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公开(公告)号：US20120010616A1
公开(公告)日：2012-01-12
申请号：US12832345
申请日：2010-07-08
申请人： Zhifan F. Huang , David A. Witt , Raymond M. Banks , Timothy G. Dietz , Mary E. Mootoo , Gregory W. Johnson , Jeffrey S. Swayze , Jason L. Harris , Foster B. Stulen , Prasanna Malaviya , Richard W. Timm , John V. Hunt , Suzanne E. Thompson , Gavin M. Monson , Robert J. Laird , Omar J. Vakharia , Christopher J. Schall , Cory G. Kimball , Al Mirel , John F. Cummings , Andrew T. Beckman
发明人： Zhifan F. Huang , David A. Witt , Raymond M. Banks , Timothy G. Dietz , Mary E. Mootoo , Gregory W. Johnson , Jeffrey S. Swayze , Jason L. Harris , Foster B. Stulen , Prasanna Malaviya , Richard W. Timm , John V. Hunt , Suzanne E. Thompson , Gavin M. Monson , Robert J. Laird , Omar J. Vakharia , Christopher J. Schall , Cory G. Kimball , Al Mirel , John F. Cummings , Andrew T. Beckman
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B2017/00084 , A61B2018/00601 , A61B2018/0063
摘要： An electrosurgical instrument can comprise a handle, a shaft, and an end effector, wherein the end effector can be rotatably coupled to the shaft by an articulation joint. The instrument can further comprise a drive member and the articulation joint can comprise flexible support members which can be configured to support the drive member. The instrument can further comprise supply wires electrically coupled to electrodes in the end effector and a wire tensioning device configured to prevent the supply wires from accumulating slack within the articulation joint. The drive member can comprise a plurality of flexible layers wherein some of the layers can be comprised of an electrically insulative material and other layers can be comprised of an electrically conductive material which is in electrical communication with a cutting member in the end effector and/or electrodes positioned within the end effector.
摘要翻译： 电外科器械可以包括手柄，轴和端部执行器，其中末端执行器可以通过铰接接头可旋转地联接到轴。 仪器还可以包括驱动构件，并且铰接接头可以包括可配置成支撑驱动构件的柔性支撑构件。 仪器还可以包括电耦合到末端执行器中的电极的电线，以及配置成防止供电线在铰接接头内累积松弛的电线张紧装置。 驱动构件可以包括多个柔性层，其中一些层可以由电绝缘材料构成，并且其它层可以由与末端执行器中的切割构件电连通的导电材料和/或 位于末端执行器内的电极。
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公开(公告)号：US09149324B2
公开(公告)日：2015-10-06
申请号：US12832345
申请日：2010-07-08
申请人： Zhifan F. Huang , David A. Witt , Raymond M. Banks , Timothy G. Dietz , Mary E. Mootoo , Gregory W. Johnson , Jeffrey S. Swayze , Jason L. Harris , Prasanna Malaviya , Richard W. Timm , John V. Hunt , Suzanne E. Thompson , Gavin M. Monson , Robert J. Laird , Omar J. Vakharia , Christopher J. Schall , Cory G. Kimball , Al Mirel , John F. Cummings , Andrew T. Beckman
发明人： Zhifan F. Huang , David A. Witt , Raymond M. Banks , Timothy G. Dietz , Mary E. Mootoo , Gregory W. Johnson , Jeffrey S. Swayze , Jason L. Harris , Prasanna Malaviya , Richard W. Timm , John V. Hunt , Suzanne E. Thompson , Gavin M. Monson , Robert J. Laird , Omar J. Vakharia , Christopher J. Schall , Cory G. Kimball , Al Mirel , John F. Cummings , Andrew T. Beckman
CPC分类号： A61B18/1445 , A61B2017/00084 , A61B2018/00601 , A61B2018/0063
摘要： An electrosurgical instrument can comprise a handle, a shaft, and an end effector, wherein the end effector can be rotatably coupled to the shaft by an articulation joint. The instrument can further comprise a drive member and the articulation joint can comprise flexible support members which can be configured to support the drive member. The instrument can further comprise supply wires electrically coupled to electrodes in the end effector and a wire tensioning device configured to prevent the supply wires from accumulating slack within the articulation joint. The drive member can comprise a plurality of flexible layers wherein some of the layers can be comprised of an electrically insulative material and other layers can be comprised of an electrically conductive material which is in electrical communication with a cutting member in the end effector and/or electrodes positioned within the end effector.
