被构造成能够生成并施加可用于致动本文所公开的可互换轴组件及其相应的等同物的至少一种控制动作。此外,各种部件可被“容纳”或包含在外壳中,或者各种部件可与外壳“相关联”。在此类情况下,部件可不容纳在外壳内或由外壳直接支撑。术语“框架”可指手持式外科器械的一部分。术语“框架”还可表示机器人控制的外科器械的一部分和/或机器人系统的可用于可操作地控制外科器械的一部分。例如,本文所公开的可互换轴组件可与名称为“SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENTARRANGEMENTS”的美国专利9,072,535中公开的各种机器人系统、器械、部件和方法一起使用,该专利全文以引用方式并入本文。FIG. 1 shows a surgical instrument 1010 including an interchangeable shaft assembly 1200 operably coupled to a housing 1012. FIG. 2 shows the interchangeable shaft assembly 1200 separated from the housing 1012 or handle 1014 . As can be seen in FIG. 3, the handle 1014 may include a pair of interconnectable handle housing segments 1016 and 1018, which may be interconnected by means of screws, snap features, adhesives, and the like. In the illustrated arrangement, handle housing segments 1016 and 1018 cooperate to form a pistol grip portion 1019 . 1 and 3 illustrate a motor-driven surgical cutting and fastening instrument 1010 that may or may not be reusable. In the illustrated embodiment, the instrument 1010 includes a previous housing 1012 that includes a handle 1014 that is configured to be grasped, manipulated, and actuated by a clinician. Housing 1012 is configured for operative attachment to an interchangeable shaft assembly 1200 having a surgical end effector 1300 operably coupled thereto that is configured to enable Perform one or more surgical tasks or surgical procedures. With continued reference to this detailed description, it will be appreciated that the various forms of interchangeable shaft assemblies disclosed herein can also be effectively used in conjunction with robotically controlled surgical systems. Thus, the term "housing" may also encompass a housing or similar portion of a robotic system that houses or otherwise operably supports at least one drive system configured to generate and apply forces useful for actuation as described herein. At least one control action of the disclosed interchangeable shaft assemblies and their corresponding equivalents. Additionally, various components may be "housed" or contained within, or "associated with" the housing. In such cases, the components may not be contained within or directly supported by the housing. The term "frame" may refer to a portion of a hand-held surgical instrument. The term "frame" may also refer to a portion of a robotically controlled surgical instrument and/or a portion of a robotic system that may be used to operatively control a surgical instrument. For example, the interchangeable shaft assemblies disclosed herein can be used with various robotic systems, instruments, components, and methods disclosed in US Patent 9,072,535, entitled "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENTARRANGEMENTS," which is incorporated by reference in its entirety. Incorporated herein.

图1所示的先前外壳1012结合可互换轴组件1200示出(图2、图4和图5),该可互换轴组件包括端部执行器1300,该端部执行器包括被构造成能够在其中可操作地支撑外科钉仓4000的外科切割和紧固装置。外壳1012可被构造用于与可互换轴组件结合使用,该可互换轴组件包括端部执行器,该端部执行器适于支撑不同尺寸和类型的钉仓,具有不同的轴长度、尺寸和类型等。此外,外壳1012还可有效地用于多种其他可互换轴组件,其包括被构造成能够将其他动作和形式的能量(诸如例如射频(RF)能量、超声能量和/或动作)施加到适合与各种外科应用和手术结合使用的端部执行器布置的那些组件。此外,端部执行器、轴组件、柄部、外科器械和/或外科器械系统可利用任意合适的可被临床医生抓握和操纵的紧固件。如将在下文进一步详细地讨论,柄部1014可操作地支撑其中的多个驱动系统,这些驱动系统被构造成能够生成各种控制动作并将这些控制动作施加到可操作地附接到其上的可互换轴组件的对应部分。The previous housing 1012 shown in FIG. 1 is shown in conjunction with an interchangeable shaft assembly 1200 ( FIGS. 2 , 4 and 5 ) that includes an end effector 1300 that includes an end effector configured to A surgical cutting and fastening device in which a surgical staple cartridge 4000 can be operably supported. The housing 1012 can be configured for use in conjunction with an interchangeable shaft assembly including an end effector adapted to support different sizes and types of staple cartridges with different shaft lengths, size and type, etc. In addition, the housing 1012 is also effective for use with a variety of other interchangeable shaft assemblies, including those configured to enable application of other actions and forms of energy, such as, for example, radio frequency (RF) energy, ultrasonic energy, and/or motion to Those components of end effector arrangements suitable for use in connection with various surgical applications and procedures. Additionally, the end effector, shaft assembly, handle, surgical instrument, and/or surgical instrument system may utilize any suitable fasteners that can be grasped and manipulated by a clinician. As will be discussed in further detail below, the handle 1014 operably supports a plurality of drive systems therein that are configured to generate and apply various control actions to operably attached thereto. The corresponding part of the interchangeable shaft assembly.

现在参见图3,柄部1014还可包括可操作地支撑多个驱动系统的框架1020。例如,框架1020可操作地支撑通常被标记为1030的“第一”或闭合驱动系统,该“第一”或闭合驱动系统可用于将闭合和打开动作施加到可操作地附接或联接到其的可互换轴组件1200。在至少一种形式中,闭合驱动系统1030可包括被框架1020枢转地支撑的闭合触发器1032形式的致动器。更具体地,如图3所示,闭合触发器1032经由销1033枢转地联接到柄部1014。这种构造使闭合触发器1032能够被临床医生操纵,使得当临床医生抓握柄部1014的手枪式握把部1019时,闭合触发器1032可被其轻易地从起始或“未致动”位置枢转到“致动”位置,并且更具体地,枢转到完全压缩或完全致动位置。闭合触发器1032可由弹簧或其他偏压布置(未示出)偏压到未致动位置。在各种形式中,闭合驱动系统1030还包括枢转地联接到闭合触发器1032的闭合连杆组件1034。如在图3中可见,闭合连接件组件1034可包括通过销1035枢转地联接到闭合触发器1032的第一闭合连接件1036和第二闭合连接件1038。第二闭合连接件1038在本文中也可称为“附接构件”,并且包括横向附接销1037。Referring now to FIG. 3, the handle 1014 may also include a frame 1020 that operably supports a plurality of drive systems. For example, the frame 1020 operably supports a "first" or closing drive system, generally designated 1030, that can be used to apply closing and opening actions to operably attached or coupled thereto The interchangeable shaft assembly 1200. In at least one form, the closure drive system 1030 can include an actuator in the form of a closure trigger 1032 pivotally supported by the frame 1020 . More specifically, as shown in FIG. 3 , closure trigger 1032 is pivotally coupled to handle 1014 via pin 1033 . This configuration enables the closure trigger 1032 to be manipulated by the clinician such that when the clinician grasps the pistol grip portion 1019 of the handle portion 1014, the closure trigger 1032 can be easily initiated or "unactuated" by it. The position is pivoted to an "actuated" position, and more specifically, to a fully compressed or fully actuated position. The closure trigger 1032 may be biased to the unactuated position by a spring or other biasing arrangement (not shown). In various forms, the closure drive system 1030 also includes a closure linkage assembly 1034 pivotally coupled to the closure trigger 1032 . As can be seen in FIG. 3 , the closure link assembly 1034 may include a first closure link 1036 and a second closure link 1038 pivotally coupled to the closure trigger 1032 by a pin 1035 . The second closure link 1038 may also be referred to herein as an "attachment member" and includes a lateral attachment pin 1037 .

仍参见图3,可观察到,第一闭合连接件1036可在其上具有锁定壁或锁定端部1039,该锁定壁或锁定端部被构造成能够与枢转地联接到框架1020的闭合释放组件1060配合。在至少一种形式中,闭合释放组件1060可包括具有在其上形成的朝远侧突起的锁定棘爪1064的释放按钮组件1062。释放按钮组件1062可被释放弹簧(未示出)沿逆时针方向枢转。临床医生将闭合触发器1032从其未致动位置朝向柄部1014的手枪式握把部1019按压时,第一闭合连接件1036向上枢转至某个点,其中锁定棘爪1064落入该点中以与第一闭合连接件1036上的锁定壁1039保持接合,从而阻止闭合触发器1032返回未致动位置。因此,闭合释放组件1060用来将闭合触发器1032锁定在完全致动位置。当临床医生期望将闭合触发器1032解锁以允许其被偏压到未致动位置时,临床医生只需枢转释放按钮组件1062,使得锁定棘爪1064运动成与第一闭合连接件1036上的锁定壁1039脱离接合。当锁定棘爪1064已运动成与第一闭合连接件1036脱离接合时,闭合触发器1032可枢转回到未致动位置。也可采用其他闭合触发器锁定布置和释放布置。Still referring to FIG. 3 , it can be observed that the first closure link 1036 may have a locking wall or locking end 1039 thereon configured to be releasable with a closure pivotally coupled to the frame 1020 Assembly 1060 mates. In at least one form, the closure release assembly 1060 can include a release button assembly 1062 having a distally protruding locking pawl 1064 formed thereon. The release button assembly 1062 can be pivoted in a counterclockwise direction by a release spring (not shown). When the clinician presses the closure trigger 1032 from its unactuated position towards the pistol grip portion 1019 of the handle 1014, the first closure link 1036 pivots upward to a point where the locking pawl 1064 falls to remain engaged with the locking wall 1039 on the first closure link 1036, preventing the closure trigger 1032 from returning to the unactuated position. Thus, the closure release assembly 1060 serves to lock the closure trigger 1032 in the fully actuated position. When the clinician desires to unlock the closure trigger 1032 to allow it to be biased to the unactuated position, the clinician need only pivot the release button assembly 1062 so that the locking pawl 1064 moves into engagement with the latch on the first closure link 1036 Locking wall 1039 disengages. When the locking pawl 1064 has moved out of engagement with the first closure link 1036, the closure trigger 1032 can pivot back to the unactuated position. Other closure trigger locking and releasing arrangements may also be employed.

臂1061可从释放按钮组件1062延伸。磁性元件1063(诸如永磁体)例如可安装到臂1061。当释放按钮组件1062被从其第一位置旋转到其第二位置时,磁性元件1063可朝电路板1100运动。电路板1100可包括至少一个传感器,该至少一个传感器被构造成能够检测磁性元件1063的运动。在至少一个实施方案中,例如,“霍尔效应”传感器(未示出)可安装到电路板1100的底部表面。霍尔效应传感器可被构造成能够检测由磁性元件1063的运动引起、在霍尔效应传感器周围出现的磁场变化。霍尔效应传感器可与例如微控制器进行信号通信,该微控制器可确定释放按钮组件1062是否处于其与闭合触发器1032的未致动位置和端部执行器的打开构型相关联的第一位置、其与闭合触发器1032的致动位置和端部执行器的闭合构型相关联的第二位置、和/或第一位置与第二位置之间的任何位置。Arm 1061 can extend from release button assembly 1062 . Magnetic elements 1063 such as permanent magnets may be mounted to the arm 1061, for example. When the release button assembly 1062 is rotated from its first position to its second position, the magnetic element 1063 can move toward the circuit board 1100 . The circuit board 1100 may include at least one sensor configured to detect movement of the magnetic element 1063 . In at least one embodiment, for example, a "Hall Effect" sensor (not shown) may be mounted to the bottom surface of circuit board 1100 . The Hall effect sensor may be configured to detect changes in the magnetic field that occur around the Hall effect sensor caused by movement of the magnetic element 1063 . The Hall effect sensor can be in signal communication with, for example, a microcontroller that can determine whether the release button assembly 1062 is in its first configuration associated with the unactuated position of the closure trigger 1032 and the open configuration of the end effector. A position, its second position associated with the actuated position of the closure trigger 1032 and the closed configuration of the end effector, and/or any position between the first and second positions.

在至少一种形式中,柄部1014和框架1020可以可操作地支撑在本文中被称为击发驱动系统1080的另一个驱动系统,该驱动系统被构造成能够向附接到其的可互换轴组件的对应部分施加击发动作。击发驱动系统1080也可在本文中被称为“第二驱动系统”。击发驱动系统1080可采用电动马达1082,该电动马达位于柄部1014的手枪式握把部1019中。在各种形式中,马达1082例如可为具有约25,000RPM的最大旋转的DC有刷驱动马达。在其他布置中,马达可包括无刷马达、无绳马达、同步马达、步进马达、或任何其他合适的电动马达。马达1082可由功率源1090供电,在一种形式中,该功率源可包括可移除电源组1092。如在图3中可见,例如,电源组1092可包括近侧外壳部分1094,该近侧外壳部分被构造用于附接到远侧外壳部分1096。近侧外壳部分1094和远侧外壳部分1096被构造成能够在其中可操作地支撑多个电池1098。电池1098可各自包括例如锂离子(“LI”)或其他合适的电池。远侧外壳部分1096被构造用于以可移除方式可操作地附接到同样可操作地联接到马达1082的电路板1100。可使用可串联连接的多个电池1098作为外科器械1010的功率源。此外,功率源1090可为可更换的和/或可充电的。In at least one form, the handle 1014 and the frame 1020 can operably support another drive system, referred to herein as a firing drive system 1080, that is configured to be interchangeable with a drive system attached thereto. The corresponding portion of the shaft assembly applies the firing action. The firing drive system 1080 may also be referred to herein as a "second drive system." The firing drive system 1080 may employ an electric motor 1082 located in the pistol grip portion 1019 of the handle 1014. In various forms, the motor 1082 may be, for example, a DC brush drive motor with a maximum rotation of about 25,000 RPM. In other arrangements, the motor may comprise a brushless motor, a cordless motor, a synchronous motor, a stepper motor, or any other suitable electric motor. The motor 1082 may be powered by a power source 1090 , which in one form may include a removable power pack 1092 . As can be seen in FIG. 3 , for example, the power pack 1092 can include a proximal housing portion 1094 configured for attachment to a distal housing portion 1096 . Proximal housing portion 1094 and distal housing portion 1096 are configured to operably support a plurality of batteries 1098 therein. Batteries 1098 may each include, for example, lithium ion ("LI") or other suitable batteries. The distal housing portion 1096 is configured for removably operative attachment to the circuit board 1100 that is also operatively coupled to the motor 1082 . A plurality of batteries 1098 that can be connected in series can be used as a power source for the surgical instrument 1010. Additionally, the power source 1090 may be replaceable and/or rechargeable.

如上文相对于其他各种形式所概述,电动马达1082可包括与齿轮减速器组件1084可操作地交接的可旋转轴(未示出),该齿轮减速器组件与一组或一齿条的驱动齿1122啮合接合地安装在可纵向运动的驱动构件1120上。在使用中,功率源1090所提供的电压极性可沿顺时针方向操作电动马达1082,其中由电池施加给电动马达的电压极性可被反转,以便沿逆时针方向操作电动马达1082。当电动马达1082在一个方向上旋转时,驱动构件1120将在远侧方向“DD”上轴向地驱动。当马达82在相反的旋转方向上被驱动时,驱动构件1120将在近侧方向“PD”上轴向地驱动。柄部1014可包括开关,该开关被构造成能够使由功率源1090施加到电动马达1082的极性反转。与本文所述的其他形式一样,柄部1014还可包括传感器,该传感器被构造成能够检测驱动构件1120的位置和/或驱动构件1120正在运动的方向。As outlined above with respect to the various other forms, the electric motor 1082 may include a rotatable shaft (not shown) operatively interfacing with a gear reducer assembly 1084 that drives a set or rack of gears Teeth 1122 are mounted on the longitudinally movable drive member 1120 in meshing engagement. In use, the polarity of the voltage provided by the power source 1090 can operate the electric motor 1082 in a clockwise direction, wherein the polarity of the voltage applied to the electric motor by the battery can be reversed to operate the electric motor 1082 in a counterclockwise direction. When the electric motor 1082 is rotated in one direction, the drive member 1120 will be driven axially in the distal direction "DD". When the motor 82 is driven in the opposite rotational direction, the drive member 1120 will be driven axially in the proximal direction "PD". The handle 1014 may include a switch configured to reverse the polarity applied to the electric motor 1082 by the power source 1090 . As with the other forms described herein, the handle 1014 may also include a sensor configured to detect the position of the drive member 1120 and/or the direction in which the drive member 1120 is moving.

马达1082的致动可通过被枢转地支撑在柄部1014上的击发触发器1130来控制。击发触发器1130可在未致动位置和致动位置之间枢转。击发触发器1130可由弹簧1132或其他偏压构造偏压到未致动位置,使得当临床医生释放击发触发器1130时,击发触发器可由弹簧1132或偏压构造枢转或以其他方式返回到未致动位置。在至少一种形式中,击发触发器1130可定位在闭合触发器1032的“外侧”,如上文所讨论。在至少一种形式中,击发触发器安全按钮1134可由销1035枢转地安装到闭合触发器1032。安全按钮1134可定位在击发触发器1130和闭合触发器1032之间,并具有从其突起的枢转臂1136。参见图3。当闭合触发器1032处于未致动位置时,安全按钮1134被容纳在柄部1014中,此时临床医生可能无法轻易触及该按钮,也无法将该按钮在防止对击发触发器1130致动的安全位置与击发触发器1130可被击发的击发位置之间运动。临床医生按压闭合触发器1032时,安全按钮1134和击发触发器1130向下枢转,随后可被临床医生操纵。Actuation of the motor 1082 may be controlled by a firing trigger 1130 pivotally supported on the handle 1014 . The firing trigger 1130 is pivotable between an unactuated position and an actuated position. The firing trigger 1130 may be biased to the unactuated position by the spring 1132 or other biasing formation, such that when the clinician releases the firing trigger 1130, the firing trigger may be pivoted or otherwise returned to the unactuated position by the spring 1132 or the biasing formation. Actuation position. In at least one form, the firing trigger 1130 may be positioned "outside" the closure trigger 1032, as discussed above. In at least one form, the firing trigger safety button 1134 can be pivotally mounted to the closure trigger 1032 by the pin 1035 . A safety button 1134 can be positioned between the firing trigger 1130 and the closing trigger 1032 and has a pivot arm 1136 projecting therefrom. See Figure 3. When the closure trigger 1032 is in the unactuated position, the safety button 1134 is housed in the handle 1014 where the button may not be easily accessible by a clinician or in a safe place to prevent actuation of the firing trigger 1130 The position is moved between a firing position where the firing trigger 1130 can be fired. When the clinician presses the closure trigger 1032, the safety button 1134 and firing trigger 1130 pivot downward and can then be manipulated by the clinician.

如上所述,在至少一种形式中,能够纵向运动的驱动构件1120具有在其上形成的一齿条的齿1122,以用于与齿轮减速器组件1084的相应驱动齿轮1086啮合接合。至少一种形式还包括可手动致动的被构造成能够使得临床医生能够在马达1082变得失效情况下手动地回缩能够纵向运动的驱动构件1120的“应急”组件1140。应急组件1140可包括杠杆或应急柄部组件1142,该杠杆或应急柄部组件被构造成能够被手动地枢转为与同样设置在驱动构件1120中的齿1124棘轮接合。因此,临床医生可使用应急柄部组件1142手动地缩回驱动构件1120,以使驱动构件1120沿近侧方向“PD”进行棘轮运动。名称为“POWERED SURGICALCUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM”的美国专利8,608,045公开了也可与本文所公开的各种器械一起使用的应急布置和其他部件、布置和系统。美国专利8,608,045据此全文以引用方式并入本文。As described above, in at least one form, the longitudinally movable drive member 1120 has a rack of teeth 1122 formed thereon for meshing engagement with a corresponding drive gear 1086 of the gear reducer assembly 1084 . At least one form also includes a manually actuatable "emergency" assembly 1140 configured to enable a clinician to manually retract the longitudinally movable drive member 1120 if the motor 1082 becomes inoperative. The emergency assembly 1140 may include a lever or emergency handle assembly 1142 configured to be manually pivotable into ratchet engagement with teeth 1124 also provided in the drive member 1120 . Thus, the clinician can manually retract the drive member 1120 using the emergency handle assembly 1142 to ratchet the drive member 1120 in the proximal direction "PD". US Patent 8,608,045 entitled "POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM" discloses emergency arrangements and other components, arrangements and systems that may also be used with the various apparatuses disclosed herein. US Patent 8,608,045 is hereby incorporated by reference in its entirety.

现在转到图2和图5,可互换轴组件1200包括外科端部执行器1300,该外科端部执行器包括被构造成能够在其中可操作地支撑钉仓4000的细长通道1310。端部执行器1300还可包括相对于细长通道1310被枢转地支撑的砧座2000。可互换轴组件1200还可包括关节运动接头3020和关节运动锁2140,该关节运动锁可被构造成能够可释放地将端部执行器1300相对于轴轴线SA保持在期望的位置。端部执行器1300、关节运动接头3020和关节运动锁的至少一种形式的各种特征的示例可在2013年3月14日提交的名称为“ARTICULATABLESURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK”的美国专利申请序列号13/803,086(现为美国专利申请公布2014/0263541)中找到。2013年3月14日提交的名称为“ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK”的美国专利申请序列号13/803,086(现为美国专利申请公布2014/0263541)的完整公开内容据此以引用方式并入本文。如在图4中可见,可互换轴组件1200还可包括由喷嘴部分1202和1203组成的近侧外壳或喷嘴1201。Turning now to FIGS. 2 and 5 , the interchangeable shaft assembly 1200 includes a surgical end effector 1300 that includes an elongated channel 1310 configured to operably support a staple cartridge 4000 therein. The end effector 1300 may also include an anvil 2000 pivotally supported relative to the elongated channel 1310 . The interchangeable shaft assembly 1200 may also include an articulation joint 3020 and an articulation lock 2140, which may be configured to releasably retain the end effector 1300 in a desired position relative to the shaft axis SA. Examples of various features of at least one form of end effector 1300, articulation joint 3020, and articulation lock can be found in US Patent Application Serial No. entitled "ARTICULATABLESURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK", filed March 14, 2013 13/803,086 (now US Patent Application Publication 2014/0263541). The complete disclosure of US Patent Application Serial No. 13/803,086 (now US Patent Application Publication 2014/0263541 ), filed March 14, 2013, entitled "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK", is hereby incorporated by reference This article. As can be seen in FIG. 4 , the interchangeable shaft assembly 1200 may also include a proximal housing or nozzle 1201 comprised of nozzle portions 1202 and 1203 .

可互换轴组件1200还可包括闭合系统或闭合构件组件3000,该闭合系统或闭合构件组件可用于闭合和/或打开端部执行器1300的砧座2000。轴组件1200可包括脊1210,该脊被构造成能够:第一,在其中可滑动地支撑击发构件;第二,可滑动地支撑围绕脊1210延伸的闭合构件组件3000。如在图5中可见,脊1210的远侧端部1212终止于上凸耳安装特征部1270和下凸耳安装特征部1280。上凸耳安装特征部1270在其中形成有凸耳狭槽1272,该凸耳狭槽适于将上安装连接件1274安装支撑在其中。类似地,下凸耳安装特征部1280在其中形成有凸耳狭槽1282,该凸耳狭槽适于在其中安装地支撑下安装连接件1284。上安装连接件1274在其中包括枢轴承窝1276,该枢轴承窝适于将枢轴销1292可旋转地接收在其中,该枢轴销形成在附接到细长通道1310的近侧端部部分1312的通道顶盖或砧座保持器1290上。下安装连接件1284包括下枢轴销1286,该下枢轴销适于被接收在形成于细长通道1310的近侧端部部分1312中的枢轴孔1314内。参见图5。下枢轴销1286与枢轴承窝1276竖直对准以限定关节运动轴线AA,外科端部执行器1300可围绕该关节运动轴线AA相对于轴轴线SA进行关节运动。参见图2。The interchangeable shaft assembly 1200 may also include a closure system or closure member assembly 3000 that may be used to close and/or open the anvil 2000 of the end effector 1300 . The shaft assembly 1200 can include a spine 1210 configured to: first, slidably support a firing member therein; and second, slidably support a closure member assembly 3000 extending around the spine 1210 . As can be seen in FIG. 5 , the distal end 1212 of the ridge 1210 terminates in an upper lug mounting feature 1270 and a lower lug mounting feature 1280 . The upper lug mounting feature 1270 has formed therein a lug slot 1272 adapted to mount and support the upper mounting connector 1274 therein. Similarly, the lower lug mounting feature 1280 has formed therein a lug slot 1282 adapted to mountably support the lower mounting connector 1284 therein. The upper mounting link 1274 includes therein a pivot socket 1276 adapted to rotatably receive therein a pivot pin 1292 formed at a proximal end portion attached to the elongated channel 1310 1312 on the channel cap or anvil holder 1290. The lower mounting link 1284 includes a lower pivot pin 1286 adapted to be received within a pivot hole 1314 formed in the proximal end portion 1312 of the elongated channel 1310 . See Figure 5. The lower pivot pin 1286 is vertically aligned with the pivot bearing socket 1276 to define an articulation axis AA about which the surgical end effector 1300 can articulate relative to the shaft axis SA. See Figure 2.

在例示的示例中,外科端部执行器1300能够由关节运动系统2100围绕关节运动轴线AA选择性地进行关节运动。在一种形式中,关节运动系统2100包括近侧关节运动驱动器2102,该近侧关节运动驱动器枢转地联接到关节运动连接件2120。如图5中可以最具体地看出,在近侧关节运动驱动器2102的远侧端部2110上形成偏移附接凸耳2114。枢轴孔2116形成在偏移附接凸耳2114中,并且被构造成能够将形成在关节运动连接件2120的近侧端部2122上的近侧连接件销2124枢转地接收在其中。关节运动连接件2120的远侧端部2126包括枢轴孔2128,该枢轴孔被构造成能够将形成在细长通道1310的近侧端部部分1312上的通道销1317枢转地接收在其中。因此,近侧关节运动驱动器2102的轴向运动将由此向细长通道1310施加关节运动动作,从而使外科端部执行器1300围绕关节运动轴线AA相对于脊1210进行关节运动。有关于关节运动系统2100的构造和操作的更多细节可见于以引用方式并入本文的各种参考文献中,包括2017年6月28日提交的名称为“SURGICAL INSTRUMENT WITHAXIALLY MOVABLE CLOSURE MEMBER”的美国专利申请序列号15/635,631中,现为美国专利申请公布2019/0000464,其全部公开内容据此以引用方式并入本文。在各种情况下,当近侧关节运动驱动器2102没有在近侧或远侧方向上运动时,近侧关节运动驱动器2102可被关节运动锁2140保持就位。关于关节运动锁2140的示例的附加细节可见于美国专利申请序列号15/635,631,现为美国专利申请公布2019/0000464,以及以引用方式并入本文的其他参考文献中。In the illustrated example, the surgical end effector 1300 is selectively articulatable by the articulation system 2100 about the articulation axis AA. In one form, the articulation system 2100 includes a proximal articulation driver 2102 pivotally coupled to an articulation link 2120 . As can be seen most particularly in FIG. 5 , offset attachment lugs 2114 are formed on the distal end 2110 of the proximal articulation driver 2102 . A pivot hole 2116 is formed in the offset attachment lug 2114 and is configured to pivotally receive a proximal link pin 2124 formed on the proximal end 2122 of the articulation link 2120 therein. Distal end 2126 of articulation link 2120 includes pivot hole 2128 configured to pivotally receive channel pin 1317 formed on proximal end portion 1312 of elongated channel 1310 therein . Accordingly, axial movement of the proximal articulation driver 2102 will thereby impart an articulation motion to the elongated channel 1310, thereby articulating the surgical end effector 1300 relative to the spine 1210 about the articulation axis AA. More details regarding the construction and operation of the articulation system 2100 can be found in the various references incorporated herein by reference, including the U.S. Patent Application Serial No. 15/635,631, now US Patent Application Publication 2019/0000464, the entire disclosure of which is hereby incorporated by reference herein. In various cases, the proximal articulation driver 2102 can be held in place by the articulation lock 2140 when the proximal articulation driver 2102 is not moving in a proximal or distal direction. Additional details regarding examples of articulation locks 2140 can be found in US Patent Application Serial No. 15/635,631, now US Patent Application Publication 2019/0000464, and other references incorporated herein by reference.

在各种情况下,脊1210可包括可旋转地支撑在底座1240中的近侧端部1211。在一种布置中,例如,脊1210的近侧端部1211具有在其上形成的螺纹1214,以便通过螺纹附接到被构造成能够被支撑在底座1240内的脊轴承1216。参见图4。这种布置有利于脊1210到底座1240的可旋转附接,使得脊1210可以选择性地相对于底座1240围绕轴轴线SA旋转。In various cases, spine 1210 can include a proximal end 1211 that is rotatably supported in base 1240 . In one arrangement, for example, proximal end 1211 of spine 1210 has threads 1214 formed thereon for threading attachment to spine bearing 1216 configured to be supported within base 1240 . See Figure 4. This arrangement facilitates the rotatable attachment of the spine 1210 to the base 1240 so that the spine 1210 can be selectively rotated relative to the base 1240 about the shaft axis SA.

主要参见图4,可互换轴组件1200包括闭合梭动件1250,该闭合梭动件被可滑动地支撑在底座1240内,使得闭合梭动件相对于底座轴向运动。闭合梭动件1250包括被构造用于附接到附接销1037的一对朝近侧突起的钩1252(图3),该附接销附接到第二闭合连接件1038,如将在下文进一步详细地讨论。在至少一个示例中,闭合构件组件3000包括具有近侧端部3012的近侧闭合构件段3010,该近侧端部联接到闭合梭动件1250以相对于其旋转。例如,将U形连接器1263插入近侧闭合构件段3010的近侧端部3012中的环形狭槽3014中,并使其保留在闭合梭动件1250中的竖直狭槽1253内。此类布置用于将近侧闭合构件段3010附接到闭合梭动件1250,以与闭合梭动件一起轴向地行进,同时使得近侧闭合构件段3010能够相对于闭合梭动件1250围绕轴轴线SA旋转。闭合弹簧1268轴颈连接在近侧闭合构件段3010上,用来沿近侧方向“PD”偏压近侧闭合构件段3010,当轴组件可操作地联接到柄部1014时,该闭合弹簧可用来将闭合触发器1032枢转到未致动位置。Referring primarily to Figure 4, the interchangeable shaft assembly 1200 includes a closure shuttle 1250 that is slidably supported within a base 1240 such that the closure shuttle moves axially relative to the base. The closure shuttle 1250 includes a pair of proximally protruding hooks 1252 (FIG. 3) configured for attachment to an attachment pin 1037 that is attached to the second closure link 1038, as will be described below Discussed in further detail. In at least one example, closure member assembly 3000 includes a proximal closure member segment 3010 having a proximal end 3012 coupled to closure shuttle 1250 for rotation relative thereto. For example, U-shaped connector 1263 is inserted into annular slot 3014 in proximal end 3012 of proximal closure member segment 3010 and retained within vertical slot 1253 in closure shuttle 1250. Such an arrangement serves to attach the proximal closure member segment 3010 to the closure shuttle 1250 to travel axially with the closure shuttle while enabling the proximal closure member segment 3010 to pivot relative to the closure shuttle 1250 The axis SA rotates. A closure spring 1268 journalled on the proximal closure member segment 3010 for biasing the proximal closure member segment 3010 in the proximal direction "PD" is available when the shaft assembly is operably coupled to the handle 1014 to pivot the closure trigger 1032 to the unactuated position.

在至少一种形式中,可互换轴组件1200还可包括关节运动接头3020。然而,其他可互换轴组件可能无法进行关节运动。如在图5中可见,例如,远侧闭合构件或远侧闭合管段3030联接到近侧闭合构件段3010的远侧端部。关节运动接头3020包括双枢轴闭合套管组件3022。根据各种形式,双枢轴闭合套管组件3022包括具有朝远侧突出的上柄脚3052和下柄脚3054的端部执行器闭合管3050。上部双枢轴连接件3056包括向上突出的远侧枢轴销和近侧枢轴销,这些枢轴销分别接合远侧闭合管段3030上的朝近侧突出的上柄脚3052中的上部远侧销孔以及朝远侧突出的上柄脚3032中的上部近侧销孔。下部双枢轴连接件3058包括向上突出的远侧枢轴销和近侧枢轴销,这些枢轴销分别接合朝近侧突出的下柄脚3054中的下部远侧销孔以及朝远侧突出的下柄脚3034中的下部近侧销孔。参见图4和图5。如将在下文进一步详细讨论的,闭合构件组件3000朝远侧(方向“DD”)平移,以例如响应于闭合触发器1032的致动而使砧座2000闭合。通过朝近侧平移闭合构件组件3000来打开砧座2000,这使端部执行器闭合管3050与砧座2000交接并使其枢转至打开位置。In at least one form, the interchangeable shaft assembly 1200 may also include an articulation joint 3020 . However, other interchangeable shaft assemblies may not be able to articulate. As can be seen in FIG. 5 , for example, a distal closure member or distal closure tube segment 3030 is coupled to the distal end of the proximal closure member segment 3010 . Articulation joint 3020 includes dual pivot closure sleeve assembly 3022. According to various forms, the dual pivot closure sleeve assembly 3022 includes an end effector closure tube 3050 having an upper tang 3052 and a lower tang 3054 projecting distally. The upper dual pivot link 3056 includes an upwardly projecting distal pivot pin and a proximal pivot pin that respectively engage the upper distal portion of the proximally projecting upper tang 3052 on the distal closure tube segment 3030 Pin hole and upper proximal pin hole in distally projecting upper tang 3032. The lower dual pivot link 3058 includes an upwardly projecting distal and proximal pivot pins that engage a lower distal pin hole in the proximally projecting lower tang 3054 and a distally projecting, respectively. The lower proximal pin hole in the lower tang 3034. See Figures 4 and 5. As will be discussed in further detail below, the closure member assembly 3000 is translated distally (direction "DD") to close the anvil 2000 , eg, in response to actuation of the closure trigger 1032 . The anvil 2000 is opened by proximally translating the closure member assembly 3000, which interfaces the end effector closure tube 3050 with the anvil 2000 and pivots it to the open position.

同样如上所述,可互换轴组件1200还包括击发构件1900,该击发构件被支撑以便在脊1210内轴向行进。击发构件1900包括被构造用于附接到远侧切割部分或刀杆1910的中间击发轴部分1222。中间击发轴部分1222可在其远侧端部中包括纵向狭槽1223,该纵向狭槽可被构造成能够接收远侧刀杆1910的近侧端部上的接片1912。纵向狭槽1223和近侧端部接片1912的尺寸和构造可被设置成允许该纵向狭槽和该近侧端部接片之间的相对运动并且可包括滑动接头1914。滑动接头1914可以允许击发构件1900的中间击发轴部分1222运动,以在不使刀杆1910运动或至少基本上不使刀杆1910运动的情况下,使端部执行器1300进行关节运动。一旦端部执行器1300已合适地取向,中间击发轴部分1222便可朝远侧推进,直到纵向狭槽1223的近侧侧壁与接片1912发生接触,以便推进刀杆1910并击发定位在通道1310内的钉仓4000。刀杆1910包括刀部分1920,该刀部分包括刀片或组织切割刃1922并且包括上部砧座接合接片1924和下部通道接合接片1926。各种击发构件构型和操作公开于以引用方式并入本文的各种其他参考文献中。Also as described above, the interchangeable shaft assembly 1200 also includes a firing member 1900 that is supported for axial travel within the spine 1210 . The firing member 1900 includes an intermediate firing shaft portion 1222 configured for attachment to the distal cutting portion or shank 1910 . Intermediate firing shaft portion 1222 can include longitudinal slots 1223 in its distal end that can be configured to receive tabs 1912 on the proximal end of distal blade shank 1910 . The longitudinal slot 1223 and the proximal end tab 1912 can be sized and configured to allow relative movement between the longitudinal slot and the proximal end tab and can include a sliding joint 1914 . The sliding joint 1914 may allow movement of the intermediate firing shaft portion 1222 of the firing member 1900 to articulate the end effector 1300 without moving the knife bar 1910, or at least substantially not moving the knife bar 1910. Once the end effector 1300 has been properly oriented, the intermediate firing shaft portion 1222 can be advanced distally until the proximal sidewall of the longitudinal slot 1223 comes into contact with the tab 1912 to advance the arbor 1910 and fire positioned in the channel Cartridge 4000 inside 1310. Knife bar 1910 includes knife portion 1920 that includes a blade or tissue cutting edge 1922 and includes upper anvil engagement tabs 1924 and lower channel engagement tabs 1926. Various firing member configurations and operations are disclosed in various other references incorporated herein by reference.

如在图4中可见,轴组件1200还包括可旋转地接收在近侧闭合构件段3010上的切换筒1500。切换筒1500包括中空轴段1502,该中空轴段具有在其上形成的轴凸台,用于将向外突起的致动销接收在其中。在各种情况下,致动销延伸穿过设置在锁套管中的纵向狭槽,以便在锁套管与关节运动驱动器接合的情况下,利于锁套管进行轴向运动。旋转扭转弹簧1420被构造成能够接合切换筒1500上的凸台以及喷嘴外壳1203的一部分,以将偏压力施加到切换筒1500。切换筒1500还可包括限定于其中的至少部分周边开口1506,该开口可被构造成能够接收从喷嘴部分1202、1203延伸的周边安装架,并且允许切换筒1500和喷嘴1201之间的相对旋转而不是相对平移。安装架还延伸穿过待安置在脊1210中的凹槽1219中的近侧闭合构件段3010中的开口3011。切换筒1500围绕轴轴线SA的旋转最终将引起致动销的旋转,并引起锁套管在其接合位置与脱离位置之间旋转。在一种布置中,切换筒1500的旋转可与闭合管或闭合构件的轴向推进相关联。因此,实质上,闭合系统的致动可以各种方式可操作地使关节运动驱动系统与击发驱动系统接合和脱离接合,这些方式在名称为“ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK”的美国专利申请序列号13/803,086(现为美国专利申请公布2014/0263541)和名称为“SURGICALINSTRUMENT COMPRISING A SENSOR SYSTEM”的美国专利9,913,642中更详细地描述,这些专利各自的全部公开内容据此以引用方式并入本文。例如,当闭合构件段3010处于其对应于“钳口打开”位置的最近侧位置时,闭合构件段3010将已定位切换筒1500,以便将关节运动系统与击发驱动系统连接。当闭合管已运动到其对应于“钳口闭合”位置的远侧位置时,闭合管已将切换筒1500旋转到其中关节运动系统与击发驱动系统脱离连接的位置。As can be seen in FIG. 4 , the shaft assembly 1200 also includes a switch barrel 1500 rotatably received on the proximal closure member segment 3010 . The switching cartridge 1500 includes a hollow shaft section 1502 having a shaft boss formed thereon for receiving an outwardly projecting actuating pin therein. In each case, the actuating pin extends through a longitudinal slot provided in the lock sleeve to facilitate axial movement of the lock sleeve with the lock sleeve engaged with the articulation driver. Rotary torsion spring 1420 is configured to engage a boss on switch cylinder 1500 and a portion of nozzle housing 1203 to apply a biasing force to switch cylinder 1500 . Switching cartridge 1500 may also include at least a portion of a peripheral opening 1506 defined therein that may be configured to receive peripheral mounting brackets extending from nozzle portions 1202, 1203 and permit relative rotation between switching cartridge 1500 and nozzle 1201 to prevent Not a relative translation. The mount also extends through the opening 3011 in the proximal closure member segment 3010 to be seated in the groove 1219 in the spine 1210. Rotation of the switch barrel 1500 about the shaft axis SA will ultimately cause rotation of the actuating pin and rotation of the lock sleeve between its engaged and disengaged positions. In one arrangement, rotation of the switching cartridge 1500 may be associated with axial advancement of the closure tube or closure member. Thus, in essence, actuation of the closure system may operatively engage and disengage the articulation drive system from the firing drive system in the various manners described in US Patent Application Serial No. entitled "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING AN ARTICULATION LOCK" No. 13/803,086 (now US Patent Application Publication 2014/0263541) and US Patent 9,913,642 entitled "SURGICAL INSTRUMENT COMPRISING A SENSOR SYSTEM", the entire disclosures of each of which are hereby incorporated by reference herein . For example, when the closure member segment 3010 is in its proximal-most position corresponding to the "jaws open" position, the closure member segment 3010 will have positioned the switching cartridge 1500 to connect the articulation system with the firing drive system. When the closure tube has moved to its distal position corresponding to the "jaw closed" position, the closure tube has rotated the switching barrel 1500 to a position in which the articulation system is disconnected from the firing drive system.

也如图4所示,轴组件1200可包括滑环组件1600,例如,该滑环组件可被构造成能够将电力传导至端部执行器1300和/或从该端部执行器传导电力,并且/或者将信号传送至端部执行器1300和/或从该端部执行器接收信号。滑环组件1600可包括近侧连接器法兰1604和远侧连接器法兰,该近侧连接器法兰安装到从底座1240延伸的底座法兰1242上,该远侧连接器法兰定位在限定于轴外壳中的狭槽内。近侧连接器法兰1604可包括第一面,并且远侧连接器法兰可包括第二面,其中第二面与第一面相邻定位,并能够相对于第一面运动。远侧连接器法兰可围绕轴轴线SA相对于近侧连接器法兰1604旋转。近侧连接器法兰1604可包括限定于其第一面中的多个同心或至少基本上同心的导体。连接器可安装在连接器法兰的近侧侧面上,并且可具有多个触点,其中每个触点对应于导体中的一个并且与其电接触。这种布置在保持近侧连接器法兰1604与远侧连接器法兰之间电接触的同时,允许这两个法兰之间进行相对旋转。例如,近侧连接器法兰1604可包括电连接器1606,该电连接器可使导体与安装到轴底座1240的轴电路板1610进行信号通信。在至少一种情况下,包括多个导体的线束可在电连接器1606与轴电路板1610之间延伸。电连接器1606可朝近侧延伸穿过限定于底座法兰1242中的连接器开口1243。参见图4。例如,关于滑环组件1600的进一步细节可见于名称为“ARTICULATABLE SURGICAL INSTRUMENT COMPRISING ANARTICULATION LOCK”的美国专利申请序列号13/803,086(现为美国专利申请公布2014/0263541)、提交于2013年3月13日的名称为“STAPLE CARTRIDGE TISSUE THICKNESS SENSORSYSTEM”的美国专利申请序列号13/800,067(现为美国专利申请公布2014/0263552,以及名称为“STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM”的美国专利9,345,481。美国专利申请序列号13/803,086(现为美国专利申请公布2014/0263541)、美国专利申请序列号13/800,067(现为美国专利申请公布2014/0263552)和美国专利9,345,481据此各自全文以引用方式并入本文。As also shown in FIG. 4, the shaft assembly 1200 may include a slip ring assembly 1600, which may be configured, for example, to conduct electrical power to and/or from the end effector 1300, and /or transmit signals to and/or receive signals from the end effector 1300. The slip ring assembly 1600 can include a proximal connector flange 1604 mounted to a base flange 1242 extending from the base 1240 and a distal connector flange positioned at the base 1240. Confined within a slot in the shaft housing. The proximal connector flange 1604 can include a first face, and the distal connector flange can include a second face, wherein the second face is positioned adjacent the first face and is movable relative to the first face. The distal connector flange is rotatable relative to the proximal connector flange 1604 about the shaft axis SA. The proximal connector flange 1604 can include a plurality of concentric or at least substantially concentric conductors defined in a first face thereof. The connector may be mounted on the proximal side of the connector flange and may have a plurality of contacts, where each contact corresponds to and is in electrical contact with one of the conductors. This arrangement allows relative rotation between the proximal connector flange 1604 and the distal connector flange while maintaining electrical contact between the two flanges. For example, proximal connector flange 1604 can include electrical connectors 1606 that can enable conductors to communicate in signal with shaft circuit board 1610 mounted to shaft base 1240 . In at least one instance, a wire harness including a plurality of conductors can extend between the electrical connector 1606 and the shaft circuit board 1610 . The electrical connector 1606 can extend proximally through the connector opening 1243 defined in the base flange 1242 . See Figure 4. For example, further details regarding slip ring assembly 1600 can be found in US Patent Application Serial No. 13/803,086 (now US Patent Application Publication 2014/0263541) entitled "ARTICULATABLE SURGICAL INSTRUMENT COMPRISING ANARTICULATION LOCK", filed March 13, 2013 US Patent Application Serial No. 13/800,067 (now US Patent Application Publication 2014/0263552) entitled "STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM" and US Patent 9,345,481 entitled "STAPLE CARTRIDGE TISSUE THICKNESS SENSOR SYSTEM". US Patent Application Serial No. 13/803,086 (now US Patent Application Publication 2014/0263541), US Patent Application Serial No. 13/800,067 (now US Patent Application Publication 2014/0263552), and US Patent 9,345,481 are each hereby incorporated by reference in their entirety .

如上文所讨论,轴组件1200可包括可固定地安装到柄部1014的近侧部分,以及能够围绕纵向轴线旋转的远侧部分。可旋转远侧轴部分可如上所述围绕滑环组件1600相对于近侧部分旋转。滑环组件1600的远侧连接器法兰可定位在可旋转远侧轴部分内。而且,除上述之外,切换筒1500也可定位在可旋转远侧轴部分内。当可旋转远侧轴部分旋转时,远侧连接器法兰和切换筒1500可彼此同步地旋转。另外,切换筒1500可相对于远侧连接器法兰在第一位置和第二位置之间旋转。当切换筒1500处于其第一位置时,关节运动驱动系统可与击发驱动系统可操作地脱离接合,因此,击发驱动系统的操作可不使轴组件1200的端部执行器1300进行关节运动。当切换筒1500处于其第二位置时,关节运动驱动系统可以与击发驱动系统可操作地接合,因此,击发驱动系统的操作可以使轴组件1200的端部执行器1300进行关节运动。当切换筒1500在其第一位置和其第二位置之间运动时,切换筒1500相对于远侧连接器法兰运动。在各种情况下,轴组件1200可包括被构造成能够检测切换筒1500的位置的至少一个传感器。As discussed above, the shaft assembly 1200 can include a proximal portion that is fixedly mountable to the handle 1014, and a distal portion that is rotatable about a longitudinal axis. The rotatable distal shaft portion is rotatable relative to the proximal portion about the slip ring assembly 1600 as described above. The distal connector flange of slip ring assembly 1600 can be positioned within the rotatable distal shaft portion. Also, in addition to the above, the switching cartridge 1500 may also be positioned within the rotatable distal shaft portion. When the rotatable distal shaft portion rotates, the distal connector flange and switching barrel 1500 can rotate in synchronization with each other. Additionally, the switching barrel 1500 is rotatable relative to the distal connector flange between a first position and a second position. When the switching cartridge 1500 is in its first position, the articulation drive system may be operably disengaged from the firing drive system, and thus, operation of the firing drive system may not articulate the end effector 1300 of the shaft assembly 1200. When the switching cartridge 1500 is in its second position, the articulation drive system can be operably engaged with the firing drive system, and thus, operation of the firing drive system can articulate the end effector 1300 of the shaft assembly 1200. As the switch barrel 1500 moves between its first position and its second position, the switch barrel 1500 moves relative to the distal connector flange. In various cases, shaft assembly 1200 may include at least one sensor configured to detect the position of switching cartridge 1500 .

再次参见图4,底座1240包括在其上形成的至少一个、优选两个渐缩的附接部分1244,这种附接部分适于被接收在对应的燕尾形狭槽1702内,该燕尾形狭槽在框架1020的远侧附接法兰部分1700内形成。参见图3。每个燕尾形狭槽1702可以是锥形,或换句话讲,可以略成V形,从而以安置方式将附接部分1244接收在其中。如可在图4中进一步所见,轴附接凸耳1226形成在中间击发轴部分1222的近侧端部上。如将在下文进一步详细地讨论,当可互换轴组件1200联接到柄部1014时,轴附接凸耳1226被接收在形成于纵向驱动构件1120的远侧端部1125中的击发轴附接支架1126中。参见图3。Referring again to Figure 4, the base 1240 includes at least one, preferably two tapered attachment portions 1244 formed thereon, such attachment portions being adapted to be received within corresponding dovetail-shaped slots 1702 that are A slot is formed in the distal attachment flange portion 1700 of the frame 1020. See Figure 3. Each dovetail slot 1702 may be tapered, or in other words, may be slightly V-shaped to receive the attachment portion 1244 therein in a seating manner. As can be further seen in FIG. 4 , a shaft attachment lug 1226 is formed on the proximal end of the intermediate firing shaft portion 1222 . As will be discussed in further detail below, when the interchangeable shaft assembly 1200 is coupled to the handle 1014, the shaft attachment lugs 1226 are received by firing shaft attachments formed in the distal end 1125 of the longitudinal drive member 1120 in bracket 1126. See Figure 3.

各种轴组件实施方案采用闩锁系统1710用于将轴组件1200可移除地联接到外壳1012并且更具体地联接到框架1020。如图4中可见,例如,在至少一种形式中,闩锁系统1710包括可动地联接到底座1240的锁构件或锁定轭1712。在例示的实施方案中,例如,锁定轭1712为U形,有两个隔开并向下延伸的腿部1714。腿部1714各自具有在其上形成的枢轴凸耳1715,这些枢轴凸耳适于被接收在底座1240中形成的对应孔1245中。这种布置有利于将锁定轭1712枢转附接到底座1240。锁定轭1712可包括两个朝近侧突起的锁定凸耳1716,这两个锁定凸耳被构造成能够与框架1020的远侧附接法兰部分1700中对应的锁定棘爪或凹槽1704可释放地接合。参见图3。在各种形式中,锁定轭1712被弹簧或偏压构件(未示出)沿近侧方向偏压。锁定轭1712的致动可通过闩锁按钮1722实现,该闩锁按钮可滑动地安装在安装于底座1240的闩锁致动器组件1720上。闩锁按钮1722可相对于锁定轭1712沿近侧方向偏压。如将在下文进一步详细地讨论,锁定轭1712可通过沿远侧方向偏压闩锁按钮而运动到解锁位置,这也使锁定轭1712枢转成不再与框架1020的远侧附接法兰部分1700保持接合。当锁定轭1712与框架1020的远侧附接法兰部分1700“保持接合”时,锁定凸耳1716保持安置在远侧附接法兰部分1700中对应的锁定棘爪或凹槽1704内。Various shaft assembly embodiments employ a latch system 1710 for removably coupling the shaft assembly 1200 to the housing 1012 and, more specifically, to the frame 1020 . As seen in FIG. 4 , for example, in at least one form, latch system 1710 includes a lock member or locking yoke 1712 movably coupled to base 1240 . In the illustrated embodiment, for example, the locking yoke 1712 is U-shaped with two spaced apart and downwardly extending legs 1714. The legs 1714 each have pivot lugs 1715 formed thereon that are adapted to be received in corresponding holes 1245 formed in the base 1240 . This arrangement facilitates pivotal attachment of locking yoke 1712 to base 1240 . The locking yoke 1712 can include two proximally projecting locking lugs 1716 configured to engage with corresponding locking pawls or grooves 1704 in the distal attachment flange portion 1700 of the frame 1020. Releasably engage. See Figure 3. In various forms, the locking yoke 1712 is biased in the proximal direction by a spring or biasing member (not shown). Actuation of locking yoke 1712 may be accomplished by latch button 1722 slidably mounted on latch actuator assembly 1720 mounted to base 1240 . The latch button 1722 can be biased in a proximal direction relative to the locking yoke 1712 . As will be discussed in further detail below, the locking yoke 1712 can be moved to the unlocked position by biasing the latch button in the distal direction, which also pivots the locking yoke 1712 out of the distal attachment flange of the frame 1020 Portion 1700 remains engaged. The locking lugs 1716 remain seated within corresponding locking pawls or grooves 1704 in the distal attachment flange portion 1700 when the locking yoke 1712 is "retained" with the distal attachment flange portion 1700 of the frame 1020 .

当采用包括适于切割和紧固组织的本文所述类型的端部执行器以及其他类型的端部执行器的可互换轴组件时,可能有利的是防止可互换轴组件在端部执行器致动期间不经意地从外壳脱离。例如,在使用中,临床医生可致动闭合触发器1032以抓持目标组织并将其操纵成期望的位置。一旦目标组织以期望取向定位在端部执行器1300内,临床医生就可完全致动闭合触发器1032,以闭合砧座2000并将目标组织夹持在合适位置供切割与缝合。在这种情况下,第一驱动系统1030已被完全致动。在目标组织已被夹持在端部执行器1300中之后,可能有利的是防止轴组件1200不经意地从外壳1012脱离。闩锁系统1710的一种形式被构造成能够防止这种不经意的脱离。When employing interchangeable shaft assemblies that include end effectors of the type described herein, as well as other types of end effectors suitable for cutting and securing tissue, it may be advantageous to prevent the interchangeable shaft assembly from performing at the end Inadvertent disengagement from the housing during actuator actuation. For example, in use, the clinician can actuate the closure trigger 1032 to grasp the target tissue and manipulate it into a desired position. Once the target tissue is positioned within the end effector 1300 in the desired orientation, the clinician can fully actuate the closure trigger 1032 to close the anvil 2000 and hold the target tissue in place for cutting and stapling. In this case, the first drive system 1030 has been fully actuated. After the target tissue has been clamped in the end effector 1300, it may be advantageous to prevent the shaft assembly 1200 from inadvertently disengaging from the housing 1012. One form of latch system 1710 is configured to prevent such inadvertent disengagement.

如图4中可最清楚地看到的那样,锁定轭1712包括至少一个、优选两个锁钩1718,这些锁钩适于接触闭合梭动件1250上形成的对应锁定凸耳部分1256。在闭合梭动件1250处于未致动位置(也就是第一驱动系统1030未致动并且砧座2000打开)的情况下,锁定轭1712可沿远侧方向枢转,以将可互换轴组件1200从外壳1012解锁。处于该位置时,锁钩1718不接触闭合梭动件1250上的锁耳部分1256。但是,在闭合梭动件1250运动到致动位置(即第一驱动系统1030被致动并且砧座2000处于闭合位置)的情况下,锁定轭1712受到阻碍,不能枢转到解锁位置。换句话讲,如果临床医生试图将锁定轭1712枢转到解锁位置,或者例如,锁定轭1712不经意地以原本可能致使其向远侧枢转的方式受到碰撞或发生接触,则锁定轭1712上的锁钩1718将接触闭合梭动件1250上的锁定凸耳部分1256,并且防止锁定轭1712运动到解锁位置。As best seen in FIG. 4 , the locking yoke 1712 includes at least one, and preferably two, locking hooks 1718 adapted to contact corresponding locking lug portions 1256 formed on the closure shuttle 1250 . With the closure shuttle 1250 in the unactuated position (ie, the first drive system 1030 is unactuated and the anvil 2000 is open), the locking yoke 1712 can pivot in the distal direction to lock the interchangeable shaft assembly 1200 unlocks from housing 1012. In this position, the locking hook 1718 does not contact the locking lug portion 1256 on the closure shuttle 1250. However, with the closing shuttle 1250 moved to the actuated position (ie, the first drive system 1030 is actuated and the anvil 2000 is in the closed position), the locking yoke 1712 is blocked from pivoting to the unlocked position. In other words, if the clinician attempts to pivot the locking yoke 1712 to the unlocked position, or, for example, the locking yoke 1712 is inadvertently bumped or contacted in a manner that might otherwise have caused it to pivot distally, the locking yoke 1712 is placed on the locking yoke 1712. The locking hook 1718 will contact the locking lug portion 1256 on the closure shuttle 1250 and prevent the locking yoke 1712 from moving to the unlocked position.

现在将描述可互换轴组件1200与柄部1014的附接。要开始联接过程,临床医生可将可互换轴组件1200的底座1240定位在框架1020的远侧附接法兰部分1700上方或附近,使得底座1240上形成的渐缩附接部分1244与框架1020中的燕尾形狭槽1702对准。然后临床医生可使轴组件1200沿垂直于轴轴线SA的安装轴线运动,以安置附接部分1244,使其与对应的燕尾形接收狭槽1702“可操作地接合”。这样做时,中间击发轴部分1222上的轴附接凸耳1226也将安置在能够纵向运动的驱动构件1120中的支架1126中,并且第二闭合连接件1038上的销1037的部分将安置在闭合梭动件1250中的对应钩1252中。如本文所用,术语“可操作地接合”在两个部件的背景下是指这两个部件彼此充分地接合,使得一旦向其施加致动动作,这些部件便可执行其预期行动、功能和/或程序。The attachment of the interchangeable shaft assembly 1200 to the handle 1014 will now be described. To begin the coupling process, the clinician may position the base 1240 of the interchangeable shaft assembly 1200 over or near the distal attachment flange portion 1700 of the frame 1020 such that the tapered attachment portion 1244 formed on the base 1240 is in contact with the frame 1020 Dovetail slot 1702 in the alignment. The clinician can then move the shaft assembly 1200 along a mounting axis perpendicular to the shaft axis SA to position the attachment portion 1244 in "operative engagement" with the corresponding dovetail receiving slot 1702 . In doing so, the shaft attachment lug 1226 on the intermediate firing shaft portion 1222 will also seat in the bracket 1126 in the longitudinally movable drive member 1120, and the portion of the pin 1037 on the second closure link 1038 will seat in the into corresponding hooks 1252 in the closing shuttle 1250 . As used herein, the term "operably engaged" in the context of two components means that the two components are sufficiently engaged with each other such that once an actuation action is applied thereto, the components can perform their intended actions, functions and/or or program.

可互换轴组件1200的至少五个系统可以与柄部1014的至少五个对应系统可操作地联接。第一系统可包括框架系统,该框架系统将轴组件1200的框架或脊与柄部1014的框架1020联接并/或对准。另一个系统可包括闭合驱动系统1030,该闭合驱动系统可将柄部1014的闭合触发器1032与轴组件1200的闭合管1260和砧座2000可操作地连接。如上文所概述,轴组件1200的闭合梭动件1250可与第二闭合连接件1038上的销1037接合。另一个系统可包括击发驱动系统1080,该击发驱动系统可将柄部1014的击发触发器1130与轴组件1200的中间击发轴部分1222可操作地连接。如上文所概述,轴附接凸耳1226可与纵向驱动构件1120的支架1126可操作地连接。另一个系统可包括电气系统,该电气系统能够:发送轴组件(诸如轴组件1200)已与柄部1014可操作地接合的信号到柄部1014中的控制器(诸如微控制器),并且/或者在轴组件1200与柄部1014之间传导功率和/或通信信号。例如,轴组件1200可包括可操作地安装到轴电路板1610的电连接器1810。电连接器1810被构造用于与柄部控制板1100上的对应电连接器1800配合接合。关于电路系统和控制系统的更多细节可见于美国专利申请序列号13/803,086(现为美国专利申请公布2014/0263541)和美国专利申请序列号14/226,142(现为美国专利9,913,642),这两者各自的完整公开内容此前以引用方式并入本文。第五系统可由用于可释放地将轴组件1200锁定到柄部1014的闩锁系统组成。At least five systems of interchangeable shaft assembly 1200 can be operably coupled with at least five corresponding systems of handle 1014 . The first system may include a frame system that couples and/or aligns the frame or spine of the shaft assembly 1200 with the frame 1020 of the handle 1014 . Another system can include a closure drive system 1030 that can operably connect the closure trigger 1032 of the handle 1014 with the closure tube 1260 of the shaft assembly 1200 and the anvil 2000. As outlined above, the closure shuttle 1250 of the shaft assembly 1200 can engage with the pin 1037 on the second closure link 1038 . Another system may include a firing drive system 1080 that may operably connect the firing trigger 1130 of the handle 1014 with the intermediate firing shaft portion 1222 of the shaft assembly 1200 . As outlined above, the shaft attachment lugs 1226 may be operably connected with the brackets 1126 of the longitudinal drive member 1120 . Another system may include an electrical system capable of: sending a signal to a controller (such as a microcontroller) in handle 1014 that a shaft assembly (such as shaft assembly 1200 ) has operably engaged with handle 1014 , and/ Alternatively, power and/or communication signals are conducted between the shaft assembly 1200 and the handle 1014 . For example, the shaft assembly 1200 may include an electrical connector 1810 operably mounted to the shaft circuit board 1610 . The electrical connectors 1810 are configured for mating engagement with corresponding electrical connectors 1800 on the handle control board 1100 . More details on the circuitry and control system can be found in US Patent Application Serial No. 13/803,086 (now US Patent Application Publication 2014/0263541) and US Patent Application Serial No. 14/226,142 (now US Patent 9,913,642), both of which The complete disclosures of each of these were previously incorporated herein by reference. The fifth system may consist of a latch system for releasably locking the shaft assembly 1200 to the handle 1014 .

在例示的示例中,砧座2000包括终止于砧座安装部分2010中的砧座主体2002。砧座安装部分2010可动地或可枢转地支撑在细长通道1310上,以便于围绕横向于轴轴线SA的固定砧座枢转轴线PA相对于该细长通道选择性地枢转。在例示的布置中,枢轴构件或砧座耳轴2012侧向延伸出砧座安装部分2010的每个侧向侧,以接收在形成于细长通道1310的近侧端部部分1312的直立壁1315中的对应耳轴支架1316中。砧座耳轴2012由通道顶盖或砧座保持器1290枢转地保持在其对应的耳轴支架1316中。通道顶盖或砧座保持器1290包括一对附接凸耳,该对附接凸耳被构造成能够保持地接收在形成于细长通道1310的近侧端部部分1312的直立壁1315中的对应凸耳凹槽或凹口内。参见图5。In the illustrated example, anvil 2000 includes an anvil body 2002 that terminates in anvil mounting portion 2010 . Anvil mounting portion 2010 is movably or pivotably supported on elongated channel 1310 for selective pivoting relative to the elongated channel about a fixed anvil pivot axis PA transverse to shaft axis SA. In the illustrated arrangement, pivot members or anvil trunnions 2012 extend laterally out of each lateral side of anvil mounting portion 2010 to receive upstanding walls formed in proximal end portion 1312 of elongated channel 1310 1315 in the corresponding trunnion bracket 1316. Anvil trunnions 2012 are pivotally retained in their corresponding trunnion brackets 1316 by channel caps or anvil retainers 1290 . The channel cap or anvil retainer 1290 includes a pair of attachment lugs configured to be retainably received in upstanding walls 1315 formed in the proximal end portion 1312 of the elongated channel 1310 Corresponding lug grooves or notches. See Figure 5.

仍然参见图5,在至少一种布置中,远侧闭合构件或端部执行器闭合管3050采用两个轴向偏移的近侧正钳口打开特征部3060和远侧正钳口打开特征部3062。正钳口打开特征部3060、3062被构造成能够与在砧座安装部分2010上形成的对应的释放区域和阶梯部分交接,如在名称为“SURGICAL INSTRUMENT WITH AXIALLY MOVABLE CLOSURE MEMBER”的美国专利申请序列号15/635,631,现为美国专利申请公布2019/0000464中进一步详细描述的,其全部公开内容以引用方式并入本文。可采用其他钳口打开布置。Still referring to Figure 5, in at least one arrangement, the distal closure member or end effector closure tube 3050 employs two axially offset proximal positive jaw opening features 3060 and distal positive jaw opening features 3062. The positive jaw opening features 3060, 3062 are configured to interface with corresponding relief areas and stepped portions formed on the anvil mounting portion 2010, as described in US Patent Application Serial entitled "SURGICAL INSTRUMENT WITH AXIALLY MOVABLE CLOSURE MEMBER" Ser. No. 15/635,631, now described in further detail in US Patent Application Publication 2019/0000464, the entire disclosure of which is incorporated herein by reference. Other jaw opening arrangements are available.

图6至图8示出了先前的外科切割和紧固器械5010,其被构造成能够产生旋转驱动动作以用于操作外科端部执行器5012。内窥镜式外科器械5010包括柄部5006、轴5008和在关节运动枢轴5014处枢转地连接至轴5008的进行关节运动的外科端部执行器5012。关节运动控件5016可邻近柄部5006提供,以实现端部执行器5012围绕关节运动枢轴5014的旋转。应当理解,各种实施方案可包括非枢转的端部执行器,并且因此可不具有关节运动枢轴5014或关节运动控件5016。FIGS. 6-8 illustrate a previous surgical cutting and fastening instrument 5010 configured to generate a rotational drive action for operating a surgical end effector 5012. Endoscopic surgical instrument 5010 includes a handle 5006, a shaft 5008, and an articulating surgical end effector 5012 pivotally connected to the shaft 5008 at an articulation pivot 5014. Articulation controls 5016 may be provided adjacent the handle 5006 to enable rotation of the end effector 5012 about the articulation pivot 5014. It should be understood that various embodiments may include a non-pivoting end effector, and thus may not have an articulation pivot 5014 or articulation controls 5016.

器械5010的柄部5006可包括用于致动端部执行器5012的闭合触发器5018和击发触发器5020。应当理解,具有涉及不同外科手术任务的端部执行器的器械可具有用于操作端部执行器5012的不同数量或类型的触发器或其他合适的控件。在一个实施方案中,器械5010的临床医生或操作者可通过利用关节运动控件5016使端部执行器5012相对于轴5008进行关节运动,如在名称为“SURGICAL INSTRUMENT HAVING AN ARTICULATING ENDEFFECTOR”的未决美国专利7,670,334中更详细地描述,该专利的全部公开内容以引用方式并入本文。在该示例中,端部执行器5012包括(除了别的以外)钉通道5022和能够枢转地平移的夹持构件诸如砧座5024,该钉通道和能够枢转地平移的夹持构件保持在确保有效缝合和切断夹持在端部执行器5012中的组织的间距处。柄部5006包括手枪式握把5026,临床医生将闭合触发器5018枢转地拉向该手枪式握把,以使砧座5024朝端部执行器5012的钉通道5022夹持或闭合,从而夹持定位在砧座5024和通道5022之间的组织。The handle 5006 of the instrument 5010 can include a closure trigger 5018 and a firing trigger 5020 for actuating the end effector 5012. It should be understood that instruments with end effectors related to different surgical tasks may have different numbers or types of triggers or other suitable controls for operating the end effector 5012. In one embodiment, the clinician or operator of the instrument 5010 may articulate the end effector 5012 relative to the axis 5008 by utilizing the articulation controls 5016, as described in a pending titled "SURGICAL INSTRUMENT HAVING AN ARTICULATING ENDEFFECTOR" Described in more detail in US Patent 7,670,334, the entire disclosure of which is incorporated herein by reference. In this example, the end effector 5012 includes, among other things, a staple channel 5022 and a pivotally translatable clamping member, such as an anvil 5024, held in a Ensure effective suturing and severing at the spacing of the tissue held in the end effector 5012. The handle 5006 includes a pistol grip 5026 towards which the clinician pivotally pulls the closure trigger 5018 to clamp or close the anvil 5024 towards the staple channel 5022 of the end effector 5012, thereby clamping Tissue positioned between the anvil 5024 and the channel 5022 is held.

在图7所示的布置中,除了前述通道5022和砧座5024之外,端部执行器5012还包括切割器械5032、滑动件5033、可移除地安置在通道5022中的钉仓5034、以及螺旋状螺杆轴5036。切割器械5032可为例如刀。砧座5024包括枢轴销5025,该枢轴销被可动地支撑在通道5022中的对应狭槽中。在一种布置中,砧座5024包括位于其近侧端部处的接片5027,该接片插入机械闭合系统(下文进一步描述)的部件中以打开和闭合砧座5024。In the arrangement shown in FIG. 7, in addition to the aforementioned channel 5022 and anvil 5024, the end effector 5012 includes a cutting instrument 5032, a slider 5033, a staple cartridge 5034 removably seated in the channel 5022, and Helical screw shaft 5036. Cutting instrument 5032 may be, for example, a knife. Anvil 5024 includes pivot pins 5025 that are movably supported in corresponding slots in channel 5022. In one arrangement, the anvil 5024 includes a tab 5027 at its proximal end that is inserted into a component of a mechanical closure system (described further below) to open and close the anvil 5024.

