US Patent 8403956 Multiple-use surgical stapler

A surgical apparatus may include an end effector comprising a staple holder including a housing therein, and an anvil connected to the staple holder, where the end effector is movable between an open configuration and a clamped configuration; a feeder belt having two lateral edges, at least part of which is held within the housing; a plurality of staples, where each staple has a first end frangibly connected to the feeder belt and a second, free end; where at least one staple is oriented relative to the corresponding feeder belt in a direction angled relative to the transverse direction; and wherein the staples form at least one row, each row including at least two staples; and an overtube movable relative to the staple holder and anvil.