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公开(公告)号：US09301755B2
公开(公告)日：2016-04-05
申请号：US13097907
申请日：2011-04-29
IPC分类号： A61B17/068 , A61B17/00 , A61B17/064 , A61B17/072 , A61B17/115 , A61B17/29 , A61B17/32 , A61B19/00 , A61B17/295 , A61B17/04
CPC分类号： A61B17/105 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00893 , A61B2017/0409 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2902 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2946 , A61B2017/320052 , A61B2090/037 , A61B2090/0811
摘要： A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.
摘要翻译： 紧固件盒可以包括支撑部分，相对于支撑部分定位的组织厚度补偿器，以及定位在支撑部分内的多个紧固件和/或可用于紧固组织的组织厚度补偿器。 在使用中，紧固件盒可以定位在手术紧固装置的第一钳口中，其中第二钳口或砧座可以定位成与第一钳口相对。 为了部署紧固件，订书钉展开构件通过紧固件盒推进，以将紧固件移向砧座。 当紧固件被部署时，紧固件可以将组织厚度补偿器的至少一部分与至少一部分被紧固的组织一起捕获在其中。
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公开(公告)号：US08978954B2
公开(公告)日：2015-03-17
申请号：US13097948
申请日：2011-04-29
申请人： Frederick E. Shelton, IV , Chester O. Baxter, III , Jerome R. Morgan , Taylor W. Aronhalt , Brian R. Sidow
发明人： Frederick E. Shelton, IV , Chester O. Baxter, III , Jerome R. Morgan , Taylor W. Aronhalt , Brian R. Sidow
IPC分类号： A61B17/068 , A61B17/00 , A61B17/072 , A61B17/29 , A61B17/064 , A61B17/115 , A61B17/295
CPC分类号： A61B17/105 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00893 , A61B2017/0409 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2902 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2946 , A61B2017/320052 , A61B2090/037 , A61B2090/0811
摘要： A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.
摘要翻译： 紧固件盒可以包括支撑部分，相对于支撑部分定位的组织厚度补偿器，以及定位在支撑部分内的多个紧固件和/或可用于紧固组织的组织厚度补偿器。 在使用中，紧固件盒可以定位在手术紧固装置的第一钳口中，其中第二钳口或砧座可以定位成与第一钳口相对。 为了展开紧固件，订书钉展开构件通过紧固件盒推进，以将紧固件移向砧座。 当紧固件被部署时，紧固件可以将组织厚度补偿器的至少一部分与至少一部分被紧固的组织一起捕获在其中。
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公开(公告)号：US08827903B2
公开(公告)日：2014-09-09
申请号：US13181807
申请日：2011-07-13
申请人： Frederick E. Shelton, IV , Jerome R. Morgan , Taylor W. Aronhalt , Gregory W. Johnson , Chester O. Baxter, III , Joseph E. Young , Barry C. Worrell , Christopher J. Schall
发明人： Frederick E. Shelton, IV , Jerome R. Morgan , Taylor W. Aronhalt , Gregory W. Johnson , Chester O. Baxter, III , Joseph E. Young , Barry C. Worrell , Christopher J. Schall
IPC分类号： A61B1/32 , A61B17/115 , A61B17/072 , A61B17/00 , A61B17/34
CPC分类号： A61B17/0293 , A61B17/00234 , A61B17/0218 , A61B17/068 , A61B17/072 , A61B17/1155 , A61B17/3417 , A61B2017/00287 , A61B2017/00353 , A61B2017/00477 , A61B2017/0225 , A61B2017/0287 , A61B2017/07257 , A61B2560/0443 , F04C2270/0421
摘要： Various universal ports for installation into a colon are disclosed. Some embodiments include means for permitting an anvil of a surgical stapler to pass through a port in a first direction and means for permitting a portion of the patient's colon to pass through the port in a second direction. Some embodiments also employ a flexible sleeve that may extend from the port out through the anus to provide a passageway for passing surgical instruments into and out of the rectum and also for removing severed specimens therefrom.