仍然参见图7,轴5008包括由枢转连接件5044枢转地连接的近侧闭合管5040和远侧闭合管5042。远侧闭合管5042包括开口5045,砧座5024上的接片5027插入该开口中,以便打开和闭合砧座5024,如下文进一步所述。近侧脊管5046可设置在闭合管5040、5042内。主旋转(或近侧)驱动轴5048可设置在近侧脊管5046内,该主旋转(或近侧)驱动轴经由锥齿轮组件5052a-c与次(或远侧)驱动轴5050连通。次驱动轴5050连接至驱动齿轮5054,该驱动齿轮接合螺旋状螺杆轴5036的近侧驱动齿轮5056。竖直锥齿轮5052b可位于近侧脊管5046的远侧端部中的开口5057中并在其中枢转。远侧脊管5058可用于包封次驱动轴5050和驱动齿轮5054、5056。主驱动轴5048、次驱动轴5050和关节运动组件(例如,锥齿轮组件5052a-c)在本文中有时统称为“主驱动轴组件”。Still referring to FIG. 7 , shaft 5008 includes proximal closure tube 5040 and distal closure tube 5042 pivotally connected by pivot connection 5044 . The distal closure tube 5042 includes an opening 5045 into which the tabs 5027 on the anvil 5024 are inserted to open and close the anvil 5024, as described further below. A proximal spinal canal 5046 can be disposed within the closure canals 5040, 5042. A primary rotational (or proximal) drive shaft 5048 can be disposed within the proximal spinal canal 5046 in communication with the secondary (or distal) drive shaft 5050 via bevel gear assemblies 5052a-c. Secondary drive shaft 5050 is connected to drive gear 5054 which engages proximal drive gear 5056 of helical screw shaft 5036 . The vertical bevel gear 5052b can be located in and pivoted in an opening 5057 in the distal end of the proximal spinal canal 5046 . The distal spine 5058 can be used to enclose the secondary drive shaft 5050 and drive gears 5054, 5056. Primary drive shaft 5048, secondary drive shaft 5050, and articulation assemblies (eg, bevel gear assemblies 5052a-c) are sometimes collectively referred to herein as "primary drive shaft assemblies."

定位在钉通道5022的远侧端部处的轴承5038接收螺旋状螺杆轴5036,从而允许螺旋状螺杆轴5036相对于通道5022自由地旋转。螺旋状螺杆轴5036可与刀5032的螺纹开口(未示出)交接,使得螺旋状螺杆轴5036的旋转致使刀5032朝远侧或朝近侧(取决于旋转方向)平移穿过钉通道5022。A bearing 5038 positioned at the distal end of the staple channel 5022 receives the helical screw shaft 5036, allowing the helical screw shaft 5036 to rotate freely relative to the channel 5022. The helical screw shaft 5036 can interface with a threaded opening (not shown) of the knife 5032, such that rotation of the helical screw shaft 5036 causes the knife 5032 to translate distally or proximally (depending on the direction of rotation) through the staple channel 5022.

接下来转到图8,柄部5006包括外部下侧件5059、5060和喷嘴件5061、5062,它们装配在一起以总体上形成柄部5006的外部。电池5064诸如锂离子电池可设置在柄部5006的手枪式握把5026中。电池5064为设置在柄部5006的手枪式握把部5026的上部部分中的马达5065供电。马达5065可驱动包括第一锥齿轮5068和第二锥齿轮5070的90°锥齿轮组件5066。锥齿轮组件5066可驱动行星齿轮组件5072。行星齿轮组件5072可包括连接到驱动轴5076的小齿轮5074。小齿轮5074可驱动配对的环形齿轮5078,该配对的环形齿轮经由驱动轴驱动螺旋齿轮鼓5080。环5084可螺纹接合在螺旋齿轮鼓5080上。因此,当马达5065旋转时,通过插置的锥齿轮组件5066、行星齿轮组件5072和环形齿轮5078使环5084沿着螺旋齿轮鼓5080行进。Turning next to FIG. 8 , handle 5006 includes outer underside pieces 5059 , 5060 and nozzle pieces 5061 , 5062 that fit together to form the exterior of handle 5006 as a whole. A battery 5064 such as a lithium ion battery may be provided in the pistol grip 5026 of the handle 5006. A battery 5064 powers a motor 5065 disposed in the upper portion of the pistol grip portion 5026 of the handle portion 5006. Motor 5065 can drive 90° bevel gear assembly 5066 including first bevel gear 5068 and second bevel gear 5070 . The bevel gear assembly 5066 may drive the planetary gear assembly 5072 . Planetary gear assembly 5072 may include pinion gears 5074 connected to drive shaft 5076 . Pinion 5074 can drive a mating ring gear 5078 which drives helical gear drum 5080 via a drive shaft. Ring 5084 may be threaded on helical gear drum 5080. Thus, as the motor 5065 rotates, the ring 5084 is driven along the helical gear drum 5080 by the interposed bevel gear assembly 5066, the planetary gear assembly 5072 and the ring gear 5078.

柄部5006可包括与击发触发器5020的上部部分相邻的中间柄部件5104。柄部5006还可包括连接在中间柄部件5104上的柱与击发触发器5020上的柱之间的偏压弹簧5112。偏压弹簧5112可将击发触发器5020偏压到其完全打开位置。这样,当操作者释放击发触发器5020时,偏压弹簧5112将击发触发器5020牵拉至其打开位置。螺旋齿轮鼓5080的远侧端部包括驱动环形齿轮5122的远侧驱动轴5120,该环形齿轮与小齿轮5124配合。小齿轮5124连接到主驱动轴组件的主驱动轴5048。这样,马达5065的旋转导致主驱动轴组件旋转,这导致端部执行器5012的致动。螺纹接合在螺旋齿轮鼓5080上的环5084可包括设置在开槽臂5090的狭槽5088内的柱5086。开槽臂5090在其相对端部5094中具有开口5092,该开口接收连接在柄部外侧件5059、5060之间的枢轴销5096。枢轴销5096还设置成穿过击发触发器5020中的开口5100和中间柄部件5104中的开口5102。The handle 5006 can include an intermediate handle member 5104 adjacent the upper portion of the firing trigger 5020. The handle 5006 may also include a biasing spring 5112 connected between the post on the intermediate handle member 5104 and the post on the firing trigger 5020. The biasing spring 5112 can bias the firing trigger 5020 to its fully open position. Thus, when the operator releases the firing trigger 5020, the biasing spring 5112 pulls the firing trigger 5020 to its open position. The distal end of the helical gear drum 5080 includes a distal drive shaft 5120 that drives a ring gear 5122 that mates with a pinion gear 5124. The pinion 5124 is connected to the main drive shaft 5048 of the main drive shaft assembly. As such, rotation of the motor 5065 causes the main drive shaft assembly to rotate, which results in actuation of the end effector 5012. Ring 5084 threaded onto helical gear drum 5080 may include posts 5086 disposed within slots 5088 of slotted arms 5090 . The slotted arm 5090 has an opening 5092 in its opposite end 5094 that receives a pivot pin 5096 connected between the handle outer pieces 5059,5060. Pivot pin 5096 is also disposed through opening 5100 in firing trigger 5020 and opening 5102 in intermediate handle member 5104.

中间柄部件5104包括接合开槽臂5090的后侧肩部5106。中间柄部件5104还具有与击发触发器5020接合的向前动作止挡件5107。开槽臂5090的运动由马达5065的旋转控制。当开槽臂5090随着环5084从螺旋齿轮鼓5080的近侧端部行进至远侧端部而逆时针旋转时,中间柄部件5104将自由地逆时针旋转。因此,当使用者拉近击发触发器5020时,击发触发器5020将接合中间柄部件5104的向前动作止挡件5107,从而使中间柄部件5104逆时针旋转。然而,由于后侧肩部5106接合开槽臂5090,因此中间柄部件5104将仅能够在开槽臂5090允许的范围内逆时针旋转。这样,如果马达5065出于某种原因应该停止旋转,则开槽臂5090将停止旋转,并且使用者将不能进一步拉近击发触发器5020,因为中间柄部件5104将由于开槽臂5090而不能自由地逆时针旋转。Intermediate handle member 5104 includes rear shoulder 5106 that engages slotted arm 5090. The intermediate handle member 5104 also has a forward action stop 5107 that engages the firing trigger 5020. Movement of the slotted arm 5090 is controlled by the rotation of the motor 5065. As the slotted arm 5090 rotates counterclockwise as the ring 5084 travels from the proximal end to the distal end of the helical gear drum 5080, the intermediate handle member 5104 will be free to rotate counterclockwise. Thus, when the user pulls in on the firing trigger 5020, the firing trigger 5020 will engage the forward motion stop 5107 of the intermediate handle member 5104, thereby rotating the intermediate handle member 5104 counterclockwise. However, since the rear shoulder 5106 engages the slotted arm 5090, the intermediate handle member 5104 will only be able to rotate counterclockwise as far as the slotted arm 5090 allows. In this way, if the motor 5065 should stop rotating for some reason, the slotted arm 5090 will stop rotating and the user will not be able to pull the firing trigger 5020 any further because the middle handle member 5104 will not be free due to the slotted arm 5090 Earth rotates counterclockwise.

图8中还示出了用于通过回缩闭合触发器5018来闭合(或夹持)端部执行器5012的砧座5024的示例性闭合系统的部件。在例示的实施方案中,闭合系统包括连接到闭合触发器5018的轭5250。枢轴销5252穿过闭合触发器5018和轭5250两者中的对准开口插入,使得它们两者围绕相同点旋转。轭5250的远侧端部经由销5254连接到第一闭合托架5256。第一闭合托架5256连接到第二闭合托架5258。闭合托架5256、5258共同限定开口,近侧闭合管5040(参见图7)的近侧端部安置并保持在该开口中,使得闭合托架5256、5258的纵向运动引起近侧闭合管5040的纵向动作。器械5010还包括设置在近侧闭合管5040内的闭合驱动轴5260。闭合驱动轴5260可包括窗口5261,位于柄部外部件之一(诸如例示的实施方案中的外部下侧件5059)上的柱5263设置在该窗口中,以将闭合驱动轴5260固定地连接至柄部5006。这样,近侧闭合管5040能够相对于闭合驱动轴5260纵向运动。闭合驱动轴5260还可包括远侧套环5267,该远侧套环装配到近侧脊管5046中的腔中并且通过顶盖保持在其中。Also shown in FIG. 8 are components of an exemplary closure system for closing (or clamping) the anvil 5024 of the end effector 5012 by retracting the closure trigger 5018. In the illustrated embodiment, the closure system includes a yoke 5250 connected to the closure trigger 5018. The pivot pin 5252 is inserted through aligned openings in both the closure trigger 5018 and the yoke 5250 so that they both rotate about the same point. The distal end of yoke 5250 is connected to first closure bracket 5256 via pin 5254. The first closure bracket 5256 is connected to the second closure bracket 5258. The closure brackets 5256, 5258 collectively define an opening in which the proximal end of the proximal closure tube 5040 (see FIG. 7) is seated and retained such that longitudinal movement of the closure brackets 5256, 5258 causes the proximal closure tube 5040 Vertical action. Instrument 5010 also includes a closure drive shaft 5260 disposed within proximal closure tube 5040. The closure drive shaft 5260 may include a window 5261 in which a post 5263 is positioned on one of the handle outer members (such as the outer underside 5059 in the illustrated embodiment) to securely connect the closure drive shaft 5260 to the Handle 5006. In this way, the proximal closure tube 5040 is capable of longitudinal movement relative to the closure drive shaft 5260. The closure drive shaft 5260 may also include a distal collar 5267 that fits into a lumen in the proximal spinal canal 5046 and is held therein by a cap.

在操作中,当轭5250由于闭合触发器5018的回缩而旋转时,闭合托架5256、5258使得近侧闭合管5040朝远侧运动(即,远离器械5010的柄部端部),这使得远侧闭合管5042朝远侧运动,从而使得砧座5024围绕枢轴销5025旋转到夹持或闭合位置。当闭合触发器5018从锁定位置解锁时,致使近侧闭合管5040朝近侧滑动,这致使远侧闭合管5042朝近侧滑动,这借助于将接片5027插入远侧闭合管5042的开口5045中,致使砧座5024围绕枢轴销5025枢转到打开或松开位置中。这样,通过回缩并锁定闭合触发器5018,操作者可将组织夹持在砧座5024和通道5022之间,并且可在切割/缝合操作之后通过将闭合触发器5018从锁定位置解锁来松开组织。关于现有外科器械5010的构造和操作的更多细节可见于名称为“SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES”的美国专利7,845,537,该专利的全部公开内容据此以引用方式并入本文。被构造用于与各种形式的机器人系统一起使用的其他旋转驱动布置公开于名称为“STAPLING END EFFECTOR CONFIGURED TO COMPENSATEFOR AN UNEVEN GAP BETWEEN A FIRST JAW AND A SECOND JAW”的美国专利申请公布2016/0287251中,该专利申请公布的全部公开内容据此以引用方式并入本文。In operation, when yoke 5250 is rotated due to retraction of closure trigger 5018, closure brackets 5256, 5258 move proximal closure tube 5040 distally (ie, away from the handle end of instrument 5010), which causes The distal closure tube 5042 is moved distally, causing the anvil 5024 to rotate about the pivot pin 5025 to a clamped or closed position. When the closure trigger 5018 is unlocked from the locked position, the proximal closure tube 5040 is caused to slide proximally, which causes the distal closure tube 5042 to slide proximally by inserting the tab 5027 into the opening 5045 of the distal closure tube 5042 , the anvil 5024 is caused to pivot about the pivot pin 5025 into the open or released position. In this way, by retracting and locking the closure trigger 5018, the operator can clamp tissue between the anvil 5024 and the channel 5022, and can release the closure trigger 5018 from the locked position after the cutting/stapling operation organize. More details regarding the construction and operation of the existing surgical instrument 5010 can be found in US Patent 7,845,537, entitled "SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES," the entire disclosure of which is hereby incorporated by reference herein. Other rotary drive arrangements configured for use with various forms of robotic systems are disclosed in US Patent Application Publication 2016/0287251 entitled "STAPLING END EFFECTOR CONFIGURED TO COMPENSATEFOR AN UNEVEN GAP BETWEEN A FIRST JAW AND A SECOND JAW" , the entire disclosure of this patent application publication is hereby incorporated by reference.

图9至图16示出了可例如与上述动力外科器械5010结合使用的外科端部执行器20012。外科端部执行器20012也可有效地与公开于以引用方式并入本文的各种参考文献中的各种其他旋转动力或机器人动力的外科系统一起使用。图9至图16中所示的与动力外科器械5010的部件相同的那些部件已用类似的部件编号标记。在例示的示例中,外科端部执行器20012包括细长通道20020,该细长通道被构造成能够在其中可操作地支撑外科钉仓20040。除了所指出的差异之外,细长通道20020类似于上述通道5022。转向图10,细长通道20020包括一对间隔开的直立壁20022和底部20024。螺旋状螺杆轴5036由轴承5038支撑在通道20020中,该轴承使螺旋状螺杆轴5036能够相对于通道20020自由旋转。外科端部执行器20012还包括具有枢轴销或耳轴5025的砧座5024,该枢轴销或耳轴被接收在设置于直立通道壁20022中的对应狭槽20026中。9-16 illustrate a surgical end effector 20012 that may be used, for example, in conjunction with the powered surgical instrument 5010 described above. The surgical end effector 20012 may also be effectively used with various other rotationally powered or robotic powered surgical systems disclosed in the various references incorporated herein by reference. Those components shown in FIGS. 9-16 that are identical to those of the powered surgical instrument 5010 have been labeled with similar part numbers. In the illustrated example, the surgical end effector 20012 includes an elongated channel 20020 configured to operably support a surgical staple cartridge 20040 therein. Apart from the noted differences, the elongated channel 20020 is similar to the channel 5022 described above. Turning to FIG. 10 , the elongated channel 20020 includes a pair of spaced apart upstanding walls 20022 and a bottom 20024 . The helical screw shaft 5036 is supported in the channel 20020 by a bearing 5038 which enables the helical screw shaft 5036 to rotate freely relative to the channel 20020. The surgical end effector 20012 also includes an anvil 5024 having a pivot pin or trunnion 5025 that is received in a corresponding slot 20026 provided in the upright channel wall 20022.

在例示的布置中,钉仓20040包括细长仓体20042,该细长仓体定尺寸成可移除地安置在细长通道20020中。仓体20042包括从仓体20042的近侧端部部分20046延伸到远侧端部部分20044的仓狭槽20050。仓体20042还包括仓平台表面20043,当仓20040安置在通道20020中并且砧座5024枢转到闭合位置时,该仓平台表面面对砧座5024的钉成形下表面5029。同样在例示的示例中,三排外科钉凹坑20052形成在仓狭槽20050的每一侧上并且穿过仓平台表面20043打开。每个钉凹坑20052可具有与其相关联的钉驱动器(未示出),该钉驱动器在其上支撑外科钉或紧固件(未示出)。In the illustrated arrangement, the staple cartridge 20040 includes an elongated cartridge body 20042 sized to be removably seated in the elongated channel 20020. The cartridge body 20042 includes a cartridge slot 20050 extending from the proximal end portion 20046 to the distal end portion 20044 of the cartridge body 20042. The cartridge body 20042 also includes a cartridge deck surface 20043 that faces the staple forming lower surface 5029 of the anvil 5024 when the cartridge 20040 is seated in the channel 20020 and the anvil 5024 is pivoted to the closed position. Also in the illustrated example, three rows of surgical staple pockets 20052 are formed on each side of the cartridge slot 20050 and open through the cartridge deck surface 20043. Each staple pocket 20052 can have a staple driver (not shown) associated therewith that supports surgical staples or fasteners (not shown) thereon.

仍然参见图10,钉仓20040还包括凸轮作用组件20060,该凸轮作用组件包括凸轮作用组件主体20062,该凸轮作用组件主体具有穿过其中的通路20064,该通路被构造成能够跨越螺旋状螺杆轴5036而不影响其旋转。在其他实施方案中,凸轮作用组件20060可具有一系列内螺纹(未示出),这些内螺纹被构造成能够以螺纹方式接合螺旋状螺杆轴5036以由其驱动。在此类布置中,例如,螺旋状螺杆轴5036可设置有对应于凸轮作用组件20060的起始位置的无螺纹部分。此类凸轮作用组件布置在已以引用方式并入本文的各种参考文献中进一步描述。在例示的示例中,凸轮作用组件20060由击发构件20120朝远侧驱动穿过仓体20042。Still referring to Figure 10, the staple cartridge 20040 also includes a cam action assembly 20060 that includes a cam action assembly body 20062 having a passageway 20064 therethrough configured to span the helical screw shaft 5036 without affecting its rotation. In other embodiments, the cam action assembly 20060 may have a series of internal threads (not shown) configured to threadably engage the helical screw shaft 5036 for drive therefrom. In such an arrangement, for example, the helical screw shaft 5036 may be provided with a non-threaded portion corresponding to the starting position of the cam action assembly 20060. Such cam action assembly arrangements are further described in various references which have been incorporated herein by reference. In the illustrated example, the cam action assembly 20060 is driven distally through the cartridge body 20042 by the firing member 20120.

如在图10中进一步可见,凸轮作用组件主体20062包括一系列凸轮构件20066,这些凸轮构件与在钉仓主体20042内成排支撑的对应钉驱动器对准。在例示的示例中,凸轮作用组件20060包括机载组织切割构件或刀片20068。组织切割构件20068在平台表面20043上方延伸,使得当凸轮作用组件20060朝远侧驱动时,组织切割构件20068切割夹持在砧座5024和钉仓20040之间的组织。当钉仓为“新鲜”或新的(即,仓从未被击发并且其中包含准备好击发的钉或紧固件)时,凸轮作用组件20060处于仓20040内的起始位置。当凸轮作用组件20060处于起始位置时,组织切割构件20068位于形成在仓体20042的近侧端部部分20046上的停放部分20048内,以防止在处理新鲜的仓20040时受伤。在一个方面,凸轮构件20066朝远侧延伸超过组织切割构件20068,使得钉或紧固件在组织切割构件20068切穿组织之前被部署穿过组织。因此,当击发构件20120和凸轮作用组件20060朝远侧驱动时,夹持的组织被缝合并且随后被切割。一旦击发构件20120和凸轮作用组件20060已被驱动到其最远侧结束位置,击发构件20120便可通过在反向旋转方向上旋转螺旋状螺杆轴5036而回缩回到其起始位置,同时凸轮作用组件20060保持在其结束位置。在至少一种布置中,组织切割构件20068能够从部署的切割位置运动到储存位置,在储存位置,组织切割构件20068储存在仓平台表面20043下方以防止在处理已击发或用尽的仓20040时受伤。例如,回缩构件(未示出)可策略性地位于仓体20042的远侧端部20044中,以在使组织切割构件20068的一部分与回缩构件接触时接触组织切割构件20068并使其从部署位置运动到储存位置。As further seen in FIG. 10 , the cam action assembly body 20062 includes a series of cam members 20066 that align with corresponding staple drivers supported in rows within the staple cartridge body 20042. In the illustrated example, the cam action assembly 20060 includes an on-board tissue cutting member or blade 20068. The tissue cutting member 20068 extends above the platform surface 20043 such that when the cam action assembly 20060 is driven distally, the tissue cutting member 20068 cuts tissue clamped between the anvil 5024 and the staple cartridge 20040. The cam action assembly 20060 is in a home position within the cartridge 20040 when the staple cartridge is "fresh" or new (ie, the cartridge has never been fired and contains staples or fasteners that are ready to fire). When the cam action assembly 20060 is in the home position, the tissue cutting member 20068 is located within a parking portion 20048 formed on the proximal end portion 20046 of the cartridge body 20042 to prevent injury when handling a fresh cartridge 20040. In one aspect, the cam member 20066 extends distally beyond the tissue cutting member 20068 such that the staples or fasteners are deployed through the tissue before the tissue cutting member 20068 cuts through the tissue. Thus, as the firing member 20120 and cam action assembly 20060 are driven distally, the clamped tissue is stapled and subsequently cut. Once the firing member 20120 and cam action assembly 20060 have been driven to their distal-most end positions, the firing member 20120 can be retracted back to its starting position by rotating the helical screw shaft 5036 in the reverse rotational direction while the cam The action assembly 20060 remains in its end position. In at least one arrangement, the tissue cutting member 20068 is movable from a deployed cutting position to a storage position in which the tissue cutting member 20068 is stored below the cartridge deck surface 20043 to prevent the disposal of a fired or depleted cartridge 20040 Injuried. For example, a retraction member (not shown) can be strategically located in the distal end 20044 of the cartridge body 20042 to contact the tissue cutting member 20068 and remove it from the tissue cutting member 20068 when a portion of the tissue cutting member 20068 is brought into contact with the retraction member. The deployment position moves to the storage position.

图11示出了击发构件20120的一种形式。如在图11中可见,击发构件20120包括主体部分20122,该主体部分包括两个向下延伸的中空安装部分20124,这些中空安装部分为无螺纹的并且彼此间隔开以在它们之间接收带螺纹的驱动螺母20130。带螺纹的驱动螺母20130被构造成能够以螺纹方式接合螺旋状螺杆轴5036。驱动螺母20130包括竖直接片部分20131,该竖直接片部分定尺寸成延伸穿过细长通道20020的底部20024中的轴向狭槽20025(图10)。两个侧向延伸的保持法兰20134形成在带螺纹的驱动螺母20130上并且被构造成能够接合细长通道20020的底部20024。此外,两个侧向延伸的砧座接合接片20126形成在击发构件主体20122的顶部上,并且被构造成能够在击发构件20120在外科端部执行器20012内轴向运动时接合形成在砧座5024中的对应凸缘20102。FIG. 11 shows one form of firing member 20120. As can be seen in Figure 11, the firing member 20120 includes a body portion 20122 that includes two downwardly extending hollow mounting portions 20124 that are unthreaded and spaced apart to receive a threaded therebetween The drive nut 20130. The threaded drive nut 20130 is configured to threadably engage the helical screw shaft 5036 . The drive nut 20130 includes a vertical tab portion 20131 sized to extend through an axial slot 20025 in the bottom 20024 of the elongated channel 20020 (FIG. 10). Two laterally extending retention flanges 20134 are formed on the threaded drive nut 20130 and are configured to engage the bottom 20024 of the elongated channel 20020. Additionally, two laterally extending anvil engagement tabs 20126 are formed on the top of the firing member body 20122 and are configured to engage the anvil upon axial movement of the firing member 20120 within the surgical end effector 20012. Corresponding flange 20102 in 5024.

如在图11中也可见,击发构件20120还可配备有机载击发构件闭锁组件20140,该机载击发构件闭锁组件包括枢转地联接到击发构件主体20122的闭锁构件20142。闭锁构件20142包括滑动件闩锁20148,该滑动件闩锁被构造成能够在凸轮作用组件20060处于未击发位置时由凸轮作用组件20060接合。如在图12和图13中可见,凸轮作用组件20060包括被构造成能够接合闭锁构件20142上的滑动件闩锁20148的击发构件凸缘20061。闭锁弹簧20150安装在细长通道20020中并且被构造成能够向下偏压闭锁构件20142,使得如果凸轮作用组件20060不处于其未击发起始位置,则闭锁构件20142接触在细长通道20020的每个直立侧壁20022的内表面的部分上形成的闭锁凸耳20028。参见图15。当处于该位置时,如果使用者无意中试图朝远侧推进击发构件20120,则闭锁构件20142接触通道20020上的闭锁凸耳20028以防止击发构件20120朝远侧推进。As can also be seen in FIG. 11 , the firing member 20120 may also be equipped with an onboard firing member lockout assembly 20140 that includes a lockout member 20142 pivotally coupled to the firing member body 20122 . The blocking member 20142 includes a slider latch 20148 that is configured to be engaged by the cam action assembly 20060 when the cam action assembly 20060 is in the unfired position. As can be seen in FIGS. 12 and 13 , the cam action assembly 20060 includes a firing member flange 20061 configured to engage the slider latch 20148 on the blocking member 20142 . The latching spring 20150 is mounted in the elongated channel 20020 and is configured to bias the latching member 20142 downwardly such that if the cam action assembly 20060 is not in its unfired starting position, the latching member 20142 contacts each of the elongated passages 20020. The latching lugs 20028 are formed on portions of the inner surfaces of the upright side walls 20022. See Figure 15. When in this position, if the user inadvertently attempts to advance the firing member 20120 distally, the blocking member 20142 contacts the blocking lugs 20028 on the channel 20020 to prevent distal advancement of the firing member 20120.

图12示出了将新鲜的未击发外科钉仓20040初始插入通道20020中。如在图12中可见,凸轮作用组件20060处于起始位置,并且外科钉仓20040的近侧端部部分20046相对于通道20020以一角度插入,然后沿近侧方向PD上推动,直到凸轮作用组件20060上的击发构件凸缘20061解锁地接合闭锁构件20142的滑动件闩锁部分20148。图13和图14示出了处于正确安装位置的外科钉仓20040。如在图13中可见,击发构件闭锁组件20140处于解锁位置。螺旋状螺杆轴5036沿第一旋转方向的旋转致动将使击发构件20120沿远侧方向DD朝远侧运动。当击发构件20120朝远侧运动时,凸轮作用组件20060也由此朝远侧被驱动。凸轮构件20066将储存在仓20040中的驱动器在仓体20042中向上凸轮。当驱动器被向上凸轮时,支撑在其上的钉或紧固件被驱动穿过已被夹持在砧座5024与仓20040之间的组织并与砧座5024上的钉成形下表面5029成形接触。缝合的组织随后被组织切割构件20068切割。一旦击发构件20120已被驱动到其在仓20040中的最远侧位置,螺旋状螺杆轴5036就可沿相反的第二旋转方向旋转以使击发构件20120回缩回到其开始位置。凸轮作用组件20060保持在仓体20042的远侧端部部分20044中。然后可从通道20020移除用尽的仓20040。FIG. 12 shows the initial insertion of a fresh, unfired surgical staple cartridge 20040 into the channel 20020. As can be seen in Figure 12, the cam action assembly 20060 is in the starting position and the proximal end portion 20046 of the surgical staple cartridge 20040 is inserted at an angle relative to the channel 20020, then pushed up in the proximal direction PD until the cam action assembly The firing member flange 20061 on the 20060 unlockably engages the slider latch portion 20148 of the blocking member 20142. 13 and 14 illustrate the surgical staple cartridge 20040 in the correct installation position. As can be seen in Figure 13, the firing member latch assembly 20140 is in an unlocked position. Rotational actuation of the helical screw shaft 5036 in the first rotational direction will move the firing member 20120 distally in the distal direction DD. As the firing member 20120 is moved distally, the cam action assembly 20060 is also driven distally thereby. The cam member 20066 cams the driver stored in the bin 20040 upward in the bin body 20042. As the driver is cammed upward, the staples or fasteners supported thereon are driven through the tissue that has been clamped between the anvil 5024 and the cartridge 20040 and into forming contact with the staple forming lower surface 5029 on the anvil 5024 . The stapled tissue is then cut by tissue cutting member 20068. Once the firing member 20120 has been driven to its distal-most position in the cartridge 20040, the helical screw shaft 5036 can be rotated in a second, opposite rotational direction to retract the firing member 20120 back to its starting position. The cam action assembly 20060 is retained in the distal end portion 20044 of the cartridge body 20042. The spent bin 20040 can then be removed from the channel 20020.

图14示出了已从通道20020移除用尽的仓之后的端部执行器20012。如在图14中可见,弹簧20150将击发构件闭锁组件20140的闭锁构件20142偏压成与通道20020中的闭锁凸耳20028锁定接合。如果使用者试图击发外科端部执行器20012(朝远侧推进击发构件20120),闭锁构件20142将防止击发构件20120朝远侧运动。同样,如果使用者试图再利用用尽的仓,因为凸轮作用组件20060不处于起始位置,所以击发构件闭锁组件20140将阻止击发构件20120的远侧推进。FIG. 14 shows the end effector 20012 after the spent cartridge has been removed from the channel 20020. As can be seen in FIG. 14 , the spring 20150 biases the latch member 20142 of the firing member latch assembly 20140 into locking engagement with the latch lug 20028 in the channel 20020 . If the user attempts to fire the surgical end effector 20012 (advance the firing member 20120 distally), the blocking member 20142 will prevent distal movement of the firing member 20120. Likewise, if the user attempts to reuse a depleted cartridge, the firing member lockout assembly 20140 will prevent distal advancement of the firing member 20120 because the cam action assembly 20060 is not in the starting position.

在例示的布置中,闭锁构件20142通过枢轴销20143枢转地联接到击发构件主体20122,该枢轴销被接收在延伸穿过击发构件主体20122的孔20123中。参见图14和图16。在至少一种布置中,枢轴销20143的尺寸相对于击发构件主体20122中的孔20123被设定成便于闭锁构件20142的自由枢转行进并且考虑部件的公差差异。如在图14中可见,击发构件20120包括面向近侧的击发表面20145,该击发表面被构造成能够在击发构件闭锁组件20140处于解锁位置时邻接击发构件主体20122上的面向远侧的承载表面20125。因此,当击发构件20120朝远侧推进时,凸轮作用组件20060在其远侧运动期间遇到的抗力被直接施加到击发构件主体20122上的面向远侧的承载表面20125。此类布置可防止这些抗力传递回到枢轴销20143,这可能导致枢轴销20143在此类负载下失效。相似地,如在图16中可见,当击发构件闭锁组件20140处于锁定位置时,击发构件20120的面向近侧的成角度承载表面20145被构造成能够邻接击发构件主体20122上的面向远侧的承载表面20125。此类布置可防止由闭锁构件20142与锁定凸耳20028的锁定接合引起的抵抗性锁定力传递回枢轴销20143,这可能导致枢轴销20143在此类负载下失效。销20143与击发构件主体20122中的孔20123之间的松配合便于闭锁构件20142在负载下的一些平移,以便于将负载传递到击发构件主体20122中而不传递到销20143本身。In the illustrated arrangement, the blocking member 20142 is pivotally coupled to the firing member body 20122 by a pivot pin 20143 that is received in a hole 20123 extending through the firing member body 20122. See Figures 14 and 16. In at least one arrangement, the pivot pin 20143 is sized relative to the hole 20123 in the firing member body 20122 to facilitate free pivotal travel of the blocking member 20142 and to account for tolerance differences in components. As can be seen in Figure 14, the firing member 20120 includes a proximally facing firing surface 20145 configured to abut a distally facing bearing on the firing member body 20122 when the firing member latch assembly 20140 is in the unlocked position Surface 20125. Thus, as the firing member 20120 is advanced distally, the resistive forces encountered by the cam action assembly 20060 during its distal movement are applied directly to the distally facing bearing surface 20125 on the firing member body 20122. Such an arrangement prevents these resistive forces from being transmitted back to the pivot pin 20143, which could cause the pivot pin 20143 to fail under such loads. Similarly, as can be seen in FIG. 16 , the proximally facing angled bearing surface 20145 of the firing member 20120 is configured to abut a distally facing bearing on the firing member body 20122 when the firing member lockout assembly 20140 is in the locked position Surface 20125. Such an arrangement may prevent resistive locking forces caused by locking engagement of the latch member 20142 with the locking lugs 20028 from being transmitted back to the pivot pin 20143, which could cause the pivot pin 20143 to fail under such loads. The loose fit between the pin 20143 and the hole 20123 in the firing member body 20122 facilitates some translation of the blocking member 20142 under load to transfer the load into the firing member body 20122 and not to the pin 20143 itself.

在另一种布置中,或除了上述闭锁构件20142布置之外,监测由用于将旋转动作施加到螺旋状螺杆轴5036的马达消耗的电流量。一旦电流增加超过预先确定的阈值,用于外科器械或机器人系统等的控制电路便可停止马达以防止螺旋状螺杆轴5036的任何进一步旋转和击发构件20120的运动,从而防止对上述部件的损坏。In another arrangement, or in addition to the latching member 20142 arrangement described above, the amount of current drawn by the motor used to apply a rotational action to the helical screw shaft 5036 is monitored. Once the current increases beyond a predetermined threshold, control circuitry for a surgical instrument or robotic system or the like can stop the motor to prevent any further rotation of the helical screw shaft 5036 and movement of the firing member 20120, thereby preventing damage to the aforementioned components.

一些先前的击发构件闭锁布置需要使用者在允许砧座打开之前主动地将击发构件回缩回到最近侧开始位置,这些先前的击发构件闭锁布置被构造成能够防止端部执行器的击发构件的推进,除非新鲜的未击发钉仓已正确地安装在外科端部执行器中。如果使用者在击发构件运动回到其最近侧位置之前试图打开砧座,则他可能无法理解砧座为何无法打开。上述布置可防止此类混淆。Some previous firing member latching arrangements, which required the user to actively retract the firing member to the proximal-most starting position before allowing the anvil to open, were configured to prevent the firing member of the end effector from escaping. Advance unless a fresh, unfired cartridge is properly installed in the surgical end effector. If the user attempts to open the anvil before the firing member moves back to its proximal-most position, he may not understand why the anvil fails to open. The above arrangement prevents such confusion.

图17至图21示出了可例如与上述动力外科器械1010结合使用的外科端部执行器20300。外科端部执行器20300也可有效地与公开于以引用方式并入本文的各种参考文献中的各种其他机器人动力的外科系统一起使用。图17至图21中所示的与外科器械1010的部件相同的那些部件已用类似的部件编号标记。为了简洁起见,本文将不再重复理解外科端部执行器20300的操作所不必要的外科器械1010的那些部件的那些构造和功能。17-21 illustrate a surgical end effector 20300 that may be used, for example, in conjunction with the powered surgical instrument 1010 described above. The surgical end effector 20300 can also be effectively used with various other robotic powered surgical systems disclosed in various references incorporated herein by reference. Those components shown in FIGS. 17-21 that are identical to those of surgical instrument 1010 have been labeled with similar part numbers. For the sake of brevity, those configurations and functions of those components of the surgical instrument 1010 that are not necessary to understand the operation of the surgical end effector 20300 will not be repeated herein.

现在参考图17至图21,外科端部执行器20300包括细长通道20310,该细长通道被构造成能够在其中可操作地支撑外科钉仓20600。在例示的示例中,细长通道20310包括通道底部20312和一对直立侧壁20314。通道20310通过通道安装特征部20340联接到细长轴组件1200(图5),该通道安装特征部可有利于其围绕关节运动接头3020(图5)进行关节运动。如在图19中可见,在一种布置中,例如,通道安装特征部20340包括由直立支撑件20344组成的主体部分20342,该直立支撑件具有延伸穿过其的狭槽20346以接收穿过其的击发构件梁1900(图5)。通道安装特征部20340可通过通道安装特征部或通道销20320可动地或枢转地安装到通道20310的近侧端部20316。具体地,通道安装特征部20320还包括横向销开口20348,该横向销开口被构造成能够与通道20310的侧壁20314中的孔20318同轴对准以接收穿过其的通道销20320。Referring now to FIGS. 17-21 , the surgical end effector 20300 includes an elongated channel 20310 configured to operably support a surgical staple cartridge 20600 therein. In the illustrated example, the elongated channel 20310 includes a channel bottom 20312 and a pair of upstanding side walls 20314. Channel 20310 is coupled to elongated shaft assembly 1200 (FIG. 5) by channel mounting features 20340 that may facilitate its articulation about articulation joint 3020 (FIG. 5). As can be seen in Figure 19, in one arrangement, for example, the channel mounting feature 20340 includes a body portion 20342 consisting of an upright support 20344 having a slot 20346 extending therethrough to receive therethrough The firing member beam 1900 (FIG. 5). The channel mounting feature 20340 can be movably or pivotally mounted to the proximal end 20316 of the channel 20310 by a channel mounting feature or channel pin 20320. Specifically, the channel mounting feature 20320 also includes a lateral pin opening 20348 that is configured to be coaxially aligned with the hole 20318 in the side wall 20314 of the channel 20310 to receive the channel pin 20320 therethrough.

如上所述,轴组件1200包括终止于上部凸耳安装特征部1270和下部凸耳安装特征部1280中的脊1210。参见图5。上凸耳安装特征部1270在其中形成有凸耳狭槽1272,该凸耳狭槽适于将上安装连接件1274安装支撑在其中。类似地,下凸耳安装特征部1280在其中形成有凸耳狭槽1282,该凸耳狭槽适于在其中安装地支撑下安装连接件1284。上安装连接件1274包括其中的枢轴承窝1276,该枢轴承窝适于将枢轴销1292可旋转地接收在其中,该枢轴销形成在附接到细长通道20310的近侧端部部分20316的通道顶盖或砧座保持器1290上。如在图19中可见,通道安装特征部20340还包括从其朝近侧延伸的轴安装法兰20350。在一种布置中,例如,轴安装法兰20350具有穿过其的居中设置的枢轴孔20352,该枢轴孔枢转地接收下部凸耳安装特征部1280的下安装连接件1284上的下枢轴销1286(图5)。下枢轴销1286与枢轴承窝1276竖直对准以限定关节运动轴线AA,外科端部执行器20300可相对于脊1210围绕该关节运动轴线AA进行关节运动。在一种布置中,近侧关节运动驱动器2102(图5)可直接联接到形成在轴安装法兰20350上的关节运动凸耳20354。在其他布置中,近侧关节运动驱动器2102可附接到一个或多个关节运动连接件,该一个或多个关节运动连接件附接到轴安装法兰20350。在任一种情况下,近侧关节运动驱动器2102以上述方式的轴向运动将导致通道安装特征部相对于脊1210围绕关节运动轴线枢转(图5),以使端部执行器20300围绕关节运动轴线AA进行关节运动。As discussed above, shaft assembly 1200 includes ridges 1210 that terminate in upper lug mounting feature 1270 and lower lug mounting feature 1280 . See Figure 5. The upper lug mounting feature 1270 has formed therein a lug slot 1272 adapted to mount and support the upper mounting connector 1274 therein. Similarly, the lower lug mounting feature 1280 has formed therein a lug slot 1282 adapted to mountably support the lower mounting connector 1284 therein. The upper mounting link 1274 includes a pivot socket 1276 therein adapted to rotatably receive therein a pivot pin 1292 formed at a proximal end portion attached to the elongated channel 20310 20316 on the channel cap or anvil holder 1290. As can be seen in Figure 19, the channel mounting feature 20340 also includes a shaft mounting flange 20350 extending proximally therefrom. In one arrangement, for example, the shaft mounting flange 20350 has a centrally positioned pivot hole 20352 therethrough that pivotally receives a lower mounting link 1284 on the lower lug mounting feature 1280 Pivot pin 1286 (FIG. 5). The lower pivot pin 1286 is vertically aligned with the pivot socket 1276 to define an articulation axis AA about which the surgical end effector 20300 can articulate relative to the spine 1210. In one arrangement, proximal articulation driver 2102 ( FIG. 5 ) may be directly coupled to articulation lugs 20354 formed on shaft mounting flange 20350 . In other arrangements, the proximal articulation driver 2102 may be attached to one or more articulation links attached to the shaft mounting flange 20350. In either case, axial movement of the proximal articulation driver 2102 in the manner described above will cause the channel mounting feature to pivot relative to the spine 1210 about the articulation axis (FIG. 5) to articulate the end effector 20300 about the articulation axis The axis AA is articulated.

除下文讨论的差异外,外科端部执行器20300还包括非常类似于上述砧座2000的砧座20400。砧座20400包括细长砧座主体部分20402和砧座安装部分20410,该细长砧座主体部分具有钉成形下表面20404,该砧座安装部分被构造成能够以上述方式与端部执行器闭合管3050(图5)交接。砧座20400通过一对侧向延伸的砧座销或耳轴20412枢转地安装在细长通道20310上,该对侧向延伸的砧座销或耳轴被接收在形成于直立通道壁20314中的对应细长耳轴狭槽20322中。端部执行器闭合管3050沿远侧方向的轴向运动将导致砧座20400围绕由砧座耳轴20412限定的枢转轴线枢转到闭合位置,并且端部执行器闭合管3050沿近侧方向的运动将导致砧座相对于细长通道20310枢转到打开位置。Aside from the differences discussed below, the surgical end effector 20300 also includes an anvil 20400 that is very similar to the anvil 2000 described above. Anvil 20400 includes an elongated anvil body portion 20402 having a staple forming lower surface 20404 and an anvil mounting portion 20410 configured to be closed with the end effector in the manner described above Tube 3050 (FIG. 5) is handed over. Anvil 20400 is pivotally mounted on elongated channel 20310 by a pair of laterally extending anvil pins or trunnions 20412 received in upstanding channel walls 20314 of the corresponding elongated trunnion slots 20322. Axial movement of the end effector closure tube 3050 in the distal direction will cause the anvil 20400 to pivot to the closed position about the pivot axis defined by the anvil trunnions 20412 and the end effector closure tube 3050 in the proximal direction Movement of the anvil will cause the anvil to pivot relative to the elongated channel 20310 to the open position.

图22示出了可与外科端部执行器20300结合使用的钉仓20600的一种形式。在至少一种布置中,外科钉仓20600包括细长仓体20602,该细长仓体定尺寸成可移除地安置在细长通道20310中。仓体20602包括从仓体20602的近侧端部部分20604延伸到远侧端部部分20606(图17)的仓狭槽20608。仓体20602还包括仓平台表面20610,当仓20600安置在通道20310中并且砧座20400枢转到闭合位置时,该仓平台表面面对砧座20400的钉成形下表面20404。同样在例示的示例中,三排外科钉凹坑20612形成在仓狭槽20608的每一侧上并且穿过仓平台表面20610打开。每个钉凹坑20612可具有与其相关联的钉驱动器(未示出),该钉驱动器在其上支撑外科钉或紧固件(未示出)。在至少一个示例中,仓体20602由其中模制或机加工有钉凹坑20612的聚合物材料模制而成。在一种布置中,钉凹坑20612还通过仓体20602的底部打开,以便于将驱动器和紧固件安装到其相应凹坑20612中。一旦驱动器和紧固件被插入其相应钉凹坑20612中,则仓盘20620附接到仓体20602的底部。在一种形式中,仓盘20620由金属材料制成并且包括跨越仓体20602的底部的底部20622以及与仓体20602的每一侧对应的两个直立侧壁20624。仓盘20620可通过一系列钩20626能够移除地附连到仓体20602,该一系列钩形成在侧壁20624上并且被构造成能够以钩的形式接合仓体20602的对应部分。参见图22。当安装时,仓盘20620可(除了别的以外)防止驱动器和紧固件在仓20600处理和安装到细长通道20310中期间从仓体20602的底部掉出。FIG. 22 shows one form of staple cartridge 20600 that may be used in conjunction with the surgical end effector 20300. In at least one arrangement, the surgical staple cartridge 20600 includes an elongated cartridge body 20602 sized to be removably seated in the elongated channel 20310. The cartridge body 20602 includes a cartridge slot 20608 extending from the proximal end portion 20604 of the cartridge body 20602 to the distal end portion 20606 (FIG. 17). The cartridge body 20602 also includes a cartridge deck surface 20610 that faces the staple forming lower surface 20404 of the anvil 20400 when the cartridge 20600 is seated in the channel 20310 and the anvil 20400 is pivoted to the closed position. Also in the illustrated example, three rows of surgical staple pockets 20612 are formed on each side of the cartridge slot 20608 and open through the cartridge deck surface 20610. Each staple pocket 20612 can have a staple driver (not shown) associated therewith that supports surgical staples or fasteners (not shown) thereon. In at least one example, the cartridge body 20602 is molded from a polymeric material with the spike pockets 20612 molded or machined therein. In one arrangement, the staple pockets 20612 also open through the bottom of the cartridge body 20602 to facilitate installation of drivers and fasteners into their respective pockets 20612. The cartridge pan 20620 is attached to the bottom of the cartridge body 20602 once the drivers and fasteners are inserted into their respective staple pockets 20612. In one form, the cartridge pan 20620 is fabricated from a metallic material and includes a bottom 20622 spanning the bottom of the cartridge body 20602 and two upstanding side walls 20624 corresponding to each side of the cartridge body 20602. The cartridge tray 20620 can be removably attached to the cartridge body 20602 by a series of hooks 20626 formed on the side walls 20624 and configured to engage corresponding portions of the cartridge body 20602 in the form of hooks. See Figure 22. When installed, the cartridge pan 20620 may (among other things) prevent the drivers and fasteners from falling out of the bottom of the cartridge body 20602 during the handling and installation of the cartridge 20600 into the elongated channel 20310.

如上文结合仓20040所述,仓20600可操作地支撑其中的凸轮作用组件。该凸轮作用组件包括一系列间隔开的凸轮构件,这些凸轮构件被构造成能够在对应凸轮狭槽20609内轴向运动,这些对应凸轮狭槽形成在仓体20602中的仓狭槽20608的每一侧上。凸轮狭槽20609与仓体20602中的对应排驱动器对准,以在凸轮作用组件从仓体20602的近侧端部部分20604内的开始位置被驱动穿过钉仓20600到远侧端部部分20606内的结束位置时,有利于与对应凸轮构件凸轮作用接触。As described above in connection with the cartridge 20040, the cartridge 20600 operably supports the cam action assembly therein. The cam action assembly includes a series of spaced cam members configured for axial movement within corresponding cam slots 20609 formed in each of the cartridge slots 20608 in the cartridge body 20602 on the side. The cam slots 20609 are aligned with corresponding rows of drivers in the cartridge body 20602 to be driven through the staple cartridge 20600 to the distal end portion 20606 at the starting position of the cam action assembly from within the proximal end portion 20604 of the cartridge body 20602 The inner end position facilitates camming contact with the corresponding cam member.

图20和图21所示的示例还采用了击发构件20500,该击发构件附接到击发构件梁1900的远侧端部,并且被构造成能够与钉仓20600中的凸轮作用组件可操作地交接,以将凸轮作用组件从其在仓20600内的起始位置驱动到其结束位置。在至少一种布置中,击发构件20500被构造成能够与已正确安装在细长通道20310中的钉仓20600中的凸轮作用组件(未示出)交接。例如,击发构件20500包括击发构件主体20502,该击发构件主体具有形成在其上或附接到其上的组织切割表面或刀片20504。击发构件主体20502定尺寸成在砧座20400中的轴向砧座狭槽(未示出)以及仓体20602中的仓狭槽20608和细长通道20310中的通道狭槽(未示出)内轴向运动。包括一对侧向延伸的下法兰20508的下脚部组件20506从击发构件主体20502的底端延伸,以可滑动地接合形成在通道狭槽的每一侧上的对应通道凸缘(未示出)。包括两个侧向延伸的砧座接片的上脚部(未示出)可形成在击发构件主体20502的上端上,并且被构造成能够可滑动地接合形成在砧座狭槽的每一侧上的砧座凸缘(未示出)。在至少一种布置中,击发构件20500还包括从击发构件主体20502的每一侧侧向延伸的一对中央接片20510。The example shown in FIGS. 20 and 21 also employs a firing member 20500 attached to the distal end of the firing member beam 1900 and configured to operably interface with a cam action assembly in the staple cartridge 20600 , to drive the cam action assembly from its starting position within the bin 20600 to its ending position. In at least one arrangement, the firing member 20500 is configured to interface with a cam action assembly (not shown) in the staple cartridge 20600 that has been properly installed in the elongated channel 20310. For example, the firing member 20500 includes a firing member body 20502 having a tissue cutting surface or blade 20504 formed thereon or attached thereto. The firing member body 20502 is dimensioned within an axial anvil slot (not shown) in the anvil 20400 and a cartridge slot 20608 in the cartridge body 20602 and a channel slot (not shown) in the elongated channel 20310 Axial movement. A lower foot assembly 20506 including a pair of laterally extending lower flanges 20508 extends from the bottom end of the firing member body 20502 to slidably engage corresponding channel flanges (not shown) formed on each side of the channel slot. ). An upper foot (not shown) including two laterally extending anvil tabs may be formed on the upper end of the firing member body 20502 and configured to slidably engage each side of the anvil slot formed anvil flange (not shown). In at least one arrangement, the firing member 20500 also includes a pair of central tabs 20510 extending laterally from each side of the firing member body 20502.

仍然参见图20和图21,在一种布置中,击发构件主体20502被构造成具有朝近侧延伸的弹簧尾部20512,该弹簧尾部被构造成能够与击发构件闭锁弹簧20520可操作地交接,该击发构件闭锁弹簧安装在细长通道20310中并且被构造成能够将击发构件20500在细长通道20310中向下(箭头DN)偏压到锁定位置中。当处于锁定位置时,击发构件脚部20506和/或中央接片20510与通道20310中的对应通路不对准时,并且因此,如果使用者试图在处于闭锁状态时朝远侧推进击发构件20500,则击发构件20500将不会由于此类不对准而朝远侧运动。即,脚部20506和/或中央接片20510接触细长通道的各部分,从而防止击发构件20500的远侧推进。在一种布置中,滑动件闩锁20514形成在击发构件主体20502上,并且被构造成能够由形成在可操作地支撑在外科钉仓20600中的凸轮作用组件上的对应部分接合。当其凸轮作用组件处于其起始位置的新鲜的未击发钉仓20600已可操作地安装在细长通道20310中时,凸轮作用组件的一部分接合击发构件主体20502上的滑动件闩锁20514并使击发构件20500向上运动(图20中的箭头向上)进入解锁位置,在解锁位置,下脚部组件20506和/或中央接片20510与通道20310中其相应通路对准,以允许击发构件20500在其中轴向推进。当使用者将击发构件20500朝远侧推进到仓20600中时,击发构件20500还驱动其中的凸轮作用组件,该凸轮作用组件将驱动器向上凸轮以驱动支撑在其上的钉或紧固件与砧座的下侧形成接触。然后,击发构件20500上的组织切割构件20504切穿缝合的组织。一旦击发构件20500已被驱动到其对应于凸轮作用组件的结束位置的最远侧位置,击发构件20500就回缩到其最近侧位置,从而将凸轮作用组件留在仓20600的远侧端部20606中。当击发构件20500返回到其最近侧开始位置时,击发构件闭锁弹簧20520再次将击发构件20500偏压回其锁定位置。因此,如果使用者无意中尝试再利用用尽的仓20600,则凸轮作用组件不处于其解锁击发构件20500所需的起始位置。Still referring to Figures 20 and 21, in one arrangement, the firing member body 20502 is configured with a proximally extending spring tail 20512 configured to operably interface with the firing member latch spring 20520, which A firing member latching spring is mounted in the elongated channel 20310 and is configured to bias the firing member 20500 downward (arrow DN) in the elongated channel 20310 into a locked position. When in the locked position, the firing member feet 20506 and/or the central tabs 20510 are not aligned with the corresponding passageways in the channel 20310, and thus, if the user attempts to advance the firing member 20500 distally while in the locked state, the firing The member 20500 will not move distally due to such misalignment. That is, the feet 20506 and/or the central tab 20510 contact portions of the elongated channel, thereby preventing distal advancement of the firing member 20500. In one arrangement, a slider latch 20514 is formed on the firing member body 20502 and is configured to be engageable by a corresponding portion formed on a cam action assembly operably supported in the surgical staple cartridge 20600. When a fresh, unfired staple cartridge 20600 with its cam action assembly in its home position has been operably installed in the elongated channel 20310, a portion of the cam action assembly engages the slider latch 20514 on the firing member body 20502 and enables The firing member 20500 moves upward (arrow up in Figure 20) into an unlocked position where the lower foot assembly 20506 and/or the central tab 20510 are aligned with their corresponding passageways in the channel 20310 to allow the firing member 20500 to pivot in its center to advance. When the user advances the firing member 20500 distally into the cartridge 20600, the firing member 20500 also drives the cam action assembly therein which cams the driver upward to drive the staples or fasteners supported thereon and the anvil The underside of the seat makes contact. The tissue cutting member 20504 on the firing member 20500 then cuts through the stapled tissue. Once the firing member 20500 has been driven to its distal-most position corresponding to the end position of the cam action assembly, the firing member 20500 is retracted to its most distal position, leaving the cam action assembly at the distal end 20606 of the cartridge 20600 middle. When the firing member 20500 returns to its most proximal starting position, the firing member latching spring 20520 again biases the firing member 20500 back to its locked position. Thus, if a user inadvertently attempts to reuse a depleted cartridge 20600, the cam action assembly is not in the starting position it needs to unlock the firing member 20500.

外科端部执行器20300还可采用闭合闭锁系统20700,以防止砧座20400从打开位置运动到闭合(夹持)位置,除非对应的兼容外科钉仓20600已可操作地安装在细长通道20310中。在例示的示例中,闭合闭锁系统20700包括砧座锁20702,该砧座锁被构造成能够响应于钉仓20600在其中的安装而在砧座锁定位置和砧座解锁位置之间运动。图19示出了砧座锁20702的一种形式。砧座锁20702可由弹簧钢或其他合适的金属制成并且包括近侧偏压臂20704,该近侧偏压臂可被构造成能够安置在横向弹簧安装狭槽20343中,该横向弹簧安装狭槽设置在通道安装特征部20340的主体部分20342中。砧座锁20702还包括朝远侧延伸的主体部分20706,该主体部分具有从其突起的向下延伸的安装接片20708和向上延伸的砧座闭锁接片20710。如在图17、图18和图20中可见,安装接片20708延伸到形成在细长通道20310中的间隙窗口20319中。The surgical end effector 20300 may also employ a closed latch system 20700 to prevent movement of the anvil 20400 from the open position to the closed (clamping) position unless a corresponding compatible surgical staple cartridge 20600 has been operably installed in the elongated channel 20310 . In the illustrated example, the closure latch system 20700 includes an anvil lock 20702 configured to be movable between an anvil locked position and an anvil unlocked position in response to installation of the staple cartridge 20600 therein. Figure 19 shows one form of anvil lock 20702. Anvil lock 20702 can be made of spring steel or other suitable metal and includes proximal biasing arms 20704 that can be configured to seat in lateral spring mounting slots 20343 that Provided in the body portion 20342 of the channel mounting feature 20340. Anvil lock 20702 also includes a distally extending body portion 20706 having downwardly extending mounting tabs 20708 and upwardly extending anvil locking tabs 20710 projecting therefrom. As can be seen in FIGS. 17 , 18 and 20 , the mounting tabs 20708 extend into clearance windows 20319 formed in the elongated channel 20310 .

图19示出了其中未安装外科钉仓的外科端部执行器20300。如在图19中可见,近侧偏压臂20704已将砧座锁20702偏压在远侧“砧座锁定”位置。当处于该位置时,砧座闭锁接片20710与形成在砧座20400的砧座安装部分20410上的砧座锁定凸耳20414的一部分对准。如果使用者试图闭合砧座20400,则砧座锁定凸耳20414将接触砧座闭锁接片20710,从而防止砧座20400沿闭合方向的任何进一步行进。Figure 19 shows the surgical end effector 20300 without a surgical staple cartridge installed. As can be seen in Figure 19, the proximal biasing arm 20704 has biased the anvil lock 20702 in the distal "anvil lock" position. When in this position, the anvil locking tab 20710 is aligned with a portion of the anvil locking lug 20414 formed on the anvil mounting portion 20410 of the anvil 20400. If the user attempts to close the anvil 20400, the anvil locking lugs 20414 will contact the anvil locking tabs 20710, preventing any further travel of the anvil 20400 in the closing direction.

返回图21,在至少一种布置中,钉仓20600包括砧座解锁特征部或接片20630,该砧座解锁特征部或接片从仓体20602朝近侧突起并且对准以在仓20600可操作地安装在细长通道20310中时解锁地接合形成在砧座锁20702的远侧端部上的致动接片20712。图20示出了可操作地安装在细长通道20310中的外科钉仓20600。如在图21中可见,钉仓体20602上的砧座解锁接片20630已接触砧座闭锁件20702的致动接片20712并沿近侧方向PD将砧座闭锁件20702偏压到解锁位置,在解锁位置,砧座闭锁接片20710不再与砧座20400上的砧座锁定凸耳20414对准。当处于该位置时,使用者可将砧座20400枢转到闭合位置。如果使用者试图安装缺少砧座解锁接片20630或被设计成解锁接合砧座闭锁件20702的类似特征部的不适当的仓,则使用者将无法闭合砧座20400以完成外科缝合手术。Returning to Figure 21, in at least one arrangement, the staple cartridge 20600 includes an anvil unlock feature or tab 20630 that protrudes proximally from the cartridge body 20602 and is aligned to allow access to the cartridge 20600. The actuating tabs 20712 formed on the distal end of the anvil lock 20702 unlockably engage when operatively mounted in the elongated channel 20310. FIG. 20 shows the surgical staple cartridge 20600 operably mounted in the elongated channel 20310. As can be seen in Figure 21, the anvil unlock tab 20630 on the cartridge body 20602 has contacted the actuation tab 20712 of the anvil latch 20702 and biased the anvil latch 20702 to the unlocked position in the proximal direction PD, In the unlocked position, the anvil locking tabs 20710 are no longer aligned with the anvil locking lugs 20414 on the anvil 20400. When in this position, the user can pivot the anvil 20400 to the closed position. If a user attempts to install an inappropriate cartridge that lacks the anvil unlock tab 20630 or is designed to unlock a similar feature that engages the anvil latch 20702, the user will be unable to close the anvil 20400 to complete the surgical stapling procedure.

图23示出了另选的闭合闭锁系统20700’,用于防止外科端部执行器20300’的砧座20400’从打开位置运动到闭合(夹持)位置,除非对应的正确外科钉仓20600’已可操作地安装在对应的细长通道(未示出)中。除了下文讨论的差异之外,外科端部执行器20300’与上述外科端部执行器20300基本上相同。除了以下差异之外,闭合闭锁系统20700’包括与上述砧座闭锁件20702基本上相同的砧座闭锁件20702’。例如,砧座闭锁件20702可由弹簧钢或其他合适的金属制成,并且包括其中形成有弹簧部分20707’的朝远侧延伸的主体部分20706’。砧座闭锁件20702’的近侧端部具有形成于其上的锚定接片20703’,该锚定接片用于将砧座闭锁件20702’联接到通道安装特征部20340(图19)。另外,主体部分20706’包括向下延伸的安装接片20708’和从其突起的向上延伸的砧座闭锁接片20710’。致动接片20712’形成在主体部分20706’的远侧端部上。Figure 23 shows an alternative closure latch system 20700' for preventing movement of the anvil 20400' of the surgical end effector 20300' from the open position to the closed (clamping) position unless the corresponding correct surgical staple cartridge 20600' Has been operably mounted in a corresponding elongated channel (not shown). Except for the differences discussed below, the surgical end effector 20300' is substantially the same as the surgical end effector 20300 described above. The closure latch system 20700' includes substantially the same anvil latch 20702' as the anvil latch 20702 described above, except for the following differences. For example, the anvil latch 20702 may be made of spring steel or other suitable metal and include a distally extending body portion 20706' having a spring portion 20707' formed therein. The proximal end of the anvil latch 20702' has anchor tabs 20703' formed thereon for coupling the anvil latch 20702' to the channel mounting feature 20340 (FIG. 19). Additionally, the body portion 20706' includes downwardly extending mounting tabs 20708' and upwardly extending anvil latching tabs 20710' projecting therefrom. An actuation tab 20712' is formed on the distal end of the body portion 20706'.

外科钉仓20600’类似于上述外科钉仓20600,并且包括仓体20602’,该仓体定尺寸成可移除地安置在细长通道20310中。仓体20602’包括从仓体20602’的近侧端部部分20604’延伸到远侧端部部分的仓狭槽20608’。仓体20602’还包括仓平台表面20610’和位于仓狭槽20608’的每一侧上的三排外科钉凹坑20612’。如在图23中可见,钉凹坑20612’以及其中的钉或紧固件(未示出)在平行于仓狭槽20608’的凹坑轴线PA’上对准。因此,钉/紧固件以大致平行于仓狭槽20608’和组织切割线的排施加。与外科钉仓20600类似,外科钉仓20600’包括仓盘20624’和从仓体20602’朝近侧突起的砧座解锁特征部或接片20630’。The surgical staple cartridge 20600' is similar to the surgical staple cartridge 20600 described above and includes a cartridge body 20602' Cartridge body 20602' includes a cartridge slot 20608' extending from a proximal end portion 20604' to a distal end portion of the cartridge body 20602'. The cartridge body 20602' also includes a cartridge deck surface 20610' and three rows of surgical staple pockets 20612' on each side of the cartridge slot 20608'. As can be seen in Figure 23, the staple pockets 20612' and the staples or fasteners (not shown) therein are aligned parallel to the pocket axis PA' of the cartridge slot 20608'. Thus, the staples/fasteners are applied in rows generally parallel to the cartridge slot 20608' and the tissue cut line. Similar to the surgical staple cartridge 20600, the surgical staple cartridge 20600' includes a cartridge tray 20624' and an anvil unlocking feature or tab 20630' protruding proximally from the cartridge body 20602'.

仍然参见图23,砧座20400’类似于砧座20400,不同之处在于下文讨论的差异。砧座20400’包括细长砧座主体部分20402’和砧座安装部分20410’,该砧座安装部分被构造成能够以上述方式与端部执行器闭合管3050(图5)交接。砧座主体部分20402’包括由砧座狭槽20405’平分的钉成形下表面20404’,该砧座狭槽被构造成能够适应击发构件20500穿过其中。如在图23中可见,钉成形下表面20404’包括布置在与砧座狭槽20405’平行的成形凹坑轴线FPA上的三排钉成形凹坑20407’。当砧座20400’运动到闭合位置时,砧座狭槽20405’与仓狭槽20608’竖直对准,以允许击发构件20500穿过其中。多排钉成形凹坑20407’与钉凹坑20612’对准,使得当钉从仓20600’驱动时,它们接触对应的一对待压接的钉成形凹坑20407’。因此,砧座20400’中的钉成形凹坑阵列必须对应于仓20600’中的钉凹坑20612’的阵列,以确保钉正确成形。如在图23中进一步可见,在该布置中,砧座20400’包括向下延伸的砧座锁定凸耳20414’,该向下延伸的砧座锁定凸耳形成在砧座安装部分20410’的远侧,但以其他方式被构造成能够在砧座闭锁件20702’处于锁定位置时接触砧座闭锁接片20710’(例如,未将仓插入通道20310中或已将不正确的仓安置在通道20310中)。当仓20600’已正确地安置在细长通道20310中时,其上的砧座解锁特征部20630’接触砧座闭锁件20702’上的致动接片20712’,以将闭锁件20702’朝近侧偏压到解锁位置,在解锁位置,砧座闭锁接片20710’不与砧座锁定凸耳20414’锁定对准,以允许砧座20400’枢转到闭合位置。Still referring to Figure 23, the anvil 20400' is similar to the anvil 20400 except for the differences discussed below. Anvil 20400' includes an elongated anvil body portion 20402' and an anvil mounting portion 20410' configured to interface with end effector closure tube 3050 (FIG. 5) in the manner described above. Anvil body portion 20402' includes a staple forming lower surface 20404' bisected by anvil slot 20405' that is configured to accommodate firing member 20500 therethrough. As can be seen in Figure 23, the staple forming lower surface 20404' includes three rows of staple forming pockets 20407' arranged on a forming pocket axis FPA parallel to the anvil slot 20405'. When the anvil 20400' is moved to the closed position, the anvil slot 20405' is vertically aligned with the cartridge slot 20608' to allow the firing member 20500 to pass therethrough. The rows of staple forming pockets 20407' are aligned with the staple pockets 20612' such that when the staples are driven from the cartridge 20600', they contact a corresponding pair of staple forming pockets 20407' to be crimped. Accordingly, the array of staple forming pockets in the anvil 20400' must correspond to the array of staple pockets 20612' in the cartridge 20600' to ensure proper staple formation. As further seen in FIG. 23, in this arrangement, the anvil 20400' includes a downwardly extending anvil locking lug 20414' formed distal to the anvil mounting portion 20410' side, but otherwise configured to contact the anvil latch tab 20710' when the anvil latch 20702' is in the locked position (eg, a cartridge has not been inserted into the channel 20310 or an incorrect cartridge has been placed in the channel 20310 middle). When the cartridge 20600' has been properly seated in the elongated channel 20310, the anvil unlock feature 20630' thereon contacts the actuation tab 20712' on the anvil latch 20702' to bring the latch 20702' closer The side is biased to an unlocked position where the anvil locking tabs 20710' are out of locking alignment with the anvil locking lugs 20414' to allow the anvil 20400' to pivot to the closed position.

图24示出了另选的闭合闭锁系统20700”,用于防止另一个外科端部执行器20300”的砧座20400”从打开位置运动到闭合(夹持)位置,除非兼容外科钉仓20600”已可操作地安装在细长通道20310中。除了下文讨论的差异之外,外科端部执行器20300”与上述外科端部执行器20300基本上相同。除了以下差异之外,闭合闭锁系统20700”包括与上述砧座闭锁件20702基本上相同的砧座闭锁件20702”。例如,砧座闭锁件20702”可由弹簧钢或其他合适的金属制成,并且包括其中形成有弹簧部分20707”的朝远侧延伸的主体部分20706”。砧座闭锁件20702”的近侧端部具有形成于其上的锚定接片20703”,该锚定接片用于将砧座闭锁件20702”联接到通道安装特征部20340(图19)。另外,主体部分20706”包括向下延伸的安装接片20708”和从其突起的向上延伸的砧座闭锁接片20710”。致动接片20712”形成在主体部分20706”的远侧端部上。Figure 24 shows an alternative closure latching system 20700" for preventing movement of the anvil 20400" of another surgical end effector 20300" from an open position to a closed (clamping) position unless a surgical staple cartridge 20600" is compatible Has been operably mounted in the elongated channel 20310. Except for the differences discussed below, the surgical end effector 20300" is substantially the same as the surgical end effector 20300 described above. The closure latch system 20700" includes substantially the same as the anvil lockout 20702 described above, except for the differences discussed below. Anvil lockout 20702". For example, anvil lockout 20702" may be made of spring steel or other suitable metal and includes a distally extending body portion 20706" having a spring portion 20707" formed therein. The proximal end of the anvil lockout 20702" has anchor tabs 20703" formed thereon for coupling the anvil lockout 20702" to the channel mounting feature 20340 (FIG. 19). Additionally, the body portion 20706" includes downwardly extending mounting tabs 20708" and upwardly extending anvil latching tabs 20710" projecting therefrom. An actuation tab 20712" is formed on the distal end of the body portion 20706".

