Surgical stapling instrument having force controlled spacing end effector

摘要

A surgical instrument for being endoscopically or laparoscopically inserted into a surgical site for simultaneous stapling and severing of tissue includes force adjusted spacing between an upper jaw or anvil (20) and a lower jaw comprising a staple cartridge (42) engaged to an elongate staple channel (40) so that the height of staple formation corresponds to the thickness of the tissue, yet does not exceed the height range that may be accommodated by the length of the staples. In particular, resilient structures are formed into an E-beam firing bar (50) that includes a cutting surface or knife (80) that severs tissue (46) between a top pin (54) that engages the anvil and a middle pin (72) and lower foot (70) that engage the lower jaw. The resilience responds to the force exerted by clamped tissue to vary the spacing.