摘要翻译： 公开了用于安装到结肠中的各种通用端口。 一些实施例包括用于允许外科缝合器的砧座沿第一方向通过端口的装置，以及用于允许患者的冒号的一部分沿第二方向通过端口的装置。 一些实施例还采用柔性套筒，其可以从端口延伸穿过肛门以提供用于使外科器械进入和离开直肠的通道，并且还用于从其中移除切断的标本。
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公开(公告)号：US20130075449A1
公开(公告)日：2013-03-28
申请号：US13241922
申请日：2011-09-23
申请人： Katherine J. Schmid , Chester O. Baxter, III , Taylor W. Aronhalt , Joseph E. Young , Frederick E. Shelton, IV
发明人： Katherine J. Schmid , Chester O. Baxter, III , Taylor W. Aronhalt , Joseph E. Young , Frederick E. Shelton, IV
IPC分类号： A61B17/068
CPC分类号： A61B17/105 , A61B17/00491 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/0682 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B2017/00004 , A61B2017/00314 , A61B2017/00327 , A61B2017/00353 , A61B2017/00495 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00884 , A61B2017/00893 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2908 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , A61B2017/320052
摘要： A staple cartridge for use with a surgical stapler can comprise a cartridge deck and a plurality of staples at least partially positioned within the cartridge deck. In various embodiments, the staples can be supported by a support jaw of the surgical stapler and can comprise legs which can extend upwardly through apertures defined in the cartridge deck. In use, the cartridge deck can be pushed downwardly relative to the staples into a well defined in the support jaw.
摘要翻译： 用于外科缝合器的钉仓可以包括至少部分地定位在药筒甲板内的药筒甲板和多个钉。 在各种实施例中，缝钉可以由外科缝合器的支撑爪支撑，并且可以包括可以向上延伸穿过限定在钉仓甲板中的孔的腿。 在使用中，筒甲板可以相对于缝钉向下推动到在支撑夹爪中限定的井中。
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公开(公告)号：US20120241503A1
公开(公告)日：2012-09-27
申请号：US13433167
申请日：2012-03-28
申请人： Chester O. Baxter, III , Frederick E. Shelton, IV , Katherine J. Schmid , Taylor W. Aronhalt , Gregory W. Johnson , John L. Stammen , Gary W. Knight , Christopher W. Widenhouse , William B. Weisenburgh, II , Stephanie A. Mutchler , Timothy S. Bedard
发明人： Chester O. Baxter, III , Frederick E. Shelton, IV , Katherine J. Schmid , Taylor W. Aronhalt , Gregory W. Johnson , John L. Stammen , Gary W. Knight , Christopher W. Widenhouse , William B. Weisenburgh, II , Stephanie A. Mutchler , Timothy S. Bedard
IPC分类号： A61B17/068
CPC分类号： A61B17/105 , A61B17/00491 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/0686 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B2017/00004 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00889 , A61B2017/00951 , A61B2017/0641 , A61B2017/0688 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2908 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2936 , A61B2017/320052
摘要： A two-part tissue thickness compensator assembly can include a first tissue thickness compensator configured to be positioned relative to an anvil of a surgical stapler, a second tissue thickness compensator configured to be positioned relative to a staple cartridge of the surgical stapler, and a hinge connecting the first tissue thickness compensator to the second tissue thickness compensator. The first and/or second tissue thickness compensators may include additional engagement features, such as a raised ridge that engages a slot in the anvil and/or the staple cartridge. In certain embodiments, the first and/or second tissue thickness compensators may include an encasement that contains a suitable biologic agent. An end effector assembly may be provided for attachment to a surgical instrument that includes, for example, a staple cartridge, an anvil, a first tissue thickness compensator positioned on the anvil, and a second tissue thickness compensator positioned on the staple cartridge.
摘要翻译： 两部分组织厚度补偿器组件可以包括构造成相对于外科缝合器的砧座定位的第一组织厚度补偿器，构造成相对于外科缝合器的钉仓定位的第二组织厚度补偿器，以及铰链 将第一组织厚度补偿器连接到第二组织厚度补偿器。 第一和/或第二组织厚度补偿器可以包括额外的接合特征，例如接合砧和/或钉仓中的狭槽的凸脊。 在某些实施方案中，第一和/或第二组织厚度补偿器可以包括含有合适的生物制剂的包装。 可以提供端部执行器组件用于附接到手术器械，该手术器械包括例如钉仓，砧座，定位在砧座上的第一组织厚度补偿器和定位在钉仓上的第二组织厚度补偿器。
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公开(公告)号：US20120083835A1
公开(公告)日：2012-04-05
申请号：US13097924
申请日：2011-04-29
IPC分类号： A61B17/064
CPC分类号： A61B17/105 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00893 , A61B2017/0409 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2902 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2946 , A61B2017/320052 , A61B2090/037 , A61B2090/0811
摘要： A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.