摘要翻译： 电外科器械可以包括手柄，轴和端部执行器，其中末端执行器可以通过铰接接头可旋转地联接到轴。 仪器还可以包括驱动构件，并且铰接接头可以包括可配置成支撑驱动构件的柔性支撑构件。 仪器还可以包括电耦合到末端执行器中的电极的电线，以及配置成防止供电线在铰接接头内累积松弛的电线张紧装置。 驱动构件可以包括多个柔性层，其中一些层可以由电绝缘材料构成，并且其它层可以由与末端执行器中的切割构件电连通的导电材料和/或 位于末端执行器内的电极。
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3.发明授权公开(公告)号：US09005199B2
公开(公告)日：2015-04-14
申请号：US12797866
申请日：2010-06-10
申请人： Andrew T. Beckman , Bradley E. White , Cory G. Kimball , John F. Cummings , Al Mirel , Christopher J. Schall , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt , Mary E. Mootoo , Zhifan F. Huang , Raymond M. Banks , Tamara Widenhouse , Frederick E. Shelton, IV , Jason L. Harris , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
发明人： Andrew T. Beckman , Bradley E. White , Cory G. Kimball , John F. Cummings , Al Mirel , Christopher J. Schall , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt , Mary E. Mootoo , Zhifan F. Huang , Raymond M. Banks , Tamara Widenhouse , Frederick E. Shelton, IV , Jason L. Harris , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
CPC分类号： A61B18/1445 , A61B17/32 , A61B18/1482 , A61B2018/00005 , A61B2018/00011 , A61B2018/00017 , A61B2018/00023 , A61B2018/00029 , A61B2018/00047 , A61B2018/00619 , A61B2018/0063 , A61B2018/1412 , A61B2018/1452 , A61B2018/1455 , A61B2018/1472 , A61B2218/002
摘要： In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise at least one energy delivery surface and heat dissipation means for dissipating heat from at least a portion of the end effector. For example, in at least one embodiment, the end effector may comprise a first jaw, a second jaw, and a cutting member. The cutting member may comprise a cutting surface and a body, which may define a cavity and at least one opening communicating with the cavity. A fluid may be moved through the cavity to and/or from the opening(s). Additionally, in at least one embodiment, a surgical instrument's end effector may comprise a first jaw, a second jaw, a cutting member, and at least one heat pipe. Various other heat dissipation means are also disclosed.