外科钉仓20600”类似于上述外科钉仓20600,并且包括仓体20602”,该仓体定尺寸成可移除地安置在细长通道20310中。仓体20602”包括从仓体20602”的近侧端部部分20604”延伸到远侧端部部分的仓狭槽20608”。仓体20602”还包括仓平台表面20610”和位于仓狭槽20608”的每一侧上的两排外科钉凹坑20612”。如在图24中可见,钉凹坑20612”以及其中的钉或紧固件(未示出)在横向于仓狭槽20608”的凹坑轴线PA”上对准。因此,钉/紧固件以大致横向于仓狭槽20608”和组织切割线的排施加。紧固件的此类布置形成“柔性”或“可拉伸”钉线。有关用于开发柔性或可拉伸成排缝钉的钉仓的进一步细节可见于名称为“FASTENER CARTRIDGE FOR CREATING A FLEXIBLE STAPLE LINE”的美国专利申请序列号14/498,121中,现为美国专利9,801,627,其全部公开内容据此以引用方式并入本文。与外科钉仓20600类似,外科钉仓20600”包括仓盘20624”和从仓体20602’朝近侧突起的砧座解锁特征部或接片20630”。The surgical staple cartridge 20600" is similar to the surgical staple cartridge 20600 described above and includes a cartridge body 20602" sized to be removably seated in the elongated channel 20310. Cartridge body 20602" includes a cartridge slot 20608" extending from a proximal end portion 20604" of the cartridge body 20602" to a distal end portion. Cartridge body 20602" also includes a cartridge deck surface 20610" and two rows of surgical staple pockets 20612" on each side of cartridge slot 20608". As can be seen in Figure 24, the staple pockets 20612" and the staples or fasteners (not shown) therein are aligned on the pocket axis PA" transverse to the cartridge slot 20608". Thus, the staples/fasteners Apply in a row generally transverse to the cartridge slot 20608" and the tissue cut line. Such an arrangement of fasteners creates a "flexible" or "stretchable" staple line. Further details on staple cartridges for developing flexible or stretchable staple rows can be found in US Patent Application Serial No. 14/498,121 entitled "FASTENER CARTRIDGE FOR CREATING A FLEXIBLE STAPLE LINE," now US Patent 9,801,627, Its entire disclosure is hereby incorporated by reference herein. Similar to the surgical staple cartridge 20600, the surgical staple cartridge 20600" includes a cartridge tray 20624" and an anvil unlocking feature or tab 20630" that protrudes proximally from the cartridge body 20602'.

仍然参见图24,砧座20400”类似于砧座20400,不同之处在于下文讨论的差异。砧座20400”包括细长砧座主体部分20402”和砧座安装部分20410”,该砧座安装部分被构造成能够以上述方式与端部执行器闭合管3050(图5)交接。砧座主体部分20402”包括由砧座狭槽20405”平分的钉成形下表面20404”,该砧座狭槽被构造成能够适应击发构件20500穿过其中。如在图24中可见,钉成形下表面20404”包括布置在横向于砧座狭槽20405”的成形凹坑轴线FPA上的多排钉成形凹坑20407”。当砧座20400”运动到闭合位置时,砧座狭槽20405”与仓狭槽20608”竖直对准,以允许击发构件20500穿过其中。这多排钉成形凹坑20407”与钉凹坑20612”对准,使得当钉从仓20600”驱动时,它们接触对应的一对待压接的钉成形凹坑20407”。因此,砧座20400”中的钉成形凹坑阵列20407”必须对应于仓20600”中的钉凹坑20612”的阵列,以确保钉正确成形。如在图24中进一步可见,在该布置中,砧座20400”包括向下延伸的砧座锁定凸耳20414”,该向下延伸的砧座锁定凸耳形成或附接到砧座安装部分20410”,兵器被构造成能够在砧座闭锁件20702”处于锁定位置时接触砧座闭锁接片20710”(例如,未将仓插入通道20310中或将不正确的仓插入通道20310中)。当仓20600”已正确地安置在细长通道20310中时,其上的砧座解锁特征部20630”接触砧座闭锁件20702”上的致动接片20712”,以将闭锁件20702”朝近侧偏压到解锁位置,在解锁位置,砧座闭锁接片20710”不与砧座锁定凸耳20414”锁定对准,以允许砧座20400”枢转为闭合。Still referring to Figure 24, the anvil 20400" is similar to the anvil 20400, except for differences discussed below. The anvil 20400" includes an elongated anvil body portion 20402" and an anvil mounting portion 20410" that is configured to interface with the end effector closure tube 3050 (FIG. 5) in the manner described above. Anvil body portion 20402" includes a staple-forming lower surface 20404" bisected by anvil slot 20405" configured to accommodate firing member 20500 therethrough. As can be seen in Figure 24, the staple-forming lower surface 20404" Surface 20404" includes rows of staple forming pockets 20407" disposed on forming pocket axis FPA transverse to anvil slot 20405". When the anvil 20400" is moved to the closed position, the anvil slot 20405" is vertically aligned with the cartridge slot 20608" to allow the firing member 20500 to pass therethrough. The rows of staple forming pockets 20407" are aligned with the staple pockets 20612" are aligned so that when the staples are driven from the cartridge 20600", they contact a corresponding pair of staple forming pockets 20407" to be crimped. Therefore, the array of staple forming pockets 20407" in the anvil 20400" must correspond to the cartridge An array of staple pockets 20612" in A lower extending anvil locking lug is formed or attached to the anvil mounting portion 20410", the weapon is configured to contact the anvil lockout tab 20710" when the anvil lockout 20702" is in the locked position (eg, the cartridge is not locked). Insert into channel 20310 or insert an incorrect cartridge into channel 20310). When the cartridge 20600" has been properly seated in the elongated channel 20310, the anvil unlocking features 20630" thereon contact the actuation tabs 20712" on the anvil latch 20702" to bring the latch 20702" closer The side is biased to an unlocked position where the anvil locking tabs 20710" are out of locking alignment with the anvil locking lugs 20414" to allow the anvil 20400" to pivot closed.

如上所述,各种外科钉仓可在其中具有钉/紧固件的不同阵列和/或取向。根据具体的外科手术或应用,钉或紧固件的尺寸以及紧固件的数量可因仓类型而异。为了确保钉被正确地压接或成形,外科钉仓必须与其中具有适当阵列的钉成形凹坑的对应砧座结合使用。如果“不兼容”的仓被装载到具有与仓不匹配的砧座的端部执行器中,则钉可能在击发过程期间不能正确地成形,这可能导致灾难性结果。例如,图23所示的外科钉仓20600’与图23所示的砧座20400’匹配或“兼容”。图24所示的外科钉仓20600”与图24所示的砧座20400”匹配或兼容。然而,例如,图24的外科钉仓20600”与图23所示的砧座20400’不兼容。As mentioned above, various surgical staple cartridges may have different arrays and/or orientations of staples/fasteners therein. Depending on the specific surgical procedure or application, the size of the staples or fasteners, as well as the number of fasteners, can vary by cartridge type. To ensure that the staples are properly crimped or formed, a surgical staple cartridge must be used in conjunction with a corresponding anvil having an appropriate array of staple forming pockets therein. If an "incompatible" cartridge is loaded into an end effector with an anvil that does not match the cartridge, the staples may not form properly during the firing process, which may lead to catastrophic results. For example, the surgical staple cartridge 20600' shown in Figure 23 is mated or "compatible" with the anvil 20400' shown in Figure 23. The surgical staple cartridge 20600" shown in Fig. 24 is mated or compatible with the anvil 20400" shown in Fig. 24. However, for example, the surgical staple cartridge 20600" of Figure 24 is not compatible with the anvil 20400' shown in Figure 23.

在上述示例中采用的闭合闭锁系统可避免以其他方式装载到端部执行器中的不匹配仓的激活。例如,钉仓20600’上的砧座解锁特征部或接片20630’位于仓狭槽20608’的左侧上,并且被定位成当仓20600’正确地装载在端部执行器20300’的通道20310中时接触砧座闭锁弹簧20707’上的致动器接片20712’。相反地,仓20600”上的砧座解锁特征部或接片20630”位于仓狭槽20608”的右侧上,并且对准以在仓20600”正确装载在通道20310中时接触砧座闭锁件20702”上的致动器接片20712”。如果使用者将仓20600”装载到端部执行器20300’的通道20310中,则钉仓20600”上的砧座解锁特征部或接片20630”将不接触砧座闭锁件20702’上的致动器接片20712’以使其运动到解锁位置,并且使用者将无法将砧座20400’枢转为闭合。同样,如果使用者将仓20600’装载到端部执行器20300”的通道中,则钉仓20600’上的砧座解锁特征部或接片20630’将不接触砧座闭锁件20702”上的致动器接片20712”以使其运动到解锁位置,并且使用者将无法将砧座20400”枢转为闭合。如果使用者无意地装载缺少与端部执行器中的砧座闭锁件对应的正确砧座解锁特征部或接片的另一个仓,则使用者将无法闭合该砧座。外科钉仓上的砧座解锁特征部或接片的位置、形状、长度等可因仓类型而异,并且与位于对应外科端部执行器中的对应砧座闭锁件上的致动器构件(尺寸、位置、形状、数量等)相互关联。例如,砧座解锁特征部或接片可例如一体地形成在仓体上、被机加工或模制到仓体中、附接到仓体、附接到仓的凸轮作用组件或一体地形成在仓的凸轮作用组件上,或者包括仓盘的一部分。本文设想了所有此类变型,并且这些变型旨在由所附权利要求书涵盖。The closed latch system employed in the above example may avoid activation of mismatched cartridges that would otherwise be loaded into the end effector. For example, the anvil unlock feature or tab 20630' on the staple cartridge 20600' is located on the left side of the cartridge slot 20608' and is positioned so that when the cartridge 20600' is properly loaded in the channel 20310 of the end effector 20300' The center contacts the actuator tab 20712' on the anvil latch spring 20707'. Conversely, the anvil unlock feature or tab 20630" on the cartridge 20600" is located on the right side of the cartridge slot 20608" and is aligned to contact the anvil latch 20702 when the cartridge 20600" is properly loaded in the channel 20310 ” on the actuator tab 20712”. If the user loads the cartridge 20600" into the channel 20310 of the end effector 20300', the anvil unlock feature or tab 20630" on the staple cartridge 20600" will not contact the actuation on the anvil latch 20702' and the user will not be able to pivot the anvil 20400' closed. Likewise, if the user loads the cartridge 20600' into the channel of the end effector 20300", the The anvil unlock feature or tab 20630' on the staple cartridge 20600' will not contact the actuator tab 20712" on the anvil latch 20702" to move it to the unlocked position and the user will not be able to unlock the anvil 20400" pivots to close. If the user inadvertently loads another cartridge that lacks the correct anvil unlocking feature or tab corresponding to the anvil latch in the end effector, the user will not be able to close the anvil The location, shape, length, etc. of the anvil unlocking features or tabs on the surgical staple cartridge can vary by cartridge type and differ from the actuator member on the corresponding anvil latch in the corresponding surgical end effector (size, location, shape, number, etc.) are interrelated. For example, an anvil unlocking feature or tab may be integrally formed on the cartridge body, machined or molded into the cartridge body, attached to the cartridge body, The cam action assembly attached to the cartridge is either integrally formed on the cam action assembly of the cartridge, or includes a portion of the cartridge pan. All such variations are contemplated herein and are intended to be encompassed by the appended claims.

图25至图29示出了外科端部执行器21300,除了下文讨论的差异之外,该外科端部执行器非常类似于上述外科端部执行器20300、20300’、20300”。在该实施方案中,例如,端部执行器21300包括细长通道21310,该细长通道被构造成能够在其中可操作地支撑外科钉仓21600。在例示的示例中,细长通道21310包括通道底部21312和一对直立侧壁21314。尽管未示出,但通道21310可通过通道安装特征部20340(如上所述)联接到细长轴组件1200(图5),该通道安装特征部可有利于其围绕关节运动接头3020(图5)进行关节运动。除下文讨论的差异外,外科端部执行器21300还包括可非常类似于上述砧座20400的砧座21400。砧座21400包括细长砧座主体部分21402和砧座安装部分21410,该细长砧座主体部分具有钉成形下表面,该砧座安装部分被构造成能够以上述方式与端部执行器闭合管3050(图5)交接。砧座21400通过一对侧向延伸的砧座销或耳轴21412枢转地安装在细长通道21310上,该对侧向延伸的砧座销或耳轴被接收在形成于直立通道壁21314中的对应细长耳轴狭槽21320中。端部执行器闭合管3050沿远侧方向的轴向运动将导致砧座21400朝远侧平移,直到耳轴21412接触其相应耳轴狭槽21320的远侧端部并枢转到闭合位置。相反地,端部执行器闭合管3050沿近侧方向的运动将使砧座21400相对于细长通道21310枢转到打开位置。Figures 25-29 illustrate a surgical end effector 21300, which is very similar to the surgical end effectors 20300, 20300', 20300" described above, except for the differences discussed below. In this embodiment In, for example, the end effector 21300 includes an elongated channel 21310 configured to operably support the surgical staple cartridge 21600 therein. In the illustrated example, the elongated channel 21310 includes a channel bottom 21312 and a To upstanding sidewall 21314. Although not shown, channel 21310 may be coupled to elongated shaft assembly 1200 (FIG. 5) via channel mounting features 20340 (described above) that may facilitate articulation thereabout Joint 3020 (FIG. 5) is articulated. Surgical end effector 21300 includes an anvil 21400, which may be very similar to the anvil 20400 described above, except for the differences discussed below. Anvil 21400 includes an elongated anvil body portion 21402 and Anvil mounting portion 21410, the elongated anvil body portion having a staple forming lower surface, is configured to interface with end effector closure tube 3050 (FIG. 5) in the manner described above. Anvil 21400 passes through a Pivotally mounted on the elongated channel 21310 is a pair of laterally extending anvil pins or trunnions 21412 that are received in corresponding elongated ears formed in the upright channel wall 21314 Axial movement of the end effector closure tube 3050 in the distal direction will cause the anvil 21400 to translate distally until the trunnion 21412 contacts the distal end of its corresponding trunnion slot 21320 and pivots To the closed position. Conversely, movement of the end effector closure tube 3050 in the proximal direction will pivot the anvil 21400 relative to the elongated channel 21310 to the open position.

端部执行器21300被构造成能够可操作地支撑外科钉仓21600,该外科钉仓可与外科钉仓20600基本上相同,不同的是砧座解锁特征部或接片21630包括仓盘21620的一部分。砧座解锁特征部21630被构造成能够与由通道21310支撑的能够轴向运动的砧座锁21702可操作地交接。转到图27,砧座锁21702由附接到通道21310的一部分的引导块21720支撑以用于在远侧锁定位置和近侧锁定位置之间轴向运动。在一个示例中,砧座锁21702可由金属形成,并且引导块21720可由40%碳填充的尼龙6/6制成,并且通过适当的粘合剂或其他扣紧部件附接到通道21310的侧壁21314。引导块21720可限定导槽21722,该导槽被构造成能够支撑砧座锁21702的锁定接片部分21710。砧座锁21702还包括竖直主体部分21706,该竖直主体部分具有形成在其远侧端部上的致动接片21712。砧座锁21702通过附接到砧座锁21702和通道侧壁21314的拉伸弹簧21730偏压到远侧锁定位置。当不存在仓时,拉伸弹簧21730将砧座锁21702偏压到远侧锁定位置,在锁定位置,锁定接片部分21710接触砧座21400的一部分以防止砧座21400枢转到闭合位置。当将正确的或兼容的仓21600装载到细长通道21310中时,仓盘21620的解锁特征部或接片21630接触砧座锁21702上的致动接片21712以使砧座锁21702朝近侧运动到解锁位置,在解锁位置,砧座锁21702的锁定接片部分21710不再阻止砧座21400的枢转运动。如在图25中可见,外科钉仓21600的砧座解锁特征部21630在设计上是“不对称的”。即,砧座解锁特征部21630仅位于仓21600的近侧端部的一侧上。图25示出了在先前的通道布置中存在的旧释放区域21315以及设置在通道21310中以在其中容纳仓21600的新释放区域21317、21319。The end effector 21300 is configured to operably support a surgical staple cartridge 21600, which can be substantially the same as the surgical staple cartridge 20600, except that the anvil unlocking feature or tab 21630 includes a portion of the cartridge tray 21620 . Anvil unlock feature 21630 is configured to operably interface with axially movable anvil lock 21702 supported by channel 21310 . Turning to Figure 27, the anvil lock 21702 is supported for axial movement between a distal locked position and a proximal locked position by a guide block 21720 attached to a portion of the channel 21310. In one example, the anvil lock 21702 may be formed of metal and the guide block 21720 may be made of 40% carbon filled nylon 6/6 and attached to the sidewall of the channel 21310 by a suitable adhesive or other fastening means 21314. The guide block 21720 can define a guide slot 21722 configured to support the locking tab portion 21710 of the anvil lock 21702 . Anvil lock 21702 also includes a vertical body portion 21706 having actuation tabs 21712 formed on a distal end thereof. Anvil lock 21702 is biased to the distal locked position by extension spring 21730 attached to anvil lock 21702 and channel sidewall 21314. When the cartridge is not present, the tension spring 21730 biases the anvil lock 21702 to the distal locking position where the locking tab portion 21710 contacts a portion of the anvil 21400 to prevent the anvil 21400 from pivoting to the closed position. When the correct or compatible cartridge 21600 is loaded into the elongated channel 21310, the unlocking features or tabs 21630 of the cartridge tray 21620 contact the actuation tabs 21712 on the anvil lock 21702 to cause the anvil lock 21702 to face proximally Movement to the unlocked position, where the locking tab portion 21710 of the anvil lock 21702 no longer prevents pivotal movement of the anvil 21400. As can be seen in Figure 25, the anvil unlocking feature 21630 of the surgical staple cartridge 21600 is "asymmetrical" in design. That is, the anvil unlocking feature 21630 is located only on one side of the proximal end of the cartridge 21600. Figure 25 shows the old release areas 21315 present in the previous channel arrangement and the new release areas 21317, 21319 provided in the channel 21310 to accommodate the cartridge 21600 therein.

图30示出了外科端部执行器21300’的与端部执行器21300相同的各部分,不同的是端部执行器21300’采用如图31和图32所示的砧座锁21702’。在一个示例中,砧座锁21702’可由40%碳填充的尼龙6/6制成,并且包括竖直主体部分21706’,该竖直主体部分具有形成在其上端上的锁定部分21710’。致动接片21712’形成在远侧端部上,并且角撑板21714’也用于为致动接片21712’提供附加支撑。如上所述,当将正确的或兼容的外科钉仓21600装载到细长通道21310中时,仓盘21620的解锁特征部或接片21630接触砧座锁21702’上的致动接片21712’以使砧座锁21702’朝近侧运动到解锁位置,在解锁位置,砧座锁21702’的锁定接片部分21710’不再阻止砧座21400的枢转运动。Figure 30 shows the same parts of the surgical end effector 21300' as the end effector 21300, except that the end effector 21300' employs an anvil lock 21702' as shown in Figures 31 and 32. In one example, the anvil lock 21702' may be made of 40% carbon filled nylon 6/6 and includes a vertical body portion 21706' having a locking portion 21710' formed on its upper end. Actuation tabs 21712' are formed on the distal end, and gussets 21714' are also used to provide additional support for the actuation tabs 21712'. As described above, when the correct or compatible surgical staple cartridge 21600 is loaded into the elongated channel 21310, the unlocking features or tabs 21630 of the cartridge tray 21620 contact the actuation tabs 21712' on the anvil lock 21702' to The anvil lock 21702' is moved proximally to an unlocked position where the locking tab portion 21710' of the anvil lock 21702' no longer prevents pivotal movement of the anvil 21400.

图33示出了采用砧座闭锁系统22700的另一个外科端部执行器22300。除了所指出的差异之外,端部执行器22300类似于上述端部执行器20300。在该实施方案中,端部执行器22300包括细长通道22310,该细长通道被构造成能够在其中可操作地支撑外科钉仓22600。在例示的示例中,细长通道22310包括通道底部22312和一对直立侧壁22314。尽管未示出,但通道22310可通过通道安装特征部20340(如上所述)联接到细长轴组件1200(图5),该通道安装特征部可有利于其围绕关节运动接头3020(图5)进行关节运动。除下文讨论的差异外,外科端部执行器22300还包括非常类似于上述砧座20400的砧座22400。砧座22400包括细长砧座主体部分22402和砧座安装部分22410,该砧座安装部分被构造成能够以上述方式与端部执行器闭合管3050(图5)交接。砧座22400通过一对侧向延伸的砧座销或耳轴22412枢转地安装在细长通道22310上,该对侧向延伸的砧座销或耳轴被接收在形成于直立通道侧壁22314中的对应细长耳轴狭槽22320中。端部执行器闭合管3050沿远侧方向的轴向运动将导致砧座耳轴22412朝远侧向上平移耳轴狭槽22320,以将砧座22400枢转到闭合位置。相反地,端部执行器闭合管3050沿近侧方向的运动将使砧座22400相对于细长通道22310枢转到打开位置。FIG. 33 shows another surgical end effector 22300 employing an anvil lockout system 22700. Aside from the noted differences, the end effector 22300 is similar to the end effector 20300 described above. In this embodiment, the end effector 22300 includes an elongated channel 22310 configured to operably support the surgical staple cartridge 22600 therein. In the illustrated example, the elongated channel 22310 includes a channel bottom 22312 and a pair of upstanding side walls 22314. Although not shown, channel 22310 may be coupled to elongated shaft assembly 1200 (FIG. 5) by channel mounting features 20340 (described above) that may facilitate its articulation around articulation joint 3020 (FIG. 5) Do joint exercises. Aside from the differences discussed below, the surgical end effector 22300 also includes an anvil 22400 that is very similar to the anvil 20400 described above. Anvil 22400 includes an elongated anvil body portion 22402 and an anvil mounting portion 22410 configured to interface with end effector closure tube 3050 (FIG. 5) in the manner described above. The anvil 22400 is pivotally mounted on the elongated channel 22310 by a pair of laterally extending anvil pins or trunnions 22412 that are received in side walls 22314 formed in the upright channel Corresponding elongated trunnion slot 22320 in . Axial movement of the end effector closure tube 3050 in the distal direction will cause the anvil trunnion 22412 to translate the trunnion slot 22320 distally upward to pivot the anvil 22400 to the closed position. Conversely, movement of the end effector closure tube 3050 in the proximal direction will pivot the anvil 22400 relative to the elongated channel 22310 to the open position.

端部执行器22300被构造成能够可操作地支撑外科钉仓22600,该外科钉仓可与外科钉仓20600基本上相同,不同的是砧座解锁特征部或接片22630形成于仓体22602的近侧端部部分22604的右侧上并且具有波状近侧端部表面22632。在例示的示例中,波状近侧端部表面22632具有弓形形状。砧座解锁特征部22630被构造成能够与由通道22310支撑的砧座闭锁系统22700的能够轴向运动的砧座锁22702可操作地交接。在例示的示例中,砧座锁22702被支撑用于在细长通道22310的近侧端部部分22316内在远侧锁定位置和近侧解锁位置之间轴向运动。在例示的示例中,砧座锁22702包括细长主体部分22706,该细长主体部分具有砧座锁定接片22710,该砧座锁定接片形成在其近侧端部上并且被构造成能够与形成在砧座22400的砧座安装部分22410上的锁定凸耳22413锁定地交接。参见图33。致动接片22712形成在主体部分22706的远侧端部上。致动接片22712具有形成于其中的波状致动表面22714,该波状致动表面被构造成能够与砧座解锁特征部22630上的波状近侧端部表面22632基本上匹配或配合。参见图34。The end effector 22300 is configured to operably support a surgical staple cartridge 22600, which may be substantially the same as the surgical staple cartridge 20600, except that an anvil unlocking feature or tab 22630 is formed on the cartridge body 22602. The proximal end portion 22604 is on the right side and has a contoured proximal end surface 22632. In the illustrated example, the contoured proximal end surface 22632 has an arcuate shape. Anvil unlock feature 22630 is configured to operatively interface with axially movable anvil lock 22702 of anvil lockout system 22700 supported by channel 22310. In the illustrated example, the anvil lock 22702 is supported for axial movement within the proximal end portion 22316 of the elongated channel 22310 between a distal locked position and a proximal unlocked position. In the illustrated example, the anvil lock 22702 includes an elongated body portion 22706 having an anvil locking tab 22710 formed on a proximal end thereof and configured to engage with Locking lugs 22413 formed on anvil mounting portion 22410 of anvil 22400 lockingly interface. See Figure 33. Actuation tabs 22712 are formed on the distal end of the body portion 22706. The actuation tab 22712 has a contoured actuation surface 22714 formed therein that is configured to substantially mate or mate with the contoured proximal end surface 22632 on the anvil unlock feature 22630. See Figure 34.

在至少一种布置中,弹簧或偏压构件22730(片簧、卷簧等)可附接到通道22310或安装在该通道内,并且被构造成能够将砧座锁22702沿远侧方向DD偏压到锁定位置,在锁定位置,其上的砧座锁定接片22710与砧座安装部分22410上的锁定凸耳22413阻挡对准,以防止砧座22400闭合。当将正确的或兼容的外科钉仓22600可操作地装载到通道22310中时,使砧座解锁特征部或接片22630与砧座锁22702的致动接片22712上的波状表面22714接合。然后外科钉仓22600朝近侧运动以将仓22600安置在通道22310内。当外科钉仓22600朝近侧运动时,砧座解锁特征部22630接触砧座锁22702的致动接片22712并且将砧座锁22702朝近侧偏压到解锁位置,在解锁位置,其上的砧座锁定接片22710运动成不与砧座安装部分22410上的锁定凸耳22413阻挡对准,以允许砧座22400枢转为闭合。当外科钉仓22600从通道22310移除时,弹簧22730将砧座锁22702朝远侧偏压回到锁定位置。图35示出了形成在仓体22602的近侧端部部分22604的右侧上的砧座解锁特征部22630的波状近侧端部22632和砧座锁22702的致动接片22712上的匹配波状表面22714,使得仓22600即使在仓相对于端部执行器22300的中心轴线EA以安装角度IA安装时也能够促进解锁特征部22630和致动接片22712之间的解锁交接。参见图35。In at least one arrangement, a spring or biasing member 22730 (leaf spring, coil spring, etc.) may be attached to or mounted within the channel 22310 and configured to bias the anvil lock 22702 in the distal direction DD Press into the locked position where the anvil locking tabs 22710 thereon block alignment with the locking lugs 22413 on the anvil mounting portion 22410 to prevent the anvil 22400 from closing. When the correct or compatible surgical staple cartridge 22600 is operably loaded into the channel 22310, the anvil unlocking features or tabs 22630 are brought into engagement with the contoured surfaces 22714 on the actuation tabs 22712 of the anvil lock 22702. The surgical staple cartridge 22600 is then moved proximally to seat the cartridge 22600 within the channel 22310. As the surgical staple cartridge 22600 is moved proximally, the anvil unlock feature 22630 contacts the actuation tabs 22712 of the anvil lock 22702 and biases the anvil lock 22702 proximally to an unlocked position where the Anvil locking tabs 22710 move out of blocking alignment with locking lugs 22413 on anvil mounting portion 22410 to allow anvil 22400 to pivot closed. When the surgical staple cartridge 22600 is removed from the channel 22310, the spring 22730 biases the anvil lock 22702 distally back to the locked position. 35 shows the contoured proximal end 22632 of the anvil unlock feature 22630 formed on the right side of the proximal end portion 22604 of the cartridge body 22602 and the matching contours on the actuation tabs 22712 of the anvil lock 22702 The surface 22714 enables the cartridge 22600 to facilitate the unlocking interface between the unlocking feature 22630 and the actuation tab 22712 even when the cartridge is mounted at a mounting angle IA relative to the central axis EA of the end effector 22300. See Figure 35.

图36示出了试图使用不兼容仓22600X,该仓缺少将砧座锁22702从锁定位置运动到解锁位置的解锁特征部。如在图36中可见,闭锁接片22710与砧座22400上的锁定凸耳22413阻挡对准,从而甚至在仓22600X已安置在通道22310中之后也防止砧座22400闭合。Figure 36 shows an attempt to use an incompatible cartridge 22600X that lacks the unlocking feature to move the anvil lock 22702 from the locked position to the unlocked position. As can be seen in FIG. 36, the locking tabs 22710 block alignment with the locking lugs 22413 on the anvil 22400, preventing the anvil 22400 from closing even after the cartridge 22600X has been seated in the channel 22310.

图37示出了,除了所指出的差异之外,另一个外科端部执行器22300’与上述外科端部执行器22300基本上相同。端部执行器22300’被构造成能够可操作地支撑钉仓22600’,该钉仓与仓20600基本上相同并且包括具有波状近侧端部表面22632’的砧座解锁特征部或接片22630’。在例示的示例中,砧座锁22702’包括细长主体部分22706’,该细长主体部分具有砧座锁定接片22710’,该砧座锁定接片形成在其近侧端部22711’上并且被构造成能够与形成在砧座22400的砧座安装部分22410上的锁定凸耳22413’锁定地交接。砧座锁22702’的远侧端部22712’包括形成于其中的波状致动表面22714’,该波状致动表面被构造成能够以上述方式与砧座解锁特征部22630’上的波状近侧端部表面22632’基本上匹配或配合。弹簧或偏压构件22730’(片簧、卷簧等)可附接到通道22310’或安装在该通道内,并且被构造成能够将砧座锁22702’沿远侧方向DD偏压到锁定位置,在锁定位置,其上的砧座锁定接片22710’与砧座安装部分22410上的锁定凸耳22413’阻挡对准,以防止砧座22400闭合。Figure 37 shows that another surgical end effector 22300' is substantially identical to the surgical end effector 22300 described above, except for the noted differences. The end effector 22300' is configured to operably support a staple cartridge 22600' that is substantially identical to the cartridge 20600 and includes an anvil unlocking feature or tab 22630' having a contoured proximal end surface 22632' . In the illustrated example, the anvil lock 22702' includes an elongated body portion 22706' having an anvil locking tab 22710' formed on its proximal end 22711' and is configured to lockingly interface with locking lugs 22413' formed on the anvil mounting portion 22410 of the anvil 22400. The distal end 22712' of the anvil lock 22702' includes a contoured actuation surface 22714' formed therein that is configured to interact with the contoured proximal end on the anvil unlock feature 22630' in the manner described above The top surface 22632' substantially mates or fits. A spring or biasing member 22730' (leaf spring, coil spring, etc.) may be attached to or mounted within the channel 22310' and configured to bias the anvil lock 22702' to the locked position in the distal direction DD , in the locked position, the anvil locking tabs 22710' thereon are in blocking alignment with the locking lugs 22413' on the anvil mounting portion 22410 to prevent the anvil 22400 from closing.

当将正确的或兼容的外科钉仓22600’可操作地装载到通道22310’中时,使砧座解锁特征部或接片22630’与砧座锁22702’的波状表面22714’接合。然后仓22600’沿近侧方向PD朝近侧运动,以将仓22600’安置在通道22310’内。当仓22600’朝近侧运动时,砧座解锁特征部22630’接触砧座锁22702’的远侧端部并且将砧座锁22702’朝近侧偏压到解锁位置,在解锁位置,其上的砧座锁定接片22710’运动成不与砧座安装部分22410上的锁定凸耳22413’阻挡对准,以允许砧座22400枢转为闭合。当仓22600’从通道22310’移除时,弹簧22730’将砧座锁22702’朝远侧偏压回到锁定位置。如在图37中可见,当与上述砧座锁22702相比时,砧座锁22702’具有更稳固的主体部分22706’。在至少一个示例中,间隙凹口22709’设置在主体部分22706’中,以在砧座22400枢转到闭合位置时为锁定凸耳22413’提供足够的间隙。此外,通道止挡件22313’形成在通道22310’的底部22312’上,并且被构造用于在砧座锁22702’处于解锁位置时与砧座锁22702’的近侧端部22711’接触,以防止砧座锁22702’进一步朝近侧运动,从而确保锁定凸耳22413’在砧座22400闭合期间保持与砧座锁22702’中的间隙凹口22709’对准。When the correct or compatible surgical staple cartridge 22600' is operably loaded into the channel 22310', the anvil unlocking feature or tab 22630' is brought into engagement with the contoured surface 22714' of the anvil lock 22702'. Cartridge 22600' is then moved proximally in proximal direction PD to seat cartridge 22600' within channel 22310'. When the cartridge 22600' is moved proximally, the anvil unlock feature 22630' contacts the distal end of the anvil lock 22702' and biases the anvil lock 22702' proximally to the unlocked position, where it rests on the The anvil locking tab 22710' moves out of blocking alignment with the locking lugs 22413' on the anvil mounting portion 22410 to allow the anvil 22400 to pivot closed. When the cartridge 22600' is removed from the channel 22310', the spring 22730' biases the anvil lock 22702' distally back to the locked position. As can be seen in Figure 37, the anvil lock 22702' has a more stable body portion 22706' when compared to the anvil lock 22702 described above. In at least one example, clearance notches 22709' are provided in the body portion 22706' to provide sufficient clearance for the locking lugs 22413' when the anvil 22400 is pivoted to the closed position. Additionally, a channel stop 22313' is formed on the bottom 22312' of the channel 22310' and is configured to contact the proximal end 22711' of the anvil lock 22702' when the anvil lock 22702' is in the unlocked position to Further proximal movement of the anvil lock 22702' is prevented, thereby ensuring that the locking lugs 22413' remain aligned with the clearance notches 22709' in the anvil lock 22702' during closure of the anvil 22400.

图38示出了,除了所指出的差异之外,另一个外科端部执行器22300”与上述外科端部执行器22300基本上相同。端部执行器22300”包括细长通道22310”,该细长通道包括枢转地支撑在其上的砧座22400”。通道22310”被构造成能够可操作地支撑与砧座22400”的钉成形下表面兼容的外科钉仓22600,并且采用被构造成能够防止砧座22400”闭合的砧座锁定系统22700”,除非外科钉仓22600已可操作地安装在端部执行器22300”中。在例示的示例中,砧座锁定系统22700”包括砧座锁22702”,该砧座锁包括主体部分22706”,该主体部分具有高于主体22706”的近侧部分的远侧端部部分22712”。当砧座锁22702”处于其最远侧锁定位置时,砧座22400”的一部分接触较高的远侧端部部分22712”以防止砧座22400”闭合。砧座锁22702”的远侧端部部分22712”包括波状致动表面22714”,该波状致动表面被构造成能够以上述方式与形成在仓22600上的砧座解锁特征部22630上的波状近侧端部表面22632基本上匹配或配合。弹簧或偏压构件22730”(片簧、卷簧等)可附接到通道22310”或安装在该通道内,并且被构造成能够将砧座锁22702”沿远侧方向DD偏压到锁定位置,在锁定位置,远侧端部部分22712”与砧座22400”的对应部分阻挡对准,以防止砧座22400”闭合。Figure 38 shows that another surgical end effector 22300" is substantially identical to the surgical end effector 22300 described above, except for the differences noted. The end effector 22300" includes an elongated channel 22310" that is The long channel includes an anvil 22400" pivotally supported thereon. Channel 22310" is configured to operably support a surgical staple cartridge 22600 compatible with the staple forming lower surface of anvil 22400" and employs anvil locking system 22700" configured to prevent closure of anvil 22400" unless surgical The staple cartridge 22600 has been operably mounted in the end effector 22300". In the illustrated example, the anvil locking system 22700" includes an anvil lock 22702" that includes a body portion 22706" having a The distal end portion 22712" is higher than the proximal portion of the body 22706". When the anvil lock 22702" is in its distal most locking position, a portion of the anvil 22400" contacts the higher distal end portion 22712" to prevent the anvil 22400" from closing. The distal end portion 22712" of the anvil lock 22702" includes a contoured actuation surface 22714" configured to approximate the contours of the anvil unlock feature 22630 formed on the cartridge 22600 in the manner described above. The side end surfaces 22632 are substantially mated or mated. A spring or biasing member 22730" (leaf spring, coil spring, etc.) may be attached to or mounted within the channel 22310" and configured to lock the anvil lock 22702 " is biased in the distal direction DD to a locked position in which the distal end portion 22712" is in blocking alignment with a corresponding portion of the anvil 22400" to prevent the anvil 22400" from closing.

当将正确的或兼容的外科钉仓22600可操作地装载到通道22310”中时,使仓22600上的砧座解锁特征部22630与砧座锁22702”的远侧端部22712”上的波状表面22714”接合。然后仓22600朝近侧运动以将仓22600安置在通道22310”内。当仓22600朝近侧运动时,砧座解锁特征部22630接触砧座锁22702”的远侧端部22712”并且将砧座锁22702”朝近侧偏压到解锁位置,在解锁位置,远侧端部部分22712”运动成不与砧座22400”的对应部分阻挡对准,以允许砧座22400”枢转到闭合位置。当仓22600从通道22310”移除时,弹簧22730”将砧座锁22702”朝远侧偏压回到锁定位置。还如在图38中可见,通道止挡件22313”形成在通道22310”的底部22312”上并且被构造用于与砧座锁22702”的近侧端部22711”接触以防止仓22600朝近侧插入到端部执行器22300”中太远。When the correct or compatible surgical staple cartridge 22600 is operably loaded into the channel 22310", the anvil unlock feature 22630 on the cartridge 22600 and the contoured surface on the distal end 22712" of the anvil lock 22702" 22714" engaged. The cartridge 22600 is then moved proximally to seat the cartridge 22600 within the channel 22310". As the cartridge 22600 is moved proximally, the anvil unlock feature 22630 contacts the distal end 22712" of the anvil lock 22702" and displaces the anvil Lock 22702" is biased proximally to an unlocked position where distal end portion 22712" moves out of blocking alignment with a corresponding portion of anvil 22400" to allow anvil 22400" to pivot to a closed position. When the cartridge 22600 is removed from the channel 22310", the spring 22730" biases the anvil lock 22702" distally back to the locked position. As can also be seen in Figure 38, a channel stop 22313" is formed on the bottom 22312" of the channel 22310" and is configured for contact with the proximal end 22711" of the anvil lock 22702" to prevent the cartridge 22600 from facing proximally Inserted too far into end effector 22300".

图39和图40示出了另一个外科端部执行器23300,除了下文指出的各种差异之外,该外科端部执行器类似于本文所述的其他外科端部执行器。端部执行器23300包括细长通道23310,该细长通道包括枢转地支撑在其上的砧座23400。通道23310被构造成能够可操作地支撑与砧座23400的钉成形下表面兼容的外科钉仓22600,并且采用被构造成能够防止砧座23400闭合的砧座锁定系统23700,除非仓22600已可操作地安装在端部执行器23300中。在例示的示例中,砧座锁定系统23700包括砧座锁23702,该砧座锁包括具有远侧端部部分23712的主体部分23706。砧座锁23702的远侧端部部分23712包括波状致动表面23714,该波状致动表面被构造成能够以上述方式与形成在仓22600上的砧座解锁特征部22630上的波状近侧端部表面22632基本上匹配或配合。弹簧或偏压构件23730安装在通道23310内并且被构造成能够将砧座锁23702沿远侧方向DD偏压到“锁定”位置。Figures 39 and 40 illustrate another surgical end effector 23300 that is similar to other surgical end effectors described herein, except for various differences noted below. The end effector 23300 includes an elongated channel 23310 that includes an anvil 23400 pivotally supported thereon. The channel 23310 is configured to operably support a surgical staple cartridge 22600 compatible with the staple forming lower surface of the anvil 23400 and employs an anvil locking system 23700 configured to prevent the anvil 23400 from closing unless the cartridge 22600 is already operable installed in the end effector 23300. In the illustrated example, the anvil locking system 23700 includes an anvil lock 23702 that includes a body portion 23706 having a distal end portion 23712. The distal end portion 23712 of the anvil lock 23702 includes a contoured actuation surface 23714 configured to engage the contoured proximal end on the anvil unlock feature 22630 formed on the cartridge 22600 in the manner described above Surface 22632 substantially mates or fits. A spring or biasing member 23730 is mounted within the channel 23310 and is configured to bias the anvil lock 23702 to a "locked" position in the distal direction DD.

在例示的示例中,砧座23400包括细长砧座主体23402和砧座安装部分23410,该砧座安装部分被构造成能够以上述方式与端部执行器闭合管3050(图5)交接。砧座23400通过一对侧向延伸的耳轴形成部23412枢转地安装在细长通道22310上,这些耳轴形成部被接收在形成于通道23310的直立侧壁中的对应耳轴狭槽23320中。至少一个耳轴形成部23412包括侧向突起的致动器凸角23414,该侧向突起的致动器凸角限定致动器凸缘23416。耳轴销23418从致动器凸角23414向外突起,并且定尺寸成在对应的耳轴狭槽23320内平移和枢转。In the illustrated example, anvil 23400 includes an elongated anvil body 23402 and an anvil mounting portion 23410 configured to interface with end effector closure tube 3050 (FIG. 5) in the manner described above. Anvil 23400 is pivotally mounted on elongated channel 22310 by a pair of laterally extending trunnion forming portions 23412 that are received in corresponding trunnion slots 23320 formed in the upstanding side walls of channel 23310 middle. At least one trunnion-forming portion 23412 includes a laterally projecting actuator lobe 23414 that defines an actuator flange 23416. Trunnion pins 23418 project outwardly from actuator lobes 23414 and are sized to translate and pivot within corresponding trunnion slots 23320.

如在图39中可见,至少一个耳轴狭槽23320包括弓形致动部分23322和形成在耳轴狭槽23320的近侧端部23321处的锁定偏移部分23324。图39示出了将仓22600插入细长通道23310中。为了将仓22600安装到细长通道23310中,首先将砧座23400运动到打开位置。这可通过致动闭合系统以使端部执行器闭合管3050(图5)沿近侧方向PD运动来实现。当闭合管3050朝近侧运动时,其与形成在砧座安装部分23410上的打开接片23411交接。当闭合管3050与砧座安装部分23410交接时,砧座23400朝近侧平移并开始枢转打开,这导致耳轴形成部23412在砧座23400到达其完全打开位置时向下平移对应耳轴狭槽23320的弓形致动部分23322并进入耳轴狭槽23320的近侧端部23321。As can be seen in FIG. 39 , the at least one trunnion slot 23320 includes an arcuate actuation portion 23322 and a locking offset portion 23324 formed at a proximal end 23321 of the trunnion slot 23320 . FIG. 39 shows the insertion of the cartridge 22600 into the elongated channel 23310. To install the cartridge 22600 into the elongated channel 23310, the anvil 23400 is first moved to the open position. This can be accomplished by actuating the closure system to move the end effector closure tube 3050 (FIG. 5) in the proximal direction PD. As the closure tube 3050 moves proximally, it interfaces with the opening tabs 23411 formed on the anvil mounting portion 23410. When the closure tube 3050 interfaces with the anvil mounting portion 23410, the anvil 23400 translates proximally and begins to pivot open, which causes the trunnion forming portion 23412 to translate downwardly corresponding to the trunnion slit when the anvil 23400 reaches its fully open position The arcuate actuation portion 23322 of the slot 23320 enters the proximal end 23321 of the trunnion slot 23320.

在将正确的或兼容的外科钉仓22600安装到通道23310中期间,使砧座解锁特征部或接片22630与砧座锁23702的远侧端部23712上的波状表面23714接合。然后仓22600朝近侧运动以将仓22600安置在通道22310内。当仓22600朝近侧运动时,砧座解锁特征部22630接触砧座锁23702的远侧端部23712并且将砧座锁23702朝近侧偏压解锁距离UD,以使砧座锁主体23706的近侧端部23710与至少一个耳轴形成部23412上的致动器凸角23414接合,以将耳轴形成部23412运动到一位置,在该位置,当向砧座安装部分23410施加闭合动作时,耳轴形成部23412可沿对应耳轴狭槽23320的弓形致动部分23322向上平移。换句话讲,砧座锁23702的近侧端部23710防止耳轴形成部23412进入在耳轴狭槽23320的近侧端部23321处形成的锁定偏移部分23324,以使耳轴形成部23412能够前进到耳轴狭槽23320的弓形致动部分23322中。During installation of the correct or compatible surgical staple cartridge 22600 into the channel 23310, the anvil unlocking feature or tab 22630 is brought into engagement with the contoured surface 23714 on the distal end 23712 of the anvil lock 23702. The cartridge 22600 is then moved proximally to seat the cartridge 22600 within the channel 22310. When the cartridge 22600 is moved proximally, the anvil unlocking feature 22630 contacts the distal end 23712 of the anvil lock 23702 and biases the anvil lock 23702 proximally by the unlocking distance UD to close the anvil lock body 23706 proximally. The side end 23710 engages an actuator lobe 23414 on the at least one trunnion forming portion 23412 to move the trunnion forming portion 23412 to a position in which, when a closing action is applied to the anvil mounting portion 23410, The trunnion forming portion 23412 can translate upwardly along the arcuate actuation portion 23322 of the corresponding trunnion slot 23320. In other words, the proximal end 23710 of the anvil lock 23702 prevents the trunnion forming portion 23412 from entering the locking offset portion 23324 formed at the proximal end 23321 of the trunnion slot 23320 to allow the trunnion forming portion 23412 The arcuate actuation portion 23322 of the trunnion slot 23320 can be advanced.

图40示出了试图插入不兼容仓22600X,该仓缺少使砧座锁23702运动出远侧锁定位置的必要解锁特征部或接片22630。然而,如果使用者将不兼容仓22600X安置在通道23310中并且随后试图闭合砧座23400,则砧座锁定系统23700将防止砧座23400的闭合。例如,为了闭合砧座23400,闭合系统被启动以使闭合管(或其他闭合构件)朝远侧运动成与砧座23400的砧座安装部分23410可操作地接触,从而对其施加闭合动作。对砧座安装部分23410的闭合动作的初始施加导致砧座安装部分23410向下运动(图40中的箭头DL),这导致砧座耳轴形成部23412进入形成在耳轴狭槽23320中的锁定偏移部分23324。因此,在向砧座23400施加闭合动作期间,砧座耳轴形成部23412不能平移到对应耳轴狭槽23320的弓形致动部分23322中,然后防止砧座23400闭合。Figure 40 shows an attempt to insert an incompatible cartridge 22600X that lacks the necessary unlocking features or tabs 22630 to move the anvil lock 23702 out of the distal locked position. However, if the user places the incompatible cartridge 22600X in the channel 23310 and then attempts to close the anvil 23400, the anvil locking system 23700 will prevent the closure of the anvil 23400. For example, to close the anvil 23400, the closure system is activated to move the closure tube (or other closure member) distally into operative contact with the anvil mounting portion 23410 of the anvil 23400, thereby imparting a closing action thereto. Initial application of the closing action of the anvil mounting portion 23410 causes the anvil mounting portion 23410 to move downward (arrow DL in FIG. 40 ), which causes the anvil trunnion forming portion 23412 to enter the lock formed in the trunnion slot 23320 Offset section 23324. Thus, during application of a closing action to the anvil 23400, the anvil trunnion-forming portion 23412 cannot translate into the arcuate actuation portion 23322 of the corresponding trunnion slot 23320 and then prevent the anvil 23400 from closing.

图41示出了包括砧座安装部分23410’的另选砧座23400’的一部分,该砧座安装部分具有形成于其上的耳轴形成部23412’。每个耳轴形成部23412’包括侧向突起的致动器凸角23414’,该侧向突起的致动器凸角限定被构造成能够以上述方式与砧座锁定系统23700交接的致动器凸缘23416’。如在图41中可见,致动器凸缘23416’从砧座安装部分23410’的底部表面23415’竖直偏移(距离OD)。耳轴销23418’从致动器凸角23414’向外突起,并且定尺寸成在对应的耳轴狭槽23320内平移和枢转。在该示例中,耳轴销23418’具有约等于致动器凸角23414’的宽度LW的耳轴销直径TRD。Figure 41 shows a portion of an alternative anvil 23400' that includes an anvil mounting portion 23410' having a trunnion-forming portion 23412' formed thereon. Each trunnion forming portion 23412' includes a laterally projecting actuator lobe 23414' that defines an actuator configured to interface with the anvil locking system 23700 in the manner described above Flange 23416'. As can be seen in Figure 41, the actuator flange 23416' is vertically offset (distance OD) from the bottom surface 23415' of the anvil mounting portion 23410'. Trunnion pins 23418' project outwardly from actuator lobes 23414' and are sized to translate and pivot within corresponding trunnion slots 23320. In this example, the trunnion pin 23418' has a trunnion pin diameter TRD approximately equal to the width LW of the actuator lobe 23414'.

图42示出了包括砧座安装部分23410”的另选砧座23400”的一部分,该砧座安装部分具有形成于其上的耳轴形成部23412”。每个耳轴形成部23412”包括侧向突起的致动器凸角23414”,该侧向突起的致动器凸角限定被构造成能够以上述方式与砧座锁定系统23700交接的致动器凸缘23416”。如在图42中可见,致动器凸缘23416”与砧座安装部分23410”的底部边缘23415”共延(例如,不偏移)。耳轴销23418”从致动器凸角23414”向外突起,并且定尺寸成在对应的耳轴狭槽23320内平移和枢转。在该示例中,耳轴销23418”具有约等于致动器凸角23414’的宽度LW’的耳轴销直径TRD’。42 shows a portion of an alternative anvil 23400" that includes an anvil mounting portion 23410" having trunnion forming portions 23412" formed thereon. Each trunnion forming portion 23412" includes a side The laterally protruding actuator lobes 23414" define actuator flanges 23416" that are configured to interface with the anvil locking system 23700 in the manner described above. As can be seen in Figure 42, the actuator flange 23416" is coextensive (eg, not offset) with the bottom edge 23415" of the anvil mounting portion 23410". The trunnion pin 23418" extends from the actuator lobe 23414" to the The trunnion pin 23418" has a trunnion pin diameter approximately equal to the width LW' of the actuator lobe 23414' in this example. TRD'.

图43为包括枢转地支撑在细长通道24310上的砧座24400的外科端部执行器24100的局部剖面端部正视图。砧座24400包括砧座安装部分24410,该砧座安装部分具有形成于其上的耳轴形成部24412。每个耳轴形成部24412包括侧向突起的致动器凸角24414,该侧向突起的致动器凸角限定被构造成能够以上述方式与砧座锁定系统24700交接的底部凸角表面24416。如在图44中可见,底部凸角表面24416从砧座安装部分24410的底部表面24415竖直偏移(距离OD1)。耳轴销24418从致动器凸角24414向外突起,并且定尺寸成在形成于细长通道24310中的对应耳轴狭槽24320内平移和枢转。在该示例中,耳轴销24418具有约等于致动器凸角24414的宽度LW1的耳轴销直径TRD143 is a partial cutaway end elevation view of a surgical end effector 24100 including an anvil 24400 pivotally supported on an elongated channel 24310. Anvil 24400 includes an anvil mounting portion 24410 having trunnion-forming portions 24412 formed thereon. Each trunnion forming portion 24412 includes a laterally projecting actuator lobe 24414 that defines a bottom lobe surface 24416 configured to interface with the anvil locking system 24700 in the manner described above . As can be seen in FIG. 44 , the bottom lobe surface 24416 is vertically offset (distance OD 1 ) from the bottom surface 24415 of the anvil mounting portion 24410 . Trunnion pins 24418 project outwardly from actuator lobes 24414 and are sized to translate and pivot within corresponding trunnion slots 24320 formed in elongated channel 24310. In this example, the trunnion pin 24418 has a trunnion pin diameter TRD 1 approximately equal to the width LW 1 of the actuator lobe 24414 .

通道20310包括通道底部24312和一对直立侧壁24314。通道24310可通过通道安装特征部20340联接到细长轴组件1200(图5),该通道安装特征部可有利于其围绕关节运动接头3020(图5)进行关节运动。图45示出了通道24310的近侧端部24316的一部分。在一个示例中,每个通道壁24314具有形成于其中的耳轴狭槽24320。在例示的布置中,凸角凸缘24340形成在每个通道壁24314中,使得凸角凸缘24340的顶部表面24342与对应耳轴狭槽24320的底部表面24321共延。每个耳轴24418被接收在对应的耳轴狭槽24320内并且在其中自由旋转和平移。Channel 20310 includes a channel bottom 24312 and a pair of upstanding side walls 24314. Channel 24310 may be coupled to elongated shaft assembly 1200 (FIG. 5) by channel mounting features 20340, which may facilitate its articulation about articulation joint 3020 (FIG. 5). FIG. 45 shows a portion of the proximal end 24316 of the channel 24310. In one example, each channel wall 24314 has a trunnion slot 24320 formed therein. In the illustrated arrangement, a lobe flange 24340 is formed in each channel wall 24314 such that the top surface 24342 of the lobe flange 24340 is coextensive with the bottom surface 24321 of the corresponding trunnion slot 24320. Each trunnion 24418 is received within a corresponding trunnion slot 24320 and is free to rotate and translate therein.

仍然参见图45,示出了砧座锁定系统24700的砧座锁24702的一部分。砧座锁24702以与上述砧座锁20702相同的方式操作,并且包括闭锁主体24706,该闭锁主体具有形成在其远侧端部上的致动器接片(未示出),该致动器接片被构造成能够由从兼容仓朝近侧突起的解锁特征部接触。砧座锁24702可由弹簧钢或其他合适的金属制成并且包括近侧偏压臂24704,该近侧偏压臂可被构造成能够安置在横向弹簧安装狭槽(未示出)中,该横向弹簧安装狭槽设置在通道安装特征部(未示出)的主体部分中。砧座锁24702还包括从其突起的向上延伸的砧座闭锁接片24710,该砧座闭锁接片被构造成能够在对应的凸角凸缘24340上方延伸并且接触对应的凸角24414,如将在下文描述。Still referring to Fig. 45, a portion of the anvil lock 24702 of the anvil locking system 24700 is shown. Anvil lock 24702 operates in the same manner as anvil lock 20702 described above, and includes a latch body 24706 having an actuator tab (not shown) formed on its distal end, the actuator The tabs are configured to be contactable by unlocking features that protrude proximally from the compatible compartment. Anvil lock 24702 may be made of spring steel or other suitable metal and include proximal biasing arms 24704 that may be configured to seat in transverse spring mounting slots (not shown) that transverse A spring mounting slot is provided in the body portion of the channel mounting feature (not shown). Anvil lock 24702 also includes upwardly extending anvil lock tabs 24710 projecting therefrom that are configured to extend over corresponding lobe flanges 24340 and contact corresponding lobes 24414, as will described below.

图45和图46示出了处于锁定位置的砧座锁24702,在锁定位置,砧座24400枢转到打开位置。这可在没有仓已插入到通道24310中或不兼容仓(例如,除了别的以外,缺少将砧座锁定弹簧朝近侧偏压所必需的正确砧座解锁特征部的仓)已插入到通道24310中时发生。当砧座锁24702处于图45和图46所示的远侧锁定位置时,如果使用者无意中试图闭合砧座24400,则对应的凸角24414将接触砧座闭锁接片24710并防止砧座24400枢转到闭合位置。图47和图48示出了处于近侧解锁位置的砧座锁24702的位置,在近侧解锁位置,砧座闭锁接片24710定位在凸角24414的近侧,以允许凸角24414枢转到闭合位置。Figures 45 and 46 show the anvil lock 24702 in the locked position where the anvil 24400 is pivoted to the open position. This can be done when no cartridge has been inserted into the channel 24310 or an incompatible cartridge (eg, a cartridge that lacks the correct anvil unlocking feature necessary to bias the anvil locking spring proximally, among other things) has been inserted into the channel 24310 when it happens. When the anvil lock 24702 is in the distal locking position shown in FIGS. 45 and 46 , if the user inadvertently attempts to close the anvil 24400 , the corresponding lobes 24414 will contact the anvil locking tabs 24710 and prevent the anvil 24400 Pivot to closed position. Figures 47 and 48 show the position of the anvil lock 24702 in the proximal unlocked position where the anvil lock tab 24710 is positioned proximal of the lobe 24414 to allow the lobe 24414 to pivot to closed position.

图49为包括枢转地支撑在细长通道24310’上的砧座24400’的外科端部执行器24100’的局部剖面端部正视图。砧座24400’包括砧座安装部分24410’,该砧座安装部分具有形成于其上的耳轴形成部24412’。每个耳轴形成部24412’包括侧向突起的致动器凸角24414’,该侧向突起的致动器凸角限定被构造成能够以上述方式与砧座锁定系统24700’交接的底部凸角表面24416’。如在图50中可见,底部凸角表面24416’从砧座安装部分24410’的底部表面24415’共延。耳轴销24418’从致动器凸角24414’向外突起,并且定尺寸成在形成于细长通道24310’中的对应耳轴狭槽24320’内平移和枢转。在该示例中,耳轴销24418’具有小于致动器凸角24414’的宽度LW2的耳轴销直径TRD249 is a partial cutaway end elevation view of a surgical end effector 24100' including an anvil 24400' pivotally supported on an elongated channel 24310'. Anvil 24400' includes an anvil mounting portion 24410' having trunnion forming portions 24412' formed thereon. Each trunnion forming portion 24412' includes a laterally projecting actuator lobe 24414' that defines a bottom lobe configured to interface with the anvil locking system 24700' in the manner described above Corner surface 24416'. As can be seen in Figure 50, the bottom lobe surface 24416' is coextensive from the bottom surface 24415' of the anvil mounting portion 24410'. Trunnion pins 24418' project outwardly from actuator lobes 24414' and are sized to translate and pivot within corresponding trunnion slots 24320' formed in elongated channel 24310'. In this example, the trunnion pin 24418' has a trunnion pin diameter TRD2 that is less than the width LW2 of the actuator lobe 24414 '.

通道20310’包括通道底部24312’和一对直立侧壁24314’。通道24310’可通过通道安装特征部20340联接到细长轴组件1200(图5),该通道安装特征部可有利于其围绕关节运动接头3020(图5)进行关节运动。图51示出了通道24310’的近侧端部24316’的一部分。在一个示例中,每个通道壁24314’具有形成于其中的耳轴狭槽24320’。在例示的布置中,凸角凸缘24340’形成在每个通道壁24314’中,使得凸角凸缘24340’的顶部表面24342’从对应耳轴狭槽24320’的底部表面24321’竖直偏移偏移距离OSD。偏移距离OSD可约等于耳轴销24418’和底部凸角表面24416’之间的距离TSD。参见图50。每个耳轴销24418’被接收在对应的耳轴狭槽24320’内并且在其中自由旋转和平移。Channel 20310' includes a channel bottom 24312' and a pair of upstanding side walls 24314'. Channel 24310' may be coupled to elongated shaft assembly 1200 (FIG. 5) by channel mounting features 20340 that may facilitate its articulation about articulation joint 3020 (FIG. 5). Figure 51 shows a portion of the proximal end 24316' of the channel 24310'. In one example, each channel wall 24314' has a trunnion slot 24320' formed therein. In the illustrated arrangement, a lobe flange 24340' is formed in each channel wall 24314' such that the top surface 24342' of the lobe flange 24340' is vertically offset from the bottom surface 24321' of the corresponding trunnion slot 24320' Move the offset distance OSD. The offset distance OSD may be approximately equal to the distance TSD between the trunnion pin 24418' and the bottom lobe surface 24416'. See Figure 50. Each trunnion pin 24418' is received within a corresponding trunnion slot 24320' and is free to rotate and translate therein.

仍然参见图51,示出了砧座锁定系统24700’的砧座锁24702’的一部分。砧座锁24702’以与上述砧座锁20702相同的方式操作,并且包括闭锁主体24706’,该闭锁主体具有形成在其远侧端部上的致动器接片(未示出),该致动器接片被构造成能够由从兼容仓朝近侧突起的解锁特征部接触。砧座锁24702’可由弹簧钢或其他合适的金属制成并且包括近侧偏压臂24704’,该近侧偏压臂可被构造成能够安置在横向弹簧安装狭槽(未示出)中,该横向弹簧安装狭槽设置在通道安装特征部(未示出)的主体部分中。砧座锁24702’还包括从其突起的向上延伸的砧座闭锁接片24710’,该砧座闭锁接片被构造成能够在对应的凸角凸缘24340’上方延伸并且接触对应的凸角24414’,如在上文描述。Still referring to Figure 51, a portion of anvil lock 24702' of anvil lock system 24700' is shown. Anvil lock 24702' operates in the same manner as anvil lock 20702 described above, and includes a latch body 24706' having an actuator tab (not shown) formed on its distal end that causes The actuator tabs are configured to be contactable by unlocking features that protrude proximally from the compatible compartment. Anvil lock 24702' can be made of spring steel or other suitable metal and includes proximal biasing arms 24704' that can be configured to be seated in transverse spring mounting slots (not shown), The transverse spring mounting slot is provided in the body portion of the channel mounting feature (not shown). Anvil lock 24702' also includes upwardly extending anvil lock tabs 24710' projecting therefrom that are configured to extend over corresponding lobe flanges 24340' and contact corresponding lobes 24414 ', as described above.

图51示出了处于锁定位置的砧座锁24702’,其中砧座24400枢转到打开位置。这可在没有仓已插入到通道中或不兼容仓(例如,除了别的以外,缺少将砧座锁定弹簧朝近侧偏压所必需的正确砧座解锁特征部的仓)已插入到通道24310’中时发生。当砧座锁24702’处于图45所示的远侧锁定位置时,如果使用者无意中试图闭合砧座24400’,则对应的凸角24414’将接触砧座闭锁接片24710’并防止砧座24400’枢转到闭合位置。一旦兼容外科钉仓已装载到端部执行器24100’中,砧座锁24702’将被偏压到解锁位置(参见,例如图47),并且砧座24400’将自由枢转到闭合位置。Figure 51 shows the anvil lock 24702' in the locked position with the anvil 24400 pivoted to the open position. This can be done when no cartridge has been inserted into the channel or an incompatible cartridge (eg, a cartridge lacking the correct anvil unlocking feature necessary to bias the anvil locking spring proximally, among other things) has been inserted into the channel 24310 ' occurs in the middle. When the anvil lock 24702' is in the distal locking position shown in Figure 45, if the user inadvertently attempts to close the anvil 24400', the corresponding lobes 24414' will contact the anvil locking tabs 24710' and prevent the anvil 24400' pivots to closed position. Once a compatible surgical staple cartridge has been loaded into the end effector 24100', the anvil lock 24702' will be biased to the unlocked position (see, e.g., Figure 47), and the anvil 24400' will be free to pivot to the closed position.

图52示出了包括枢转地支撑在细长通道24310”上的砧座24400”的外科端部执行器24100”的一部分。砧座24400”包括砧座安装部分24410”,该砧座安装部分具有形成于其上的耳轴形成部24412”。如在图53和图54中可见,每个耳轴形成部24412”包括侧向突起的致动器凸角24414”,该侧向突起的致动器凸角限定被构造成能够以上述方式与砧座锁定系统24700”交接的底部凸角表面24416”。如在图53中可见,致动器凸角24414”以及致动器凸角24414”的底部凸角表面24416”相对于端部执行器轴线EA以及砧座安装部分24410”的底部边缘24419”和/或通道24310”的底部24312”成角度定位。如在图53中进一步可见,底部凸角表面24416”平行于凸角轴线LBA,该凸角轴线相对于端部执行器轴线EA成凸角角度LA定位。耳轴销24418”从致动器凸角24414”向外突起,并且定尺寸成在形成于细长通道24310”中的对应耳轴狭槽24320”内平移和枢转。参见图55。在该示例中,耳轴销24418”具有等于致动器凸角24414”的宽度LW3的耳轴销直径TRD352 shows a portion of a surgical end effector 24100" that includes an anvil 24400" pivotally supported on an elongated channel 24310". Anvil 24400" includes an anvil mounting portion 24410" that Has a trunnion forming portion 24412" formed thereon. As can be seen in Figures 53 and 54, each trunnion forming portion 24412" includes a laterally projecting actuator lobe 24414" that defines a laterally projecting actuator lobe that is configured to interact with the Anvil locking system 24700" meets bottom lobe surface 24416". As can be seen in Figure 53, the actuator lobe 24414" and the bottom lobe surface 24416" of the actuator lobe 24414" are relative to the end effector axis EA and the bottom edge 24419" of the anvil mounting portion 24410" and 53, the bottom lobe surface 24416" is parallel to the lobe axis LBA, which is at a lobe angle relative to the end effector axis EA LA positioning. Trunnion pins 24418" project outwardly from actuator lobes 24414" and are sized to translate and pivot within corresponding trunnion slots 24320" formed in elongated channel 24310". See Figure 55. In this example, the trunnion pin 24418" has a trunnion pin diameter TRD3 equal to the width LW3 of the actuator lobe 24414 ".

参见图55,通道24310”包括通道底部24312”和一对直立侧壁24314”。通道24310”可通过通道安装特征部20340联接到细长轴组件1200(图5),该通道安装特征部可有利于其以本文所述的各种方式围绕关节运动接头3020(图5)进行关节运动。图55示出了通道24310”的近侧端部24316”的一部分。在一个示例中,每个通道壁24314”具有形成于其中的耳轴狭槽24320”。在例示的布置中,凸角凸缘24340”形成在每个通道壁24314”中,使得凸角凸缘24340”的顶部表面24342”的近侧表面部分24344”与对应耳轴狭槽24320”的底部表面24321”共延。在例示的布置中,耳轴狭槽24320”的底部表面24321”大致平行于端部执行器轴线EA和/或通道24310”的底部24312”。如在图56中可见,顶部表面24342”的倾斜部分24346”以角度TSA从近侧表面部分24344”朝远侧延伸并终止于水平远侧表面部分24348”。在一种布置中,例如,远侧表面部分24348”大致平行于端部执行器轴线EA和/或通道24310”的底部24312”并且角度TSA=角度LA。然而,在其他实施方案中,角度TSA可不同于角度LA。每个耳轴24418”被接收在对应的耳轴狭槽24320”内并且在其中自由旋转和平移。55, channel 24310" includes a channel bottom 24312" and a pair of upstanding side walls 24314". Channel 24310" may be coupled to elongated shaft assembly 1200 (FIG. 5) through channel mounting features 20340, which may have It is facilitated to articulate about articulation joint 3020 (FIG. 5) in various ways as described herein. Figure 55 shows a portion of the proximal end 24316" of the channel 24310". In one example, each channel wall 24314" has a trunnion slot 24320" formed therein. In the illustrated arrangement, a lobe flange 24340" is formed in each channel wall 24314" such that the proximal surface portion 24344" of the top surface 24342" of the lobe flange 24340" is in contact with the corresponding trunnion slot 24320" The bottom surface 24321" is coextensive. In the illustrated arrangement, the bottom surface 24321" of the trunnion slot 24320" is substantially parallel to the end effector axis EA and/or the bottom 24312" of the channel 24310". As can be seen in Figure 56 , sloped portion 24346" of top surface 24342" extends distally from proximal surface portion 24344" at angle TSA and terminates in horizontal distal surface portion 24348". In one arrangement, for example, distal surface portion 24348" is approximately Parallel to end effector axis EA and/or bottom 24312" of channel 24310" and angle TSA = angle LA. However, in other embodiments, the angle TSA may be different from the angle LA. Each trunnion 24418" is received within a corresponding trunnion slot 24320" and is free to rotate and translate therein.

