#$%^&*AU2015202334B220160602.pdf#####SURGICAL INSTRUMENT WITH DOUBLE CARTRIDGE AND ANVIL ASSEMBLIES ABSTRACT An end effector (16) for use with a surgical instrument (10), comprising: a first cartridge assembly (28) configured to deploy a first set of fasteners (78, 80) a second cartridge assembly (32), a proximal-most portion of the second cartridge assembly (32) being disposed distally of a distal-most portion of the first cartridge assembly (28), wherein the second cartridge assembly (32) is configured to move between an open position and an approximated position to clamp tissue and a central rod (38) having a longitudinal axis and extending between the first cartridge assembly (28) and the second cartridge assembly (32), the central rod (38) movable longitudinally to move the second cartridge assembly (32) between the open and approximated positions, the second cartridge assembly (32) being slidably positioned on the central rod (38).