摘要翻译： 在各种实施例中，提供了可以包括用于在组织上执行外科手术的端部执行器的外科器械。 末端执行器可以包括至少一个能量输送表面和用于从末端执行器的至少一部分散热的散热装置。 例如，在至少一个实施例中，端部执行器可以包括第一钳口，第二钳口和切割构件。 切割构件可以包括切割表面和主体，其可以限定空腔和与空腔连通的至少一个开口。 流体可以通过空腔移动到和/或从开口移动。 另外，在至少一个实施例中，手术器械的末端执行器可以包括第一钳口，第二钳口，切割构件和至少一个热管。 还公开了各种其它散热装置。
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4.发明申请公开(公告)号：US20110306968A1
公开(公告)日：2011-12-15
申请号：US12797866
申请日：2010-06-10
申请人： Andrew T. Beckman , Bradley E. White , Cory G. Kimball , John F. Cummings , Al Mirel , Christopher J. Schall , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt , Mary E. Mootoo , Zhifan F. Huang , Raymond M. Banks , Tamara Widenhouse , Frederick E. Shelton, IV , Jason L. Harris , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
发明人： Andrew T. Beckman , Bradley E. White , Cory G. Kimball , John F. Cummings , Al Mirel , Christopher J. Schall , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt , Mary E. Mootoo , Zhifan F. Huang , Raymond M. Banks , Tamara Widenhouse , Frederick E. Shelton, IV , Jason L. Harris , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B17/32 , A61B18/1482 , A61B2018/00005 , A61B2018/00011 , A61B2018/00017 , A61B2018/00023 , A61B2018/00029 , A61B2018/00047 , A61B2018/00619 , A61B2018/0063 , A61B2018/1412 , A61B2018/1452 , A61B2018/1455 , A61B2018/1472 , A61B2218/002
摘要： In various embodiments, a surgical instrument is provided that may comprise an end effector for performing a surgical procedure on tissue, for example. The end effector may comprise at least one energy delivery surface and heat dissipation means for dissipating heat from at least a portion of the end effector. For example, in at least one embodiment, the end effector may comprise a first jaw, a second jaw, and a cutting member. The cutting member may comprise a cutting surface and a body, which may define a cavity and at least one opening communicating with the cavity. A fluid may be moved through the cavity to and/or from the opening(s). Additionally, in at least one embodiment, a surgical instrument's end effector may comprise a first jaw, a second jaw, a cutting member, and at least one heat pipe. Various other heat dissipation means are also disclosed.
摘要翻译： 在各种实施例中，提供了可以包括用于在组织上执行外科手术的端部执行器的外科器械。 末端执行器可以包括至少一个能量输送表面和用于从末端执行器的至少一部分散热的散热装置。 例如，在至少一个实施例中，端部执行器可以包括第一钳口，第二钳口和切割构件。 切割构件可以包括切割表面和主体，其可以限定空腔和与空腔连通的至少一个开口。 流体可以通过空腔移动到和/或从开口移动。 另外，在至少一个实施例中，手术器械的末端执行器可以包括第一钳口，第二钳口，切割构件和至少一个热管。 还公开了各种其它散热装置。
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公开(公告)号：US08834518B2
公开(公告)日：2014-09-16
申请号：US12758253
申请日：2010-04-12
申请人： Craig N. Faller , Matthew C. Miller , Omar J. Vakharia , Robert J. Laird , Gavin M. Monson , John V. Hunt , Richard W. Timm , David A. Witt , Zhifan F. Huang , Timothy G. Dietz , Jeffrey L. Aldridge , Mary E. Mootoo , Raymond M. Banks , Frederick E. Shelton, IV
发明人： Craig N. Faller , Matthew C. Miller , Omar J. Vakharia , Robert J. Laird , Gavin M. Monson , John V. Hunt , Richard W. Timm , David A. Witt , Zhifan F. Huang , Timothy G. Dietz , Jeffrey L. Aldridge , Mary E. Mootoo , Raymond M. Banks , Frederick E. Shelton, IV
CPC分类号： A61B18/1445 , A61B18/1447 , A61B2018/00083 , A61B2018/0063 , A61B2018/1412 , A61B2018/1455 , A61B2018/1467
摘要： Various embodiments are directed to a surgical instrument comprising, a shaft, and an end effector. The shaft may be coupled to the handle and may extend distally along a longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first and second jaw members and a reciprocating member. The first and second jaw members may define first and second longitudinal slots. One or both of the jaw members may be pivotable relative to the other about a pivot point. The reciprocating member may be translatable distally and proximally parallel to the longitudinal axis and through the first and second longitudinal slots. A distal portion of the reciprocating member may define a blade. The instrument may comprise an overtube translatable distally to exert a force on a portions of the first and second jaw members tending to close the first and second jaw members.