参见图55和图56,示出了砧座锁定系统24700”的砧座锁24702”的一部分。砧座锁24702”以与上述砧座锁20702相同的方式操作,并且包括闭锁主体24706”,该闭锁主体具有形成在其远侧端部上的致动器接片(未示出),该致动器接片被构造成能够由从兼容外科钉仓朝近侧突起的解锁特征部接触。砧座锁24702”可由弹簧钢或其他合适的金属制成并且包括近侧偏压臂24704”,该近侧偏压臂可被构造成能够安置在横向弹簧安装狭槽(未示出)中,该横向弹簧安装狭槽设置在通道安装特征部(未示出)的主体部分中。砧座锁24702”还包括向上延伸的砧座闭锁接片24710”,该砧座闭锁接片从其突起并且被构造成能够在对应的凸角凸缘24340”的远侧表面部分24348”上方延伸,并且与凸角凸缘24340”的近侧表面部分24344”平齐或齐平。55 and 56, a portion of anvil lock 24702" of anvil lock system 24700" is shown. Anvil lock 24702" operates in the same manner as anvil lock 20702 described above and includes a latch body 24706" having an actuator tab (not shown) formed on its distal end that The actuator tab is configured to be contactable by an unlocking feature protruding proximally from a compatible surgical staple cartridge. Anvil lock 24702" may be made of spring steel or other suitable metal and include proximal biasing arms 24704" that may be configured to seat in transverse spring mounting slots (not shown), The transverse spring mounting slot is provided in the body portion of the channel mounting feature (not shown). Anvil lock 24702" also includes an upwardly extending anvil lock tab 24710" projecting therefrom and configured to extend over a distal surface portion 24348" of a corresponding lobe flange 24340" , and flush or flush with the proximal surface portion 24344" of the lobe flange 24340".

图55示出了处于远侧锁定位置的砧座锁24702’”,其中砧座24400”枢转到打开位置。这可在没有外科钉仓已插入到通道24310”中或不兼容外科钉仓(例如,除了别的以外,缺少将砧座锁24702”朝近侧偏压所必需的正确砧座解锁特征部的外科钉仓)已插入到通道24310”中时发生。当砧座锁24702”处于该位置时,砧座耳轴24418”位于其相应耳轴狭槽24320”的近侧端部中,并且至少一个凸角24414”的底部凸角表面24416”搁置在对应凸角凸缘24340”的近侧表面部分24344”上以及砧座闭锁接片24710”上。当砧座锁24702”处于图52和图55所示的远侧锁定位置时,如果使用者无意中试图闭合砧座24400”,则砧座闭锁接片24710”将防止凸角24414”向下枢转到凸角凸缘24340”的斜坡表面部分24346”上,这防止砧座24400”枢转到闭合位置。参见图52。一旦兼容外科钉仓已装载到端部执行器24100”中,其上的砧座闭锁特征部将砧座锁24702”朝近侧偏压到解锁位置。参见图56和图57。当砧座锁24702”处于近侧解锁位置时,砧座闭锁接片24710”锁定在凸角凸缘24340”上的斜坡表面24346”的近侧,从而允许凸角24414”在其上向下枢转,这导致砧座24400”的闭合。Figure 55 shows the anvil lock 24702'" in the distal locking position with the anvil 24400" pivoted to the open position. This may occur when no surgical staple cartridge has been inserted into the channel 24310" or is incompatible with a surgical staple cartridge (eg, lacks the correct anvil unlocking feature necessary to proximally bias the anvil lock 24702", among other things Occurs when the surgical staple cartridge) has been inserted into the channel 24310". When the anvil lock 24702" is in this position, the anvil trunnions 24418" are located in the proximal ends of their corresponding trunnion slots 24320", and at least one The bottom lobe surface 24416" of the lobe 24414" rests on the proximal surface portion 24344" of the corresponding lobe flange 24340" and on the anvil lock tab 24710". When the anvil lock 24702" is in Figures 52 and 55 In the distal locked position shown, if the user inadvertently attempts to close the anvil 24400", the anvil locking tab 24710" will prevent the lobe 24414" from pivoting down to the ramped surface portion of the lobe flange 24340" 24346", this prevents the anvil 24400" from pivoting to the closed position. See Figure 52. Once the compatible surgical staple cartridge has been loaded into the end effector 24100", the anvil locking feature thereon biases the anvil lock 24702" proximally to the unlocked position. See Figure 56 and Figure 57. When the anvil lock 24702" is in the proximal unlocked position, the anvil locking tab 24710" locks proximally of the ramp surface 24346" on the lobe flange 24340", allowing the lobe 24414" to pivot down thereon This results in the closure of the anvil 24400".

图58示出了被构造成能够枢转地支撑在细长通道24310”’中的另一个砧座24400”’的近侧部分,除了下文讨论的差异之外,该细长通道类似于通道24310”。砧座24400”’包括砧座安装部分24410”’,该砧座安装部分具有形成于其上的耳轴形成部24412”’。每个耳轴形成部24412”’包括侧向突起的致动器凸角24414”’,该侧向突起的致动器凸角限定被构造成能够以上述方式与砧座锁定系统24700”交接的底部凸角表面24416”’。致动器凸角24414”’以及致动器凸角24414”’的底部凸角表面24416”’以与上文相对于致动器凸角24414”所述的角度LA相同的角度定位。耳轴销24418”’从致动器凸角24414”’向外突起,并且定尺寸成在形成于细长通道24310”’中的对应耳轴狭槽24320”’内平移和枢转。参见图59。在该示例中,耳轴销24418”’具有等于致动器凸角24414”’的宽度LW4的耳轴销直径TRD4Figure 58 shows a proximal portion of another anvil 24400"' configured to be pivotally supported in an elongated channel 24310"' that is similar to channel 24310 except for the differences discussed below ". Anvil 24400"' includes an anvil mounting portion 24410"' having trunnion forming portions 24412"' formed thereon. Each trunnion-forming portion 24412"' includes a laterally protruding actuator lobe 24414"' that defines an actuator lobe that is configured to interface with the anvil locking system 24700" in the manner described above. Bottom lobe surface 24416"'. The actuator lobe 24414"' and the bottom lobe surface 24416"' of the actuator lobe 24414"' are positioned at the same angle as the angle LA described above with respect to the actuator lobe 24414". Trunnion pins 24418"' project outwardly from actuator lobes 24414"' and are sized to translate and pivot within corresponding trunnion slots 24320"' formed in elongated channels 24310"'. See Figure 59. In this example, the trunnion pin 24418"' has a trunnion pin diameter TRD4 equal to the width LW4 of the actuator lobe 24414 "'.

如在图59中可见,通道24310”’包括通道底部24312”’和一对直立侧壁24314”’。通道24310”’可通过通道安装特征部20340联接到细长轴组件1200(图5),该通道安装特征部可有利于其围绕关节运动接头3020(图5)进行关节运动。图59示出了通道24310”’的近侧端部24316”’的一部分。在一个示例中,每个通道壁24314”’具有形成于其中的耳轴狭槽24320”’。在例示的布置中,凸角凸缘24340”’形成在每个通道壁24314”’中,使得凸角凸缘24340”’的顶部表面24342”’从对应耳轴狭槽24320”’的底部表面24321”’竖直偏移偏移距离OSD1。偏移距离OSD1可约等于耳轴24418”’和底部凸角表面24416”’之间的距离。在例示的布置中,凸角凸缘24340”’的顶表面24342”’与凸角凸缘24340”的顶表面24342”相同,并且包括平行于耳轴狭槽24320”’的底部表面24321”’的近侧部分24344”’以及倾斜表面24346”’和远侧表面24348”’。As can be seen in Figure 59, the channel 24310"' includes a channel bottom 24312"' and a pair of upstanding side walls 24314"'. The channel 24310"' may be coupled to the elongated shaft assembly 1200 (Figure 5) through a channel mounting feature 20340, The channel mounting feature may facilitate its articulation about the articulation joint 3020 (FIG. 5). Figure 59 shows a portion of the proximal end 24316"' of the channel 24310"'. In one example, each channel wall 24314"' has a trunnion slot 24320"' formed therein. In the illustrated arrangement, a lobe flange 24340"' is formed in each channel wall 24314"' such that the top surface 24342"' of the lobe flange 24340"' extends from the bottom surface of the corresponding trunnion slot 24320"'24321"' Vertical offset offset distance OSD 1 . The offset distance OSD 1 may be approximately equal to the distance between the trunnion 24418"' and the bottom lobe surface 24416"'. In the illustrated arrangement, the top surface 24342"' of the lobe flange 24340"' is the same as the top surface 24342" of the lobe flange 24340" and includes a bottom surface 24321"' that is parallel to the trunnion slot 24320"' The proximal portion 24344"' and the inclined surface 24346"' and the distal surface 24348"'.

砧座锁定系统24700”以相同方式工作以防止砧座24400”’闭合。当通道24310”’中不存在仓或不兼容仓(例如,缺少将砧座锁定弹簧朝近侧偏压的正确砧座解锁特征部的仓)已插入到通道24310”’中时,砧座锁定接片24710”处于其最远侧锁定位置,防止对应的致动器凸角24414”’向下枢转到斜坡表面24346”’上,从而将砧座24400”’保持在打开位置。一旦兼容外科钉仓已装载到端部执行器24100”’中,其上的砧座闭锁特征部将砧座锁24702”朝近侧偏压到解锁位置。当砧座锁24702”处于近侧解锁位置时,砧座闭锁接片24710”锁定在凸角凸缘24340”’上的斜坡表面24346”’的近侧,从而允许凸角24414”’在其上向下枢转,这导致砧座24400”’的闭合。Anvil locking system 24700" works in the same manner to prevent anvil 24400"' from closing. The anvil locks when no or an incompatible cartridge is present in the channel 24310"' (eg, a cartridge lacking the correct anvil unlocking feature that biases the anvil locking spring proximally) has been inserted into the channel 24310"' The tabs 24710" are in their distal-most locked positions, preventing the corresponding actuator lobes 24414"' from pivoting down onto the ramp surfaces 24346"', thereby maintaining the anvil 24400"' in the open position. Once the compatible surgical staple cartridge has been loaded into the end effector 24100"', the anvil locking feature thereon biases the anvil lock 24702" proximally to the unlocked position. When the anvil lock 24702" is in the proximal unlocked position, the anvil lock tab 24710" locks proximally of the ramp surface 24346"' on the lobe flange 24340"', allowing the lobe 24414"' to rest thereon Pivoting down, this results in the closure of the anvil 24400"'.

图60和图61示出了另一个砧座24400A,其在构造和操作上与上述砧座24400相同,不同的是耳轴形成部24412A从砧座24400A的砧座安装部分24410A的底部边缘24415A竖直偏移。图62示出了另一个砧座24400B,其在构造和操作上与上述砧座24400’相同,不同的是耳轴形成部24412B从砧座24400B的砧座安装部分24410B的底部边缘24415B竖直偏移。Figures 60 and 61 show another anvil 24400A that is identical in construction and operation to the anvil 24400 described above, except that the trunnion forming portion 24412A is removed from the anvil mounting portion 24410A of the anvil 24400A . Bottom edge 24415 A is offset vertically. Figure 62 shows another anvil 24400B that is identical in construction and operation to the anvil 24400' described above, except that the trunnion-forming portion 24412B extends from the bottom edge of the anvil mounting portion 24410B of the anvil 24400B 24415 B Vertical offset.

图41至图62中描述的示例采用耳轴形成部,该耳轴形成部包括各种形状和构型的凸角结构,这些凸角结构用于与砧座锁定特征部交接,使得砧座锁定特征部和对应的凸角结构之间的交接用于促进砧座耳轴在其相应的耳轴狭槽内的定位。当将兼容外科钉仓装载到端部执行器中时,凸角结构的这种定位允许砧座在对其施加闭合动作时闭合。在不兼容外科钉仓已被装载到端部执行器中的情况下,砧座锁定特征部将对应的耳轴形成部保持在即使在对砧座施加闭合动作砧座也无法闭合的位置。因此,耳轴形成部的初始位置防止闭合,但将正确的或兼容的外科钉仓装载到通道中改变耳轴形成部的位置以允许发生闭合。本文所述的各种凸角特征部通常也比先前的耳轴布置更稳固,这可导致改善的砧座可靠性。The example depicted in FIGS. 41-62 employs a trunnion-forming portion that includes lobe structures of various shapes and configurations for interfacing with anvil locking features such that the anvil locks The interface between the feature and the corresponding lobe structure serves to facilitate the positioning of the anvil trunnion within its corresponding trunnion slot. This positioning of the lobe structure allows the anvil to close when a closing action is applied to it when a compatible surgical staple cartridge is loaded into the end effector. In the event that an incompatible surgical staple cartridge has been loaded into the end effector, the anvil locking feature holds the corresponding trunnion forming portion in a position where the anvil cannot be closed even when a closing action is applied to the anvil. Thus, the initial position of the trunnion formation prevents closure, but loading the correct or compatible surgical staple cartridge into the channel changes the position of the trunnion formation to allow closure to occur. The various lobe features described herein are also generally more robust than previous trunnion arrangements, which can result in improved anvil reliability.

图63至图69示出了可例如与上述动力外科器械1010结合使用的外科端部执行器25300。外科端部执行器25300包括砧座25400,该砧座枢转地支撑在细长通道25310上,该细长通道被构造成能够可操作地支撑外科钉仓25600。砧座25400能够通过以本文所公开的各种方式与能够轴向运动的闭合构件交接而在打开位置和闭合位置之间运动。在例示的示例中,砧座25400包括砧座主体25402和砧座安装部分25410。砧座安装部分25410包括一对侧向延伸的耳轴25412,这对耳轴以本文所公开的各种方式可操作地接收在设置在通道25310的直立侧壁25314中的对应耳轴狭槽内。如上文相对于端部执行器1300所讨论的,砧座25400可通过以本文所述的各种方式与端部执行器闭合管3050交接而在打开位置与闭合位置之间枢转。例如,端部执行器闭合管3050可通过致动外科器械1010的闭合触发器1032而轴向运动。在其他布置中,端部执行器25300及其所附接到的轴组件可与机器人系统可操作地交接,如已经以引用方式并入本文的许多参考文献中详细描述的。在此类应用中,端部执行器闭合管3050可通过机器人系统的闭合控制系统的致动而轴向推进和回缩。63-69 illustrate a surgical end effector 25300 that may be used, for example, in conjunction with the powered surgical instrument 1010 described above. The surgical end effector 25300 includes an anvil 25400 pivotally supported on an elongated channel 25310 configured to operably support a surgical staple cartridge 25600. Anvil 25400 is movable between an open position and a closed position by interfacing with an axially movable closure member in various manners disclosed herein. In the illustrated example, anvil 25400 includes an anvil body 25402 and an anvil mounting portion 25410. Anvil mounting portion 25410 includes a pair of laterally extending trunnions 25412 operatively received within corresponding trunnion slots provided in upstanding side walls 25314 of channel 25310 in various manners disclosed herein . As discussed above with respect to the end effector 1300, the anvil 25400 can be pivoted between open and closed positions by interfacing with the end effector closure tube 3050 in various ways as described herein. For example, the end effector closure tube 3050 can be moved axially by actuating the closure trigger 1032 of the surgical instrument 1010 . In other arrangements, the end effector 25300 and the shaft assembly to which it is attached may operably interface with a robotic system, as described in detail in many of the references that have been incorporated herein by reference. In such applications, the end effector closure tube 3050 can be advanced and retracted axially by actuation of the closure control system of the robotic system.

在例示的布置中,端部执行器闭合管3050的远侧运动使端部执行器闭合管3050的远侧端部3051与形成于砧座安装部分25410上的凸轮作用表面25411可操作地交接,以将砧座25400顶向闭合位置。当端部执行器闭合管3050沿近侧方向轴向回缩时,端部执行器闭合管3050可被构造成能够与各种形成部、凸缘或接片交接以将打开动作施加到砧座25400。更多细节可见于已以引用方式并入本文的各种其他参考文献中。In the illustrated arrangement, distal movement of the end effector closure tube 3050 operatively interfaces the distal end 3051 of the end effector closure tube 3050 with the camming surface 25411 formed on the anvil mounting portion 25410, to push the anvil 25400 toward the closed position. When the end effector closure tube 3050 is axially retracted in the proximal direction, the end effector closure tube 3050 can be configured to interface with various formations, flanges or tabs to apply an opening action to the anvil 25400. More details can be found in various other references which have been incorporated herein by reference.

细长通道25310可通过通道安装特征部20340联接到细长轴组件1200(图5),该通道安装特征部可有利于其以本文所述的各种方式围绕关节运动接头3020(图5)进行关节运动。所示的示例还包括击发构件20500(图20),该击发构件附接到击发构件梁1900(图5)的远侧端部并且被构造成能够与已装载到通道25310中的外科钉仓25600中的凸轮作用组件可操作地交接。为了确保兼容外科钉仓25600在砧座25400闭合之前已装载到端部执行器25300中,该端部执行器采用闭合闭锁系统25700。在例示的示例中,闭合闭锁系统25700被构造成能够防止端部执行器闭合管3050的远侧运动,除非兼容仓25600已正确地安置在通道25310内。在一个示例中,闭合闭锁系统25700包括闭合锁25702,该闭合锁被构造成能够响应于兼容外科钉仓25600在其中的安装而在锁定位置和解锁位置之间运动。图65至图69示出了闭合锁25702的一种形式,该闭合锁可由弹簧钢或其他合适的金属制成并且包括主体部分25706,该主体部分通过延伸穿过主体部分25706中的枢轴孔25707的枢轴销25709枢转地销接到通道安装特征部20340的主体部分20342。闭合锁25702还包括近侧偏压臂25704,该近侧偏压臂可被构造成能够安置在狭槽(未示出)中,该狭槽设置在通道安装特征部20340的主体部分20342中。此类布置用于将闭合锁25702在通道25310内向下偏压。The elongated channel 25310 can be coupled to the elongated shaft assembly 1200 (FIG. 5) by a channel mounting feature 20340 that can facilitate its movement around the articulation joint 3020 (FIG. 5) in various ways as described herein joint movement. The example shown also includes a firing member 20500 ( FIG. 20 ) that is attached to the distal end of the firing member beam 1900 ( FIG. 5 ) and is configured to interact with the surgical staple cartridge 25600 that has been loaded into the channel 25310 The cam action assemblies in the operably interface. To ensure that the compatible surgical staple cartridge 25600 is loaded into the end effector 25300 before the anvil 25400 is closed, the end effector employs a closed latch system 25700. In the illustrated example, closure latch system 25700 is configured to prevent distal movement of end effector closure tube 3050 unless compatible cartridge 25600 has been properly seated within channel 25310. In one example, the closure latch system 25700 includes a closure lock 25702 configured to be movable between a locked position and an unlocked position in response to installation of a compatible surgical staple cartridge 25600 therein. FIGS. 65-69 illustrate one form of closure lock 25702 which may be made of spring steel or other suitable metal and include a body portion 25706 that extends through a pivot hole in the body portion 25706 The pivot pin 25709 of the 25707 is pivotally pinned to the body portion 20342 of the channel mounting feature 20340. The closure lock 25702 also includes a proximal biasing arm 25704 that can be configured to be seated in a slot (not shown) provided in the body portion 20342 of the channel mounting feature 20340. Such an arrangement serves to bias the closure latch 25702 downwardly within the channel 25310.

如在图65和图66中最具体地可见,在例示的示例中,闭合锁25702还包括从主体部分25706的底部突起并且侧向向外延伸的阻挡特征部25710。如图65所示,当闭合锁25702处于锁定位置时,阻挡特征部25710被定位成阻挡端部执行器闭合管3050的远侧推进。当闭合锁25702处于如图66所示的解锁位置时,阻挡特征部25710运动远离阻挡位置以允许端部执行器闭合管3050的远侧推进。As seen most particularly in FIGS. 65 and 66 , in the illustrated example, the closure latch 25702 also includes a blocking feature 25710 that protrudes from the bottom of the body portion 25706 and extends laterally outward. As shown in FIG. 65 , the blocking feature 25710 is positioned to block distal advancement of the end effector closure tube 3050 when the closure lock 25702 is in the locked position. When the closure latch 25702 is in the unlocked position as shown in FIG. 66 , the blocking feature 25710 is moved away from the blocking position to allow distal advancement of the end effector closure tube 3050 .

转到图67,闭合锁25702还包括致动器部分25712,该致动器部分朝近侧延伸以由形成在兼容外科钉仓25600的近侧端部25604上的闭合解锁特征部25630接合。在至少一种布置中,外科钉仓25600包括细长仓体25602,该细长仓体定尺寸成可移除地安置在细长通道25310中。仓体25602包括从仓体25602的近侧端部部分25604延伸到远侧端部部分25606(图64)的仓狭槽25608。仓体25602还包括仓平台表面25610,当仓25600安置在通道25310中并且砧座25400枢转到闭合位置时,该仓平台表面面对砧座25400的钉成形下表面25404。尽管图67中未示出,但外科钉仓25600可在仓狭槽25608的每一侧上具有多排(通常三排)外科钉凹坑,该多排外科钉凹坑通过仓平台表面25610打开。每个钉凹坑可具有与其相关联的钉驱动器(未示出),该钉驱动器在其上支撑外科钉或紧固件(未示出)。在至少一个示例中,仓体25602由其中模制或机加工有钉凹坑的聚合物材料模制而成。在一种布置中,钉凹坑还通过仓体25602的底部打开,以便于将驱动器和紧固件安装到其相应凹坑中。一旦驱动器和紧固件被插入其相应钉凹坑中,则仓盘25620附接到仓体25602的底部。当安装时,仓盘25620可(除了别的以外)防止驱动器和紧固件在仓25600处理和安装到细长通道25310中期间从仓体25602的底部掉出。如上文结合仓20040所述,仓25600可操作地支撑其中的凸轮作用组件。该凸轮作用组件包括一系列间隔开的凸轮构件,这些凸轮构件被构造成能够在对应凸轮狭槽25609内轴向运动,这些对应凸轮狭槽形成在仓体25602中的仓狭槽25608的每一侧上。凸轮狭槽25609与仓体25602中的对应排驱动器对准,以在凸轮作用组件从仓体25602的近侧端部部分25604内的开始位置被驱动穿过钉仓25600到远侧端部部分25606内的结束位置时,有利于与对应凸轮构件凸轮作用接触。Turning to FIG. 67 , the closure lock 25702 also includes an actuator portion 25712 extending proximally for engagement by a closure unlock feature 25630 formed on the proximal end 25604 of the compatible surgical staple cartridge 25600. In at least one arrangement, the surgical staple cartridge 25600 includes an elongated cartridge body 25602 sized to be removably seated in the elongated channel 25310. The cartridge body 25602 includes a cartridge slot 25608 extending from the proximal end portion 25604 of the cartridge body 25602 to the distal end portion 25606 (FIG. 64). The cartridge body 25602 also includes a cartridge deck surface 25610 that faces the lower staple forming surface 25404 of the anvil 25400 when the cartridge 25600 is seated in the channel 25310 and the anvil 25400 is pivoted to the closed position. Although not shown in FIG. 67 , the surgical staple cartridge 25600 can have multiple rows (typically three rows) of surgical staple pockets on each side of the cartridge slot 25608 that are opened through the cartridge deck surface 25610 . Each staple pocket may have a staple driver (not shown) associated therewith that supports surgical staples or fasteners (not shown) thereon. In at least one example, the cartridge body 25602 is molded from a polymeric material having spike pockets molded or machined therein. In one arrangement, the staple pockets are also open through the bottom of the cartridge body 25602 to facilitate installation of drivers and fasteners into their respective pockets. The cartridge pan 25620 is attached to the bottom of the cartridge body 25602 once the drivers and fasteners are inserted into their respective staple pockets. When installed, the cartridge pan 25620 may (among other things) prevent the drivers and fasteners from falling out of the bottom of the cartridge body 25602 during the handling and installation of the cartridge 25600 into the elongated channel 25310. As described above in connection with the cartridge 20040, the cartridge 25600 operably supports the cam action assembly therein. The cam action assembly includes a series of spaced cam members configured for axial movement within corresponding cam slots 25609 formed in each of the cartridge slots 25608 in the cartridge body 25602 on the side. The cam slots 25609 are aligned with corresponding rows of drivers in the cartridge body 25602 to be driven through the staple cartridge 25600 to the distal end portion 25606 at the starting position of the cam action assembly from within the proximal end portion 25604 of the cartridge body 25602 The inner end position facilitates camming contact with the corresponding cam member.

图63和图68示出了其中未安装外科钉仓的外科端部执行器25300。如在图68中可见,近侧偏压臂25704已将闭合锁25702在通道25310中向下偏压,这导致阻挡特征部25710运动到与端部执行器闭合管3050的远侧端部3051阻挡对准(锁定位置)。如果使用者启动闭合系统以使端部执行器闭合管3050朝远侧运动,则阻挡特征部25710将阻挡端部执行器闭合管3050的远侧推进,从而防止向砧座25400施加闭合动作。返回图67,在至少一种布置中,钉仓25600包括砧座解锁特征部或接片25630,该砧座解锁特征部或接片从仓体25602朝近侧突起并且对准以在仓25600可操作地安装在细长通道25310中时解锁地接合形成在闭合锁25702的远侧端部上的致动接片25712。在一个示例中,解锁特征部25630具有略微倾斜的表面25632,该倾斜表面被构造成能够与致动接片25712上的成角度表面25713可操作地交接,使得当倾斜表面25632和成角度表面25713接合时,闭合锁25702沿向上方向枢转。当闭合锁25702向上枢转到解锁位置时,阻挡特征部25710不再与端部执行器闭合管3050阻挡对准。参见图66。Figures 63 and 68 illustrate the surgical end effector 25300 with the surgical staple cartridge not installed. As can be seen in FIG. 68 , the proximal biasing arm 25704 has biased the closure latch 25702 downward in the channel 25310 , which causes the blocking feature 25710 to move into block with the distal end 3051 of the end effector closure tube 3050 Aligned (locked position). If the user activates the closure system to move the end effector closure tube 3050 distally, the blocking feature 25710 will block distal advancement of the end effector closure tube 3050, preventing application of a closing action to the anvil 25400. Returning to Figure 67, in at least one arrangement, the staple cartridge 25600 includes an anvil unlock feature or tab 25630 that protrudes proximally from the cartridge body 25602 and is aligned to allow access to the cartridge 25600. The actuating tabs 25712 formed on the distal end of the closure latch 25702 unlockably engage when operatively mounted in the elongated channel 25310. In one example, the unlocking feature 25630 has a slightly angled surface 25632 configured to operably interface with the angled surface 25713 on the actuation tab 25712 such that when the angled surface 25632 and the angled surface 25713 When engaged, the closure lock 25702 pivots in the upward direction. When the closure latch 25702 is pivoted up to the unlocked position, the blocking feature 25710 is no longer in blocking alignment with the end effector closure tube 3050. See Figure 66.

图64和图69示出了外科端部执行器25300,其中兼容外科钉仓25600可操作地安装在细长通道25310中。如在图69中可见,钉仓主体25602上的解锁特征部25630上的倾斜表面25632已接触闭合锁25702上的致动接片25712上的成角度表面25713(示于图68中),以将闭合锁25702偏压到解锁位置。当处于该位置时,使用者可朝远侧推进端部执行器闭合管3050以向砧座25400施加闭合动作。如果使用者试图将缺少解锁特征部25630或被设计成解锁接合闭合锁25702的类似特征部的不适当的仓安装在适当位置,则使用者将无法朝远侧推进端部执行器闭合管3050以闭合砧座25400。64 and 69 illustrate a surgical end effector 25300 with a compatible surgical staple cartridge 25600 operably mounted in the elongated channel 25310. As can be seen in Figure 69, the angled surface 25632 on the unlock feature 25630 on the staple cartridge body 25602 has contacted the angled surface 25713 on the actuation tab 25712 on the closure lock 25702 (shown in Figure 68) to The closure lock 25702 is biased to the unlocked position. When in this position, the user can advance the end effector closure tube 3050 distally to apply a closing action to the anvil 25400. If a user attempts to install in place an inappropriate cartridge that lacks the unlocking feature 25630 or a similar feature designed to unlock the engagement closure lock 25702, the user will be unable to advance the end effector closure tube 3050 distally to Close the anvil 25400.

图70和图71示出了包括砧座25400'的外科端部执行器25300',该砧座枢转地支撑在通道25310'上并且与上述端部执行器25300基本上相同,不同之处在于闭合锁定系统25700'采用不同的闭合锁25702',该闭合锁被构造成能够与设置在外科钉仓25600'内的凸轮作用组件25650'上的解锁特征部交接。如在图70和图71中可见,闭合锁25702'包括细长主体25706',该细长主体在其远侧端部上具有渐缩致动器接片部分25712'。主体25706'枢转地附接到通道安装特征部20340,并且近侧偏压臂25704'将闭合锁25702'偏压在通道25310'内。Figures 70 and 71 illustrate a surgical end effector 25300' including an anvil 25400' pivotally supported on a channel 25310' and substantially the same as the end effector 25300 described above, except The closure locking system 25700' employs a different closure latch 25702' that is configured to interface with an unlocking feature on a cam action assembly 25650' provided within the surgical staple cartridge 25600'. As can be seen in Figures 70 and 71, the closure lock 25702' includes an elongated body 25706' having a tapered actuator tab portion 25712' on its distal end. The body 25706' is pivotally attached to the channel mounting feature 20340, and the proximal biasing arm 25704' biases the closure latch 25702' within the channel 25310'.

图72示出了外科钉仓25600',该外科钉仓包括细长仓体25602',该细长仓体定尺寸成可移除地安置在细长通道25310'中。仓体25602’包括从仓体25602’的近侧端部部分25604’延伸到远侧端部部分的仓狭槽25608’。仓体25602'还包括仓平台表面25610',当仓25600'安置在通道25310'中并且砧座25400'枢转到闭合位置时,该仓平台表面面对砧座25400'的钉成形下表面25404'。尽管图72中未示出,但外科钉仓25600'可在仓狭槽25608'的每一侧上具有多排(通常三排)外科钉凹坑,该多排外科钉凹坑通过仓平台表面25610'打开。每个钉凹坑可具有与其相关联的钉驱动器(未示出),该钉驱动器在其上支撑外科钉或紧固件(未示出)。在至少一个示例中,仓体25602'由其中模制或机加工有钉凹坑的聚合物材料模制而成。在一种布置中,钉凹坑还通过仓体25602'的底部打开,以便于将驱动器和紧固件安装到其相应凹坑中。一旦驱动器和紧固件被插入其相应钉凹坑中,则仓盘25620'附接到仓体25602'的底部。当安装时,仓盘25620'可(除了别的以外)防止驱动器和紧固件在仓25600'处理和安装到细长通道25310'中期间从仓体25602'的底部掉出。凸轮作用组件25650'可操作地支撑在仓体25602'中。在至少一种布置中,凸轮作用组件25650'包括一系列间隔开的凸轮构件25652',这些凸轮构件被构造成能够在对应凸轮狭槽25609'内轴向运动,这些对应凸轮狭槽形成在仓体25602'中的仓狭槽25608'的每一侧上。凸轮狭槽25609'与仓体25602'中的对应行驱动器对准,以在凸轮作用组件25650'从仓体25602'的近侧端部部分25604'内的开始位置被驱动穿过钉仓25600'到远侧端部部分内的结束位置时,有利于与对应凸轮构件25652'凸轮作用接触。在至少一个示例中,凸轮作用组件25650'包括闭合解锁特征部或接片25660',该闭合解锁特征部或接片从凸轮作用组件25650'朝近侧突起,并且对准以在仓25600'已可操作地安装在细长通道25310'中并且凸轮作用组件25650'在仓25600'内处于其未击发开始位置时解锁地接合形成在闭合锁25702'的远侧端部上的致动接片25712'。Figure 72 shows a surgical staple cartridge 25600' that includes an elongated cartridge body 25602' sized to be removably seated in an elongated channel 25310'. Cartridge body 25602' includes a cartridge slot 25608' extending from a proximal end portion 25604' to a distal end portion of the cartridge body 25602'. The cartridge body 25602' also includes a cartridge deck surface 25610' that faces the staple forming lower surface 25404 of the anvil 25400' when the cartridge 25600' is seated in the channel 25310' and the anvil 25400' is pivoted to the closed position '. Although not shown in Figure 72, the surgical staple cartridge 25600' can have multiple rows (typically three rows) of surgical staple pockets on each side of the cartridge slot 25608' that pass through the cartridge deck surface 25610' open. Each staple pocket may have a staple driver (not shown) associated therewith that supports surgical staples or fasteners (not shown) thereon. In at least one example, the cartridge body 25602' is molded from a polymeric material having spike pockets molded or machined therein. In one arrangement, the staple pockets also open through the bottom of the cartridge body 25602' to facilitate installation of drivers and fasteners into their respective pockets. Once the driver and fasteners are inserted into their respective staple pockets, the cartridge pan 25620' is attached to the bottom of the cartridge body 25602'. When installed, cartridge tray 25620' may (among other things) prevent drivers and fasteners from falling out of the bottom of cartridge body 25602' during cartridge 25600' handling and installation into elongated channel 25310'. Cam action assembly 25650' is operably supported in cartridge body 25602'. In at least one arrangement, the cam action assembly 25650' includes a series of spaced apart cam members 25652' configured for axial movement within corresponding cam slots 25609' formed in the cartridge on each side of the cartridge slot 25608' in the body 25602'. The cam slots 25609' are aligned with corresponding row drivers in the cartridge body 25602' to be driven through the staple cartridge 25600' at the starting position of the cam action assembly 25650' from within the proximal end portion 25604' of the cartridge body 25602' To the end position within the distal end portion, camming contact with the corresponding cam member 25652' is facilitated. In at least one example, the cam action assembly 25650' includes a closed unlock feature or tab 25660' that protrudes proximally from the cam action assembly 25650' and is aligned so that the cartridge 25600' has been Operably mounted in elongated channel 25310' and cam action assembly 25650' unlockingly engages actuation tabs 25712 formed on the distal end of closure lock 25702' when in its unfired starting position within cartridge 25600' '.

返回图71,在一个示例中,解锁特征部25660'具有渐缩鼻部部分25662',该渐缩鼻部部分被构造成能够与致动接片25712'可操作地交接,使得当渐缩鼻部部分25662'与致动接片25712'接合时,闭合锁25702'向上枢转。当闭合锁25702'向上枢转到解锁位置时,闭合锁25702'上的阻挡特征部25710'不再与端部执行器闭合管3050阻挡对准。Returning to Figure 71, in one example, the unlocking feature 25660' has a tapered nose portion 25662' that is configured to operably interface with the actuation tab 25712' such that when the tapered nose portion 25662' When the portion 25662' is engaged with the actuation tab 25712', the closure latch 25702' pivots upward. When the closure latch 25702' is pivoted up to the unlocked position, the blocking feature 25710' on the closure latch 25702' is no longer in blocking alignment with the end effector closure tube 3050.

如在图72中可见,仓体25602'还可包括从仓体25602'的近侧端部朝近侧突起并与渐缩鼻部部分25662'相邻的锁定安全装置25670'。锁定安全装置25670'的上表面25672'成角度以匹配渐缩鼻部部分25662',但是当凸轮作用组件25650'处于其最近侧开始位置时,渐缩鼻部部分25662'朝近侧突起超过锁定安全装置25670'的端部。As can be seen in Figure 72, the cartridge body 25602' may also include a locking safety device 25670' protruding proximally from the proximal end of the cartridge body 25602' and adjacent the tapered nose portion 25662'. The upper surface 25672' of the locking safety device 25670' is angled to match the tapered nose portion 25662', but when the cam action assembly 25650' is in its most proximal starting position, the tapered nose portion 25662' protrudes proximally beyond the locking End of safety device 25670'.

图70示出了将未击发的兼容外科钉仓25600'初始插入通道25310'中。如在图70中可见,渐缩鼻部部分25662'已与闭合锁25702'上的致动器接片部分25712'初始接触。闭合锁25702'保持向下偏压到锁定位置,在锁定位置,闭合锁25702'的阻挡特征部25710'与端部执行器闭合管3050的远侧端部3051阻挡对准。当仓25600'进一步朝近侧推进到通道25310'内的安置位置时,凸轮作用组件25650'上的渐缩鼻部部分25662'将致动接片25712'向上提升到锁定安全装置25670'的成角度上表面25672'上方,以使闭合锁25702'能够枢转到解锁位置,在解锁位置,阻挡特征部25710'不再与端部执行器闭合管3050的远侧端部3051阻挡对准。当处于该位置时,使用者可朝远侧推进端部执行器闭合管3050以向砧座25400’施加闭合动作。因此,在该实施方案中,闭合锁定系统25700'由凸轮作用组件25650'致动,但仅在凸轮作用组件25650'处于未击发开始位置时才如此。Figure 70 shows the initial insertion of an unfired compatible surgical staple cartridge 25600' into the channel 25310'. As can be seen in Figure 70, the tapered nose portion 25662' has made initial contact with the actuator tab portion 25712' on the closure latch 25702'. The closure latch 25702' remains biased downward into a locked position where the blocking feature 25710' of the closure latch 25702' is in blocking alignment with the distal end 3051 of the end effector closure tube 3050. As the cartridge 25600' is advanced further proximally into the seated position within the channel 25310', the tapered nose portion 25662' on the cam action assembly 25650' raises the actuation tab 25712' up to the position of the locking safety device 25670' Angle the upper surface 25672' above to enable the closure latch 25702' to pivot to an unlocked position where the blocking feature 25710' is no longer in blocking alignment with the distal end 3051 of the end effector closure tube 3050. When in this position, the user can advance the end effector closure tube 3050 distally to apply a closing action to the anvil 25400'. Thus, in this embodiment, the closure lockout system 25700' is actuated by the cam action assembly 25650', but only when the cam action assembly 25650' is in the unfired start position.

图73示出了钉仓25600X的插入,其中该钉仓凸轮作用组件不处于最近侧未击发位置。这可例如在使用者尝试使用先前已使用的钉仓25600X时发生。因为凸轮作用组件不处于其未击发开始位置,所以不存在开始将闭合锁25702'偏压到闭合安全装置25670'上方的向上位置中的渐缩鼻部部分。当仓25600X完全安置在通道25310'中时,闭合锁25702'的动作接片25712'定位在下锁定表面25674'下方。闭合锁25702'保持在锁定位置,在锁定位置,该闭合锁的阻挡特征部25710'与端部执行器闭合管3050的远侧端部3051阻挡对准。如果使用者无意中试图朝远侧推进端部执行器闭合管3050以闭合砧座25400',则远侧端部3051将接触阻挡特征部25710',并且闭合安全装置25670'将进一步防止闭合锁25702'在闭合负载下向上枢转到解锁位置。Figure 73 shows the insertion of the staple cartridge 25600X with the staple cartridge cam action assembly not in the proximal most unfired position. This can occur, for example, when a user attempts to use a previously used staple cartridge 25600X. Because the cam action assembly is not in its unfired starting position, there is no tapered nose portion that begins to bias the closure latch 25702' into an upward position above the closure safety device 25670'. When the cartridge 25600X is fully seated in the channel 25310', the action tab 25712' of the closure lock 25702' is positioned below the lower locking surface 25674'. The closure latch 25702' remains in a locked position in which the blocking feature 25710' of the closure latch is in blocking alignment with the distal end 3051 of the end effector closure tube 3050. If the user inadvertently attempts to advance the end effector closure tube 3050 distally to close the anvil 25400', the distal end 3051 will contact the blocking feature 25710' and the closure safety device 25670' will further prevent closure of the latch 25702 'Pivot up to unlocked position under closed load.

图74和图75示出了包括砧座25400”的外科端部执行器25300”,该砧座枢转地支撑在通道25310”上并且与上述端部执行器25300'基本上相同。端部执行器25300”采用包括闭合锁25702”的闭合锁定系统25700”。如在图76中可见,闭合锁25702”包括细长主体25706”,该细长主体在其远侧端部上具有致动器接片部分25712”。主体25706”包括安装在通道25310”内的下弹簧臂25720”。安装下弹簧臂25720”以便向闭合锁25702”施加向下偏压力,这将在下文讨论。还如下文将进一步详细讨论的,闭合锁25702”还包括竖直延伸的砧座锁定接片25710”,该砧座锁定接片被构造成能够与形成在砧座25400”的砧座安装部分25410”上的锁定凸耳25414”锁定地交接。此外,闭合锁25702”包括近侧偏压弹簧25704”,该近侧偏压弹簧用于沿远侧方向DD(图76)偏压闭合锁25702”。如在图74中可见,通道25310”可通过通道安装特征部20340联接到细长轴组件1200(图5),该通道安装特征部可有利于其以本文所述的各种方式围绕关节运动接头3020(图5)进行关节运动。如在图76中可见,近侧偏压弹簧25704”被构造成能够安置在通道安装特征部20340的主体部分20342中的横向狭槽20343内。Figures 74 and 75 show a surgical end effector 25300" including an anvil 25400" pivotally supported on a channel 25310" and substantially the same as the end effector 25300' described above. End effector The device 25300" employs a closure locking system 25700" including a closure lock 25702". As can be seen in Figure 76, the closure latch 25702" includes an elongated body 25706" having an actuator tab portion 25712" on its distal end. The body 25706" includes a Lower spring arm 25720". The lower spring arm 25720" is installed to apply a downward biasing force to the closure lock 25702", as will be discussed below. As will also be discussed in further detail below, the closure lock 25702" also includes a vertically extending anvil locking tab 25710" that is configured to engage with an anvil mounting portion 25410 formed on the anvil 25400" The locking lugs 25414" on the "interface lockingly. In addition, the closure lock 25702" includes a proximal biasing spring 25704" for biasing the closure lock 25702" in the distal direction DD (FIG. 76). . As can be seen in Figure 74, the channel 25310" can be coupled to the elongated shaft assembly 1200 (Figure 5) by a channel mounting feature 20340 that can facilitate its articulation about the joint in various ways as described herein 3020 (FIG. 5) is articulated. As can be seen in FIG.

与上述砧座25400'的闭合类似,端部执行器闭合管的远侧运动导致端部执行器闭合管的远侧端部与形成在砧座25400”的砧座安装部分25410”上的凸轮作用表面25411”可操作地交接,以将砧座25400'’凸轮到闭合位置。当端部执行器闭合管沿近侧方向轴向回缩时,端部执行器闭合管可被构造成能够与各种形成部、凸缘或接片交接以将打开动作施加到砧座25400”。更多细节可见于已以引用方式并入本文的各种其他参考文献中。Similar to the closure of the anvil 25400' described above, distal movement of the end effector closure tube causes the distal end of the end effector closure tube to act with a cam formed on the anvil mounting portion 25410" of the anvil 25400" The surfaces 25411" operably interface to cam the anvil 25400" to the closed position. When the end effector closure tube is axially retracted in the proximal direction, the end effector closure tube can be configured to engage with each The seed formations, flanges or tabs interface to apply an opening action to the anvil 25400". More details can be found in various other references which have been incorporated herein by reference.

图77示出了外科钉仓25600”,该外科钉仓包括细长仓体25602”,该细长仓体定尺寸成可移除地安置在细长通道25310”中。仓体25602”包括从仓体25602”的近侧端部部分25604”延伸到远侧端部部分的仓狭槽25608”。仓体25602”还包括仓平台表面25610',当仓25600”安置在通道25310”中并且砧座25400”枢转到闭合位置时,该仓平台表面面对砧座25400”的钉成形下表面25404”。尽管图77中未示出,但外科钉仓25600”可在仓狭槽25608”的每一侧上具有多排(通常三排)外科钉凹坑,该多排外科钉凹坑通过仓平台表面25610”打开。每个钉凹坑可具有与其相关联的钉驱动器(未示出),该钉驱动器在其上支撑外科钉或紧固件(未示出)。在至少一个示例中,仓体25602'由其中模制或机加工有钉凹坑的聚合物材料模制而成。在一种布置中,钉凹坑还通过仓体25602”的底部打开,以便于将驱动器和紧固件安装到其相应凹坑中。凸轮作用组件25650”可操作地支撑在仓体25602”中。在至少一种布置中,凸轮作用组件25650”包括一系列间隔开的凸轮构件25652”,这些凸轮构件被构造成能够在对应凸轮狭槽25609”内轴向运动,这些对应凸轮狭槽形成在仓体25602”中的仓狭槽25608”的每一侧上。凸轮狭槽25609”与仓体25602”中的对应行驱动器对准,以在凸轮作用组件25650”从仓体25602”的近侧端部部分25604”内的开始位置被驱动穿过钉仓25600”到远侧端部部分内的结束位置时,有利于与对应凸轮构件25652”凸轮作用接触。在至少一个示例中,凸轮作用组件25650”包括闭合解锁特征部或接片25660”,该闭合解锁特征部或接片从凸轮作用组件25650”朝近侧突起,并且对准以在外科钉仓25600”已可操作地安装在细长通道25310”中并且凸轮作用组件25650”在仓25600”内处于其未击发开始位置时解锁地接合形成在闭合锁25702”的远侧端部上的致动接片25712”。Figure 77 shows a surgical staple cartridge 25600" that includes an elongated cartridge body 25602" sized to be removably seated in an elongated channel 25310". The cartridge body 25602" includes a The proximal end portion 25604" of the cartridge body 25602" extends to the cartridge slot 25608" of the distal end portion. The cartridge body 25602" also includes a cartridge deck surface 25610' when the cartridge 25600" is seated in the channel 25310" and the anvil When the seat 25400" is pivoted to the closed position, the cartridge deck surface faces the staple forming lower surface 25404" of the anvil 25400". Although not shown in FIG. There are multiple rows (typically three rows) of surgical staple pockets on each side that are opened through the cartridge deck surface 25610". Each staple pocket may have a staple driver (not shown) associated therewith that supports surgical staples or fasteners (not shown) thereon. In at least one example, the cartridge body 25602' is molded from a polymeric material having spike pockets molded or machined therein. In one arrangement, the staple pockets are also open through the bottom of the cartridge body 25602" to facilitate installation of drivers and fasteners into their respective pockets. The cam action assembly 25650" is operably supported within the cartridge body 25602" In at least one arrangement, the cam action assembly 25650" includes a series of spaced apart cam members 25652" configured for axial movement within corresponding cam slots 25609" formed in On each side of the cartridge slot 25608" in the cartridge body 25602". The cam slots 25609" are aligned with corresponding row drivers in the cartridge body 25602" to be driven through the staple cartridge 25600" at the starting position of the cam action assembly 25650" from within the proximal end portion 25604" of the cartridge body 25602" To the end position within the distal end portion, camming contact with the corresponding cam member 25652" is facilitated. In at least one example, the camming assembly 25650" includes a closure-unlocking feature or tab 25660" that closes and unlocks the feature The portion or tab protrudes proximally from the cam action assembly 25650" and is aligned so that the surgical staple cartridge 25600" has been operably installed in the elongated channel 25310" and the cam action assembly 25650" is in its position within the cartridge 25600" The actuating tabs 25712" formed on the distal end of the closure lock 25702" are unlocked in the unfired starting position.

返回图77,在一个示例中,解锁特征部25660”具有渐缩鼻部部分25662”,该渐缩鼻部部分被构造成能够与致动接片25712”可操作地交接,使得当渐缩鼻部部分25662”与致动接片25712”接合时,闭合锁25702”抵抗由下弹簧25720”造成的向下偏压力而向上运动。当闭合锁25702”向上枢转到解锁位置时,闭合锁25702”上的砧座锁定接片25710”不再与砧座安装部分24410”上的锁定凸耳25414”阻挡对准。Returning to Figure 77, in one example, the unlocking feature 25660" has a tapered nose portion 25662" that is configured to operably interface with the actuation tab 25712" such that when the tapered nose portion 25662" When the portion 25662" engages the actuation tab 25712", the closure lock 25702" moves upward against the downward biasing force caused by the lower spring 25720". When the closure lock 25702" is pivoted upwardly to the unlocked position, the closure lock 25702" The anvil locking tabs 25710" on the" are no longer in blocking alignment with the locking lugs 25414" on the anvil mounting portion 24410".

图74示出了将未击发的兼容外科钉仓25600”初始插入通道25310”中。如在图74中可见,凸轮作用组件25650”的渐缩鼻部部分25662”尚未与闭合锁25702”上的致动器接片部分25712”交接。闭合锁25702”保持向下偏压到锁定位置,在锁定位置,闭合锁25702”的砧座锁定接片25710”与砧座25400”的砧座安装部分25410”上的锁定凸耳25414”阻挡对准。当外科钉仓25600”进一步朝近侧推进到通道25310”内的安置位置时,凸轮作用组件25650”上的渐缩鼻部部分25662”接触致动接片25712”并且将闭合锁25702”向上偏压到解锁位置,在解锁位置,砧座锁定接片25710”不再与砧座锁定凸耳25414”对准。当处于该位置时,使用者可通过朝远侧推进端部执行器闭合管以向砧座25400”施加闭合动作来闭合砧座25400”。因此,在该实施方案中,闭合锁定系统25700”由凸轮作用组件25650”致动,但仅在凸轮作用组件25650”处于未击发开始位置时才如此。一旦外科钉仓25600”已从通道25310”移除,闭合锁25702”上的下弹簧25720”将向下偏压闭合锁25702”使其回到其锁定位置,在锁定位置,砧座锁定接片25710”与砧座25400”上的锁定凸耳25414”阻挡对准。Figure 74 shows the initial insertion of an unfired compatible surgical staple cartridge 25600" into the channel 25310". As can be seen in Figure 74, the tapered nose portion 25662" of the cam action assembly 25650" has not yet interfaced with the actuator tab portion 25712" on the closure latch 25702". The closure lock 25702" remains biased downward into the locked position where the anvil locking tabs 25710" of the closure lock 25702" and the locking lugs 25414" on the anvil mounting portion 25410" of the anvil 25400" block the allow. As the surgical staple cartridge 25600" is advanced further proximally into the seated position within the channel 25310", the tapered nose portion 25662" on the cam action assembly 25650" contacts the actuation tab 25712" and biases the closure latch 25702" upwardly Press to the unlocked position where the anvil locking tabs 25710" are no longer aligned with the anvil locking lugs 25414". When in this position, the user can close the anvil 25400" by advancing the end effector closure tube distally to apply a closing action to the anvil 25400". Thus, in this embodiment, the closure locking system 25700" is actuated by the cam action assembly 25650", but only when the cam action assembly 25650" is in the unfired starting position. Once the surgical staple cartridge 25600" has been released from the channel 25310" When removed, the lower spring 25720" on the closure lock 25702" will bias the closure lock 25702" downwardly to its locked position where the anvil locking tabs 25710" and the locking lugs on the anvil 25400" Ears 25414" block alignment.

图78示出了其中具有凸轮作用组件的钉仓25600X”的插入,该凸轮作用组件不处于最近侧未击发位置。因为凸轮作用组件不处于其未击发开始位置,所以不存在将闭合锁25702”向上偏压到解锁位置的渐缩鼻部部分。闭合锁25702'保持在锁定位置,在锁定位置,该闭合锁的砧座锁定接片25710”与砧座25400”上的砧座锁定凸耳25414”阻挡对准。如果使用者无意中试图闭合砧座25400”,则砧座锁定凸耳25414”将接触闭合锁25702”上的砧座锁定接片25710”并防止砧座25400”枢转到闭合位置。Figure 78 shows the insertion of a staple cartridge 25600X" with a cam action assembly in it that is not in the proximal-most unfired position. Because the cam action assembly is not in its unfired starting position, there is no closing lock 25702" Tapered nose section biased upwards to unlocked position. The closure lock 25702' remains in the locked position where the anvil locking tabs 25710" of the closure lock are in blocking alignment with the anvil locking lugs 25414" on the anvil 25400". If the user inadvertently attempts to close the anvil 25400", the anvil locking lugs 25414" will contact the anvil locking tabs 25710" on the closure lock 25702" and prevent the anvil 25400" from pivoting to the closed position.

图79至图83示出了另选的仓鼻部组件25800,该仓鼻部组件可与本文所公开的仓和通道布置中的任一者一起使用,以提供用于确保插入端部执行器通道中的外科钉仓与端部执行器兼容的另一机构,并为使用者提供仓已被击发的另一视觉指示器。例如,仓鼻部组件25800可与仓25600和端部执行器25300的通道25310(图64)一起使用。在例示的布置中,仓鼻部组件25800包括鼻部组件主体25802,该鼻部组件主体可动地联接到仓体25602的远侧端部25606。如在图81和图82中可见,仓体25602的远侧端部部分25606包括朝远侧延伸的渐缩部分25605,该渐缩部分适于接收在鼻部组件主体25802中的互补形状的鼻部凹口25804内。此外,鼻部组件主体25802被构造成具有轴向对准特征部(未示出),该轴向对准特征部可以可滑动地支撑在设置于仓体25602的远侧端部部分25606中的轴向凹槽25607中。Figures 79-83 illustrate an alternative cartridge nose assembly 25800 that can be used with any of the cartridge and channel arrangements disclosed herein to provide for secure insertion of an end effector The surgical staple cartridge in the channel is another mechanism that is compatible with the end effector and provides the user with another visual indicator that the cartridge has been fired. For example, the cartridge nose assembly 25800 can be used with the cartridge 25600 and the channel 25310 of the end effector 25300 (FIG. 64). In the illustrated arrangement, the cartridge nose assembly 25800 includes a nose assembly body 25802 that is movably coupled to the distal end 25606 of the cartridge body 25602. As can be seen in FIGS. 81 and 82 , the distal end portion 25606 of the cartridge body 25602 includes a distally extending tapered portion 25605 adapted to receive a complementary shaped nose in the nose assembly body 25802 inside the notch 25804. Additionally, the nose assembly body 25802 is configured with an axial alignment feature (not shown) that can be slidably supported in a shaft disposed in the distal end portion 25606 of the cartridge body 25602 Axial groove 25607.

如在图83和图84中可见,鼻部保持器闩锁臂25810从鼻部组件主体25802的上部部分朝近侧延伸到形成在仓体25602中的闩锁腔体25680中。鼻部组件主体25802能够从图81和图83所示的锁定位置轴向运动到图82和图84所示的解锁位置。当鼻部组件主体25802处于解锁位置时,形成在保持器闩锁臂25810的近侧端部上的保持闩锁25812接合形成在仓体25602的远侧端部部分25606上的保持凸耳25682,以将仓鼻部组件25800保持在仓体25602的远侧端部25606上。As can be seen in FIGS. 83 and 84 , the nasal retainer latch arm 25810 extends proximally from the upper portion of the nasal assembly body 25802 into a latch cavity 25680 formed in the cartridge body 25602. The nose assembly body 25802 is axially movable from the locked position shown in FIGS. 81 and 83 to the unlocked position shown in FIGS. 82 and 84 . When the nose assembly body 25802 is in the unlocked position, the retention latch 25812 formed on the proximal end of the retainer latch arm 25810 engages the retention lug 25682 formed on the distal end portion 25606 of the cartridge body 25602, to retain the cartridge nose assembly 25800 on the distal end 25606 of the cartridge body 25602.

现在参见图81和图82,鼻部组件主体25802还包括朝近侧延伸的鼻部接片部分25820,该鼻部接片部分定尺寸成摩擦地接合形成在通道25310的远侧端部25315上的对应远侧延伸的通道凸缘25317,以将鼻部组件25800保持在朝近侧向前的“锁定位置”。如在图83和图84中可见,鼻部组件主体25802还可包括一体式弹簧臂25830,该一体式弹簧臂被构造成能够与形成在仓体25602的朝远侧延伸的渐缩部分25605上的弹簧凸耳25684交接。弹簧臂25830向仓鼻部组件25800施加远侧偏压力BF,以增加鼻部接片部分25820和通道凸缘25317之间的摩擦力,从而将仓鼻部组件25800保持在锁定位置。Referring now to FIGS. 81 and 82 , the nose assembly body 25802 also includes a proximally extending nose tab portion 25820 sized to frictionally engage the distal end 25315 formed on the channel 25310 Corresponding distally extending channel flanges 25317 to hold the nose assembly 25800 in a proximally forward "locked position". As can be seen in FIGS. 83 and 84 , the nose assembly body 25802 may also include an integral spring arm 25830 configured to engage with a distally extending tapered portion 25605 formed on the cartridge body 25602 The spring lugs 25684 meet. The spring arms 25830 apply a distal biasing force BF to the cartridge nose assembly 25800 to increase the frictional force between the nose tab portion 25820 and the channel flange 25317 to maintain the cartridge nose assembly 25800 in the locked position.

在操作中,当仓25600处于其未击发状态并且准备好安装在通道25310中时,仓鼻部组件25800处于锁定位置。为了将未击发仓25600安装到端部执行器25300中,将仓体25602放置在通道25310中,然后在其中朝近侧推进,以使通道凸缘25317与鼻部接片部分25820接合,如图81和图82所示。如上所述,当仓25600未击发时,凸轮作用组件25650处于其最近侧开始位置。在击发过程期间,凸轮作用组件25650在仓体25602中被驱动到其在其中的最远侧位置。当凸轮作用组件25650到达其最远侧位置时,凸轮作用组件25650的中心主体部分25651以足量的力接触仓鼻部组件25800,以克服将仓鼻部组件25800保持在锁定位置的摩擦力FF,并且使仓鼻部组件25800轴向运动到解锁位置。在另选的替代方案中,使用者可通过将仓鼻部组件25800朝远侧牵拉到解锁位置来使该仓鼻部组件脱离接合。一旦仓鼻部组件25800运动到解锁位置,仓25600就可从细长通道25310被移除。此外,朝远侧延伸的仓鼻部组件25800可向使用者提供该仓已被击发(用尽)的视觉指示。In operation, when the cartridge 25600 is in its unfired state and ready to be installed in the channel 25310, the cartridge nose assembly 25800 is in the locked position. To install the unfired cartridge 25600 into the end effector 25300, the cartridge body 25602 is placed in the channel 25310 and then advanced proximally therein to engage the channel flange 25317 with the nose tab portion 25820, as shown 81 and Figure 82. As described above, when the cartridge 25600 is not fired, the cam action assembly 25650 is in its proximal most starting position. During the firing process, the cam action assembly 25650 is driven in the cartridge body 25602 to its most distal position therein. When the cam action assembly 25650 reaches its distal-most position, the central body portion 25651 of the cam action assembly 25650 contacts the cartridge nose assembly 25800 with sufficient force to overcome the frictional force FF that holds the cartridge nose assembly 25800 in the locked position , and axially move the cartridge nose assembly 25800 to the unlocked position. In an alternative alternative, the user may disengage the cartridge nose assembly 25800 by pulling the cartridge nose assembly distally to the unlocked position. Once the cartridge nose assembly 25800 is moved to the unlocked position, the cartridge 25600 can be removed from the elongated channel 25310. Additionally, the distally extending cartridge nose assembly 25800 can provide the user with a visual indication that the cartridge has been fired (depleted).

图85和图86示出了采用击发构件26120的外科端部执行器26300的一部分,该击发构件可被构造成能够由旋转动力击发系统或轴向动力(非旋转动力)击发系统朝远侧推进。具体地讲,击发构件26120可结合本文所公开的各种端部执行器布置和击发驱动系统构型中的任一者以及结合以引用方式并入本文的各种参考文献中所述的那些端部执行器和击发驱动系统构型使用。Figures 85 and 86 show a portion of a surgical end effector 26300 employing a firing member 26120 that can be configured to be advanced distally by a rotationally powered firing system or an axially powered (non-rotationally powered) firing system . In particular, the firing member 26120 may incorporate any of the various end effector arrangements and firing drive system configurations disclosed herein as well as those described in the various references incorporated herein by reference External actuator and firing drive system configurations are used.

如在图85和图86中可见,击发构件26120包括击发构件主体26122,该击发构件主体包括击发构件闭锁系统26140,该击发构件闭锁系统包括枢转地附接到击发构件主体26122的击发构件闭锁件26142。击发构件闭锁件26142包括闭锁件主体26144,该闭锁件主体包括跨越击发构件主体26122并枢转地附接到其上的一对腿部26146。闭锁件主体26144还包括滑动件闩锁26148,该滑动件闩锁被构造成能够与可操作地支撑在钉仓(未示出)中的凸轮作用滑动件或凸轮作用组件26650接触。图85示出了处于最近侧起始位置的击发构件26120。如在图85和图86中可见,通过端部执行器26300的细长通道26310的底部部分26312提供击发闭锁孔26315。闭锁弹簧26150安装在细长通道26310中并且被构造成能够向下偏压击发构件闭锁件26142,使得如果新鲜的未击发钉仓尚不正确地装载到细长通道26310中,则闭锁主体26144的远侧边缘26149接合击发闭锁孔26315的成角度远侧边缘26317。当处于该位置时,如果使用者无意中试图朝远侧推进击发构件26120,则击发构件闭锁件26142防止击发构件26120朝远侧推进,如图86所示。As can be seen in FIGS. 85 and 86, the firing member 26120 includes a firing member body 26122 that includes a firing member latch system 26140 that includes a firing member latch pivotally attached to the firing member body 26122 Piece 26142. The firing member latch 26142 includes a latch body 26144 that includes a pair of legs 26146 spanning across the firing member body 26122 and pivotally attached thereto. The latch body 26144 also includes a slider latch 26148 that is configured to contact a cam-action slider or cam-action assembly 26650 operably supported in a staple cartridge (not shown). Figure 85 shows the firing member 26120 in the proximal-most starting position. As can be seen in FIGS. 85 and 86, a firing lockout aperture 26315 is provided through the bottom portion 26312 of the elongated channel 26310 of the end effector 26300. The latching spring 26150 is mounted in the elongated channel 26310 and is configured to bias the firing member latch 26142 downward such that if a fresh, unfired staple cartridge has not been properly loaded into the elongated channel 26310, the latching of the main body 26144 is blocked. The distal edge 26149 engages the angled distal edge 26317 of the firing latch hole 26315. When in this position, the firing member latch 26142 prevents distal advancement of the firing member 26120 if the user inadvertently attempts to advance the firing member 26120 distally, as shown in FIG. 86 .

新鲜的未击发外科钉仓包含位于起始或未击发位置的凸轮作用组件26650,该起始或未击发位置位于支撑于仓体中的多排钉驱动器的近侧。如本文所用,术语“新鲜的、未击发的”意指钉仓的所有预期钉或紧固件处于其相应的未击发位置,并且凸轮作用组件处于近侧未击发起始位置。当新鲜的未击发外科钉仓已正确地安置在细长通道26310内时,凸轮作用组件26650上朝近侧延伸的解锁部分26653接合击发构件闭锁件26142上的滑动件闩锁26148,以使击发构件闭锁件26142枢转到解锁位置,在解锁位置,击发构件闭锁件26142不延伸到细长通道26310中的击发闭锁孔26315中。图85示出了处于起始位置的凸轮作用组件26650,并且击发构件26120通过致动击发驱动系统而自由地朝远侧推进。A fresh, unfired surgical staple cartridge contains a cam action assembly 26650 in a starting or unfired position proximal of the rows of staple drivers supported in the cartridge body. As used herein, the term "fresh, unfired" means that all of the intended staples or fasteners of the staple cartridge are in their respective unfired positions and the cam action assembly is in the proximal unfired starting position. When a fresh, unfired surgical staple cartridge has been properly seated within the elongated channel 26310, the proximally extending unlocking portion 26653 on the cam action assembly 26650 engages the slider latch 26148 on the firing member latch 26142 to allow firing The member latch 26142 pivots to an unlocked position where the firing member latch 26142 does not extend into the firing latch aperture 26315 in the elongated channel 26310. Figure 85 shows the cam action assembly 26650 in the starting position, and the firing member 26120 is free to advance distally by actuating the firing drive system.

在击发过程完成时,凸轮作用组件26650可保持在钉仓的远侧端部处(即,处于“击发”位置),同时击发构件26120回缩到其起始位置,在其起始位置,砧座可被打开并且用尽的仓从通道26310被移除。因此,一旦外科钉仓已被用尽(例如,完全击发),凸轮作用组件26650就不返回到其起始位置。因此,如果要将用尽的仓无意中重新安装在端部执行器26300中,则凸轮作用组件26650不处于其中凸轮作用组件26650可解锁击发构件闭锁件26142的起始位置。因此,击发构件闭锁系统26140在本文中也可称为“用尽的仓闭锁系统”。Upon completion of the firing process, the cam action assembly 26650 can remain at the distal end of the staple cartridge (ie, in the "fired" position) while the firing member 26120 is retracted to its starting position, where the anvil The seat can be opened and the spent bin removed from the channel 26310. Thus, once the surgical staple cartridge has been depleted (eg, fully fired), the cam action assembly 26650 does not return to its starting position. Therefore, if a depleted cartridge is to be inadvertently re-installed in the end effector 26300, the cam action assembly 26650 is not in the starting position where the cam action assembly 26650 can unlock the firing member latch 26142. Accordingly, the firing member lockout system 26140 may also be referred to herein as an "exhausted cartridge lockout system."

图87至图90示出了被构造成能够枢转地支撑在本文所公开的各种类型的通道26310或类似通道上的砧座26400。在图87和图89中,为清楚起见省略了通道。在例示的布置中,砧座26400包括仓验证系统26440,该仓验证系统可被构造成能够防止原本已安置在仓中的不兼容仓的击发。砧座26400和仓验证系统26440可与外科端部执行器26300结合使用,该外科端部执行器采用配备有机载击发构件闭锁系统26140的击发构件26120,该机载击发构件闭锁系统被构造成能够防止击发构件26120的远侧推进,除非击发构件闭锁件26142已通过与位于外科钉仓中的对应凸轮作用组件交接而运动到解锁位置。仓验证系统26440还可与外科端部执行器结合使用,该外科端部执行器采用轴向推进的(非旋转的)击发构件,该击发构件以其他方式配备有类似于击发构件闭锁系统26140的击发构件闭锁系统。87-90 illustrate an anvil 26400 configured to be pivotably supported on various types of channels 26310 or similar channels disclosed herein. In Figures 87 and 89, channels have been omitted for clarity. In the illustrated arrangement, the anvil 26400 includes a cartridge verification system 26440 that can be configured to prevent firing of an incompatible cartridge that would otherwise be positioned in the cartridge. Anvil 26400 and cartridge validation system 26440 may be used in conjunction with surgical end effector 26300 employing firing member 26120 equipped with an on-board firing member latching system 26140 configured to Distal advancement of the firing member 26120 can be prevented unless the firing member latch 26142 has been moved to the unlocked position by interfacing with a corresponding cam action assembly located in the surgical staple cartridge. The cartridge validation system 26440 can also be used in conjunction with a surgical end effector that employs an axially advanced (non-rotating) firing member otherwise equipped with a similar firing member latching system 26140. The firing member lockout system.

