Patent ID: 8216252

Claim:
A tissue manipulation system, comprising: a tissue grasping tool pivotably coupled to a distal end of an elongate shaft, the tissue grasping tool having a first jaw member pivotably coupled to the distal end of the elongate shaft, a second jaw member pivotably coupled to the first jaw member and having a channel formed therein, and a launch tube member attached to the second jaw member and adapted to urge the first and second jaw members between a low-profile delivery configuration in which a distal portion of the launch tube member is positioned substantially within the channel of the second jaw member and an expanded grasping configuration in which the distal portion of the launch tube member is positioned substantially outside of the channel of the second jaw member; a lumen within the launch tube member; an instrument within the lumen in the launch tube member; and a tissue engagement device having a flexible shaft and a distal end effector disposed on the distal end of the shaft, the distal end effector being adapted to reversibly engage tissue and further adapted to be positioned endoluminally within the body lumen adjacent to the tissue grasping tool.