Patent ID: 7686819

Claim:
A surgical instrument used in an endoscopic fundoplication, comprising: an elongated tube having a proximal end and a distal end; a distal member coupled proximate the distal end of the tube and configured to fold a fundus of a stomach toward an esophageal wall, the distal member including a stationary member and a rotatable member pivotally coupled to the stationary member, the rotatable member being configured to install at least one fastener into the folded fundus and esophageal wall and having a connected end and a free end, the rotatable member being configured to pivot between a first position in which the free end is located distally of the connected end and a second position in which the connected end is located distally of the free end; and a grasper configured to grasp at least a portion of the fundus or the esophageal wall; wherein the grasper is coupled to one of the elongated tube and the distal member, and wherein the rotatable member has a first surface facing a second surface of the stationary member in the second position, the grasper being disposed between the first and second surfaces in the second position, the grasper including a first grasping member rotatably coupled to the stationary member.