图90示出了与外科端部执行器26300兼容外科钉仓26600的部分。在至少一种布置中,外科钉仓26600包括细长仓体26602,该细长仓体定尺寸成可移除地安置在端部执行器26300的细长通道中。仓体26602包括从仓体26602的近侧端部部分26604延伸到远侧端部部分的仓狭槽26608。仓体26602还包括仓平台表面26610,当仓26600安置在通道中并且砧座26400枢转到闭合位置时,该仓平台表面面对砧座26400的钉成形下表面26404。尽管图90中未示出,但外科钉仓26600可在仓狭槽26608的每一侧上具有多排(通常三排)外科钉凹坑,该多排外科钉凹坑通过仓平台表面26610打开。每个钉凹坑可具有与其相关联的钉驱动器(未示出),该钉驱动器在其上支撑外科钉或紧固件(未示出)。在至少一个示例中,仓体26602由其中模制或机加工有钉凹坑的聚合物材料模制而成。在一种布置中,钉凹坑还通过仓体26602的底部打开,以便于将驱动器和紧固件安装到其相应凹坑中。一旦驱动器和紧固件被插入其相应钉凹坑中,则仓盘26620附接到仓体26602的底部。当安装时,仓盘26620可(除了别的以外)防止驱动器和紧固件在仓26600处理和安装到细长通道26310中期间从仓体26602的底部掉出。90 shows a portion of a surgical staple cartridge 26600 that is compatible with a surgical end effector 26300. In at least one arrangement, the surgical staple cartridge 26600 includes an elongated cartridge body 26602 sized to be removably seated in an elongated channel of the end effector 26300. The cartridge body 26602 includes a cartridge slot 26608 extending from the proximal end portion 26604 of the cartridge body 26602 to the distal end portion. The cartridge body 26602 also includes a cartridge deck surface 26610 that faces the staple forming lower surface 26404 of the anvil 26400 when the cartridge 26600 is seated in the channel and the anvil 26400 is pivoted to the closed position. Although not shown in FIG. 90 , the surgical staple cartridge 26600 can have multiple rows (typically three rows) of surgical staple pockets on each side of the cartridge slot 26608 that are opened through the cartridge deck surface 26610 . Each staple pocket may have a staple driver (not shown) associated therewith that supports surgical staples or fasteners (not shown) thereon. In at least one example, the cartridge body 26602 is molded from a polymeric material having spike pockets molded or machined therein. In one arrangement, the staple pockets also open through the bottom of the cartridge body 26602 to facilitate installation of drivers and fasteners into their respective pockets. The cartridge pan 26620 is attached to the bottom of the cartridge body 26602 once the drivers and fasteners are inserted into their respective staple pockets. When installed, the cartridge pan 26620 may (among other things) prevent the drivers and fasteners from falling out of the bottom of the cartridge body 26602 during the handling and installation of the cartridge 26600 into the elongated channel 26310.

在例示的布置中,仓26600在其中可操作地支撑凸轮作用组件26650。凸轮作用组件26650包括中央主体部分26652和一系列间隔开的凸轮构件26654,这些凸轮构件被构造成能够在对应凸轮狭槽26609内轴向运动,这些对应凸轮狭槽形成在仓体26602中的仓狭槽26608的每一侧上。凸轮狭槽26609与仓体26602中的对应排驱动器对准,以在凸轮作用组件26650从仓体26602的近侧端部部分26604内的开始位置被驱动穿过钉仓26600到仓体26602的远侧端部部分内的结束位置时,有利于与对应凸轮构件26654凸轮作用接触。中央主体部分26652”包括朝近侧延伸的解锁部分26653”,该解锁部分被构造成能够在仓26600”已正确地装载到通道26310”中时接合击发构件锁26142上的滑动件闩锁26148。如在图90中可见,当凸轮作用组件26650处于其最近侧起始位置(其中解锁部分26653可使击发构件闭锁件26142运动到解锁位置)时,凸轮构件26654中的每个可朝近侧突起到其相应的凸轮狭槽26609之外。In the illustrated arrangement, the cartridge 26600 operably supports the cam action assembly 26650 therein. Cam action assembly 26650 includes a central body portion 26652 and a series of spaced apart cam members 26654 configured for axial movement within corresponding cam slots 26609 forming cartridges in cartridge body 26602 Slot 26608 on each side. The cam slots 26609 are aligned with corresponding rows of drivers in the cartridge body 26602 to be driven through the staple cartridge 26600 to the distal end of the cartridge body 26602 at the starting position of the cam action assembly 26650 from within the proximal end portion 26604 of the cartridge body 26602 The end position within the side end portion facilitates camming contact with the corresponding cam member 26654. The central body portion 26652" includes a proximally extending unlocking portion 26653" that is configured to engage the slider latch 26148 on the firing member lock 26142 when the cartridge 26600" has been properly loaded into the channel 26310". As can be seen in Figure 90, each of the cam members 26654 can protrude proximally when the cam action assembly 26650 is in its proximal-most starting position, wherein the unlocking portion 26653 can move the firing member latch 26142 to the unlocked position out of its corresponding cam slot 26609.

现在参见图87和图91,在示出的布置中,仓验证系统26440包括仓验证构件或梭动构件26442,该仓验证构件或梭动构件附接到砧座26400的砧座安装部分26410的下侧。仓验证构件26442可以是一体式构造,并且包括一对向下延伸的梭动件腿部26444,该对向下延伸的梭动件腿部由击发构件狭槽26447(图91)分叉,以便于击发构件26120在其间的通路。在其他布置中,仓验证构件26442可以是两件式构造,其由两个单独的向下延伸的梭动件腿部26444组成,这些梭动件腿部通过间距26448彼此分开,该间距被构造成能够适应击发构件主体26122从中通过。在任一种情况下,梭动构件26442可由柔顺聚合物或橡胶材料制成并且可通过紧固件布置的适当粘合剂附接到砧座安装部分26410的下侧。Referring now to FIGS. 87 and 91 , in the arrangement shown, the cartridge verification system 26440 includes a cartridge verification member or shuttle member 26442 attached to the anvil mounting portion 26410 of the anvil 26400 underside. The cartridge validation member 26442 may be of unitary construction and includes a pair of downwardly extending shuttle legs 26444 bifurcated by a firing member slot 26447 (FIG. 91) for for the passage of the firing member 26120 therebetween. In other arrangements, the cartridge validation member 26442 may be of a two-piece construction consisting of two separate downwardly extending shuttle legs 26444 separated from each other by a spacing 26448 that is constructed to accommodate the firing member body 26122 to pass therethrough. In either case, the shuttle member 26442 may be made of a compliant polymer or rubber material and may be attached to the underside of the anvil mounting portion 26410 by a suitable adhesive in a fastener arrangement.

在例示的示例中,每个梭动件腿部26444包括朝远侧突起的滑动件致动器臂26446。返回图90,仓体26602包括两个朝近侧突起的验证特征部或仓键部分26630,这些验证特征部或仓键部分被构造成能够在仓26600可操作地安置在通道26310中时解锁地接合对应梭动件腿部26444上的滑动件致动器臂26446。如下文将进一步讨论,如果不存在接触对应滑动件致动器臂26446的验证特征部26630,则滑动件致动器臂26446将以其他方式接触突起凸轮构件26654,并将凸轮作用组件26650朝远侧推动或推送到其中凸轮作用组件26650上的解锁部分26653不再与击发构件锁26142上的滑动件闩锁26148解锁接合的位置。In the illustrated example, each shuttle leg 26444 includes a distally projecting slider actuator arm 26446. Returning to FIG. 90 , the cartridge body 26602 includes two proximally projecting authentication features or cartridge key portions 26630 that are configured to be unlocked when the cartridge 26600 is operably seated in the channel 26310 The slider actuator arms 26446 on the corresponding shuttle legs 26444 are engaged. As will be discussed further below, if there is no authentication feature 26630 contacting the corresponding slider actuator arm 26446, the slider actuator arm 26446 would otherwise contact the protruding cam member 26654 and push the cam action assembly 26650 away Side push or push to a position where the unlocking portion 26653 on the cam action assembly 26650 is no longer in unlocking engagement with the slider latch 26148 on the firing member lock 26142.

可参考图87至图92理解仓验证系统26440与仓26600之间的交接。图87示出了将兼容外科钉仓26600初始安装到端部执行器26300中。尽管已从附图中省略通道,但砧座26400被示为处于完全打开位置。在例示的示例中,砧座26400能够运动地轴颈连接在通道上,使得在从本文所述的各种闭合系统中的许多闭合系统的闭合构件布置向其施加初始闭合动作时,砧座26400枢转到图88所示的部分闭合位置或中间位置。当处于该位置时,每个滑动件致动器臂26446与仓体26602上的对应验证特征部26630面对对准。对砧座26400进一步施加闭合动作还可使砧座26400朝远侧平移到闭合位置。当砧座26400朝远侧运动时,验证特征部26630阻挡对应的柔顺滑动件致动器臂26446的远侧运动,以防止滑动件致动器臂26446接触朝近侧突起的凸轮构件26654。因此,凸轮作用组件26650保持在其起始位置,在其起始位置,凸轮作用组件26650上的解锁部分26653保持与击发构件锁26142上的滑动件闩锁26148解锁接合。因此,在致动击发驱动系统时,击发构件26120自由地朝远侧运动穿过仓26600。The interface between the bin verification system 26440 and the bin 26600 can be understood with reference to FIGS. 87-92 . 87 shows the initial installation of a compatible surgical staple cartridge 26600 into the end effector 26300. Anvil 26400 is shown in a fully open position, although the channel has been omitted from the drawings. In the illustrated example, the anvil 26400 is movably journaled on the channel such that when an initial closing action is applied thereto from the closure member arrangement of many of the various closure systems described herein, the anvil 26400 pivots Go to the partially closed or neutral position shown in Figure 88. When in this position, each slider actuator arm 26446 is face-aligned with a corresponding verification feature 26630 on the cartridge body 26602. Further application of a closing action to the anvil 26400 may also cause the anvil 26400 to be translated distally to the closed position. When the anvil 26400 is moved distally, the verification features 26630 block the distal movement of the corresponding compliant slider actuator arms 26446 to prevent the slider actuator arms 26446 from contacting the proximally protruding cam members 26654. Thus, the cam action assembly 26650 remains in its starting position in which the unlocking portion 26653 on the cam action assembly 26650 remains in unlocked engagement with the slider latch 26148 on the firing member lock 26142. Thus, upon actuation of the firing drive system, the firing member 26120 is free to move distally through the cartridge 26600.

图92示出了可非常类似于仓26600但与外科端部执行器26300“不兼容”的仓26600X。例如,仓26600X缺少仓26600的验证特征部或键部分26630。除了缺少验证特征部或键26630之外,仓26600X还可在包含于其中的紧固件的数量、尺寸、位置等方面不同于仓26600,尽管事实上仓26600X可具有凸轮作用组件26650,该凸轮作用组件在构造和使用上与仓26600中采用的凸轮作用组件26650相同。FIG. 92 shows a cartridge 26600X that may be very similar to the cartridge 26600 but is "incompatible" with the surgical end effector 26300. For example, bin 26600X lacks the authentication feature or key portion 26630 of bin 26600. In addition to lacking the authentication feature or key 26630, the cartridge 26600X may also differ from the cartridge 26600 in the number, size, location, etc. of the fasteners contained therein, despite the fact that the cartridge 26600X may have a cam action assembly 26650 that cam The action assembly is identical in construction and use to the cam action assembly 26650 employed in the cartridge 26600.

图93至图95示出了将不兼容仓26600X插入到外科端部执行器26300中。图93示出了将不兼容外科钉仓26600X初始安装到端部执行器26300中。尽管已从附图中省略通道,但砧座26400被示为处于完全打开位置。图94示出了在向其施加初始闭合动作时处于中间位置的砧座26400。当处于该位置时,每个滑动件致动器臂26446与朝近侧突起到其相应凸轮狭槽26609之外的对应凸轮构件26654面对对准。对砧座26400进一步施加闭合动作可使砧座26400朝远侧平移到最终闭合位置。当砧座26400朝远侧运动时,滑动件致动器臂26446接触朝近侧突起的凸轮构件26654,并使凸轮作用组件26650朝远侧运动到一点,其中在该点处上的解锁部分26653不再与击发构件锁26142上的滑动件闩锁26148接合。因此,击发构件闭锁件26142保持与端部执行器26300的细长通道26310锁定接合,以在致动击发驱动系统时防止击发构件26120的远侧推进。93-95 illustrate the insertion of the incompatible cartridge 26600X into the surgical end effector 26300. 93 shows the initial installation of the incompatible surgical staple cartridge 26600X into the end effector 26300. Anvil 26400 is shown in a fully open position, although the channel has been omitted from the drawings. Figure 94 shows the anvil 26400 in an intermediate position when an initial closing action is applied thereto. When in this position, each slider actuator arm 26446 is in facing alignment with a corresponding cam member 26654 that protrudes proximally out of its corresponding cam slot 26609. Further application of a closing action to the anvil 26400 may cause the anvil 26400 to be translated distally to a final closed position. When the anvil 26400 is moved distally, the slider actuator arm 26446 contacts the proximally protruding cam member 26654 and moves the cam action assembly 26650 distally to a point where the unlocking portion 26653 on that point is No longer engages the slider latch 26148 on the firing member lock 26142. Accordingly, the firing member latch 26142 remains in locking engagement with the elongated channel 26310 of the end effector 26300 to prevent distal advancement of the firing member 26120 when the firing drive system is actuated.

图96至图98示出了可与端部执行器26300一起使用的另一个仓验证系统26440,该端部执行器采用由击发构件梁1900以本文所讨论的各种方式轴向推进的击发构件20500。如上所述,击发构件20500包括击发构件主体20502,该击发构件主体被构造成能够轴向穿过砧座(未示出)、钉仓26600'和细长通道26310'中的竖直对准的狭槽。包括一对侧向延伸的下法兰的下脚部组件20506从击发构件主体20502的底端延伸,以可滑动地接合形成在通道狭槽的每一侧上的对应通道凸缘。包括两个侧向延伸的砧座接片20507的上脚部可形成在击发构件主体20502的上端上,并且被构造成能够可滑动地接合形成在砧座狭槽的每一侧上的砧座凸缘(未示出)。在至少一种布置中,击发构件20500还包括从击发构件主体20502的每一侧侧向延伸的一对中央接片(未示出)。FIGS. 96-98 illustrate another cartridge validation system 26440 that may be used with an end effector 26300 employing a firing member axially advanced by the firing member beam 1900 in various manners discussed herein 20500. As described above, the firing member 20500 includes a firing member body 20502 that is configured to pass axially through the anvil (not shown), the staple cartridge 26600', and the vertically aligned vertical passages 26310'. slot. A lower foot assembly 20506 including a pair of laterally extending lower flanges extends from the bottom end of the firing member body 20502 to slidably engage corresponding channel flanges formed on each side of the channel slot. An upper foot including two laterally extending anvil tabs 20507 may be formed on the upper end of the firing member body 20502 and configured to slidably engage an anvil formed on each side of the anvil slot Flange (not shown). In at least one arrangement, the firing member 20500 also includes a pair of central tabs (not shown) extending laterally from each side of the firing member body 20502.

击发构件主体20502还被构造成具有朝近侧延伸的弹簧尾部20512,该弹簧尾部被构造成能够与击发构件闭锁弹簧(未示出)可操作地交接,该击发构件闭锁弹簧安装在细长通道26310中并且被构造成能够将击发构件20500在细长通道26310中向下偏压到锁定位置。当处于锁定位置时,击发构件脚部20506和/或中央接片与通道20310'中的对应通路不对准时,并且因此,如果使用者试图在处于闭锁状态时朝远侧推进击发构件20500,则击发构件20500将不会由于此类不对准而朝远侧运动。即,脚部20506和/或中央接片接触细长通道20310'的各部分,从而防止击发构件20500的远侧推进。在一种布置中,滑动件闩锁20514形成在击发构件主体20502上,并且被构造成能够由凸轮作用组件26650'上的朝近侧延伸的解锁部分26653'接合,该凸轮作用组件可操作地支撑在兼容仓26600'内的最近侧起始位置,该兼容仓已可操作地安置在通道26310'中。当其凸轮作用组件26650'处于其未击发位置的新鲜的未击发钉仓26600'已可操作地安装在细长通道26310'中时,凸轮作用组件26650'上的解锁部分26653'接合击发构件主体20502上的滑动件闩锁20514并使击发构件20500向上运动进入解锁位置,在解锁位置,下脚部组件20506和/或中央接片与通道26310'中其相应通路对准,以允许击发构件20500在其中轴向推进。当使用者将击发构件20500朝远侧推进到仓26600'中时,击发构件20500还驱动其中的凸轮作用组件20650',该凸轮作用组件将驱动器向上凸轮以驱动支撑在其上的钉或紧固件与砧座的下侧形成接触。然后,击发构件20500上的组织切割构件20504切穿缝合的组织。一旦击发构件20500已被驱动到其对应于凸轮作用组件26650'的结束位置的最远侧位置,击发构件20500就回缩到其最近侧位置,从而将凸轮作用组件26650'留在仓26600'的远侧端部中。当击发构件20500返回到其最近侧开始位置时,锁定弹簧再次将击发构件20500偏压回其锁定位置。因此,如果使用者无意中尝试再利用用尽的仓,则凸轮作用组件26650'不处于其解锁击发构件20500所需的起始位置。因此,该击发构件闭锁布置在本文中也可称为“用尽的仓闭锁布置”。The firing member body 20502 is also configured to have a proximally extending spring tail 20512 configured to operably interface with a firing member latching spring (not shown) mounted in the elongated channel 26310 and configured to bias the firing member 20500 downwardly in the elongated channel 26310 to the locked position. When in the locked position, the firing member feet 20506 and/or central tabs are not aligned with the corresponding passageways in the channel 20310', and thus, if the user attempts to advance the firing member 20500 distally while in the locked state, the firing The member 20500 will not move distally due to such misalignment. That is, the feet 20506 and/or the central tab contact portions of the elongated channel 20310', thereby preventing distal advancement of the firing member 20500. In one arrangement, the slider latch 20514 is formed on the firing member body 20502 and is configured to be engageable by a proximally extending unlocking portion 26653' on the cam action assembly 26650' that is operatively Supported at the proximal-most starting position within the compatibility compartment 26600', which has been operably seated in the channel 26310'. When a fresh, unfired staple cartridge 26600' with its cam action assembly 26650' in its unfired position has been operably installed in the elongated channel 26310', the unlocking portion 26653' on the cam action assembly 26650' engages the firing member body The slider on 20502 latches 20514 and moves the firing member 20500 up into an unlocked position where the lower foot assembly 20506 and/or the central tab aligns with their corresponding passages in the channel 26310' to allow the firing member 20500 to remain in place. where axial advance. When the user advances the firing member 20500 distally into the cartridge 26600', the firing member 20500 also drives the cam action assembly 20650' therein which cams the driver upward to drive the staples or fasteners supported thereon The piece comes into contact with the underside of the anvil. The tissue cutting member 20504 on the firing member 20500 then cuts through the stapled tissue. Once the firing member 20500 has been driven to its distal-most position corresponding to the end position of the cam action assembly 26650', the firing member 20500 is retracted to its most distal position, leaving the cam action assembly 26650' in the position of the cartridge 26600' in the distal end. When the firing member 20500 returns to its most proximal starting position, the locking spring again biases the firing member 20500 back to its locked position. Thus, if a user inadvertently attempts to reuse a depleted cartridge, the cam action assembly 26650' is not in its desired starting position to unlock the firing member 20500. Accordingly, this firing member latching arrangement may also be referred to herein as an "exhausted cartridge latching arrangement".

在图96和图97所示的布置中,仓验证系统26440'包括能够轴向运动的仓验证构件或安置梭动件26442',该能够轴向运动的仓验证构件或安置梭动件被支撑在通道26310'内,以用于从通道26310'内的最远侧仓接合位置轴向运动到近侧验证位置。梭动件弹簧26449'安装在通道26310'内并且用于将仓验证构件或安置梭动件26442'偏压到最远侧仓接合位置。如在图96和图97中可见,仓验证构件或梭动件26442'还包括一对朝远侧突起的滑动件致动器臂26446'。滑动件致动器臂26446'被定位成接触非柔顺仓的凸轮作用组件上的对应凸轮构件,如下文将讨论的。In the arrangement shown in Figures 96 and 97, the cartridge verification system 26440' includes an axially movable cartridge verification member or placement shuttle 26442' supported by the axially movable cartridge verification member or placement shuttle Within channel 26310' for axial movement from a distal-most cartridge engagement position within channel 26310' to a proximal verification position. A shuttle spring 26449' is mounted within the channel 26310' and is used to bias the cartridge verification member or placement shuttle 26442' to the distal-most cartridge engagement position. As can be seen in Figures 96 and 97, the cartridge authentication member or shuttle 26442' also includes a pair of distally projecting slider actuator arms 26446'. The slider actuator arm 26446' is positioned to contact a corresponding cam member on the cam action assembly of the non-compliant cartridge, as will be discussed below.

图98示出了与外科端部执行器26300'兼容外科钉仓26600'的近侧端部部分26604'。在至少一种布置中,外科钉仓26600'包括细长仓体26602',该细长仓体定尺寸成可移除地安置在细长通道26310'中。仓体26602'包括从仓体26602'的近侧端部部分26604'延伸到远侧端部部分的仓狭槽26608'。仓体26602'还包括仓平台表面26610',当仓26600'安置在通道26310'中并且砧座枢转到闭合位置时,该仓平台表面面对砧座的钉成形下表面。尽管图98中未示出,但外科钉仓26600'可在仓狭槽26608'的每一侧上具有多排(通常三排)外科钉凹坑,该多排外科钉凹坑通过仓平台表面26610'打开。每个钉凹坑可具有与其相关联的钉驱动器(未示出),该钉驱动器在其上支撑外科钉或紧固件(未示出)。在至少一个示例中,仓体26602'由其中模制或机加工有钉凹坑的聚合物材料模制而成。在一种布置中,钉凹坑还通过仓体26602'的底部打开,以便于将驱动器和紧固件安装到其相应凹坑中。一旦驱动器和紧固件被插入其相应钉凹坑中,则仓盘26620'附接到仓体26602'的底部。当安装时,仓盘26620'可(除了别的以外)防止驱动器和紧固件在仓26600'处理和安装到细长通道26310'中期间从仓体26602'的底部掉出。Figure 98 shows a proximal end portion 26604' of a surgical staple cartridge 26600' compatible with a surgical end effector 26300'. In at least one arrangement, the surgical staple cartridge 26600' includes an elongated cartridge body 26602' sized to be removably seated in the elongated channel 26310'. The cartridge body 26602' includes a cartridge slot 26608' extending from the proximal end portion 26604' to the distal end portion of the cartridge body 26602'. The cartridge body 26602' also includes a cartridge deck surface 26610' that faces the staple forming lower surface of the anvil when the cartridge 26600' is seated in the channel 26310' and the anvil is pivoted to the closed position. Although not shown in Figure 98, the surgical staple cartridge 26600' can have multiple rows (typically three rows) of surgical staple pockets on each side of the cartridge slot 26608' that pass through the cartridge deck surface 26610' open. Each staple pocket may have a staple driver (not shown) associated therewith that supports surgical staples or fasteners (not shown) thereon. In at least one example, the cartridge body 26602' is molded from a polymeric material having spike pockets molded or machined therein. In one arrangement, the staple pockets are also open through the bottom of the cartridge body 26602' to facilitate installation of drivers and fasteners into their respective pockets. Once the drivers and fasteners are inserted into their respective staple pockets, the cartridge pan 26620' is attached to the bottom of the cartridge body 26602'. When installed, cartridge tray 26620' may (among other things) prevent drivers and fasteners from falling out of the bottom of cartridge body 26602' during cartridge 26600' handling and installation into elongated channel 26310'.

在例示的布置中,仓26600'在其中可操作地支撑凸轮作用组件26650'。凸轮作用组件26650'包括中央主体部分26652'和一系列间隔开的凸轮构件26654',这些凸轮构件被构造成能够在对应凸轮狭槽26609'内轴向运动,这些对应凸轮狭槽形成在仓体26602'中的仓狭槽26608'的每一侧上。凸轮狭槽26609'与仓体26602'中的对应排驱动器对准,以在凸轮作用组件26650'从仓体26602'的近侧端部部分26604'内的开始位置被驱动穿过钉仓26600'到仓体26602'的远侧端部部分内的结束位置时,有利于与对应凸轮构件26654'凸轮作用接触。中央主体部分26652'包括朝近侧延伸的解锁部分26653',该解锁部分被构造成能够在仓26600'已正确地装载到通道26310'中时接合击发构件20500上的滑动件闩锁20514。In the illustrated arrangement, the cartridge 26600' operably supports the cam action assembly 26650' therein. Cam action assembly 26650' includes a central body portion 26652' and a series of spaced apart cam members 26654' configured for axial movement within corresponding cam slots 26609' formed in the cartridge body 26602' on each side of the cartridge slot 26608'. Cam slot 26609' is aligned with a corresponding row of drivers in cartridge body 26602' to be driven through staple cartridge 26600' at a starting position of cam action assembly 26650' from within proximal end portion 26604' of cartridge body 26602' To the end position within the distal end portion of the cartridge body 26602' facilitates camming contact with the corresponding cam member 26654'. The central body portion 26652' includes a proximally extending unlocking portion 26653' configured to engage the slider latch 20514 on the firing member 20500 when the cartridge 26600' has been properly loaded into the channel 26310'.

兼容仓26600'还包括朝近侧突起的验证特征部或键形成部26630',这些验证特征部或键形成部被构造成能够在仓26600'可操作地安置在通道26310'中时接合滑动件致动器臂26446'。在例示的布置中,仓体26602'另外具有两个侧面验证特征部或仓键形成部26632',这两个侧面验证特征部或仓键形成部也被构造成能够接合仓验证构件或梭动件26442'。如下文将进一步讨论,如果不存在接触对应滑动件致动器臂26446'和仓验证构件或梭动件26442'的验证形成部26630'、26632',则滑动件致动器臂26446'将以其他方式接触突起凸轮构件26654',并将凸轮作用组件26650'朝远侧推动或推送到其中凸轮作用组件26650'上的解锁部分26653'不再与击发构件20500上的滑动件闩锁20514解锁接合的位置。Compatible cartridge 26600' also includes proximally protruding authentication features or key formations 26630' that are configured to engage the slider when cartridge 26600' is operably seated in channel 26310' Actuator arm 26446'. In the illustrated arrangement, the cartridge body 26602' additionally has two side authentication features or cartridge key forming portions 26632' that are also configured to engage a cartridge authentication member or shuttle Piece 26442'. As will be discussed further below, if there are no authentication formations 26630', 26632' contacting the corresponding slider actuator arm 26446' and the cartridge authentication member or shuttle 26442', the slider actuator arm 26446' will be otherwise contacts the protruding cam member 26654' and pushes or pushes the cam action assembly 26650' distally into which the unlocking portion 26653' on the cam action assembly 26650' is no longer in unlocking engagement with the slider latch 20514 on the firing member 20500 s position.

现在转到图99至图101,在例示的布置中,验证特征部或键形成部26630'、26632'各自在其上具有成角度的下对准表面26634',该成角度的下对准表面有利于仓26600'以第一位置角FPA初始插入通道26310'中,其中成角度的下对准表面26634'避免与滑动件致动器臂26446'邻接接触。表面26634'在本文中可称为次表面。一旦使用者已将外科钉仓26600'定位在第一安装位置,则仓26600'向下枢转到通道26310'中,进入位置2,其中验证特征部或仓键形成部26630'、26632'上的竖直邻接表面26636'(次表面)邻接仓验证构件或梭动件26442'上的对应竖直邻接表面26641'和26647'(主表面)。然后,使用者可将仓26600'朝近侧推进到细长通道26310'内的位置3。Turning now to Figures 99-101, in the illustrated arrangement, the verification features or key forming portions 26630', 26632' each have an angled lower alignment surface 26634' thereon, the angled lower alignment surface The initial insertion of the cartridge 26600' into the channel 26310' at the first position angle FPA is facilitated, wherein the angled lower alignment surface 26634' avoids abutting contact with the slider actuator arm 26446'. Surface 26634' may be referred to herein as a subsurface. Once the user has positioned the surgical staple cartridge 26600' in the first installation position, the cartridge 26600' is pivoted down into the channel 26310', into position 2, where the verification feature or cartridge key forming portion 26630', 26632' is on The vertical abutment surfaces 26636' (minor surfaces) abut the corresponding vertical abutment surfaces 26641' and 26647' (major surfaces) on the cartridge verification member or shuttle 26442'. The user can then advance the cartridge 26600' proximally to position 3 within the elongated channel 26310'.

图102示出了将不兼容仓26600X'插入到外科端部执行器26300'中。在该示例中,不兼容仓26600X'缺少设置在兼容仓26600'上以接合仓验证构件或梭动件26442'的验证特征部或仓键形成部26630'、26632'。因此,当仓26600X'安置在通道26310'中时,滑动件致动器臂26446'接触突起凸轮构件26654',并将凸轮作用组件26650'朝远侧推动或推送到其中凸轮作用组件26650'上的解锁部分26653'不与击发构件20500上的滑动件闩锁20514解锁接合的位置。因此,击发构件20500保持锁定在适当位置,并且使用者将不能将击发构件20500朝远侧推进到不兼容仓26600X'中。Figure 102 shows the insertion of the incompatible cartridge 26600X' into the surgical end effector 26300'. In this example, the incompatible cartridge 26600X' lacks the verification features or cartridge key forming portions 26630', 26632' disposed on the compatible cartridge 26600' to engage the cartridge verification member or shuttle 26442'. Thus, when the cartridge 26600X' is seated in the channel 26310', the slider actuator arm 26446' contacts the protruding cam member 26654' and pushes or pushes the cam action assembly 26650' distally or onto the cam action assembly 26650' therein The position where the unlocking portion 26653' does not unlock engagement with the slider latch 20514 on the firing member 20500. Thus, the firing member 20500 remains locked in place and the user will not be able to advance the firing member 20500 distally into the incompatible cartridge 26600X'.

图103和图104示出了不兼容仓26600X'插入到端部执行器26300'中,其中不兼容仓26600X'最初已朝近侧插入到通道26310'中过远,使得击发构件20500的远侧端部已接触并推动凸轮作用组件26650'或“滑动件”在仓26600X'内朝远侧过远,以致在仓26600X'已最终安置在通道26310'中的适当位置之后处于适当位置而解锁地接合击发构件20500的滑动件闩锁20514部分。同样,当不兼容仓26600X'如上所述初始插入对角位置1,然后运动到位置2和3时,击发构件20500可将凸轮作用组件26650'或滑动件朝远侧碰撞出击发构件解锁位置,使得一旦被正确安置,凸轮作用组件26650'将无法解锁击发构件20500。参见图105和图106。FIGS. 103 and 104 illustrate the insertion of the incompatible cartridge 26600X' into the end effector 26300', where the incompatible cartridge 26600X' has initially been inserted proximally too far into the channel 26310', such that the distal side of the firing member 20500 The end has contacted and pushed the cam action assembly 26650' or "slider" too far distally within the cartridge 26600X' to be in position unlocked after the cartridge 26600X' has finally settled in place in the channel 26310' The slider latch 20514 portion of the firing member 20500 is engaged. Likewise, when the incompatible cartridge 26600X' is initially inserted into the diagonal position 1 as described above, and then moved to positions 2 and 3, the firing member 20500 can knock the cam action assembly 26650' or slider distally out of the firing member unlocked position, Such that once properly seated, the cam action assembly 26650' will not be able to unlock the firing member 20500. See Figure 105 and Figure 106.

图107至图109示出了可与端部执行器26300”一起使用的另一个仓验证系统26440”,该端部执行器采用由击发构件梁1900以本文所讨论的各种方式轴向推进的击发构件20500。如上所述,击发构件20500包括击发构件主体20502,该击发构件主体被构造成能够轴向穿过砧座(未示出)、钉仓和细长通道26310”中的竖直对准的狭槽。包括一对侧向延伸的下法兰的下脚部组件(未示出)从击发构件主体20502的底端延伸,以可滑动地接合形成在通道狭槽的每一侧上的对应通道凸缘。包括两个侧向延伸的砧座接片20509的上脚部20507可形成在击发构件主体20502的上端上,并且被构造成能够可滑动地接合形成在砧座狭槽的每一侧上的砧座凸缘(未示出)。在至少一种布置中,击发构件20500还包括从击发构件主体20502的每一侧侧向延伸的一对中央接片20510。Figures 107-109 illustrate another cartridge validation system 26440" that can be used with an end effector 26300" that employs an axially advanced by firing member beam 1900 in various manners discussed herein Firing member 20500. As described above, the firing member 20500 includes a firing member body 20502 that is configured to pass axially through the anvil (not shown), the staple cartridge, and vertically aligned slots in the elongated channel 26310" A lower foot assembly (not shown) including a pair of laterally extending lower flanges extends from the bottom end of the firing member body 20502 to slidably engage corresponding channel flanges formed on each side of the channel slot An upper foot 20507 including two laterally extending anvil tabs 20509 may be formed on the upper end of the firing member body 20502 and configured to slidably engage a Anvil flange (not shown). In at least one arrangement, the firing member 20500 also includes a pair of central tabs 20510 extending laterally from each side of the firing member body 20502.

击发构件主体20502还被构造成具有朝近侧延伸的弹簧尾部(未示出),该弹簧尾部被构造成能够与击发构件闭锁弹簧(未示出)可操作地交接,该击发构件闭锁弹簧安装在细长通道26310”中并且被构造成能够将击发构件20500在细长通道26310'中向下偏压到锁定位置。当处于锁定位置时,击发构件脚部和/或中央接片20510与通道20310中的对应通路不对准时,并且因此,如果使用者试图在处于该闭锁状态时朝远侧推进击发构件20500,则击发构件20500将不会由于此类不对准而朝远侧运动。即,脚部和/或中央接片20510接触细长通道26310”的各部分,从而防止击发构件20500的远侧推进。在一种布置中,滑动件闩锁20514形成在击发构件主体20502上,并且被构造成能够由凸轮作用组件上的朝近侧延伸的解锁部分接合,该凸轮作用组件可操作地支撑在兼容仓内的最近侧起始位置,该兼容仓已可操作地安置在通道26310”中。The firing member body 20502 is also configured to have a proximally extending spring tail (not shown) configured to operably interface with a firing member latching spring (not shown) that is mounted to the firing member latching spring In the elongated channel 26310" and configured to bias the firing member 20500 downwardly in the elongated channel 26310' to a locked position. When in the locked position, the firing member feet and/or center tabs 20510 communicate with the channel. When the corresponding passages in 20310 are misaligned, and therefore, if the user attempts to advance the firing member 20500 distally while in this locked state, the firing member 20500 will not move distally due to such misalignment. That is, the foot The outer and/or central tabs 20510 contact portions of the elongated channel 26310", thereby preventing distal advancement of the firing member 20500. In one arrangement, a slider latch 20514 is formed on the firing member body 20502 and is configured to be engageable by a proximally extending unlocking portion on a cam action assembly operably supported in a compatible cartridge In the proximal-most starting position, the compatible cartridge has been operably seated in channel 26310".

当其凸轮作用组件处于其起始(未击发)位置的新鲜的未击发兼容钉仓已可操作地安装在细长通道26310”中时,凸轮作用组件上的解锁部分接合击发构件主体20502上的滑动件闩锁20514并使击发构件20500向上运动进入解锁位置,在解锁位置,下脚部组件和/或中央接片20510与通道26310”中其相应通路对准,以允许击发构件20500在其中轴向推进。当使用者将击发构件20500朝远侧推进到仓中时,击发构件20500还驱动其中的凸轮作用组件,该凸轮作用组件将驱动器向上凸轮以驱动支撑在其上的钉或紧固件与砧座的下侧形成接触。然后,击发构件20500上的组织切割构件20504切穿缝合的组织。一旦击发构件20500已被驱动到其对应于凸轮作用组件的结束位置的最远侧位置,击发构件20500就回缩到其最近侧位置,从而将凸轮作用组件留在仓的远侧端部(击发位置)中。当击发构件20500返回到其最近侧开始位置时,锁定弹簧再次将击发构件20500偏压回其锁定位置。因此,如果使用者无意中尝试再利用用尽的仓,则凸轮作用组件不处于其解锁击发构件20500所需的起始位置。此类击发构件锁定系统在本文中也可称为“用尽的仓闭锁系统”。When a fresh, unfired compatible staple cartridge with its cam action assembly in its starting (unfired) position has been operably installed in the elongated channel 26310", the unlocking portion on the cam action assembly engages the latch on the firing member body 20502. The slider latches 20514 and moves the firing member 20500 upward into an unlocked position where the lower foot assembly and/or center tab 20510 is aligned with its corresponding passage in the channel 26310" to allow the firing member 20500 to axially therein. advance. When the user advances the firing member 20500 distally into the cartridge, the firing member 20500 also drives the cam action assembly therein which cams the driver upward to drive the staples or fasteners supported thereon and the anvil contact on the underside. The tissue cutting member 20504 on the firing member 20500 then cuts through the stapled tissue. Once the firing member 20500 has been driven to its distal-most position corresponding to the end position of the cam action assembly, the firing member 20500 is retracted to its most distal position, leaving the cam action assembly at the distal end of the cartridge (firing location). When the firing member 20500 returns to its most proximal starting position, the locking spring again biases the firing member 20500 back to its locked position. Thus, if a user inadvertently attempts to reuse a depleted cartridge, the cam action assembly is not in the starting position it needs to unlock the firing member 20500. Such firing member locking systems may also be referred to herein as "exhausted cartridge locking systems."

在图107至图109所示的布置中,仓验证系统26440”包括能够轴向运动的仓验证梭动件26442”,该能够轴向运动的仓验证梭动件被支撑在通道26310”内,以用于从通道26310”内的最远侧仓接合位置轴向运动到近侧验证位置。梭动件弹簧26449”安装在通道26310”内并且用于将仓验证梭动件26442”偏压到最远侧仓接合位置。如在图107和图108中可见,仓验证梭动件26442”还包括朝远侧延伸的梭动件基座构件26644”和一对能够侧向运动的梭动件驱动臂26450”。每个梭动件驱动臂26450”在其上具有驱动闩锁特征部26452”,这些驱动闩锁特征部具有成角度的近侧驱动表面26454”和成角度的远侧驱动表面26456”,这些成角度的近侧驱动表面和成角度的远侧驱动表面会聚在一起以形成点26548”。梭动件驱动臂26450”被梭动件弹簧26449”侧向向内偏压到驱动位置。当梭动件驱动臂26450”处于驱动位置时,成角度的近侧驱动表面26454”与击发构件20500上的中央接片20510驱动接合,如图107和图108所示。当梭动件驱动臂26450”处于该位置时,击发构件20500的远侧推进将导致安置梭动件26442”随其朝远侧运动。In the arrangement shown in Figures 107-109, the cartridge verification system 26440" includes an axially movable cartridge verification shuttle 26442" supported within the channel 26310", for axial movement from the distal-most cartridge engagement position within the channel 26310" to the proximal verification position. A shuttle spring 26449" is installed within the channel 26310" and is used to bias the cartridge verification shuttle 26442" to the distal-most cartridge engagement position. As can be seen in Figures 107 and 108, the cartridge verification shuttle 26442" Also included are a distally extending shuttle base member 26644" and a pair of laterally movable shuttle drive arms 26450". Each shuttle drive arm 26450" has drive latch features 26452" thereon with angled proximal drive surfaces 26454" and angled distal drive surfaces 26456" The angled proximal drive surface and the angled distal drive surface converge to form point 26548". Shuttle drive arm 26450" is biased laterally inwardly to the drive position by shuttle spring 26449". When the shuttle drive arm 26450" is in the drive position, the angled proximal drive surface 26454" is in driving engagement with the central tab 20510 on the firing member 20500, as shown in Figures 107 and 108. When the shuttle drive arm 26450" is in the driving position In this position, distal advancement of the firing member 20500 will cause the placement shuttle 26442" to move distally with it.

图109示出了与外科端部执行器26300”兼容并且安置在通道26310”内的外科钉仓26600”的近侧端部部分26604”。在至少一种布置中,外科钉仓26600”包括细长仓体26602”,该细长仓体定尺寸成可移除地安置在细长通道26310”中。仓体26602”包括从仓体26602”的近侧端部部分26604”延伸到远侧端部部分的仓狭槽26608”。仓26600”在其中可操作地支撑凸轮作用组件26650”。凸轮作用组件26650”包括中央主体部分26652”和一系列间隔开的凸轮构件26654”,这些凸轮构件被构造成能够在对应凸轮狭槽26609”内轴向运动,这些对应凸轮狭槽形成在仓体26602”中的仓狭槽26608”的每一侧上。凸轮狭槽26609”与仓体26602”中的对应排驱动器对准,以在凸轮作用组件26650”从仓体26602”的近侧端部部分26604”内的开始位置被驱动穿过钉仓26600”到仓体26602”的远侧端部部分内的结束位置时,有利于与对应凸轮构件26654”凸轮作用接触。中央主体部分26652”包括朝近侧延伸的解锁部分26653”,该解锁部分被构造成能够在仓26600”已正确地装载到通道26310”中时接合击发构件20500上的滑动件闩锁20514。Figure 109 shows the proximal end portion 26604" of the surgical staple cartridge 26600" compatible with the surgical end effector 26300" and seated within the channel 26310". In at least one arrangement, the surgical staple cartridge 26600" includes an elongated cartridge body 26602" sized to be removably seated in the elongated channel 26310". The cartridge body 26602" includes an elongated cartridge body 26602" The proximal end portion 26604" of the "extends into a cartridge slot 26608" of the distal end portion. The cartridge 26600" operably supports a cam action assembly 26650" therein. The cam action assembly 26650" includes a central body portion 26652" and A series of spaced apart cam members 26654" configured for axial movement within corresponding cam slots 26609" formed in each of the cartridge slots 26608" in the cartridge body 26602" The cam slots 26609" align with corresponding row drivers in the cartridge body 26602" to be driven through the staples at the starting position of the cam action assembly 26650" from within the proximal end portion 26604" of the cartridge body 26602" The end position of the cartridge 26600" into the distal end portion of the cartridge body 26602" facilitates camming contact with the corresponding cam member 26654". The central body portion 26652" includes a proximally extending unlocking portion 26653" that unlocks The portion is configured to engage the slider latch 20514 on the firing member 20500 when the cartridge 26600" has been properly loaded into the channel 26310".

兼容仓26600”还包括朝近侧突起的解锁特征部或仓键形成部26630”,这些解锁特征部或仓键形成部被构造成能够在仓26600”可操作地安置在通道26310”中时接合梭动件驱动臂26450”。如在图109中可见,在击发构件20500的远侧推进期间,验证梭动件26442”朝远侧被驱动,直到每个梭动件驱动臂26450”接触对应的仓键形成部26630”,这导致梭动件驱动臂26450”侧向向外偏压。当击发构件20500继续朝远侧运动时,梭动件驱动臂26450”上的驱动闩锁特征部26452”与击发构件主体20502上的对应中央接片20510脱离接合,以允许击发构件20500朝远侧运动而不朝远侧驱动验证梭动件26442”。因此,在这种情况下,验证梭动件26442”尚未充分朝远侧运动,以致使凸轮作用组件26650”运动成不与击发构件20500上的滑动件闩锁20514解锁接合。因此,击发构件20500可朝远侧驱动穿过兼容仓26600”,以从其驱动紧固件并切割已夹持在端部执行器26300”中的组织。当击发构件20500回缩到其起始位置时,每个中央接片20510上的渐缩表面20511接触对应驱动闩锁特征部26452”上的成角度的远侧驱动表面26456”,以侧向偏压梭动件臂26450”,从而允许中央接片20510重新接合成角度的近侧驱动表面26454”,使得验证梭动件26442”可再次随击发构件20500朝远侧驱动。Compatible cartridge 26600" also includes proximally protruding unlocking features or cartridge key formations 26630" that are configured to engage when cartridge 26600" is operably seated in channel 26310" Shuttle drive arms 26450". As can be seen in Figure 109, during distal advancement of firing member 20500, verification shuttles 26442" are driven distally until each shuttle drive arm 26450" contacts the corresponding Cartridge key formation 26630", which causes shuttle drive arm 26450" to be biased laterally outward. As firing member 20500 continues to move distally, drive latch feature 26452" on shuttle drive arm 26450" Disengages from corresponding central tabs 20510 on the firing member body 20502 to allow the firing member 20500 to move distally without driving the verification shuttle 26442" distally. Thus, in this case, it is verified that the shuttle 26442" has not moved distally enough to cause the cam action assembly 26650" to move out of unlocking engagement with the slider latch 20514 on the firing member 20500. Thus, the firing member 20500 can be driven distally through the compatible cartridge 26600" to drive fasteners therefrom and cut tissue that has been clamped in the end effector 26300". When the firing member 20500 is retracted to its starting position, the tapered surface 20511 on each central tab 20510 contacts the angled distal drive surface 26456" on the corresponding drive latch feature 26452" to deflect laterally Depressing the shuttle arm 26450" allows the central tab 20510 to re-engage the angled proximal drive surface 26454" so that the verification shuttle 26442" can again be driven distally with the firing member 20500.

图107和图108示出了装载到外科端部执行器26300”中的不兼容仓26600X”。如在那些图中可见,不兼容仓26600X”缺少设置在兼容仓26600”上的朝近侧突起的解锁特征部或仓键形成部26630”。因此,当击发构件20500朝远侧推进时,仓验证梭动件26442”也随击发构件20500朝远侧运动。当仓验证梭动件26442”朝远侧运动时,朝远侧延伸的梭动件基座构件26644”的远侧端部26645”接触凸轮作用组件26650”,并使凸轮作用组件26650”运动成不与击发构件20500上的滑动件闩锁20514解锁接合。当凸轮作用组件26650”的解锁部分26653”与滑动件闩锁20514脱离结合时,击发构件主体20502将落入与细长通道26310”的锁定接合,从而防止击发构件20500进一步朝远侧推进。Figures 107 and 108 show the incompatible cartridge 26600X" loaded into the surgical end effector 26300". As can be seen in those figures, the incompatible cartridge 26600X" lacks the proximally protruding unlock feature or cartridge key forming 26630" disposed on the compatible cartridge 26600". Thus, when the firing member 20500 is advanced distally, the cartridge Verify that the shuttle 26442" also moves distally with the firing member 20500. As the cartridge verification shuttle 26442" moves distally, the distal end 26645" of the distally extending shuttle base member 26644" contacts the cam action assembly 26650" and moves the cam action assembly 26650" into Not in unlocking engagement with the slider latch 20514 on the firing member 20500. When the unlocking portion 26653" of the cam action assembly 26650" is disengaged from the slider latch 20514, the firing member body 20502 will fall into engagement with the elongated channel 26310" Locking engagement prevents further distal advancement of the firing member 20500.

如在图108和图109中进一步可见,在例示的布置中,侧向加劲件构件26470”从每个梭动件臂26450”侧向向外突起。当击发构件20500和验证梭动件26442”位于其相应最近侧起始位置时,每个侧向加劲件构件26470”与设置在每个通道侧壁26314”中的对应通道凹口26472”侧向地对准,以为梭动件臂26450”提供间隙以在兼容仓26600”已正确地装载到端部执行器26300”中时侧向地运动。然而,当不兼容仓26600X”已装载到端部执行器26300”中并且使用者开始朝远侧推进击发构件20500以及验证梭动件26442”时,侧向加劲件构件26470”不再与通道侧壁26314”中的通道凹口26472”对准,如在图108中可见。在这种情况下,侧向加劲件构件26470”防止梭动件臂26450”侧向向外偏压成与从击发构件主体20502的每一侧侧向延伸的中央接片20510脱离接合。As further seen in Figures 108 and 109, in the illustrated arrangement, lateral stiffener members 26470" project laterally outward from each shuttle arm 26450". When the firing member 20500 and verification shuttle 26442" are in their respective proximal-most starting positions, each lateral stiffener member 26470" is lateral to a corresponding channel notch 26472" provided in each channel sidewall 26314" to provide clearance for shuttle arm 26450" to move laterally when compatible cartridge 26600" has been properly loaded into end effector 26300". However, when incompatible cartridge 26600X" is loaded into the end When the user begins to advance the firing member 20500 distally in the actuator 26300" and verify the shuttle 26442", the lateral stiffener member 26470" is no longer aligned with the channel notch 26472" in the channel sidewall 26314", As can be seen in Figure 108. In this case, the lateral stiffener members 26470" prevent the shuttle arms 26450" from biasing laterally outwardly into engagement with the centrally extending laterally from each side of the firing member body 20502. Sheet 20510 is disengaged.

本文所述的仓验证系统可解决当使用能够初始接收多个仓的端部执行器时可能不时遇到的各种问题,其中仓中的一些原本不与端部执行器特别兼容。例如,仓可操作地装配到端部执行器的通道中,但该仓可缺乏与端部执行器砧座上的成形凹坑兼容的正确紧固件构型。不兼容仓可不具有正确数量和形式的钉等。仓可不具有与端部执行器所采用的击发构件闭锁件布置兼容的凸轮作用组件。一些仓可具有适当的凸轮作用组件,但凸轮作用组件可在某点处已运动到边缘解锁位置,在边缘解锁位置,凸轮作用组件可解锁地或可不解锁地接合击发构件闭锁布置。仓验证系统中的至少一些可以解决该问题。本文所公开的仓验证系统还可提供区分旧的废弃仓和较新的更合适的仓的能力,该较新的更合适的仓具有例如与端部执行器部件更好配对的特征部。仓验证系统还可确保仓正确地安置在端部执行器通道中,并且最小化仓在通道中的任何未对准,其中仓的近侧端部相对于击发构件定位在不期望的位置,在该位置,击发构件上的中央接片可根据需要位于仓盘下方而不是其顶部上。此类未对准可导致仓盘的损坏和弯曲,这可导致击发构件的过早锁定。The cartridge validation system described herein may address various issues that may be encountered from time to time when using an end effector capable of initially receiving multiple cartridges, some of which are not otherwise particularly compatible with the end effector. For example, a cartridge may operably fit into a channel of an end effector, but the cartridge may lack the correct fastener configuration compatible with the shaped pockets on the end effector anvil. Incompatible bins may not have the correct number and form of staples, etc. The cartridge may not have a cam action assembly compatible with the firing member latch arrangement employed by the end effector. Some cartridges may have suitable cam action assemblies, but the cam action assemblies may have moved to an edge unlocked position at some point where they unlockably or not engage the firing member latch arrangement. At least some of the warehouse verification systems can solve this problem. The bin verification system disclosed herein may also provide the ability to distinguish between an old discarded bin and a newer more suitable bin having features that, for example, mate better with end effector components. The cartridge verification system also ensures that the cartridge is properly seated in the end effector channel and minimizes any misalignment of the cartridge in the channel where the proximal end of the cartridge is positioned in an undesired position relative to the firing member, where In this position, the central tab on the firing member can be positioned below the cartridge pan rather than on top of it as desired. Such misalignment can lead to damage and buckling of the cartridge pan, which can lead to premature locking of the firing member.

图110至图115示出了可与端部执行器27300一起使用的另一个仓验证系统27440,该端部执行器采用由击发构件梁1900以本文所讨论的各种方式轴向推进的击发构件20500(如上所述)。在例示的布置中,仓验证系统27440包括能够轴向运动的仓验证构件或梭动件27442,该能够轴向运动的仓验证构件或梭动件被支撑在端部执行器27300的通道27310内,以用于从通道27310内的最远侧仓接合位置轴向运动到近侧验证位置。仓验证构件或梭动件27442可由弹簧钢制成并且包括细长主体27444,该细长主体具有形成在细长主体27444的远侧端部27445上的阻挡钩27446。参见图111。仓验证构件或梭动件27442还包括形成在细长主体27444的近侧端部27447上的致动器部分27448。Figures 110-115 illustrate another cartridge validation system 27440 that may be used with an end effector 27300 employing a firing member axially advanced by the firing member beam 1900 in various manners discussed herein 20500 (as above). In the illustrated arrangement, the cartridge validation system 27440 includes an axially movable cartridge validation member or shuttle 27442 supported within the channel 27310 of the end effector 27300 , for axial movement from the distal-most cartridge engagement position within the channel 27310 to the proximal verification position. The cartridge authentication member or shuttle 27442 may be made of spring steel and includes an elongated body 27444 having blocking hooks 27446 formed on a distal end 27445 of the elongated body 27444. See Figure 111. The cartridge validation member or shuttle 27442 also includes an actuator portion 27448 formed on the proximal end 27447 of the elongated body 27444.

仍然参见图111,仓验证构件或梭动件27442被构造成能够在形成于通道27310的通道底部27312中的梭动件轨道27360内轴向运动。如在图111中可见,梭动件轨道27360包括相对于通道狭槽27313横向延伸的弯曲横向部分27362,该通道狭槽居中设置在通道底部27312中以适应击发构件20500穿过其中的轴向通路。梭动件轨道27360的横向弯曲部分27362终止于位于通道狭槽27313的另一侧上的倾斜轨道部分27364。如在图111中可见,倾斜轨道部分27364具有成角度的底部表面27366。梭动件轨道27360的近侧端部27370邻接轴向弹簧腔27380,该轴向弹簧腔被构造成能够支撑梭动件弹簧27382,该梭动件弹簧轴颈连接在弹簧保持器销27449上,该弹簧保持器销从仓验证构件或梭动件27442的致动器部分27448朝近侧突起。梭动件弹簧27382用于将验证梭动件27442偏压到最远侧锁定位置,在最远侧锁定位置,仓验证构件或梭动件27442阻挡凸轮作用组件27650和击发构件20500的远侧推进。Still referring to FIG. 111 , the cartridge validation member or shuttle 27442 is configured to move axially within the shuttle track 27360 formed in the channel bottom 27312 of the channel 27310 . As can be seen in Figure 111, shuttle track 27360 includes a curved transverse portion 27362 extending transversely with respect to channel slot 27313 centrally positioned in channel bottom 27312 to accommodate axial passage of firing member 20500 therethrough . The laterally curved portion 27362 of the shuttle track 27360 terminates in an inclined track portion 27364 on the other side of the channel slot 27313. As can be seen in FIG. 111 , the inclined track portion 27364 has an angled bottom surface 27366 . The proximal end 27370 of the shuttle track 27360 abuts an axial spring cavity 27380 configured to support a shuttle spring 27382 that is journaled on the spring retainer pin 27449, The spring retainer pin protrudes proximally from the actuator portion 27448 of the cartridge validation member or shuttle 27442. Shuttle spring 27382 is used to bias verification shuttle 27442 to the most distal locked position where cartridge verification member or shuttle 27442 blocks distal advancement of cam action assembly 27650 and firing member 20500 .

图110示出了与外科端部执行器27300兼容外科钉仓27600的近侧端部部分27604。在至少一种布置中,外科钉仓27600包括细长仓体27602,该细长仓体定尺寸成可移除地安置在细长通道27310中。仓体27602包括从仓体27602的近侧端部部分27604延伸到远侧端部部分的仓狭槽27608。仓体27602还包括仓平台表面27610,当仓27600安置在通道27310中并且砧座枢转到闭合位置时,该仓平台表面面对砧座的钉成形下表面。尽管图110中未示出,但外科钉仓27600可在仓狭槽27608的每一侧上具有多排(通常三排)外科钉凹坑,该多排外科钉凹坑通过仓平台表面27610打开。每个钉凹坑可具有与其相关联的钉驱动器(未示出),该钉驱动器在其上支撑外科钉或紧固件(未示出)。在至少一个示例中,仓体27602由其中模制或机加工有钉凹坑的聚合物材料模制而成。在一种布置中,钉凹坑还通过仓体27602的底部打开,以便于将驱动器和紧固件安装到其相应凹坑中。一旦驱动器和紧固件被插入其相应钉凹坑中,则仓盘27620附接到仓体27602的底部。当安装时,仓盘27620可(除了别的以外)防止驱动器和紧固件在仓27600处理和安装到细长通道27310中期间从仓体27602的底部掉出。110 shows a proximal end portion 27604 of a surgical staple cartridge 27600 that is compatible with the surgical end effector 27300. In at least one arrangement, the surgical staple cartridge 27600 includes an elongated cartridge body 27602 sized to be removably seated in the elongated channel 27310. The cartridge body 27602 includes a cartridge slot 27608 extending from the proximal end portion 27604 of the cartridge body 27602 to the distal end portion. The cartridge body 27602 also includes a cartridge deck surface 27610 that faces the staple forming lower surface of the anvil when the cartridge 27600 is seated in the channel 27310 and the anvil is pivoted to the closed position. Although not shown in FIG. 110 , the surgical staple cartridge 27600 can have multiple rows (typically three rows) of surgical staple pockets on each side of the cartridge slot 27608 that are opened through the cartridge deck surface 27610 . Each staple pocket may have a staple driver (not shown) associated therewith that supports surgical staples or fasteners (not shown) thereon. In at least one example, the cartridge body 27602 is molded from a polymeric material having spike pockets molded or machined therein. In one arrangement, the staple pockets also open through the bottom of the cartridge body 27602 to facilitate installation of drivers and fasteners into their respective pockets. The cartridge pan 27620 is attached to the bottom of the cartridge body 27602 once the drivers and fasteners are inserted into their respective staple pockets. When installed, the cartridge pan 27620 may (among other things) prevent the drivers and fasteners from falling out of the bottom of the cartridge body 27602 during the handling and installation of the cartridge 27600 into the elongated channel 27310.

在例示的布置中,仓27600在其中可操作地支撑凸轮作用组件27650。凸轮作用组件27650包括中央主体部分27652和一系列间隔开的凸轮构件27654,这些凸轮构件被构造成能够在对应凸轮狭槽27609内轴向运动,这些对应凸轮狭槽形成在仓体27602中的仓狭槽27608的每一侧上。凸轮狭槽27609与仓体27602中的对应排驱动器对准,以在凸轮作用组件27650从仓体27602的近侧端部部分27604内的开始位置被驱动穿过钉仓27600到仓体27602的远侧端部部分内的结束位置时,有利于与对应凸轮构件27654凸轮作用接触。中央主体部分27652包括朝近侧延伸的解锁部分27653,该解锁部分被构造成能够在仓27600已正确地装载到通道27310中时接合击发构件20500上的滑动件闩锁20514。In the illustrated arrangement, the cartridge 27600 operably supports the cam action assembly 27650 therein. The cam action assembly 27650 includes a central body portion 27652 and a series of spaced apart cam members 27654 configured for axial movement within corresponding cam slots 27609 forming cartridges in the cartridge body 27602 Slot 27608 on each side. The cam slots 27609 are aligned with corresponding rows of drivers in the cartridge body 27602 to be driven through the staple cartridge 27600 to the distal end of the cartridge body 27602 at the starting position of the cam action assembly 27650 from within the proximal end portion 27604 of the cartridge body 27602 The end position within the side end portion facilitates camming contact with the corresponding cam member 27654. The central body portion 27652 includes a proximally extending unlocking portion 27653 configured to engage the slider latch 20514 on the firing member 20500 when the cartridge 27600 has been properly loaded into the channel 27310.

兼容仓27600还包括朝近侧突起的验证特征部或仓键形成部27630,该验证特征部或仓键形成部被构造成能够在仓27600可操作地安置在通道27310中时接合滑动件致动器27448。验证特征部27630将仓验证构件或梭动件27442偏压到最近侧解锁位置,在最近侧解锁位置,凸轮作用组件27650和击发构件20500可朝远侧移位穿过仓27600。当仓验证构件或梭动件27442处于解锁位置时,形成在仓验证构件或梭动件27442的细长主体27444的远侧端部27445上的阻挡钩27446回缩到梭动件轨道27360的弯曲横向部分27362中并且不延伸跨过通道底部27312中的通道狭槽27313。当阻挡钩27446未延伸跨过通道狭槽27313时,击发构件20500和凸轮作用组件27650可推进到仓27310”中。Compatible cartridge 27600 also includes a proximally protruding authentication feature or cartridge key formation 27630 configured to engage slider actuation when cartridge 27600 is operably seated in channel 27310 27448. The authentication feature 27630 biases the cartridge authentication member or shuttle 27442 to a proximal-most unlocked position in which the cam action assembly 27650 and firing member 20500 can be displaced distally through the cartridge 27600. When the cartridge authentication member or shuttle 27442 is in the unlocked position, blocking hooks 27446 formed on the distal end 27445 of the elongated body 27444 of the cartridge authentication member or shuttle 27442 are retracted to the curvature of the shuttle track 27360 The transverse portion 27362 does not extend across the channel slot 27313 in the channel bottom 27312. When blocking hook 27446 does not extend across channel slot 27313, firing member 20500 and cam action assembly 27650 can be advanced into cartridge 27310".

图114和图115示出了其中安装有不兼容仓27600X的外科端部执行器27300。在该示例中,不兼容仓27600X缺少设置在兼容仓27600上以接合仓验证构件或梭动件27442的致动器部分27448的验证特征部或仓键形成部27630。因此,梭动件弹簧27382已将仓验证构件或梭动件27442朝远侧偏压到其锁定位置,在其锁定位置,形成在仓验证构件或梭动件27442的细长主体27444的远侧端部27445上的阻挡钩27446横向延伸跨过通道狭槽27313并进入倾斜轨道部分27364。当阻挡钩27446进入倾斜轨道部分27364时,成角度的底部表面27366致使阻挡钩27446向上运动到其中阻挡钩27446阻挡凸轮作用组件27650和击发构件20500的远侧推进的位置。因此,当处于该位置时,如果使用者无意中试图朝远侧推进击发构件20500,则阻挡钩27446将阻挡凸轮作用组件27650和击发构件20500的远侧推进。114 and 115 illustrate a surgical end effector 27300 with an incompatible cartridge 27600X installed therein. In this example, the incompatible cartridge 27600X lacks an authentication feature or cartridge key forming portion 27630 disposed on the compatible cartridge 27600 to engage the actuator portion 27448 of the cartridge authentication member or shuttle 27442. Thus, the shuttle spring 27382 has biased the cartridge authentication member or shuttle 27442 distally to its locked position, in which it is formed distal to the elongated body 27444 of the cartridge authentication member or shuttle 27442 Blocking hooks 27446 on end 27445 extend laterally across channel slot 27313 and into inclined track portion 27364. When blocking hook 27446 enters inclined track portion 27364, angled bottom surface 27366 causes blocking hook 27446 to move upwardly to a position where blocking hook 27446 blocks distal advancement of cam action assembly 27650 and firing member 20500. Thus, when in this position, if the user inadvertently attempts to advance the firing member 20500 distally, the blocking hook 27446 will block distal advancement of the cam action assembly 27650 and firing member 20500.

在如图115所示的至少一种布置中,可利用附接到阻挡钩27446的横向跨越通道狭槽27313的部分上的附加增强阻挡部分27450来增强该部分。即,阻挡钩27446中被增强的各部分的横截面厚度大于仓验证构件或梭动件26442的剩余主体部分的横截面厚度。设想了与本文所公开的那些端部执行器一起使用的另选的布置,这些端部执行器采用能够轴向运动的闭合构件(例如端部执行器闭合管)来使砧座运动到闭合位置。在此类端部执行器布置中,例如,端部执行器闭合管可被构造成能够在闭合构件被致动以闭合砧座时将验证梭动件偏压到锁定阻挡位置。仓验证系统27440还可有效地与具有旋转动力击发构件布置的外科端部执行器一起使用,这些旋转动力击发构件布置具有本文所公开类型的击发构件闭锁系统。In at least one arrangement as shown in Fig. 115, the portion of the blocking hook 27446 that is attached laterally across the channel slot 27313 can be reinforced with an additional reinforcing blocking portion 27450. That is, the cross-sectional thickness of the reinforced portions of the blocking hook 27446 is greater than the cross-sectional thickness of the remaining body portion of the cartridge authentication member or shuttle 26442. Alternative arrangements are contemplated for use with those end effectors disclosed herein that employ an axially movable closure member (eg, an end effector closure tube) to move the anvil to a closed position . In such an end effector arrangement, for example, the end effector closure tube may be configured to bias the verification shuttle to the locked blocking position when the closure member is actuated to close the anvil. The cartridge validation system 27440 can also be effectively used with surgical end effectors having rotationally powered firing member arrangements with firing member latching systems of the type disclosed herein.

图116至图119示出了可与本文所公开的各种端部执行器布置结合使用的另选的外科钉仓28600。在例示的布置中,外科钉仓28600包括细长仓体28602,该细长仓体定尺寸成可移除地安置在端部执行器的细长通道中。如在图117中可见,仓体28602包括从仓体28602的近侧端部部分28604延伸到仓体28602的远侧端部部分的仓狭槽28608。仓体28602还包括仓平台表面28610,当仓28600安置在通道中并且砧座枢转到闭合位置时,该仓平台表面面对砧座的钉成形下表面。尽管图117中未示出,但外科钉仓28600可在仓狭槽28608的每一侧上具有多排(通常三排)外科钉凹坑,该多排外科钉凹坑通过仓平台表面28610打开。每个钉凹坑可具有与其相关联的钉驱动器(未示出),该钉驱动器在其上支撑外科钉或紧固件(未示出)。在至少一个示例中,仓体28602由其中模制或机加工有钉凹坑的聚合物材料模制而成。在一种布置中,钉凹坑还通过仓体28602的底部打开,以便于将驱动器和紧固件安装到其相应凹坑中。一旦驱动器和紧固件被插入其相应钉凹坑中,则仓盘28620附接到仓体28602的底部。当安装时,仓盘28620可(除了别的以外)防止驱动器和紧固件在仓28600处理和安装到细长通道中期间从仓体28602的底部掉出。116-119 illustrate an alternative surgical staple cartridge 28600 that may be used in conjunction with the various end effector arrangements disclosed herein. In the illustrated arrangement, the surgical staple cartridge 28600 includes an elongated cartridge body 28602 sized to be removably seated in an elongated channel of an end effector. 117, the cartridge body 28602 includes a cartridge slot 28608 extending from the proximal end portion 28604 of the cartridge body 28602 to the distal end portion of the cartridge body 28602. The cartridge body 28602 also includes a cartridge deck surface 28610 that faces the staple forming lower surface of the anvil when the cartridge 28600 is seated in the channel and the anvil is pivoted to the closed position. Although not shown in Figure 117, the surgical staple cartridge 28600 can have multiple rows (typically three rows) of surgical staple pockets on each side of the cartridge slot 28608 that are opened through the cartridge deck surface 28610 . Each staple pocket may have a staple driver (not shown) associated therewith that supports surgical staples or fasteners (not shown) thereon. In at least one example, the cartridge body 28602 is molded from a polymeric material having spike pockets molded or machined therein. In one arrangement, the staple pockets are also open through the bottom of the cartridge body 28602 to facilitate installation of drivers and fasteners into their respective pockets. The cartridge pan 28620 is attached to the bottom of the cartridge body 28602 once the drivers and fasteners are inserted into their respective staple pockets. When installed, the cartridge pan 28620 may (among other things) prevent the drivers and fasteners from falling out of the bottom of the cartridge body 28602 during the handling and installation of the cartridge 28600 into the elongated channel.

在例示的布置中,仓28600在其中可操作地支撑凸轮作用组件28650。凸轮作用组件28650包括中央主体部分28652和一系列间隔开的凸轮构件28654、28654',这些凸轮构件被构造成能够在对应凸轮狭槽28609内轴向运动,这些对应凸轮狭槽形成在仓体28602中的仓狭槽28608的每一侧上。凸轮狭槽28609与仓体28602中的对应排驱动器对准,以在凸轮作用组件28650从仓体28602的近侧端部部分28604内的开始位置被驱动穿过钉仓28600到仓体28602的远侧端部部分内的结束位置时,有利于与对应凸轮构件28654、28654'凸轮作用接触。In the illustrated arrangement, the cartridge 28600 operably supports the cam action assembly 28650 therein. The cam action assembly 28650 includes a central body portion 28652 and a series of spaced apart cam members 28654, 28654' configured for axial movement within corresponding cam slots 28609 formed in the cartridge body 28602 on each side of the cartridge slot 28608. The cam slots 28609 are aligned with corresponding row drivers in the cartridge body 28602 to be driven through the staple cartridge 28600 to the distal end of the cartridge body 28602 at the starting position of the cam action assembly 28650 from within the proximal end portion 28604 of the cartridge body 28602 The end position within the side end portions facilitates camming contact with the corresponding cam members 28654, 28654'.