摘要翻译： 紧固件盒可以包括支撑部分，相对于支撑部分定位的组织厚度补偿器，以及定位在支撑部分内的多个紧固件和/或可用于紧固组织的组织厚度补偿器。 在使用中，紧固件盒可以定位在手术紧固装置的第一钳口中，其中第二钳口或砧座可以定位成与第一钳口相对。 为了部署紧固件，订书钉展开构件通过紧固件盒推进，以将紧固件移向砧座。 当紧固件被部署时，紧固件可以将组织厚度补偿器的至少一部分与至少一部分被紧固的组织一起捕获在其中。
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公开(公告)号：US20120083834A1
公开(公告)日：2012-04-05
申请号：US13097917
申请日：2011-04-29
IPC分类号： A61B17/064
CPC分类号： A61B17/105 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00893 , A61B2017/0409 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2902 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2946 , A61B2017/320052 , A61B2090/037 , A61B2090/0811
摘要： A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.
摘要翻译： 紧固件盒可以包括支撑部分，相对于支撑部分定位的组织厚度补偿器，以及定位在支撑部分内的多个紧固件和/或可用于紧固组织的组织厚度补偿器。 在使用中，紧固件盒可以定位在手术紧固装置的第一钳口中，其中第二钳口或砧座可以定位成与第一钳口相对。 为了部署紧固件，订书钉展开构件通过紧固件盒推进，以将紧固件移向砧座。 当紧固件被部署时，紧固件可以将组织厚度补偿器的至少一部分与至少一部分被紧固的组织一起捕获在其中。
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公开(公告)号：US20120080338A1
公开(公告)日：2012-04-05
申请号：US13097907
申请日：2011-04-29
IPC分类号： A61B17/064
CPC分类号： A61B17/105 , A61B17/00234 , A61B17/00491 , A61B17/064 , A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B17/295 , A61B90/92 , A61B2017/00004 , A61B2017/003 , A61B2017/00314 , A61B2017/00323 , A61B2017/00327 , A61B2017/00526 , A61B2017/0053 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00893 , A61B2017/0409 , A61B2017/0641 , A61B2017/0688 , A61B2017/07214 , A61B2017/07221 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/0725 , A61B2017/07257 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/2902 , A61B2017/2908 , A61B2017/291 , A61B2017/2919 , A61B2017/292 , A61B2017/2923 , A61B2017/2927 , A61B2017/2931 , A61B2017/2933 , A61B2017/2936 , A61B2017/2944 , A61B2017/2946 , A61B2017/320052 , A61B2090/037 , A61B2090/0811
摘要： A fastener cartridge can comprise a support portion, a tissue thickness compensator positioned relative to the support portion, and a plurality of fasteners positioned within the support portion and/or the tissue thickness compensator which can be utilized to fasten tissue. In use, the fastener cartridge can be positioned in a first jaw of a surgical fastening device, wherein a second jaw, or anvil, can be positioned opposite the first jaw. To deploy the fasteners, a staple-deploying member is advanced through the fastener cartridge to move the fasteners toward the anvil. As the fasteners are deployed, the fasteners can capture at least a portion of the tissue thickness compensator therein along with at least a portion of the tissue being fastened.