摘要翻译： 各种实施例涉及包括轴和端部执行器的外科器械。 轴可以联接到手柄并且可以沿着纵向轴线向远侧延伸。 末端执行器可以定位在轴的远端，并且可以包括第一和第二钳口构件和往复运动构件。 第一和第二钳口构件可以限定第一和第二纵向槽。 一个或两个钳口构件可相对于另一个枢转点枢转。 往复运动构件可以在远侧和近侧平行于纵向轴线并通过第一和第二纵向狭槽平移。 往复运动构件的远侧部分可以限定一个叶片。 该仪器可以包括一个可以向远端平移的外套管，以在第一和第二钳口构件的一部分上施加力，以便关闭第一和第二钳口构件。
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6.发明申请公开(公告)号：US20110251612A1
公开(公告)日：2011-10-13
申请号：US12758253
申请日：2010-04-12
申请人： Craig N. Faller , Matthew C. Miller , Omar J. Vakharia , Robert J. Laird , Gavin M. Monson , John V. Hunt , Richard W. Timm , David A. Witt , Zhifan F. Huang , Timothy G. Dietz , Jeffrey L. Aldridge , Mary E. Mootoo , Raymond M. Banks , Frederick E. Shelton, IV
发明人： Craig N. Faller , Matthew C. Miller , Omar J. Vakharia , Robert J. Laird , Gavin M. Monson , John V. Hunt , Richard W. Timm , David A. Witt , Zhifan F. Huang , Timothy G. Dietz , Jeffrey L. Aldridge , Mary E. Mootoo , Raymond M. Banks , Frederick E. Shelton, IV
IPC分类号： A61B18/18
CPC分类号： A61B18/1445 , A61B18/1447 , A61B2018/00083 , A61B2018/0063 , A61B2018/1412 , A61B2018/1455 , A61B2018/1467
摘要： Various embodiments are directed to a surgical instrument comprising, a shaft, and an end effector. The shaft may be coupled to the handle and may extend distally along a longitudinal axis. The end effector may be positioned at a distal end of the shaft and may comprise first and second jaw members and a reciprocating member. The first and second jaw members may define first and second longitudinal slots. One or both of the jaw members may be pivotable relative to the other about a pivot point. The reciprocating member may be translatable distally and proximally parallel to the longitudinal axis and through the first and second longitudinal slots. A distal portion of the reciprocating member may define a blade. The instrument may comprise an overtube translatable distally to exert a force on a portions of the first and second jaw members tending to close the first and second jaw members.
摘要翻译： 各种实施例涉及包括轴和端部执行器的外科器械。 轴可以联接到手柄并且可以沿着纵向轴线向远侧延伸。 末端执行器可以定位在轴的远端，并且可以包括第一和第二钳口构件和往复运动构件。 第一和第二钳口构件可以限定第一和第二纵向槽。 一个或两个钳口构件可相对于另一个枢转点枢转。 往复运动构件可以在远侧和近侧平行于纵向轴线并通过第一和第二纵向狭槽平移。 往复运动构件的远侧部分可以限定一个叶片。 该仪器可以包括一个可以向远端平移的外套管，以在第一和第二钳口构件的一部分上施加力，以便关闭第一和第二钳口构件。
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公开(公告)号：US08795276B2
公开(公告)日：2014-08-05
申请号：US12797305
申请日：2010-06-09
申请人： Timothy G. Dietz , Zhifan F. Huang , David A. Witt , Jeffrey L. Aldridge , Raymond M. Banks , Mary E. Mootoo , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
发明人： Timothy G. Dietz , Zhifan F. Huang , David A. Witt , Jeffrey L. Aldridge , Raymond M. Banks , Mary E. Mootoo , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/00619 , A61B2018/0063 , A61B2018/124 , A61B2018/1455
摘要： An electrosurgical surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed to capture tissue therebetween. The second jaw can comprise a first electrode and a second electrode while the first jaw can comprise an opposing electrode positioned opposite the first electrode and the second electrode when the jaws are in their closed position. The first and second electrodes can be independently and/or sequentially operated in order to conduct current between the first and second electrodes and opposing electrode in order to draw the tissue positioned between the first and second jaws toward the center of the first and second jaws and weld the tissue. In various other embodiments, other firing sequences of the electrodes are contemplated. During and/or after such tissue welding processes, a cutting member can be advanced to cut the tissue.
