Patent ID: 8777968

Claim:
An apparatus for fastening tissue, comprising: an elongated body having a distal end and a proximal end, wherein the distal end terminates in a distal tip; a clip releasably secured to and on the distal end of the elongated body, the clip comprising an inner lumen in which the distal tip of the elongated body is slidingly positioned; a suture cutter at the elongated body distal end, the suture cutter configured to perform a cutting motion when activated; a control element configured to be moved in a first direction and in a second direction, wherein the first direction is different from the second direction, and wherein the control element is configured to cause the elongated body distal tip to slidingly retract from the clip inner lumen when the control element is moved in the first direction, and the control element is further configured to activate the suture cutter when the control element is moved in the second direction, wherein the control element is configured to prevent movement of the control element in the second direction until after the control element has first been moved in the first direction, wherein the first direction is rotational about a longitudinal axis of the elongated body.