Hybrid endoscopic/laparoscopic device for forming serosa to serosa plications in a gastric cavity

A device for manipulating gastric tissue, said device comprising:

• a. an elongated hollow housing having distal and proximal ends, said housing containing at least two fastening means, said fastening means comprising at least two anchors connected together by a flexible member, said flexible member having a knot disposed thereon, wherein said knot is movable to draw together said anchors and lock them into position with respect to each other;
• b. a penetrating means disposed at said distal end of said housing;
• and
• c. a means for deploying said fasteners distally through said housing and said penetrating member.

A device for manipulating gastric tissue, said device comprising:

• a. an elongated hollow housing having distal and proximal ends, said housing containing at least two fasteners, said fasteners comprising at least two anchors and a securing device disposed between said anchors, wherein said securing device locks said anchors into position with respect to each other;
• b. a penetrating member disposed at said distal end of said housing;
• and
• c. an actuator for deploying said fasteners distally through said housing and said penetrating member.