Patent ID: 7959663

Claim:
A method for repairing a diseased or damaged section of an aorta comprising: (i) introducing an intraluminal directing device from a remote access site to a location within a prosthesis at a target site in an aorta where the diseased or damaged section exists, the intraluminal directing device including a deflectable distal region; (ii) establishing a path to a desired fastening site on the prosthesis by manipulating the intraluminal directing device within the prosthesis to orient the distal region with respect to the desired fastening site; (iii) advancing an intraluminal fastener applier through the path established in (ii) and rotating at least one tissue-piercing fastener into tissue at the desired fastening site to anchor the prosthesis, the at least one tissue-piercing fastener configured to pierce tissue in response to rotation; (iv) establishing a path to a different desired fastening site on the prosthesis by manipulating the intraluminal directing device within the prosthesis to orient the distal region with respect to the different desired fastening site; (v) advancing an intraluminal fastener applier through the path established in (iv) and rotating an additional at least one tissue-piercing fastener into tissue at the different desired fastening site to further anchor the prosthesis, the additional tissue-piercing fastener configured to pierce tissue in response to rotation; wherein (iii) and/or (v) includes rotating the fastener with a rotary driver; and (vi) repeating (iv) and (v) until a desired plurality of tissue-piercing fasteners are introduced into tissue to anchor the prosthesis.