Patent ID: 8257365

Claim:
A system for reducing the volume of a stomach cavity, comprising: a tubular member having a proximal end and a distal end; a tissue acquisition and fixation device disposed at the distal end of the tubular member, the tissue acquisition and fixation device including first and second members movable from an open configuration to a closed configuration to substantially simultaneously create first and second folds of tissue; a pledget removably disposed between the first and second members of the tissue acquisition and fixation device, such that the pledget is configured to be positioned between the first and second folds of tissue created by the tissue acquisition and fixation device, the pledget including an elongate, flexible tether having one end attached to the pledget and a free end extending therefrom that is configured to be tensioned to manipulate tissue to which the pledget is attached; and an anchor housed within the first member of the tissue acquisition and fixation device, and the anchor being adapted to secure the pledget between the first and second folds of tissue when the tissue acquisition and fixation device moves from the open to the closed configuration.