仍然参见图117,仓28600配备有凸轮作用组件锁定系统28440,该凸轮作用组件锁定系统被构造成能够将凸轮作用组件28650保持在其起始位置,除非仓28600已被装载到兼容的端部执行器中。在例示的布置中,例如,凸轮作用组件锁定系统28440包括能够侧向移位的锁定特征部28442,该锁定特征部包括致动器部分28444和锁定接片28446。如在图117中可见,当凸轮作用组件28650处于锁定位置时,锁定接片28446被构造成能够被接收在设置于对应凸轮构件28654'中的锁定腔28655内。参见图116和图117。致动器部分28444被构造成能够在砧座运动到闭合位置时由端部执行器砧座的致动器凸耳或其他部分接触。例如,致动器凸耳28411可形成在本文所公开的各种砧座中的任一者的砧座安装部分上,并且被构造成能够在砧座运动到闭合位置时将致动器部分28444侧向偏压到解锁位置。当致动器部分28444处于解锁位置时,锁定接片28446侧向运动出凸轮构件28654'中的锁定腔28655,并且当击发驱动系统如本文所述被启动时,凸轮组件28650可随后朝远侧推进穿过仓28600。参见图118和图119。Still referring to Figure 117, the cartridge 28600 is equipped with a cam action assembly locking system 28440 that is configured to hold the cam action assembly 28650 in its starting position unless the cartridge 28600 has been loaded into a compatible end performer in the device. In the illustrated arrangement, for example, the cam action assembly locking system 28440 includes a laterally displaceable locking feature 28442 that includes an actuator portion 28444 and a locking tab 28446. As can be seen in Figure 117, when the cam action assembly 28650 is in the locked position, the locking tabs 28446 are configured to be received within the locking cavities 28655 provided in the corresponding cam members 28654'. See Figures 116 and 117. The actuator portion 28444 is configured to be contacted by an actuator lug or other portion of the end effector anvil when the anvil is moved to the closed position. For example, the actuator lugs 28411 may be formed on the anvil mounting portion of any of the various anvils disclosed herein and configured to enable the actuator portion 28444 to be moved when the anvil is moved to the closed position Biased sideways to unlocked position. When the actuator portion 28444 is in the unlocked position, the locking tab 28446 moves laterally out of the locking cavity 28655 in the cam member 28654', and when the firing drive system is activated as described herein, the cam assembly 28650 can then move distally Advance through bin 28600. See Figures 118 and 119.

在各种情况下,外科缝合器械包括被构造成能够接收能够替换的钉仓的仓钳口。缝合器械还包括钉击发系统和砧座,该钉击发系统被构造成能够从钉仓射出或击发钉,该砧座包括被构造成能够使钉变形的成形表面或凹坑。钉击发系统包括组织切割刀,该组织切割刀在钉击发行程期间从钉仓的近侧端部朝远侧端部运动。在钉击发行程期间,组织切割刀邻接并推动钉仓中的滑动件,该滑动件朝砧座并且抵靠砧座驱动钉。当钉抵靠砧座变形时,钉以纵向排植入组织中,并且组织切割刀切入纵向钉排中的两排之间的组织。在钉击发行程已完成之后,并且/或者在足够长度的钉击发行程已完成之后,组织切割刀朝近侧回缩。然而,仓滑动件不与组织切割刀一起朝近侧回缩。相反,仓滑动件留在其被组织切割刀推动到的最远侧位置处。在钉仓已被击发或至少部分地击发之后,如果需要,将钉仓从仓钳口移除,然后用另一个能够替换的钉仓替换。此时,缝合器械可重新用于继续缝合和切入患者组织。然而,在一些情况下,先前击发的钉仓可被意外地装载到仓钳口中。如果组织切割刀将在此类先前击发的钉仓内朝远侧推进,则缝合器械将切割患者组织而不缝合患者组织。如果组织切割刀朝远侧推进完成钉击发行程而根本没有钉仓定位在仓钳口中,则缝合器械将类似地切割患者组织而不缝合患者组织。为此,缝合器械包括防止发生这种情况的一个或多个闭锁件,如下文更详细地讨论。In various instances, the surgical stapling instrument includes a cartridge jaw configured to receive a replaceable staple cartridge. The stapling instrument also includes a staple firing system configured to eject or fire staples from the staple cartridge and an anvil that includes a shaped surface or pocket configured to deform the staples. The staple firing system includes a tissue cutter that moves from the proximal end toward the distal end of the staple cartridge during the staple firing stroke. During the staple firing stroke, the tissue cutter abuts and pushes a slide in the staple cartridge that drives the staples toward and against the anvil. When the staples are deformed against the anvil, the staples are implanted in tissue in longitudinal rows, and the tissue cutter cuts into tissue between two of the longitudinal rows of staples. After the staple firing stroke has been completed, and/or after a sufficient length of staple firing stroke has been completed, the tissue cutter is retracted proximally. However, the cartridge slide is not retracted proximally with the tissue cutter. Instead, the cartridge slider remains at the most distal position to which it is pushed by the tissue cutter. After the staple cartridge has been fired or at least partially fired, the staple cartridge is removed from the cartridge jaws, if desired, and replaced with another replaceable staple cartridge. At this point, the stapling instrument can be reused to continue stapling and incising the patient tissue. However, in some cases, a previously fired staple cartridge may be accidentally loaded into the cartridge jaws. If the tissue cutter were to be advanced distally within such a previously fired staple cartridge, the stapling instrument would cut the patient tissue without stapling the patient tissue. If the tissue cutter is advanced distally to complete the staple firing stroke without the staple cartridge positioned in the cartridge jaws at all, the stapling instrument will similarly cut the patient tissue without stapling the patient tissue. To this end, the stapling instrument includes one or more latches that prevent this from happening, as discussed in more detail below.

以下专利申请的公开内容全文以引用方式并入本文:提交于2003年5月20日的名称为“SURGICAL STAPLING INSTRUMENT HAVING A SPENT CARTRIDGE LOCKOUT”的美国专利申请公布2004/0232200;名称为“SURGICAL STAPLING INSTRUMENT HAVING A FIRINGLOCKOUT FOR AN UNCLOSED ANVIL”的美国专利申请公布2004/0232199;提交于2003年5月20日的名称为“SURGICAL STAPLING INSTRUMENT INCORPORATING AN E-BEAM FIRINGMECHANISM”的美国专利申请公布2004/0232197;提交于2003年5月20日的名称为“SURGICALSTAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS”的美国专利申请公布2004/0232196;提交于2003年5月20日的名称为“SURGICAL STAPLINGINSTRUMENT HAVING A SINGLE LOCKOUT MECHANISM FOR PREVENTION OF FIRING”的美国专利申请公布2004/0232195;以及提交于2017年8月17日的名称为“ARTICULATINGSURGICAL STAPLING INSTRUMENT INCORPORATING A TWO-PIECE E-BEAM FIRINGMECHANISM”的美国专利申请公布2018/0085123。The disclosures of the following patent applications are incorporated herein by reference in their entirety: US Patent Application Publication 2004/0232200, entitled "SURGICAL STAPLING INSTRUMENT HAVING A SPENT CARTRIDGE LOCKOUT," filed May 20, 2003; US Patent Application Publication 2004/0232199, HAVING A FIRINGLOCKOUT FOR AN UNCLOSED ANVIL"; US Patent Application Publication 2004/0232197, filed May 20, 2003, entitled "SURGICAL STAPLING INSTRUMENT INCORPORATING AN E-BEAM FIRINGMECHANISM"; US Patent Application Publication 2004/0232196, entitled "SURGICAL STAPLING INSTRUMENT HAVING SEPARATE DISTINCT CLOSING AND FIRING SYSTEMS," filed May 20, 2003; "SURGICAL STAPLING INSTRUMENT HAVING A SINGLE LOCKOUT MECHANISM FOR PREVENTION," filed May 20, 2003 OF FIRING" US Patent Application Publication 2004/0232195; and US Patent Application Publication 2018/0085123, entitled "ARTICULATINGSURGICAL STAPLING INSTRUMENT INCORPORATING A TWO-PIECE E-BEAM FIRINGMECHANISM", filed August 17, 2017.

参见图120,外科缝合器械30000包括仓钳口或通道30010和安置在仓钳口30010中的钉仓30020。钉仓30020包括仓体30022、限定于仓体30022中的钉腔以及可移除地储存在钉腔中的钉。钉仓30020还包括滑动件30030和钉驱动器,当滑动件30030在钉击发行程期间朝远侧推进时,这些钉驱动器由滑动件30030驱动以从钉腔射出钉。缝合器械30000还包括击发构件30040,该击发构件被构造成能够接合滑动件30030并朝远侧推动滑动件30030,如下文更详细地讨论。120, a surgical stapling instrument 30000 includes a cartridge jaw or channel 30010 and a staple cartridge 30020 disposed in the cartridge jaw 30010. The staple cartridge 30020 includes a cartridge body 30022, staple cavities defined in the cartridge body 30022, and staples removably stored in the staple cavities. The staple cartridge 30020 also includes a sled 30030 and staple drivers that are driven by the sled 30030 to eject staples from the staple cavity as the sled 30030 is advanced distally during the staple firing stroke. The stapling instrument 30000 also includes a firing member 30040 configured to engage the slider 30030 and urge the slider 30030 distally, as discussed in more detail below.

除上述之外,击发构件30040包括包含组织刀30044的切割部分30042。切割部分30042还包括远侧鼻部30043,当滑动件30030在钉仓30020中处于其未击发位置并且击发构件30040从图120所示的其未击发位置朝远侧运动时,该远侧鼻部被构造成能够安置于限定于滑动件30030上的肩部30033上。一旦远侧鼻部30043位于滑动件肩部30033上,则击发构件30040可朝远侧推进以执行钉击发行程。值得注意的是,切割部分30042还包括被构造成能够接合通道30010的凸轮表面的第一凸轮作用构件30046和被构造成能够接合缝合器械30000的砧座上的凸轮表面的第二凸轮构件30048,第一凸轮构件和第二凸轮作用构件协作以相对于彼此定位砧座和钉仓30020。即便如此,设想了不具有凸轮作用构件30046和30048中的一者或两者的实施方案。In addition to the above, the firing member 30040 includes a cutting portion 30042 that includes a tissue knife 30044. The cutting portion 30042 also includes a distal nose 30043 that when the slider 30030 is in its unfired position in the staple cartridge 30020 and the firing member 30040 is moved distally from its unfired position shown in Figure 120 It is configured to be able to rest on a shoulder 30033 defined on the slider 30030. Once the distal nose 30043 is positioned on the slider shoulder 30033, the firing member 30040 can be advanced distally to perform the staple firing stroke. Notably, the cutting portion 30042 also includes a first camming member 30046 configured to engage a camming surface of the channel 30010 and a second camming member 30048 configured to engage a camming surface on the anvil of the stapling instrument 30000, The first cam member and the second cam action member cooperate to position the anvil and staple cartridge 30020 relative to each other. Even so, embodiments without one or both of the camming members 30046 and 30048 are contemplated.

参见图121,击发构件30040通过弹簧朝通道30010偏压,并且如果当击发构件30040朝远侧推进以开始钉击发行程时滑动件30030不处于其未击发位置,则切割部分30042的远侧鼻部30043将错过肩部30033或不落在该肩部上,并且切割部分30042相反将朝向通道30010向下潜入。切割部分30042包括从其侧向延伸的闭锁销30045,当远侧鼻部30043不落在滑动件30030的肩部30033上时,这些闭锁销进入限定于通道30010中的闭锁窗口或凹槽30012。在此类情况下,允许击发构件30040在闭锁窗口30012内朝远侧行进;然而,闭锁窗口30012的远侧端部包括闭锁件肩部30015,该闭锁件肩部由闭锁销30045接触以停止击发构件30040的远侧推进。在此类情况下,因此,击发构件30040被锁定并防止其执行其钉击发行程。然而,如果滑动件30030处于其未击发位置,则切割部分30042的远侧鼻部30043与滑动件30030的肩部30033之间的交接将已防止击发构件30040潜入锁定窗口30012中并且可能已执行钉击发行程。121, the firing member 30040 is spring biased toward the channel 30010, and if the slider 30030 is not in its unfired position when the firing member 30040 is advanced distally to initiate the staple firing stroke, the distal nose of the cutting portion 30042 30043 will miss or not land on shoulder 30033 and cut portion 30042 will instead dive down towards channel 30010. The cutting portion 30042 includes latching pins 30045 extending laterally therefrom that enter latching windows or grooves 30012 defined in the channel 30010 when the distal nose 30043 does not rest on the shoulder 30033 of the slider 30030. In such cases, the firing member 30040 is allowed to travel distally within the lockout window 30012; however, the distal end of the lockout window 30012 includes a lockout shoulder 30015 that is contacted by the lockout pin 30045 to stop firing Distal advancement of member 30040. In such cases, therefore, the firing member 30040 is locked and prevented from performing its staple firing stroke. However, if the sled 30030 was in its unfired position, the interface between the distal nose 30043 of the cutting portion 30042 and the shoulder 30033 of the sled 30030 would have prevented the firing member 30040 from diving into the locking window 30012 and possibly executing the stapling firing stroke.

除上述之外,如果击发构件30040朝远侧推进而钉仓未定位在仓通道30010中并且/或者钉仓未正确地安置在该仓通道中,则击发构件30040将潜入闭锁窗口30012中。鉴于上述内容,外科器械30000包括闭锁件,如果外科器械30000中的钉仓缺失、不正确地安置以及/或者已至少部分地用尽,则该闭锁件防止钉击发行程。即便如此,可出现各种情况,其中钉仓尚未被击发,即,其所有钉仍定位在这些钉的钉腔中,然而,由于例如各种制造公差,切割部分30042的远侧鼻部30043可错过滑动件30030的肩部30033。此类情况将导致击发构件30040不必要地闭锁并且需要临床医生用另一个钉仓替换该钉仓。此类情况可能不会经常发生,但如果发生,则会给临床医生带来不便。In addition to the above, if the firing member 30040 is advanced distally without the staple cartridge being positioned in the cartridge channel 30010 and/or the staple cartridge is not properly seated in the cartridge channel, the firing member 30040 will dive into the latching window 30012. In view of the foregoing, surgical instrument 30000 includes a latch that prevents staple firing travel if a staple cartridge in surgical instrument 30000 is missing, improperly seated, and/or at least partially depleted. Even so, various situations can arise where the staple cartridge has not yet been fired, ie, all of its staples are still positioned in the staple cavities of these staples, however, due to, for example, various manufacturing tolerances, the distal nose 30043 of the cutting portion 30042 may Missing shoulder 30033 of slider 30030. Such a situation would cause the firing member 30040 to lock out unnecessarily and require the clinician to replace the staple cartridge with another. Such conditions may not occur frequently, but when they do occur, they can be inconvenient to clinicians.

外科器械30100示于图122中并且包括可降低切割部分30042的远侧鼻部30043错过滑动件30030的肩部30033的可能性的改进。外科器械30100在许多方面类似于外科器械30000,但包括钉仓30120而不是钉仓30020。钉仓30120包括仓体30122、限定于仓体30122中的钉腔以及可移除地储存在钉腔中的钉。参见图123,钉仓30120还包括滑动件30030,与上述类似,如果切割部分30042的远侧鼻部30043落在滑动件30030的肩部30033上,则该滑动件能够在钉击发行程期间从未击发位置朝远侧运动。如果没有,参见图124,当击发构件30040朝远侧推进时,切割部分30042被推入限定于仓通道30010中的闭锁窗口30012中。The surgical instrument 30100 is shown in FIG. 122 and includes improvements that reduce the likelihood that the distal nose 30043 of the cutting portion 30042 misses the shoulder 30033 of the slider 30030. Surgical instrument 30100 is similar in many respects to surgical instrument 30000, but includes staple cartridge 30120 instead of staple cartridge 30020. The staple cartridge 30120 includes a cartridge body 30122, staple cavities defined in the cartridge body 30122, and staples removably stored in the staple cavities. Referring to Figure 123, staple cartridge 30120 also includes a slider 30030 that, similar to the above, can be freed during the staple firing stroke if the distal nose 30043 of the cutting portion 30042 rests on the shoulder 30033 of the slider 30030. The firing position is moved distally. If not, see FIG. 124 , as the firing member 30040 is advanced distally, the cutting portion 30042 is pushed into the latching window 30012 defined in the cartridge channel 30010.

参见图125和图126,仓体30122包括近侧斜坡30126,这些近侧斜坡被构造成能够在击发构件30040朝远侧推进时向上提升击发构件30040。更具体地,从击发构件30040侧向延伸的闭锁销30045接触限定于近侧斜坡30126上的斜坡表面30127,当击发构件30040朝远侧推进时,这些闭锁销引导切割部分30042远离闭锁窗口30012。除上述之外,这些闭锁销抵抗朝仓通道30010推动击发构件30040的弹簧偏压力而这样做。以这种方式提升击发构件30040增加了击发构件30040的鼻部30043将落在滑动件30030的肩部30033上的概率,即使滑动件30030已意外地从其未击发位置略微朝远侧被推动。因此,降低了未击发钉仓被意外闭锁的可能性。然而,如果钉仓30120已被至少部分地击发,则鼻部30043将错过肩部30033,并且闭锁销30045将穿过限定于近侧斜坡30126之间的窗口30125落入闭锁窗口30012中。因此,如上所述,如果至少部分用尽的钉仓30120安置在仓通道30010中,则外科器械30100将被闭锁。此外,如上所述,如果钉仓从仓通道30010缺失,则外科器械30100将被闭锁,并且当击发构件30040由于不存在近侧斜坡30126而将立即进入闭锁窗口30012时启动钉击发行程。125 and 126, the cartridge body 30122 includes proximal ramps 30126 configured to lift the firing member 30040 upwardly as the firing member 30040 is advanced distally. More specifically, blocking pins 30045 extending laterally from the firing member 30040 contact the ramp surface 30127 defined on the proximal ramp 30126 and guide the cutting portion 30042 away from the blocking window 30012 as the firing member 30040 is advanced distally. In addition to the above, these latching pins do so against the spring biasing force that pushes the firing member 30040 toward the cartridge channel 30010. Raising the firing member 30040 in this manner increases the probability that the nose 30043 of the firing member 30040 will land on the shoulder 30033 of the slider 30030 even if the slider 30030 has accidentally been pushed slightly distally from its unfired position. Thus, the possibility of accidental latching of an unfired staple cartridge is reduced. However, if the staple cartridge 30120 has been at least partially fired, the nose 30043 will miss the shoulder 30033 and the latching pin 30045 will fall into the latching window 30012 through the window 30125 defined between the proximal ramps 30126. Thus, as described above, if an at least partially depleted staple cartridge 30120 is seated in the cartridge channel 30010, the surgical instrument 30100 will be latched. Furthermore, as described above, if the staple cartridge is missing from the cartridge channel 30010, the surgical instrument 30100 will be latched and the staple firing stroke will be initiated when the firing member 30040 will immediately enter the latching window 30012 due to the absence of the proximal ramp 30126.

值得注意的是,除上述之外,斜坡30126相对于滑动件30030的肩部30033朝近侧定位。因此,当击发构件30040朝远侧运动以执行钉击发行程时,击发构件30040必须连续地经过由斜坡30126提供的缺失的仓/不正确的仓闭锁件以及由滑动件30030提供的用尽的仓闭锁件。此外,斜坡30126将击发构件30040提升到由滑动件30030支撑的正确高度。最终,仓体30122的斜坡30126和滑动件30030的肩部30033一起工作以使缝合器械30100的闭锁件失效。Notably, in addition to the above, the ramp 30126 is positioned proximally relative to the shoulder 30033 of the slider 30030. Thus, when the firing member 30040 is moved distally to perform the staple firing stroke, the firing member 30040 must continuously pass the missing cartridge/incorrect cartridge latch provided by the ramp 30126 and the spent cartridge provided by the slider 30030 locking piece. Additionally, the ramp 30126 lifts the firing member 30040 to the correct height supported by the slider 30030. Ultimately, the ramp 30126 of the cartridge body 30122 and the shoulder 30033 of the slider 30030 work together to disable the latch of the stapling instrument 30100.

图127中示出了根据至少一个另选的实施方案的钉仓30220。钉仓30220包括在许多方面类似于仓体30122的仓体30222。即便如此,仓体30222包括比近侧斜坡30126朝近侧延伸得更远的近侧斜坡30226。因此,当使用钉仓30220时,击发构件30040将在其钉击发行程中更早被提升。在各种情况下,钉仓30220可包括比下落窗口30125更大的下落窗口30225。此外,近侧斜坡30226包括比斜坡表面30127更短的斜坡表面30227。在此类情况下,与使用钉仓30120时相比,击发构件30040将不被提升得与使用钉仓30220时一样高。在任何情况下,此类参数可用于训练击发构件30040的适当提升动作。A staple cartridge 30220 according to at least one alternative embodiment is shown in FIG. 127 . The staple cartridge 30220 includes a cartridge body 30222 that is similar in many respects to the cartridge body 30122. Even so, the cartridge body 30222 includes a proximal ramp 30226 that extends more proximally than the proximal ramp 30126. Thus, when the staple cartridge 30220 is used, the firing member 30040 will be lifted earlier in its staple firing stroke. In various cases, the staple cartridge 30220 can include a larger drop window 30225 than the drop window 30125. Additionally, proximal ramp 30226 includes ramp surface 30227 that is shorter than ramp surface 30127 . In such a case, the firing member 30040 will not be lifted as high as when the staple cartridge 30220 is used, as compared to when the staple cartridge 30120 is used. In any event, such parameters can be used to train the firing member 30040 for proper lifting action.

如上所述,击发构件30040的闭锁销30045被构造成能够接触提升击发构件30040的斜坡30226,使得如果滑动件30030正确地定位在钉仓30220中,则击发构件30040可落在滑动件30030的肩部30033上。即便如此,设想了另选的实施方案,其中斜坡可将钉击发构件的任何合适部分提升到滑动件30030的肩部30033上。例如,击发构件30040可包括附接到切割部分30042的层压杆,这些层压杆接触斜坡30226并且导致在钉击发行程启动时向上提升击发构件30040。As discussed above, the latching pin 30045 of the firing member 30040 is configured to contact the ramp 30226 that lifts the firing member 30040 so that if the slide 30030 is properly positioned in the staple cartridge 30220, the firing member 30040 can fall on the shoulder of the slide 30030 Section 30033 on. Even so, alternative embodiments are contemplated in which the ramp can lift any suitable portion of the staple firing member onto the shoulder 30033 of the slider 30030. For example, the firing member 30040 may include lamination rods attached to the cutting portion 30042 that contact the ramps 30226 and cause the firing member 30040 to be lifted upward upon initiation of the staple firing stroke.

再次参见图127,钉仓30220包括至少部分地在仓体30222下方延伸的盘30024。盘30024被构造成能够防止仓体30222内的钉驱动器和/或钉从仓体30222的底部掉出。盘30024包括与限定于仓体30222中的狭槽接合的闩锁30021。盘30024还包括限定于其中的窗口30029,这些窗口与从仓体30222延伸的突出部协作,使盘30024与仓体30222对准。除上述之外或代替上述,提升斜坡30226例如可从盘30024延伸。Referring again to FIG. 127 , the staple cartridge 30220 includes a disk 30024 extending at least partially below the cartridge body 30222. The tray 30024 is configured to prevent the staple drivers and/or staples within the cartridge body 30222 from falling out of the bottom of the cartridge body 30222. The tray 30024 includes a latch 30021 that engages a slot defined in the cartridge body 30222. The tray 30024 also includes windows 30029 defined therein that cooperate with protrusions extending from the cartridge body 30222 to align the tray 30024 with the cartridge body 30222. In addition to or in lieu of the above, a lift ramp 30226 may extend from the disk 30024, for example.

图128中示出了外科缝合器械30300。缝合器械30300在许多方面类似于缝合器械30200。即便如此,缝合器械30300包括钉仓30320而不是钉仓30220。钉仓30320包括仓体30322、限定于仓体30322中的钉腔以及可移除地储存在钉腔中的钉。仓体30322还包括限定于其中的被构造成能够接收击发构件30040的纵向狭槽30023,以及另外在纵向狭槽30023前方延伸的近侧斜坡30327,如果滑动件30030处于或至少几乎处于其未击发位置,则这些近侧斜坡将击发构件30040提升到滑动件30030上,如图129所示。如果滑动件30030已至少部分地推进穿过其钉击发行程,则肩部30033将不会接住击发构件30040的鼻部30043,并且切割部分30042将穿过限定于斜坡支撑件30326之间的窗口并落入闭锁窗口30012中。参见图130和图132,斜坡30327还包括门,该门被构造成能够在足够的推力施加至击发构件30040时枢转离开击发构件30040。斜坡30327包括可旋转地安装到斜坡支撑件30326中的一个的第一端部和可释放地附接到另一个斜坡支撑件30326的第二端部。参见图131和图133,斜坡30327的第二端部被构造成能够在击发构件30040已经被向上提升之后从其斜坡支撑件30326释放,使得一旦斜坡30327变形,如果滑动件30030处于其未击发位置或至少接近其未击发位置,击发构件30040的鼻部30043就落在滑动件30030的肩部30033上。此时,斜坡30327不再阻止击发构件30040的远侧运动,并且击发构件30040可朝远侧推进穿过纵向狭槽30023。斜坡30327在整个钉击发行程期间以及在击发构件30040已回缩到其未击发位置之后保持移位到侧面。因此,如果击发构件30040将再次朝远侧推进,则移位的斜坡30327不能提升击发构件30040。在此类情况下,如果击发构件30040在用尽钉仓30320被替换之前朝远侧推进,则切割部分30042的闭锁销30045将被作用于击发构件30040的弹簧推入闭锁窗口30012中。因此,斜坡30327用作用尽的仓闭锁件。在至少一个另选的实施方案中,斜坡30327被构造成能够脱离仓体30322以释放击发构件30040。Surgical stapling instrument 30300 is shown in FIG. 128 . Stapling instrument 30300 is similar to stapling instrument 30200 in many respects. Even so, stapling instrument 30300 includes staple cartridge 30320 instead of staple cartridge 30220. The staple cartridge 30320 includes a cartridge body 30322, staple cavities defined in the cartridge body 30322, and staples removably stored in the staple cavities. The cartridge body 30322 also includes a longitudinal slot 30023 defined therein that is configured to receive the firing member 30040, and a proximal ramp 30327 that additionally extends forward of the longitudinal slot 30023 if the slider 30030 is in or at least nearly in its unfired position position, these proximal ramps lift the firing member 30040 onto the slide 30030 as shown in FIG. 129 . If the slider 30030 has been advanced at least partially through its staple firing stroke, the shoulder 30033 will not catch the nose 30043 of the firing member 30040 and the cut portion 30042 will pass through the window defined between the ramp supports 30326 and falls into the locking window 30012. 130 and 132, the ramp 30327 also includes a door configured to pivot away from the firing member 30040 when sufficient thrust is applied to the firing member 30040. The ramp 30327 includes a first end rotatably mounted to one of the ramp supports 30326 and a second end releasably attached to the other ramp support 30326 . 131 and 133, the second end of the ramp 30327 is configured to be released from its ramp support 30326 after the firing member 30040 has been raised upward, so that once the ramp 30327 is deformed, if the slider 30030 is in its unfired position At least near its unfired position, the nose 30043 of the firing member 30040 rests on the shoulder 30033 of the slider 30030. At this point, the ramp 30327 no longer prevents distal movement of the firing member 30040, and the firing member 30040 can be advanced distally through the longitudinal slot 30023. The ramp 30327 remains displaced to the side during the entire staple firing stroke and after the firing member 30040 has been retracted to its unfired position. Thus, if the firing member 30040 were to be advanced distally again, the displaced ramp 30327 would not be able to lift the firing member 30040. In such a case, if the firing member 30040 is advanced distally before the depleted staple cartridge 30320 is replaced, the latching pin 30045 of the cutting portion 30042 will be pushed into the latching window 30012 by the spring acting on the firing member 30040. Thus, ramp 30327 acts as an exhausted bin lock. In at least one alternative embodiment, the ramp 30327 is configured to disengage from the cartridge body 30322 to release the firing member 30040.

此外,除上述之外,缝合器械30300的闭锁布置也用作不正确/不兼容仓闭锁件。如果将不具有斜坡30327或另一合适构造的斜坡的不正确或不兼容的钉仓安置在仓通道30010中,则击发构件30040将不会被提升到不正确的钉仓的滑动件上,并且相反,闭锁销30045将被迫进入闭锁窗口30012中,从而闭锁钉击发系统。在此类情况下,击发构件30040可回缩到其未击发位置,并且可用正确/兼容的钉仓替换不正确/不兼容的钉仓。在某些钉仓旨在仅与某些缝合器械一起使用的手术室中,除了其他情况以外,可能发生不正确的钉仓与正确的钉仓的意外交换。Furthermore, in addition to the above, the latching arrangement of the stapling instrument 30300 also acts as an incorrect/incompatible cartridge latch. If an incorrect or incompatible staple cartridge without the ramp 30327 or another suitably configured ramp is placed in the cartridge channel 30010, the firing member 30040 will not be lifted onto the slide of the incorrect cartridge, and Instead, the lockout pin 30045 will be forced into the lockout window 30012, thereby locking out the staple firing system. In such cases, the firing member 30040 can be retracted to its unfired position and the incorrect/incompatible staple cartridge can be replaced with a correct/compatible staple cartridge. In operating rooms where certain staple cartridges are intended to be used only with certain stapling instruments, among other things, accidental exchange of an incorrect staple cartridge with a correct staple cartridge can occur.

如上所述,斜坡30327在滑动件30030后面延伸。因此,斜坡30327可保护滑动件30030免于意外地朝远侧被碰撞。在各种情况下,通过首先将钉仓30320的近侧端部插入仓通道30010中,然后将钉仓30320安置在仓通道30010中,从而将钉仓30320装载到缝合器械30300中。因此,存在这样的可能性:滑动件30030将接触例如仓通道30010并且在钉仓30320内从其近侧未击发位置朝远侧被推动。在此类情况下,滑动件30030可不再被定位成在钉击发行程启动时使缝合器械30300的钉击发闭锁件失效,因此,缝合击发闭锁件将把该钉仓30320视为用尽的,并且必须更换该钉仓以使用缝合器械30300。斜坡30327可在其在滑动件30030后面朝近侧延伸时防止这种情况,并且可在钉仓30320被安装时防止滑动件30030在钉仓30320内朝远侧被碰撞。As mentioned above, the ramp 30327 extends behind the slider 30030. Thus, the ramp 30327 can protect the slider 30030 from being accidentally knocked distally. In each case, the staple cartridge 30320 is loaded into the stapling instrument 30300 by first inserting the proximal end of the staple cartridge 30320 into the cartridge channel 30010 and then seating the staple cartridge 30320 in the cartridge channel 30010. Thus, there is a possibility that the slider 30030 will contact, for example, the cartridge channel 30010 and be pushed distally within the staple cartridge 30320 from its proximal unfired position. In such a case, the sled 30030 can no longer be positioned to disable the staple firing latch of the stapling instrument 30300 when the staple firing stroke is activated, so the staple cartridge 30320 will be considered depleted by the stapling firing latch, and The staple cartridge must be replaced in order to use the stapling instrument 30300. The ramp 30327 can prevent this as it extends proximally behind the slider 30030, and can prevent the slider 30030 from being knocked distally within the staple cartridge 30320 when the staple cartridge 30320 is installed.

如上所述,滑动件30030在正确地定位在钉仓中时使缝合器械的钉击发闭锁件失效,使得可完成钉击发行程。在使用中,击发构件30040至少部分地朝远侧推进,以评估滑动件30030是否正确定位以及钉击发闭锁件是否已失效。更具体地,击发构件30040朝远侧推进,直到击发构件30040由滑动件30030支撑以执行钉击发行程(如果滑动件30030正确地定位在钉仓30320中)或者接触闭锁件肩部30015(如果滑动件30030未正确地定位在钉仓30320中或者钉仓30320从仓通道30010缺失)。如果击发构件30040接触闭锁件肩部30015,则可能需要回缩击发构件30040以能够将未用尽钉仓30320插入仓通道30010中和/或回缩以开始另一个钉击发行程。据此,图134和图135的外科器械30400被构造成能够限制击发构件的行进,使得如果钉仓从仓通道缺失,则击发构件可在其到达闭锁件肩部30015之前停止,如下文更详细地讨论。As described above, the slider 30030, when properly positioned in the staple cartridge, disables the staple firing latch of the stapling instrument so that the staple firing stroke can be completed. In use, the firing member 30040 is advanced at least partially distally to assess whether the slider 30030 is properly positioned and whether the staple firing latch has failed. More specifically, the firing member 30040 is advanced distally until the firing member 30040 is supported by the sled 30030 to perform the staple firing stroke (if the sled 30030 is properly positioned in the staple cartridge 30320) or contact the latch shoulder 30015 (if slid). piece 30030 is not properly positioned in the staple cartridge 30320 or the staple cartridge 30320 is missing from the cartridge channel 30010). If the firing member 30040 contacts the latch shoulder 30015, it may be necessary to retract the firing member 30040 to be able to insert the unused staple cartridge 30320 into the cartridge channel 30010 and/or retract to begin another staple firing stroke. Accordingly, the surgical instrument 30400 of FIGS. 134 and 135 is configured to limit the travel of the firing member so that if the staple cartridge is missing from the cartridge channel, the firing member may stop before it reaches the latch shoulder 30015, as described in more detail below discuss.

除上述之外,外科器械30400的击发构件30440在许多方面类似于击发构件30040,但包括切割构件30442,该切割构件包括从其侧向延伸的次闭锁销30449。如果钉仓30320未定位在缝合器械30400的仓通道30410中,则当击发构件30440朝远侧推进时,切割构件30442将立即进入闭锁窗口30012,并且次闭锁销30449将快速接触闭锁窗口30012中的次闭锁件肩部30419。因此,如果钉仓30320未存在于仓通道30410中,则击发构件30440将不必朝远侧行进,直到其接触闭锁件肩部30015。在此类情况下,击发构件30440需要回缩的距离至少减小。在某些情况下,次闭锁件肩部30419被定位成使得切割构件30442根本不需要回缩。因此,在此类情况下,可将未用尽钉仓30320插入通道30410中,并且可在不必回缩击发构件30440的情况下完成钉击发行程。In addition to the above, the firing member 30440 of the surgical instrument 30400 is similar in many respects to the firing member 30040, but includes a cutting member 30442 that includes a secondary blocking pin 30449 extending laterally therefrom. If the staple cartridge 30320 is not positioned in the cartridge channel 30410 of the stapling instrument 30400, when the firing member 30440 is advanced distally, the cutting member 30442 will immediately enter the latching window 30012 and the secondary latching pin 30449 will snap into contact with a Secondary latch shoulder 30419. Thus, if the staple cartridge 30320 is not present in the cartridge channel 30410, the firing member 30440 will not have to travel distally until it contacts the latch shoulder 30015. In such cases, the distance that the firing member 30440 needs to be retracted is at least reduced. In some cases, the secondary latch shoulder 30419 is positioned such that the cutting member 30442 does not need to be retracted at all. Thus, under such circumstances, the unused staple cartridge 30320 can be inserted into the channel 30410 and the staple firing stroke can be completed without having to retract the firing member 30440.

除上述之外,闭锁销30449和闭锁件肩部30419之间的交接提供缺失的仓闭锁件。如果钉仓30320安置在仓通道30410中,则切割构件30442接合钉仓30320的斜坡30327,该斜坡将闭锁销30449提升越过闭锁件肩部30419。换句话讲,钉仓30320在仓通道30010中的存在使次钉击发闭锁件失效。即便如此,钉仓30320的滑动件30030必须正确地定位在钉仓30320中,以便在切割构件30442的鼻部30043仍必须落在滑动件30030的肩部30033上时完成钉击发行程,以便将闭锁销30045提升超过闭锁件肩部30015,如上所述。换句话讲,钉仓30320中处于其未击发位置的滑动件30030的存在使主击发闭锁件失效,并且仓通道30410中的钉仓30320的存在使次击发闭锁件失效。因此,缝合器械30400包括主缺失仓闭锁件和次缺失仓闭锁件,其中主缺失仓闭锁件也用作用尽的仓闭锁件。In addition to the above, the interface between the latch pin 30449 and the latch shoulder 30419 provides the missing bin latch. If the staple cartridge 30320 is seated in the cartridge channel 30410, the cutting member 30442 engages the ramp 30327 of the staple cartridge 30320, which lifts the latch pin 30449 over the latch shoulder 30419. In other words, the presence of the staple cartridge 30320 in the cartridge channel 30010 disables the secondary staple firing latch. Even so, the sled 30030 of the staple cartridge 30320 must be properly positioned in the staple cartridge 30320 to complete the staple firing stroke while the nose 30043 of the cutting member 30442 must still land on the shoulder 30033 of the sled 30030 in order to lock the latch The pin 30045 is raised over the latch shoulder 30015, as described above. In other words, the presence of the slider 30030 in its unfired position in the staple cartridge 30320 disables the primary firing latch, and the presence of the staple cartridge 30320 in the cartridge channel 30410 disables the secondary firing latch. Thus, stapling instrument 30400 includes a primary missing cartridge latch and a secondary missing cartridge latch, wherein the primary missing cartridge latch also serves as a depleted cartridge latch.

图136中示出了外科缝合器械30500。缝合器械30500在许多方面类似于缝合器械30000。除了别的以外,缝合器械30500包括仓通道30510、能够可移除地定位在仓通道30510中的钉仓30520、击发构件30040和钉击发闭锁件30514。钉击发闭锁件30514包括例如安装在仓通道30510中的弹性金属弹簧。即便如此,钉击发闭锁件30514可由任何合适的材料构成。钉击发闭锁件30514包括安装在仓通道30510中的基部和从该基部延伸的柔性锁定臂30516。每个柔性锁定臂30516独立于彼此运动并且包括限定于其中的锁定窗口30515,该锁定窗口被构造成能够接收并可释放地捕获从击发构件30040延伸的闭锁销30045。柔性锁定臂30516被构造成能够使得这些臂朝向和/或抵靠击发构件30040的侧面向内延伸,并且因此被偏压以捕获闭锁销30045。当闭锁销30045中的一个或两个被捕获在锁定窗口30515中时,防止钉击发构件30040朝远侧推进完成钉击发行程。Surgical stapling instrument 30500 is shown in FIG. 136 . Stapling instrument 30500 is similar to stapling instrument 30000 in many respects. The stapling instrument 30500 includes, among other things, a cartridge channel 30510, a staple cartridge 30520 removably positionable in the cartridge channel 30510, a firing member 30040, and a staple firing latch 30514. The staple firing latch 30514 includes, for example, a resilient metal spring mounted in the cartridge channel 30510. Even so, the staple firing latch 30514 may be constructed of any suitable material. The staple firing latch 30514 includes a base mounted in the cartridge channel 30510 and a flexible locking arm 30516 extending from the base. Each flexible locking arm 30516 moves independently of each other and includes a locking window 30515 defined therein that is configured to receive and releasably capture a locking pin 30045 extending from the firing member 30040. The flexible locking arms 30516 are configured such that the arms extend inwardly toward and/or against the sides of the firing member 30040 and are thus biased to capture the locking pin 30045. When one or both of the latching pins 30045 are captured in the locking window 30515, the staple firing member 30040 is prevented from advancing distally to complete the staple firing stroke.

除上述以外,钉仓30520包括仓体30522、限定于仓体30522中的钉腔以及能够移除地储存在钉腔中的钉。钉仓30520还包括附接到仓体30522的盘30024和滑动件,该滑动件被构造成能够在钉仓30520内向远侧行进以在钉击发行程期间从钉腔射出钉。与上述类似,一旦击发构件30040已被解锁,击发构件30040就被构造成能够朝远侧推动滑动件以执行钉击发行程。为此,参见图136和图139,仓体30522包括从其朝近侧延伸的突出部或键30526,这些突出部或键被构造成能够在钉仓30520安置在仓通道30510中时接合锁定臂30516。值得注意的是,锁定臂30516的端部向外张开,使得当突出部30526接触锁定臂30516时,锁定臂30516不被捕获在突出部30526与击发构件30040之间。因此,突出部30526使锁定臂30516侧向向外弯曲,使得当钉仓30520安置在仓通道30510中时,从击发构件30040延伸的闭锁销30045不再定位在击发闭锁件30514的闭锁窗口30515中。因此,将钉仓30520安置在仓通道30510中的动作解锁缝合器械30500。In addition to the above, the staple cartridge 30520 includes a cartridge body 30522, staple cavities defined in the cartridge body 30522, and staples removably stored in the staple cavities. The staple cartridge 30520 also includes a disk 30024 attached to the cartridge body 30522 and a slider configured to be able to travel distally within the staple cartridge 30520 to eject staples from the staple cavity during the staple firing stroke. Similar to the above, once the firing member 30040 has been unlocked, the firing member 30040 is configured to push the slider distally to perform the staple firing stroke. To this end, referring to FIGS. 136 and 139 , the cartridge body 30522 includes proximally extending protrusions or keys 30526 therefrom that are configured to engage the locking arms when the staple cartridge 30520 is seated in the cartridge channel 30510 30516. Notably, the ends of the locking arms 30516 flare outward so that when the tabs 30526 contact the locking arms 30516, the locking arms 30516 are not captured between the tabs 30526 and the firing member 30040. Accordingly, the protrusions 30526 bend the locking arms 30516 laterally outward so that when the staple cartridge 30520 is seated in the cartridge channel 30510, the locking pin 30045 extending from the firing member 30040 is no longer positioned in the locking window 30515 of the firing lock 30514 . Thus, the act of positioning the staple cartridge 30520 in the cartridge channel 30510 unlocks the stapling instrument 30500.

如果钉仓30520未如上所述安置在仓通道30510中,则击发构件30040保持被击发闭锁件30514锁定,并且缝合器械30500不能用于缝合患者组织。如果钉仓(诸如钉仓30020)安置在不具有突出部或键30526的仓通道30510中,则其将不会解锁击发闭锁件30514,如图137和图138所示,因此缝合器械30500不能用于缝合患者组织。如图137和图138所示,仓体30022的近侧端部不接合和/或充分移位锁定臂30516。因此,在这种情况下,钉仓30020将是不正确的钉仓,因为其不解锁缝合器械30500的钉击发驱动装置,并且相应地,钉仓30520将是正确的钉仓,因为其可以解锁缝合器械30500的钉击发驱动装置。因此,击发闭锁件30514既是缺失的仓闭锁件也是不正确的仓闭锁件。缝合器械30500还可包括用尽的仓闭锁件。在不正确的钉仓安置在缝合器械30500中并且缝合器械30500不能被击发的情况下,可移除不正确的钉仓并且可将正确的钉仓(即,钉仓30520)安置在缝合器械30500中以解锁钉击发驱动装置。If the staple cartridge 30520 is not seated in the cartridge channel 30510 as described above, the firing member 30040 remains locked by the firing latch 30514 and the stapling instrument 30500 cannot be used to staple patient tissue. If a staple cartridge, such as staple cartridge 30020, is placed in a cartridge channel 30510 that does not have tabs or keys 30526, it will not unlock the firing latch 30514, as shown in Figures 137 and 138, and thus the stapling instrument 30500 cannot be used for suturing patient tissue. As shown in FIGS. 137 and 138 , the proximal end of the cartridge body 30022 does not engage and/or displace the locking arms 30516 sufficiently. Thus, in this case, staple cartridge 30020 would be the incorrect staple cartridge because it would not unlock the staple firing drive of stapling instrument 30500, and accordingly, staple cartridge 30520 would be the correct staple cartridge since it could be unlocked Staple firing drive of stapling instrument 30500. Thus, the firing latch 30514 is both a missing and an incorrect cartridge latch. The stapling instrument 30500 may also include an exhausted cartridge latch. In the event that an incorrect staple cartridge is seated in stapling instrument 30500 and stapling instrument 30500 cannot be fired, the incorrect staple cartridge can be removed and the correct staple cartridge (ie, staple cartridge 30520 ) can be seated in stapling instrument 30500 to unlock the nail firing drive.

如上文结合缝合器械30000所述,再次参见图121,如果滑动件30030不处于其在钉仓30020中的正确位置,则击发构件30040的闭锁销30045接合锁定肩部30015。同样如上所述,缝合器械30000的击发构件30040在接合锁定肩部30015之前朝远侧推进,并且因此在接触锁定肩部30015之前有时间加速。因此,缝合器械30000的击发构件30040可以显著的速度和能量冲击锁定肩部30015。因此,锁定肩部30015被稳健地设计成吸收该冲击;然而,存在击发构件30040可犁过或吹过锁定肩部30015的可能性,从而意外使缝合器械30000的钉击发闭锁件失效。图136和图137的闭锁件30514可减少(如果不消除的话)这些潜在问题。例如,击发闭锁件30514的锁定窗口30515的尺寸和构造被设置成能够在锁定臂30516与闭锁销30045接合时防止钉击发构件30040的很少的(如果有的话)近侧平移和远侧平移,因此钉击发构件30040在被锁定窗口30515的远侧端部停止之前具有很少的(如果有的话)加速的时间。此外,一旦闭锁销30045接合锁定窗口30515的远侧端部,锁定臂30516就被置于张力下,并且因此如果它们完全失效,则能够在失效之前处理显著的负载。As described above in connection with stapling instrument 30000, referring again to FIG. 121, if slider 30030 is not in its correct position in staple cartridge 30020, latching pin 30045 of firing member 30040 engages locking shoulder 30015. Also as described above, the firing member 30040 of the stapling instrument 30000 is advanced distally before engaging the locking shoulder 30015, and thus has time to accelerate before contacting the locking shoulder 30015. Thus, the firing member 30040 of the stapling instrument 30000 can impact the locking shoulder 30015 with significant velocity and energy. Thus, the locking shoulder 30015 is robustly designed to absorb this impact; however, there is a possibility that the firing member 30040 could plow or blow over the locking shoulder 30015, thereby inadvertently deactivating the staple firing latch of the stapling instrument 30000. The latch 30514 of Figures 136 and 137 may reduce, if not eliminate, these potential problems. For example, the locking window 30515 of the firing latch 30514 is sized and configured to prevent little, if any, proximal and distal translation of the staple firing member 30040 when the locking arm 30516 is engaged with the locking pin 30045 , so the staple firing member 30040 has little, if any, time to accelerate before being stopped by the distal end of the locked window 30515. Furthermore, once the latching pin 30045 engages the distal end of the locking window 30515, the locking arms 30516 are placed under tension and thus can handle significant loads before failing if they fail completely.

如上所述,当钉仓30520安置在缝合器械30500中时,两个锁定臂30516通过仓体30522与击发构件30040脱离接合。即便如此,设想了另选的实施方案,其中当钉仓安置在缝合器械30500中时,钉仓的第一部件解锁第一锁定臂30516并且钉仓的第二部件解锁第二锁定臂30516。例如,钉仓的仓体可解锁第一锁定臂30516,并且钉仓的滑动件可解锁第二锁定臂30516。As described above, when the staple cartridge 30520 is seated in the stapling instrument 30500, the two locking arms 30516 are disengaged from the firing member 30040 through the cartridge body 30522. Even so, alternative embodiments are contemplated in which a first component of the staple cartridge unlocks the first locking arm 30516 and a second component of the staple cartridge unlocks the second locking arm 30516 when the staple cartridge is seated in the stapling instrument 30500. For example, the cartridge body of the staple cartridge can unlock the first locking arm 30516 and the slide of the staple cartridge can unlock the second locking arm 30516.

图140示出了外科缝合器械30600,并且图141示出了外科缝合器械30700。缝合器械30600和30700在许多方面类似于缝合器械30500。参见图140,缝合器械30600包括仓通道30610、能够可移除地定位在仓通道30610中的钉仓30620以及安装到仓通道30610的钉击发闭锁件30614,该钉击发闭锁件防止击发构件30040推进完成钉击发行程,除非钉仓30620安置在仓通道30610中。类似地,参见图141,缝合器械30700包括仓通道30710、能够可移除地定位在仓通道30710中的钉仓30720以及安装到仓通道30710的钉击发闭锁件30714,该钉击发闭锁件防止击发构件30040推进完成钉击发行程,除非钉仓30720安置在仓通道30710中。然而,值得注意的是,将钉仓30720安置在缝合器械30600中不会解锁缝合器械30600的钉击发系统,并且同样,将钉仓30620安置在缝合器械30700中不会解锁缝合器械30700的钉击发系统。因此,尽管事实上钉仓30620和30720可能令人混淆地相似,但缝合器械30600和30700可同时在同一手术室中使用,而不可能与错误的钉仓一起使用。FIG. 140 shows surgical stapling instrument 30600 and FIG. 141 shows surgical stapling instrument 30700. Stapling instruments 30600 and 30700 are similar to stapling instrument 30500 in many respects. 140, the stapling instrument 30600 includes a cartridge channel 30610, a staple cartridge 30620 removably positionable in the cartridge channel 30610, and a staple firing latch 30614 mounted to the cartridge channel 30610 that prevents advancement of the firing member 30040 The staple firing stroke is completed unless the staple cartridge 30620 is seated in the cartridge channel 30610. Similarly, referring to Figure 141, stapling instrument 30700 includes a cartridge channel 30710, a staple cartridge 30720 removably positionable in cartridge channel 30710, and a staple firing latch 30714 mounted to cartridge channel 30710 that prevents firing The member 30040 is advanced to complete the staple firing stroke unless the staple cartridge 30720 is seated in the cartridge channel 30710. It is worth noting, however, that placing the staple cartridge 30720 in the stapling instrument 30600 does not unlock the staple firing system of the stapling instrument 30600, and likewise, placing the staple cartridge 30620 in the stapling instrument 30700 does not unlock the staple firing of the stapling instrument 30700 system. Thus, despite the fact that staple cartridges 30620 and 30720 may be confusingly similar, stapling instruments 30600 and 30700 can be used simultaneously in the same operating room without the possibility of being used with the wrong staple cartridge.

参见图142,除上述之外,钉仓30620还包括包含近侧端部30626的仓体30622,该近侧端部成角度以使得仓体30622的中心(即,最靠近纵向狭槽30023的部分)比仓体30622的侧向侧朝近侧延伸得更远。钉仓30620还包括滑动件30630,该滑动件在许多方面类似于滑动件30030,其包括近侧端部30636,该近侧端部具有与仓体30622的近侧端部30626的轮廓匹配或至少基本上匹配的轮廓。再次参见图140,击发闭锁件30614类似于击发闭锁件30514。除了别的以外,击发闭锁件30614包括锁定臂30616,该锁定臂将击发构件30040释放地保持在其未击发位置,直到锁定臂30616通过仓体30622的近侧端部和/或滑动件30630的近侧端部侧向移位,以从限定于锁定臂30616中的锁定窗口释放闭锁销30045。如果钉仓30620从仓通道30610移除,则锁定臂30616弹性地返回到其锁定位置。142, in addition to the above, the staple cartridge 30620 includes a cartridge body 30622 that includes a proximal end 30626 that is angled such that the center of the cartridge body 30622 (ie, the portion closest to the longitudinal slot 30023) ) extends further proximally than the lateral sides of the cartridge body 30622. The staple cartridge 30620 also includes a slider 30630, which is similar in many respects to the slider 30030 and includes a proximal end 30636 having a profile that matches or at least matches the proximal end 30626 of the cartridge body 30622 Basically matching contours. Referring again to FIG. 140 , the firing latch 30614 is similar to the firing latch 30514 . Among other things, the firing latch 30614 includes a locking arm 30616 that releasably retains the firing member 30040 in its unfired position until the locking arm 30616 passes through the proximal end of the cartridge body 30622 and/or the slide 30630 The proximal end is displaced laterally to release the latching pin 30045 from the locking window defined in the locking arm 30616. If the staple cartridge 30620 is removed from the cartridge channel 30610, the locking arm 30616 resiliently returns to its locked position.

参见图143,除上述之外,钉仓30700还包括包含近侧端部30726的仓体30722,该近侧端部成角度以使得仓体30722的侧向侧(即,距纵向狭槽30023最远的部分)比仓体30722的中心朝近侧延伸得更远。钉仓30720还包括滑动件30730,该滑动件在许多方面类似于滑动件30030,其包括近侧端部30736,该近侧端部具有与仓体30722的近侧端部30726的轮廓匹配或至少基本上匹配的轮廓。再次参见图141,击发闭锁件30714类似于击发闭锁件30514。除了别的以外,击发闭锁件30714包括锁定臂30716,该锁定臂将击发构件30040释放地保持在其未击发位置,直到锁定臂30716通过仓体30722的近侧端部和/或滑动件30730的近侧端部侧向移位,以从限定于锁定臂30716中的锁定窗口释放闭锁销30045。如果钉仓30720从仓通道30710移除,则锁定臂30716弹性地返回到其锁定位置。143, in addition to the above, the staple cartridge 30700 includes a cartridge body 30722 that includes a proximal end 30726 that is angled such that the lateral side of the cartridge body 30722 (ie, furthest from the longitudinal slot 30023) distal portion) extends farther proximally than the center of the cartridge body 30722. The staple cartridge 30720 also includes a slider 30730, which is similar in many respects to the slider 30030, and includes a proximal end 30736 having a profile matching or at least a proximal end 30726 of the cartridge body 30722 Basically matching contours. Referring again to FIG. 141 , the firing lockout 30714 is similar to the firing lockout 30514 . Among other things, the firing latch 30714 includes a locking arm 30716 that releasably retains the firing member 30040 in its unfired position until the locking arm 30716 passes through the proximal end of the cartridge body 30722 and/or the slide 30730 The proximal end is displaced laterally to release the latching pin 30045 from the locking window defined in the locking arm 30716. If the staple cartridge 30720 is removed from the cartridge channel 30710, the locking arm 30716 resiliently returns to its locked position.

值得注意的是,除上述之外,如果钉仓30620将被安置在缝合器械30700中,则钉仓30620的近侧端部将不使击发闭锁件30714的锁定臂30716移位或至少充分地移位以使击发闭锁件30714与击发构件30040脱离接合。此外,如果钉仓30720将被安置在缝合器械30600中,则钉仓30720的近侧端部将不使击发闭锁件30614的锁定臂30616移位或至少充分地移位以使击发闭锁件30614与击发构件30040脱离接合。因此,钉仓30620和30720各自包括独特的键控特征部,这些独特的键控特征部解锁其相应的或正确的缝合器械。Notably, in addition to the above, if the staple cartridge 30620 is to be positioned in the stapling instrument 30700, the proximal end of the staple cartridge 30620 will not displace, or at least sufficiently displace the locking arm 30716 of the firing latch 30714 position to disengage the firing latch 30714 from the firing member 30040. Furthermore, if the staple cartridge 30720 is to be positioned in the stapling instrument 30600, the proximal end of the staple cartridge 30720 will not displace the locking arm 30616 of the firing latch 30614, or at least displace sufficiently to allow the firing latch 30614 to interact with the stapling latch 30614. The firing member 30040 is disengaged. Accordingly, staple cartridges 30620 and 30720 each include unique keying features that unlock their corresponding or correct stapling instruments.

在各种情况下,除上述之外,钉仓的仓体和/或滑动件或钉仓类型可包括一个或多个独特的键控特征部,该一个或多个独特的键控特征部仅能够解锁其相应的缝合器械。在某些情况下,在仓体下方延伸的盘可包括被构造成能够解锁其缝合器械的钉击发驱动装置的近侧特征部或键。参见图144,在许多方面类似于盘30024的仓盘30824包括被构造成能够解锁缝合器械的钉击发驱动装置的近侧突出部或键30826。突出部30826由折叠金属片构成以形成例如管状结构。该管状结构通过包括接片30827和狭槽30828的嵌套互连装置来强化。In various cases, in addition to the above, the cartridge body and/or slider or cartridge type of the staple cartridge may include one or more unique keying features that only Ability to unlock its corresponding stapling instrument. In some cases, a tray extending below the cartridge body may include a proximal feature or key configured to unlock the staple firing drive of its stapling instrument. Referring to Figure 144, a cartridge tray 30824, which is similar in many respects to tray 30024, includes a proximal protrusion or key 30826 configured to unlock the staple firing drive of the stapling instrument. The tabs 30826 are constructed of folded sheet metal to form, for example, a tubular structure. The tubular structure is reinforced by nested interconnects including tabs 30827 and slots 30828.

图145和图147示出了外科缝合器械30900,并且图148示出了外科缝合器械31000。缝合器械30900和31000在许多方面类似于缝合器械30500。参见图145,缝合器械30900包括仓通道30910、能够可移除地定位在仓通道30910中的钉仓30920以及安装到仓通道30910的钉击发闭锁件30914,该钉击发闭锁件防止击发构件30040推进完成钉击发行程,除非钉仓30920安置在仓通道30910中。类似地,参见图148,缝合器械31000包括仓通道、能够可移除地定位在仓通道中的钉仓31020以及安装到仓通道的钉击发闭锁件31014,该钉击发闭锁件防止击发构件30040推进完成钉击发行程,除非钉仓31020安置在仓通道中。145 and 147 show surgical stapling instrument 30900, and FIG. 148 shows surgical stapling instrument 31000. Stapling instruments 30900 and 31000 are similar to stapling instrument 30500 in many respects. 145, a stapling instrument 30900 includes a cartridge channel 30910, a staple cartridge 30920 removably positionable in the cartridge channel 30910, and a staple firing latch 30914 mounted to the cartridge channel 30910 that prevents advancement of the firing member 30040 The staple firing stroke is completed unless the staple cartridge 30920 is seated in the cartridge channel 30910. Similarly, referring to Figure 148, stapling instrument 31000 includes a cartridge channel, a staple cartridge 31020 removably positionable in the cartridge channel, and a staple firing latch 31014 mounted to the cartridge channel that prevents advancement of the firing member 30040 The staple firing stroke is completed unless the staple cartridge 31020 is seated in the cartridge channel.

值得注意的是,钉击发闭锁件30914包括仅一个锁定臂30916,该锁定臂沿着击发构件30040的右侧边延伸。即便如此,一个锁定臂30916包括限定于其中的锁定窗口,该锁定窗口被构造成能够捕获并合适地保持击发构件30040的闭锁销30045以将击发构件30040保持在其未击发位置,如图147所示,直到钉仓30920安置在仓通道30910中,如图145所示。更具体地,钉仓30920的仓体30922包括从仓体30922的右侧延伸的近侧突出部或键30926,当钉仓30920安置在仓通道30910中时,该近侧突出部或键接合锁定臂30916并且使锁定臂30916侧向向外弯曲。值得注意的是,仓体30922不包括从仓体30922的左侧延伸的突出部或键30926。Notably, the staple firing latch 30914 includes only one locking arm 30916 that extends along the right side of the firing member 30040. Even so, one locking arm 30916 includes a locking window defined therein that is configured to capture and properly retain the latching pin 30045 of the firing member 30040 to retain the firing member 30040 in its unfired position, as shown in FIG. 147 shown until the staple cartridge 30920 is seated in the cartridge channel 30910, as shown in FIG. More specifically, the cartridge body 30922 of the staple cartridge 30920 includes a proximal tab or key 30926 extending from the right side of the cartridge body 30922 that engages and locks when the staple cartridge 30920 is seated in the cartridge channel 30910 arm 30916 and bend the locking arm 30916 laterally outward. Notably, the cartridge body 30922 does not include a protrusion or key 30926 extending from the left side of the cartridge body 30922.

另外,值得注意的是,钉击发闭锁件31014包括仅一个锁定臂31016,该锁定臂沿着击发构件30040的右侧边延伸。即便如此,一个锁定臂31016包括限定于其中的锁定窗口,该锁定窗口被构造成能够捕获并合适地保持击发构件30040的闭锁销30045以将击发构件30040保持在其未击发位置,如图148所示,直到钉仓31020安置在缝合器械31000的仓通道中。更具体地,钉仓31020的仓体31022包括从仓体31022的左侧延伸的近侧突出部或键31026,当钉仓31020安置在缝合器械31000中时,该近侧突出部或键接合锁定臂31016并且使锁定臂31016侧向向外弯曲。值得注意的是,仓体31022不包括从仓体31022的右侧延伸的突出部或键31026。Additionally, it is worth noting that the staple firing latch 31014 includes only one locking arm 31016 that extends along the right side edge of the firing member 30040. Even so, one locking arm 31016 includes a locking window defined therein that is configured to capture and properly retain the latching pin 30045 of the firing member 30040 to retain the firing member 30040 in its unfired position, as shown in FIG. 148 shown until the staple cartridge 31020 is seated in the cartridge channel of the stapling instrument 31000. More specifically, the cartridge body 31022 of the staple cartridge 31020 includes a proximal protrusion or key 31026 extending from the left side of the cartridge body 31022 that engages and locks when the staple cartridge 31020 is seated in the stapling instrument 31000 arm 31016 and bend the locking arm 31016 laterally outward. Notably, the cartridge body 31022 does not include a protrusion or key 31026 extending from the right side of the cartridge body 31022.

由于仓体30922和31022的不对称性以及钉击发闭锁件30914和31014的对应不对称性,将钉仓31020安置在缝合器械30900中不会解锁缝合器械30900的钉击发系统,并且同样,将钉仓30920安置在缝合器械31000中不会解锁缝合器械31000的钉击发系统。因此,尽管事实上钉仓30920和31020可能令人混淆地相似,但缝合器械30900和31000可同时在同一手术室中使用,而不可能与错误的钉仓一起使用。在一些情况下,由钉仓30920产生的钉图案不同于由钉仓30120产生的钉图案,因此,缝合器械30900的砧座将具有不同于缝合器械31000的砧座的成形凹坑布置。在此类情况下,本文所公开的非对称键/击发闭锁布置可防止钉腔的布置与钉成形凹坑的布置之间的失配。Due to the asymmetry of the cartridge bodies 30922 and 31022 and the corresponding asymmetry of the staple firing latches 30914 and 31014, the placement of the staple cartridge 31020 in the stapler instrument 30900 does not unlock the staple firing system of the stapler instrument 30900, and likewise, the staples The placement of the cartridge 30920 in the stapling instrument 31000 does not unlock the staple firing system of the stapling instrument 31000. Thus, despite the fact that staple cartridges 30920 and 31020 may be confusingly similar, stapling instruments 30900 and 31000 can be used simultaneously in the same operating room without the possibility of being used with the wrong staple cartridge. In some cases, the staple pattern produced by staple cartridge 30920 is different from the staple pattern produced by staple cartridge 30120, and thus, the anvil of stapling instrument 30900 will have a different arrangement of shaped pockets than the anvil of stapling instrument 31000. In such cases, the asymmetric key/fire latch arrangement disclosed herein may prevent a mismatch between the arrangement of the staple cavity and the arrangement of the staple forming pockets.

参见图149和图150,钉仓31120包括仓体31122,该仓体包括平行纵向排的钉腔,而钉仓31220包括仓体31222,该仓体包括在横向方向上取向的多排钉腔。与上述类似,参见图149,仓体31122的近侧端部包括键31126,该键从仓体31122的左侧延伸,但不从仓体31122的右侧或相对侧延伸,参见图150,仓体31222的近侧端部包括键31226,该键从仓体31222的右侧延伸,但不从仓体31222的左侧延伸。钉仓31120(图149)与第一缝合器械一起使用,该第一缝合器械具有平行纵向排的砧座钉成形凹坑和左侧钉击发闭锁件(诸如击发闭锁件31014(图148))。钉仓31220(图150)与第二缝合器械一起使用,该第二缝合器械具有纵向排的横向钉成形凹坑和右侧钉击发闭锁件(诸如击发闭锁件30914(图147))。钉仓31220不解锁第一缝合器械,并且相似地,钉仓31120不解锁第二缝合器械。这样,钉仓31120的键31126不能解锁具有在横向方向上延伸的钉成形凹坑的缝合器械,并且相应地,钉仓31220的键31226不能解锁具有沿平行纵向排延伸的钉成形凹坑的缝合器械。149 and 150, staple cartridge 31120 includes a cartridge body 31122 that includes parallel longitudinal rows of staple cavities, and staple cartridge 31220 includes a cartridge body 31222 that includes rows of staple cavities oriented in a transverse direction. Similar to the above, see Figure 149, the proximal end of the cartridge body 31122 includes a key 31126 that extends from the left side of the cartridge body 31122, but does not extend from the right or opposite side of the cartridge body 31122, see Figure 150, the cartridge The proximal end of the body 31222 includes a key 31226 that extends from the right side of the cartridge body 31222, but does not extend from the left side of the cartridge body 31222. The staple cartridge 31120 (FIG. 149) is used with a first stapling instrument having parallel longitudinal rows of anvil staple forming pockets and a left staple firing latch, such as the firing latch 31014 (FIG. 148). The staple cartridge 31220 (FIG. 150) is used with a second stapling instrument having a longitudinal row of transverse staple forming pockets and a right staple firing latch, such as the firing latch 30914 (FIG. 147). The staple cartridge 31220 does not unlock the first stapling instrument, and similarly, the staple cartridge 31120 does not unlock the second stapling instrument. As such, the key 31126 of the staple cartridge 31120 cannot unlock a stapling instrument having staple forming pockets extending in the transverse direction, and correspondingly, the key 31226 of the staple cartridge 31220 cannot unlock stapling having staple forming pockets extending in parallel longitudinal rows instrument.

值得注意的是,钉仓31120和钉仓31220具有基本上相同的长度并且具有基本上相同的形状。此外,钉仓31120和31220两者被构造成能够在患者组织中产生长度为大约60mm的钉线。然而,钉仓31120和31220两者被构造成能够产生例如长度为大约30mm或45mm的钉线。此外,仓体31122和仓体31222完全可能具有相同的颜色。在各种情况下,商业供应商可对他们销售的钉仓的仓体进行颜色编码以指示储存在其中的钉的尺寸。例如,包含具有大约4mm未成形高度的未成形钉的仓体为例如绿色的。包含具有大约2.5mm未成形高度的未成形钉的仓体可为例如白色的。因此,钉仓31120和31220完全可能具有相同的颜色。因此,当临床医生想要抓住一个钉仓时,其可能抓住另一个钉仓并将该钉仓安装在错误的缝合器械中。本文所公开的改进考虑到此类可能性并且在此类情况下闭锁缝合器械。Notably, staple cartridge 31120 and staple cartridge 31220 have substantially the same length and have substantially the same shape. Additionally, both staple cartridges 31120 and 31220 are configured to produce staple lines in patient tissue that are approximately 60 mm in length. However, both staple cartridges 31120 and 31220 are configured to be capable of producing staple lines that are, for example, approximately 30 mm or 45 mm in length. Furthermore, it is entirely possible for the cartridge body 31122 and the cartridge body 31222 to be the same color. In various cases, commercial suppliers may color-code the cartridge bodies of the staple cartridges they sell to indicate the size of the staples stored therein. For example, a cartridge body containing unformed staples having an unformed height of approximately 4 mm is, for example, green. Cartridge bodies containing unformed staples having an unformed height of approximately 2.5 mm may be, for example, white. Therefore, it is entirely possible for staple cartridges 31120 and 31220 to be the same color. Therefore, when a clinician wants to grasp one staple cartridge, he may grasp another staple cartridge and install that staple cartridge in the wrong stapling instrument. The improvements disclosed herein take into account such possibilities and lock out the stapling instrument under such circumstances.

