Patent ID: 8147441

Claim:
A system for bypassing a hollow body organ, comprising: a tissue approximation and fixation apparatus having an elongate outer tubular member defining at least a first lumen therethrough, the elongate outer tubular member having a plurality of rings, the rings having one or more pivots for facilitating relative motion therebetween, and an elongate inner tubular member defining at least a second lumen therethrough and slidingly disposed throughout the first lumen such that a distal portion of the inner tubular member extends partially beyond a distal end of the outer tubular member, and the tissue approximation and fixation apparatus having a fastening device attached to the distal end of the inner tubular member, wherein the fastening device defines a circumferential receiving surface about the inner tubular member, and wherein the fastening device further defines at least one port in fluid communication with the second lumen of the inner tubular member, wherein an enclosable channel is defined about the distal portion of the inner tubular member when the receiving surface of the fastening device is positioned adjacently to the distal end of the outer tubular member; a bypass conduit having a tubular member with a proximal end and a distal end which defines a main lumen therethrough, wherein the main lumen maintains communication from proximal to distal of the hollow body organ, and wherein at least a portion of an outer surface of the tubular member is adapted to maintain fluid communication therealong; wherein the tissue approximation and fixation device forms a narrowed region within the hollow body organ and the bypass conduit is affixed to the narrowed region of the hollow body organ.