摘要翻译： 电外科手术器械可以包括手柄和末端执行器，其中末端执行器可以包括第一和第二钳口，其可以打开和关闭以在其间捕获组织。 第二钳口可以包括第一电极和第二电极，而当钳口处于其闭合位置时，第一钳口可以包括与第一电极相对定位的对置电极和第二电极。 第一和第二电极可以独立地和/或顺序地操作，以便在第一和第二电极和相对的电极之间传导电流，以便将位于第一和第二钳口之间的组织朝向第一和第二钳口的中心抽取，并且 焊接组织。 在各种其他实施例中，预期电极的其它点火序列。 在这种组织焊接过程中和/或之后，切割构件可被推进以切割组织。
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公开(公告)号：US20110306966A1
公开(公告)日：2011-12-15
申请号：US12797305
申请日：2010-06-09
申请人： Timothy G. Dietz , Zhifan F. Huang , David A. Witt , Jeffrey L. Aldridge , Raymond M. Banks , Mary E. Mootoo , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
发明人： Timothy G. Dietz , Zhifan F. Huang , David A. Witt , Jeffrey L. Aldridge , Raymond M. Banks , Mary E. Mootoo , Jeffrey S. Swayze , Foster B. Stulen , Prasanna Malaviya , Gregory W. Johnson , Paul Guerra
IPC分类号： A61B18/14
CPC分类号： A61B18/1445 , A61B2018/00619 , A61B2018/0063 , A61B2018/124 , A61B2018/1455
摘要： An electrosurgical surgical instrument can comprise a handle and an end effector, wherein the end effector can comprise first and second jaws which can be opened and closed to capture tissue therebetween. The second jaw can comprise a first electrode and a second electrode while the first jaw can comprise an opposing electrode positioned opposite the first electrode and the second electrode when the jaws are in their closed position. The first and second electrodes can be independently and/or sequentially operated in order to conduct current between the first and second electrodes and opposing electrode in order to draw the tissue positioned between the first and second jaws toward the center of the first and second jaws and weld the tissue. In various other embodiments, other firing sequences of the electrodes are contemplated. During and/or after such tissue welding processes, a cutting member can be advanced to cut the tissue.
摘要翻译： 电外科手术器械可以包括手柄和末端执行器，其中末端执行器可以包括第一和第二钳口，其可以打开和关闭以在其间捕获组织。 第二钳口可以包括第一电极和第二电极，而当钳口处于其闭合位置时，第一钳口可以包括与第一电极相对定位的对置电极和第二电极。 第一和第二电极可以独立地和/或顺序地操作，以便在第一和第二电极和相对的电极之间传导电流，以便将位于第一和第二钳口之间的组织朝向第一和第二钳口的中心抽取，并且 焊接组织。 在各种其他实施例中，预期电极的其它点火序列。 在这种组织焊接过程中和/或之后，切割构件可被推进以切割组织。
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公开(公告)号：US08453906B2
公开(公告)日：2013-06-04
申请号：US12836383
申请日：2010-07-14
申请人： Zhifan F. Huang , Jason L. Harris , Prasanna Malaviya , Foster B. Stulen , Jeffrey S. Swayze , Scott A. Woodruff , Gwendolyn P. Payne , Donna L. Korvick , David K. Norvell , Aron O. Zingman , Paul Guerra , Mary E. Mootoo , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt
发明人： Zhifan F. Huang , Jason L. Harris , Prasanna Malaviya , Foster B. Stulen , Jeffrey S. Swayze , Scott A. Woodruff , Gwendolyn P. Payne , Donna L. Korvick , David K. Norvell , Aron O. Zingman , Paul Guerra , Mary E. Mootoo , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt
IPC分类号： A61B17/068
CPC分类号： A61B17/115 , A61B17/0643 , A61B17/07207 , A61B17/1114 , A61B17/1155 , A61B18/1445 , A61B2017/0647 , A61B2017/320052
摘要： An end-effector assembly configured to be attached to a surgical instrument. The end-effector assembly comprises a first jaw and a second jaw comprising a staple cavity. At least one of the first jaw and the second jaw is movable relative to the other jaw. The end-effector assembly comprises a staple removably positioned within the staple cavity and an electrically-conductive driver configured to move the staple between a first stored position in which the staple is at least partially positioned within the staple cavity and a second position in which the staple is at least partially deployed from the staple cavity into tissue positioned intermediate the first jaw and the second jaw. The staple comprises an electrode.