摘要翻译： 紧固件盒可以包括支撑部分，相对于支撑部分定位的组织厚度补偿器，以及定位在支撑部分内的多个紧固件和/或可用于紧固组织的组织厚度补偿器。 在使用中，紧固件盒可以定位在手术紧固装置的第一钳口中，其中第二钳口或砧座可以定位成与第一钳口相对。 为了部署紧固件，订书钉展开构件通过紧固件盒推进，以将紧固件移向砧座。 当紧固件被部署时，紧固件可以将组织厚度补偿器的至少一部分与至少一部分被紧固的组织一起捕获在其中。
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公开(公告)号：US20120074200A1
公开(公告)日：2012-03-29
申请号：US13241629
申请日：2011-09-23
申请人： Katherine J. Schmid , Chester O. Baxter, III , Taylor W. Aronhalt , Joseph E. Young , Frederick E. Shelton, IV , Barry C. Worrell , Matthew C. Miller
发明人： Katherine J. Schmid , Chester O. Baxter, III , Taylor W. Aronhalt , Joseph E. Young , Frederick E. Shelton, IV , Barry C. Worrell , Matthew C. Miller
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B2017/0038 , A61B2017/2908 , A61B2017/2927 , A61B2017/2946
摘要： A surgical instrument that has an articulatable end effector. The instrument includes an articulation system that has a rotatable actuator member that interfaces with an articulation transmission. Rotation of the actuator member in a first rotary direction about an actuation axis causes at least one articulation member to articulate the surgical end effector in a first articulation direction and rotation of the actuator member in a second rotary direction causes at least one articulation member to articulate the surgical end effector in a second articulation direction.
摘要翻译： 具有可铰接端部执行器的手术器械。 该仪器包括一个铰接系统，该铰接系统具有与铰接传动装置相接合的可转动致动器构件。 致动器构件围绕致动轴线沿第一旋转方向旋转使得至少一个关节运动构件以第一铰接方向铰接外科末端执行器，并且致动器构件在第二旋转方向上的旋转使至少一个关节运动构件铰接 手术末端执行器处于第二关节方向。
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公开(公告)号：US09839420B2
公开(公告)日：2017-12-12
申请号：US13433136
申请日：2012-03-28
申请人： Frederick E. Shelton, IV , Katherine J. Schmid , Charles J. Scheib , Taylor W. Aronhalt , Matthew M. Lang , Steven G. Hall , Chester O. Baxter, III
发明人： Frederick E. Shelton, IV , Katherine J. Schmid , Charles J. Scheib , Taylor W. Aronhalt , Matthew M. Lang , Steven G. Hall , Chester O. Baxter, III
IPC分类号： A61B17/04 , A61B17/10 , A61B17/068 , A61B17/072 , A61L17/00 , A61B17/064 , A61B17/115 , A61B17/00 , A61B17/29 , A61B17/32 , A61B90/00
CPC分类号： A61B17/068 , A61B17/00491 , A61B17/0643 , A61B17/0644 , A61B17/072 , A61B17/07207 , A61B17/07292 , A61B17/1155 , A61B17/2909 , A61B2017/00004 , A61B2017/00477 , A61B2017/00526 , A61B2017/0053 , A61B2017/00561 , A61B2017/00818 , A61B2017/00862 , A61B2017/00884 , A61B2017/00889 , A61B2017/00893 , A61B2017/00898 , A61B2017/00942 , A61B2017/00951 , A61B2017/07228 , A61B2017/07235 , A61B2017/07242 , A61B2017/07264 , A61B2017/07271 , A61B2017/07278 , A61B2017/07285 , A61B2017/2908 , A61B2017/2919 , A61B2017/2923 , A61B2017/2927 , A61B2017/2933 , A61B2017/2936 , A61B2017/2946 , A61B2017/320052 , A61B2090/0811 , A61L17/005 , A61L2300/102 , A61L2300/232 , A61L2300/45 , F04C2270/0421 , Y10T29/49826
摘要： A stapling assembly comprising a tissue thickness compensator is disclosed. The tissue thickness compensator comprises a body portion comprising a porous material and a plurality of cavities defined in the body portion, wherein the cavities are aligned with forming surfaces of an anvil such that fasteners of a fastener cartridge are configured to at least one of the cavities when the fasteners are ejected from the fastener cartridge or capture the cavities and compress the cavities within the tissue thickness compensator when the fasteners are ejected from the fastener cartridge and formed by forming surfaces of the anvil. The stapling assembly further comprises at least one medicament positioned within each cavity prior to firing the stapler, wherein the medicament is different than the porous material.
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