Patent ID: 9545255
Date: 2017-01-17
CPC Classifications: A61B,A61F

Claim:
1. A method of surgery, comprising: advancing a distal end of an endoscopic flexible body per-orally into a pouch lumen PL of a stomach of a patient; directing the distal end of the endoscopic flexible body towards a stoma defined by a pouch anastomosis PA; advancing a tissue engagement member from the distal end of the endoscopic flexible body and engaging tissue at a first position adjacent to a first edge of the pouch anastomosis PA; manipulating a tissue manipulation assembly having a first jaw attached to a pivotal coupling on a tubular body, and a second jaw pivotally attached to the first jaw, including advancing a launch tube to pivot the second jaw towards the first jaw; grasping the tissue at the first position between the first jaw and the second jaw; moving a needle assembly through the launch tube and through the grasped tissue at the first position; deploying a first tissue anchor from the needle assembly through the grasped tissue at the first position; grasping tissue at a second position adjacent to a second edge of the pouch anastomosis PA between the first jaw and the second jaw; moving the needle assembly through the launch tube and through the grasped tissue at the second position; deploying a second tissue anchor from the needle assembly through the grasped tissue at the second position; and moving the first tissue anchor towards the second tissue anchor to make the pouch anastomosis PA smaller.