Apparatus and methods for forming gastrointestinal tissue approximations
First Claim
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1. A tissue securement apparatus, comprising:
- a tissue engaging end effector positioned at a distal end of an elongate member, the end effector having a tissue engaging portion and a tissue piercing portion, the tissue engaging portion being adapted to engage tissue and move relative to the end effector, the tissue piercing portion being adapted to be stationary relative to engaged tissue; and
a transmission mechanism having a drive shaft extending through the elongate member, the drive shaft having a manipulatable proximal end and a distal end coupled to the end effector, the transmission mechanism further having a gear coupled to the drive shaft distal end.
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Abstract
Apparatus and methods are provided for forming a gastrointestinal tissue fold by engaging tissue at a first tissue contact point, moving the first tissue contact point from a position initially distal to a second tissue contact point to a position proximal of the second contact point to form a tissue fold, and extending an anchor assembly through the tissue fold near the second tissue contact point.
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Citations
17 Claims
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1. A tissue securement apparatus, comprising:
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a tissue engaging end effector positioned at a distal end of an elongate member, the end effector having a tissue engaging portion and a tissue piercing portion, the tissue engaging portion being adapted to engage tissue and move relative to the end effector, the tissue piercing portion being adapted to be stationary relative to engaged tissue; and
a transmission mechanism having a drive shaft extending through the elongate member, the drive shaft having a manipulatable proximal end and a distal end coupled to the end effector, the transmission mechanism further having a gear coupled to the drive shaft distal end. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10)
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11. A method for securing tissue, comprising:
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positioning a tissue engaging end effector adjacent to tissue to be engaged, the end effector being positioned at a distal end of an elongate member;
engaging the tissue via a tissue engaging portion of the end effector and moving the tissue engaging portion relative to the end effector, the tissue engaging portion being coupled via a gear to a distal end of a drive shaft having a manipulatable proximal end; and
piercing the tissue via a tissue piercing portion of the end effector, the tissue piercing portion being adapted to be stationary relative to the tissue. - View Dependent Claims (12, 13, 14, 15, 16, 17)
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Specification