图151至图155中示出了外科器械30800。主要参见图153和图154,外科器械30800包括仓通道30810、能够移除地定位在仓通道30810中的钉仓30820、击发构件30040以及安装到仓通道30810的闭锁件30814。闭锁件30814包括片簧30816,该片簧包括锚定在限定于仓通道30810中的孔中的近侧端部和能够相对于固定的近侧端部运动的远侧端部。主要参见图153和图155,闭锁件30814还包括闭锁盒30815,该闭锁盒被构造成能够捕获从击发构件30040的切割部分30042延伸的闭锁销30045中的一个闭锁销,并且当钉仓30820未安置在仓通道30810中时将击发构件30040保持在未击发位置。闭锁盒30815包括被构造成能够防止击发构件30040朝远侧推进的远侧壁、被构造成能够防止击发构件30040朝近侧回缩的近侧壁以及连接闭锁盒30815的近侧壁和远侧壁的底壁。然而,闭锁盒30815的顶部是打开的,但可以是闭合的。Surgical instrument 30800 is shown in FIGS. 151-155 . 153 and 154, the surgical instrument 30800 includes a cartridge channel 30810, a staple cartridge 30820 removably positioned in the cartridge channel 30810, a firing member 30040, and a latch 30814 mounted to the cartridge channel 30810. The latch 30814 includes a leaf spring 30816 including a proximal end anchored in a hole defined in the cartridge channel 30810 and a distal end movable relative to the fixed proximal end. 153 and 155, the latch 30814 also includes a latch box 30815 configured to capture one of the latch pins 30045 extending from the cut portion 30042 of the firing member 30040, and when the staple cartridge 30820 is not The firing member 30040 is held in the unfired position when seated in the cartridge channel 30810. The locking box 30815 includes a distal wall configured to prevent distal advancement of the firing member 30040, a proximal wall configured to prevent proximal retraction of the firing member 30040, and proximal and distal walls connecting the locking box 30815 bottom wall of the wall. However, the top of the latch box 30815 is open, but may be closed.

钉仓30820包括仓体30822、滑动件和盘30824,该盘附接到仓体30822并且在该仓体下方延伸。除上述之外,盘30824包括近侧突出部30826,该近侧突出部被构造成能够在钉仓30820安置在仓通道30810中时接合闭锁件30814的片簧30816,如图152和图154所示。当突出部30826接触片簧30816时,片簧30816侧向挠曲,使得闭锁销30045不再被捕获在闭锁件30814的闭锁盒30815中。此时,击发构件30040已被解锁,并且击发构件30040可朝远侧推进以执行钉击发行程。主要参见图154,片簧30816的远侧端部或自由端部延伸到限定于仓通道30810中的窗口30819中。当片簧30816被钉仓30820挠曲时,窗口30819为片簧30816提供间隙。另外,窗口30819的底部侧壁支撑片簧30816的远侧端部,使得该远侧端部被至少简单地支撑。在任何情况下,闭锁件30814为不具有用于解锁缝合器械30800的适当键的钉仓(诸如钉仓30020)提供缺失的仓闭锁件和不正确的仓闭锁件。The staple cartridge 30820 includes a cartridge body 30822, a slider, and a disk 30824 that is attached to the cartridge body 30822 and extends below the cartridge body. In addition to the above, the disc 30824 includes a proximal protrusion 30826 configured to engage the leaf spring 30816 of the latch 30814 when the staple cartridge 30820 is seated in the cartridge channel 30810, as shown in FIGS. 152 and 154 Show. When the protrusion 30826 contacts the leaf spring 30816, the leaf spring 30816 flexes laterally so that the latch pin 30045 is no longer captured in the latch box 30815 of the latch 30814. At this point, the firing member 30040 has been unlocked and the firing member 30040 can be advanced distally to perform the staple firing stroke. 154, the distal end or free end of the leaf spring 30816 extends into a window 30819 defined in the cartridge channel 30810. The window 30819 provides clearance for the leaf spring 30816 as the leaf spring 30816 is flexed by the staple cartridge 30820. Additionally, the bottom side wall of the window 30819 supports the distal end of the leaf spring 30816 so that the distal end is at least simply supported. In any event, latch 30814 provides a missing cartridge latch and an incorrect cartridge latch for staple cartridges that do not have an appropriate key for unlocking stapling instrument 30800, such as staple cartridge 30020.

如上所述,当钉仓30820安置在缝合器械30800的仓通道30810中时,闭锁件30814从锁定位置(图152和图153)运动到解锁位置(图154)。该偏转在图155中可见,该图示出了闭锁件30814处于其锁定位置(实线示出)以及其解锁位置(虚线示出)。在不正确或不兼容的钉仓(即,不具有合适键的钉仓)安置在仓通道30810中的情况下,片簧30816将不会偏转或至少适当地偏转以解锁击发构件30040。值得注意的是,闭锁件30814还包括从片簧30816延伸的接片30817,使得当闭锁件30814偏转时,接片30817与片簧30816一起侧向运动。当闭锁件30814处于其锁定位置时,如图153所示,接片30817防止外科器械30800的砧座(即,砧座30050)运动到闭合或完全夹持位置,如下文更详细地描述。As described above, when the staple cartridge 30820 is seated in the cartridge channel 30810 of the stapling instrument 30800, the latch 30814 moves from the locked position (FIGS. 152 and 153) to the unlocked position (FIG. 154). This deflection is visible in Figure 155, which shows the latch 30814 in its locked position (shown in solid lines) and its unlocked position (shown in phantom lines). In the event that an incorrect or incompatible staple cartridge (ie, one that does not have a suitable key) is seated in the cartridge channel 30810, the leaf spring 30816 will not deflect, or at least deflect properly, to unlock the firing member 30040. Notably, the latch 30814 also includes a tab 30817 extending from the leaf spring 30816 such that when the latch 30814 is deflected, the tab 30817 moves laterally with the leaf spring 30816. When the latch 30814 is in its locked position, as shown in FIG. 153, the tabs 30817 prevent movement of the anvil of the surgical instrument 30800 (ie, the anvil 30050) to the closed or fully clamped position, as described in more detail below.

砧座30050围绕安装在限定于仓通道30810中的孔中的枢轴销30051可旋转地联接到仓通道30810。当砧座30050通过外科器械30800的闭合系统朝向仓通道30810旋转并且钉仓30820未安置在仓通道30810中时,砧座30050的底部表面30057接触接片30817并且阻挡砧座30050运动到其闭合或完全夹持位置。然而,当钉仓30820安置在仓通道30810中时,接片30817侧向移位,使得当砧座30050闭合时,砧座30050不接触接片30817,并且砧座30050可运动到其闭合或完全夹持位置。因此,闭锁件30814还包括砧座闭合闭锁件,因为闭锁件30814防止砧座30050在钉仓30820未安置在仓通道30810中时闭合。在此类情况下,临床医生将快速意识到不正确的钉仓定位在仓通道30810中并且/或者意识到钉仓完全缺失,因为他们将不能闭合砧座30050。因为砧座30050不能在组织上闭合,所以在此类情况下也将防止缝合器械30800的钉击发行程。在其中钉仓钳口而不是砧座能够旋转的另选的实施方案中,如果不正确的钉仓定位在钉仓钳口中或者钉仓完全从仓钳口缺失,则这种闭锁件可用于防止钉仓钳口旋转到闭合或完全夹持位置。Anvil 30050 is rotatably coupled to cartridge channel 30810 about a pivot pin 30051 mounted in a hole defined in cartridge channel 30810. When the anvil 30050 is rotated toward the cartridge channel 30810 by the closure system of the surgical instrument 30800 and the staple cartridge 30820 is not seated in the cartridge channel 30810, the bottom surface 30057 of the anvil 30050 contacts the tabs 30817 and blocks movement of the anvil 30050 until it closes or fully clamped position. However, when the staple cartridge 30820 is seated in the cartridge channel 30810, the tabs 30817 are displaced laterally so that when the anvil 30050 is closed, the anvil 30050 does not contact the tabs 30817, and the anvil 30050 can be moved until it is closed or fully Clamping position. Accordingly, the latch 30814 also includes an anvil closure latch because the latch 30814 prevents the anvil 30050 from closing when the staple cartridge 30820 is not seated in the cartridge channel 30810. In such cases, the clinician will quickly realize that an incorrect staple cartridge is positioned in the cartridge channel 30810 and/or realize that the staple cartridge is completely missing because they will not be able to close the anvil 30050. Because the anvil 30050 cannot close on the tissue, the staple firing stroke of the stapling instrument 30800 will also be prevented under such circumstances. In an alternative embodiment in which the staple cartridge jaws can be rotated instead of the anvil, such a latch can be used to prevent the staple cartridge from being properly positioned in the staple cartridge jaws or if the staple cartridge is completely missing from the cartridge jaws Cartridge jaws rotate to closed or fully clamped position.

如上所述,闭锁件30814被构造成能够抵抗砧座30050的闭合。为此,除上述之外,闭锁件30814的近侧端部固定地支撑在仓通道30810中,并且闭锁件30814的远侧端部简单地由窗口30819的侧壁支撑。当闭锁件30814处于其锁定(图153)构型和解锁(图154)构型两者时就是这种情况。因此,闭锁件30814可充当在两端支撑的梁并且非常适于承受由砧座30050施加的夹持负载。类似地,从闭锁件30814延伸的接片30817也由仓通道30810支撑。更具体地讲,当闭锁件30814处于其锁定(图153)构型和解锁(图154)构型两者时,接片30817可滑动地支撑在限定于仓通道30810中的狭槽30818中。因此,闭锁件30814可充当在两端和中间位置支撑的梁并且非常适于承受由砧座30050施加的夹持负载。即便如此,可以使用任何合适的支撑布置。As discussed above, the latch 30814 is configured to resist the closure of the anvil 30050. To this end, in addition to the above, the proximal end of the latch 30814 is fixedly supported in the cartridge channel 30810 and the distal end of the latch 30814 is simply supported by the side walls of the window 30819. This is the case when the latch 30814 is in both its locked (FIG. 153) and unlocked (FIG. 154) configurations. Thus, the latch 30814 can act as a beam supported at both ends and is well suited to withstand the clamping loads applied by the anvil 30050. Similarly, tabs 30817 extending from latch 30814 are also supported by cartridge channel 30810. More specifically, tabs 30817 are slidably supported in slots 30818 defined in cartridge channel 30810 when latch 30814 is in both its locked ( FIG. 153 ) and unlocked ( FIG. 154 ) configurations. Thus, the latches 30814 can act as beams supported at both ends and in the middle and are well suited to withstand the clamping loads applied by the anvil 30050. Even so, any suitable support arrangement can be used.

如上所述,闭锁件30814被构造成能够在钉仓30820未安置在仓通道30810中时防止缝合器械30800的砧座30050运动到闭合或完全夹持位置。即便如此,闭锁件30814被构造成能够在钉仓30820未安置在仓通道30810中时防止砧座30050基本上完全闭合。在此类情况下,砧座30050可略微朝仓通道30810运动;然而,当砧座30050接触闭锁件30814的接片30817时,砧座30050能够明显打开。在各种另选的实施方案中,防止砧座30050运动,直到钉仓30820安置在仓通道30810中。在任一种情况下,当砧座30050被闭锁时,缝合器械30800不能通过套管针插入患者体内。更具体地,套管针包括内部通路或插管,该内部通路或插管的尺寸和构造被设置成能够在其中紧密地接收外科器械,并且当砧座30050如上所述被闭锁时,砧座30050与仓通道30810之间的距离对于缝合器械30800而言过大而不能配合穿过该内部通路。因此,在此类情况下,使用缝合器械30800的临床医生在将缝合器械30800插入患者体内之前将意识到不正确的钉仓定位在缝合器械30800中。As described above, the latch 30814 is configured to prevent movement of the anvil 30050 of the stapling instrument 30800 to the closed or fully clamped position when the staple cartridge 30820 is not seated in the cartridge channel 30810. Even so, the latch 30814 is configured to prevent the anvil 30050 from closing substantially completely when the staple cartridge 30820 is not seated in the cartridge channel 30810. In such cases, the anvil 30050 can move slightly toward the cartridge channel 30810; however, when the anvil 30050 contacts the tabs 30817 of the latch 30814, the anvil 30050 can open significantly. In various alternative embodiments, movement of the anvil 30050 is prevented until the staple cartridge 30820 is seated in the cartridge channel 30810. In either case, when the anvil 30050 is latched, the stapling instrument 30800 cannot be inserted into the patient through the trocar. More specifically, the trocar includes an internal passage or cannula sized and configured to tightly receive a surgical instrument therein, and when the anvil 30050 is latched as described above, the anvil. The distance between 30050 and cartridge channel 30810 is too great for stapling instrument 30800 to fit through this internal passage. Thus, in such situations, the clinician using the stapling instrument 30800 will be aware that an incorrect staple cartridge is positioned in the stapling instrument 30800 before inserting the stapling instrument 30800 into the patient.

图155A中示出了钉仓31520。钉仓31520包括仓体31522和附接到仓体31522的盘31524。盘31524包括与限定于仓体31522中的侧向通道接合的锁定臂31521,这些锁定臂将盘31524保持到仓体31522。盘31524由冲压金属(诸如不锈钢)构成。盘31524包括两个侧向侧,在纵向狭槽30023的每一侧上各有一个。盘31524的每个侧向侧沿着仓体31522的侧向侧并且在仓体31522的一部分下方延伸。盘31524的每个侧向侧还包括近侧端部31527,该近侧端部包在仓体31522的近侧端部上。近侧端部31527与盘31524的侧向侧正交地或至少基本上正交地延伸。每个近侧端部31527包括接片,该接片被折叠以形成朝近侧延伸的键31526。与上述类似,键31526被构造成能够在钉仓31520安置在缝合器械中时解锁缝合器械的钉击发系统。A staple cartridge 31520 is shown in Figure 155A. The staple cartridge 31520 includes a cartridge body 31522 and a disk 31524 attached to the cartridge body 31522. The tray 31524 includes locking arms 31521 that engage lateral channels defined in the cartridge body 31522 that retain the tray 31524 to the cartridge body 31522. Disc 31524 is constructed of stamped metal, such as stainless steel. The disc 31524 includes two lateral sides, one on each side of the longitudinal slot 30023. Each lateral side of the disk 31524 extends along a lateral side of the cartridge body 31522 and under a portion of the cartridge body 31522 . Each lateral side of the disc 31524 also includes a proximal end 31527 that wraps over the proximal end of the cartridge body 31522. The proximal end 31527 extends orthogonally, or at least substantially orthogonally, to the lateral side of the disc 31524. Each proximal end 31527 includes a tab that is folded to form a proximally extending key 31526. Similar to the above, the key 31526 is configured to unlock the staple firing system of the stapling instrument when the staple cartridge 31520 is seated in the stapling instrument.

除上述之外,每个键31526包括通过向外折叠接片而形成的圆化近侧端部,使得接片的端部重新与近侧端部31527接触。因此,键31526是坚固的,并且防止或至少基本上减少键31526的偏转。这样,当钉仓31520安置在缝合器械中时,键31526将可靠地使击发系统锁偏转以解锁击发系统。每个近侧端部31527还包括延伸到限定于近侧端部31527中的狭槽31528中的一个或多个保持齿31529。狭槽31528有利于近侧端部31527的折叠,并且还防止或至少限制键31526内的运动和/或偏转。齿31529咬合到近侧端部31527中并且将键31526保持在其折叠构型。In addition to the above, each key 31526 includes a rounded proximal end formed by folding the tabs outwards so that the ends of the tabs come back into contact with the proximal end 31527. Thus, the key 31526 is robust and prevents or at least substantially reduces deflection of the key 31526. In this way, when the staple cartridge 31520 is seated in the stapling instrument, the key 31526 will reliably deflect the firing system lock to unlock the firing system. Each proximal end 31527 also includes one or more retention teeth 31529 that extend into slots 31528 defined in the proximal end 31527 . The slot 31528 facilitates folding of the proximal end 31527 and also prevents or at least limits movement and/or deflection within the key 31526. Teeth 31529 snap into proximal end 31527 and retain key 31526 in its collapsed configuration.

图155B中示出了钉仓31620。钉仓31620包括仓体31522和附接到仓体31522的盘31624。盘31624包括与限定于仓体31522中的侧向通道接合的锁定臂31621,这些锁定臂将盘31624保持到仓体31522。盘31624由冲压金属(诸如不锈钢)构成。盘31624包括两个侧向侧,在纵向狭槽30023的每一侧上各有一个。盘31624的每个侧向侧沿着仓体31522的侧向侧并且在仓体31522的一部分下方延伸。盘31624的每个侧向侧还包括近侧端部,该近侧端部向下包在仓体31522的近侧端部上。近侧端部与盘31624的侧向侧正交地或至少基本上正交地延伸。每个近侧端部包括接片,该接片被折叠以形成朝近侧延伸的键31626。与上述类似,键31626被构造成能够在钉仓31620安置在缝合器械中时解锁缝合器械的钉击发系统。The staple cartridge 31620 is shown in Figure 155B. The staple cartridge 31620 includes a cartridge body 31522 and a disk 31624 attached to the cartridge body 31522. The tray 31624 includes locking arms 31621 that engage lateral channels defined in the cartridge body 31522 that retain the tray 31624 to the cartridge body 31522. The disc 31624 is constructed of stamped metal, such as stainless steel. The disc 31624 includes two lateral sides, one on each side of the longitudinal slot 30023. Each lateral side of the disk 31624 extends along a lateral side of the cartridge body 31522 and under a portion of the cartridge body 31522. Each lateral side of the disc 31624 also includes a proximal end that wraps down over the proximal end of the cartridge body 31522. The proximal end extends orthogonally, or at least substantially orthogonally, to the lateral side of the disc 31624. Each proximal end includes a tab that is folded to form a proximally extending key 31626. Similar to the above, the key 31626 is configured to unlock the staple firing system of the stapling instrument when the staple cartridge 31620 is seated in the stapling instrument.

除上述之外,每个键31626包括面向侧向的U形通道。更具体地讲,每个键31626包括内部基座31627、从内部基座31627延伸的侧向延伸的顶侧31628以及从内部基座31627的相对侧延伸的侧向延伸的底侧31629。键31626的U形构型防止键31626在纵向负载下屈曲以及/或者在侧向方向的扭矩下偏转。值得注意的是,键31626由从盘31624延伸的接片以这样的方式折叠以便在键31626下方形成间隙31625。间隙31625的尺寸和构造被设置成能够允许击发构件的锁定销在击发构件的钉击发行程期间在键31626下方通过。In addition to the above, each key 31626 includes a laterally facing U-shaped channel. More specifically, each key 31626 includes an inner base 31627 , a laterally extending top side 31628 extending from the inner base 31627 , and a laterally extending bottom side 31629 extending from an opposite side of the inner base 31627 . The U-shaped configuration of the key 31626 prevents the key 31626 from buckling under longitudinal loading and/or deflecting under lateral direction torque. Notably, the keys 31626 are folded by the tabs extending from the disc 31624 in such a manner as to form a gap 31625 below the keys 31626. The gap 31625 is sized and configured to allow the locking pin of the firing member to pass under the key 31626 during the staple firing stroke of the firing member.

图155C中示出了钉仓31720。钉仓31720包括仓体31522和附接到仓体31522的盘31724。盘31724包括与限定于仓体31522中的侧向通道接合的锁定臂31721和31721',这些锁定臂将盘31724保持到仓体31522。盘31724由冲压金属(诸如不锈钢)构成。盘31724包括两个侧向侧,在纵向狭槽30023的每一侧上各有一个。盘31724的每个侧向侧沿着仓体31522的侧向侧并且在仓体31522的一部分下方延伸。盘31724的一个侧向侧还包括近侧端部31727,该近侧端部向下包在仓体31522的近侧端部上。近侧端部31727与盘31724的侧向侧正交地或至少基本上正交地延伸。近侧端部31727包括接片,该接片被折叠以形成朝近侧延伸的键31726。与上述类似,键31726被构造成能够在钉仓31720安置在缝合器械中时解锁缝合器械的钉击发系统。The staple cartridge 31720 is shown in Figure 155C. The staple cartridge 31720 includes a cartridge body 31522 and a disk 31724 attached to the cartridge body 31522. The tray 31724 includes locking arms 31721 and 31721 ′ that engage lateral channels defined in the cartridge body 31522 that retain the tray 31724 to the cartridge body 31522 . Disc 31724 is constructed of stamped metal, such as stainless steel. The disc 31724 includes two lateral sides, one on each side of the longitudinal slot 30023. Each lateral side of the disk 31724 extends along a lateral side of the cartridge body 31522 and under a portion of the cartridge body 31522. One lateral side of the disc 31724 also includes a proximal end 31727 that wraps down over the proximal end of the cartridge body 31522. The proximal end 31727 extends orthogonally, or at least substantially orthogonally, to the lateral side of the disc 31724. The proximal end 31727 includes a tab that is folded to form a proximally extending key 31726. Similar to the above, the key 31726 is configured to unlock the staple firing system of the stapling instrument when the staple cartridge 31720 is seated in the stapling instrument.

除上述之外,盘31724的侧向侧包括弓形或圆形切口,并且近侧端部31727包括弓形或圆形突出部31723,该突出部围绕仓体31522的侧弯曲成圆形切口。突出部31723被紧密地接收在切口中,使得盘31724的近侧端部31727通过这种布置而被极大地硬化或强化。键31726包括从盘31724朝近侧弯曲的L形接片。键31726包括肩部31728,该肩部从近侧端部31727向上弯曲以形成该L形构型。肩部31728包括至少一个凹口或应变消除件31729,该凹口或应变消除件被构造成能够有利于键31726的弯曲。键31726的L形构型防止键31726在纵向负载下屈曲以及/或者在侧向方向的扭矩下偏转。值得注意的是,键31726由从盘31724延伸的接片以这样的方式折叠以便在键31726下方形成间隙31725。间隙31725的尺寸和构造被设置成能够允许击发构件的锁定销在击发构件的钉击发行程期间在键31726下方通过。In addition to the above, the lateral side of the disc 31724 includes an arcuate or circular cutout, and the proximal end 31727 includes an arcuate or circular protrusion 31723 that curves around the side of the cartridge body 31522 into a circular cutout. The protrusions 31723 are tightly received in the cutouts such that the proximal end 31727 of the disc 31724 is greatly stiffened or strengthened by this arrangement. The key 31726 includes an L-shaped tab that bends proximally from the disc 31724. The key 31726 includes a shoulder 31728 that curves upwardly from the proximal end 31727 to form the L-shaped configuration. The shoulder 31728 includes at least one notch or strain relief 31729 configured to facilitate flexing of the key 31726. The L-shaped configuration of the key 31726 prevents the key 31726 from buckling under longitudinal loading and/or deflecting under lateral direction torque. Notably, the key 31726 is folded by the tabs extending from the disc 31724 in such a way as to form a gap 31725 below the key 31726. The gap 31725 is sized and configured to allow the locking pin of the firing member to pass under the key 31726 during the staple firing stroke of the firing member.

图155E中示出了钉仓31920。钉仓31920包括仓体31522和附接到仓体31522的盘31924。盘31924包括与限定于仓体31522中的侧向通道接合的锁定臂31921,这些锁定臂将盘31924保持到仓体31522。盘31924由冲压金属(诸如不锈钢)构成。盘31924包括两个侧向侧,在纵向狭槽30023的每一侧上各有一个。盘31924的每个侧向侧沿着仓体31522的侧向侧并且在仓体31522的一部分下方延伸。盘31924的一个侧向侧还包括近侧端部31927,该近侧端部包在仓体31522的近侧端部上。近侧端部31927与盘31924的侧向侧正交地或至少基本上正交地延伸。近侧端部31927包括接片,该接片被折叠以形成朝近侧延伸的键31926。与上述类似,键31926被构造成能够在钉仓31920安置在缝合器械中时解锁缝合器械的钉击发系统。The staple cartridge 31920 is shown in Figure 155E. The staple cartridge 31920 includes a cartridge body 31522 and a disk 31924 attached to the cartridge body 31522. The tray 31924 includes locking arms 31921 that engage lateral channels defined in the cartridge body 31522 that retain the tray 31924 to the cartridge body 31522. Disc 31924 is constructed of stamped metal, such as stainless steel. The disc 31924 includes two lateral sides, one on each side of the longitudinal slot 30023. Each lateral side of the tray 31924 extends along a lateral side of the cartridge body 31522 and under a portion of the cartridge body 31522. One lateral side of the disc 31924 also includes a proximal end 31927 that wraps over the proximal end of the cartridge body 31522. The proximal end 31927 extends orthogonally, or at least substantially orthogonally, to the lateral side of the disk 31924. The proximal end 31927 includes a tab that is folded to form a proximally extending key 31926. Similar to the above, the key 31926 is configured to unlock the staple firing system of the stapling instrument when the staple cartridge 31920 is seated in the stapling instrument.

除上述之外,键31926包括从盘31924朝近侧弯曲的L形接片。键31926包括肩部31928,该肩部从近侧端部31927向上弯曲以形成该L形构型。键31926的L形构型防止键31926在纵向负载下屈曲以及/或者在侧向方向的扭矩下偏转。此外,肩部31928的自由边缘焊接、焊合和/或钎焊到近侧端部31927,以便强化键31926。即便如此,可使用任何合适数量的焊接件31929来固定或强化键31926。值得注意的是,键31926由从盘31924延伸的接片以这样的方式折叠以便在键31926下方形成间隙31925。间隙31925的尺寸和构造被设置成能够允许击发构件的锁定销在击发构件的钉击发行程期间在键31926下方通过。In addition to the above, the key 31926 includes an L-shaped tab that curves proximally from the disc 31924. The key 31926 includes a shoulder 31928 that curves upwardly from the proximal end 31927 to form the L-shaped configuration. The L-shaped configuration of the key 31926 prevents the key 31926 from buckling under longitudinal loading and/or deflecting under lateral direction torque. In addition, the free edge of shoulder 31928 is welded, welded and/or brazed to proximal end 31927 to strengthen key 31926. Even so, any suitable number of welds 31929 may be used to secure or strengthen the keys 31926. Notably, the keys 31926 are folded by the tabs extending from the disc 31924 in such a way as to form a gap 31925 below the keys 31926. The gap 31925 is sized and configured to allow the locking pin of the firing member to pass under the key 31926 during the staple firing stroke of the firing member.

图155D中示出了钉仓31820。钉仓31820包括仓体31522和附接到仓体31522的盘31824。盘31824包括与限定于仓体31522中的侧向通道接合的锁定臂31821,这些锁定臂将盘31824保持到仓体31522。盘31824由冲压金属(诸如不锈钢)构成。盘31824包括两个侧向侧,在纵向狭槽30023的每一侧上各有一个。盘31824的每个侧向侧沿着仓体31522的侧向侧并且在仓体31522的一部分下方延伸。盘31824的一个侧向侧还包括近侧端部31827,该近侧端部包在仓体31522的近侧端部上。近侧端部31827与盘31824的侧向侧正交地或至少基本上正交地延伸。近侧端部31827包括接片,该接片被折叠以形成朝近侧延伸的键31826。与上述类似,键31826被构造成能够在钉仓31820安置在缝合器械中时解锁缝合器械的钉击发系统。The staple cartridge 31820 is shown in Figure 155D. The staple cartridge 31820 includes a cartridge body 31522 and a disk 31824 attached to the cartridge body 31522. The tray 31824 includes locking arms 31821 that engage with lateral channels defined in the cartridge body 31522 that retain the tray 31824 to the cartridge body 31522. The disc 31824 is constructed of stamped metal, such as stainless steel. The disc 31824 includes two lateral sides, one on each side of the longitudinal slot 30023. Each lateral side of the disc 31824 extends along a lateral side of the cartridge body 31522 and under a portion of the cartridge body 31522. One lateral side of the disc 31824 also includes a proximal end 31827 that wraps over the proximal end of the cartridge body 31522. The proximal end 31827 extends orthogonally, or at least substantially orthogonally, to the lateral side of the disc 31824. The proximal end 31827 includes a tab that is folded to form a proximally extending key 31826. Similar to the above, the key 31826 is configured to unlock the staple firing system of the stapling instrument when the staple cartridge 31820 is seated in the stapling instrument.

除上述之外,键31826包括通过向外折叠接片而形成的圆化近侧端部,使得接片的端部重新与近侧端部31827接触。因此,键31826是坚固的,并且防止或至少基本上减少键31826的偏转。这样,当钉仓31820安置在缝合器械中时,键31826将可靠地使击发系统锁偏转以解锁击发系统。近侧端部31827还包括延伸到限定于近侧端部31827中的狭槽31828中的一个或多个保持齿31829。狭槽31828有利于近侧端部31827的折叠,并且还防止或至少限制键31826内的运动和/或偏转。齿31829咬合到近侧端部31827中并且将键31826保持在其折叠构型。值得注意的是,键31826由从盘31824延伸的接片以这样的方式折叠以便在键31826下方形成间隙31825。间隙31825的尺寸和构造被设置成能够允许击发构件的锁定销在击发构件的钉击发行程期间在键31826下方通过。In addition to the above, the key 31826 includes a rounded proximal end formed by folding the tabs outward so that the ends of the tabs come back into contact with the proximal end 31827. Thus, the key 31826 is robust and prevents or at least substantially reduces deflection of the key 31826. In this way, when the staple cartridge 31820 is seated in the stapling instrument, the key 31826 will reliably deflect the firing system lock to unlock the firing system. The proximal end 31827 also includes one or more retention teeth 31829 that extend into slots 31828 defined in the proximal end 31827. Slot 31828 facilitates folding of proximal end 31827 and also prevents or at least limits movement and/or deflection within key 31826. Teeth 31829 snap into proximal end 31827 and retain key 31826 in its collapsed configuration. Notably, the keys 31826 are folded by the tabs extending from the disc 31824 in such a way as to form a gap 31825 below the keys 31826. The gap 31825 is sized and configured to allow the locking pin of the firing member to pass under the key 31826 during the staple firing stroke of the firing member.

当兼容的或正确的钉仓安置在缝合器械中时,本文所公开的许多闭锁件失效。当被安置时,钉仓被锁定在缝合器械内的适当位置。在此类情况下,在钉仓和缝合器械之间存在很少的(如果有的话)相对运动,直到钉仓从缝合器械卸载。Many of the latches disclosed herein fail when a compatible or correct staple cartridge is placed in the stapling instrument. When deployed, the staple cartridge is locked in place within the stapling instrument. In such cases, there is little, if any, relative movement between the staple cartridge and the stapling instrument until the staple cartridge is unloaded from the stapling instrument.

在各种情况下,外科缝合组件包括轴和从轴朝远侧延伸的端部执行器,该端部执行器包括第一钳口和能够相对于第一钳口旋转的第二钳口。外科缝合组件可包括闭锁构件,该闭锁构件被构造成能够防止外科缝合组件的意外击发和/或外科缝合组件的夹持,直到闭锁键解锁闭锁构件。闭锁键可以是例如被构造成能够安装在第一钳口和第二钳口中的一者中的钉仓的一部分。具体地讲,闭锁键可以是钉仓的滑动件的一部分,使得当滑动件处于其未击发位置时钉仓可解锁闭锁构件,从而指示当钉仓安装在外科缝合组件内时该钉仓未用尽。在至少一种情况下,可能需要进一步的动作来用闭锁键解锁闭锁件。例如,可能需要端部执行器以在闭锁键可解锁闭锁构件之前获得完全夹持构型。闭锁件的一个示例可见于名称为“SURGICAL APPARATUS WITH CONDUCTOR STRAIN RELIEF”的美国专利申请公布2016/0249921,现为美国专利10,085,749,其全部公开内容据此以引用方式并入本文。In various cases, the surgical stapling assembly includes a shaft and an end effector extending distally from the shaft, the end effector including a first jaw and a second jaw rotatable relative to the first jaw. The surgical stapling assembly may include a blocking member configured to prevent accidental firing of the surgical stapling assembly and/or clamping of the surgical stapling assembly until the blocking key unlocks the blocking member. The latching key may be, for example, part of a staple cartridge configured to be mountable in one of the first jaw and the second jaw. In particular, the latch key may be part of the cartridge's slider such that the cartridge may unlock the latch member when the slider is in its unfired position, thereby indicating that the cartridge is not in use when installed within the surgical stapling assembly do. In at least one instance, further action may be required to unlock the latch with the latch key. For example, an end effector may be required to achieve a fully clamped configuration before the latch key can unlock the latch member. An example of a latch can be found in US Patent Application Publication 2016/0249921 entitled "SURGICAL APPARATUS WITH CONDUCTOR STRAIN RELIEF," now US Patent 10,085,749, the entire disclosure of which is hereby incorporated by reference herein.

在至少一种情况下,外科缝合组件(诸如上述的外科缝合组件)可与外科机器人一起使用。外科缝合组件可被构造成能够附接到机器人系统并且通过机器人系统的机器人臂来操作。这些机器人系统允许外科医生在患者所在的无菌区之外。在至少一种情况下,技术人员和/或另一个外科医生例如可位于无菌区的边界内以监测工具和患者之间的接口。该技术人员和/或外科医生可在外科手术期间使器械附接到机器人臂以及从机器人臂脱离。在一些情况下,能够主动绕过外科缝合组件的闭锁构件可能是有利的。提供这种能力可使外科医生或技术人员能够在闭锁装置由于任何原因不能自动失效时手动使钉仓的闭锁装置失效。提供这种能力还可使得外科医生能够测试闭锁构件的可操作性,以确保闭锁构件在使用外科缝合组件之前是功能性的。在外科医生想要手动操控闭锁构件以击发钉仓的情况下,外科医生或临床医生可知道安装的钉仓是正确的未击发钉仓并且可能想要击发该钉仓,而不管闭锁构件事实上未失效的事实。在至少一种情况下,临床医生可能想要从击发序列移除该闭锁构件并防止其成为击发行程的一部分。此外,提供对端部执行器自身内的闭锁构件的直接触及以用于手动解锁可提供具有或不具有自动使闭锁构件失效的系统的优点。直接进入端部执行器内的闭锁构件可消除原本可存在于系统中的附加部件,该系统利用位于闭锁构件更上游的解锁机构来解锁闭锁构件。例如,使用位于外科器械的轴内的闭锁构件更上游的解锁机构可引入在施加解锁致动期间可能堵塞或失效的附加部件。In at least one instance, a surgical stapling assembly, such as the surgical stapling assembly described above, can be used with a surgical robot. The surgical stapling assembly can be configured to be attachable to and operated by a robotic arm of the robotic system. These robotic systems allow surgeons to be outside the sterile field where the patient is. In at least one instance, a technician and/or another surgeon, for example, may be located within the boundaries of the sterile field to monitor the interface between the tool and the patient. The technician and/or surgeon may attach and detach instruments to and from the robotic arm during surgery. In some cases, it may be advantageous to be able to actively bypass a locking member of a surgical stapling assembly. Providing this capability would enable a surgeon or technician to manually deactivate the latching device of the staple cartridge if the latching device cannot automatically deactivate for any reason. Providing this capability also enables the surgeon to test the operability of the blocking member to ensure that the blocking member is functional prior to use of the surgical stapling assembly. In the event that the surgeon wants to manually manipulate the blocking member to fire the staple cartridge, the surgeon or clinician may know that the installed staple cartridge is the correct unfired cartridge and may want to fire the staple cartridge regardless of the fact that the blocking member The fact that it has not expired. In at least one instance, the clinician may want to remove the blocking member from the firing sequence and prevent it from being part of the firing stroke. Furthermore, providing direct access to the latching member within the end effector itself for manual unlocking may provide the advantage of a system with or without automatic disabling of the latching member. The blocking member directly into the end effector can eliminate additional components that might otherwise be present in a system that utilizes an unlocking mechanism located further upstream of the blocking member to unlock the blocking member. For example, the use of an unlocking mechanism located further upstream of the locking member within the shaft of the surgical instrument may introduce additional components that may jam or fail during application of the unlocking actuation.

图156至图160示出了被构造成能够夹持、缝合和切割患者组织的外科缝合组件41000。外科缝合组件41000被构造成能够附接到外科机器人和/或外科器械柄部、与外科机器人和/或外科器械柄部脱离并由外科机器人和/或外科器械柄部操作。外科缝合组件41000包括轴41100、能够枢转地支撑在轴41100内的第一钳口41200以及附接到轴41100的第二钳口41300。第一钳口41200能够在松开构型与夹持构型之间运动,以夹持和松开定位在第一钳口41200与第二钳口41300之间的组织。外科缝合组件41000还包括钉仓41230,该钉仓包括可移除地储存在其中的多个钉。钉仓41230被构造成能够安装到第一钳口41200中并用其他钉仓替换。外科缝合组件41000还包括延伸穿过轴41100的击发构件41400,该轴被构造成能够使第一钳口41200相对于第二钳口41300在松开构型和夹持构型之间运动,从钉仓41230部署钉,并且在击发行程期间用刀或刀片41422切割组织。击发构件41400被构造成能够由外科机器人和/或外科器械柄部的驱动系统致动。设想了其中击发构件41400用旋转驱动轴驱动的实施方案。还设想了其中被构造成能够接收钉仓的钳口固定到轴并且包含砧座的钳口能够在夹持构型和松开构型之间运动的实施方案。156-160 illustrate a surgical stapling assembly 41000 configured to grip, staple, and cut patient tissue. Surgical stapling assembly 41000 is configured to be attachable to, detachable from, and operated by a surgical robot and/or surgical instrument handle. Surgical stapling assembly 41000 includes shaft 41100 , first jaw 41200 pivotably supported within shaft 41100 , and second jaw 41300 attached to shaft 41100 . The first jaw 41200 is movable between a release configuration and a clamping configuration to clamp and release tissue positioned between the first jaw 41200 and the second jaw 41300. Surgical stapling assembly 41000 also includes staple cartridge 41230 that includes a plurality of staples removably stored therein. The staple cartridge 41230 is configured to be installed into the first jaw 41200 and replaced with another staple cartridge. Surgical stapling assembly 41000 also includes a firing member 41400 extending through a shaft 41100 configured to move the first jaw 41200 relative to the second jaw 41300 between a released configuration and a clamped configuration, from The staple cartridge 41230 deploys the staples and cuts the tissue with the knife or blade 41422 during the firing stroke. The firing member 41400 is configured to be actuated by the surgical robot and/or the drive system of the surgical instrument handle. Embodiments are contemplated in which the firing member 41400 is driven with a rotary drive shaft. Embodiments are also contemplated in which the jaws configured to receive the staple cartridge are secured to the shaft and the jaws containing the anvil are movable between a clamped configuration and a release configuration.

外科缝合组件41000还包括闭锁件41500(图160),该闭锁件被构造成能够防止击发构件41400朝远侧运动超过特定位置,除非正确的未用尽钉仓安装在第一钳口41200内并且第一钳口41200处于完全夹持构型。在至少一种情况下,无论闭锁件41500的状况如何,都允许击发构件41400在原始位置和特定位置之间运动第一距离,以允许夹持和松开组织,如下文更详细地讨论。闭锁件41500朝锁定构型偏压,其中防止击发构件41400朝远侧运动超过特定位置。闭锁件41500能够运动到解锁构型,其中允许击发构件41400朝远侧运动超过特定位置以从钉仓41230部署钉。下文更详细地讨论,外科缝合组件41000还包括限定于其中的直接进入孔口,该直接进入孔被构造成能够允许临床医生手动地或人工地解锁闭锁件41500,即,使闭锁件41500运动到解锁构型。The surgical stapling assembly 41000 also includes a latch 41500 ( FIG. 160 ) configured to prevent distal movement of the firing member 41400 beyond a certain position unless the correct unused staple cartridge is installed within the first jaw 41200 and The first jaw 41200 is in a fully clamped configuration. In at least one instance, regardless of the condition of the latch 41500, the firing member 41400 is allowed to move a first distance between a home position and a specified position to allow gripping and loosening of tissue, as discussed in more detail below. The latch 41500 is biased toward a locked configuration wherein the firing member 41400 is prevented from moving distally beyond a certain position. The latch 41500 is movable to an unlocked configuration in which the firing member 41400 is allowed to move distally beyond a certain position to deploy staples from the staple cartridge 41230. As discussed in more detail below, the surgical stapling assembly 41000 also includes a direct access port defined therein that is configured to allow a clinician to manually or manually unlock the latch 41500, ie, move the latch 41500 to Unlock configuration.

第一钳口41200包括被构造成能够在第一钳口中接收钉仓41230的通道41210。钉仓41230被构造成能够安装在通道41210内并且易于用另一个钉仓替换。钉仓41230还包括滑动件41235,该滑动件能够在未击发位置和击发位置之间运动,以在滑动件41235被击发构件41400朝远侧推动穿过钉仓41230的仓体41232时从钉仓41230射出钉。第二钳口41300包括砧座41320,该砧座包括被构造成能够使从钉仓41230射出的钉成形的钉成形表面41310。The first jaw 41200 includes a channel 41210 configured to receive a staple cartridge 41230 in the first jaw. The staple cartridge 41230 is configured to fit within the channel 41210 and to be easily replaced with another staple cartridge. The staple cartridge 41230 also includes a slider 41235 movable between an unfired position and a fired position to remove the staple cartridge from the staple cartridge when the slider 41235 is pushed distally through the cartridge body 41232 of the staple cartridge 41230 by the firing member 41400 41230 shoots nails. The second jaw 41300 includes an anvil 41320 that includes a staple forming surface 41310 configured to form staples ejected from the staple cartridge 41230.

第一钳口41200能够通过击发构件41400相对于第二钳口41300在松开构型和夹持构型之间运动。设想了其中第二钳口41300能够相对于第一钳口41200运动的实施方案。为了夹持组织,击发构件41400从原始位置朝远侧运动第一距离,以将第一钳口41200凸轮到夹持构型。参见图159,击发构件41400包括被构造成能够接合限定于第二钳口41300内的砧座通道41330的斜坡41332的砧座凸轮作用部分41423以及被构造成能够接合第一钳口41200的底部表面41220的斜坡41222的通道凸轮作用部分41424。砧座凸轮作用部分41423和通道凸轮作用部分41424从击发构件41400的远侧部分41420侧向延伸,并且被构造成能够在击发构件的远侧部分41420运动通过其击发行程时控制第一钳口41200与第二钳口41300之间的距离。在上述第一距离期间,砧座凸轮作用部分41423和通道凸轮作用部分41424接合第一钳口41200和第二钳口41300,并将第一钳口41200凸轮到夹持构型。击发构件41400的远侧部分41420的进一步远侧运动在击发行程期间保持第一钳口41200和第二钳口41300相对于彼此并且朝远侧推动滑动件41235以射出储存在钉仓41230内的钉。The first jaw 41200 is movable relative to the second jaw 41300 by the firing member 41400 between the release configuration and the clamped configuration. Embodiments in which the second jaw 41300 is movable relative to the first jaw 41200 are contemplated. To grip tissue, the firing member 41400 is moved distally a first distance from the home position to cam the first jaw 41200 to a gripping configuration. 159, the firing member 41400 includes an anvil cam action portion 41423 configured to engage the ramp 41332 of the anvil channel 41330 defined within the second jaw 41300 and a bottom surface configured to engage the first jaw 41200 Channel cam action portion 41424 of ramp 41222 of 41220. Anvil cam action portion 41423 and channel cam action portion 41424 extend laterally from the distal portion 41420 of the firing member 41400 and are configured to control the first jaw 41200 as the distal portion 41420 of the firing member moves through its firing stroke Distance from the second jaw 41300. During the first distance described above, the anvil cam action portion 41423 and the channel cam action portion 41424 engage the first jaw 41200 and the second jaw 41300 and cam the first jaw 41200 to the clamping configuration. Further distal movement of the distal portion 41420 of the firing member 41400 holds the first and second jaws 41200 and 41300 relative to each other during the firing stroke and pushes the slider 41235 distally to fire the staples stored in the staple cartridge 41230 .

外科缝合组件41000还包括闭锁件41500,该闭锁件被构造成能够防止击发构件朝远侧推进超过第一距离,除非正确的未用尽钉仓安装在第一钳口41200内并且第一钳口41200完全夹持。闭锁件41500包括闭锁构件41510,该闭锁构件能够枢转地支撑在轴41100内并且能够在解锁构型(图157)和锁定构型(图158)之间运动,其中,解锁构型允许击发构件41400运动超过第一距离以完成击发行程,并且锁定构型防止击发构件41400运动超过第一距离。闭锁构件41510由弹簧41520偏压成锁定构型。当第一钳口41200运动到夹持构型时,安装在通道41210内的正确的未用尽钉仓可克服由弹簧41520提供的偏压。Surgical stapling assembly 41000 also includes a latch 41500 configured to prevent distal advancement of the firing member beyond the first distance unless the correct unused staple cartridge is installed in the first jaw 41200 and the first jaw 41200 fully clamped. The latch 41500 includes a latch member 41510 pivotally supported within the shaft 41100 and movable between an unlocked configuration (FIG. 157) and a locked configuration (FIG. 158), wherein the unlocked configuration allows the firing member The 41400 moves beyond the first distance to complete the firing stroke, and the locked configuration prevents the firing member 41400 from moving beyond the first distance. The latching member 41510 is biased into a locked configuration by a spring 41520. When the first jaw 41200 is moved to the gripping configuration, the correct unused staple cartridge installed in the channel 41210 can overcome the bias provided by the spring 41520.

为了解锁闭锁件41500,第一钳口41200必须运动到其夹持构型以呈现滑动件41235,从而接合和解锁闭锁构件41510。当第一钳口41200不处于其夹持构型时,滑动件41235不能使闭锁件41500失效。设想了其中仓钳口不能够枢转而是砧座钳口能够枢转的实施方案。在此类实施方案中,仅插入钉仓呈现滑动件41235以使闭锁件41500失效。在此类实施方案中,闭锁件41500可在对砧座钳口施加任何夹持动作之前失效。To unlock the latch 41500, the first jaw 41200 must be moved to its gripping configuration to assume the slide 41235, thereby engaging and unlocking the latch member 41510. Slider 41235 cannot disable latch 41500 when first jaw 41200 is not in its gripping configuration. An embodiment is envisaged in which the cartridge jaws cannot pivot but the anvil jaws can pivot. In such embodiments, only inserting the staple cartridge presents the slider 41235 to disable the latch 41500. In such embodiments, the latch 41500 may fail before any clamping action is applied to the anvil jaws.

为了解锁闭锁件41500,如上所述,必须将正确的未用尽钉仓安装在外科缝合组件41000的第一钳口41200中。钉仓41230包括滑动件41235,该滑动件包括从该滑动件朝近侧延伸的闭锁键41237。闭锁键41237被构造成能够在滑动件41235处于未击发位置并且第一钳口41200运动到夹持构型时使闭锁构件41510运动到解锁构型。为了解锁闭锁件,闭锁键41237通过使闭锁构件41510的闭锁凸缘或腿部41511运动远离限定于击发构件41400的击发轴或杆41410中的闭锁凹口41412,来使闭锁构件41510枢转到解锁构型,该闭锁凹口原本将防止击发构件41400在第一钳口41200运动到夹持构型时其远侧运动超过用于夹持的初始距离。闭锁构件41510包括从闭锁凸缘41511朝远侧延伸的一对臂41512,该对臂被构造成能够在击发构件41400运动通过其击发行程时跨越击发构件41400。In order to unlock the latch 41500, the correct unused staple cartridge must be installed in the first jaw 41200 of the surgical stapling assembly 41000, as described above. The staple cartridge 41230 includes a slider 41235 that includes a latch key 41237 extending proximally from the slider. The latch key 41237 is configured to move the latch member 41510 to the unlocked configuration when the slider 41235 is in the unfired position and the first jaw 41200 is moved to the clamped configuration. To unlock the latch, the latch key 41237 pivots the latch member 41510 to unlock by moving the latch flange or leg 41511 of the latch member 41510 away from the latch notch 41412 in the firing shaft or lever 41410 defined in the firing member 41400 configuration, the latching notch would otherwise prevent distal movement of the firing member 41400 beyond the initial distance for gripping when the first jaw 41200 is moved to the gripping configuration. The blocking member 41510 includes a pair of arms 41512 extending distally from the blocking flange 41511 that are configured to span the firing member 41400 as the firing member 41400 moves through its firing stroke.

图157示出了与闭锁构件41510的远侧端部41515上的臂41512的远侧端部41516接合的闭锁键41237。如图157所示,闭锁构件41510已相对于轴41100围绕闭锁构件41510的凸块41513(图160)枢转到解锁构型。当闭锁构件41510处于解锁构型时,击发轴41410的闭锁凹口41412将与闭锁构件41510的闭锁凸缘41511错开,从而允许击发构件41400朝远侧运动穿过钉仓41230。参见图158,如果闭锁键41237在将第一钳口41200夹持到夹持构型时不存在,则闭锁构件41510通过弹簧41520(图159)抵靠闭锁构件41510的接片41514(图160)推动来保持被偏压到锁定构型,其中闭锁凸缘41511接合击发轴41410的凹口41412,以阻挡击发构件41400的远侧运动超过用于夹持的初始距离。157 shows the latch key 41237 engaged with the distal end 41516 of the arm 41512 on the distal end 41515 of the latch member 41510. As shown in FIG. 157 , the latching member 41510 has been pivoted to the unlocked configuration relative to the shaft 41100 about the tabs 41513 ( FIG. 160 ) of the latching member 41510 . When the blocking member 41510 is in the unlocked configuration, the blocking notch 41412 of the firing shaft 41410 will be offset from the blocking flange 41511 of the blocking member 41510, allowing the firing member 41400 to move distally through the staple cartridge 41230. Referring to Figure 158, if the latch key 41237 is not present when clamping the first jaw 41200 to the clamping configuration, the latch member 41510 abuts the tab 41514 (Figure 160) of the latch member 41510 by means of the spring 41520 (Figure 159) Pushing remains biased to the locked configuration, wherein the latching flange 41511 engages the notch 41412 of the firing shaft 41410 to block distal movement of the firing member 41400 beyond the initial distance for gripping.

如上所述,外科缝合组件41000还包括限定于其中的直接进入孔口41425,该直接进入孔口被构造成能够允许临床医生使闭锁构件41510人工地运动到解锁构型。孔41425可定位在任何合适的部件中,使得工具41590可通过孔41425进入闭锁构件41510以使闭锁构件41510运动到解锁构型。孔41425限定于击发构件41400的远侧部分41420的通道凸轮作用部分41424中。孔41425可包括例如限定于通道凸轮作用部分41424中的进入狭缝。在至少一种情况下,孔41425限定于轴41100和/或其部件中。尽管如此,闭锁构件41510能够通过孔41425直接触及。工具41590包括被构造成能够穿过孔41425插入的钩部分41591以及限定于闭锁构件41510的臂41512之间的开口41517,以用于钩住或闩锁在凸缘41511的上侧上以牵拉凸缘41511,并且因此克服促使闭锁构件41510进入锁定构型的弹簧偏压,使闭锁构件41510枢转到解锁构型。孔41425可被构造成使得通常能够避免的工具诸如螺丝刀不装配在孔口或外部进入孔41425内。闭锁构件41510的部分在解锁构型中以虚线示出,其中工具41590已将闭锁构件41510定位到解锁构型。臂41512'和凸缘41511'是在解锁构型中示出的闭锁构件41510的臂41512和凸缘41511的虚线型式。As described above, surgical stapling assembly 41000 also includes a direct access port 41425 defined therein that is configured to allow a clinician to manually move blocking member 41510 to an unlocked configuration. Aperture 41425 may be positioned in any suitable component such that tool 41590 may enter latch member 41510 through aperture 41425 to move latch member 41510 to an unlocked configuration. A bore 41425 is defined in the channel cam action portion 41424 of the distal portion 41420 of the firing member 41400. Aperture 41425 may include, for example, an entry slit defined in channel cam action portion 41424. In at least one instance, bore 41425 is defined in shaft 41100 and/or components thereof. Nonetheless, the latching member 41510 is directly accessible through the aperture 41425. Tool 41590 includes hook portion 41591 configured to be inserted through hole 41425 and opening 41517 defined between arms 41512 of latching member 41510 for hooking or latching on the upper side of flange 41511 for pulling The flange 41511, and thus against the spring bias that urges the latch member 41510 into the locked configuration, pivots the latch member 41510 to the unlocked configuration. The holes 41425 may be configured such that tools such as screwdrivers that would normally be avoided do not fit within the apertures or external access holes 41425. Portions of the latching member 41510 are shown in phantom in the unlocked configuration, where the tool 41590 has positioned the latching member 41510 into the unlocked configuration. Arm 41512' and flange 41511' are the dashed version of arm 41512 and flange 41511 of latch member 41510 shown in the unlocked configuration.

一旦闭锁构件41510手动地或人工地失效以使闭锁件41500运动到解锁构型,则允许击发构件41400朝远侧运动超过未击发位置并进入钉仓41230中。该未击发位置被限定为夹持之后但击发之前的位置。一旦击发构件41400朝远侧推进超过其未击发位置,工具41590就可与闭锁构件41510脱离接合并从孔41425移除以允许闭锁件41500恢复正常操作。例如,当击发构件41400在已至少部分地击发钉仓之后返回到未击发位置时,闭锁构件41510将枢转到锁定构型。在击发行程期间,闭锁构件41510能够通过限定于通道41210的近侧端部和轴41100的远侧端部之间的次进入孔41160用工具41590触及。即便如此,闭锁构件41510将在钉击发行程期间保持失效。在至少一种情况下,直接进入孔例如定位在轴41100内,并且可在击发构件41400的击发行程期间提供进入闭锁构件41510的通道。在至少一种情况下,次进入孔41160包括主闭锁件进入孔。Once the blocking member 41510 is manually or manually deactivated to move the blocking member 41500 to the unlocked configuration, the firing member 41400 is allowed to move distally beyond the unfired position and into the staple cartridge 41230. The unfired position is defined as the position after clamping but before firing. Once the firing member 41400 is advanced distally beyond its unfired position, the tool 41590 can be disengaged from the blocking member 41510 and removed from the aperture 41425 to allow the blocking member 41500 to resume normal operation. For example, when the firing member 41400 returns to the unfired position after the staple cartridge has been at least partially fired, the latching member 41510 will pivot to the locked configuration. During the firing stroke, the blocking member 41510 is accessible with the tool 41590 through the secondary access hole 41160 defined between the proximal end of the channel 41210 and the distal end of the shaft 41100. Even so, the latching member 41510 will remain disabled during the staple firing stroke. In at least one instance, a direct access hole is positioned within the shaft 41100, for example, and can provide access to the blocking member 41510 during the firing stroke of the firing member 41400. In at least one instance, the secondary access aperture 41160 includes a primary latch access aperture.

闭锁件41500可定位在任何合适的位置。在至少一种情况下,当击发构件41400处于其最近侧位置(诸如图159所示的位置)时,闭锁件41500可定位在击发构件41400的远侧部分41420的近侧。在这种情况下,进入孔可限定于外科缝合组件41000的轴外壳或框架中。在至少一种情况下,进入孔限定于通道41210中。The latch 41500 may be positioned in any suitable location. In at least one instance, the latch 41500 can be positioned proximal of the distal portion 41420 of the firing member 41400 when the firing member 41400 is in its proximal-most position, such as that shown in FIG. 159 . In this case, the access aperture may be defined in the shaft housing or frame of the surgical stapling assembly 41000. In at least one instance, an access hole is defined in channel 41210.

在至少一种情况下,工具41590可穿过直接进入孔41425插入以在钉仓41230插入通道41210中之前解锁闭锁件41500。在插入钉仓之前使闭锁件41500运动到其解锁构型可通过防止闭锁件41500在安装期间接合钉仓来帮助钉仓安装。一些闭锁件通过将钉仓的滑动件从其未击发的可击发位置碰撞到未击发的不可击发位置而禁用不正确的钉仓,这可导致钉仓立即用尽。此外,此类闭锁件可在正确的钉仓的安装期间碰撞正确的钉仓的滑动件。在安装钉仓之前解锁闭锁件41500可确保在安装期间不会意外停用正确的钉仓。In at least one instance, a tool 41590 can be inserted through the direct access hole 41425 to unlock the latch 41500 prior to insertion of the staple cartridge 41230 into the channel 41210. Moving the latch 41500 to its unlocked configuration prior to insertion of the staple cartridge may aid in cartridge installation by preventing the latch 41500 from engaging the staple cartridge during installation. Some latches disable incorrect staple cartridges by bumping the cartridge's slider from its unfired, fireable position to its unfired, non-fireable position, which can result in immediate depletion of the staple cartridge. Furthermore, such latches may strike the slides of the correct staple cartridge during installation of the correct staple cartridge. Unlocking the latch 41500 prior to installation of the staple cartridge ensures that the correct staple cartridge is not accidentally deactivated during installation.

图161和图162示出了用于夹持、缝合和切割患者组织的外科缝合组件42000。外科缝合组件42000在许多方面类似于本文所述的其他缝合组件。外科缝合组件42000包括击发组件42100和仓通道42200,该仓通道被构造成能够在该仓通道中接收钉仓。击发组件42100被构造成能够推动安装在仓通道42200内的正确的未用尽钉仓的滑动件以部署钉仓的钉并切割缝合的组织。外科缝合组件42000还包括闭锁件42300,该闭锁件被构造成能够防止击发组件42100推进穿过不正确的钉仓。闭锁件42300包括弹簧42310,该弹簧使闭锁件42300朝锁定构型偏压。闭锁件42300被构造成能够由正确的未用尽钉仓朝近侧推动以解锁击发组件42100。值得注意的是,闭锁件42300被构造成使得闭锁件42300不会意外地将正确的钉仓的滑动件推动到将引起击发组件42100的闭锁条件的位置。闭锁件42300可采用任何合适的闭锁方法。击发组件42100类似于本文所述的其他击发组件。161 and 162 illustrate a surgical stapling assembly 42000 for gripping, stapling, and cutting patient tissue. Surgical stapling assembly 42000 is similar in many respects to other stapling assemblies described herein. Surgical stapling assembly 42000 includes firing assembly 42100 and a cartridge channel 42200 configured to receive a staple cartridge therein. The firing assembly 42100 is configured to push the correct unused cartridge sled mounted within the cartridge channel 42200 to deploy the staples of the cartridge and cut the stapled tissue. The surgical stapling assembly 42000 also includes a latch 42300 configured to prevent the firing assembly 42100 from being advanced through an incorrect staple cartridge. The latch 42300 includes a spring 42310 that biases the latch 42300 toward the locked configuration. The latch 42300 is configured to be pushed proximally by the correct unused staple cartridge to unlock the firing assembly 42100. Notably, the latch 42300 is configured such that the latch 42300 does not inadvertently push the correct staple cartridge slide into a position that would cause a latched condition of the firing assembly 42100. The latch 42300 may employ any suitable latching method. The firing assembly 42100 is similar to other firing assemblies described herein.

外科缝合组件42000还包括在限定于仓通道42200中的纵向狭槽42230的近侧端部处限定于仓通道42200的底部中的直接进入切口或孔42210。击发组件42100能够在钉击发行程期间运动穿过仓通道42200的狭槽42230。直接进入切口42210允许工具插入外科缝合组件42000内以直接进入闭锁件42300。该工具可穿过直接进入切口42210插入以使闭锁件42300运动到解锁构型(图162)。以这种方式解锁闭锁件42300可被称为人工地解锁闭锁件42300,因为未用尽钉仓由于任何原因尚未自动解锁闭锁件42300。直接进入切口42210包括近侧端部42211和远侧端部42213,该远侧端部包括比近侧端部42211宽的切口部分。远侧端部42213的较宽切口部分可帮助将工具正确插入通道42200中。例如,该工具可包括装配在远侧端部42213中而非近侧端部42211中的锁接合部分,从而消除了将工具错误插入近侧端部42211中的可能性。此外,闭锁件42300及其相对于外科缝合组件42000的其他部件的位置也通过直接进入切口42210直接可见。尽管如此,工具可穿过切口42210插入以朝近侧牵拉和/或推动闭锁件42300,从而克服弹簧偏压并使闭锁件42300运动到解锁构型。该工具还可从闭锁件42300移除和脱离接合,使得闭锁件42300可恢复正常操作。此外,提供手动运动闭锁件42300的能力可允许临床医生在将钉仓安装到仓通道42200中之前使闭锁件42300运动远离其锁定位置,以防止闭锁件42300过早地运动被安装到仓通道42200中的钉仓的滑动件。Surgical stapling assembly 42000 also includes a direct access cut or hole 42210 defined in the bottom of cartridge channel 42200 at the proximal end of longitudinal slot 42230 defined in cartridge channel 42200. The firing assembly 42100 can move through the slot 42230 of the cartridge channel 42200 during the staple firing stroke. Direct access incision 42210 allows tools to be inserted into surgical stapling assembly 42000 for direct access to latch 42300. The tool can be inserted through the direct access cutout 42210 to move the latch 42300 to the unlocked configuration (FIG. 162). Unlocking the latch 42300 in this manner may be referred to as manually unlocking the latch 42300, since an under-used staple cartridge has not automatically unlocked the latch 42300 for any reason. Direct access cutout 42210 includes a proximal end 42211 and a distal end 42213 that includes a wider cutout portion than proximal end 42211. The wider cutout portion of the distal end 42213 can assist in proper insertion of the tool into the channel 42200. For example, the tool may include a locking engagement portion that fits in the distal end 42213 instead of the proximal end 42211, thereby eliminating the possibility of misinsertion of the tool into the proximal end 42211. In addition, the latch 42300 and its position relative to other components of the surgical stapling assembly 42000 are also directly visible through the direct access incision 42210. Nonetheless, a tool can be inserted through the cutout 42210 to pull and/or push the latch 42300 proximally, thereby overcoming the spring bias and moving the latch 42300 to the unlocked configuration. The tool can also be removed and disengaged from the latch 42300 so that the latch 42300 can resume normal operation. Additionally, providing the ability to manually move the latch 42300 may allow the clinician to move the latch 42300 away from its locked position prior to installing the staple cartridge into the cartridge channel 42200 to prevent premature movement of the latch 42300 from being installed into the cartridge channel 42200 Slider in the staple cartridge.

图163和图164示出了外科缝合组件43000,该外科缝合组件包括击发组件43100、在其中支撑击发组件43100的框架43400、能够枢转地附接到框架43400的仓通道43300以及被构造成能够使外科缝合组件43000的闭锁件失效的闭锁键机构43500。外科缝合组件43000可包括任何合适的闭锁件;然而,下文描述了在不存在定位在仓通道43300中的正确的未用尽钉仓的情况下击发组件43100落入锁定凹槽中的潜入刀(diving knife)闭锁件。Figures 163 and 164 illustrate a surgical stapling assembly 43000 that includes a firing assembly 43100, a frame 43400 supporting the firing assembly 43100 therein, a cartridge channel 43300 pivotably attached to the frame 43400, and configured to enable Latch key mechanism 43500 to deactivate the latch of surgical stapling assembly 43000. Surgical stapling assembly 43000 may include any suitable latch; however, the following describes a dive knife ( diving knife) closure.

击发组件43100包括击发轴43110和附接到击发轴43110的远侧端部的击发构件43120。尽管示出了线性击发轴,但击发组件43100可被构造成能够具有旋转驱动轴。击发轴43110被构造成能够由例如外科器械柄部和/或外科机器人的击发驱动器致动。可使用任何合适的驱动机构。击发构件43120包括砧座凸轮作用销43122和从其侧向延伸的通道凸轮作用销43123。销43122、43123被构造成能够在击发行程期间控制捕获在外科缝合组件43000内的组织上的夹持压力。击发构件43120还包括被构造成能够切割所夹持的组织的切割刃43121。击发构件43120还包括凸缘或远侧鼻部43124,该凸缘或远侧鼻部被构造成能够接合和/或搁置在未击发的正确的钉仓的滑动件的顶部上,使得击发构件43120不落入闭锁件凹槽中。The firing assembly 43100 includes a firing shaft 43110 and a firing member 43120 attached to the distal end of the firing shaft 43110. Although a linear firing shaft is shown, the firing assembly 43100 may be configured to have a rotational drive shaft. The firing shaft 43110 is configured to be actuated by, for example, a surgical instrument handle and/or a firing driver of a surgical robot. Any suitable drive mechanism may be used. The firing member 43120 includes an anvil cam action pin 43122 and a channel cam action pin 43123 extending laterally therefrom. The pins 43122, 43123 are configured to control the clamping pressure captured on tissue within the surgical stapling assembly 43000 during the firing stroke. The firing member 43120 also includes a cutting edge 43121 configured to cut the clamped tissue. The firing member 43120 also includes a flange or distal nose 43124 configured to engage and/or rest on top of the sled of the correct unfired cartridge such that the firing member 43120 does not fall into the groove of the latch.

击发组件43100还包括延伸部43111,该延伸部被构造成能够通过安装在框架43400内的弹簧构件朝通道43300向下偏压。下面更详细地讨论,延伸部43111的向下偏压促使击发组件43100朝向其闭锁状态。当有未用尽的正确的钉仓安装在仓通道43300内时克服了该向下偏压。The firing assembly 43100 also includes an extension 43111 configured to be biased downward toward the channel 43300 by a spring member mounted within the frame 43400. As discussed in more detail below, the downward bias of the extension 43111 urges the firing assembly 43100 toward its latched state. This downward bias is overcome when there is an unexhausted correct staple cartridge installed in the cartridge channel 43300.

闭锁键机构43500包括弹簧43530、可滑动地支撑在框架43400内的楔形件43520以及包括安装到框架43400的近侧端部43511的提升器弹簧43510。楔形件43520包括斜坡43521,提升器弹簧43510的远侧端部43512搁置在该斜坡上。当钉仓插入仓通道43300中时,钉仓43200朝近侧推动楔形件43520。楔形件43520的近侧运动使得提升器弹簧43510提升击发构件43120以使闭锁件的第一阶段失效。提升器弹簧43510包括限定于远侧端部43512上的凹口43513,该凹口被构造成能够在提升器弹簧43510被钉仓43200的楔形件43520提升时接合从击发构件43120侧向延伸的提升器销43125。The latch key mechanism 43500 includes a spring 43530 , a wedge 43520 slidably supported within the frame 43400 , and a lifter spring 43510 mounted to the proximal end 43511 of the frame 43400 . The wedge 43520 includes a ramp 43521 on which the distal end 43512 of the lifter spring 43510 rests. When the staple cartridge is inserted into the cartridge channel 43300, the staple cartridge 43200 pushes the wedge 43520 proximally. Proximal movement of wedge 43520 causes lifter spring 43510 to lift firing member 43120 to disable the first stage of the latch. The lifter spring 43510 includes a notch 43513 defined on the distal end 43512 that is configured to engage a lift extending laterally from the firing member 43120 when the lifter spring 43510 is lifted by the wedge 43520 of the staple cartridge 43200 Device pin 43125.

一旦闭锁件的第一阶段已被克服,则击发组件43100朝远侧推进以评估闭锁件的第二阶段。当钉仓43200的滑动件处于其近侧未击发位置时,闭锁件的该第二阶段失效。与上述类似,当击发轴43110朝远侧推进时,击发轴43110可被钉仓43200提升到滑动件上。Once the first stage of the lockout has been overcome, the firing assembly 43100 is advanced distally to assess the second stage of the lockout. This second phase of the latch fails when the slider of the staple cartridge 43200 is in its proximal unfired position. Similar to the above, when the firing shaft 43110 is advanced distally, the firing shaft 43110 can be lifted onto the slide by the staple cartridge 43200.

