PROBLEM TO BE SOLVED: To provide a surgical fastening apparatus having a fastener and a holder system.SOLUTION: In the surgical fastening apparatus including a fastener receiving frame containing a plurality of the openings formed therein so as to leave an interval and a plurality of the surgical fasteners extending from a fastener support member so as to leave an interval, the surgical fasteners can be locked with a plurality of the openings to be fitted with the fastener receiving frame to thereby fix tissue between the surgical fasteners and the fastener receiving frame and can be locked with the openings at a plurality of positions in dependence on the thickness of the tissue between the fastener receiving frame and the fastener support member, and the fastener receiving frame is fixed to the holding structure for the fastener support member and the fastener receiving frame. There are provided the holding structure and a pusher for advancing the fastener support member to lock the same with the fastener receiving frame.COPYRIGHT: (C)2011,JPO&INPIT【課題】外科用ファスニング装置を提供すること。【解決手段】外科用ファスニング装置であって、該ファスナ受取フレーム内に形成された複数の間隔をあけて離れている開口を含むファスナ受取フレームと、該ファスナ支持部材から延びている複数の間隔をあけて離れている外科用ファスナを含み、該外科用ファスナは、該複数の開口と係合可能であることにより、該ファスナ受取フレームと嵌合して組織を該外科用ファスナと該ファスナ受取フレームとの間に固定し、該ファスナは、該ファスナ受取フレームと該ファスナ支持部材との間の組織厚に依存して、複数の位置において該開口と係合可能である、ファスナ支持部材と、該ファスナ受取フレームのための保持構造であって、該ファスナ受取フレームは取外し可能に該保持構造に固定される、保持構造と、該ファスナ支持フレームを前進させて該ファスナ受取フレームと係合させるためのプッシャとを備えている、装置。【選択図】図1