摘要翻译： 构造成附接到手术器械的端部执行器组件。 末端执行器组件包括第一钳口和包括钉腔的第二钳口。 第一钳口和第二钳口中的至少一个相对于另一个钳口可移动。 末端执行器组件包括可拆卸地定位在缝合腔内的缝合线和导电的驱动器，该导电驱动器被配置成在第一存储位置和第二位置之间移动订书钉，第一存储位置至少部分地定位在缝合钉腔内， 订书针至少部分地从缝钉放置到位于第一颚和第二颚之间的组织中。 订书钉包括电极。
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公开(公告)号：US20120012638A1
公开(公告)日：2012-01-19
申请号：US12836383
申请日：2010-07-14
申请人： Zhifan F. Huang , Jason L. Harris , Prasanna Malaviya , Foster B. Stulen , Jeffrey S. Swayze , Scott A. Woodruff , Gwendolyn P. Payne , Donna L. Korvick , David K. Norvell , Aron O. Zingman , Paul Guerra , Mary E. Mootoo , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt
发明人： Zhifan F. Huang , Jason L. Harris , Prasanna Malaviya , Foster B. Stulen , Jeffrey S. Swayze , Scott A. Woodruff , Gwendolyn P. Payne , Donna L. Korvick , David K. Norvell , Aron O. Zingman , Paul Guerra , Mary E. Mootoo , Jeffrey L. Aldridge , Timothy G. Dietz , David A. Witt
IPC分类号： A61B17/068
CPC分类号： A61B17/115 , A61B17/0643 , A61B17/07207 , A61B17/1114 , A61B17/1155 , A61B18/1445 , A61B2017/0647 , A61B2017/320052
摘要： An end-effector assembly configured to be attached to a surgical instrument. The end-effector assembly comprises a first jaw and a second jaw comprising a staple cavity. At least one of the first jaw and the second jaw is movable relative to the other jaw. The end-effector assembly comprises a staple removably positioned within the staple cavity and an electrically-conductive driver configured to move the staple between a first stored position in which the staple is at least partially positioned within the staple cavity and a second position in which the staple is at least partially deployed from the staple cavity into tissue positioned intermediate the first jaw and the second jaw. The staple comprises an electrode.
摘要翻译： 构造成附接到手术器械的端部执行器组件。 末端执行器组件包括第一钳口和包括钉腔的第二钳口。 第一钳口和第二钳口中的至少一个相对于另一个钳口可移动。 末端执行器组件包括可拆卸地定位在缝合腔内的缝合线和导电的驱动器，该导电驱动器被配置成在第一存储位置和第二位置之间移动订书钉，第一存储位置至少部分地定位在缝合钉腔内， 订书针至少部分地从缝钉放置到位于第一颚和第二颚之间的组织中。 订书钉包括电极。
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