Patent ID: 7635374

Claim:
For use with a surgical compression clip comprising a pair of compression elements and at least one force applier element formed of a shape memory material, the clip having an open position and a closed position and configured to receive a full thickness of an organ wall portion therethrough when in its open position, the force applier element operative for providing a force to said compressing elements, and the compressing elements operative to apply a compression force to a full thickness of an organ wall portion when the clip is closed thereabout, so as to cause organ wall closure after resection of a portion thereof, a system for performing a full thickness resection of a portion of an organ wall comprising: an endoscope having an insertion shaft having at least one channel and a distal end; a multi-lumen sleeve having a primary lumen and at least one secondary lumen, said primary lumen encasing said endoscope insertion shaft so that there is no relative axial movement of said shaft with respect to said sleeve when said sleeve and shaft are positioned in a organ, and said at least one secondary lumen being in a collapsed configuration when said sleeve is inserted into the organ; a clip applier for advancing the clip through a working conduit and for positioning the clip near the tissue to be resected, wherein said working conduit is a preselected one of (i) said at least one channel of said insertion shaft and (ii) said at least one secondary lumen of said multi-lumen sleeve; a severing element for resecting tissue, selectably extendable through said working conduit so as to be brought into a position of operational proximity to tissue extending through the compression clip; and a grasper assembly which comprises; a grasper portion having an open and a closed position; an element having a bend for facilitating grasping the full thickness of an organ wall portion to be resected and pulling the wall portion in a direction out of the plane of the clip and said clip applier; and a transporting element, wherein said grasper portion and said element having a bend are selectably extendable through said working conduit being transported through said working conduit in said transporting element while said grasper portion is in its closed position and when said grasper portion exits said transporting element near the wall portion to be resected said grasper portion substantially immediately transitions to its open position, and wherein said severing element is operable to resect the full thickness of the portion of the organ wall extending through the clip.