为了使击发构件43120的鼻部43124落在钉仓43200的未击发滑动件上以使闭锁件的第二阶段失效并防止击发构件43120落入闭锁件凹槽中,仓体键43211设置在仓体43210的近侧端部43201上。现在参见图164,当钉仓43200安装在仓通道43300中时,仓体键43211朝近侧推动楔形件43520并克服由弹簧43530提供的弹簧偏压。当朝近侧推动楔形件43520时,楔形件43520提升提升器弹簧43510。此时,凹口43513可抓住提升器销43125并提升击发组件43100。以这种方式提升击发组件43100可被称为使闭锁件的第一阶段失效。值得注意的是,不具有正确仓闭锁键的钉仓可能能够安装在仓通道43300中,但将不能提升击发组件43100。一旦钉仓43200安装在仓通道43300中并且击发组件43100被提升,则击发组件43100可朝远侧推进,使得凹口43513可将击发组件43100保持在正确的高度处并保持正确的距离,使得鼻部43124可落在钉仓43200中的未击发滑动件上,从而避开闭锁件凹槽。使鼻部43124落在未击发滑动件上可被称为使闭锁件的第二阶段失效。如果钉仓43200中的滑动件不处于其未击发位置,则击发组件43100将落入闭锁件凹槽中并且不能朝远侧推进超过其锁定构型。在至少一种情况下,仓体键43211从钉仓43200的仓体盘43220朝近侧延伸。In order for the nose 43124 of the firing member 43120 to land on the unfired slide of the staple cartridge 43200 to disable the second stage of the latch and prevent the firing member 43120 from falling into the latch groove, a cartridge body key 43211 is provided on the cartridge body 43210 on the proximal end of 43201. Referring now to FIG. 164, when the staple cartridge 43200 is installed in the cartridge channel 43300, the cartridge body key 43211 pushes the wedge 43520 proximally and overcomes the spring bias provided by the spring 43530. As wedge 43520 is pushed proximally, wedge 43520 lifts lifter spring 43510. At this point, the notch 43513 can catch the lifter pin 43125 and lift the firing assembly 43100. Raising the firing assembly 43100 in this manner may be referred to as disabling the first stage of the latch. Notably, a staple cartridge that does not have the correct cartridge latch key may be able to fit in the cartridge channel 43300, but will not be able to raise the firing assembly 43100. Once the staple cartridge 43200 is installed in the cartridge channel 43300 and the firing assembly 43100 is raised, the firing assembly 43100 can be advanced distally so that the notches 43513 can hold the firing assembly 43100 at the correct height and distance so that the nose Portion 43124 can land on an unfired sled in staple cartridge 43200, avoiding the latch groove. Landing the nose 43124 on the unfired slide may be referred to as disabling the second stage of the latch. If the slider in the staple cartridge 43200 is not in its unfired position, the firing assembly 43100 will fall into the latch groove and cannot be advanced distally beyond its locked configuration. In at least one instance, the cartridge body key 43211 extends proximally from the cartridge body tray 43220 of the staple cartridge 43200.

图165示出了第一钉仓43610,第一钉仓包括近侧端部43611和从近侧端部43611延伸的闭锁键43613。闭锁键43613包括第一轮廓。图165示出了第二钉仓43620,第二钉仓包括近侧端部43621和从近侧端部43621延伸的闭锁键43623。闭锁键43623包括不同于闭锁键43613的第一轮廓的第二轮廓。第一钉仓43610被构造成能够仅解锁与其兼容的缝合器械,并且第二钉仓43620被构造成能够仅解锁与其兼容的缝合器械。165 shows a first staple cartridge 43610 that includes a proximal end 43611 and a latch key 43613 extending from the proximal end 43611. The latch key 43613 includes a first profile. 165 shows a second staple cartridge 43620 that includes a proximal end 43621 and a latch key 43623 extending from the proximal end 43621. The latch key 43623 includes a second profile that is different from the first profile of the latch key 43613 . The first staple cartridge 43610 is configured to unlock only the stapling instruments that are compatible with it, and the second staple cartridge 43620 is configured to unlock only the stapling instruments that are compatible with it.

重新参见图163和图164中的闭锁键机构43500,使用不同键轮廓的仓可用于确保击发构件在适当的位置被提升并具有适当的高度。参见图165,在不同位置处提升击发构件导致击发构件的不同提升定时。这可用于确保不正确的钉仓无法解锁不兼容的器械。图166和图167包含示出由仓43610、43620提供的不同提升定时43610'、43620'和位移43610”、43620”的曲线图。钉仓43610被构造成能够比钉仓43620更早地提升击发构件。在兼容外科器械中,第一钉仓43610将导致楔形件诸如本文所述的楔形件在适当的时间和位置提升击发构件,使得击发构件将落在第一钉仓43610的未击发滑动件上,以便使闭锁件失效并且使击发构件能够朝远侧推进以执行钉击发行程。在不兼容外科器械中,第一钉仓43610将导致楔形件例如在不正确的时间和位置提升击发构件,从而导致击发构件在到达滑动件之前掉落或导致击发构件在被提升到滑动件上之前朝远侧碰撞该滑动件。涉及安装不兼容仓和器械的两种情况将导致击发构件在试图使击发构件运动通过击发行程时进入闭锁状态。第二钉仓43620以类似方式工作。即便如此,第二钉仓43620不能解锁与第一钉仓43610兼容的器械,反之亦然。Referring back to the latching key mechanism 43500 in Figures 163 and 164, a cartridge using different key profiles can be used to ensure that the firing member is raised in the proper position and at the proper height. Referring to Figure 165, raising the firing member at different locations results in different timing of raising the firing member. This can be used to ensure that an incorrect cartridge cannot unlock an incompatible instrument. 166 and 167 contain graphs showing different lift timings 43610', 43620' and displacements 43610", 43620" provided by bins 43610, 43620. The staple cartridge 43610 is configured to lift the firing member earlier than the staple cartridge 43620. In a compatible surgical instrument, the first staple cartridge 43610 will cause a wedge, such as the wedges described herein, to lift the firing member at the appropriate time and location such that the firing member will land on the unfired slide of the first staple cartridge 43610, To deactivate the latch and enable the firing member to be advanced distally to perform the staple firing stroke. In an incompatible surgical instrument, the first staple cartridge 43610 would cause the wedge to lift the firing member at an incorrect time and location, for example, causing the firing member to drop before reaching the slide or causing the firing member to be lifted onto the slide The slider was bumped distally before. Two situations involving the installation of incompatible cartridges and instruments will result in the firing member entering a latched state when attempting to move the firing member through the firing stroke. The second staple cartridge 43620 works in a similar fashion. Even so, the second staple cartridge 43620 cannot unlock instruments compatible with the first staple cartridge 43610, and vice versa.

图168和图169示出了包括第一仓44100(图168)和第二仓44200(图169)的系统44000。第一钉仓44100包括仓体44110,该仓体包括近侧端部44111、远侧端部44112以及在近侧端部44111和远侧端部44112之间成排延伸布置的多个钉腔44114。第一钉仓44100还包括被构造成能够将钉保持在仓体44110中的仓盘44130,以及被构造成能够从仓体44110部署钉的滑动件44120。仓体44110还包括限定于其中的纵向狭槽44113,其被构造成能够接收外科缝合组件的击发构件。纵向狭槽44113限定分别标记为“A”和“B”的第一侧向侧和第二侧向侧。仓体44110还包括从仓体44110的第一侧向侧“A”的近侧面44115延伸的闭锁键44116。168 and 169 illustrate a system 44000 including a first cartridge 44100 (FIG. 168) and a second cartridge 44200 (FIG. 169). The first staple cartridge 44100 includes a cartridge body 44110 that includes a proximal end 44111, a distal end 44112, and a plurality of staple cavities 44114 extending in rows between the proximal end 44111 and the distal end 44112 . The first staple cartridge 44100 also includes a cartridge tray 44130 configured to retain the staples in the cartridge body 44110, and a slider 44120 configured to deploy the staples from the cartridge body 44110. Cartridge body 44110 also includes a longitudinal slot 44113 defined therein that is configured to receive a firing member of a surgical stapling assembly. The longitudinal slot 44113 defines a first lateral side and a second lateral side labeled "A" and "B", respectively. Cartridge body 44110 also includes a latch key 44116 extending from proximal side 44115 of first lateral side "A" of cartridge body 44110.

第二钉仓44200包括仓体44210,该仓体包括近侧端部44211、远侧端部44212以及在近侧端部44211和远侧端部44212之间成排延伸布置的多个钉腔44214。第二钉仓44200还包括被构造成能够将钉保持在仓体44210中的仓盘44230,以及被构造成能够从仓体44210部署钉的滑动件44220。仓体44210还包括限定于其中的纵向狭槽44213,其被构造成能够接收外科缝合组件的击发构件。纵向狭槽44213限定分别标记为“A”和“B”的第一侧向侧和第二侧向侧。仓体44210还包括从仓体44210的第二侧向侧“B”的近侧面44215延伸的闭锁键44216。The second staple cartridge 44200 includes a cartridge body 44210 that includes a proximal end 44211, a distal end 44212, and a plurality of staple cavities 44214 extending in rows between the proximal end 44211 and the distal end 44212 . The second staple cartridge 44200 also includes a cartridge tray 44230 configured to retain the staples in the cartridge body 44210, and a slider 44220 configured to deploy the staples from the cartridge body 44210. Cartridge body 44210 also includes a longitudinal slot 44213 defined therein that is configured to receive a firing member of a surgical stapling assembly. The longitudinal slot 44213 defines a first lateral side and a second lateral side labeled "A" and "B", respectively. The cartridge body 44210 also includes a latch key 44216 extending from the proximal side 44215 of the second lateral side "B" of the cartridge body 44210.

钉腔44114在纵向狭槽44113的每一侧上包括三个排。每个排限定排轴线,该排中的每个钉腔与该排轴线对准。换句话讲,单个排中的每个腔的近侧端部和远侧端部与该排的排轴线对准。钉腔44214在纵向狭槽44213的每一侧上包括三个排。每个排限定排轴线,该排中的每个钉腔与该排轴线横向对准。钉仓44200的每一侧包括钉腔44214的外排、钉腔44214的内排以及定位在钉腔44214的外排与钉腔44214的内排之间的钉腔44214的中间排。中间排的钉腔44214限定腔轴线,该腔轴线横向于由内排中的钉腔44214和外排中的钉腔44214限定的腔轴线。The staple cavity 44114 includes three rows on each side of the longitudinal slot 44113. Each row defines a row axis with which each staple cavity in the row is aligned. In other words, the proximal and distal ends of each lumen in a single row are aligned with the row axis of that row. The staple cavity 44214 includes three rows on each side of the longitudinal slot 44213. Each row defines a row axis with which each staple cavity in the row is laterally aligned. Each side of the staple cartridge 44200 includes an outer row of staple cavities 44214, an inner row of staple cavities 44214, and an intermediate row of staple cavities 44214 positioned between the outer row of staple cavities 44214 and the inner row of staple cavities 44214. The staple cavities 44214 in the middle row define a lumen axis that is transverse to the lumen axis defined by the staple cavities 44214 in the inner row and the staple cavities 44214 in the outer row.

系统44000通过在钉仓的不同侧上提供每个仓的闭锁键来提供防止不正确的钉仓与外科缝合组件一起使用的方式。在钉仓的不同侧上提供闭锁键防止将包括用于第一钉仓44100的对应钉成形凹坑的缝合组件与第二钉仓44200一起使用,并且防止将包括用于第二钉仓44200的对应钉成形凹坑的缝合组件与第一钉仓44100一起使用。因此,第一钉仓44100将不能解锁用于第二钉仓44200的外科缝合组件的击发闭锁件,并且第二钉仓44200将不能够解锁用于第一钉仓44100的外科缝合组件的击发闭锁件。这防止了不正确的仓安装,该不正确的仓安装可导致针对具有非对应的钉成形凹坑的砧座部署钉。System 44000 provides a means of preventing incorrect staple cartridges from being used with surgical stapling assemblies by providing latching keys for each cartridge on different sides of the staple cartridge. Providing latching keys on different sides of the staple cartridge prevents a stapling assembly that includes corresponding staple forming pockets for the first staple cartridge 44100 from being used with the second staple cartridge 44200 and prevents the A stapling assembly corresponding to the staple forming pockets is used with the first staple cartridge 44100. Therefore, the first staple cartridge 44100 will not be able to unlock the firing latch for the surgical stapling assembly of the second staple cartridge 44200, and the second staple cartridge 44200 will not be able to unlock the firing lock for the surgical stapling assembly of the first staple cartridge 44100 pieces. This prevents incorrect cartridge installation that could result in the deployment of staples against anvils with non-corresponding staple forming pockets.

图170至图179示出了被构造成能够夹持、缝合和切割患者组织的外科缝合组件45000。外科缝合组件45000可与外科机器人和/或外科器械柄部一起使用。外科缝合组件45000包括第一钳口45200、能够相对于第一钳口45200在松开构型和夹持构型之间运动的第二钳口45400以及击发组件45500。外科缝合组件45000还包括能够替换的钉仓45300,该能够替换的钉仓包括可移除地储存在其中的多个钉,该多个钉被构造成能够由击发组件45500部署。第一钳口45200包括被构造成能够接收能够替换的钉仓45300的通道45210。第二钳口45400包括砧座45410,该砧座包括被构造成能够使从钉仓45300部署的钉成形的钉成形表面45415。第一钳口45200还包括销孔45212(图171),其中第二钳口45400的枢轴销45413被接收以允许第二钳口45400相对于第一钳口45200枢转。设想了其中固定钳口包括砧座并且能够运动的钳口包括通道和钉仓的实施方案。170-179 illustrate a surgical stapling assembly 45000 configured to grip, staple, and cut patient tissue. Surgical stapling assembly 45000 may be used with a surgical robot and/or surgical instrument handle. Surgical stapling assembly 45000 includes a first jaw 45200 , a second jaw 45400 movable relative to the first jaw 45200 between a release configuration and a clamped configuration, and a firing assembly 45500 . The surgical stapling assembly 45000 also includes a replaceable staple cartridge 45300 that includes a plurality of staples removably stored therein configured to be deployable by the firing assembly 45500. The first jaw 45200 includes a channel 45210 configured to receive a replaceable staple cartridge 45300. The second jaw 45400 includes an anvil 45410 that includes a staple forming surface 45415 configured to form staples deployed from the staple cartridge 45300. The first jaw 45200 also includes a pin hole 45212 ( FIG. 171 ) in which the pivot pin 45413 of the second jaw 45400 is received to allow the second jaw 45400 to pivot relative to the first jaw 45200 . Embodiments are contemplated in which the stationary jaw includes an anvil and the movable jaw includes a channel and a staple cartridge.

为了用外科缝合组件45000夹持组织,第二钳口45400包括形成在其近侧端部45411上的凸轮作用表面45412,该凸轮作用表面被构造成能够由闭合构件接合。闭合构件包括例如闭合管,但可包括任何其他合适的构型。闭合构件被构造成能够通过接合凸轮作用表面45412并沿着该凸轮作用表面滑动而将第二钳口45400从松开构型朝通道45210凸轮到夹持构型。为了松开外科缝合组件45000,闭合构件朝近侧回缩。当闭合构件与凸轮作用表面45412脱离接合时,可提供弹簧以将第二钳口45400偏压到松开构型。To grip tissue with surgical stapling assembly 45000, second jaw 45400 includes a camming surface 45412 formed on a proximal end 45411 thereof that is configured to be engageable by a closure member. The closure member includes, for example, a closure tube, but may include any other suitable configuration. The closure member is configured to cam the second jaw 45400 from the release configuration toward the channel 45210 to the clamped configuration by engaging and sliding along the camming surface 45412. To release the surgical stapling assembly 45000, the closure member is retracted proximally. When the closure member is disengaged from the camming surface 45412, a spring may be provided to bias the second jaw 45400 to the released configuration.

为了用外科缝合组件45000缝合和切割组织,必须将正确的未用尽钉仓安装在外科缝合组件45000内。当正确的未用尽钉仓安装在通道45210内时,击发组件45500可被致动穿过钉仓45300以将钉仓45300的滑动件45340从未击发位置朝远侧推动到击发位置,从而在钉击发行程期间部署储存在钉仓45300内的钉。当击发组件45500运动完成钉击发行程时,击发组件的切割刃45523切割夹持在第一钳口45200与第二钳口45400之间的组织。在至少一种情况下,切割刃45523跟在钉部署后面以防止组织在被缝合之前被切割。In order to staple and cut tissue with surgical stapling assembly 45000, the correct unused staple cartridge must be installed within surgical stapling assembly 45000. When the correct unused staple cartridge is installed in the channel 45210, the firing assembly 45500 can be actuated through the staple cartridge 45300 to urge the slider 45340 of the staple cartridge 45300 distally from the unfired position to the fired position, thereby causing the The staples stored in the staple cartridge 45300 are deployed during the staple firing stroke. As the firing assembly 45500 moves to complete the staple firing stroke, the cutting edge 45523 of the firing assembly cuts the tissue clamped between the first jaw 45200 and the second jaw 45400. In at least one instance, the cutting edge 45523 follows the deployment of the staples to prevent tissue from being cut before being stapled.

主要参见图172至图175,击发组件45500包括击发构件45520,该击发构件包括切割刃45523、砧座凸轮作用部分45521和通道凸轮作用部分45522,该通道凸轮作用部分被构造成能够在钉击发行程期间控制第一钳口45200与第二钳口45400之间的距离,以及定位在砧座凸轮作用部分45521与通道凸轮部分45522之间的侧向延伸部分45525,该侧向延伸部分被构造成能够落入闭锁件中,如下文更详细地讨论。击发构件45520还包括从其朝近侧延伸的尾部45526,该尾部被构造成能够与安装在轴中的弹簧45240交接,如下文更详细地讨论。172-175, the firing assembly 45500 includes a firing member 45520 that includes a cutting edge 45523, an anvil cam action portion 45521, and a channel cam action portion 45522 that is configured to be capable of firing during the staple firing stroke During control of the distance between the first jaw 45200 and the second jaw 45400, and a laterally extending portion 45525 positioned between the anvil cam action portion 45521 and the channel cam portion 45522, the laterally extending portion is configured to enable into the latch, as discussed in more detail below. The firing member 45520 also includes a tail 45526 extending proximally therefrom that is configured to interface with a spring 45240 mounted in the shaft, as discussed in more detail below.

为了防止击发组件45500推进穿过不正确的和/或用尽的钉仓,外科缝合组件45000还包括闭锁系统。外科缝合组件45000包括潜入刀闭锁件,诸如本文所公开的那些,其中如果正确的未用尽钉仓未安装在外科缝合组件45000内,则击发组件45500落入闭锁件凹坑中。正确的未用尽钉仓(诸如钉仓45300)被构造成能够在钉仓45300未用尽时通过提升击发组件45500来防止击发组件45500落入闭锁件凹坑中。在此类情况下,击发组件的远侧端部将落在钉仓45300的未击发滑动件上。然后,击发组件45500可推进穿过钉仓45300。To prevent the firing assembly 45500 from being advanced through an incorrect and/or spent staple cartridge, the surgical stapling assembly 45000 also includes a latching system. Surgical stapling assembly 45000 includes a submersible knife latch, such as those disclosed herein, in which firing assembly 45500 falls into the latch pocket if the correct unused staple cartridge is not installed within surgical stapling assembly 45000. A proper unused staple cartridge, such as staple cartridge 45300, is configured to prevent the firing assembly 45500 from falling into the latch pocket by raising the firing assembly 45500 when the staple cartridge 45300 is not used up. In such a case, the distal end of the firing assembly would land on the unfired slide of the staple cartridge 45300. The firing assembly 45500 can then be advanced through the staple cartridge 45300.

钉仓45300包括闭锁键45330以将击发组件45500提升到正确的高度和正确的距离,从而使击发组件45500落在未击发滑动件上并使外科缝合组件45000的闭锁件失效。钉仓45300还包括仓体45310,该仓体包括具有近侧面45313的近侧端部45301和被构造成能够在钉击发行程期间接收击发组件45500的纵向狭槽45311。闭锁键45330从仓体45310的近侧面45313朝近侧延伸并且包括限定纵向狭槽45311的近侧纵向狭槽部分45333的一对突起。近侧纵向狭槽部分45333被构造成能够在钉仓45300安装在通道45210中时跨越击发构件45520。闭锁键45330的每个突起包括倾斜表面或部分45331和非倾斜部分或表面45332。钉仓45300还包括被构造成能够在仓体45310内保持钉的盘45320。盘45320被构造成能够夹到仓体45310的平台45312上。盘45320可通过一系列钩45321能够移除地附连到仓体45310,该一系列钩形成在仓盘45320的侧壁上并且被构造成能够以钩的形式接合仓体45310的对应部分。在至少一种情况下,盘可包括闭锁键。The staple cartridge 45300 includes a latch key 45330 to lift the firing assembly 45500 to the correct height and distance to allow the firing assembly 45500 to land on the unfired sled and deactivate the latch of the surgical stapling assembly 45000. The staple cartridge 45300 also includes a cartridge body 45310 that includes a proximal end 45301 having a proximal side 45313 and a longitudinal slot 45311 configured to receive the firing assembly 45500 during the staple firing stroke. The latch key 45330 extends proximally from the proximal side 45313 of the cartridge body 45310 and includes a pair of protrusions that define a proximal longitudinal slot portion 45333 of the longitudinal slot 45311 . The proximal longitudinal slot portion 45333 is configured to span the firing member 45520 when the staple cartridge 45300 is installed in the channel 45210. Each protrusion of the latch key 45330 includes an inclined surface or portion 45331 and a non-inclined portion or surface 45332. The staple cartridge 45300 also includes a tray 45320 configured to retain staples within the cartridge body 45310. The disc 45320 is configured to be clipped onto the platform 45312 of the cartridge body 45310. The tray 45320 can be removably attached to the cartridge body 45310 by a series of hooks 45321 formed on the side walls of the cartridge tray 45320 and configured to engage corresponding portions of the cartridge body 45310 in the form of hooks. In at least one instance, the disc may include a latch key.

击发组件45500包括被构造成能够将击发动作传递到击发构件45520的击发轴45510。击发构件45520附接到击发轴45510的远侧端部45513。击发构件45520由安装在轴中的弹簧45420向下偏压。更具体地讲,弹簧45420向下推动击发构件45520的尾部45526以偏压击发构件45520,除非击发构件45520被向上提升远离击发闭锁件。为了提升击发组件45500,外科缝合组件45000包括定位在击发组件45500的击发构件45520后面的浮动销45600。浮动销45600支撑在限定于钉仓通道45210的侧面中的狭槽或通道45213内。浮动销45600被构造成能够通过倾斜表面45331在狭槽45213内竖直地运动。更具体地讲,浮动销45600被闭锁键45330向上推动到钉仓通道45210中,该钉仓通道继而接触击发构件45520的底部边缘并向上推动击发构件45520。因此,当钉仓45300安置在钉仓通道45210中时,浮动销45600阻止击发构件45520潜入到击发闭锁件中。这样,闭锁键45330克服了由弹簧45240施加到击发构件45520的向下弹簧偏压。The firing assembly 45500 includes a firing shaft 45510 configured to transmit firing action to the firing member 45520. The firing member 45520 is attached to the distal end 45513 of the firing shaft 45510. The firing member 45520 is biased downward by a spring 45420 mounted in the shaft. More specifically, the spring 45420 pushes the tail 45526 of the firing member 45520 downward to bias the firing member 45520 unless the firing member 45520 is lifted up away from the firing latch. To lift the firing assembly 45500, the surgical stapling assembly 45000 includes a floating pin 45600 positioned behind the firing member 45520 of the firing assembly 45500. The floating pin 45600 is supported within a slot or channel 45213 defined in the side of the cartridge channel 45210. The floating pin 45600 is configured to move vertically within the slot 45213 by means of the inclined surface 45331. More specifically, the floating pin 45600 is pushed up by the latch key 45330 into the cartridge channel 45210, which in turn contacts the bottom edge of the firing member 45520 and pushes the firing member 45520 up. Thus, when the staple cartridge 45300 is seated in the staple cartridge channel 45210, the floating pin 45600 prevents the firing member 45520 from diving into the firing latch. In this way, the latch key 45330 overcomes the downward spring bias applied by the spring 45240 to the firing member 45520.

一旦钉仓45300被完全安装并且击发组件45500被提升到图174所示的位置,则击发组件45500可随后朝钉仓45300的滑动件45340朝远侧推进。因此,利用正确的闭锁键,使闭锁件的第一阶段失效。如果滑动件45340处于其未击发位置,则击发构件45520的远侧鼻部或搁架(shelf)45524将落在滑动件45340的对应平台45341上并避免上述闭锁件。当滑动件45340处于其未击发位置时,使击发构件45520的远侧鼻部45524落在滑动件45340的平台45341上使闭锁件的第二阶段失效。当击发组件45500朝远侧推进时,底部表面45511骑在浮动销45600上方,并且击发组件45500的高度由浮动销45600、击发轴45510的底部表面45511与闭锁键45600之间的接合控制。Once the staple cartridge 45300 is fully installed and the firing assembly 45500 is raised to the position shown in FIG. Therefore, with the correct latch key, the first stage of the latch is deactivated. If the slider 45340 is in its unfired position, the distal nose or shelf 45524 of the firing member 45520 will rest on the corresponding platform 45341 of the slider 45340 and avoid the latching described above. Landing the distal nose 45524 of the firing member 45520 on the platform 45341 of the slider 45340 when the slider 45340 is in its unfired position disables the second stage of the latch. When the firing assembly 45500 is advanced distally, the bottom surface 45511 rides over the floating pin 45600, and the height of the firing assembly 45500 is controlled by the engagement between the floating pin 45600, the bottom surface 45511 of the firing shaft 45510, and the latching key 45600.

因为击发组件45500的高度由浮动销45600、击发轴45510的底部表面45511与闭锁键45600之间的接合控制,所以击发轴45510被构造成能够使得当钉仓45300的滑动件45340不处于其未击发位置时,击发组件45500仍可落入闭锁件中。参见图176和图177,底部表面45511包括限定于击发轴45510的远侧端部45513的近侧的凹口45515。凹口45515被构造成能够使得如果滑动件45340不存在于其未击发位置,则击发轴45510将落入闭锁件中。图176示出了安装在通道45210内的钉仓45300;然而,滑动件45340不存在于其未击发位置。因此,转到图177,击发轴45510未被浮动销45600充分向上提升以将击发轴45510提升出闭锁件。相反,当击发组件45500由于浮动销45600装配在凹口45515中而朝远侧推进时,击发轴45510被弹簧45240向下牵拉。为了执行钉击发行程,必须移除不正确的仓并用正确的未击发钉仓替换。Because the height of the firing assembly 45500 is controlled by the engagement between the floating pin 45600, the bottom surface 45511 of the firing shaft 45510, and the latching key 45600, the firing shaft 45510 is configured so that when the slider 45340 of the staple cartridge 45300 is not in its unfired position When in position, the firing assembly 45500 can still drop into the latch. 176 and 177, the bottom surface 45511 includes a notch 45515 defined proximal of the distal end 45513 of the firing shaft 45510. The notch 45515 is configured so that if the slider 45340 is not present in its unfired position, the firing shaft 45510 will drop into the latch. 176 shows the staple cartridge 45300 installed within the channel 45210; however, the slider 45340 is not present in its unfired position. Thus, turning to Fig. 177, the firing shaft 45510 is not lifted up enough by the floating pin 45600 to lift the firing shaft 45510 out of the latch. Conversely, as the firing assembly 45500 is advanced distally due to the fitting of the floating pin 45600 in the recess 45515, the firing shaft 45510 is pulled downward by the spring 45240. In order to perform the staple firing stroke, the incorrect cartridge must be removed and replaced with the correct unfired staple cartridge.

如果钉仓安装在不具有正确闭锁键的外科缝合组件中,则浮动销45600将保持在图172所示的其最下部位置。如果试图朝远侧推进击发组件45500,则击发组件45500将不能克服闭锁件的第一阶段。If the staple cartridge is installed in a surgical stapling assembly that does not have the correct latch key, the floating pin 45600 will remain in its lowermost position as shown in FIG. 172 . If an attempt is made to advance the firing assembly 45500 distally, the firing assembly 45500 will not be able to overcome the first stage of the latch.

图180示出了上述钉仓45300。图181示出了包括仓体45910和盘45920的第二钉仓45900,该盘被构造成能够将多个钉保持在钉仓45900中。仓体45910还包括从仓体45910的近侧面45913朝近侧延伸的闭锁键45930。如从图180和图181中可见,钉仓45300和第二钉仓45900包括类似的特征部;然而,这些钉仓包括具有不同构型的闭锁键。钉仓45300的闭锁键45330包括第一长度45338和第一高度45339,而第二钉仓45900的闭锁键45930包括分别不同于第一长度45338和第一高度45339的第二长度45938和第二高度45939。钉仓45300、45900是系统的一部分,在该系统中钉仓45300仅能解锁第一器械而不是第二器械,而第二钉仓45900仅能解锁第二器械而不是第一器械。闭锁键45930包括倾斜表面45931和平坦表面45932,该倾斜表面和平坦表面的尺寸与闭锁键45330的表面45331、45332不同。出于比较目的,钉仓45300的闭锁键45330在图181中以虚线示出。Figure 180 shows the staple cartridge 45300 described above. 181 shows a second staple cartridge 45900 including a cartridge body 45910 and a disk 45920 configured to retain a plurality of staples in the staple cartridge 45900. Cartridge body 45910 also includes a latch key 45930 extending proximally from proximal side 45913 of cartridge body 45910. As can be seen in FIGS. 180 and 181, the staple cartridge 45300 and the second staple cartridge 45900 include similar features; however, these staple cartridges include latching keys with different configurations. The latch key 45330 of the staple cartridge 45300 includes a first length 45338 and a first height 45339, while the latch key 45930 of the second staple cartridge 45900 includes a second length 45938 and a second height different from the first length 45338 and the first height 45339, respectively 45939. The staple cartridges 45300, 45900 are part of a system in which the staple cartridge 45300 can only unlock the first instrument and not the second instrument, and the second staple cartridge 45900 can only unlock the second instrument and not the first instrument. The latch key 45930 includes an inclined surface 45931 and a flat surface 45932 that are different in size from the surfaces 45331 , 45332 of the latch key 45330 . For comparison purposes, the latch key 45330 of the staple cartridge 45300 is shown in phantom in FIG. 181 .

例如,类似外观的仓之间的不同闭锁键构型可防止临床医生在第二器械中插入和使用不兼容仓。在这种情况下,闭锁键45330、45930将导致器械的击发组件在击发组件的击发行程期间提升到不同高度以及在不同时间提升。重新参见浮动销45600,击发组件45500在第二钉仓45900安装在外科缝合组件45000中的情况下将被浮动销45600提升的高度小于击发组件45500在钉仓45300被安装的情况下将被浮动销45600提升的高度。这将导致击发组件45500不能落在第二钉仓的滑动件平台上,而是将被闭锁。这将防止在缝合器械内使用不正确的钉仓。For example, different latching key configurations between similar looking cartridges can prevent a clinician from inserting and using an incompatible cartridge in a second instrument. In this case, the latching keys 45330, 45930 will cause the firing assembly of the instrument to be raised to different heights and at different times during the firing stroke of the firing assembly. Referring back to the floating pin 45600, the firing assembly 45500 will be lifted by the floating pin 45600 with the second staple cartridge 45900 installed in the surgical stapling assembly 45000 less than the firing assembly 45500 will be floated with the staple cartridge 45300 installed 45600 The height of the lift. This would result in the firing assembly 45500 not being able to land on the slider platform of the second cartridge, but would instead be latched. This will prevent the use of an incorrect staple cartridge within the stapling instrument.

可与第二钉仓45900一起使用的器械可包括如上所述的类似浮动销系统;然而,该浮动销可相对于第二钉仓45900定位在不同的位置,使得闭锁键45930可将该器械的击发构件提升到适当的高度并且在适当的时间落到第二钉仓45900的滑动件上以绕过器械的闭锁。在至少一种情况下,本文所述的闭锁键包括例如仓体翼片。An instrument that can be used with the second staple cartridge 45900 can include a similar floating pin system as described above; however, the floating pin can be positioned in a different location relative to the second staple cartridge 45900 such that the latch key 45930 can lock the instrument. The firing member is raised to the appropriate height and falls on the slide of the second cartridge 45900 at the appropriate time to bypass the lockout of the instrument. In at least one instance, the latching keys described herein include, for example, cartridge body flaps.

本文所述主题的各个方面在以下实施例中阐述:Various aspects of the subject matter described herein are set forth in the following examples:

实施例1-一种外科缝合组件,包括钉仓和缝合器械,所述缝合器械被构造成能够在所述缝合器械中接收所述钉仓。所述钉仓包括仓体,所述仓体包括闭锁键、储存在所述仓体内的多个钉以及滑动件,所述滑动件被构造成能够从所述仓体部署所述钉。所述滑动件能够在未击发位置和击发位置之间运动。所述缝合器械包括第一钳口、能够相对于所述第一钳口运动的第二钳口、被构造成能够推动所述滑动件以部署所述钉的击发构件、以及闭锁件,所述闭锁件被构造成能够在所述钉仓未正确地安置在所述缝合器械内时并且在所述钉仓的所述滑动件不处于所述未击发位置时防止所述击发构件朝远侧推进。当所述钉仓完全安置在所述缝合器械中时,所述闭锁键使所述闭锁件的第一阶段失效。当所述滑动件处于所述未击发位置并且所述钉仓完全安置在所述缝合器械中时,所述滑动件使所述闭锁件的第二阶段失效。Example 1 - A surgical stapling assembly including a staple cartridge and a stapling instrument configured to receive the staple cartridge in the stapling instrument. The staple cartridge includes a cartridge body including a latch key, a plurality of staples stored within the cartridge body, and a slider configured to deploy the staples from the cartridge body. The slider is movable between an unfired position and a fired position. The stapling instrument includes a first jaw, a second jaw movable relative to the first jaw, a firing member configured to push the slider to deploy the staples, and a latch, the A latch is configured to prevent distal advancement of the firing member when the staple cartridge is not properly seated within the stapling instrument and when the slide of the staple cartridge is not in the unfired position . The latch key deactivates the first stage of the latch when the staple cartridge is fully seated in the stapling instrument. When the slider is in the unfired position and the staple cartridge is fully seated in the stapling instrument, the slider disables the second stage of the latch.

实施例2-根据实施例1所述的外科缝合组件,其中,所述闭锁键包括从所述仓体的近侧端部朝近侧延伸的仓体翼片。Embodiment 2 - The surgical stapling assembly of Embodiment 1, wherein the latching key comprises a cartridge body flap extending proximally from a proximal end of the cartridge body.

实施例3-根据实施例1或2所述的外科缝合组件,其中,所述缝合器械还包括支撑在所述第一钳口内的浮动销,并且其中所述浮动销被构造成能够由所述闭锁键接合以将所述击发构件提升远离所述闭锁件,从而使所述闭锁件的所述第一阶段失效。Embodiment 3 - The surgical stapling assembly of Embodiments 1 or 2, wherein the stapling instrument further comprises a floating pin supported within the first jaw, and wherein the floating pin is configured to be operable by the A latch key engages to lift the firing member away from the latch, thereby disabling the first stage of the latch.

实施例4-根据实施例3所述的外科缝合组件,其中,所述闭锁键包括从所述仓体的近侧端部朝近侧延伸的仓体翼片,并且其中所述仓体翼片包括被构造成能够提升所述浮动销的斜坡表面。Embodiment 4 - The surgical stapling assembly of Embodiment 3, wherein the latching key comprises a cartridge body flap extending proximally from a proximal end of the cartridge body, and wherein the cartridge body flap A ramp surface is included that is configured to lift the floating pin.

实施例5-根据实施例3或4所述的外科缝合组件,其中,所述击发构件包括刀主体和击发轴,其中所述击发轴被构造成能够将击发动作传递到所述刀主体,并且其中所述浮动销被构造成能够接触所述击发轴以提升所述击发构件。Embodiment 5 - The surgical stapling assembly of Embodiments 3 or 4, wherein the firing member comprises a knife body and a firing shaft, wherein the firing shaft is configured to transmit a firing motion to the knife body, and wherein the floating pin is configured to contact the firing shaft to lift the firing member.

实施例6-根据实施例3、4或5所述的外科缝合组件,其中,所述击发构件包括被构造成能够切割组织的刀,并且其中当所述刀处于原始位置时,所述浮动销位于所述刀的近侧。Embodiment 6 - The surgical stapling assembly of Embodiments 3, 4, or 5, wherein the firing member comprises a knife configured to cut tissue, and wherein the floating pin is configured when the knife is in a home position On the proximal side of the knife.

实施例7-根据实施例1、2、3、4、5或6所述的外科缝合组件,其中,所述击发构件包括搁架,所述搁架被构造成能够在所述滑动件处于所述未击发位置时接合所述滑动件,以在所述闭锁件的所述第一阶段失效之后使所述闭锁件的所述第二阶段失效。Embodiment 7 - The surgical stapling assembly of Embodiments 1, 2, 3, 4, 5, or 6, wherein the firing member includes a shelf configured to be able to hold the slider in any position. The slider is engaged in the unfired position to disable the second stage of the lockout after the first stage of the lockout has failed.

实施例8-根据实施例1、2、3、4、5、6或7所述的外科缝合组件,其中,所述闭锁件包括偏压构件,所述偏压构件被构造成能够将所述击发构件朝锁定构型偏压。Embodiment 8 - The surgical stapling assembly of Embodiments 1, 2, 3, 4, 5, 6, or 7, wherein the latch includes a biasing member configured to The firing member is biased toward the locked configuration.

实施例9-根据实施例8所述的外科缝合组件,其中,所述外科缝合组件还包括弹簧偏压的凸轮作用构件,所述弹簧偏压的凸轮作用构件被构造成能够由所述闭锁键接合,并且其中所述弹簧偏压的凸轮作用构件被构造成能够在所述弹簧偏压的凸轮作用构件由所述闭锁键接合时将所述击发构件提升远离所述锁定构型以使所述闭锁件的所述第一阶段失效。Embodiment 9 - The surgical stapling assembly of Embodiment 8, wherein the surgical stapling assembly further comprises a spring-biased cam-action member configured to be capable of being activated by the latch key engaged, and wherein the spring-biased cam-action member is configured to lift the firing member away from the locking configuration when the spring-biased cam-action member is engaged by the lockout key to cause the The first stage of the lockout fails.

实施例10-根据实施例1、2、3、4、5、6、7、8或9所述的外科缝合组件,其中,所述闭锁件的所述第一阶段必须在所述闭锁件的所述第二阶段之前失效。Embodiment 10 - The surgical stapling assembly of Embodiments 1, 2, 3, 4, 5, 6, 7, 8, or 9, wherein the first stage of the closure must be The second stage failed before.

实施例11-一种外科钉仓,所述外科钉仓被构造用于与缝合器械一起使用。所述缝合器械包括第一钳口、能够相对于所述第一钳口运动的第二钳口、以及包括组织切割刀的击发构件。所述外科钉仓包括仓体,所述仓体包括近侧端部和远侧端部、储存在所述仓体内的多个钉以及滑动件,所述滑动件被构造成能够从所述仓体部署所述钉。所述滑动件能够在所述仓体内在未击发位置和击发位置之间运动。所述仓体包括从所述仓体的所述近侧端部朝近侧延伸的闭锁键斜坡。所述闭锁键斜坡被构造成能够通过以下方式使所述缝合器械的对应闭锁件的第一阶段失效:当所述外科钉仓正确地安置在所述缝合器械内时,接触位于所述组织切割刀近侧的所述击发构件以提升所述击发构件。所述滑动件被构造成能够在所述滑动件处于所述未击发位置时使所述缝合器械中的对应闭锁件的第二阶段失效。Example 11 - A surgical staple cartridge configured for use with a stapling instrument. The stapling instrument includes a first jaw, a second jaw movable relative to the first jaw, and a firing member including a tissue cutter. The surgical staple cartridge includes a cartridge body including proximal and distal ends, a plurality of staples stored within the cartridge body, and a slider configured to be removable from the cartridge body deploys the pegs. The slider is movable within the cartridge between an unfired position and a fired position. The cartridge body includes a latch key ramp extending proximally from the proximal end of the cartridge body. The latch key ramps are configured to disable a first stage of a corresponding latch of the stapling instrument by contacting the tissue cutting element when the surgical staple cartridge is properly seated within the stapling instrument the firing member proximal to the knife to lift the firing member. The slider is configured to disable a second stage of a corresponding latch in the stapling instrument when the slider is in the unfired position.

实施例12-根据实施例11所述的外科钉仓,其中,所述闭锁键斜坡从所述仓体的近侧端部朝近侧延伸。Embodiment 12 - The surgical staple cartridge of Embodiment 11, wherein the latching key ramp extends proximally from the proximal end of the cartridge body.

实施例13-根据实施例11或12所述的外科钉仓,其中,所述仓体包括第一侧和第二侧,并且其中所述闭锁键斜坡包括从所述仓体的所述第一侧朝近侧延伸的第一斜坡和从所述仓体的所述第二侧朝近侧延伸的第二斜坡。Embodiment 13 - The surgical staple cartridge of Embodiment 11 or 12, wherein the cartridge body includes a first side and a second side, and wherein the latch key ramp includes the first side from the cartridge body a first ramp extending proximally laterally and a second ramp extending proximally from the second side of the cartridge body.

实施例14-一种缝合组件,所述缝合组件被构造成能够在所述缝合组件中接收外科钉仓。所述缝合组件包括击发组件,所述击发组件包括被构造成能够部署安装在所述缝合组件中的外科钉仓的钉的击发构件、第一钳口、能够相对于所述第一钳口运动的第二钳口、以及闭锁件,所述闭锁件被构造成能够在未击发的外科钉仓未安装在所述缝合组件内时防止所述击发构件朝远侧推进。所述闭锁件包括偏压构件,所述偏压构件被构造成能够将所述击发构件朝锁定构型偏压。所述击发组件还包括凸轮作用构件和搁架。所述凸轮作用构件被构造成能够提升所述击发构件以使所述闭锁件的第一阶段失效。所述凸轮作用构件被构造成能够由所述外科钉仓的闭锁键接合。所述搁架被构造成能够防止所述击发构件落入所述闭锁件中以使所述闭锁件的第二阶段失效。所述搁架被构造成能够接合所述外科钉仓的未击发滑动件以使所述闭锁件的所述第二阶段失效。Embodiment 14 - A stapling assembly configured to receive a surgical staple cartridge therein. The stapling assembly includes a firing assembly including a firing member configured to deploy staples of a surgical staple cartridge installed in the stapling assembly, a first jaw, movable relative to the first jaw the second jaw, and a latch configured to prevent distal advancement of the firing member when an unfired surgical staple cartridge is not installed within the stapling assembly. The latch includes a biasing member configured to bias the firing member toward a locked configuration. The firing assembly also includes a cam action member and a shelf. The cam-action member is configured to lift the firing member to disable the first stage of the latch. The cam-action member is configured to be engageable by a latch key of the surgical staple cartridge. The shelf is configured to prevent the firing member from falling into the latch to disable the second stage of the latch. The shelf is configured to engage an unfired slide of the surgical staple cartridge to disable the second stage of the latch.

实施例15-根据实施例14所述的缝合组件,其中,所述击发构件包括刀,并且其中所述凸轮作用构件定位在所述刀的近侧。Embodiment 15 - The suturing assembly of Embodiment 14, wherein the firing member comprises a knife, and wherein the cam-action member is positioned proximal of the knife.

实施例16-根据实施例14或15所述的缝合组件,其中,所述第一钳口包括被构造成能够接收所述外科钉仓的通道,其中所述凸轮作用构件包括在所述击发构件下面支撑在所述通道内的浮动销。Embodiment 16 - The stapling assembly of Embodiment 14 or 15, wherein the first jaw includes a channel configured to receive the surgical staple cartridge, wherein the cam-action member is included in the firing member A floating pin is supported below in the channel.

实施例17-根据实施例14、15或16所述的缝合组件,其中,所述第二钳口能够围绕枢转轴线枢转,并且其中所述凸轮作用构件定位在所述枢转轴线的远侧。Embodiment 17 - The suturing assembly of Embodiments 14, 15, or 16, wherein the second jaw is pivotable about a pivot axis, and wherein the cam acting member is positioned distal to the pivot axis side.

实施例18-根据实施例14、15、16或17所述的缝合组件,其中,所述击发构件包括搁架,所述搁架被构造成能够在所述滑动件处于未击发位置时接合所述外科钉仓的滑动件,以在所述闭锁件的所述第一阶段失效之后使所述闭锁件的所述第二阶段失效。Embodiment 18 - The suturing assembly of Embodiments 14, 15, 16, or 17, wherein the firing member includes a shelf configured to engage the sled when the slider is in the unfired position. a slide of the surgical staple cartridge to disable the second stage of the lockout after the first stage of the lockout fails.

实施例19-根据实施例14、15、16、17或18所述的缝合组件,其中,所述闭锁件包括偏压构件,所述偏压构件被构造成能够将所述击发构件朝锁定构型偏压。Embodiment 19 - The suturing assembly of Embodiments 14, 15, 16, 17, or 18, wherein the latch includes a biasing member configured to bias the firing member toward a locking member type bias.

实施例20-根据实施例14、15、16、17、18或19所述的缝合组件,其中,所述缝合组件还包括弹簧偏压的凸轮作用构件,所述弹簧偏压的凸轮作用构件被构造成能够由所述外科钉仓的闭锁键接合,并且其中所述弹簧偏压的凸轮作用构件被构造成能够在所述弹簧偏压的凸轮作用构件由所述闭锁键接合时将所述击发构件提升远离所述锁定构型以使所述闭锁件的所述第一阶段失效。Embodiment 20 - The suturing assembly of Embodiments 14, 15, 16, 17, 18, or 19, wherein the suturing assembly further comprises a spring-biased camming member that is configured to be engageable by a latch key of the surgical staple cartridge, and wherein the spring-biased cam-action member is configured to be capable of firing the firing when the spring-biased cam-action member is engaged by the latch key A member is lifted away from the locked configuration to disable the first stage of the latch.

本文所述的许多外科器械系统由电动马达促动;但是本文所述的外科器械系统可以任何合适的方式促动。在各种情况下,例如,本文所述的外科器械系统可由手动操作的触发器促动。在某些情况下,本文公开的马达可包括机器人控制系统的一部分或多个部分。此外,本文公开的任何端部执行器和/或工具组件可与机器人外科器械系统一起使用。例如,名称为“SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENTARRANGEMENTS”的美国专利申请序列号13/118,241(现为美国专利9,072,535)更详细地公开了机器人外科器械系统的若干示例。Many of the surgical instrument systems described herein are actuated by electric motors; however, the surgical instrument systems described herein may be actuated in any suitable manner. In various instances, for example, the surgical instrument systems described herein may be actuated by manually operated triggers. In some cases, the motors disclosed herein may include part or parts of a robotic control system. Furthermore, any end effector and/or tool assembly disclosed herein may be used with a robotic surgical instrument system. For example, US Patent Application Serial No. 13/118,241 (now US Patent 9,072,535) entitled "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLE DEPLOYMENTARRANGEMENTS" discloses several examples of robotic surgical instrument systems in greater detail.

已结合钉的部署和变形描述了本文所述的外科器械系统;然而,本文所述的实施方案不限于此。例如,设想了部署除钉之外的紧固件诸如夹具或大头钉的各种实施方案。此外,还设想了利用用于密封组织的任何合适装置的各种实施方案。例如,根据各种实施方案的端部执行器可包括被配置成能够加热和密封组织的电极。另外,例如,根据某些实施方案的端部执行器可施加振动能量来密封组织。The surgical instrument systems described herein have been described in conjunction with deployment and deformation of the staples; however, the embodiments described herein are not so limited. For example, various embodiments are contemplated that deploy fasteners other than nails, such as clips or tacks. In addition, various embodiments are contemplated that utilize any suitable device for sealing tissue. For example, end effectors according to various embodiments may include electrodes configured to heat and seal tissue. Additionally, for example, end effectors according to certain embodiments may apply vibrational energy to seal tissue.

下述专利的全部公开内容据此以引用方式并入本文:The entire disclosures of the following patents are hereby incorporated by reference:

-公布于1995年4月4日的名称为“ELECTROSURGICAL HEMOSTATIC DEVICE”的美国专利5,403,312;- US Patent 5,403,312 entitled "ELECTROSURGICAL HEMOSTATIC DEVICE", issued April 4, 1995;

-公布于2006年2月21日的名称为“SURGICAL STAPLING INSTRUMENT HAVINGSEPARATE DISTINCT CLOSING AND FIRING SYSTEMS”的美国专利7,000,818;- US Patent 7,000,818 entitled "SURGICAL STAPLING INSTRUMENT HAVINGSEPARATE DISTINCT CLOSING AND FIRING SYSTEMS" issued on February 21, 2006;

-公布于2008年9月9日的名称为“MOTOR-DRIVEN SURGICAL CUTTING ANDFASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK”的美国专利7,422,139;- US Patent 7,422,139 entitled "MOTOR-DRIVEN SURGICAL CUTTING ANDFASTENING INSTRUMENT WITH TACTILE POSITION FEEDBACK" issued on September 9, 2008;

-公布于2008年12月16日的名称为“ELECTRO-MECHANICAL SURGICAL INSTRUMENTWITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS”的美国专利7,464,849;- US Patent 7,464,849 entitled "ELECTRO-MECHANICAL SURGICAL INSTRUMENTWITH CLOSURE SYSTEM AND ANVIL ALIGNMENT COMPONENTS" issued on December 16, 2008;

-公布于2010年3月2日的名称为“SURGICAL INSTRUMENT HAVING ANARTICULATING END EFFECTOR”的美国专利7,670,334;- US Patent 7,670,334 entitled "SURGICAL INSTRUMENT HAVING ANARTICULATING END EFFECTOR" issued on March 2, 2010;

-公布于2010年7月13日的名称为“SURGICAL STAPLING INSTRUMENTS”的美国专利7,753,245;- US Patent 7,753,245 entitled "SURGICAL STAPLING INSTRUMENTS" issued on July 13, 2010;

-公布于2013年3月12日的名称为“SELECTIVELY ORIENTABLE IMPLANTABLEFASTENER CARTRIDGE”的美国专利8,393,514;- US Patent 8,393,514 entitled "SELECTIVELY ORIENTABLE IMPLANTABLEFASTENER CARTRIDGE" issued March 12, 2013;

-名称为“SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES”的美国专利申请序列号11/343,803,现为美国专利7,845,537;- US Patent Application Serial No. 11/343,803 entitled "SURGICAL INSTRUMENT HAVING RECORDING CAPABILITIES", now US Patent 7,845,537;

-提交于2008年2月14日的名称为“SURGICAL CUTTING AND FASTENINGINSTRUMENT HAVING RF ELECTRODES”的美国专利申请序列号12/031,573;- US Patent Application Serial No. 12/031,573, filed February 14, 2008, entitled "SURGICAL CUTTING AND FASTENING INSTRUMENT HAVING RF ELECTRODES";

-提交于2008年2月15日的名称为“END EFFECTORS FOR A SURGICAL CUTTING ANDSTAPLING INSTRUMENT”的美国专利申请序列号12/031,873(现为美国专利7,980,443);- US Patent Application Serial No. 12/031,873 (now US Patent 7,980,443), filed February 15, 2008, entitled "END EFFECTORS FOR A SURGICAL CUTTING ANDSTAPLING INSTRUMENT";

-名称为“MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT”的美国专利申请序列号12/235,782,现为美国专利8,210,411;- US Patent Application Serial No. 12/235,782 entitled "MOTOR-DRIVEN SURGICAL CUTTING INSTRUMENT", now US Patent 8,210,411;

-名称为“MOTORIZED SURGICAL INSTRUMENT”的美国专利申请序列号12/235,972,现为美国专利9,050,083。- US Patent Application Serial No. 12/235,972 entitled "MOTORIZED SURGICAL INSTRUMENT", now US Patent 9,050,083.

-名称为“POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLYRETRACTABLE FIRING SYSTEM”的美国专利申请序列号12/249,117,现为美国专利8,608,045;- US Patent Application Serial No. 12/249,117 entitled "POWERED SURGICAL CUTTING AND STAPLING APPARATUS WITH MANUALLY RETRACTABLE FIRING SYSTEM", now US Patent 8,608,045;

-提交于2009年12月24日的名称为“MOTOR-DRIVEN SURGICAL CUTTINGINSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY”的美国专利申请序列号12/647,100,现为美国专利8,220,688;- US Patent Application Serial No. 12/647,100, entitled "MOTOR-DRIVEN SURGICAL CUTTINGINSTRUMENT WITH ELECTRIC ACTUATOR DIRECTIONAL CONTROL ASSEMBLY," filed December 24, 2009, now US Patent 8,220,688;

-提交于2012年9月29日的名称为“STAPLE CARTRIDGE”的美国专利申请序列号12/893,461,现为美国专利8,733,613;- US Patent Application Serial No. 12/893,461, entitled "STAPLE CARTRIDGE", filed September 29, 2012, now US Patent 8,733,613;

-提交于2011年2月28日的名称为“SURGICAL STAPLING INSTRUMENT”的美国专利申请序列号13/036,647,现为美国专利8,561,870;- US Patent Application Serial No. 13/036,647, entitled "SURGICAL STAPLING INSTRUMENT", filed February 28, 2011, now US Patent 8,561,870;

-名称为“SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLEDEPLOYMENT ARRANGEMENTS”的美国专利申请序列号13/118,241,现为美国专利9,072,535;- US Patent Application Serial No. 13/118,241 entitled "SURGICAL STAPLING INSTRUMENTS WITH ROTATABLE STAPLEDEPLOYMENT ARRANGEMENTS", now US Patent 9,072,535;

-提交于2012年6月15日的名称为“ARTICULATABLE SURGICAL INSTRUMENTCOMPRISING A FIRING DRIVE”的美国专利申请序列号13/524,049,现为美国专利9,101,358;- US Patent Application Serial No. 13/524,049, entitled "ARTICULATABLE SURGICAL INSTRUMENTCOMPRISING A FIRING DRIVE," filed June 15, 2012, now US Patent 9,101,358;

-提交于2013年3月13日的名称为“STAPLE CARTRIDGE TISSUE THICKNESS SENSORSYSTEM”的美国专利申请序列号13/800,025,现为美国专利9,345,481;- US Patent Application Serial No. 13/800,025, entitled "STAPLE CARTRIDGE TISSUE THICKNESS SENSORSYSTEM", filed March 13, 2013, now US Patent 9,345,481;

-提交于2013年3月13日的名称为“STAPLE CARTRIDGE TISSUE THICKNESS SENSORSYSTEM”的美国专利申请序列号13/800,067,现为美国专利申请公布2014/0263552;- US Patent Application Serial No. 13/800,067, entitled "STAPLE CARTRIDGE TISSUE THICKNESS SENSORSYSTEM", filed March 13, 2013, now US Patent Application Publication 2014/0263552;

-提交于2006年1月31日的名称为“SURGICAL CUTTING AND FASTENINGINSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM”的美国专利申请公布2007/0175955;以及- US Patent Application Publication 2007/0175955, filed January 31, 2006, entitled "SURGICAL CUTTING AND FASTENING INSTRUMENT WITH CLOSURE TRIGGER LOCKING MECHANISM"; and

-提交于2010年4月22日的名称为“SURGICAL STAPLING INSTRUMENT WITH ANARTICULATABLE END EFFECTOR”的美国专利申请公布2010/0264194,现为美国专利8,308,040。- US Patent Application Publication 2010/0264194, entitled "SURGICAL STAPLING INSTRUMENT WITH ANARTICULATABLE END EFFECTOR", filed April 22, 2010, now US Patent 8,308,040.

虽然本文已结合某些实施方案描述了各种装置,但也可实施对这些实施方案的许多修改和变型。在一个或多个实施方案中,具体特征、结构或特性可以任何合适的方式进行组合。因此,在无限制的情况下,结合一个实施方案示出或描述的具体特征、结构或特性可全部或部分地与一个或多个其他实施方案的特征、结构或特性组合。另外,在公开了用于某些部件的材料的情况下,也可使用其他材料。此外,根据多种实施方案,单个部件可被替换为多个部件,并且多个部件也可被替换为单个部件,以执行给定的一种或多种功能。上述具体实施方式和下述权利要求旨在涵盖所有此类修改和变型。Although various apparatuses have been described herein in connection with certain embodiments, many modifications and variations of these embodiments can be implemented. The particular features, structures or characteristics may be combined in any suitable manner in one or more embodiments. Thus, without limitation, a particular feature, structure or characteristic illustrated or described in connection with one embodiment may be combined in whole or in part with the features, structures or characteristics of one or more other embodiments. Additionally, where materials are disclosed for certain components, other materials may also be used. Furthermore, according to various embodiments, a single component may be replaced with multiple components, and multiple components may be replaced with a single component, to perform a given function or functions. The foregoing detailed description and the following claims are intended to cover all such modifications and variations.

本文所公开的装置可被设计成在单次使用之后废弃,或者其可被设计成多次使用。然而无论是哪种情况,该装置都可在至少使用一次后经过修整再行使用。修整可包括以下步骤的任意组合,这些步骤包括但不限于拆卸装置、之后进行装置具体部件的清洁或更换、以及随后重新组装装置。具体地,修整设施和/或外科团队可拆卸装置,并且在清洁和/或更换装置的特定部件之后,可重新组装装置以供后续使用。本领域的技术人员将会理解,修整装置可利用各种技术来进行拆卸、清洁/替换和重新组装。此类技术的使用以及所得的修整装置均在本申请的范围内。The devices disclosed herein can be designed to be disposed of after a single use, or they can be designed to be used multiple times. In either case, however, the device can be reconditioned after at least one use. Reconditioning may include any combination of steps including, but not limited to, disassembly of the device, followed by cleaning or replacement of specific components of the device, and subsequent reassembly of the device. Specifically, the refurbishment facility and/or surgical team may disassemble the device, and after cleaning and/or replacing certain components of the device, the device may be reassembled for subsequent use. Those skilled in the art will appreciate that the trimming device can be disassembled, cleaned/replaced, and reassembled using a variety of techniques. The use of such techniques and the resulting trimming devices are within the scope of this application.

本文所公开的装置可在外科手术之前进行处理。首先,可获得新的或用过的器械,并且根据需要进行清洁。然后,可对器械进行消毒。在一种消毒技术中,将所述器械放置在密闭且密封的容器(诸如,塑料或TYVEK袋)中。然后可将容器和器械置于可穿透容器的辐射场,诸如γ辐射、X射线和/或高能电子。辐射可杀死器械上和容器中的细菌。经消毒的器械随后可被储存在无菌容器中。密封容器可将器械保持为无菌的,直至在医疗设施中将该容器打开。还可使用本领域已知的任何其他技术对装置进行消毒,所述技术包括但不限于β辐射、γ辐射、环氧乙烷、等离子过氧化物和/或蒸汽。The devices disclosed herein can be processed prior to surgery. First, new or used instruments are available and cleaned as needed. The instruments can then be sterilized. In one sterilization technique, the instrument is placed in a closed and sealed container, such as a plastic or TYVEK bag. The container and device can then be exposed to a radiation field that penetrates the container, such as gamma radiation, X-rays, and/or high-energy electrons. Radiation kills bacteria on instruments and in containers. The sterilized instruments can then be stored in sterile containers. The sealed container keeps the instrument sterile until the container is opened in the medical facility. The device may also be sterilized using any other technique known in the art, including but not limited to beta radiation, gamma radiation, ethylene oxide, plasma peroxide, and/or steam.

尽管本发明已被描述为具有示例性设计,但可在本公开的实质和范围内进一步修改本发明。因此,本申请旨在涵盖使用本发明的一般原理的本发明的任何变型、用途或改型。While this invention has been described as having an exemplary design, this invention can be further modified within the spirit and scope of this disclosure. Accordingly, this application is intended to cover any adaptations, uses, or adaptations of the invention using the general principles of the invention.

Claims (20)

1. A surgical stapling assembly comprising:
a staple cartridge, the staple cartridge comprising:
a cartridge body comprising a latch key;
a plurality of staples stored within the cartridge body; and
a sled configured to deploy the staples from the cartridge body, wherein the sled is movable between an unfired position and a fired position; and
a stapling instrument configured to receive the staple cartridge therein, wherein the stapling instrument comprises:
a first jaw;
a second jaw movable relative to the first jaw;
a firing member configured to push the sled to deploy the staples; and
a lockout configured to prevent distal advancement of the firing member when the staple cartridge is not properly seated within the stapling instrument and when the sled of the staple cartridge is not in the unfired position, wherein the lockout key disables a first stage of the lockout when the staple cartridge is fully seated in the stapling instrument, and wherein the sled disables a second stage of the lockout when the sled is in the unfired position and the staple cartridge is fully seated in the stapling instrument.
2. The surgical stapling assembly of claim 1, wherein said lockout key comprises a cartridge body flap extending proximally from a proximal end of said cartridge body.
3. The surgical stapling assembly of claim 1, wherein said stapling instrument further comprises a floating pin supported within said first jaw, wherein said floating pin is configured to be engaged by said lockout key to lift said firing member away from said lockout to disable said first stage of said lockout.
4. The surgical stapling assembly of claim 3, wherein said lockout key comprises a cartridge body flap extending proximally from a proximal end of said cartridge body, and wherein said cartridge body flap comprises a ramped surface configured to lift said floating pin.
5. The surgical stapling assembly of claim 4, wherein said firing member comprises a knife body and a firing shaft, wherein said firing shaft is configured to transmit a firing motion to said knife body, and wherein said floating pin is configured to contact said firing shaft to lift said firing member.
6. The surgical stapling assembly of claim 4, wherein said firing member comprises a knife configured to cut tissue, and wherein said floating pin is proximal to said knife when said knife is in a home position.
7. The surgical stapling assembly of claim 1, wherein said firing member comprises a shelf configured to engage said sled when said sled is in said unfired position to disable said second stage of said lockout after said first stage of said lockout is disabled.
8. The surgical stapling assembly of claim 1, wherein said lockout comprises a biasing member configured to bias said firing member toward a locked configuration.
9. The surgical stapling assembly of claim 8, wherein said surgical stapling assembly further comprises a spring biased camming member configured to be engaged by said lockout key, and wherein said spring biased camming member is configured to lift said firing member away from said locked configuration to disable said first stage of said lockout when said spring biased camming member is engaged by said lockout key.
10. The surgical stapling assembly of claim 1, wherein said first stage of said lockout must fail prior to said second stage of said lockout.
11. A surgical staple cartridge configured for use with a stapling instrument, wherein said stapling instrument comprises a first jaw, a second jaw movable relative to said first jaw, and a firing member comprising a tissue cutting knife, and wherein said surgical staple cartridge comprises:
a cartridge body comprising a proximal end and a distal end;
a plurality of staples stored within the cartridge body; and
a sled configured to deploy the staples from the cartridge body, wherein the sled is movable within the cartridge body between an unfired position and a fired position,
wherein the cartridge body comprises a latch key ramp extending proximally from the proximal end of the cartridge body, and wherein the latch key ramp is configured to disable a first stage of a corresponding latch of the stapling instrument by: when the surgical staple cartridge is properly seated within the stapling instrument, contacting the firing member proximal to the tissue cutting knife to lift the firing member, and wherein the sled is configured to disable the second stage of the corresponding lockout in the stapling instrument when the sled is in the unfired position.
12. The surgical staple cartridge of claim 11 wherein said lockout key ramp extends proximally from a proximal end of said cartridge body.
13. The surgical staple cartridge of claim 11 wherein said cartridge body comprises a first side and a second side and wherein said lockout key ramp comprises a first ramp extending proximally from said first side of said cartridge body and a second ramp extending proximally from said second side of said cartridge body.
14. A stapling assembly configured to receive a surgical staple cartridge therein, wherein said stapling assembly comprises:
a firing assembly comprising a firing member configured to deploy staples of a surgical staple cartridge mounted in the stapling assembly;
a first jaw;
a second jaw movable relative to the first jaw; and
a lockout configured to prevent distal advancement of the firing member when an unfired surgical staple cartridge is not installed within the stapling assembly, wherein the lockout comprises a biasing member configured to bias the firing member toward a locked configuration,
Wherein the firing assembly further comprises:
a camming member configured to lift the firing member to disable the first stage of the lockout, wherein the camming member is configured to be engaged by a lockout key of the surgical staple cartridge; and
a rack configured to prevent the firing member from falling into the lockout to disable the second stage of the lockout, wherein the rack is configured to engage an unfired sled of the surgical staple cartridge to disable the second stage of the lockout.
15. The stapling assembly of claim 14, wherein said firing member comprises a knife, and wherein said camming member is positioned proximal to said knife.
16. The stapling assembly of claim 15, wherein said first jaw comprises a channel configured to receive said surgical staple cartridge, wherein said camming member comprises a floating pin supported within said channel beneath said firing member.
17. The stapling assembly of claim 15, wherein the second jaw is pivotable about a pivot axis, and wherein the camming member is positioned distal to the pivot axis.
18. The stapling assembly of claim 14, wherein said firing member comprises a shelf configured to engage a sled of said surgical staple cartridge when said sled is in an unfired position to disable said second stage of said lockout after said first stage of said lockout is disabled.
19. The stapling assembly of claim 14, wherein said lockout comprises a biasing member configured to bias said firing member toward a locked configuration.
20. The stapling assembly of claim 14, wherein the stapling assembly further comprises a spring-biased camming member configured to be engaged by a lockout key of the surgical staple cartridge, and wherein the spring-biased camming member is configured to lift the firing member away from the locked configuration to disable the first stage of the lockout when the spring-biased camming member is engaged by the lockout key.
CN201980034813.3A 2018-03-28 2019-03-27 Cartridge including latch key configured to lift firing member Pending CN112153945A (en)

Applications Claiming Priority (39)

Application Number Priority Date Filing Date Title
US201862649309P 2018-03-28 2018-03-28
US201862649296P 2018-03-28 2018-03-28
US201862649307P 2018-03-28 2018-03-28
US201862649333P 2018-03-28 2018-03-28
US201862649320P 2018-03-28 2018-03-28
US201862649323P 2018-03-28 2018-03-28
US201862649294P 2018-03-28 2018-03-28
US201862649302P 2018-03-28 2018-03-28
US201862649315P 2018-03-28 2018-03-28
US201862649300P 2018-03-28 2018-03-28
US201862649310P 2018-03-28 2018-03-28
US201862649291P 2018-03-28 2018-03-28
US201862649327P 2018-03-28 2018-03-28
US201862649313P 2018-03-28 2018-03-28
US62/649,307 2018-03-28
US62/649,323 2018-03-28
US62/649,313 2018-03-28
US62/649,320 2018-03-28
US62/649,296 2018-03-28
US62/649,315 2018-03-28
US62/649,300 2018-03-28
US62/649,291 2018-03-28
US62/649,310 2018-03-28
US62/649,327 2018-03-28
US62/649,302 2018-03-28
US62/649,309 2018-03-28
US62/649,294 2018-03-28
US62/649,333 2018-03-28
US201862650887P 2018-03-30 2018-03-30
US62/650,887 2018-03-30
US201962807310P 2019-02-19 2019-02-19
US201962807309P 2019-02-19 2019-02-19
US201962807319P 2019-02-19 2019-02-19
US62/807,319 2019-02-19
US16/281,670 2019-02-19
US62/807,310 2019-02-19
US62/807,309 2019-02-19
US16/281,670 US11406382B2 (en) 2018-03-28 2019-02-21 Staple cartridge comprising a lockout key configured to lift a firing member
PCT/IB2019/052508 WO2019186431A1 (en) 2018-03-28 2019-03-27 Staple cartridge comprising a lockout key configured to lift a firing member

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